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ALC
Florida Alien Labor Certification

Prevailing Wage Request Form for Florida Jobs
Requestor's Information

For quickest response and resolution, please fill out the form completely and accurately.

First Name:   Last Name:  
Phone:  ()-x Fax:  ()-
E-mail Address:  
Name of Company:  
City of Employment:   Alien's Job Title:      
DOT Code to be reviewed:   O*NET/DOT Code to be reviewed:  
Mark one: H1-B: H2-B: PERM ATTESTATION:
Hours per Week:   Frequency of Payment:  
JOB DUTIES: Be brief, but be specific to the job.
Degree Required:   Training Years:   Experience Years:  
Will Supervise:       Yes       No
*Please visit our web site at:http://www.floridajobs.org/alc/ans12.html for skill level definitions.


O*NET CODE:
SKILL LEVEL:

SOURCE:
DETERMINATION:
DATE:

OES Wage determinations issued on or after July 1, 2008 are valid through June 30, 2009.
OES wage determinations issued in April, May, or June of 2009 are valid for 90 days, beginning with the date of issue.
OES wage determinations issued on or after July 1, 2009 are valid through June 30, 2010.