TEN_25_12_Att1.pdf

ETA Advisory File Text

U.S. Department Labor Employment and Training Administration OMB Control No. 1205-0134 Expiration Date October 31 2015 Agricultural and Food Processing Clearance Order ETA Form 790 Orden de Empleo para Obreros Trabajadores Agr colas y Procesamiento de Alimentos Print or type in each field block To include additional information go to block 28 Please follow Step-By-Step Instructions Favor de usar letra de molde en la solicitud Para incluir informaci n adicional vea el punto 28 Favor de seguir las instrucciones paso-a-paso 1. Employ er s and or Agent s Name and Address Number Street City State and Zip Code Nombre y Direcci n del Empleador Patr n y o Agente N mero Calle Ciudad Estado y C digo Postal a Federal Employer Identification Number FEIN N mero federal de Identificaci n del Empleador b Telephone Number N mero de Tel fono c Fax Number N mero de Fax d E-mail Address Direcci n de Correo Electr nico 2. Address and Directions to Work Site Domicilio y Direcciones al lugar de trabajo 3. Address and Directions to Housing Domicilio y Direc ciones al lugar de vivienda a Description of Housing Descripci n de la vivienda Nos. 4 through 8 for STATE USE ONLY N meros 4 a 8 para USO ESTATAL 4. SOC O NET OES Occupational Code C digo Industrial 5. Job Order No. Empleo Num. de Orden de a. SOC ONET OES Occupational Title T tulo Ocupacional 6. l Address of Order Holding Office include Telephone number Direcci a Oficina donde se radico la oferta incluya el n mero de tel fono n de a. Name of Local Office Representative include direct dial telephone number Nombre del Representante de la Oficina Local Incluya el n mero de tel fono de su l nea directa . 7. Clearance Order Issue Date Fecha de Emi si n de la Orden de Empleo 8. Job Order de Empleo Expi ration Date Fecha de Vencimi ento o E xpiraci n de la Orden 9. Anticipated Period of From Desde Empl oyment Per odo anticipado o previsto de Empleo To Hasta 10. Number of Workers Requested I N mero de Trabaj adores Soli citados 11. Anticipated Hours of Wor k per Week Horas Anticipadas Previstas Trabajo por Semana. Total Sunday I Domingo Thursday Jueves Monday Lunes Friday I Viernes Tuesday Martes Saturday S bado Wednesday Mi rcoles de 12. Anticipated range of hours for different seasonal activities horas par alas diferentes actividades de la temporada Rango previsto de 13. Collect Calls Accepted from Aceptan Llamadas por Cobrar de Employer Empleador Yes Si No - 2 - 14. Describe how the employer intends to provide either 3 meals a day to each worker or furnish free and convenient cooking and k itchen facilities for w orkers to prepare meals Describa c mo el empleador tiene la intenci n de ofrecer ya sea 3 comidas al d a a cada trabajador o proporcionar gratuitamente instalaciones para cocinar. - 3 - 15. Referral Instructions and Hiring Information Instrucciones sobre c mo Referir Candidatos Solicitantes - Explain how applicants are to be hired or referred and the Employer s Agent s available hour to interview workers Explique c mo los candidatos ser n contratados o referidos y las horas disponibles del empleador agente para entrevistar a los trabajadores . See instructions for more details Vea las instrucciones para m s detalles. 16. Job description and requirements Descripci n y requisitos del tr abajo 1. Is previous work experience preferred Se prefiere previa experiencia Yes Si No If yes number of months preferred Si es as numero de meses de experiencia 2. Check all requirements that apply Certification License Requirements Certificaci n Licencia Requisitos Criminal Background Check Verificaci n de antecedentes penales Driver Requirements Requisitos del conductor Drug Screen Detecci n de Drogas Employer Will Train Empleador entrenar o adiestrar Extensive Pushing and Pulling Empujar y Jalar Extensamente Extensive Sitting Estar sentado largos ratos Extensive Walking Caminar por largos ratos Exposure to Extreme Temp. Expuesto a Temperaturas Extremas Frequent Stooping Inclin ndose o agach ndose con frecuencia Lifting requirement Levantar o Cargar lbs. libras OT Holiday is not mandatory Horas Extras sobre tiempo D as Feriados no Repetitive Movements Movimientos repetitivos obligatorio - 4 - 17. Wage Rates Special Pay Information and Deductions Tarifa de Pago Informaci n Sobre Pagos E speciales y Deducci ones Rebajas Crop Activities Hourly Wage Piece Rate Unit s Special Pay bonus etc. Deductions Yes S No Pay Period Per odo de Pago Cultivos Salario por Hora Pago por Pieza Unidad es Pagos Especiales Bono etc. Deducciones Social Security Seguro Social Weekly Semanal