DOL Form WH-226

View WHD's Form WH-226 Online htm
Agency: WHD
Title: Application for Authority to Employ Workers with Disabilities at Special Minimum Wages
Form Description: This is an application for the authority to employ workers with disabilities at special minimum wage rates under the Fair Labor Standards Act (FLSA), Walsh- Healey Public Contracts Act (PCA), or McNamara-O’Hara Service Contract Act (SCA).
OMB Control Number: 1215-0005