ETA-9089 Appendix C: Supplemental Information

O MB Approval: 1205-0451

Expiration Date: 05/31/2021

Application for Permanent Employment Certification

Form ETA-9089 – Appendix C: Supplemental Information

U.S. Department of Labor

SUPPLEMENTAL INFORMATION

1. Supplemental Information 1 §

1. Section and Item Number		1a. Section Name or Category of Supplemental Information
1b. Supplemental Information. (up to 1,500 characters)

2. Supplemental Information 2 §

1. Section and Item Number		1a. Section Name or Category of Supplemental Information
1b. Supplemental Information. (up to 1,500 characters)

For Public Burden Statement, see the Instructions for Form ETA-9089.

Form ETA-9089 – Appendix C FOR DEPARTMENT OF LABOR USE ONLY Page C.1 of C.1

PERM Case Number: ___________________ Case Status: __________________ Determination Date: ______________ Expiration Date: ______________