Federal Tax Impuestos Federales State Tax Impuestos Estatales Bi-weekly Quincenal Meals Comidas Other specify Otro especifica Monthly Mensual Other Otro 18. More Details About the Pay Mas Detalles Sobre el Pago 19. Transportation Arrangements Arreglos de Transportaci n - 5 - 20. Is it the prevailing practice to use Farm Labor Contractors FLC to recruit supervise transport house and or pay workers for this these crop activity ies Es la pr ctica habitual usar Contratistas de Trabajo Agr cola para reclutar supervisar transportar dar vivienda y o pagarle a los trabajadores para este os tipo s de cosecha s Yes Si No If you have checked yes what is the FLC wage for each activity Si contesto Si cu l es el salario que le paga al Contratista de Trabajo Agr cola por cada actividad 21. Are workers covered for Unemployment Insurance Se le proporcionan Seguro de Desempleo a los trabajadores Yes Si No 22. Are workers covered by workers compensation Se le provee seguro de compensaci n indemnizaci n al trabajador Yes Si No 23. Are tools supplies and equipment provided at no charge to the workers Se les proveen herramientas y equipos sin costo alguno a los trabajadores Yes Si No 24. List any arrangements which have been made with establishment owners or agents for the payment of a commission or other benefits for sales made to workers. If there are no such arrangements enter None . Enumere todos los acuerdos o convenios hechos con los propietarios del establecimiento o sus agentes para el pago de una comisi n u otros beneficios por ventas hechas a los trabajadores. Si no hay ning n acuerdo o convenio indique Ninguno . 25. List any strike work stoppage slowdown or interruption of operation by the employees at the place where the workers will be emp loyed. If there are no such incidents enter None . Enumere toda huelga paro o interrupci n de operaciones de trabajo por parte de los empleados en el lugar de empleo. Si no hay incidentes de este tipo indique Ninguno . - 6 - 26. Is this job order to be placed in connection with a future Applica tion for Temporary Employment Certification for H 2A workers Esta orden de empleo ha sido puest a en conexi n con una futura solicitud de certificaci n de empleo temporal para trabajadores H-2A Yes Si No 27. Employer s Certi fication This job order describes the actual terms and conditions of the employment being offered by me and contains all the material terms and conditions of the job. Certificaci n del Empleador Esta orden de trabajo describe los t rminos y condiciones del empleo que se le ofrece y contiene todos los t rminos y condiciones materiales ofrecidos. Employer s Printed Name Title Nombre y T tulo en Letra de Molde Imprenta del Empleador Employer s Signature Firma y T tulo del Empleador Date Fecha READ CAREFULLY In view of the statutorily established basic function of the Employment Service as a no-fee labor exchange that is as a forum for bringing together employers and job seekers neither the Employment and Training Administration ETA nor the State agencies are guarantors of the accuracy or truthfulness of information contained on job orders submitted by employers. Nor does any job order accepted or recruited upon by the American Job Center constitute a contractual job offer to which the American Job Center ETA or a State agency is in any way a party. LEA CON CUIDADO En vista de la funci n b sica del Servicio de Empleo establecida por ley como una entidad de intercambio laboral sin comisiones es decir como un foro para reunir a los empleadores y los solicitantes de empleo ni ETA ni las agencias del estado pueden garantizar la exactitud o veracidad de la informaci n contenida en las rdenes de trabajo sometidas por los empleadores. Ni ninguna orden de trabajo aceptado o contratado en el Centro de Carreras American Job Center constituyen una oferta de trabajo contractuales a las que el American Job Center ETA o un organismo estatal es de ninguna manera una de las partes. PUBLIC BURDEN STATEMENT The public reporting burden for responding to ETA Form 790 which is required to obtain or retain benefits 44 USC 3501 is estimated to be approximately 60 minutes per response including time for reviewing instructions searching existing data sources gathering and reviewing the collection. The public need not respond to this collection of information unless it displays a currently valid OMB Control Number. This is public information and there is no expectation of confidentiality. Send comments regarding this burden estimate or any other aspect of this collection including suggestions for reducing this burden to