Form ETA-790 Clearance Order Information

O MB Approval: 1205-0466

Expiration Date: XX/XX/XXXX

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 ETA-790A. All other employers submitting agricultural clearance orders must complete the Form ETA-790 and attach a completed ETA-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 *				3. Clearance Order Expiration Date *
4. SOC Occupation Code *	5. SOC Occupation Title *
SWA Order Holding Office Contact Information
6. Contact’s last (family) name *		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 *				13. State *		14. Postal code *
15. Telephone number *	16. Extension §		17. Email 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 (suite/floor and number) §
9. City *				10. State *	11. Postal code *
12. Telephone number *	13. Extension §		14. Business email address *
15. Federal Employer Identification Number (FEIN from IRS) *				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) *

 790A (placed in connection with an H-2A application)  790B (not placed in connection with an H-2A application)

For Public Burden Statement, see the Instructions for Form ETA-790/790A.

Form ETA-790 AGRICULTURAL CLEARANCE ORDER Page 1 of 2