skip navigational links United States Department of Labor
May 8, 2009   
DOL Home > Find It! By Form > DOL Form
DOL Home

DOL Form WH-501

View ESA-WHD's Form WH-501 Online PDF
Agency: ESA-WHD
Title: Wage Statement
Form Description: The Wage Statement for Migrant and Seasonal Agricultural Workers is an optional form for use by farm labor contractors, agricultural employers and agricultural associations to satisfy their obligation – whether or not they choose to use this form – to maintain individual payroll information and provide it to covered workers 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: 1215-0148
Form Number: WH-501
Form Size: 133KB

 

Phone Numbers