Official Federal Forms > US Dept Of Labor
Application For Permanent Employment Certification ETA-9089 - Official Federal Forms
| Application For Permanent Employment Certification Form. This is a national form and can be used in US Dept Of Labor . |
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OMB Approval: 1205-0451 Expiration Date: 08/31/2014 03/31/2008 Application for Permanent Employment Certification ETA Form 9089 86 'HSDUWPHQW RI /DERU 3OHDVH UHDG DQG UHYLHZ WKH ILOLQJ LQVWUXFWLRQV EHIRUH FRPSOHWLQJ WKLV IRUP $ FRS\ RI WKH LQVWUXFWLRQV FDQ EH IRXQG DW http://www.foreignlaborcert.doleta.gov/pdf/9089inst.pdf Employing or continuing to employ an alien unauthorized to work in the United States is illegal and may subject the employer to criminal prosecution, civil money penalties, or both. $ 5HILOLQJ ,QVWUXFWLRQV $UH \RX VHHNLQJ WR XWLOL]H WKH ILOLQJ GDWH IURP D SUHYLRXVO\ VXEPLWWHG $SSOLFDWLRQ IRU $OLHQ (PSOR\PHQW &HUWLILFDWLRQ (7$ " 1-A. If Yes, enter the previous filing date Yes No 1-B. Indicate the previous SWA or local office case number OR if not available, specify state where case was originally filed: % 6FKHGXOH $ RU 6KHHSKHUGHU ,QIRUPDWLRQ Yes If Yes, do NOT send this application to the Department of Labor. All applications in support of Schedule A or Sheepherder Occupations must be sent directly to the appropriate Department of Homeland Security office. & (PSOR\HU ,QIRUPDWLRQ +HDGTXDUWHUV RU 0DLQ 2IILFH 1. Employer's name 2. Address 1 Address 2 3. City 4. Phone number 5. Number of employees 7. FEIN( Federal Employer Identification Number) State/Province Country Extension 6. Year commenced business 8. NAICS Code ,V WKLV DSSOLFDWLRQ LQ VXSSRUW RI D 6FKHGXOH $ RU 6KHHSKHUGHU 2FFXSDWLRQ" No Postal code 9. Is the employer a closely held corporation, partnership, or sole proprietorship in which the alien has an ownership interest, or is there a familial relationship between the owners, stockholders, partners, corporate officers, incorporators, and the alien? Yes No ' (PSOR\HU &RQWDFW ,QIRUPDWLRQ 7KLV VHFWLRQ PXVW EH ILOOHG RXW 7KLV LQIRUPDWLRQ PXVW EH GLIIHUHQW IURP WKH DJHQW RU DWWRUQH\ LQIRUPDWLRQ OLVWHG LQ 6HFWLRQ ( 1. Contact's last name 2. Address 1 Address 2 3. City 4. Phone number 5. E-mail address State/Province Country Extension Postal code First name Middle initial ETA Form 9089 This Certification is valid from ____________ ___to_______ _________ Page 1 of American LegalNet, Inc. www.FormsWorkFlow.com ETA Case Number: OMB Approval: 1205-0451 Expiration Date: 03/31/2008 08/31/2014 Application for Permanent Employment Certification ETA Form 9089 86 'HSDUWPHQW RI /DERU ( $JHQW RU $WWRUQH\ ,QIRUPDWLRQ ,I DSSOLFDEOH 1. Agent or attorney's last name 2. Firm name 3. Firm EIN 5. Address 1 Address 2 6. City 7. E-mail address State/Province Country Postal code 4. Phone number Extension First name Middle initial ) 3UHYDLOLQJ :DJH ,QIRUPDWLRQ DV SURYLGHG E\ WKH 6WDWH :RUNIRUFH $JHQF\ 1. Prevailing wage tracking number (if applicable) 3. Occupation Title 5. Prevailing wage Per: (Choose only one) 2. SOC/O*NET(OES) code 4. Skill Level Week Hour 6. Prevailing wage source (Choose only one) OES CBA Employer Conducted Survey $ Bi-Weekly Month SCA Year Other DBA 6-A. If Other is indicated in question 6, specify: 7. Determination date 8. Expiration date * :DJH 2IIHU ,QIRUPDWLRQ 1. Offered wage From: To: (Optional) Per: (Choose only one) $ $ Hour Week Bi-Weekly Month Year + -RE 2SSRUWXQLW\ ,QIRUPDWLRQ :KHUH ZRUN ZLOO EH SHUIRUPHG 1. Primary worksite (where work is to be performed) address 1 Address 2 2. City 3. Job title 4. Education: minimum level required: State Postal code None High School Associate's Bachelor's Master's Doctorate Other 4-A. If Other is indicated in question 4, specify the education required: 4-B. Major field of study 5. Is training required in the job opportunity? No Yes 5-A. If Yes, number of months of training required: ETA Form 9089 This Certification is valid from ____________ ___to_______ _________ Page 2 of American LegalNet, Inc. www.FormsWorkFlow.com ETA Case Number: OMB Approval: 1205-0451 Expiration Date: 08/31/2014 03/31/2008 Application for Permanent Employment Certification ETA Form 9089 86 'HSDUWPHQW RI /DERU + -RE 2SSRUWXQLW\ ,QIRUPDWLRQ &RQWLQXHG 5-B. Indicate the field of training: 6. Is experience in the job offered required for the job? 6-A. If Yes, number of months experience required: Yes No 7. Is there an alternate field of study that is acceptable? 7-A. If Yes, specify the major field of study: 8. Is there an alternate combination of education and experience that is acceptable? 8-A. If Yes, specify the alternate level of education required: Yes No Yes No None High School Associate's Bachelor's Master's Doctorate Other 8-B. If Other is indicated in question 8-A, indicate the alternate level of education required: 8-C. If applicable, indicate the number of years experience acceptable in question 8: 9. Is a foreign educational equivalent acceptable? 10. Is experience in an alternate occupation acceptable? Yes No 10-A. If Yes, number of months experience in alternate occupation required: Yes No 10-B. Identify the job title of the acceptable alternate occupation: 11. Job duties If submitting by mail, add attachment if necessary. Job duties description must begin in this space. 12. Are the job opportunity's requirements normal for the occupation? Yes No If the answer to this question is No, the employer must be prepared to provide documentation demonstrating that the job requirements are supported by business necessity. 13. Is knowledge of a foreign language required to perform the job duties? Yes No If the answer to this question is Yes, the employer must be prepared to provide documentation demonstrating that the language requirements are supported by business necessity. 14. Specific skills or other requirements If submitting by mail, add attachment if necessary. Skills description must begin in this space. ETA Form 9089 This Certification is valid from ____________ ___to_______ _________ Page 3 of American LegalNet, Inc. www.FormsWorkFlow.com ETA Case Number: OMB Approval: 1205-0451 Expiration Date: 08/31/2014 03/31/2008 Application for Permanent Employment Certification ETA Form 9089 86 'HSDUWPHQW RI /DERU + -RE 2SSRUWXQLW\ ,QIRUPDWLRQ &RQWLQXHG 15. Does this application involve a job opportunity that includes a combination of occupations? 16. Is the position identified in this application being offered to the alien identified in Section J? 17. Does the job require the alien to live on the employer's premises? 18. Is the application for a live-in household domestic service worker? 18-A. If Yes, have the employer and the alien executed the required employment contract and has the employer provided a copy of the contract
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