DOL Form WH-226A

View WHD's Form WH-226A Online htm
Agency: WHD
Title: Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages
Form Description: This is a supplemental 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