List of Changes - WH-535

Summary of Changes – WH-530 to FLCE Application

• The header has been modified and reflects that it should be used only for FLCEs.

• The revised form provides instructions as to who should complete the form and who should not complete the form

• The form provides instructions as to which section to complete next.

Section 1

• The revised form deletes checkboxes for FLC, FLCE, and Amended. The form retains checkboxes for initial and renewal.

• The revised form slightly modifies language relating to prior certificates.

• The revised form moves questions regarding form FD-258 to Section 6 of the proposed form.

• The revised form moves data fields for employer name and registration number to this section from Section 12 of the current WH-530.

Section 2

• The revised form asks new questions about firefighting activities.

Section 3

• The revised form asks for the individual name/personal information relating to the applicant. These fields are similar to those collected in Section 2 of the current WH-530.

Section 4

• The revised form asks for address information. This information is similar to that collected in Section 2 of the current WH-530.

• The revised form asks the applicant to identify if the permanent place of residence or mailing/business address should appear on the certificate.

Section 5

• The revised form asks questions about farm labor contracting activities to be performed and the location of work. These field are similar to those in the current WH-530 in Sections 8 and 9. There have been minor changes to the wording.

Section 6

• This section is similar to Section 6 in the current WH-530.

• The instructions: “(if “Yes’ to a CONVICTION of any of the above, attach a copy of the final judgement in the case to your application. If you do not possess a copy of the final judgement, attach an additional sheet listing the crime, date, place of conviction, and the court of jurisdiction.)” have been removed.

• A checkbox has been included to remind the applicant to attach a copy of the final judgement.

• Instructions regarding the FD-258 have been moved to this section from Section 1 in the current WH-530. Additional clarifying instructions have been added.

Section 7

• The revised form includes a new section if the applicant is submitting form FD-258.

Section 8

• The revised form guides applicants in determining if they must obtain driving authorization. The fields in this section are similar to those found in Section 5 of the current WH-530.

Section 9

• The revised form asks in what State(s) applicants will be driving.

• The revised form guides applicants to attach a driver’s license and a doctor’s certificate, similar to fields in the current WH-530 Section 5.

Section 10

• The revised form contains certifications currently found on p. 3 of the current WH-530.

The following data fields have been deleted from the revised form:

• Sex

• Height

• Weight

• Eye color

• Hair color

• United States citizen

• If naturalized citizen, provide date

• If visa holder, provide visa no. or temporary worker visa no.

• Visa expiration date (if applicable)

• Driver’s license no.

• Expiration date

• Class

• Endorsements

• Restrictions

• Doctor’s certificate expiration date

• Will drive workers for: (self)(other)

• If “Other,” specify the name and FLC registration number

• Part II of the current WH-530 relating to FLC applicants