Electronic WD-10 Form

OMB No. 1235-0015
Expiration 06/30/2029

* indicates a required field.

Submitter Information

Submitter Name*

Submitter Email*

Submitter Phone Number

Submitter Organization

Project Information

Please provide the following information for the project to be included in the Davis-Bacon Wage Survey. If you are provided information for more than one contractor or subcontractor on the project, please use a separate form for each.

Project Name*

Project Type* (please see instructions for descriptions of each construction type) (check only one; if the project included multiple types of substantial construction, please report associated wage rates on separate WD-10 forms. See Instructions - Project Types, Substantial Construction in a Different Type of Construction)

Residential Building Highway Heavy Don't Know

Project Location

Address or Location

City*

State*

+ Select County*

Project Description

Project Begin Date*

Estimated Actual

Project Completion Date*

Estimated Actual

Prime Contractor on the project

Is the project value more than $2,000?*

Yes No I don't know

Is the project subject to Federal (Davis-Bacon) prevailing wage requirements?*

Yes No I don't know

Contractor or Subcontractor Information

Please provide the following information about the contractor or subcontractor that employed the workers whose wage data is included below in this Davis-Bacon Wage Survey response form.

Contractor/Subcontractor Name*

Contractor Location

Address or Location

City

State

Zip Code

Contractor/Subcontractor Point of Contact

Name

Phone Number

Type of Work Performed*

Wage Survey Information

Please provide information about the wages and fringe benefits paid by the contractor or subcontractor to workers on the project. Please use a separate entry for each separate classification. For classification and subclassification names and numbers, please refer to the instruction sheet. When one or more workers work in the same classification but are paid different wage rates, report each wage rate on a separate entry. Do not average wage rates. Do not report for apprentices. Please consult the instructions before reporting for forepersons. Additional remarks and comments can be provided below.

Select a Classification*

+ Select Subclassifications

$ Hourly Wage Rate Paid* /hour

*# of workers performing on this project at this wage rate

Paid under a CBA?

Yes No

Local Union Name and # (if applicable)

Hourly Wage Rate Paid

Provide the actual hourly wage rate paid to workers working in the listed classification (and, if applicable, subclassification). When multiple workers work in the same classification but are paid different wage rates, report each grouping of workers making the same wage rate on a separate wage line. If an individual worker is paid different wage rates at different times (either while working in the same classification or in different classifications), report each of the wage rates on a separate wage line. Do not average the wage rates paid to all workers in a classification or different wage rates paid to a single worker.

# of workers performing on this project at this wage rate

Number of workers working in the listed classification (or, if applicable, sub- classification) paid the same wage rate. If workers in the same labor classification or subclassification were paid different rates, report each rate separately on different wage lines.

Do include:

Journey-level workers who performed work in that trade or classification on the project

Do not include:

Apprentices.
Forepersons unless they spend at least 20% of their time during a workweek performing duties that are manual or physical in nature (including those workers who use tools or who are performing the work of a trade), as distinguished from mental or managerial

When multiple workers work in the same classification but are paid different wage rates, report each grouping of workers making the same wage rate on a separate wage line. Do not average the wage rate paid to all workers in a classification or different wage rates paid to a single worker.

Examples:

The subcontractor performed work on the project for a total of eight (8) weeks.
- If the same four (4) workers worked in a labor classification and were paid the same hourly wage and the same fringe benefit rate, four (4) workers would be reported.
- If each week the subcontractor was on the project, a different group of four (4) workers in the same labor classification were paid the same hourly wage rate and the same fringe benefit rate, 32 workers would be reported (4 workers × 8 weeks).
The subcontractor performed work on the project for a total of six (6) weeks.
- If during the first three weeks, the subcontractor paid four (4) workers in a labor classification the same hourly wage rate and the same fringe benefit rate, four (4) workers would be reported.
- If during the next three (3) weeks, the subcontractor paid the same four (4), plus two (2) additional workers in the same labor classification the same hourly wage rate and the same fringe benefit rate as each other, but either the hourly wage rate or fringe rate was different than the hourly wage or fringe rate for the first three-week period, a separate wage line should be entered, and six (6) workers should be reported for this wage rate.

GUAM SURVEY RESPONDENTS ONLY: : List H-2B visa workers separately from other reported workers. Identify H-2B workers by using an “H-2” after the classification title.

Information may be requested to verify this information.

Fringe Benefits

If fringe benefits are provided, please report–as a dollar amount per hour, or as a % of the hourly wage rate–the contractor’s contribution to the fringe benefit plan or contractor’s cost of providing the fringe benefit. The dollar amount per hour can be calculated by dividing the contractor’s total fringe contributions for the worker by the worker’s total hours worked. For other fringe benefits, please describe. If additional space is needed, please use the ‘Optional Descriptions of any additional Fringe benefits’.

