ETA 790 Agricultural Clearance Form

H-2A Temporary Agricultural Labor Certification Program

Form ETA-790_508 Compliant

H-2A Temporary Agricultural Labor Certification Program Updated Forms

OMB: 1205-0466

Document [pdf]
Download: pdf | pdf
OMB Approval: 1205-0466
Expiration Date: 08/31/2022

Agricultural Clearance Order
Form ETA-790
U.S. Department of Labor

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 790A. All other employers submitting agricultural clearance
orders must complete the Form ETA-790 and attach a completed 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 *

4. SOC Occupation Code *

5. SOC Occupation Title *

6. Contact’s last (family) name *

3. Clearance Order Expiration Date *

SWA Order Holding Office Contact Information
7. First (given) name *

8. Middle name(s) §

9. Contact’s job title *
10. Address 1 *
11. Address 2 (suite/floor and number) §
12. City *
15. Telephone number *

13. State *
16. Extension §

14. Postal code *

17. E-Mail address *

II. Employer Contact Information
1. Legal Business Name *
2. Trade Name/Doing Business As (DBA), if applicable §
3. Contact’s last (family) name *

4. First (given) name *

5. Middle name(s) §

6. Contact’s job title *
7. Address 1 *
8. Address 2 (apartment/suite/floor and number) §
9. City *
12. Telephone number *

10. State *
13. Extension §

15. Federal Employer Identification Number (FEIN from IRS) *

11. Postal code *

14. Business e-mail address *
16. NAICS 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) *

Form ETA-790

AGRICULTURAL CLEARANCE ORDER

 790A (H-2A clearance order)
 790B (regular clearance order)
Page 1 of 2

OMB Approval: 1205-0466
Expiration Date: 08/31/2022

Agricultural Clearance Order
Form ETA-790
U.S. Department of Labor

For public burden statement information, please see Form ETA-790A, General Instructions.

Form ETA-790

AGRICULTURAL CLEARANCE ORDER

Page 2 of 2


File Typeapplication/pdf
File TitleH-2A Agricultural Clearance Order Form ETA-790A
AuthorMelanie Shay
File Modified2022-07-18
File Created2019-10-18

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