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

How to fill out Form WH516, box by box
Place, period and wage rates
Crops, transportation and charges
Workers' compensation insurance
Unemployment insurance, other benefits and housing
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”.
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).





