TEXAS PREVAILING WAGE INFORMATION REQUEST FORM Note: Prevailing wage determinations are made in accordance with Federal Regulations. The PRIVACY ACT STATEMENT determination validity period as provided by the State Workforce Agency, will range from no less than In accordance with the Privacy Act of 1974, as amended (5 90 days and no more than 0ne year from the determination date. It is the employer’s responsibility to U.S.C. 552a), you are hereby notified that the information retain this copy in the employer’s files for no less than five years from date of the determination. provided herein is protected under the Privacy Act. Completed forms, inquiries, or corrections to the individual information contained in this form shall be sent to Foreign Labor Certification Unit, 101 E. 15th St., Room 202T (512) 475-2571. An individual may receive and review information that TWC collects regarding that individual by sending an e-mail to open.records@twc.state.tx.us or writing to TWC Open Records Section, 101 East 15th Street, Room 266, Austin, Texas 78778-0001. TEXAS WORKFORCE COMMISSION FOREIGN LABOR CERTIFICATION 101 E. 15TH STREET 202T AUSTIN, TX 78778-0001 FAX 512-463-3055 EMAIL ADDRESS: prevailing.wage@twc.state.tx.us CHECK THE APPROPRIATE BOX BELOW PERM (FILED W/TWC UNTIL 12/31/09) H-1B PROGRAM (FILED W/TWC UNTIL 12/31/09) H-2B TEMPORARY PROGRAM (ONLY PW’/S W/A START DATE BEFORE 10/1/09 ARE FILED WITH TWC) FAX: 512-463-3055 >>>>>>>>>>>> USE “Tab” KEY TO NAVIGATE THROUGH FIELDS