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Written Disclosure Statement Verification

Document Number: DETB-18754-E

Description: This is a verification form that may be used by employers of migrant workers to have migrant workers acknowledge that they received the written recruiting disclosure at the time of recruitment. This form is NOT a substitute for a written recruiting disclosure statement.

Comments: Form is fillable.

Content Contact: MSFW Team

Document Attachments:

DETB-18754-E (English Electronic Version - pdf/662 KB)

DETB-18754-E-F (French Electronic Version - pdf/624 KB)

DETB-18754-E-S (Spanish Electronic Version - pdf/622 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.