Forms

To order printed copies of forms, please email your request to DOL-WHDPUBLICATIONS@dol.gov

WH-2 & WH-46: Industrial homework

• WH-2 & WH-46 Forms & Instructions

WH-4: H-1B Nonimmigrant Information Form

• WH-4 Form & Instruction

WH-5: Certificate of Training Form

• WH-5 (PDF)

WD-10: DBRA Report of Construction Contractor’s Wage Rates

• WD-10 Instructions
• WD-10

WH-75: Homeworker Handbook

• WH-75 (PDF)
• WH-75 Spanish (PDF)

WH-200, WH-201, and WH-202: Applications for Authority to Employ Full-Time Students at Subminimum Wages Under Regulations 29 CFR Part 519

• WH-200, WH-201, and WH-202 Forms & Instructions

WH-205: The Payment of Subminimum Wages to Student-Learners Under Section 14(a) of the FLSA

• WH-205 Form & Instruction

WH-226: Application to Employ Workers with Disabilities at Special Minimum Wages

• Online Section 14(c) Certificate Application
• WH-226 & WH-226A Forms & Instructions

WH-347: DBRA Certified Payroll Form

• Revised WH-347 Form & Instruction Applicable to Contracts Entered into Pursuant to Invitations for Bids Issued or Negotiations Concluded On or After January 18, 2009.

WH-380-E: FMLA Certification of Health Care Provider for Employee’s Serious Health Condition

• WH-380-E Form & Instruction

WH-380-F: FMLA Certification of Health Care Provider for Family Member’s Serious Health Condition

• WH-380-F Form & Instruction

WH-381: FMLA Notice of Eligibility and Rights & Responsibilities

• WH-381 Form & Instruction

WH-382 : FMLA Designation Notice

• WH-382 Form & Instruction

WH-384 : FMLA Certification of Qualifying Exigency For Military Family Leave

• WH-384 Form & Instruction

WH-385: FMLA Certification for Serious Injury or Illness of Covered Servicemember -- for Military Family Leave

• WH-385 Form & Instruction

WH-385V: FMLA Certification for Serious Injury or Illness of a Veteran for Wage and Hour Division Military Caregiver Leave

• WH-385V Form & Instruction

WH-501: MSPA Wage Statement

• WH-501 (PDF)
• WH-501 Spanish (PDF)

WH-514: MSPA Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements

• WH-514 (PDF)

WH-514A: MSPA Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards

• WH-514A (PDF)

WH-515: MSPA Doctor’s Certificate

• WH-515 (PDF)

WH-516: MSPA Worker Information – Terms of Employment

• WH-516 (PDF)
• WH-516 Spanish (PDF)
• WH-516 Haitian Creole (PDF)

WH-520: MSPA Housing Occupancy Certificate

• WH-520 (PDF)

WH-521: MSPA Housing Terms and Conditions

• WH-521 (PDF)

WH-530: MSPA Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration

• WH-530 Form & Instruction 

WH-1481: EPPA Notice to Examinee

• WH-1481(PDF)