Free Blank New York Certified Payroll (Form WH-347) (2026)
Download an empty Certified Payroll (Form WH-347) template for New York: the same statute-aware layout our generator uses, with blank lines to fill in by hand. No account, no email, no watermark.
Could not generate the file. Please try again or fill it online. Fill it online instead (free preview)
Answer a few questions — we apply the New York rules, check your entries and build a clean PDF and Word.
New York rules that this document follows
| State prevailing-wage law | Yes — New York Labor Law article 8 requires the prevailing rate of wages and supplements on public work, with no contract-amount threshold.Source: N.Y. Lab. Law § 220 |
|---|---|
| Certified payroll on state projects | Required — filed every 30 days to the department of jurisdiction (the public agency that awarded the contract). The contractor and every subcontractor submit a transcript of the original payroll record, subscribed and sworn to or affirmed as true under penalty of perjury, showing names and addresses, hours and days worked, occupations worked, hourly rates paid and supplements paid or provided; the first transcript is due within 30 days after the first payroll and every 30 days thereafter.Source: N.Y. Lab. Law § 220(3-a) |
| State form or system | Sworn payroll transcript (state agency and New York City agencies each publish their own certified payroll forms)Source: N.Y. Lab. Law § 220(3-a) |
| Contract threshold | No dollar threshold.Source: U.S. DOL, Wage and Hour Division, Dollar Threshold Amounts for Contract Coverage Under State Prevailing Wage Laws (Jan. 1, 2023) |
| Record retention | 5 years — The department of jurisdiction preserves the original payrolls or transcripts for five years from the date of completion of the work on the awarded contract.Source: N.Y. Lab. Law § 220(3-a) |
| Federal requirement | Contractors and subcontractors must submit weekly certified payrolls to the federal agency that is a party to the contract or, where the agency is not a party, to the applicant, sponsor, owner or other entity that maintains the records for transmission to the federal agency.Source: 29 C.F.R. § 5.5(a)(3)(ii) |
| Statement of compliance | Each weekly payroll must be accompanied by a signed Statement of Compliance — page 2 of Form WH-347 or any document with identical wording — executed by the contractor, subcontractor, or the authorized officer or employee who supervises the payment of wages, and signed with an original handwritten signature or a legally valid electronic signature.Source: 29 C.F.R. § 3.3(b) |
| Worker identification | The payroll submitted to the agency must not contain the worker's full social security number or home address; it shows an individual identifying number, such as the last four digits of the social security number.Source: 29 C.F.R. § 5.5(a)(3)(ii)(A); Form WH-347 instructions, column 1E |
| Overtime | On covered contracts, laborers and mechanics must be paid one and one-half times the basic rate of pay for all hours worked over 40 in a workweek.Source: 40 U.S.C. § 3702(a) (Contract Work Hours and Safety Standards Act) |
Frequently asked questions
Is the blank template free?
Yes. The blank Certified Payroll (Form WH-347) is free to download as PDF or Word — no account, no watermark. The paid version is the completed document our generator builds from your answers.
Is it valid in New York?
The template follows the New York rules listed on this page (reviewed September 2026). A blank form becomes a binding document only once it is completed correctly and signed by the parties. Check the state facts below and consider an attorney for unusual situations.
Should I fill it by hand or online?
Online is safer: the generator applies New York limits and notice periods, validates your entries and produces a clean PDF and Word file. Filling by hand works for simple cases — write clearly, initial every page and keep a signed copy for each party.
Related blank forms
- Commercial Lease Agreement — New York
- Bill of Sale — New York
- Promissory Note — New York
- Independent Contractor Agreement — New York
Blank Certified Payroll (Form WH-347) in other states
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
FormsByState provides self-help document templates and general information, not legal advice. We are not a law firm. For advice about your situation consult a licensed attorney in your state.