Prevailing Wage Request Form - H-1b Nonimmigrants (Page 2 of 2) in pdf

ITEMIZED INSTRUCTIONS FOR COMPLETING PREVAILING WAGE REQUEST FORM

(To be completed by Employer or Employer Representative)

Please check the type of work visa in the upper right corner.

Item 1. Name of Employer. Enter full name of business, firm, organization,

Item 9. Working Conditions that Affect the Rate of Pay. Some examples

or if an individual, enter name for legal purposes on documents for worksite

of the working conditions are cold temperatures, working with dangerous

employer.

chemicals, etc., which results in Hazard Pay Differentials. Other examples

deal with work schedules such as evening or weekend hours, steady shifts or

rotating shifts, etc., which results in Shift Pay Differentials.

Item 2. Address Where Alien Will Work. The workplace address should

include city (county) and ZIP code.

Item 10. MINIMUM Qualifications. State in detail the MINIMUM

education, training, experience, and other special requirements for any worker

to perform satisfactorily the job duties described in Item 8. Identify licensing

Item 3. Nature of the Employer's Business Activity. Enter Standard

or certification needed, minimum foreign language proficiency, or keyboard

Industrial Classification (SIC) Code or a brief nontechnical description, i.e.,

accuracy and speed as reflected in test results.

retail trade, software industry, biotechnology, university, financial institution,

hospital, and community service organization, including for profit and non-profit

LEVEL I: Beginning level employees who have a basic understanding of the

status.

occupation through education or experience.

They perform routine to

moderately complex tasks that require limited exercise of judgment and provide

Item 4. Title of Job Being Filled. Enter the common name or payroll title

experience and familiarization with the employer's methods, practices and

of the job being offered. If known, include the Dictionary of Occupational

programs. They may assist staff performing tasks requiring skills equivalent to

Titles (DOT) code.

a level ll and may perform higher level work for training and developmental

purposes. These employees work under close supervision and receive specific

Item 5. Title of Alien's Immediate Supervisor. Enter the common

instructions on required tasks and results expected. Work is closely monitored

occupation name or payroll title of the alien's immediate supervisor.

and reviewed for accuracy.

Item 6. Basic Hours Per Week. Show the basic hours of work required

LEVEL II: Fully competent employees who have sufficient experience in the

on a weekly basis so that a standard workweek can be established for the job.

occupation to plan and conduct work requiring judgment and the independent

evaluation, selection, modification and application of standard procedures and

Item 7. Basic Rate of Pay Offered. Enter a guaranteed basic rate of pay

techniques. Such employees use advanced skills and diversified knowledge to

and the unit of pay, such as $15.00 per hour, $2,500 per month, or $37,500 per

solve unusual and complex problems. They may supervise or provide direction

year. The wage offered cannot be based on commission, bonuses, or other

to level l staff. These employees receive only technical guidance and their

incentives, unless the employer guarantees a wage paid on a weekly,

work is reviewed for application of sound judgment and effectiveness in

biweekly, or monthly basis. Only the minimum amount guaranteed to the

meeting the establishment's procedures and expectations.

employee can be reported.

Do not duplicate the time requirements for education, training, and experience.

Item 8. Describe Fully the Job Duties to be Performed. Describe the

Do not use phrases such as "familiar with", "knowledgeable of" or "able to".

job by using action verbs to explain the tasks to be performed. An employer

Do not include restrictive requirements which are not actual business

may want to consult a Dictionary of Occupational Titles to assist in the

necessities for performance of the job and which could limit consideration of

development of the job description. The DOT contains 12,741 definitions and

otherwise qualified U.S. workers.

is available at all libraries that serve as repositories for government documents,

U.S. Government Printing Office stores, and State Employment Security

Examples: "must possess or be eligible for State Civil Engineer License...fluent

Agencies. The following guidelines are suggested for employers to use:

in Mandarin Chinese...must have minimum of 400 hours flight time including

200 hours as pilot-in-command and 100 hours tailwheel...3 months experience

a. Where there are several duties, start with the most important one first.

using WordStar program..."

b. Identify the tools, equipment, and machines the worker in the job uses.

Item 11.

Name of Requestor.

Enter the employer or employer

representative requesting the prevailing wage determination. This includes the

c. Specify pertinent working conditions.

requestor's name, telephone number, FAX number, and complete mailing

address.

d. Indicate the skill level (complexity) and degree of supervision required to

perform the job duties and responsibilities.

The rest of this form is for DEPARTMENTAL ACTION TO PROVIDE

PREVAILING WAGE DETERMINATION.

e. For jobs requiring supervisory duties, the employer needs to describe the

activities the incumbent will supervise, the extent and authority to hire, fire,

train, schedule, and evaluate, as well as the numbers and occupations of

workers supervised. (A supervisory position is another occupational category

and different from the occupational family of the worker supervised. It will

be reflected as such and be categorized in a different DOT code.)

Prevailing Wage Request Form - H-1b Nonimmigrants Page 2

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