Contractors Application Instructions and Checklist
NOTE: Applicants may need the following during the completion of the application:
- To have registered with the federal government as a farm labor contractor and received a federal registration certificate
- Take and pass the farm labor contractor exam (once every two years)
- Have 2 current passport photos taken for the sole proprietor, for one member of an LLC/corporation, or for EACH partner in a partnership
- Have the sole proprietor or member of an LLC/corporation, or each partner get his/her fingerprints taken at a LiveScan facility
- Obtain workers' compensation and also obtain a FLC bond in the appropriate amount or bond continuation (for renewals)
- The applicant must participate in at least nine hours of relevant education classes for each license period
- Renewal applicants must have registered in each county to which the applicant will dispatch workers
- The sole proprietor, or each officer of a corporation/LLC or each member of a partnership must fill out a sexual harassment disclosure statement
- Corporations/LLCs will need to provide copies of their articles of incorporation statements of information.
It is recommended that you open the application in a separate window so that you can view these instructions while filling out the form. Alternatively, download a printable version of the FLC application guide to use as a checklist.
Printable VersionPage/Tab 1: Application
| Section | Explanation | Required forms for each step |
|---|---|---|
| 1A | Input the legal entity name registered with the California Secretary of State for LLC or corporation. If sole proprietor or partnership, use the name that appears on the applicant’s drivers’ license. Make sure to spell the name correctly. | |
| 1B | Enter your physical business address. Do not provide a P.O. Box. | |
| 1C | The mailing address need not be the same as the physical business address and may be a PO box. | |
| 1D | Enter your federal registration number. Upload the legal entity federal registration card (not the employee federal registration card) which you obtained from the U.S. Department of Labor. | Federal Registration Application Form |
| 1E | New applicants will not have a state employer identification number (SEIN). Renewal applicants must provide their SEIN. | |
| 1F | Enter the federal employer identification number (FEIN) number assigned by the IRS. | |
| 1G | Select the FLC ownership business type. If the applicant is a corporation or LLC, more information will be required on the next screen. If the applicant is a partnership, then each partner is treated as an owner and will need his/her own FLCE card. | |
| 1H | If incorporated outside of California (including in another country) then you must file these documents with California Secretary of State. | Foreign Corporation Designation Form |
| 1I | Make sure to select N/A if the applicant is not a corporation. | |
| 1J | List the number of workers you currently hire/supply/refer. | |
| 1K | List the total gross ANNUAL revenue for the PREVIOUS YEAR. | |
| 1L | Attach your DE9 quarterlies from EDD showing payroll for all 4 quarters for the previous year. | DE9 Form |
Below is a sample screenshot of the first page of the online application. The circled portions correspond to the sections of the explanation on the previous page. Note that you must fully complete the application. A portion may not be circled, because it is straight-forward and requires no explanation. This does not mean that it does not need to be filled out. NOTE, the "authorization for representative" section at the bottom of this page is optional.
