Form Eta 9035cp - Labor Condition Application Cover Pages (Page 7 of 10) in pdf

Form Eta 9035cp - Labor Condition Application Cover Pages Page 7

Labor Condition

Form ETA 9035CP

U.S. Department of Labor

Application

OMB Approval: 1205-0310

Employment and Training Administration

Cover Pages

Expiration Date: 11/30/2008

Instructions for Section G

Public Disclosure Information

Mark the appropriate circle identifying where documentation concerning this application will be maintained.

Instructions for Section H

Declaration of Employer

The application must be signed by an official designated by the employer and authorized by the employer to agree to the

statements herein on the employer's behalf.

False statements are subject to Federal criminal penalties, as stated above. Failure to meet a condition of the application or

misrepresentation of a material fact may result in civil money penalties, debarment, and other appropriate relief.

Instructions for Section I

Contact Information

Enter information in this section only if the person to whom questions regarding this application should be directed is

different from the hiring or other designated official signing the application on behalf of the employer.

1. Contact First Name and Middle Initial (MI): Self-Explanatory

2. Contact Last Name: Self-Explanatory

3. Contact Phone Number and Extension: Self-Explanatory

Instructions for Section J

For Official Government Use Only

Please do not fill in this section, as it is for Official Use Only.

Instructions for Section K

Complaints

Complaints alleging misrepresentation of material facts in the labor condition application and/or failure to comply with the

terms of the labor condition application may be filed with any office of the Wage and Hour Division, U.S. Department of

Labor. Complaints alleging failure to offer employment to an equally or better qualified U.S. worker, or an employer's

misrepresentation regarding such offer(s) of employment, may be filed with: U.S Department of Justice * Office of the Special

Counsel for Immigration-Related Unfair Employment Practices * 950 Pennsylvania Ave, NW * Washington, DC *

20530.*1-(800) 255-8155 (Employers), 1-(800) 255-7688 (Employees)*

46026

Do Not Fax these cover pages (Form ETA 9035CP). Fax

Form ETA 9035CP -

ONLY the completed Labor Condition Application for

Page 7 of 10

Nonimmigrant Workers - Form ETA 9035.

Form Eta 9035cp - Labor Condition Application Cover Pages Page 7