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Sheltered Workshops and Special Minimum Wage Workers

Fillable = fillable Adobe Acrobat Form

Application for Sheltered Workshop License (Labor Code section 1191.5) (DLSE 117 (Rev. 01/2011))

(FillablePdf)

Application for Special Minimum Wage License (Labor Code section 1191) (DLSE 106 (Rev. 01/2011))

(FillablePdf)

General Information and Instructions for Completing Application for Sheltered Workshop License or Application for Special Minimum Wage License (DLSE 117-A (Rev. 01/2011))

(FillablePdf)

 

For questions or to request an application/renewal form(s), email DLSE.licensing@dir.ca.gov

Division of Labor Standards Enforcement
Licensing and Registration Unit
1515 Clay Street
Suite 401
Oakland, CA 94612

Phone: (510) 285-3501
Fax: (510) 286-1366



April 2016