Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.EMPLOYER INFORMATION Employer / Company Legal Name *Company Contact Person *Type of BusinessType of BusinessInc. / Ltd.PartnershipSolepropoprietorCompany Operation Name *Job title of Contact Person *FranchiseFranchiseYesNoFranchise InformationOtherCOMPANY INFORMATIONCompany Address *GST TAX NO *Business CRA Payroll number *Business Phone Number *Email AddressOther Phone NumberWebsiteFax NumberDate Business StartedMore than 5 million in gross revenue reported to CRA last tax year ChooseYesNoNumber of Employees?Under 100Under 100Over 100What your gross income?How muchLess than $30,000More than $30,000Principal business activitiesEMPLOYEE REQUIREMENTSDescribe type of work / Worker needMinimum EducationParagraph TextProvincial or FederalAre they Provincial or FederalYesNoCertification RequirementsPay rate offered per HourDuties and ResponsibilitiesSeasonalSeasonalYesNoHours Per DayLength of ContractHours Per WeekOvertime rate per hourHours Per MonthStart AfterHours Per YearHours Per WeekDo You Offer BenefitsExtended MedicalDentalDisabilityPensionOtherOther Benefits:VacationBusiness Days Per YearOr RenumarationOTHER COMPANY INFOHow many employees are employed nationally under this business number (including owners and office staff):Give details of principal business activity at work locationDescribe any safety concerns or hazards assosiated with the principal activity or siteIf an atypical schedule without standard daily or weekly hours, provide detailsNumber of canadian citizens / permanent resident workers in the same occupation at the same location expected to be employed: This yearWere employed last yearNumber of foreing workers in the same occupation This year - ForeignWere employed last year - Foreign If the number have changed, the reason why:Number of employees employed nationally (including owners and office staff): Full Time this yearPart-time this year (less than 30 hr per week)Total number of temporary foreign workers this yearFull Time last yearPart-time last yearTotal number of temporary foreign workers last year If the number have changed, the reason why:Number of temporary foreign workers in the same occupation at the same location: This yearLast year If the number have changed, the reason why: (copy)What is the wage range for this particular job from the last four weeks, same skills and years of experience: Period Dates: Period Dates: From (lower) $Period To (mm/dd/yy)To (higher) $ FARMS ONLYYour crop / CommodityAcreage/ HeadMethod of harvest:Fully AutomaticSemi AutomaticHand HarvestedDoes not involve harvestingOtherOther:Address where workers will be livingPLEASE NOTE THAT SERVICE CANADA NOW REQUIRES HOUSING INSPECTIONS THAT OCCURRED WITHIN THE LAST 8 MONTHS AND FROM A BCAC CERTIFIED INSPECTOR. DECLARATION OF THE EMPLOYERI confirm that I have read and understood the contents of this form. I declare that the information that I have provided in this form is correct, complete and accurate. I confirm that I understand that if I have made a false declaration or have otherwise provided false or misleading information, the Labour Marker Impact Assessment (LMIA) application could be rejected or result in a negative outcome with no liability of El Camino Immigration Services. I further confirm that I understand that providing such false or misleading information, making a false declaration or failing to declare all information material to El Camino Immigration Services, thus to ESDC (Service Canada) and/or to the potential foreign worker, could be an offence and/or constitute a non-compliance under the Temporary Foreign Worker Protection Act with no liability of El Camino Immigration Services. Checkboxes *I agree by typing my name, I am electronically signing my application.Signature of the employer (Initials)Date (mm/dd/yy)REQUIRED DOCUMENTS CHECK LISTYou must submit at least one of these documents** to show you can fulfil the terms of the job offer: T2 Schedule 100 Balance sheet information and T2 Schedule 125 Income statement informationT2042 Statement of farming activities (redact social insurance number)T2125 Statement of business or professional activities (redact social insurance number)Your Canada Revenue Agency notice of assessment and documentation showing your income exceeds the low income cut-off if you are hiring a worker to perform household dutiesAND An attestation * confirming that your business "is in good financial standing, that will be able to meet all financial obligations to any temporary foreign worker you hire, and "is engaged in a legal business that provides a good or service in Canada". Canada Revenue Agency Documents You must include your most recent documents (the last two years) from the Canada Revenue AgencyID of the legal representative of the businessDocument proving the legal representation of the businessAND You must submit at least one of these document to demonstrate that you have a legal business that provides a good or a service in Canada:Municipal / provincial / territorial business licenseT4 Summary of remuneration paidPD7A Statement of account for current source deductions* ATTESTATIONS An Attestation* Letter confirming that your business "is in good financial standing, that will be able to meet all financial obligations to any temporary foreign worker you hire, and is engaged in a legal business that provides a good or service in Canada". Attestations must be prepared by either:A lawyer or any other member in good standing with a law society; ORA Chartered Professional Accountant in good standing with the respective professional body (preferable).NOTES ** CANADA REVENUE AGENCY DOCUMENTS You must include your most recent documents (the last two years) from the Canada Revenue Agency You must include your most recent documents (the last two years) from the Canada Revenue Agency (copy)You must include your most recent documents (the last two years) from the Canada Revenue Agency (copy) (copy)Submit
