Work Sites & Employees

All fields are required unless indicated as optional.

Count all work sites, including the main establishment and any branch establishments, off-site work locations, and/or SWEP work sites where the employer is seeking approval to employ workers at subminimum wages.

Main Establishment: The primary location of the employer that files this application on behalf of all its associated work sites. (There can only be one main establishment.)

Branch Establishments: A branch establishment is a physically separate work site that is part of the same organization as the main establishment.

Off-Site Work Location: An off-site work location is a work site typically on the premises of a separate establishment, where workers with disabilities, or a group of workers with disabilities, are placed in work settings along with job coaches (staff of the rehabilitation or work center).

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We’ll need to collect information about each worksite and its employees.
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1
Add Work Site
2
Add Employees

First, we’ll collect information about the Establishment / Work Site.

What type of establishment / work site is this? {{ vm.validateActiveWorksiteProperty('workSiteTypeId') }}
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Name of Establishment / Work Site
{{ vm.validateActiveWorksiteProperty('name') }}
Address of Establishment / Work Site
{{ vm.validateActiveWorksiteProperty('address.streetAddress') }}
{{ vm.validateActiveWorksiteProperty('address.city') }}
{{ vm.validateActiveWorksiteProperty('address.state') }}
{{ vm.validateActiveWorksiteProperty('address.zipCode') }}
Is Service Contract Act (SCA)-covered work performed at this establishment / work site? {{ vm.validateActiveWorksiteProperty('sca') }}
Is work performed at this establishment / work site pursuant to a Federal contract for services or concessions that was entered into on or after January 1, 2015, and may be subject to Executive Order 13658 (Establishing a Minimum Wage for Contractors)? {{ vm.validateActiveWorksiteProperty('federalContractWorkPerformed') }}
Include workers who were employed for less than the full fiscal quarter, i.e. three-month period. {{ vm.validateActiveWorksiteProperty('numEmployees') }}

{{ vm.activeWorksite.name }}

Number of Employees: {{ vm.activeWorksite.employees.length ? vm.activeWorksite.employees.length : 0 }}

Information is needed about each specific worker who was employed at this work site at any time during the most recently completed fiscal quarter and received subminimum wages.

Click here for detailed instructions on the required work information.

Need Help? Email us: help-14c@dol.gov
Name of worker
Provide the full name of the worker.
Type of work performed (for employees working more than one job, use job employee worked most hours at subminimum wage)

Describe the type of work performed by this worker in the job for which the worker worked the most number of hours at a subminimum wage rate. Examples may include: sewing, janitorial, box assembly, laundry, etc.

If the worker performed more than one job at this work site at a subminimum wage, provide the following information for the job for which this worker worked the most number of hours in the most recently completed fiscal quarter.

For example, John Jones performed three jobs over the last quarter: contract for assembling bolts totaling 65 hours, contract for assembling boxes totaling 42 hours, and contract for shredding totaling 25 hours. The employer should provide responses based on Mr. Jones’ bolt assembly job.

Primary disability that affects productivity for job described above
Identify the primary disability that affects the worker’s productivity for the job identified using the categories provided.
How many jobs did this worker perform at this work site?
If the worker performed more than one job at this work site during the most recently completed fiscal quarter, provide the total number of jobs performed.
Average # of hours worked per week on all jobs at this work site
Provide the average (mean) number of hours per week the employee worked on all jobs at this work site during the most recently completed fiscal quarter. Calculate this by taking the total number of hours the employee worked during the most recently completed three-month fiscal quarter and dividing by the number of weeks in the quarter (13 weeks). For example: 260 hours worked in the quarter ÷ 13 weeks per quarter = 20 hours per week average.
Average earnings per hour for all jobs at this work site
Average earnings are computed by dividing the total earnings of the individual worker by the total number of hours worked during the most recently completed fiscal quarter. Note: The total number of hours worked should only include the compensable work time (for example, generally would not include time spent in rehabilitation, therapy, etc.). For example, John Jones earned $900 during the fiscal quarter and he worked 300 hours. $900 ÷ 300 hours = $3.00 per hour, therefore, Mr. Jones’s average earnings per hour are $3.00.
Prevailing wage rate for job described above
Provide the prevailing wage rate for the job identified.
Productivity measure/rating for job described above
Provide the employee’s most recent productivity rating for the job identified. For work paid hourly, the productivity rating is the employee’s productivity in proportion to the standard-setter’s that was determined by the employee’s time study. For piece rate work, no calculation is required, select “n/a – piece rate”.
Commensurate wage rate/average earnings per hour for job described above
For work paid hourly, provide the employee’s commensurate wage rate per hour for the job identified. This should be the wage rate actually paid to the worker for this job. For piece rate work, provide the employee’s average earnings per hour for the job identified.
Total hours worked for job described above
Provide the employee’s total hours worked on the job identified over the most recently completed fiscal quarter.
Does worker perform work for this employer at any other work site?
Answer “yes” if the employee also performed work at another work site included with this application. The worker should be listed at each work site where they performed subminimum wage work.
{{ vm.validateActiveWorksiteProperty('employee_count') }} Show Me an Example
Close the Add Employee Panel

