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DOL WH-226A 2016-2025 free printable template

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WH-226A Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Subminimum Wages U.S. Department of Labor Wage and Hour Division 230 S. Dearborn Street Room 514 Chicago IL 60604 OMB NO 1235-0001 Expires 09-30-2021 For all applicants this form should be submitted with the Application for Authority to Employ Workers with Disabilities at Subminimum Wages WH-226. See instructions for list of primary disabilities. k Does for this at any other work site yes/ no...
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How to fill out DoL WH-226A

01
Start by downloading the DoL WH-226A form from the Department of Labor website.
02
Fill in your personal information at the top, including your name, address, and contact details.
03
Provide the details of your employer, including the name and address.
04
Indicate the dates of employment for which you are claiming benefits.
05
Specify the type of claim you are filing and the amount of leave taken.
06
Include any relevant supporting documents, such as medical certificates or other proof of eligibility.
07
Review the completed form for accuracy and completeness.
08
Sign and date the form before submission.

Who needs DoL WH-226A?

01
Employees who are seeking compensation for unpaid wages or hours worked.
02
Individuals who need to file a claim related to wage and hour disputes.
03
Workers who have experienced violations of labor laws by their employers.
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The DoL WH-226A is a form used by employers to provide information about hours worked and wages paid to employees in specific industries, particularly for purposes of compliance with labor laws.
Employers who are subject to federal wage and hour laws and who need to report work-related information for their employees must file the DoL WH-226A.
To fill out DoL WH-226A, an employer must accurately report the employee's name, the hours worked, wages paid, and any deductions made within the specified time period as outlined in the form instructions.
The purpose of the DoL WH-226A is to ensure transparency in reporting employee hours and wages to protect workers' rights and ensure compliance with labor standards.
The information that must be reported on DoL WH-226A includes employee names, total hours worked, total wages earned, and details of any deductions or other relevant payment information.
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wh 226a employment disabilities subminimum wages U.S. Department of Labor workers authority application Wage and Hour Division form WH-226 worker data

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