Form ETA-9089, Application for Permanent Employment Certification Instructions

Enter the value for Mark 1a.

Enter the value for Mark 1b.

Enter the value for Mark 1c.

Enter the value for Mark 1d.

Enter the value for Mark 1e.

Check this box if you accept the terms and conditions.

Check this box if you do not accept the terms and conditions.

Enter the number of current employees on payroll in the area of intended employment.

Enter the name of the Metropolitan Statistical Area (MSA) or the Occupational Employment Statistics (OES) area title where the job is located.

Identify the geographic area(s) where the work will be performed. This can include a listing of cities, townships, counties, or states within a geographic region. You can use up to 1,500 characters.

Check this box if an attorney is representing the employer.

Check this box if an agent is representing the employer.

Check this box if neither an attorney nor an agent is representing the employer.

Enter the last (family) name of the attorney or agent representing the employer.

Enter the first (given) name of the attorney or agent representing the employer.

Enter the middle name(s) of the attorney or agent representing the employer, if applicable.

Enter the primary address of the attorney or agent representing the employer.

Enter the secondary address details such as apartment, suite, floor, and number for the attorney or agent's address.

Enter the city of the attorney or agent's address.

Enter the state of the attorney or agent's address.

Enter the postal code of the attorney or agent's address.

Enter the email address of the law firm or business handling the application.

Enter the name of the law firm or business handling the application.

Enter the Federal Employer Identification Number (FEIN) of the law firm or business.

Enter the state bar number(s) of the attorney handling the application.

Enter the state of the highest court where the attorney is in good standing.

Enter the name of the highest state court where the attorney is in good standing.

Enter the Federal Employer Identification Number (FEIN) of the law firm or business.

Enter the name of the law firm or business.

Enter the email address of the law firm or business.

Enter the last name (family name) of the contact person for the application.

Enter the first name (given name) of the contact person for the application.

Enter the middle name(s) of the contact person for the application, if applicable.

Enter the job title of the contact person for the application.

Enter the primary address of the contact person, including street number and name.

Enter the full legal name of the business as registered with the government.

Enter the trade name or DBA (Doing Business As) name if the business operates under a different name than the legal business name.

Enter the primary address of the business, including street number and name.

Enter additional address information such as apartment, suite, or floor number.

Enter the city where the business is located.

Enter the state where the business is located.

Enter the postal code for the business address.

Enter the country where the business is located.

Enter the province where the business is located, if applicable.

Enter the primary telephone number for the business.

Enter the telephone extension number, if applicable.

Enter the Federal Employer Identification Number (FEIN) assigned by the IRS.

Enter the North American Industry Classification System (NAICS) code for the business.

Select 'Yes' if the business has previously filed for labor certification.

Select 'No' if the business has not previously filed for labor certification.

Select 'Yes' if the business is currently under investigation or has been under investigation in the past.

Select 'No' if the business is not currently under investigation and has not been under investigation in the past.

Enter the secondary address details such as apartment, suite, floor, and number for the employer's address.

Enter the city of the employer's address.

Enter the state of the employer's address.

Enter the postal code of the employer's address.

Enter the country of the employer's address.

Enter the province of the employer's address, if applicable.

Enter the telephone number of the employer.

Enter the telephone extension number, if applicable.

Enter the business email address of the employer.

Enter the year the business commenced operations. If the employer is a household, enter the year the FEIN was issued.

Enter the country where the employer or law firm is located.

Enter the province where the employer or law firm is located, if applicable.

Enter the telephone number of the employer or law firm.

Enter the telephone extension number, if applicable.

Enter the end date for the time period specified in section 6b.

Enter the start date for the time period specified in section 7a.

Enter the end date for the time period specified in section 7b.

Enter the start date for the time period specified in section 8a.

Enter the end date for the time period specified in section 8b.

Enter the start date for the time period specified in section 9a.

Enter the end date for the time period specified in section 9b.

Enter the start date for the time period specified in section 10a.

Enter the end date for the time period specified in section 10b.

Enter the last (family) name of the foreign worker.

Enter the first (given) name of the foreign worker.

Enter the middle name(s) of the foreign worker, if applicable.

Indicate if the question 2c is not applicable.

Select 'Yes' if the answer to question 3 is affirmative.

Select 'No' if the answer to question 3 is negative.

Indicate if the question 3 is not applicable.

Check this box if the answer to question 4 is affirmative.

Check this box if the answer to question 4 is negative.

Select 'Yes' if the answer to question 4a is affirmative.

Select 'No' if the answer to question 4a is negative.

Indicate if the question 4a is not applicable.

Check this box if the answer to question 5 is affirmative.

Check this box if the answer to question 5 is negative.

Select 'Yes' if the answer to question 5a is affirmative.

Select 'No' if the answer to question 5a is negative.

Indicate if the question 5a is not applicable.

Select 'Yes' if the answer to question 5b is affirmative.

Select 'No' if the answer to question 5b is negative.

Indicate if the question 5b is not applicable.

Check this box if the answer to question 6 is affirmative.

Check this box if the answer to question 6 is negative.

Indicate 'Yes' for question 7.

Indicate 'No' for question 7.

Indicate 'Yes' for question 8.

Indicate 'No' for question 8.

Select 'Yes' for question 9 if applicable.

Select 'No' for question 9 if applicable.

Select 'N/A' for question 9 if not applicable.