Add New Employee

Provide the full name of the worker. {{ vm.validateActiveWorkerProperty('name') }}

Describe the type of work performed by this worker in the job for which the worker worked the most number of hours at a subminimum wage rate. Examples may include: sewing, janitorial, box assembly, laundry, etc.

If the worker performed more than one job at this work site at a subminimum wage, provide the following information for the job for which this worker worked the most number of hours in the most recently completed fiscal quarter.

For example, John Jones performed three jobs over the last quarter: contract for assembling bolts totaling 65 hours, contract for assembling boxes totaling 42 hours, and contract for shredding totaling 25 hours. The employer should provide responses based on Mr. Jones’ bolt assembly job.

 {{ vm.validateActiveWorkerProperty('workType') }}
Primary disability that affects productivity for job described above. Pick only one.
Identify the primary disability that affects the worker’s productivity for the job identified using the categories provided. {{ vm.validateActiveWorkerProperty('primaryDisabilityId') }}
If the worker performed more than one job at this work site during the most recently completed fiscal quarter, provide the total number of jobs performed.
{{ vm.validateActiveWorkerProperty('numJobs') }}
Provide the average (mean) number of hours per week the employee worked on all jobs at this work site during the most recently completed fiscal quarter. Calculate this by taking the total number of hours the employee worked during the most recently completed three-month fiscal quarter and dividing by the number of weeks in the quarter (13 weeks). For example: 260 hours worked in the quarter ~ 13 weeks per quarter =20 hours per week average.
{{ vm.validateActiveWorkerProperty('avgWeeklyHours') }}
Average earnings are computed by dividing the total earnings of the individual worker by the total number of hours worked during the most recently completed fiscal quarter. Note: The total number of hours worked should only include the compensable work time (for example, generally would not include time spent in rehabilitation, therapy, etc.). For example, John Jones earned $900 during the fiscal quarter and he worked 300 hours. $900 ÷ 300 hours = $3.00 per hour, therefore, Mr. Jones’s average earnings per hour are $3.00.
{{ vm.validateActiveWorkerProperty('avgHourlyEarnings') }} $
Provide the prevailing wage rate for the job identified.
{{ vm.validateActiveWorkerProperty('prevailingWage') }} $
Productivity measure/rating for job described above
Provide the employee’s most recent productivity rating for the job identified. For work paid hourly, the productivity rating is the employee’s productivity in proportion to the standard-setter’s that was determined by the employee’s time study. For piece rate work, no calculation is required, select “n/a – piece rate”.
{{ vm.validateActiveWorkerProperty('productivityMeasure') }}
For work paid hourly, provide the employee’s commensurate wage rate per hour for the job identified. This should be the wage rate actually paid to the worker for this job. For piece rate work, provide the employee’s average earnings per hour for the job identified.
{{ vm.validateActiveWorkerProperty('commensurateWageRate') }} $
Provide the employee’s total hours worked on the job identified over the most recently completed fiscal quarter.
{{ vm.validateActiveWorkerProperty('totalHours') }}
Does worker perform work for this employer at any other work site?
Answer “yes” if the employee also performed work at another work site included with this application. The worker should be listed at each work site where they performed subminimum wage work.
{{ vm.validateActiveWorkerProperty('workAtOtherSite') }}
Cancel & Close Panel
Close Example

Add New Employee

Add Employee Form Data - Example One: John Jones Add Employee Form Data - Example Two: Sue Gomez
Name of worker
John Jones Sue Gomez
Type of work performed (for employees working more than one job, use job employee worked most hours at subminimum wage)
Bolt hand assembly SCA laundry contract
Primary disability that affects productivity for job described above. Pick only one.
Neuromuscular Disability (NM) Intellectual/Developmental Disability (IDD)
How many jobs did this worker perform at this work site?
3 1
Average # of hours worked per week on all jobs at this work site
10.15 22
Average earnings per hour for all jobs at this work site
$3.00 $10.65
Prevailing wage rate for job described above
$10.15 $16.42
Productivity measure/rating for job described above
n/a - Piece Rate 64.80%
Commensurate wage rate/average earings per hour for job described above
$3.38 $10.65
Total hours worked for job described above
65 22
Does worker perform work for this employer at any other work site?
No Yes