Form WH-530 PDF Details

Do not complete this form if you are seeking to amend a current farm labor contractor or farm labor contractor Certificate of Registration. To request an amendment, please use form WH-540.

Employees: if you are a farm labor contractor employee please register using form WH-535.

Renewal: if filed by regular mail or delivered in person, it must be received at least 30 days prior to the expiration date on the current certificate.

Representative: the applicant representative must be an individual who has authority to make significant decisions for the company.

Sign: all applicants must sign the statement to affirm that the information in the application is true.

Staples: please do not staple the form or accompanying documents.

QuestionAnswer
Form NameForm WH-530
Form Length14 pages
Fillable?Yes
Fillable fields84
Avg. time to fill out14 min
EditionExpiration 08/31/2027
Where to sendFarm Labor Certificate Processing, Wage and Hour Division
Who signsAll applicants
Other namesWH-530, WH530, WH 530, Form WH-530, Farm Labor Contractor Certificate of Registration, Orange Card
Official sourceForm WH-530 (Rev Expiration 08/31/2027), Wage and Hour Division, Department of Labor