Labor Compliance

Forms

To request a MnDOT document in an alternative format, e-mail adarequest.dot@state.mn.us.

Certified payroll

• Prevailing wage payroll report form instructions (PDF)
• Prevailing wage payroll report form instructions (Word)
• Prevailing wage payroll report form example (PDF)
• Prevailing wage payroll report form - 8.5 x 11 (PDF)
• Prevailing wage payroll report form - 8.5 x 14 (Excel)
• Statement of compliance form guide (PDF)
• Statement of compliance form guide (Word)
• Prime contractor-subcontractor's statement of compliance form (PDF)
• Prime contractor-subcontractor's statement of compliance form (Word)
• Tracking form - 8.5 x 11 (PDF)
• Tracking form - 8.5 x 14 (Word)

Classification request

• MnDOT classification clarification request form (PDF)

Complaints

• Prevailing wage complaint form (PDF)

Contract administration

• Investigation request letter form (PDF)

Employee documents

• Employee right-to-know card - English (PDF)
• Employee right-to-know card - Spanish (PDF)

Employee interviews

• Field compliance review on labor provisions (PDF)
• Field compliance review on labor provisions (Word)
• Field compliance review on independent truck owner-operator (PDF)
• Field compliance review on independent truck owner-operator (Word)

Federal and state wage rate request

• Request for authorization of additional classification and wage rate form instructions (PDF)
• Request for authorization of additional classification and wage rate form instructions (Word)
• Request for authorization of additional classification and wage rate form (PDF)
• MnDLI request for rate assignment form (PDF) - send form to MnDOT Labor Compliance Unit for processing

Month-end trucking

• Month-end Trucking Report Instructions (PDF)
• Month-end Trucking Report Statement of Compliance (Word)
• Month-end Trucking Report Statement of Compliance (PDF)
• Form A: Multiple Truck Owner(s) MTO - Month-End Trucking Report (Word)
• Form A: Multiple Truck Owner(s) MTO - Month-End Trucking Report (PDF)
• Form B: Independent Truck Owner/Operator(s) ITO - Month-End Trucking Report (Word)
• Form B: Independent Truck Owner/Operator(s) ITO - Month-End Trucking Report (PDF)
• Month-end trucking report flow chart (PDF)

Subletting a contract

• Request to sublet summary (Excel)
• Request to sublet (PDF) - updated 3/6/17
• Request to sublet for trucking (PDF) - updated 1/3/17

Surveys

• Federal prevailing wage survey information
• State prevailing wage survey information

Tax forms

• Minnesota Revenue Department -- withholding affidavit for contractors or form IC134
• IC 134 Submission Requirements – ITO’s and MTO’s

Vendor forms

• Contractor/vendor form (PDF) - updated January 04, 2022
• Trucking entity vendor form (PDF) - updated January 04, 2022
• Instructional Guide for Completing the Contractor Vendor Form (PDF)
• Instructional Guide for Completing the Trucking Entity Vendor Form (PDF)
• Data Privacy Notice - Tennessen Warning (PDF)