| Section | Explanation | Required forms for each step |
|---|---|---|
| 2A | If the applicant is incorporated or is an LLC, then provide the corporate ID, the date of incorporation, and the legal entity name (with correct spelling) registered with the California Secretary of State. | |
| 2B | If the applicant is incorporated or is an LLC, then upload the Articles of Incorporation or Articles of Organization. | Articles of Incorporation or Articles of Organization |
| 2C | If the applicant is incorporated or is an LLC, then upload the Statement of Information. | Statement of Information |
| 2D | Provide the name of the sole proprietor or each partner, corporate officer, or LLC member of the business. | |
| 2E | Check "yes" to receive a FLC license card. Every license comes with one card. Multiple corporate officers or LLC members may also request FLC license cards. Additional fees will apply. | |
| 2F | Upload a legible scan of each owner's current driver's license. | |
| 2G | Upload a scan of each owner’s signed sexual harassment disclosure statement (DLSE Form 403). | Sexual Harassment Disclosure Statement (DLSE Form 403) |
| 2H | Upload a print-quality scan of a passport-size photo of each owner. | |
| 2I | For each owner, indicate whether he/she is the person who will take the FLC exam (even if it is not due this year), and select the language he/she wishes to take the exam in. The exam is good for 2 years. | |
| 2J | FLC license applicants must have their fingerprints on file. The State of California uses the "LiveScan" fingerprinting service. Applicants must input ATI and LSID numbers, and the date of their LiveScan fingerprinting. If renewing, input your license number twice and the date your license expires. | LiveScan Application |
| 2K | f the applicant employs or will employ anyone to supervise the work of its laborers or to manage its laborers, then that person’s role, name, and job title must be added here. | |
| 2L | Upload a scan of a signed sexual harassment disclosure statement (DLSE Form 403) for each person listed here. | Sexual Harassment Disclosure Statement (DLSE Form 403) |
| 2M | rovide the contact information for the person who will train the applicant’s supervisors and employees about sexual harassment prevention. The trainer can be the applicant him/herself, or a supervisor employed by the applicant, or a third party. |
Below is a sample screenshot of the second page of the online application. The circled portions correspond to the sections of the explanation on the previous page. Note that you must fully complete the application. A portion may not be circled, because it is straight-forward and requires no further explanation. This does not mean that it does not need to be filled out.
| Section | Explanation | Required forms for each step |
|---|---|---|
| 3 | If anyone in your family has (in the past 10 years) applied for or received an FLC license, then input his/her information here. Only list family members if they have separately applied for or received their OWN FLC ID unrelated to this application. |
Below is a sample screenshot of the third page of the online application. The circled portion corresponds to the explanation above.
| Section | Explanation | Required forms for each step |
|---|---|---|
| 4A | Please answer all of the yes or no questions. | |
| 4B | Please answer the yes or no question. If no is selected, then provide an explanation in the comment box in step 4C. | |
| 4C | If you are NOT using the services of any individual and/or entity to recruit, solicit, hire, furnish, employ or transport agricultural workers, enter the name of individual who will perform these duties. | |
| 4D | If the applicant has, within the last ten years, been convicted of a crime related to worker safety or been found to have violated any of the other laws mentioned, then check "yes" where appropriate. NOTE that if the applicant has paid all wage claims or penalties, etc. then the applicant may check "no" in the appropriate box. | |
| 4E | Even if the applicant has paid all wage claims or penalties, etc. he/she must still check "yes" here if it has violated an applicable law in the last 10 years. For example, the applicant may have been fined by CalOSHA for a safety violation and then paid the fine. If the applicant has no other outstanding judgments, it may check "no" for question (b), but it would still need to check "yes" for question (g) and provide an explanation in the box below and attach any relevant documentation. | |
| 4F | Please answer truthfully and, if the answer is yes, attach documentation from the Department of Fair Employment and Housing. | |
| 4G | Please answer truthfully and, if the answer is yes, attach documentation from the Department of Fair Employment and Housing. | |
| 4H | Please provide an explanation if the applicant checked "yes" for ANY of the questions (not just the sexual harassment questions). | |
| 4I | Upload whatever documentation is necessary to explain the infraction, or prove that fines where paid, etc. |
Below is a sample screenshot of the fourth page of the online application. The circled portions correspond to the sections of the explanation on the previous page. Note that you must fully complete the application. A portion may not be circled, because it is straight-forward and requires no explanation. This does not mean that it does not need to be filled out.