the U.S. Department of Labor Employment and Training Administration Office of Workforce Investment Room C-4510 200 Constitution Avenue NW Washington DC 20210. DECLARACION DE CARGA P BLICA La carga de informaci n p blica para responder a la Forma ETA 790 que se requiere para obtener o retener beneficios 44 USC 3501 se estima en aproximadamente 60 minutos por respuesta incluyendo el tiempo para revisar las instrucciones buscar fuentes de datos existentes recopilar y revisar la colecci n. El p blico no tiene por qu responder a esta recopilaci n de informaci n a menos que muestre un n mero de control OMB v lido. Esta informaci n es p blica y no hay ninguna expectativa de confidencialidad. Env e sus comentarios acerca de esta carga o cualquier otro aspecto de esta colecci n incluyendo sugerencias para reducir esta carga al U.S. Department of Labor Employment and Training Administration Office of Workforce Investment Room C-4510 200 Constitution Avenue NW Washington DC 20210. - 7 - 28. Use this section to provide additional supporting information including section Box number . Include attachments if necessary. Utili ce esta secci n para proporcionar informaci n adicional de apoyo inclu ya el numero de la secci n e incluya archivos adjuntos si es necesario. - 8 - 20 CFR 653.501 Assurances INTRASTATE AND INTERSTATE CLEARANCE ORDER The employer agrees to provide to workers referred through the clearance system the number of hours of work per week cited in Item 11 of the clearance order for the week beginning with the anticipated date of need unless the employer has amended the date of need at least 10 working days prior to the original date of need by so notifying the Order-Holding Office OHO . If the employer fails to notify the OHO at least 10 working days prior to the original date of need the employer shall pay eligible workers referred through the intrastate interstate clearance system the specified hourly rate or pay or in the absence of a specified hourly rate or pay the higher of the Federal or State minimum wage rate for the first week starting with the original anticipated date of need. The employer may require workers to perform alternative work if the guarantee is invoked and if such alternative work is stated on the job order. The employer agrees that no extension of employment beyond the period of employment shown on the job order will relieve the employer from paying the wages already earned or specified in the job order as a term of employment providing transportation or paying transportation expenses to the worker s home. The employer assures that all working conditions comply with applicable Federal and State minimum wage child labor social security health and safety farm labor contractor registration and other employment-related laws. The employer agrees to expeditiously notify the OHO or State agency by telephone immediately upon learning that a crop is maturing earlier or later or that weather conditions over recruitment or other factors have changed the terms and conditions of employment. The employer if acting as a farm labor contractor has a valid farm labor contractor registration certificate. The employer assures the availability of no cost or public housing which meets applicable Federal and State standards and which is sufficient to house the specified number of workers requested through the clearance system. The employer also assures that outreach workers shall have reasonable access to the workers in the conduct of outreach activities pursuant to 20 CFR 653.107. Employer s Name Date Employer s Signature Besides the material terms and conditions of the employment the employer must agree to these assurances if the job order is to be placed as part of the Agricultural Recruitment System. This assurance statement must be signed by the employer and it must accompany the ETA Form 790. - 9 - Step-By-Step Instructions for Completing Form ETA-790 These instructions will help employers understand the information that is being requested. Please read the instructions carefully and follow them to minimize the chances of your application package being returned due to incomplete information. Please try to include as much detail as possible on the face of the form itself. Even if attachments are necessary the essential terms and conditions must be spelled out on the face of this form. Compliance with the disclosure requirements of the Migrant and Seasonal Farmworker Protection Act and all assurances required by Federal regulations are the responsibility of the employer. Box 1 - Enter full name of individual employer or agent