Form Wio-1057a Forpdf - H-2b Foreign Labor Swa Job Order Form Page 2
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4WIO-1057A FORPDF (2-17)
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Optional Services:
No
Yes
Housing provided:
No
Yes
Utilities paid by employer:
No
Yes
Housing description:
Deduction for housing, if any (amount): $
Other deductions (must comply with State and Federal Regulations):
Other benefits provided:
JOB DESCRIPTION (Duties to be performed):
Physical ability requirements (ex: lifting):
RECRUITMENT INFORMATION:
Applicants can apply (check all that apply) by contacting or sending resume to the employer directly via:
Mail
Email
Fax
Telephone
Applicants may inquire directly through the local Arizona@Work office or at the nearest State Workforce Agency office
which can be found online at
Employment Service Office Locator
, call (520) 866-3608 or fax resumes to (520) 836-5876
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Attn: Desirae Diaz.
Local Arizona@Work Office Address:
ASSURANCES FOR JOB ORDER:
• Single Workweek for Pay – State that a single workweek will be used in computing wages due.
• Deductions from the Worker’s Paycheck – State all deductions from the worker’s paycheck required by law.
* In addition and where applicable, specify any deductions not required by law the employer intends to make form the worker’s paycheck
(e.g.,cost of board, lodging, or other facilities). All deductions must be voluntary on the part of the employee and otherwise reasonable
according to the Fair Labor Standards Act (FLSA) principles at 20 CFR Part 531.
• Inbound/Outbound Transportation and Subsistence – Detail how the worker will be provided with or reimbursed for
inbound transportation/daily subsistence, if the worker completes 50 percent of the employment period. Also, state that
the employer will provide or pay for return transportation/daily subsistence, if the worker completes the employment
period or is dismissed for any reason before the employment period ends. Where a worker must travel to obtain a visa so
that the worker may enter the U.S. to come to work for the employer, the employer must pay for the transportation and
daily subsistence costs of that part of the travel as well. The Department has interpreted the regulation to require the
employer to assume responsibility for the reasonable costs associated with the worker’s travel, including transportation,
food, and in those cases where it is necessary, lodging. If not provided by the employer, the amount an employer must
pay for transportation and, where required, lodging must be no less than (and is not required to be more than) the most
economical and reasonable costs.
*The current minimum and maximum amounts for the meal component of subsistence expenses to be included in the job order are
available on the
OFLC Meal Charges and Travel Subsistence Website
.
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https://eol.azdes.gov/EOLSearchResults.aspx?cat1=18
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