Annual Certification Request

Document Number:  DETA-16633-E

Description:  This form is used by employers (construction contractors) who wish to secure an annual certification that confirms their compliance with or exemption from the apprentice utilization requirements that are associated with state funded construction projects.  It can be completed and submitted to DWD at any time, whether the sender is currently working on a state project or not.

Comments:  This form is fill-enabled and should be be completed on-line. Completed form should be saved to your computer.

Content Contact:  Kathy Wellington

Document Attachments:

DETA-16633-E (Word/87 KB)

DETA-16633 (pdf/41 KB)

*** If you need to access this form in an alternate format, please send an email to the Content Contact listed above.

*** Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page.  Links to each specific vendor's site have been provided for you.  Thank you.


Updated March 03, 2011