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Employee Housing Program Forms
To review all requirements for submission of the listed forms listed and their associated fees please review the appropriate section of the Employee Housing Regulations.
Application for Permit to Operate Employee Housing Facility — HCD 204 — (Adobe PDF)
When HCD is the enforcement agency, use this application to request a Permit to Operate a employee housing facility or camp. Every person intending to operate a labor facility or camp for any period of time within any calendar year shall file an application and submit appropriate fees to the enforcement agency for a permit to operate at least 45 days prior to the date of initial occupancy. Any change to the permit to operate will require an amended permit to operate. If your facility or camp is under local jurisdiction, contact your local enforcement agency to amend the Permit to Operate information.
Employee Housing Requested Inspection Date — HCD 207 — (Adobe PDF)
This request is utilized to inspect employee housing facilities/camps within 45 days following receipt of an application for a permit to operate.
Application for Alternate Approval (Employee Housing) — HCD 213 — (Adobe PDF)
This form is used to request approval of alternates that meet the equivalent requirements of the regulations.
Certification of Non-Operation — HCD 214 — (Adobe PDF)
Certification form must be filed with the enforcement agency by any person ceasing to operate or maintain employee housing. This form must be filed annually for two (2) years following the discontinuation of a employee housing facility or camp.
Ombudsman Request for Assistance (Complaint Forms)
Forms for requesting assistance for health and safety issues with in employee housing facilities or camps.
Application for State Benefits — (Adobe PDF)
Statement of Citizenship, Alienage, and Immigration Status. This form is required under federal law and is necessary prior to operating an employee housing facility. It only needs to be completed one time.