| Section | Explanation | Required forms for each step |
|---|---|---|
| NOTE | This page will not automatically display which sections you must enter information into. Depending on your answers to previous questions, you will need to fill out various parts of this page. Most applicants will only need to fill out the first section which is where information must be listed for any supervisory employees, crew bosses, foremen, and mayordomos. | |
| 5A | If the applicant answered yes to any of the previous questions regarding providing transportation, and/or will provide lodging, then the applicant must provide further information here. If the applicant intends to recruit/solicit/ hire workers his or herself and is a sole proprietor, then enter information on the previous screen. If the applicant will use another party to provide any of these services then list that party here and upload their FLCE card. If that party currently operates, or has operated as an FLC, then provide the FLC number and upload a legible scan of that party’s FLC card. Provide the individual’s FLC license number for the last 10 years in the "10 years" box. | |
| 5B | If one of the services provided is lodging for workers, then input the address of the housing and the health license number, effective and expiration dates. Upload a legible scan of the party’s housing license. | |
| 5C | If one of the services provided is transportation, then input the information about the vehicle to be used, the owner of the vehicle and the insurer of the vehicle and then upload proof of liability insurance and a certificate from DMV. | |
| 5D | If one of the services provided is transportation, then input the information for the intended driver(s) and upload a legible copy of his/her driver’s license, and a certificate of clear driving record from DMV. |
| Section | Explanation | Required forms for each step |
|---|---|---|
| 6A | Applications must have at least one grower with whom they plan to or are contracting with. List the contact information for that grower here. Please enter a physical address for the "farm address". For the "mailing address," enter either a physical address or PO box. | |
| 6B | List all counties you do business in or plan to do business in (renewal applicants only). | |
| 6C | Upload a county agricultural registration for each county listed. | County Registration Form |
| Section | Explanation | Required forms for each step |
|---|---|---|
| 7A | Upload a legible scan of the applicant's worker’s compensation insurance certificate. The insurance carrier name and expiration date must match that listed on the worker’s compensation certificate. The "Certificate Holder" must be listed as the: Division of Labor Standards Enforcement, Licensing and Registration Unit, PO Box 420603, San Francisco, CA 94142. | |
| 7B | The insurance carrier name and expiration date entered into the boxes must match those contained in the worker’s compensation certificate. | |
| 7C | NEW APPLICANTS must attach scans of all of the original signed bond documents. Renewal applicants need only provide proof of a current bond. The information must match that listed on the application. | |
| 7D | The bond must be $25K for new applications and $25K for renewals where the payroll is up to $500K, $50K if the payroll is $500K - $2 million, and $75K if the payroll is over $2 million. | |
| 7E | The information must match what is in the attachment. Even though the application asks only for the effective date of the bond, the bond must be current. The attachment must contain proof that the bond is current. | |
| 7F | Only the instructor or DLSE Licensing and Registration staff may access this part of the application. NOTE: at least one owner must take the FLC class each year. | |
| 7G | The requirement is to complete 9 hours of FLC training per year. | |
| 7H | Training must be conducted by an approved provider. | |
| 7I | If the applicant has taken the exam, the date and results will appear in this section. Keep in mind that the exam is good for two years so applicants will only need to take the exam every other year. Applicants should keep their own records so that they know when they need to retake the exam. |
Below is a sample screenshot of the seventh page of the online application. The circled portions correspond to the sections of the explanation on the previous page. Note that you must fully complete the application. A portion may not be circled, because it is straight-forward and requires no explanation. This does not mean that it does not need to be filled out.
| Section | Explanation | Required forms for each step |
|---|---|---|
| 8A | Call our office (See contact information below) before submitting payment. There may be an extra fee or, alternatively, the applicant may not have to pay for the exam if the applicant took the exam the prior year. NO REFUNDS are given, so please confirm that appropriate fees apply BEFORE paying. |
| Section | Explanation | Required forms for each step |
|---|---|---|
| 9A | Make sure to check this box. | |
| 9B | If the applicant is incorporated, then enter the name of one of the owners. |
Contact Us
Kern, Tulare, Fresno, Merced, Kings and Madera Counties:
Department of Industrial Relations
Division of Labor Standards Enforcement
Licensing and Registration Unit
770 East Shaw Ave., Ste. 312
Fresno, CA 93710
559-248-1893
fax: 559-248-1895
For All Other Counties:
Department of Industrial Relations
Division of Labor Standards Enforcement
Licensing and Registration Unit
1515 Clay Street
Suite 401
Oakland, CA 94612
Fax: (510) 286-1366
April 2016
