WH-226 Online Plat Application for Authority to Employ Workers with Disabil

@

U.S. DEPARTMENT OF LABOR

- Q

Wage and Hour Division
DOL Home> WHO> Workers with Disabilities> Section 14(c) Online Certificate Application> Application Info

Section 14(c) Online Certificate Application
testoev
Application for Authority to Employ Workers with Disabilities at Subminimum Wages

Application Info
All fields are required unless indicated as optional_

Application Type
What type of application is this? Q
Initial Application

@

Renewal Application

Has this employer ever previously applied for a section 14(c)
certificate?

@ Yes
No

Has this employer ever previously held a section 14(c) certificate?

@ Yes
No

What is the most recently held certificate number?
Format: 99-99999-H-999
Format: 14C-X -XX-XX-99999999-9999
What type of establishment(s) are covered by this request for
authority to employ workers with disabilities for?
Select all that apply
Community Rehabilitation Program (Work Center) Q

a

Hospital/Residential Care Facility (Patient Workers) Q
School Work Experience Program (SWEP) Q
Business Establishment Q

Application Contact Person
Provide an Applicant Contact Person, including their e-mail address. This
should be a person who can best answer questions concerning
information contained on this application.

Dashboard

Your Account HelR �gn Out
� Saved 08/26/2024, 1:13 PM

0MB NO: 1235-0001

EXPIRES: 08/31/2024 REV 12/2017

Q Show Heli:ifor All Items

na� I.Ill� 'C'lllt-''"')''-=1 'ir=lll.'ir=l 'ir=l,,I 1111,1,1 a \,,1,1111,1 G\,,1, II.II �'ir=I Vl\,,'ir=� \II \,,l,lll\,,'ir=��•1.111�

with the Federal Government that may be subject to Executive
Orders 13658 or 14026 (Minimum Wage for Contractors)? 9
Make the appropriate selection if the employer has, or intends to receive, any
contracts with the Federal Government subject to the Executive Orders 13658
or 14026 (Minimum Wage for Contractors). Section 14(c) workers performing
on or in connection with a contract covered by Executive Orders 13658 or
14026 are generally entitled to be paid at least the Executive Order minimum
wage. Additional information about contracts with the Federal Government
can be found at www.dol.gov/whd/govcontracts/.

@ Yes
No
No, but intend to within the next two years

Additional Questions
Was the employer a representative payee for any worker with
disabilities and, as such, received Social Security Benefits such as
Supplemental Security Income (SSI) or Social Security Disability
Insurance (SSDI) on behalf of that employee during the most recently
completed fiscal quarter?

@ Yes
No

Total number of workers with disabilities for whom the facility was a
representative payee during the most recently completed fiscal
quarter? 9

D

Did the employer take credit for the cost of providing facilities, such
as board, lodging, and transportation, toward meeting the minimum
wage or subminimum wage obligations to workers with disabilities
during the most recently completed fiscal quarter? 9

@ Yes
No

Which type of deduction(s) did the employer take?
Transportation
Rent
Meals
Other Facilities

Is this a request for Temporary Authority by a vocational
rehabilitation program administered by a State agency or the U.S.
Veterans Administration? 9

@ Yes
No

Scroll to To1,_0