Labor & Wage Division

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Certified Payroll Records Request Form

Items marked with an asterisk ( * ) are required.

Requester Information
Request Type
If you selected Joint Labor-Management Committee, Taft-Hartley Trust Fund, or Government Agency, please identify the applicable California Labor Code section(s) under which this request is made.
Project Information
Contractor Information
Scope of Request

Date Range of Records Requested

Delivery Method
Select how you wish to receive the records

Important Information

Requests must reasonably describe the records sought. If additional clarification is needed to locate responsive records, OLSE will contact you using the information provided.

Personally identifiable information may be redacted in accordance with applicable law.