Farm Labor Contractor and Worker Disclosure Statement - Draft Form (v.2) and Draft Instructions

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In order to be transparent and seek input from the diverse business and labor communities, L&I is seeking additional stakeholder feedback on the second draft of the farm labor contractor and worker disclosure statement form, as well as the *new* instruction sheet that helps guide users of the form to input the required information.

We encourage the public to review the new documentation and submit their feedback by Monday, November 15, 2021.

Feedback can be submitted directly to this page via the “Submit Comments” tab, or using an attached document via the “Upload Documents” tab.

Feedback can also be submitted via the ESRules@Lni.wa.gov email box. Feedback submitted to the email box will be uploaded to this engagement site.


In order to be transparent and seek input from the diverse business and labor communities, L&I is seeking additional stakeholder feedback on the second draft of the farm labor contractor and worker disclosure statement form, as well as the *new* instruction sheet that helps guide users of the form to input the required information.

We encourage the public to review the new documentation and submit their feedback by Monday, November 15, 2021.

Feedback can be submitted directly to this page via the “Submit Comments” tab, or using an attached document via the “Upload Documents” tab.

Feedback can also be submitted via the ESRules@Lni.wa.gov email box. Feedback submitted to the email box will be uploaded to this engagement site.


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