Independent form guide. BrieflyGo is not affiliated with or endorsed by IRS, USCIS, SSA, DOL, or any U.S. government agency. Official forms are sourced from public government websites.
Official form guide
Application for a certificate allowing employers to pay subminimum wages to workers with disabilities under Section 14(c) of the Fair Labor Standards Act.
Need help with Form WH-501?
Open it in the AI Editor for field guidance, checks, and PDF export.
Need help? AI Editor guides you through every field of Form WH-501.
Start filling →Form Overview
Application for a certificate allowing employers to pay subminimum wages to workers with disabilities under Section 14(c) of the Fair Labor Standards Act.
Plain English
This form lets organizations apply for a certificate to pay workers with disabilities wages below the federal minimum wage, calculated based on their productivity compared to workers without disabilities.
Submission Date
AI co-pilot
Glossary Terms
No matched glossary terms in this overview yet.
Hover a term to preview the meaning.
Field map
Employer Info
3 items
Legal name of the employing organization.
Principal place of business.
Federal Employer Identification Number.
Operations
2 items
Description of work performed by workers with disabilities.
Total number of workers to be covered by the certificate.
Wages
2 items
The wage rate paid to workers without disabilities for comparable work.
Method used to determine commensurate wage rates.
Signature
1 items
Signature of authorized company official.
Almost done reviewing the fields?
Fillable formOpen in Editor->Quick Facts
Downloads
This form lets organizations apply for a certificate to pay workers with disabilities wages below the federal minimum wage, calculated based on their productivity compared to workers without disabilities.
Employers and sheltered workshops seeking a Section 14(c) certificate to employ workers with disabilities at commensurate wages.
A certificate allowing payment of subminimum wages calculated as a percentage of prevailing wage rates, commensurate with the worker's productivity.
Apply before employing workers with disabilities at subminimum wages. Certificates must be renewed annually.
Submit to the Wage and Hour Division office serving your area.
Complete the application with detailed information about your organization, the work performed, and your wage methodology. WHD will conduct a review.
FLSA Section 14(c) allows employers to pay commensurate (productivity-based) wages to workers whose disabilities impair their productive capacity for the work being performed.
Source transparency
BrieflyGo links to and explains official public form sources. We are not a government agency, and this page is for general form guidance, not legal advice.
Review risky clauses in plain English, fix the document, and keep it moving toward signature.