Employment Information Form

OMB 1235-0021

OMB 1235-0021

WHD staff use Form WH-3 as a guide for obtaining information complainants (e.g., current and former employees, unions, and competitor employers) voluntarily provide about alleged violations of agency-administered labor standards. Complainants generally provide the information requested on the form to WHD staff over the telephone or in person. WHD staff use the information to determine whether the agency has jurisdiction to investigate the alleged violation(s). When the WHD schedules a complaint-based investigation, the agency makes the completed Form WH-3 part of the investigation case file. Where the information provided does not support a potential WHD enforcement action, complainants are advised and referred to the appropriate agency for further assistance.

The latest form for Employment Information Form expires 2022-11-30 and can be found here.

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OMB Details

Employment Information Form

Federal Enterprise Architecture: Workforce Management - Labor Rights Management

Form WH-3Employment Information FormPaper OnlyForm and instruction
Form www.dol.gov/wecanhelp/howtofilecomplaint.htmInstruction
Form www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint.pdfInstruction
Form www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Spanish.pdfInstruction
Form www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Korean.pdfInstruction
Form www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_CHINESE.pdfInstruction
Form www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Polish.pdfInstruction
Form www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_TAGALOG.pdfInstruction
Form www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Thai.pdfInstruction
Form www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Russian.pdfInstruction
Form www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Viet.pdfInstruction
Form www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Hait.pdfInstruction
Form WH-3-SpEmployment Information Form SpanishPaper OnlyForm and instruction

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