Skip to Main Content

Breadcrumb

  1. IDHR
  2. Public Contracts

Employer Report Form (PC-1) 

 

Definitions, Clauses & Policies — (PC-1 Form) (Please read before filling out the form)


NO BUSINESS OR PERSONAL CHECKS WILL BE ACCEPTED   --- only cashier’s check, certified check, or money order will be accepted and processed.  All forms accompanied by a business or personal check will be returned unprocessed.  Also, at this time, we do NOT accept credit cards.


First Time Employer Report Form (PC-1) (pdf format)
(First time applicant beginning January 1, 2010)

Renewal Employer Report Form (PC-1) (pdf format)
(Renewal beginning January 1, 2010)