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Get DoL WH-226 2010

Tions (DA) Age Related (AR) Visual Impairment (VI) Neuromuscular (NM) Other (OT) Specify: Hearing Impairment (HI) Developmental Disability (DD) Specify: (continued on next page Form WH-226 Rev. December 2010 8. FOR RENEWAL APPLICATIONS ONLY Please provide the number of workers with disabilities (whose productive capacities were impaired by their disabilities and were paid special minimum wages) that your firm employed during your most recently completed fiscal year. Please provide this .

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