the complete address the Federal Employer Identification Number FEIN of the employer and the complete phone number fax number and e-mail address. Box 2 - Provide the address of and directions to your work site or intended place of employment. Use commonly understood street or highway numbers and accurate distances. Box 3 - Provide the address of and directions to the housing. Use commonly understood street or highway numbers and accurate distances. Enter the capacity of the housing and a brief description of the housing in English and Spanish. Describe housing facilities such as a structures provided e.g. camp cabin barracks or house. Describe general composition of the living quarters such as wood or concrete b the number of persons for whom housing is available. Note the number of barracks family units and or single rooms available and the total capacity of these types of units c furnishings and equipment supplied by the employer e.g. furniture eating and cooking utensils d utilities available such as gas electricity heat e parking spaces for trailers arrangements for utility hookups and charges f medical and recreational facilities available for worker s benefit and their locations g whether or not public housing is provided and h are any charges required of workers to use the housing. Boxes 4 through 8 are for State Agency use only 4 for Occupational Code 4a for Occupational Title 5 for Job Order number 6 for Order Holding Office address 6a for name of local office representative 7 for Clearance Order Issue date and 8 for the job order expiration date. Box 9 - Enter the anticipated period of employment or the date when work is scheduled to begin or is to be performed by these workers. Enter date when work is expected to be completed. Box 10 - Enter total number of workers that you are requesting. Also state total number of workers to be employed in this activity or service for the period of time involved. Box 11 - Enter anticipated total hours of work per week. Enter normal hours worker is expected to work each day of the week. Describe any special work schedule situations in Box 31. Box 12 Enter the anticipated range of hours for different seasonal activities. Box 13 -Indicate if employer accepts or does not accept collect calls from job applicants. Box 14 - Describe how the employer intends to provide either three meals a day to each worker or furnish free and convenient cooking and kitchen facilities so that workers can prepare their own meals. The charge for three meals must be within the approved range unless the regional administrator has approved a higher charge. Where the employer provides facilities for cooking explain how the workers will have access to stores where they can purchase groceries. Box 15- Explain how applicants are to be interviewed hired or referred. Indicate for example the hours that the employer or agent will be available to interview workers by telephone and whether anybody different from the employer has hiring authority. - 10 - Box 16 - Provide a detailed summary of the job description and requirements inside the box. Even if additional information is to be provided in an attachment the summary must be provided in the box and must be as complete as possible. In the box provided list all major crop activities summarize the major duties associated with those duties and estimate the percentage of time that will be spent doing them. Describe the duties work tasks which make up the job in step-by-step detail as appropriate. Avoid technical terms when possible or define them where usage is necessary. Describe use of any equipment necessary to carry out tasks e.g. harvesting onions pull onions from the ground snip off the tops using a sniper deposit onions in a 50 pound sack 80 harvest tomatoes detach green tomatoes from plants and deposit them in a 20 pound bucket carry bucket to a truck to be located at the edge of the field throw bucket up to the person on the truck 20 . Indicate the extent of work experience required for the job and other specific job-related experience requirements or required qualifications. Provide whatever additional detail is required to explain the full range of tasks and duties required. Explain any worker performance standards that will apply. Describe any training provided. Describe any experience that is required. Describe any licenses or permits that are required. Describe what level of supervision will be provided. Explain the provision of necessary tools and equipment. Box 17 - Enter appropriate wage rate information for each distinct activity. In no event may rate