Wh 514A Form – Fill Out and Use This PDF

The Migrant and Seasonal Agricultural Worker Protection Act requires that farm labor contractors subject to this law who transport any migrant and seasonal agricultural workers for agricultural employment obtain from the U.S. Department of Labor a certificate of registration. Applicants for a certificate of registration must produce evidence that the vehicles they use for this purpose meet Department of Laborrequirements.

Provided below is a list of major items which should be checked. On the reverse side of this form is a brief summary of the Department of Labor standards for each of these items. A check (✓) should be placed adjacent to each item that meets these minimum standards. In those instances where an item does not meet these standards, necessary repairs must be completed before the transportation of migrant andseasonal

agricultural workers will be authorized. This form must be properly completed and signed, certifying that the vehicle meets Department of Labor requirements. This inspection must be performed by an independent inspection company not affiliated with the applicant.

This form (WH-514a) is to be used for the inspection of any passenger car or station wagon regardless of the distance traveled and for other vehicles used to transport migrant and seasonal agricultural workers (except day-haul operations) for distances of seventy five (75) miles or less. Vehicles used in day-haul operations and those used to transport workers for more than 75 miles are subject to Department of Transportation standards. Form WH-514 must be used for inspection of such vehicles.

If the farm labor contractor possesses a valid current state vehicle safety inspection sticker from the jurisdiction in which the vehicle is registered, the items listed below need not be checked. However, in the Remarks section, the farm labor contractor must identify the state where the inspection was performed, list the appropriate state vehicle safety inspection number and license tag number and then sign and date the form.

*Note that the vehicle seating capacity is the manufacturer’s rated capacity or, for vehicles that were fitted or customized after manufacture, the number of “seats” as defined by 29 CFR 500.105(b)(3)(vi)(D).

PUBLIC BURDEN STATEMENT

Public reporting burden for this collection of information is estimated to average 5 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Administrator, U.S. Department of Labor, Wage and Hour Division, Room S-3502, 200 Constitution Avenue, N.W., Washington, D.C. 20210. Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number.

DO NOT SEND THE COMPLETED FORM TO THIS OFFICE

FORM WH-514a REV 08-20-2020