This job was posted by https://joblink.maine.gov : For more information, please see: https://joblink.maine.gov/jobs/1141313

OMB Approval: 1205-0466

Expiration Date:

Agricultural Clearance Order

Form ETA-790

U.S. Department of Labor

Form ETA-790 AGRICULTURAL CLEARANCE ORDER Page 1 of 1

IMPORTANT: In accordance with 20 CFR 653.500, all employers seeking U.S. workers to perform agricultural services or labor on a temporary, less than year-round

basis through the Agricultural Recruitment System for U.S. Workers, must submit a completed job clearance order (Form ETA-790) to the State Workforce Agency

(SWA) for placement on its intrastate and interstate job clearance systems. Employers submitting a job order in connection with an H-2A Application for Temporary

Employment Certification (Form ETA-9142A) must complete the Form ETA-790 and attach a completed ETA-790A. All other employers submitting agricultural

clearance orders must complete the Form ETA-790 and attach a completed ETA-790B. Employers and authorized preparers must read the general instructions

carefully, complete ALL required fields/items containing an asterisk ( * ), and any fields/items where a response is conditional as indicated by the section ( ) symbol.

I. Clearance Order Information

FOR STATE WORKFORCE AGENCY (SWA) USE ONLY

Questions 1 through 17

1. Clearance Order Number * 2. Clearance Order Issue Date * 3. Clearance Order Expiration Date *

4. SOC Occupation Code * 5. SOC Occupation Title *

SWA Order Holding Office Contact Information

6. Contacts last (family) name * 7. First (given) name * 8. Middle name(s)

9. Contacts job title *

10. Address 1 *

11. Address 2 (suite/floor and number)

12. City * 13. State * 14. Postal code *

15. Telephone number * 16. Extension 17. Email address *

II. Employer Contact Information

1. Legal Business Name *

2. Trade Name/Doing Business As (DBA), if applicable

3. Contacts last (family) name * 4. First (given) name * 5. Middle name(s)

6. Contacts job title *

7. Address 1 *

8. Address 2 (suite/floor and number)

9. City * 10. State * 11. Postal code *

12. Telephone number * 13. Extension 14. Business email address *

oyer Identification Number (FEIN from IRS) * Code *

III. Type of Clearance Order

1. Indicate the type of agricultural clearance order being placed

with the SWA for recruitment of U.S. workers. (choose only

one) *

? 790A (placed in connection with an H-2A application)

? 790B (not placed in connection with an H-2A application)

For Public Burden Statement, see the Instructions for Form ETA-790/790A.

Maine

?

7/31/2027

OMB Approval: 1205-0466

Expiration Date:

H-2A Agricultural Clearance Order

Form ETA-790A

U.S. Department of Labor

Form ETA-790A FOR DEPARTMENT OF LABOR USE ONLY Page 1 of 9

H-2A Case Number: ____________________ Case Status: __________________ Determination Date: _____________ Validity Period: _____________ to _____________

A. Job Offer Information

1. Job Title *

2. Workers

Needed *

a. Total b. H-2A Workers Period of Intended Employment

3. First Date * 4. Last Date *

5. Will this job generally require the worker to be on-call 24 hours a day and 7 days a week? *

If Yes, proceed to question 8. If No, complete questions 6 and 7 below. ? Yes ? No

6. Anticipated days and hours of work per week (an entry is required for each box below) * 7. Hourly Work Schedule *

a. Total Hours c. Monday e. Wednesday g. Friday a. ____ : ____ ? AM

? PM

b. Sunday d. Tuesday f. Thursday h. Saturday b. ____ : ____ ? AM

? PM

Temporary Agricultural Services and Wage Offer Information

8a. Job Duties - Description of the specific services or labor to be performed.*

(A response must begin in the space provided below on this form. Use Addendum C only if additional space is needed.)

8b. Wage Offer *

\$ _____ .___

8c. Per *

? HOUR

? MONTH

8d. Piece Rate Offer

\$ ______.___

8e. Piece Rate Units / Estimated Hourly Rate

8f. Additional Information on Special Pay / Estimated Hourly Rate(s)

8g. Overtime Pay - Is overtime pay available for this job opportunity at any worksite locations?* If yes, use

Addendum C to describe the applicable overtime premium wage rate(s) for overtime hours worked and

the circumstances under which the wage rate(s) for such overtime hours would be paid.

? Yes ? No

9. Are there any other wage rates, beyond those identi