Davis-Bacon and Related Acts Weekly Certified Payroll Form (Form WH-347) Completed Form Examples and Samples

Explore detailed examples of the Davis-Bacon and Related Acts Weekly Certified Payroll Form (WH-347). Our samples demonstrate how to accurately complete the WH-347, including project details, worker classifications, wages, fringe benefits, and deductions, extracted by AI for clarity and compliance.
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Completed Davis-Bacon and Related Acts Weekly Certified Payroll Form (WH-347) for a subcontractor's final project submission.

Davis-Bacon Certified Payroll Example – Subcontractor Final Submission

How this form was filled:

Our AI extracted comprehensive project details, individual worker payroll data, and certification information from an internal payroll memo to automatically fill the WH-347 form. It accurately identified each worker's classification, hours, wages, benefits, and deductions, including specific fringe benefit plan details and apprenticeship registration.

Source document used: Internal Payroll Report Memo

Subject: Weekly Certified Payroll Submission for Liberty Bridge Renovation - Week Ending 01/26/2026

Hi Team,

This memo summarizes the details for our weekly certified payroll submission for the Liberty Bridge Renovation project (Contract No. SFCC-LB-2024-001, Project No. FEMA-BRG-2024-005) for the week ending January 26, 2026. This is payroll number PYRL-2026-01-03, and we are submitting this as a subcontractor, Solid Foundations Construction LLC, located at 4500 Industrial Way, Suite 100, Capital City, CA 95814. The work was performed at 123 Riverfront Ave, Capital City, CA 95814, under Wage Determination CA20250001. This will be the final certified payroll for this project as we have completed our scope.

All payroll records are accurate and complete, and worker classifications precisely reflect the work performed. We confirm all wages and fringe benefits meet or exceed the applicable rates specified in the wage determination. No unauthorized deductions were made, and all workers received their full weekly wages.

Here's a breakdown of our key personnel for the week:

1.  **John P. Smith (ID: 101-JS), Carpenter**: John, a journeyworker, worked 40 straight-time hours (8 hours Mon-Fri) and an additional 2 hours of overtime on Monday. His hourly rate is $35.00. We provided $10.00/hour in total fringe benefits credit, split as $5.00 for Health & Welfare (Plan HW-SFCC-1, Funded) and $5.00 for Pension (Plan PEN-SFCC-2, Funded). His gross earnings for this work were $1505.00. Deductions include $200.00 for taxes, $115.13 for FICA, and $50.00 for Union Dues. Net pay was $1139.87.

2.  **Maria A. Garcia (ID: 102-MG), Apprentice Electrician**: Maria, a registered apprentice, completed 40 straight-time hours (8 hours Mon-Fri). Her hourly rate is $20.00. She's enrolled in the Capital City Electrical Apprenticeship Program, registered with the State Apprenticeship Agency. She received a $5.00/hour fringe benefit credit ($2.50 for Health & Welfare, $2.50 for Pension). Her gross earnings were $800.00. Deductions: $80.00 taxes, $61.20 FICA, and $30.00 for health insurance premiums. Net pay was $628.80.

3.  **David L. Chang (ID: 103-DC), Laborer**: David, a journeyworker, also worked 40 straight-time hours (8 hours Mon-Fri). His rate is $28.00/hour, with an $8.50/hour fringe benefit credit ($4.25 for Health & Welfare, $4.25 for Pension). Gross earnings for his work amounted to $1120.00. Deductions include $130.00 for taxes, $85.68 for FICA, and $60.00 for his 401k contribution. His net pay was $844.32.

All fringe benefits were paid to bona fide plans. Please find the attached WH-347 for final review and submission.

Best regards,

Sarah Chen
Payroll Manager
Solid Foundations Construction LLC
Phone: (916) 555-1234
Email: [email protected]
Date: 01/27/2026

Information used to fill out the document:

  • Project Information: Liberty Bridge Renovation, Contract No. SFCC-LB-2024-001, Project No. FEMA-BRG-2024-005, Wage Determination CA20250001, for week ending 01/26/2026. Submitting as Solid Foundations Construction LLC, 4500 Industrial Way, Capital City, CA 95814, for work at 123 Riverfront Ave, Capital City, CA 95814.
  • Worker 1 (John P. Smith): Carpenter, Journeyworker, ID: 101-JS. 40 ST hours (8/day Mon-Fri), 2 OT hours (Mon). Rate $35.00. FB Credit $10.00 ($5.00 H&W, $5.00 Pension). Gross $1505.00. Deductions: Tax $200.00, FICA $115.13, Union Dues $50.00. Net Pay $1139.87.
  • Worker 2 (Maria A. Garcia): Apprentice Electrician, Registered Apprentice, ID: 102-MG. 40 ST hours (8/day Mon-Fri). Rate $20.00. FB Credit $5.00 ($2.50 H&W, $2.50 Pension). Gross $800.00. Deductions: Tax $80.00, FICA $61.20, Health Insurance $30.00. Net Pay $628.80. Apprenticeship: Capital City Electrical Apprenticeship Program (SAA).
  • Worker 3 (David L. Chang): Laborer, Journeyworker, ID: 103-DC. 40 ST hours (8/day Mon-Fri). Rate $28.00. FB Credit $8.50 ($4.25 H&W, $4.25 Pension). Gross $1120.00. Deductions: Tax $130.00, FICA $85.68, 401k $60.00. Net Pay $844.32.
  • Certifying Official: Sarah Chen, Payroll Manager, Solid Foundations Construction LLC. Phone: (916) 555-1234, Email: [email protected]. Certification Date: 01/27/2026.

What this filled form sample shows:

  • Successfully identified and extracted detailed project and contract numbers from a descriptive project summary.
  • Precisely parsed individual worker data, including specific daily straight-time and overtime hours, labor classifications, and unique identifying numbers.
  • Calculated and extracted complex financial breakdowns for each worker, including hourly rates, various deductions (taxes, FICA, specific 'other' deductions), gross, and net pay.
  • Correctly identified and extracted details for fringe benefit plans (names, plan numbers, funded status) and applied hourly credits to multiple workers.
  • Accurately extracted apprenticeship program details, including the program name and registration agency (SAA), linked to the specific apprentice.
  • Mapped general company address information from the memo to the subcontractor's business address field, which was ambiguously labeled in the form's field list.

Form specifications and details:

Use Case: Subcontractor submitting final weekly certified payroll for a federal construction project.
Source Document: Internal Payroll Report Memo
Categories: VA forms, payroll forms, HR forms, certified payroll forms
Created: March 10, 2026 06:51 AM
Completed Davis-Bacon and Related Acts Weekly Certified Payroll Form (WH-347) for a subcontractor's final project submission.