Eta Form 9035 & 9035e Draft - Labor Condition Application For Nonimmigrant Workers printable pdf download

Eta Form 9035 & 9035e Draft - Labor Condition Application For Nonimmigrant Workers

OMB Approval: 1205-0310

Expiration Date:

XX/XX/XXXX

Labor Condition Application for Nonimmigrant Workers

ETA Form 9035 & 9035E

U.S. Department of Labor

Please read and review the filing instructions carefully before completing the Form ETA 9035 or 9035E. A copy of the instructions can be found at

In accordance with Federal Regulations at 20 CFR 655.730(b), incomplete or obviously inaccurate Labor

Condition Applications (LCAs) will not be certified by the Department of Labor. For all submissions, both electronic (Form ETA 9035E) or paper (Form

ETA Form 9035 where the employer has notified the Department of Labor (DOL) that it will submit this form non-electronically due to a disability or

received permission from DOL to file non-electronically due to lack of Internet access), ALL required fields/items containing an asterisk ( * ) must be

completed as well as any fields/items where a response is conditional as indicated by the section ( § ) symbol.

A. Employment-Based Nonimmigrant Visa Information

1. Indicate the type of visa classification supported by this application

: *

(Write classification symbol)

B. Temporary Need Information

1. Job Title *

2. SOC (ONET/OES) code *

3. SOC (ONET/OES) occupation title *

4. Is this a full-time position? *

Period of Intended Employment

5. Begin Date *

6. End Date *

 Yes

 No

(mm/dd/yyyy)

7. Worker positions needed/basis for the visa classification supported by this application

Total Worker Positions Being Requested for Certification *

Basis for the visa classification supported by this application

(

)

indicate total workers in each applicable category

a. New employment *

d. New concurrent employment *

b. Continuation of previously approved employment *

e. Change in employer *

without change with the same employer

c. Change in previously approved employment *

f. Amended petition *

C. Employer Information

1. Legal business name *

2. Trade name/Doing Business As (DBA), if applicable

3. Address 1 *

4. Address 2

5. City *

6. State *

7. Postal code *

8. Country *

9. Province

10. Telephone number *

11. Extension

12. Federal Employer Identification Number

13. NAICS code

(FEIN from IRS) *

(must be at least 4-digits) *

Form ETA 9035/9035E

FOR DEPARTMENT OF LABOR USE ONLY

Page 1 of 6

Case Number:_______________________ Case Status: __________________ Period of Employment: ______________ to _______________

Eta Form 9035 & 9035e Draft - Labor Condition Application For Nonimmigrant Workers

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