Farmworker Survey Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *Name of Farm where you work *Do you ever work more than 60 hours per week? *YesNoDo you get paid time and one half for all hours worked over 60? *YesNoForm in which you are paid *Direct DepositCheckCashHow much are you paid per hour? *Do you receive one day of rest per week? *YesNoIf you work on your day of rest, are you paid time and one half? *YesNoHave you ever been injured on the job and lost work time? *YesNo(If yes, did you receive any payment while you were out of work?)YesNoDo you have any other question or suggestion?Submit
