Form ETA-9089 – Appendix A: Foreign Worker Information Completed Form Examples and Samples

Explore practical examples and samples of the Form ETA-9089 – Appendix A: Foreign Worker Information. Learn how to accurately fill out this permanent labor certification form with our detailed guides and AI-extracted data templates.
Form ETA-9089 – Appendix A: Foreign Worker Information has a moderate Form Complexity Index of 59/100 — Instafill’s AI completes it in under a minute.
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Completed Form ETA-9089 – Appendix A for a Software Engineering applicant

Example of Filling Form ETA-9089 – Appendix A: Foreign Worker Information

How this form was filled:

This example demonstrates how our AI extraction engine parses an informal HR onboarding summary to accurately populate the complex Form ETA-9089 – Appendix A. The AI successfully identifies and maps unstructured data points, such as educational history, professional work experience, and personal identification details, into the required form fields, ensuring compliance for permanent labor certification.

Source document used: HR Onboarding Email

To: Immigration Department, Subject: Candidate Onboarding Details for Elena M. Rodriguez. Dear Team, please find the background information required for the upcoming PERM application for Elena M. Rodriguez. Elena was born on 05/12/1988 in Madrid, Spain, and holds Spanish citizenship. She is currently residing in the United States at 452 Oak Ridge Drive, Apartment 4B, Austin, Texas 78701. Her current Alien Registration Number is A098765432, and she arrived under the H-1B visa category. Elena completed her Bachelor of Science in Computer Engineering at the Polytechnic University of Madrid in June 2010. She later attained a Master of Science in Artificial Intelligence from the Georgia Institute of Technology in May 2015. Regarding her professional experience, she served as a Senior Software Developer at TechSystems Solutions, located at 8800 Research Blvd, Suite 200, Austin, TX 78758, from January 2016 until the present. She works 40 hours per week developing cloud-based microservices using Python and AWS, ensuring high-availability architecture for client-facing portals. She is an expert in cloud infrastructure and database optimization, skills she refined during her tenure as a Lead Developer at GlobalTech in London, where she worked from 2012 to 2015. We have all her transcripts and credential evaluations on file for your review. Please let us know if any further information is needed to proceed with the filing.

Information used to fill out the document:

  • Full Name: Elena M. Rodriguez
  • DOB and Citizenship: 05/12/1988, Spain
  • Current Address: 452 Oak Ridge Drive, Apt 4B, Austin, TX 78701
  • Visa Status: H-1B, A098765432
  • Education: B.S. Computer Engineering (Polytechnic University of Madrid), M.S. AI (Georgia Tech)
  • Work Experience: Senior Software Developer at TechSystems Solutions (Austin, TX)

What this filled form sample shows:

  • Automatic extraction of candidate identity details from unstructured prose
  • Mapping of dual educational entries to specific appendix subsections
  • Parsing work history and address components into formal schema fields
  • Identification of ongoing employment status based on temporal indicators

Form specifications and details:

Form: ETA-9089 – Appendix A
Department: U.S. Department of Labor
Purpose: Permanent Employment Certification
Field Complexity: High (multi-section data mapping)
Created: July 28, 2026 12:45 AM
Completed Form ETA-9089 – Appendix A for a Software Engineering applicant