Wisconsin Department of Workforce Development

Agent or Subcontractor Affidavit of Compliance with Prevailing Wage Rate Determination

Document Number: ERD-10584
Description: This affidavit should be used by an agent or a subcontractor to certify compliance with a prevailing wage rate determination.
Division: Equal Rights
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.66.293(9)(b), Stats. The penalty for failing to complete this form is prescribed in s. 103.005(12), Stats.
Content Contact: Equal Rights Information
This version is an electronic Microsoft Word template that can be filled out on your computer (if you have Microsoft Word).  If you do not have Microsoft Word, you should use the  ERD-10584  version that is not fill enabled and should be printed and completed by hand.
MS Word Document Attachment:  ERD-10584-E 

This version is not fill enabled. It can be printed and completed by hand.  If you have Microsoft Word and want a form field fill-enabled form that can be filled out on your computer you may use the ERD-10584-E
PDF Document Attachment:  ERD-10584  

 

***Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page. Links to each specific vendor's site have been provided for you. Thank you.

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