How to Fill Out Form WH516

Form WH516 at a glance

What it is: Worker Information-Terms and Conditions of Employment is a form of the U.S. Department of Labor Wage and Hour Division under the Migrant and Seasonal Agricultural Worker Protection Act.

Who signs: Enter the Name of Person(s) Providing This Information.

A filled-in Form WH516 example: a farm labor contractor lists crew terms

Form WH516 example filled out, example: a farm labor contractor lists crew terms
A farm labor contractor fills out Form WH516 for a seasonal crew. The crew picks apples, paid by the hour and by the bucket, and the contractor has workers' compensation insurance, so the carrier, policyholder, person to notify and deadline lines are filled, with a sample note in place of a date because the carrier sets the claim deadline. The picture leaves the Yes and No marks of item 6 blank; the contractor marks Yes there. The picture shows the filled form, and none of its entries is real.

How to fill out Form WH516, box by box

Place, period and wage rates

Form WH516 example filled out, place, period and wage rates

Enter the Place of employment, and the Period of employment From and To.

Under Wage rates to be paid, enter $ per Hour, and Piece Rate $ per.

Crops, transportation and charges

Form WH516 example filled out, crops, transportation and charges

Enter the Crops and kinds of activities, the Transportation or other benefits, if any, and the Charge(s) to workers, if any.

Workers' compensation insurance

Form WH516 example filled out, workers' compensation insurance

Mark Yes or No for Workers' compensation insurance provided.

Enter the Name of compensation carrier, the Name and address of policyholder(s), the Person(s) and phone number(s) of person(s) to be notified to file claim, and the Deadline for filing claim.

Unemployment insurance, other benefits and housing

Form WH516 example filled out, unemployment insurance, other benefits and housing

Mark Yes or No for Unemployment compensation insurance provided.

Enter Other benefits, and the Charge(s).

For migrant workers who will be housed, enter the kind of housing available and cost, if any, and the Charge(s).

Strikes and sales commissions

Form WH516 example filled out, strikes and sales commissions

List any strike, work stoppage, slowdown, or interruption of operation by employees at the place where the workers will be employed. If there are no strikes, etc., enter “None”.

List any arrangements that have been made with establishment owners or agents for the payment of a commission or other benefits for sales made to workers. If there are no such arrangements, enter “None”.

Who provides the information

Form WH516 example filled out, who provides the information

Enter the Name of Person(s) Providing This Information.

More rules for Form WH516

While completion of Form WH516 is optional, it is mandatory for Farm Labor Contractors, Agricultural Employers, and Agricultural Associations to disclose employment terms and conditions in writing to migrant and day-haul workers upon recruitment, and to seasonal workers other than day-haul workers upon request when an offer of employment is made to respond to the information collection contained In 29 CFR §§ 500.75- 500.76. This optional form may be used to disclose the required information.

The Department of Labor-Wage and Hour Division makes this form available in certain other languages to enable employers to satisfy the requirement that the terms and conditions of employment be disclosed in a language common to the workers.

Sources

[1] Form WH516 (REV 06/14), Worker Information-Terms and Conditions of Employment, U.S. Department of Labor Wage and Hour Division (the Official source link on this page).

Form Wh 516 PDF Details

The Form WH-516 plays a crucial role in safeguarding the rights and working conditions of migrant and seasonal agricultural workers in the United States. Administered by the U.S. Department of Labor's Wage and Hour Division, and bearing an Office of Management and Budget (OMB) number, its existence is necessitated by the Migrant and Seasonal Agricultural Worker Protection Act. This form, which must be provided by employers to their workers, contains comprehensive details about the terms and conditions of employment. These details include the location of employment, duration of work, wage rates, types of crops and activities, transportation and other benefits, and any applicable charges to the workers. Furthermore, it outlines provisions for workers' compensation and unemployment insurance, and for migrant workers, information on housing availability and costs. Additionally, it requires the disclosure of any ongoing or recent labor disputes at the place of employment and any arrangements for commission payments to workers. The provision of this form in languages common to the workers aims to ensure clear communication and understanding of employment terms, thereby reinforcing labor rights and protections. While filling out and submitting Form WH-516 is deemed optional, the act of disclosing employment terms in writing to the workers it aims to protect is not merely a best practice but a mandatory requirement for certain employers. This underscores the form's significance in promoting transparency, accountability, and fairness in the agricultural sector.

QuestionAnswer
Form NameForm Wh 516
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform 516, wh516 eng, form 516 form, wh516 in spanish form