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Migrant Housing Registration

H2A Worker    Federal ID Number    
Last Name   First Name   
Street Address  
City                State                    Zip  
Number of Workers   Home Phone Number 
Farm Office Phone Number    Mobile Phone Number   
Email Address  

Arrival Date of Workers  

Return Date of Workers   
Number of Camps New Grower   
Crops Grown
County of Camp Site   County of Residence   
Camp Site Address   
Camp Site County     
Date Camp Will Be Ready for Inspection  

Directions to Camp Site





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