Skip main navigation

Outdated or Unsupported Browser Detected
DWD's website uses the latest technology. This makes our site faster and easier to use across all devices. Unfortunatley, your browser is out of date and is not supported. An update is not required, but it is strongly recommended to improve your browsing experience. To update Internet Explorer to Microsoft Edge visit their website.

Home Care Consumer Notice

Document Number: ERD-15615-E

Description: This form is used by Employment Agents to register with the Division.

Comments: This form should not be used by Licensed Employment Agents.

Content Contact: Equal Rights Information

Document Attachments:

ERD-15615-E (Electronic Version - Word/74 KB)

ERD-15615 (Print Version - pdf/18 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.