U. S. DEPARTMENT OF LABOR
WAGE AND HOUR AND PUBLIC CONTRACTS DIVISIONS
OFFICE OF THE ADMINISTRATOR
WASHINGTON
20210
July 17, 1968
MEMORANDUM # 77
TO: AGENCIES ADMINISTERING STATUTES REFERRED TO IN 29 CFR,
SUBTITLE A, PART 3
FROM: Clarence T. Lundquist, Administrator
Wage and Hour and Public Contracts Divisions
SUBJECT: 1. Amendment, 29 CFR, Part 3.3(b), Weekly Statement
of Compliance
2. Form WH-347, Optional Payroll Form
Form WH-347-Inst., Instruction Sheet for Form WH-347
Form WH-348, Statement of Compliance
1. Paragraph (b) of 29 CFR 3.3 requires that a "weekly statement with
respect to the payment of wages" accompany payrolls submitted to con-
tracting agencies in connection with work performed on contracts subject
to the Davis-Bacon Act and various related statutes. On July 17, 1968,
a revision of paragraph (b) of 29 CFR 3.3 will appear in the Federal
Register. This amends the text of the weekly statement to include infor-
mation as to the payment of fringe benefits. However, the text of the
statement will no longer appear in 29 CFR 3.3(b); it is contained in
new Forms WH-347 and WH-348.
2. Form SOL-184, previously used by contractors on an optional basis
to report weekly wages paid, has been replaced by Form WH-367, also
optional. The text of the "weekly statement with respect to the payment
of wages" appears on the reverse side of this new optional payroll form.
A contractor may use the new payroll form or an appropriate payroll form
of his own choice. If he uses his own payroll form, he must attach a
copy of the weekly statement using either new Form WH-348, on which the
weekly statement is printed separately, or any form with the identical
wording. An instruction sheet, Form WH-347-Inst., is provided to assist
contractors in completing Form WH-347, the payroll form.
3. The new forms will be available for purchase from the Superintendent
of Documents, Government Printing Office, Washington, D, C. 20402, on
July 12, 1968. Form WH-347, the optional payroll form, will be printed
in pads of 100 (including one copy of the instruction sheet, Form WH-347-Inst.,

















with each pad) and will cost $1.75 per pad. Form WH-348, the "weekly state-
ment with respect to payment of wages", will also be printed in pads of 100,
and will cost $1.25 per pad.
4. Attached for information is a copy of each new form, WH-347, WH-347-Inst.,
and W-348. The Department of labor will not stock these forms.
Attachments 3




















































GRAPHIC “STATEMENT OF COMPLIANCE”
























































GRAPHIC “INSTRUCTIONS FOR PREPARATION OF STATEMENT OF COMPLIANCE”