FORM WH-2 (Application for Special Industrial Homeworker Certificate)

The WH-2 is the application to use when requesting permission to employ an individual industrial homeworker in one of the seven restricted industries who is unable to work in a factory setting because (a) he or she is unable to adjust to such work because of age, or physical or mental disability; (b) he or she is unable to leave home because his or her presence is required to care for an invalid in the home, or (c) he or she will be engaged in industrial homework under the supervision of a State Vocational Rehabilitation Agency. The WH-2 includes a block in which the (potential) homeworker is to explain fully why he or she is unable to work in a factory setting. Another portion of the form requires medical confirmation of the need for the individual to work at home. Please note that the form requires the signatures of the employee, the employer, and a physician.