{{#if_eq ApplicationType.Display 'Renewal Application' }}

Wage Data

Pay Type

{{ boolOrString PayType.Display }}

{{#if_eq PayType.Display 'Hourly' '||' PayType.Display 'Both'}}

Hourly


How many workers with disabilities were paid an hourly subminimum wage during the most recently completed fiscal quarter?

{{ boolOrString HourlyWageInfo.NumWorkers }}

What was the job or contract on which the employer employed the largest number of workers at hourly subminimum wage rates during the most recently completed fiscal quarter?

{{ boolOrString HourlyWageInfo.JobName }}

Description of Work Performed on this Job/Contract by Workers Paid Subminimum Wages

{{ boolOrString HourlyWageInfo.JobDescription }}

Which method did the employer use to determine the prevailing wage for the job or contract identified above?

{{ boolOrString HourlyWageInfo.PrevailingWageMethod.Display }}

{{#if_eq HourlyWageInfo.PrevailingWageMethod.Display 'Prevailing Wage Survey' }}

Prevailing wage determined based on this survey

{{ boolOrString HourlyWageInfo.MostRecentPrevailingWageSurvey.PrevailingWageDetermined }}

Source Employers

{{#each HourlyWageInfo.MostRecentPrevailingWageSurvey.SourceEmployers}}
Source Employer Name{{ EmployerName }}
Address{{ formatAddress Address }}
Telephone Number.{{ Phone }}
First Name of Individual Contacted{{ ContactFirstName }}
Last Name of Individual Contacted{{ ContactLastName }}
Title of Individual Contacted{{ ContactTitle }}
Date of Contact{{ formatDateTime ContactDate }}
Brief Description of Job/Task{{ JobDescription }}
Experienced Worker Wage Provided{{ ExperiencedWorkerWageProvided }}
Basis for Conclusion Wage Rate is Not Based on Entry Level{{ ConclusionWageRateNotBasedOnEntry }}
{{/each}} {{/if_eq}} {{#if_eq HourlyWageInfo.PrevailingWageMethod.Display 'Alternate Wage Data Source' }}

Description of Work (include job classification code, if known)

{{ boolOrString HourlyWageInfo.AlternateWageData.AlternateWorkDescription }}

Alternate data source used

{{ boolOrString HourlyWageInfo.AlternateWageData.AlternateDataSourceUsed }}

Prevailing wage provided by source

{{ boolOrString HourlyWageInfo.AlternateWageData.PrevailingWageProvidedBySource }}

Date data retrieved

{{ formatDateTime HourlyWageInfo.AlternateWageData.DataRetrieved }}

{{/if_eq}} {{#if_eq HourlyWageInfo.PrevailingWageMethod.Display 'SCA Wage Determination' }}

Attach the applicable SCA Wage Determination

File(s) name:
    {{#each HourlyWageInfo.SCAAttachments}}
  • {{ boolOrString this.AttachmentName }}
  • {{/each}}

Attachments are included at the end of the PDF.

{{/if_eq}}

How frequently does the employer conduct work measurements or time studies of each worker with a disability who is paid an hourly subminium wage?

{{ boolOrString HourlyWageInfo.WorkMeasurementFrequency }}

Attach a work measurement or time study for ONE currently employed worker with a disability who is paid an hourly subminimum wage for the contract identified above.

File(s) name: {{ formatAttachment HourlyWageInfo.Attachment }}

Attachments are included at the end of the PDF.

{{/if_eq}} {{#if_eq PayType.Display 'Piece Rate' '||' PayType.Display 'Both' }}

Piece Rate


How many workers with disabilities received subminimum wages and were paid piece rates during the most recently completed fiscal quarter?

{{ boolOrString PieceRateWageInfo.NumWorkers }}

What was the job or contract on which the employer employed the largest number of workers who received subminimum wages and were paid piece rates during the most recently completed fiscal quarter?

{{ boolOrString JPieceRateWageInfo.obName }}

Description of Work Performed on this Job/Contract by Workers Paid Subminimum Wages

{{ boolOrString PieceRateWageInfo.JobDescription }}

Which method did the employer use to determine the Prevailing Wage for the job or contract identified above?

{{ boolOrString PieceRateWageInfo.PrevailingWageMethod.Display }}

{{#if_eq PieceRateWageInfo.PrevailingWageMethod.Display 'Prevailing Wage Survey' }}

Prevailing Wage Determined based on this survey

{{ boolOrString PieceRateWageInfo.MostRecentPrevailingWageSurvey.PrevailingWageDetermined }}

Source Employers

{{#each PieceRateWageInfo.MostRecentPrevailingWageSurvey.SourceEmployers}}
Source Employer Name{{ EmployerName }}
Address{{ formatAddress Address }}
Telephone Number.{{ Phone }}
First Name of Individual Contacted{{ ContactFirstName }}
Last Name of Individual Contacted{{ ContactLastName }}
Title of Individual Contacted{{ ContactTitle }}
Date of Contact{{ formatDateTime ContactDate }}
Brief Description of Job/Task{{ JobDescription }}
Experienced Worker Wage Provided{{ ExperiencedWorkerWageProvided }}
Basis for Conclusion Wage Rate is Not Based on Entry Level{{ ConclusionWageRateNotBasedOnEntry }}
{{/each}} {{/if_eq}} {{#if_eq PieceRateWageInfo.PrevailingWageMethod.Display 'Alternate Wage Data Source' }}

Description of Work (include job classification code, if known)

{{ boolOrString PieceRateWageInfo.AlternateWageData.AlternateWorkDescription }}

Alternate data source used

{{ boolOrString PieceRateWageInfo.AlternateWageData.AlternateDataSourceUsed }}

Prevailing wage provided by source

{{ boolOrString PieceRateWageInfo.AlternateWageData.PrevailingWageProvidedBySource }}

Date data retrieved

{{ formatDateTime PieceRateWageInfo.AlternateWageData.DataRetrieved }}

{{/if_eq}} {{#if_eq PieceRateWageInfo.PrevailingWageMethod.Display 'SCA Wage Determination' }}

Attach the applicable SCA Wage Determination

File(s) name:
    {{#each PieceRateWageInfo.SCAAttachments}}
  • {{ boolOrString this.AttachmentName }}
  • {{/each}}

Attachments are included at the end of the PDF.

{{/if_eq}}

Descripton of Work

{{ boolOrString PieceRateWageInfo.PieceRateWorkDescription }}

Prevailing Wage Determined for This Job

{{ boolOrString PieceRateWageInfo.PrevailingWageDeterminedForJob }} rate per hour

Standard Productivity

{{ boolOrString PieceRateWageInfo.StandardProductivity }} units per hour

Piece Rate Paid to Workers

{{ boolOrString PieceRateWageInfo.PieceRatePaidToWorkers }} rate per unit

Attach all documentation of the methods used to determine the standard productivity and the piece rate.

File(s) name: {{ formatAttachment PieceRateWageInfo.Attachment }}

Attachments are included at the end of the PDF.

{{/if_eq}}
{{/if_eq}}