1. 357. Printable and fillable Statement of Compliance - California 40 USC 276c). Statement Required by Regulations, Parts 3 and 5: While the "statement of compliance" need not be notarized, the statement (on page 2 of the payroll form) is subject to the penalties provided by 18 U.S.C. This Statement of Compliance shall be executed by all counsel and filed with the court clerk in the department of the judge to whom the case has been assigned for trial. Industrial Compliance is a division of the Ohio Department Of Commerce and is responsible for reviewing building plans, inspecting mechanical systems, testing & inspecting bedding, upholstered furniture and stuffed toys, as well as investigating complaints regarding minimum and prevailing wages. You can also type part of a word in any optional field to run a wildcard search. It also depends on which system you use — whether it’s the Department of Industrial Relations (DIR) system, a state-provided system, or another piece of software — and how much data you need to enter. Contact Department of Industrial Relations (DIR) To run a search, enter your search text in one or more of the optional fields below, and enter the dates of your search in the Date Range (To and From) fields. This statement of compliance meets needs of the state and federal payroll requirements to pay fringe benefits in addition to payment of the minimum rates. 948 63 State. Labor Commissioner's Office; Public Works. STATEMENT OF COMPLIANCE, Form WH-348 U.S. DEPARTMENT OF LABOR Form Approved WAGE AND HOUR DIVISION Budget Bureau No. Certified Payroll. D-25 Affirmation of Compliance with Mandatory Industrial Insurance Requirements (3/01) D-26 Application for Reimbursement of Claim-Related Travel Expenses (4/04) D-27 Interest Calculation for Compensation (7/99) D-28 Rehabilitation Lump Sum Request (7/99) D-29 Lump Sum Rehabilitation Agreement (7/99) D-30 Notice of Claim Acceptance (10/18) The statement of compliance includes: The date of the report submitted. Labor Compliance Printable Forms. Statement of Compliance Sample - California free download and preview, download free printable template samples in PDF, Word and Excel formats ... sums earned, th at no rebates have be en or will be ma de either dir ectly or indirectl y to, or on . (c) EXCEPTIONS (No Fringe Benefits Statement needed) On federally funded projects, permissible deductions are defined in Regulations. Part 3 (29 CFR Subtitle A) issued by the Secretary of Labor under the Copeland Act, as amended (48 State. 76 State. 967. 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