Wisconsin Department of Workforce Development

Application for a Special Minimum Wage License

Document Number: LS-37
Document Title: Application for a Special Minimum Wage License
Description: This form is used to apply for A Special Minimum Wage License.
Division: Equal Rights
Comments: A special minimum wage license may be issued to an employer to permit the employment of individual employees at a lesser hourly wage than prescribed by Section DWD 272.03.  Such license will cover only those workers who are unable to earn the minimum wage, or who are student learners.  The rate paid must be commensurate with the worker's ability and productivity.  The following definitions and policies shall be used when issuing such licenses, and as stated in DWD 272.09 enclosed.
Content Contact: Equal Rights Information
  
This version is an electronic Microsoft Word template that can be filled out on your computer (if you have Microsoft Word).  If you do not have Microsoft Word, you should use the LS-37 version that is not fill enabled and should be printed and completed by hand.
MS Word Document Attachment:  LS-37-E

This version is not fill enabled. It can be printed and completed by hand.  If you have Microsoft Word and want a form field fill-enabled form that can be filled out on your computer you may use the LS-37-E
PDF Document Attachment:  LS-37
  
***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.

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