Following is an overview and explanation of each section:

Section 1 - Petitioner Information

Petition forms must be completed by a group of two or more workers from the same firm; a certified or recognized union or other duly authorized representative of the group of workers; the employer(s) of the group of workers; or an American Job Center operator or American Job Center partners including State workforce officials, employment security agencies, or dislocated worker unit and rapid response team members. Contact information should be provided for each petitioner. The contact information should include the home address of each petitioner. This will allow the U.S. Department of Labor (Department) to contact each petitioner even if the facility is closed or the petitioner is no longer working there.

If two workers complete the petition, they must all work at the same location. Additionally, two workers must be sure to sign the petition form in Section 4. If workers who complete the form are not from the same location, or if they do not all sign the form, the petition will be considered invalid and returned to petitioners.

Section 2 - Affirmation of Information

Every petition must be signed and dated by at least two members of the petitioning group of workers, or by an official of a certified or recognized union or other duly authorized representative of the group of workers, or by an official of the employer of the group of workers, or by a representative of an American Job Center operator or American Job Center partner, including State workforce officials, employment security agencies, or dislocated worker unit and rapid response team members.

The information you provide on this petition form will be used for the purposes of determining worker group eligibility and providing notice to petitioners, workers, and the general public that the petition has been filed and subsequently whether the worker group is determined to be eligible to apply for TAA benefits and services. Knowingly making a false statement of a material fact knowing it to be false or knowingly failing to disclose a material fact on this form is a Federal offense (19 U.S.C. § 2316). For the petition to be valid, the petitioner(s) listed in Section 1 - Petitioner Information must sign and date below, attesting to the fact that they are authorized to file a petition.

Section 3 - Firm Employing the Group of Workers

Please provide information on the firm employing the group of workers on whose behalf the petition is being filed. Complete items (a) to (e) regarding the employing firm.

Section 4 - Group of Workers

Please provide information on the location where the group of workers (who are filing the petition or on whose behalf the petition is being filed) report to work or physically work. Workers may apply only on behalf of workers at the same location at which both petitioning workers' are employed. A company official may apply on behalf of workers at any location at which the company employs a group of workers. A union may apply only on behalf of workers at a location where the union represents bargaining unit workers. A duly authorized representative may apply only on behalf of the workers at the same location at which the worker(s) who the petitioner represents are employed.

Section 5 - Trade Effects

Petitioners should provide as much information as possible in this section. The more information provided, the quicker investigators can complete their research into the causes of the layoff and issue determinations.

Workers may be certified for Trade Adjustment Assistance (TAA) in two ways. The certification may be based on direct effects such as the workers' company increasing imports, or based on the indirect, or secondary, effect of losing business to companies whose workers are certified for TAA. Workers certified because of indirect effects are also known as secondary workers. Secondary workers are eligible for TAA only if the firm they supplied components to or finished products for has already been certified by the Department as affected by increased imports or shifts in production to foreign countries. Petitioners can verify if firms have been TAA certified by checking the Determinations page. The Determinations page provides updates on the status of TAA petition investigations, as well as final determinations. The more information provided, the quicker investigators can determine whether or not workers qualify.

Petitioners may also attach additional information or supporting documents to the petition. If they choose to do so, they should check the box indicating that documents were attached. This will help alert the investigator in the event that the documents become separated from the petition.

Section 6 - Company Contact Information

Provide contact information for one or more company officials, one of whom should be a supervisor of the group of workers or someone authorized to provide information regarding the group of workers' firm. (Example: Legal counsel, bankruptcy trustee, etc.). Either separately or together, these officials should be familiar with the operations of the group of workers' firm.