Select 'Yes' for question 10 if applicable.

Select 'No' for question 10 if applicable.

Select 'N/A' for question 10 if not applicable.

Indicate 'Yes' for question 11.

Indicate 'No' for question 11.

Indicate 'Yes' for question 12.

Indicate 'No' for question 12.

Check this box to indicate 'Yes'.

Check this box to indicate 'No'.

Enter the number of hours the foreign worker is expected to work per week.

Select 'Yes' if the employer has a valid Prevailing Wage Determination (PWD) case number issued by the Department of Labor.

Select 'No' if the employer does not have a valid Prevailing Wage Determination (PWD) case number issued by the Department of Labor.

Enter the valid Prevailing Wage Determination (PWD) case number issued by the Department of Labor to identify the job opportunity and prevailing wage(s) covered by this application.

Enter the wage offer dollar amount for the job opportunity.

Enter the start date of the SWA job order.

Select 'Yes' if the job opportunity is covered by a collective bargaining agreement.

Select 'No' if the job opportunity is not covered by a collective bargaining agreement.

Select 'Yes' if the answer to question B.1 is affirmative.

Select 'No' if the answer to question B.1 is negative.

Select 'Yes' if the answer to question B.2 is affirmative.

Select 'No' if the answer to question B.2 is negative.

Select 'N/A' if question B.2 is not applicable.

Mark this field if there is a bargaining representative and provide the physical notice here.

Mark this field if there is no bargaining representative and provide the physical notice here.

Mark this field if there is no bargaining representative and provide the electronic notice here.

Mark this field if there is no bargaining representative and provide the in-house media notice here.

Indicate if there is no bargaining representative for a private household by marking this field.

Indicate if the employer did not post the notice of filing by marking this field.

Select 'Yes' if the statement or condition applies.

Select 'No' if the statement or condition does not apply.

Select 'Yes' if the employer has complied with all applicable recruitment requirements.

Select 'No' if the employer has not complied with all applicable recruitment requirements.

Select 'N/A' if the recruitment requirements are not applicable to the job opportunity.

Select 'Yes' if the answer to question 1 is affirmative.

Select 'No' if the answer to question 1 is negative.

Select 'Yes' if the answer to question 2 is affirmative.

Select 'No' if the answer to question 2 is negative.

Select 'Yes' if the answer to question 2a is affirmative.

Select 'No' if the answer to question 2a is negative.

Select 'N/A' if question 2a is not applicable.

Select 'Yes' if the answer to question 2b is affirmative.

Select 'No' if the answer to question 2b is negative.

Select 'N/A' if question 2b is not applicable.

Select 'Yes' if the answer to question 2c is affirmative.

Select 'No' if the answer to question 2c is negative.

Enter the end date of the State Workforce Agency (SWA) job order.

Select 'Yes' if the advertisement was placed in a newspaper of general circulation.

Select 'No' if the advertisement was not placed in a newspaper of general circulation.

Select 'N/A' if the question about the newspaper advertisement does not apply.

Enter the name of the newspaper of general circulation in which an advertisement was placed.

Enter the date when the advertisement was placed in the newspaper of general circulation.

Check this box if the advertisement was placed in a newspaper of general circulation.

Check this box if the advertisement was placed in a professional journal.

Check this box if the question about the advertisement does not apply.

Enter the name of the newspaper or professional journal in which an advertisement was placed.

Enter the date when the advertisement was placed in the newspaper or professional journal.

Enter the start date for the job order.

Enter the end date for the job order.

Enter the start date for the second job order.

Enter the end date for the second job order.

Enter the start date for the third job order.

Enter the end date for the third job order.

Enter the start date for the fourth job order.

Enter the end date for the fourth job order.

Enter the start date for the fifth job order.

Enter the end date for the fifth job order.

Enter the start date for the sixth job order.

Provide details about the job fair where the recruitment took place.

Enter the URL of the employer's website where the job was posted.

Enter the name of the job search website where the job was posted.

Provide details about the on-campus recruiting event.

Enter the name of the trade or professional organization involved in the recruitment.

Enter the name of the private employment firm used for recruitment.

Provide details about the employee referral program used for recruitment.

Enter the name of the campus placement office involved in the recruitment.

Enter the name of the local or ethnic newspaper where the job was advertised.

Provide details about any radio and/or TV advertisements used for recruitment.

Enter the cents amount of the wage offer. This is the fractional part of the wage.

Enter the dollar amount of the wage offer. This is the whole number part of the wage.

Enter the cents amount of the wage offer. This is the fractional part of the wage.

Check this box if the wage offer is based on an hourly rate.

Check this box if the wage offer is based on a bi-weekly rate.

Check this box if the wage offer is based on a monthly rate.

Check this box if the wage offer is based on an annual rate.

Enter any additional conditions about the offered wage, up to 500 characters.

Check this box if the work will be performed at the business premises.

Check this box if the work will be performed at the employer's private household, including live-in and domestic household workers.

Check this box if the work will be performed at the employee's private residence.

Check this box if there is no specific worksite address or physical location for the job.

Enter the address of the worksite where the job will be performed.

Enter the apartment, suite, floor, and number of the worksite address, if applicable.

Enter the city of the worksite address.

Enter the county of the worksite address.

Enter the state, district, or territory of the worksite address.

Enter the postal code of the worksite address.

Enter the MSA/OES area code for the worksite location.