Contractor Forms

• Certification of Nonsegregated Facilities 
• Personnel Workforce Data (Editable)
  • Personnel Workforce Data (Printable) 
• Contractor Benefit Plan Information 
• List of Present Employees 
• Prime Contractor and Subcontractors Data 
• Certified Payroll Report (for local projects)
• Certified Payroll Report (for federal projects)
• Certification for Federal-Aid Projects (WSDOT 420-004 EF)
• Request to Sublet Work (WSDOT 421-012 EF) 

These forms are available to print, fill out, and mail to:
Contract Compliance Office
950 Fawcett Avenue
Suite 100
Tacoma, WA 98402

Washington State Forms

Washington State Department of Labor and Industries offers the electronic filing of Statement of Intent to Pay Prevailing Wages and Affidavit of Wages paid at:

• File Intent and Affidavit Forms