Wage and Hour Division (WHD)
To order printed copies of forms, please email your request to DOL-WHDPUBLICATIONS@dol.gov
WH-2 & WH-46: Industrial homework
WH-4: H-1B Nonimmigrant Information Form
WH-5: Certificate of Training Form
WD-10: DBRA Report of Construction Contractor’s Wage Rates
WH-75: Homeworker Handbook
WH-200, WH-201, and WH-202: Applications for Authority to Employ Full-Time Students at Subminimum Wages Under Regulations 29 CFR Part 519
WH-205: The Payment of Subminimum Wages to Student-Learners Under Section 14(a) of the FLSA
WH-226: Application to Employ Workers with Disabilities at Special Minimum Wages
WH-347: DBRA Certified Payroll Form
- Revised WH-347 Form & Instruction Applicable to Contracts Entered into Pursuant to Invitations for Bids Issued or Negotiations Concluded On or After January 18, 2009.
WH-380-E: FMLA Certification of Health Care Provider for Employee’s Serious Health Condition
WH-380-F: FMLA Certification of Health Care Provider for Family Member’s Serious Health Condition
WH-381: FMLA Notice of Eligibility and Rights & Responsibilities
WH-382 : FMLA Designation Notice
WH-384 : FMLA Certification of Qualifying Exigency For Military Family Leave
WH-385: FMLA Certification for Serious Injury or Illness of Covered Servicemember -- for Military Family Leave
WH-385V: FMLA Certification for Serious Injury or Illness of a Veteran for Wage and Hour Division Military Caregiver Leave
WH-501: MSPA Wage Statement
WH-514: MSPA Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements
WH-514A: MSPA Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards
WH-515: MSPA Doctor’s Certificate
WH-516: MSPA Worker Information – Terms of Employment
WH-520: MSPA Housing Occupancy Certificate
WH-521: MSPA Housing Terms and Conditions
WH-530: MSPA Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration
- WH-530 Form & Instruction (English and Spanish)
WH-1481: EPPA Notice to Examinee
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