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Labor (DOL): Wage and Hour Division (WHD)

WHD Back Wage Payment Form - Midwest Region
Use this form to pay your Back Wages payment to DOL WHD for the MW Region Form Number: WHDBWMW
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WHD Back Wage Payment Form - Northeast Region
Use this form to pay your Back Wages payment to DOL WHD for the NE Region. Form Number: WHDBWNE
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WHD Back Wage Payment Form - Southeast Region
Use this form to pay your Back Wages payment to DOL WHD for the SE Region Form Number: WHDBWSE
Continue to the Form
WHD Back Wage Payment Form - Southwest Region
Use this form to pay your Back Wages payment to DOL WHD for the SW Region Form Number: WHDBWSW
Continue to the Form
WHD Back Wage Payment Form - Western Region
Use this form to pay your Back Wages payment to DOL WHD for the WE Region Form Number: WHDBWWE
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WHD Civil Money Penalty Payment Form - Midwest Region
Use this form to pay your CMP payment to DOL WHD for the MW Region Form Number: WHDCMPMW
Continue to the Form
WHD Civil Money Penalty Payment Form - Northeast Region
Use this form to pay your CMP payment to DOL WHD for the NE Region Form Number: WHDCMPNE
Continue to the Form
WHD Civil Money Penalty Payment Form - Southeast Region
Use this form to pay your CMP payment to DOL WHD for the SE Region Form Number: WHDCMPSE
Continue to the Form
WHD Civil Money Penalty Payment Form - Southwest Region
Use this form to pay your CMP payment to DOL WHD for the SW Region Form Number: WHDCMPSW
Continue to the Form
WHD Civil Money Penalty Payment Form - Western Region
Use this form to pay your CMP payment to DOL WHD for the WE Region Form Number: WHDCMPWE
Continue to the Form

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