Notice: While unemployment insurance payments have not been impacted by the federal government shutdown at this time, November benefits for FoodShare members have been reduced due to the ongoing shutdown. For questions about using FoodShare benefits, information about benefit delays, or help finding food assistance resources, visit:
Wisconsin Department of Health Services' FoodShare webpage
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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 business 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.
DWD Contact Information
201 E. Washington Ave
P.O. Box 7946
Madison, WI 53707
(608) 266-3131
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