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Additional Remarks: Optional space for additional information on deductions, hourly cost of fringe benefits, or <br />explanations. If more space is needed, please continue remarks on a separate page. If the optional space or separate <br />pages are used, please include all contractor and project information required by the form. <br />Signature of Certifying Official, Date, Telephone Number, and Email Address: The Statement of Compliance must be <br />signed by the contractor or subcontractor, or their agent who paid or supervised the payment of the workers under the <br />contract during the weekly time period covered by the form. Enter the phone number and email address of the individual <br />who is signing the statement and the date signed. Legally valid electronic signatures are acceptable. A legally valid <br />electronic signature includes any electronic process that indicates acceptance of the certified payroll record and includes <br />an electronic method of verifying the signer’s identity. Note: Photocopies or scanned copies of signatures do not satisfy this <br />requirement. <br /> <br />Other Resources for filling out Revised WH-347 <br />LCPtracker Resource Document: FAQ: How to Complete the Revised WH-347 Form <br />Docusign Envelope ID: CF064D56-F89A-8651-8229-D168AFF8B909