Please provide what you own for each of the following crops (in acres).
Please provide the number of livestock that you own.
Provide your federal employer identified number of your business.
Provide us with what type(s) (if any) of vehicles you will provide to your workers (e.i. make/model/year) and any details or restrictions of the use of those vehicles.
Provide us with details on the types of housing you will provide to your workers.
Provide details of the position you are needed to fill.
1 - Employer understands that International Workforce LLC is contracted as an agent for the employer for the express purpose of assisting the employer with completing and filing forms with the US Department of Labor and USCIS (Department of Homeland Security) on behalf of the employer. International Workforce LLC may assist with recruitment of employees if requested by the employer.
2 - Employer agrees to abide by all Department of Labor and USCIS rules and regulations as pertaining to the hiring of H-2A. If the employer has questions regarding such rules and regulations, the employer may contact International Workforce LLC for clarification.
3 - Employer agrees to notify International Workforce LLC and the appropriate SWA office(s) in advance of any changes to the intended work contract, including change of location, content, duration and financial support.
4 - Employer agrees to pay International Workforce LLC administrative fees.
5 - Employer agrees to provide worker with (a) suitable housing; (b) transportation, i.e. commuting, to and from the workers housing to the worksite, as described in the DOL regulations.
6 - Employer agrees that International Workforce LLC is allowed to mediate all situations requiring mediation. Employer agrees to consider the results and recommendations of such mediation and provide assistance and cooperation in its resolution.
7 - In the event, an employer terminates one or more H-2A workers, the employer must provide written notification of the termination within two (2) business days to the appropriate SWA office(s); in addition, International Workforce LLC recommends that the employer notify USCIS of such termination. Such notification, at a minimum, must include the name(s) of the worker(s), name and location of the assigned grower, and the date of termination from employment. A list of SWA contacts for the H2A program can be found at the following address: http://www.foreignlaborcert.doleta.gov/contacts.cfm#statecont
8 - In the event of worker abandonment, the employer must provide written notification of the termination within two (2) business days to the appropriate SWA office(s); in addition, International Workforce LLC recommends that you notify USCIS of such abandonment. Such notification, at a minimum, must include the name(s) of the worker(s), name and location of the assigned grower, and the date of termination from employment.
9 - Employer agrees to abide by applicable tax and labor law regulations, including the Fair Labor Standards Act and the Migrant and Seasonal Agricultural Worker Protection Act, and to abide by federal, state and local laws concerning Workman's Compensation insurance and other occupational health and safety laws.
10 - Compensation to exchange visitors shall be reported on Form W2.
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who has authorized me to sign this document on his/her behalf, or in both capacities. I further certify that I
have completed all required fields and that the information in this document is true and correct and in compliance with
the applicable chapter of Minnesota Statutes. I understand that by signing this document I am subject to the penalties
of perjury as set forth in Section 609.48 as if I had signed this document under oath.
I further understand that in order to make any changes to this document after it has been filed, I will need to file another document.
A typed name in the space for the signature is legally considered a signature under Minnesota Statutes, Sections 325L.02, clause (h) and 325L.07, clause (d).
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