Merced County, CA · Merced County

No notary required

Farm Labor Contractor Registration

Farm labor contractors use this form to register with Merced County’s Agricultural Commissioner and confirm receipt of registration conditions and worker safety information.

At a glance

Issued by
City of Merced County · Merced County, Merced County, California
Notarization
Not required: file this form without a notary.
Official source
countyofmerced.com
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Farm labor contractors register with the Agricultural Commissioner in counties where they have contracted with a grower. This form records contractor and business contact details, license and registration numbers, employee count, payment information, and confirmation that registration conditions and worker safety information were reviewed. The instructions call for a copy of a valid current license, signed forms, and a $30 fee.

Who needs it

A farm labor contractor who has contracted with a grower in Merced County uses this form to register with the county Agricultural Commissioner.

How to submit it

Bring or mail the money and all forms to the Merced County Department of Agriculture, 2139 Wardrobe Avenue, Merced, CA 95341.

About notarization

This registration is signed and dated without a notary; the attached Application-Specific Information notice also requires a signature and date.

How to submit this form

  1. 1

    Download the Registration

    Download the Farm Labor Contractor Registration and its included instructions and information notices.

  2. 2

    Complete the Form

    Enter the contractor and business details, license information, employee count, and other requested information; sign and date the registration.

  3. 3

    Gather the Required Items

    Include a copy of your valid current license, the signed Application-Specific Information notice, and the $30 fee.

  4. 4

    Submit to the County

    Bring or mail the money and all forms to the Merced County Department of Agriculture at 2139 Wardrobe Avenue, Merced, CA 95341.

Frequently asked questions

Who uses the Farm Labor Contractor Registration?
A farm labor contractor who has contracted with a grower in Merced County uses this form to register with the County Agricultural Commissioner. The form requests contractor, business, license, and employee information.
What should I include with the registration?
The instructions say to provide a copy of your valid current license, sign the registration form and the Application-Specific Information notice, and include the $30 fee. The listed payment methods are cash, check, or credit card.
How do I submit the Farm Labor Contractor Registration?
Bring or mail the money and all forms to the Merced County Department of Agriculture, 2139 Wardrobe Avenue, Merced, CA 95341. The form lists the department’s phone number and email address.
Do I need a notary for the Farm Labor Contractor Registration?
No. This registration is signed and dated without a notary. The attached Application-Specific Information notice also requires a signature and date.

Need something notarized?

This Farm Labor Contractor Registration doesn’t need a notary, but if you have another Merced County form that does, a commissioned online notary can help.