West Hollywood Minimum Wage

Waiver Application - Payment of Minimum Wage

Aug 14, 2023
submission #55
Business Information

Employer Business Information

Business Name ---
Business Phone Number ---
Business Mailing Address ---
Business Location Address ---
Total Number of Employees ---
Business Type ---
Total number of businesses you have within the County of Los Angeles ---
Total number of businesses you have within the City of West Hollywood ---

Workforce Information

Reason for Waiver Request ---
Supporting Documentation

Required Supporting Documentation - Reduce Workforce by More Than Twenty Percent

Submit the business’ State and Federal Tax Returns for the most recent three filed calendar years ---