Document Number: ERD-10584-E
Description: This affidavit should be used by an agent or a subcontractor to certify compliance with a Prevailing Wage Rate Determination.
Comments: This form must ONLY be filed with the Awarding Contractor indicated. The use of this form is mandatory and the statutory authority is prescribed in ss. 66.0903(9)(b) & 103.49(4r)(b), Stats. The penalty for failing to complete this form is prescribed in s. 103.005(12), Stats.
Content Contact: Equal Rights Information
ERD-10584-E (Electronic Version - Word/96 KB)
ERD-10584 (Print Version - pdf/76 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.