be less than the applicable FLSA or State minimum or the applicable prevailing hourly wage rate whichever is higher. Piece rates may not be less than those prevailing in the area and occupation. Include an attachment explaining your handling of this Box. H-2A Agricultural Workers must be paid the highest of the a Adverse Effect Wage Rate AEWR b the prevailing rate for a given crop area or c the Federal or the State s minimum wage. The law also contains requirements regarding employer-provided meals and transportation of workers and restricts the deductions that may be legally made from workers wages. If H2A workers are requested the Adverse Effect Wage Rate AEWR http www.foreignlaborcert.doleta.gov adverse.cfm is the guaranteed minimum unless FLSA or State minimum or the applicable prevailing hourly wage rate is higher. Enter the unit used when piece rates are being paid. Describe the unit size that governs how the piece rate is paid such as tree size spacing weight size number of boxes picked packed dimensions of bags or boxes filled. For example 5 8 bushel 90 pound bag or box 10 box bin. Hourly Rate Equivalent The piece rate must be expressed in estimated hourly wage rate equivalents for each activity and unit size i.e. what a worker might expect to earn per hour at this rate. The estimated hourly equivalent is not guaranteed. However the estimated hourly equivalent can be no less than the highest of the applicable Federal or State minimum or AEWR if applicable or the prevailing hourly wage rate. See web link to DOL s Adverse Effect Wage Rate Chart 2007-2012 http www.dol.gov opa media press eta ETA20111794fs.pdf . Box 18 - Other details about pay may include 1 Any bonus or incentives aside from the flat rate or piece rate e.g. garden space milk eggs meat health insurance 2 Special conditions on guaranteed weeks of work under what conditions bonuses or incentives are to be paid if any 3 If the activity is covered by a schedule of rates indicate conditions under which each of the rates on the schedule applies 4 Describe frequency of pay arrangements e.g. daily weekly biweekly 5 Indicate deductions to be made from workers wages such as Social Security workers compensation health insurance Federal or State tax. If applicable note whether employer of record or farm labor contractor will be responsible for deductions. - 11 - Box 19 - Describe how the employer intends to reimburse transportation costs or advance or provide for the cost of transportation and subsistence when such is the prevailing practice in the area. Describe in detail transportation arrangements if any such as any arrangement whereby employer will provide transportation for workers from the place of recruitment to the place of employment whether employers will reimburse workers for their travel expenses in getting to the job or arrange for charter by transport for group of workers any arrangement whereby employers advance transportation costs to workers instructions to workers on what to do in case of emergencies accidents breakdowns and the name of the contact person when such events occur. Box 20 This box applies only if a farm labor contractor was ever used to provide you with workers or if it is a common or prevailing practice in the area of intended employment to pay farm labor contractors to recruit hire transport or supervise the sorts of workers requested. If so state the wage that you have paid in the past and or would be willing to pay a farm labor contractor for providing you with the quantity of workers that you are requesting and performing the duties that are prevailing. Box 21 - Indicate whether the employer pays unemployment insurance taxes and therefore the worker is covered for Unemployment Insurance benefits. Box 22 - Indicate whether the employer has a valid workers compensation insurance policy that will cover the workers requested. Box 23 - Indicate whether tools supplies and equipment are going to be provided to the worker at no cost to the worker. Box 24 - Question is self explanatory. Box 25 Question is self explanatory. Box 26 - Indicate whether this form is being filed in connection to a future filing for H-2A workers. Box 27 - Read the employer s certification statement before signing. To be signed and dated by the employer. Type or print full name and title. Box 28 - Use this section to provide additional supporting information include section Box number and include attachments if necessary. Utilice esta secci n para proporcionar informaci n adicional de apoyo incluya el n mero de la secci n e incluya archivos adjuntos si es necesario.