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Migrant Labor Contractor Application Certificate of Registration

Document Number: DETM-5234-E

Description: This form is required for individuals to register as Migrant Labor Contractors under Wis. Stat. § 103.91(1). Pursuant to Wis. Stat. § 103.91(2), the migrant labor contractor may submit a copy of a federal application filed under 7 USC 2045 in lieu of this form. This form is also required for Employees or Agents of Certified Migrant Contractors in Wisconsin who, pursuant to Wis. Stat. § 103.91(7) must provide information to receive an "Agent Identification Card" in order conduct busines in Wisconsin.

Comments: Form is fillable.

Content Contact: MSFW Team

Document Attachment: DETM-5234-E (English electronic version - pdf/315 KB)

Document Attachment: DETM-5234-E-S (Spanish electronic version - pdf/404 KB)

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