New Mexico Prevailing Wage Information Request

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NEW MEXICO PREVAILING WAGE INFORMATION REQUEST
For use by employers requesting prevailing wage rates for H-1 - B labor condition applications
.
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
ien wi work (if different from item 3)
5. Address where a
6. Nature of Employer's business
7. Alien's job title
8. Work hours 9. Rate of pay
1 0. 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)
14. Other Special Requirements
11. College Degree Required (specify)
Year Graduated
Educational Specialty
No
12. State License Required Yes
Months
13. Experience Required Years
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
list name, address, phone and fax number below:
New Mexico Department of Labor
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
DOT TITLE AND CODE
Wage Rate
VALID FOR NINETY (90) DAYS FROM DATE BELOW.
Service Contract Act
Davis-Bacon
Wage Source: OES Wage Survey
Other
WAGE ANALYST
DATE
Users may freely duplicate this form or additional copies may be obtained from the NMDOL at the address above
NMDOL PWIR 9/98 - WAGEFORM.XLS - PREVIOUS VERSIONS OF THIS FORM ARE OBSOLETE

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