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LWO Printable Forms and Posters

For City Contractors

  • LW 5 - Subcontractor's Declaration of Compliance
  • LW 6 - Employee Information Form
  • LW 6 - DWP - Employee Information Form
  • LW 18 - Subcontractor Information Form

For Airport Contractors

  • LAWA LW 5 - Subcontractor's Declaration of Compliance
  • LAWA LW 6 - Employee Information Form
  • LAWA LW 18 - Subcontractor Information Form

Exemption Forms for City/Airport Contractors

  • LW 10 - Exemption Application
  • LW 26 - Small Business Exemption Application (English)
  • LW 26 - Small Business Exemption Application (Spanish)
  • LW 28 - 501c3 Nonprofit Exemption Application
  • LW 29 - Non-Coverage Determination Application

Health Benefit Exemption Form for City/Airport Employees

  • LW 27- Online Benefits Waiver Application (English)
  • LW 27- Online Benefits Waiver Application (EspaƱol) 
  • LW 27 - Benefits Waiver Paper Application (English)
  • LW 27 - Benefits Waiver Paper Application (Spanish)

To be Posted by City/Airport Contractors once a Contract is Executed

  • LW 11 - Notice to Employees re: LWO (English and Spanish)
  • Notice to Employees re: Retaliation (English)
  • Notice to Employees re: Retaliation (Spanish)
  • Living Wage Poster (City Contractors)
  • Living Wage Poster (Airport Contractors)

Complaint Forms for City/Airport Employees

  • Employee Complaint Form (English)
  • Employee Complaint Form (Spanish)

Contact Us

City of Los Angeles
Department of Public Works
Bureau of Contract Administration
1149 S. Broadway Suite 300
Los Angeles, CA 90015
Main Office (213) 847-1922
BCA.Webmaster@lacity.org

Public Works 

Department of Public Works
Board of Public Works
Bureau of Engineering
Bureau of Sanitation
Bureau of Street Lighting
Bureau of Street Services
Board of Public Works Agendas

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