Eta Form 9035 & 9035e Draft - Labor Condition Application For Nonimmigrant Workers (Page 2 of 6) in pdf

Eta Form 9035 & 9035e Draft - Labor Condition Application For Nonimmigrant Workers Page 2

OMB Approval: 1205-0310

Expiration Date:

XX/XX/XXXX

Labor Condition Application for Nonimmigrant Workers

ETA Form 9035 & 9035E

U.S. Department of Labor

D. Employer Point of Contact Information

Important Note: The information contained in this Section must be that of an employee of the employer who is authorized to act on behalf of

the employer in labor certification matters. The information in this Section must be different from the agent or attorney information listed in

Section E, unless the attorney is an employee of the employer.

1. Contact’s last (family) name *

2. First (given) name *

3. Middle name(s)

4. Contact’s job title *

5. Address 1 *

6. Address 2

7. City *

8. State *

9. Postal code *

10. Country *

11. Province

12. Telephone number *

13. Extension

14. E-Mail address

E. Attorney or Agent Information (If applicable)

Important Note: The employer authorizes the attorney or agent identified in this section to act on its behalf in connection with the

filing of this application.

1. Is the employer represented by an attorney or agent in the filing of this application? *

 Yes

 No

If “Yes”, complete the remainder of Section E below.

2. Attorney or Agent’s last (family) name

3. First (given) name

4. Middle name(s)

5. Address 1

6. Address 2

7. City

8. State

9. Postal code

10. Country

11. Province

12. Telephone number

13. Extension

14. E-Mail address

15. Law firm/Business name

16. Law firm/Business FEIN

17. State Bar number

18. State of highest court where attorney is in good

(only if attorney) §

standing (

only if attorney) §

19. Name of the highest State court where attorney is in good standing

(only if attorney) §

Form ETA 9035/9035E

FOR DEPARTMENT OF LABOR USE ONLY

Page 2 of 6

Case Number:_______________________ Case Status: __________________ Period of Employment: ______________ to _______________

Eta Form 9035 & 9035e Draft - Labor Condition Application For Nonimmigrant Workers Page 2

Related Articles

Related forms

Related Categories