Contractor NameExtract the contractor or subcontractor name....
Contractor AddressExtract the contractor address....
Payroll NumberExtract the payroll number for the week....
Week EndingExtract the week ending date. Return in YYYY-MM-DD...
Project NameExtract the project name and location....
Project NumberExtract the project or contract number....
Prime ContractorIf subcontractor form, extract prime contractor na...
WorkersExtract all workers as JSON array with keys: name,...
Total WorkersCount the total number of workers listed. Return a...
Total HoursExtract or calculate total hours worked by all wor...
Total GrossExtract or calculate total gross wages....
Total DeductionsExtract or calculate total deductions....
Total NetExtract or calculate total net wages paid....
Fringe BenefitsHow are fringe benefits paid? Cash, Benefits, Comb...
Fringe Benefit PlansIf benefits paid to plans, identify the plans. Ret...
Apprentices ListedAre any apprentices listed? Yes or No...
Apprentice ProgramIf apprentices, identify the approved apprenticesh...
Statement of ComplianceIs the Statement of Compliance (reverse side/page ...
SignatureExtract the name of the person who signed the comp...
TitleExtract the title of the signer....
Signature DateExtract the date signed. Return in YYYY-MM-DD form...
Exceptions NotedExtract any exceptions or remarks noted on the for...