As mandated by the US Department of Labor's Wage and Hour Division, a covered employer must use this form to apply for a special certificate to employ workers with disabilities at subminimum wage rates under the Fair Labor Standards Act, the Walsh-Healey Public Contracts Act or the McNamara-O'Hara Service Contract Act.
As mandated by the US Department of Labor's Wage and Hour Division (WHD), an employer must use this form to supplement an Application for Authority to Employ Workers with Disabilities at Subminimum Wages (Form WH-226).