Fringe Benefits

Fringe benefits paid to workers working in the listed classification. Fringe benefits are paid in addition to the hourly wage rate. Report only the contributions made (or costs incurred) by the contractor, not the workers’ contributions. Do not include costs paid by the contractor that are required by either Federal, State, or local law such as worker’s compensation or unemployment insurance. Examples of bona fide fringe benefits include:

Health and Welfare—medical or hospital care, or insurance to provide such care; life insurance; long- or short-term disability, sickness, or accident insurance
Pension/Retirement (401(k), etc.)—defined benefit plans, defined contribution plans (including savings and thrift (401(k)s), deferred profit sharing, and money purchase pension plans, annuities, or cost of insurance to provide such a benefit
Apprentice Training—defrayment of the cost of apprenticeship or similar training programs
Vacation/Holiday/Sick—the payment of compensation for holidays, vacation, and sick leave.
Other: If you are not sure of the category of the fringe benefit, enter the rate information in the column, and specify the fringe type in the “Description of Any Additional Fringe Benefits” field at the bottom of the form. For example other types of fringe benefits could include supplemental unemployment benefits and safety and health funds.

If benefits are provided based on a percentage (%) of the hourly rate, provide percentage.

The provision of vacation and holiday pay can be reported as a number of days provided per year, or as a dollar amount per hour, or as a % of the hourly wage rate. If vacation or holiday pay is earned on a per-week or per-pay-period basis, please calculate and report the number of days per year that would be earned at that rate.

To calculate an hourly equivalent for holiday, vacation, sick leave benefits, or other benefits, multiply the days provided by the hours worked per day and hourly wage rate, and divide by the number of hours worked per worker in the relevant time period. Example:

If nine (9) holidays are provided per year and worker is paid $17.00 per hour then compute the hourly equivalent as follows:
- 9 holidays × 8 hours per holiday × $17/hour = $1,224 total holiday compensation.
- $1,224 total holiday compensation ÷ 1670 total annual hours worked by worker = $0.73 per hour holiday pay fringe benefit.

If fringe benefits are provided and you are reporting them as a dollar amount per hour, please compute the hourly equivalent of the contractor’s contribution for all hours worked in the relevant time period, not just the hours worked on the project being reported on. Except with respect to defined contribution pension plans or another fringe benefit for which an exception from “annualization” has been approved by WHD, calculate the hourly equivalent by dividing the contractor’s fringe benefit contribution by all hours worked in the time period.

Examples:

Employer contributed $300 per month for health and welfare. The worker works 160 hours per month, 80 hours on the project being reported on and 80 hours on other projects. $300÷160 hours = $1.87 per hour health and welfare fringe benefit.
Worker accrues 1.5 hours of vacation time each week. The worker is paid $25 per hour and works 40 hours a week, but only 30 of those hours are on the project being reported on. (1.5 vacation hours × $25 per hour) ÷ 40 hours = $0.94 per hour vacation pay fringe benefit.

When multiple workers work in the same classification but receive different fringe benefits, report them on different wage lines. Do not average the fringe benefits paid to all workers in a classification.

Health & Welfare Benefit

$ /hour

% of hourly rate

None

Pension/Retirement Benefit

$ /hour

% of hourly rate

None

Apprentice Training Benefit

$ /hour

% of hourly rate

None

Vacation/Holiday/Sick Benefit

$ /hour

% of hourly rate

# of Days per Year

None

Other Benefits

$ /hour

% of hourly rate

# of Days per Year

None

Saved Classifications
Classification	CBA/Union	Employees	Health Ben.	Retirement Ben.	Training Ben.	Leave Ben.	Other Ben.	Actions

Optional: Descriptions of Any Additional Fringe Benefits

Optional: Additional Wage Survey Form Remarks

If you have questions regarding this survey form, please contact the Davis-Bacon Survey Center at 866-236-2773 or email DavisBaconInfo@dol.gov.

Submitter Information

Project Information

Project Location

Project Begin Date*

Project Completion Date*

Is the project value more than $2,000?*

Is the project subject to Federal (Davis-Bacon) prevailing wage requirements?*

Contractor or Subcontractor Information

Contractor Location

Contractor/Subcontractor Point of Contact

Wage Survey Information

Paid under a CBA?

Fringe Benefits More information on fringe benefits

Health & Welfare Benefit

Pension/Retirement Benefit

Apprentice Training Benefit

Vacation/Holiday/Sick Benefit

Other Benefits

Fringe Benefits