Prevailing Wage Rates Determination Request
All fields are required
Project Information
County Location
of Project:
---Select---
Adams
Allegheny
Armstrong
Beaver
Bedford
Berks
Blair
Bradford
Bucks
Butler
Cambria
Cameron
Carbon
Centre
Chester
Clarion
Clearfield
Clinton
Columbia
Crawford
Cumberland
Dauphin
Delaware
Elk
Erie
Fayette
Forest
Franklin
Fulton
Greene
Huntingdon
Indiana
Jefferson
Juniata
Lackawanna
Lancaster
Lawrence
Lebanon
Lehigh
Luzerne
Lycoming
McKean
Mercer
Mifflin
Monroe
Montgomery
Montour
Northampton
Northumberland
Perry
Philadelphia
Pike
Potter
Schuylkill
Snyder
Somerset
Sullivan
Susquehanna
Tioga
Union
Venango
Warren
Washington
Wayne
Westmoreland
Wyoming
York
Estimated
Project Cost:
(Must be greater than $25,000 -- Prevailing Wages are not provided for projects under $25,000 -- They are not needed for projects less than $25,000)
Funds to be
furnished?
Will the Federal Government or any of its agencies furnish funds and require Federal Prevailing Wages to be used on your contract (such as loans or grants) or will a Federal Agency prescribe a schedule of Prevailing Wage Rates? If so, please go to
Federal Davis-Bacon Funds.
Yes
No
Project Name:
(Descriptive Name)
General Description:
Project Locality:
Administrator/
Awarding Agency:
Administrator/Awarding
Agency Contact:
Administrator/Awarding
Agency Telephone:
(XXX-XXX-XXXX)
General Directions
to Project:
Award Date:
(mm/dd/yyyy)
Proposed Start Date:
(mm/dd/yyyy)
Estimated Completion
Date: (mm/dd/yyyy)
Contact Information
Name:
Title:
Telephone:
(XXX-XXX-XXXX)
E-mail:
Address 1:
Address 2:
City:
State:
---Select---
AL
AK
AR
AZ
CA
CT
CO
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WI
WV
WY
Zip:
-
L&I Home
Bureau of Labor Law Compliance
Labor & Industry Building
Room 1301
651 Boas Street
Harrisburg PA 17121
(717)705-5969
Email:
LI, SLMR-LLC