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The form is posted as a tool to satisfy agricultural employers requirement to provide covered workers written notification of the worker’s wage rates and other terms and conditions of their employment, as required by MSPA applicable to migrant and day-haul workers upon recruitment, and to seasonal workers other than day-haul workers upon request when an offer of employment is made.  It is advised to give each worker a copy of the form as well as post it in conjunction with the required poster.

The updated forms can be downloaded at:



Required poster: