DOL Form WH-516 English

View WHD's Form WH-516 English Online htm
Agency: WHD
Title: Worker Information, Terms and Conditions of Employment
Form Description: The Migrant and Seasonal Agricultural Worker Information Form is an optional form for use by farm labor contractors, agricultural employers or agricultural associations to satisfy their obligation (whether or not they choose to use this form) in providing covered workers written notification of the worker's wage rate(s) and other terms and conditions of their employment, as required by the Migrant and Seasonal Agricultural Worker Protection Act (MSPA). The form is available here in English and Spanish to assist the agricultural employer community meet its obligation, insofar as is necessary and reasonable, to provided information in a language common to the workers if the workers are not fluent and literate in English. Contact the nearest Wage and Hour Division District Office to determine the availability of this form in other languages.
OMB Control Number: 1215-0187