WH-521, Migrant and Seasonal Agricultural Worker Protection Act (MSPA) Housing Terms and Conditions

Entity Mandating Form: US Department of Labor (DOL).

Applicability: Employers covered under the Migrant and Seasonal Agricultural Worker Protection Act (MSPA) that own or control housing provided to migrant agricultural workers.

Distribution Specifications: Covered employers must ensure that the facility complies with federal and state safety and health standards. Employers must either:

  • Post a written statement of the terms and conditions of occupancy at the housing site where it can be seen during the entire period of occupancy; or
  • Provide workers a written statement of the terms and conditions of occupancy prior to occupancy.

This form may be used to satisfy this requirement.

Obtaining This Form: An employer may download this form directly from the DOL's website.

Additional Resources

Migrant and Seasonal Agricultural Worker Protection Act

Wage and Hour Division

US Department of Labor