Form ETA 790 ETA 790 Agricultural Clearance Order

OMB 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 *

6. Contact’s last (family) name *

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. 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 *
12. Telephone number *

10. State *
13. Extension §

11. Postal code *

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

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