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Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages
This information is necessary to determine whether respondents will be authorized to pay subminimum wages to handicapped individuals and employ homeworkers in the restricted industries under the provisions of sections 11(d) and 14(c) of the Fair Labor Standards Act.
Form #:  WH- 226 A
Agency:  Department of Labor
Bureau:  Employment Standards Administration
Common Name:   Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages
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pdf Both Form and Instructions 0 61 [3] Fillable + Printable Adobe Reader Download  

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