Form OEWS Point Wage Fa OEWS Point Wage Fa OEWS Point Wage Fax Form

In Cooperation with the U.S. Department of Labor

Form Approved O.M.B. No. 1220-0042

Occupational Employment and Wage Statistics Report
IDCF #:

Return to:

Company name:
Report for:
Contact name:
Email:
Phone:
Fax:

Report online at IDCFOEWS.BLS.GOV if you need more space.
If this establishment closed before May 12, 2021, please
notify us electronically or by phone.
The information you provide will be used for statistical
purposes only. All identifying information for non-government
establishments will be held in strict confidence to the full
extent permitted by law.

List the occupation and wage rate of each employee who worked during the pay period that included May 12, 2021.
Report:
Do not report:
Each employee’s job title and a brief description of duties Contract workers
Exact hourly wage rate or annual salary for each employee Employee names or Social Security numbers
Employees who work remotely or off-site
Owners or partners of unincorporated firms
Job title and brief description of duties

Wage rate
(hourly or annual)

# of employees in
this job with this
exact wage rate

Human Resources Specialist – Recruit and interview potential new employees 

$71,445 

1 

Human Resources Specialist – Recruit and interview potential new employees 

$68,050 

1 

$25.50 

3 

Human Resources Assistants – Assist HR department 
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.

Rev. January 2021