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Prevailing Wage Information Request Form. This is a Oregon form and can be use in Foreign Labor Certification Statewide.
Tags: Prevailing Wage Information Request, Oregon Statewide, Foreign Labor Certification
PREVAILING WAGE INFORMATION REQUEST
For H-1B Specialty Occupations , PERM and H-2B
NOTE: union contracts pay scales, are the prevailing wage.
H-2B requests must include itinerary
Due to federal funding reductions, it will take approximately 14 working days to process this request.
1. Name of Employer (Full name of organization)
2. Telephone (Area Code and Number)
3. Address (Number, Street, City or Town, County, State, ZIP Code)
4. Name of Alien
5. Address Where Alien Will Work (if different from item 3)
6. Nature of Employer's Business
Activity
7. Job Title
8. Offered Rate
of Pay
per _____.
Over
Time
Type of request (PERM, H-1B, H-2B)
9. Describe Fully the Job to be Performed (Duties)
13. Special Requirements (Example: driver license,, computer skills,
production standard, drug test, reference check, foreign language, etc)
10. List the Minimum Requirements:
College Education (Enter number of years)
_______
College Degree Required (Specify)
_______________________
___________________________________________________
Specific Specialty
___________________________________________________
11. State License Required
12. Experience Required
(In Job Offered )
Yrs.
Mos.
Experience Required in
Yrs.
Mos.
(A Related Occupation)
Name occupation(s))
14. Occupational Title of Person who
will be Alien's Immediate Supervisor
Mail to: Sharon Rood, Wage Analyst
Alien Certification Program
Oregon Employment Department-R&S
875 Union St. NE
Salem, OR 97311
Phone: (503) 947-1659
Fax #: (503) 947-1634
Or e-mail:
Prepared by:
Sharon.K.Rood@state.or.us
______________
Phone: ________________Date:____________________
State of Oregon • Employment Department
15. Number of Employees Alien
will Supervise _ __
If the information is to be sent to an address other than the
employer's,
(i.e attorney), please list name, address, and telephone number
below:
_________________________________________________________
__________________________________________
__________________________________________
______________________________________
Fax #:
_______________
Form #1974 (11/06)
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