Amended Employer Disclosure Statement Use Of Foreign Labor Contractor {DLSE 704 A}

DLSE 704 A, AMENDED EMPLOYER DISCLOSURE STATEMENT: USE OF FOREIGN LABOR CONTRACTOR. This is a form used by the California Division of Labor Standards Enforcement (DLSE) to require employers to provide information about their use of foreign labor contractors (FLCs). The form requires the employer to disclose various information about the FLC, including the FLC's name, address, contact information, and the nature of the services provided by the FLC. Amendments to the Employer Disclosure Statement: Use of Foreign Labor Contractor must be submitted to the Labor Commissioner by email at foreignlaborcon@dir.ca.gov or by mail to: Labor Commissioner, Licensing & Registration Unit-FnLC, 1515 Clay Street, Suite 401, Oakland, CA 94612 within fifteen (15) days of the change. Please indicate date of initial or previous disclosure, employer name (legal and “doing business” as name, if different), provide updated information for any category of information that has changed, and sign the amended disclosure. www.FormsWorkflow.com