Form ETA-9142A Temporary Agricultural Labor Certification

OMB Approval: 1205-0466
Expiration Date: XX/XX/XXXX

H-2A Application for Temporary Employment Certification
Form ETA-9142A – H-2A Approval Final Determination
Temporary Agricultural Labor Certification
U.S. Department of Labor

H-2A APPROVAL: TEMPORARY AGRICULTURAL LABOR CERTIFICATION
Pursuant to the provisions of sections 101(a)(15)(h)(ii)(a), 214(c), and 218 of the Immigration and Nationality Act, as
amended, 8 U.S.C. §§ 1101(a)(15)(h)(ii)(a), 1184(c), and 1188, the Department hereby certifies that there are not
sufficient workers who are able, willing, and qualified, and who will be available at the time and place needed to
perform the labor or services for which certification is sought, and the employment of the H-2A temporary worker(s)
in such labor or services will not adversely affect the wages and working conditions of workers in the United States
similarly employed.
Therefore, by virtue of the signature below, the Department hereby acknowledges granting a temporary agricultural
labor certification for the following H-2A Application for Temporary Employment Certification (Form ETA-9142A) and
job order (Form ETA-790/790A):
1. DOL Case Number

2. Case Status

3. Determination Date

4. Employer Legal Business Name(s)/FEIN(s)

5. Job Title

6. SOC Code

7. SOC Occupational Title

8. Worker Positions Certified

9. First Date of Need

10. Last Date of Need

11. Department of Labor
Office of Foreign Labor Certification
(electronic signature)

Pursuant to 20 CFR part 655, subpart B, this temporary agricultural labor certification is valid only for the period of
employment, the number of H-2A positions, the area of intended employment, the job classification and specific labor
or services to be performed, and the employer(s) specified on these approved Forms ETA-9142A and ETA-790/790A,
including any approved modifications.
Each employer covered by this temporary agricultural labor certification has declared under penalty of perjury that it
has read and reviewed every page of these approved Forms ETA-9142A and ETA-790/790A, including all appendices
and addenda, and takes full responsibility for the accuracy of all information contained therein and all documentation
supporting this approved temporary agricultural labor certification, including any representations made by the
employer’s authorized agent or attorney, as applicable. Each employer covered by this temporary agricultural labor
certification must abide by the terms, assurances, and obligations set forth in 8 U.S.C. 1188, 20 CFR part 655, subpart
B, and part 653, subpart F, and 29 CFR part 501, as a condition for receiving this approved temporary agricultural
labor certification from the Department.
The employer(s) will provide a copy of the work contract, which may be the approved Forms ETA-9142A and ETA790/790A, to each worker in a language understood by that worker, and in accordance with the timing requirements
of 20 CFR 655.122(q), including any approved modifications. This temporary agricultural labor certification expires
on the last day of authorized employment, including any approved extensions, and may not be transferred from one
employer to another unless the employer to which it is transferred is a successor in interest to the employer to which
it was issued.

FOR DEPARTMENT OF LABOR USE ONLY