Prime Contractor Affidavit of Compliance with Prevailing Wage Determination

Document Number: ERD-5724-E

Description: This affidavit should be used by a prime contractor to certify compliance with a Prevailing Wage Rate Determination.

Comments: The statutory authority for the use of this form is prescribed in ss. 66.0903(9)(c) and 103.49(4r)(c), Stats. The use of this form is mandatory. The penalty for failing to complete this form is prescribed in s. 103.005(12), Stats.

Content Contact: Equal Rights Information

Document Attachments:

ERD-5724-E (Electronic Version - Word/140 KB)

ERD-5724 (Print Version - pdf/132 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.