Summary of Proposed changes WH-521

WH-521 Summary of edits v1.0 (2022-12-12).docx

Disclosures to Workers Under the Migrant and Seasonal Agricultural Worker Protection Act

Summary of Proposed changes WH-521

OMB: 1235-0002

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Changes to form WH-521, Housing Terms and Conditions

General

  1. Changed fields and subfields

Field 1

  1. Changed ‘The housing is provided by’ to ‘Address for this house’

  2. Removed ‘Name’ subfield

  3. Changed ‘Address’ subfield to ‘Street Address’

  4. Added ‘City, State/Zip code’ subfield

Field 2

  1. Changed ‘Individual(s) in charge’ to ‘Person in charge of this house

  2. Changed ‘Address’ subfield to ‘Street Address’

  3. Added ‘City, State/Zip code’ subfield

Field 3

  1. Changed ‘Address’ subfield to ‘Street Address’

  2. Added ‘City, State/Zip code’ subfield

Field 4

  1. Changed ‘Who may live in housing facility’ to ‘Only workers employed by are allowed to live in this house

  2. Added new subfield ‘Only (# of workers) can live in this house

  3. Changed ‘Charges made for housing (if none, so state)’ to ‘Charges for rent (if any): $

  4. Added new subfields ‘Per Week’ and ‘Per Month’ (Circle One)

  5. Added new subfield with checkboxes ‘Meals provided: Yes No

  6. Added new subfield ‘Charges for meals (if any): $

  7. Changed ‘Charges for utilities (if none, so state)’ to ‘Charges for utilities (if any): $


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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAmore, Jennifer - WHD
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File Created2023-08-26

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