3-PW Employment Verification.pdf

This document is a Public Works Employment Verification Form issued by the Commonwealth of Pennsylvania. The form is designed for contractors or subcontractors to affirm compliance with the Public Works Employment Verification Act through the federal E-Verify Program operated by the United States Department of Homeland Security. Contractors are required to verify the employment eligibility of all new hires within five (5) business days of their start date throughout the duration of the public works contract, with documentation to be maintained for potential investigation or audit.

The form requires detailed information about the business or organization, including name, address, contracting public body, contract/project number, project description, and location. The authorized representative must attest to the accuracy of the information and acknowledge that submission of false or misleading information may be subject to legal sanctions. By completing this form, the contractor/subcontractor certifies that all employees hired after January 1, 2013 are authorized to work in the United States, and commits to using the federal E-Verify Program to confirm employment eligibility for new hires.