Information Required to file PERM

Prefix

First Name

Middle Name

Last Name

POC'S Job Title in the Company

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

County Name

POC's Email Address

POC's Phone Number

Legal Business Name

DBA (Doing Business As)

Address of the Employers/Business

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

County Name

Company Phone Number

Company Email Address

Current Number of Employees in your Company

How many foreign employees do you want to hire?

Year Business Started

UI Employer Account Number

FEIN from IRS

Business Type

NAICS CodeYou may find 6 digit NAICS code on top right corner of the tax return form 1120-S or at this following link https://www.irs.gov/pub/irs-soi/18pf_business_codes.pdf

SOC Code(if Available )

SOC Title

Company Website (If applicable)

Did employer filed bankruptcy in last 5 years

Have you ever filed any USA immigration petition from your business?

1. Tax filing (last 3 years recommended)

Kindly upload your Tax filing here

2. Tax filing (last 3 years recommended)

Kindly upload your Tax filing here

3. Tax filing (last 3 years recommended)

Kindly upload your Tax filing here

Business license (if applicable)

No file chosen

Kindly upload your Business license here

State Registration Document

No file chosen

Kindly upload your State Registration Document here

Job Title/Position of hiring

Number of positions available

Job Responsibility

Does this position supervise the work of other employees?

If yes, write the title/s of the supervised employees

Does the employer require a second U.S. diploma/degree?

If yes, please write the field/name of the diploma/degree required

Is training for the job opportunity required?

If yes, please write the number of months and field of training

Is employment experience for the job opportunity required?

If yes, please write the number of months and the occupation experience required in

Does the employer require any specific skills or other requirements?

If yes, please write the types and names of the skills

Are alternate sets of training, education, and/or experience accepted?

If yes, please write the details

Will travel be required in order to perform job duties?

If yes, please write the details

Is the employee an immediate relative of the employer? (parents/spouse/children/sibling/immediate cousin/father-in-law/mother in-law/brother-in-law/sister-in-law/niece/nephew/any other relative)

If yes, please write the details

Date

date

E-SIGNATUREType your full name

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