New Mexico Prevailing Wage Information Request Form

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NEW MEXICO PREVAILING WAGE INFORMATION REQUEST
For use by employers requesting prevailing wage rates for H-1B labor condition appllications
Instructions: Please complete all items and fax or mail your completed form to the address in item 18.
1. Name of Employer ( full name of organization)
2. Telephone Number
3. Address ( Number, Street, City or Town, County, State, Zip Code)
4. Name of Alien (if known)
4a. Current Visa Type
5. Address where alien will work (if different from item 3)
6. Nature of Employer's business
7. Alien's job title
8. Work hours 9. Rate of pay
10. Describe fully the job to be performed (Duties)
10a._______________ Enter wage rate if this job is covered by a union contract or a collective bargaining agreement.
10b. Does the alien have job related experience? No______ Yes_______ (if yes number of years)________
11. College Degree Required (specify)_______________ 14. Other Special Requirements
Year Graduated _______________________________
Educational Specialty
_________________________
12. State Licence Required Yes ______ No _______
13. Experience Required Years_____ Months______
15. Occupational title of alien's immediate
16. Number of employees alien will supervise ______
supervisor
18. Send this request to:
17. If this information is to be sent to an address
other than the employer's ( i.e. attorney) please
New Mexico Department of Labor
list name, address, phone and fax number below:
Attn: ER& A - Wage Info - Herb Greenwall
P.O. Box 1928
Albuquerque, NM 87103
Telephone (505) 841-8643
Fax (505) 841-9007
FOR NMDOL USE - - - - - PLEASE DO NOT WRITE IN THIS AREA
O*NET TITLE AND CODE____________________________________________________________________
Wage Source: OES Wage Survey____
Service Contract Act (SCA) ____
Davis-Bacon Act (DBA) ____
Outside_____________________
Wage Rate_______________________
calendar year, whichever is longer. SCA, DBA or Outside wage sources are valid for 90 days from the date below.
WAGE ANALYST
DATE
Users may freely duplicate this form or additional copies may be obtained from the NMDOL at the address above
NMDOL PWIR 12/01 - PREVIOUS VERSIONS OF THIS FORM WILL NOT BE ACCEPTED AFTER 31MARCH 2002.

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