Employer Form

Employer Form
IMPORTANT: Employers are required to give all necessary details, information and documents. Missing information may result in delays or refusal of your application. This form is for internal use only. Please note as well that you are required to fill in a form for each separate company.
1.General Business Information
Legal Business Name*
Business Operating Name*
Business Address (Main office)*
Street #*
Street Name*
City/Town*
Province*
Country*
Postal Code*
PO Box
Mailing Address of the Business (if different from above)
Street #
Street Name
City/Town
Province
Country
Postal Code
PO Box
Business Phone #*
Business Fax #
Please enter a valid phone number.
Business General
Company Website

4. Previous Application(s)
Has the business previously applied for the LMIA?*

NoYes
If yes, please specify details date applied etc.
Has the business previously applied for any Provincial Nominee Program ?*

NoYes
If yes, please specify details date applied etc.

5. Job Offer Information
Name*

First NameMiddle NameLast Name
Job Title*
National Occupational Classification Code: (NOC)*
Hourly Wage*
Hours Per Week*
Method of Vacation Pay:
Number of days off
Renumeration
Is the position being offered to the applicant full-time and of an indeterminate duration? (Minimum 30 hours of work per week and at least 1,560 hours in a one year period)*

YesNo
Is this position part of the Union?*

YesNo
If yes, name of the Union
Is the applicant currently working for the business?*

Yes, in the same position being recruited for as outlined aboveYes, In a different position than the one outlined aboveNo
Does the applicant or any of the applicant's family members hold/have held equity in the business?*

YesNo

6. Labour Market Impact Assessment
Has the business applied for a Labour Market Impact Assessment (LMIA) from Employment and Social Development Canada (ESDC) for the position being offered to the applicant?*

YesNoApplicant is LMIA Exempt

7. Applicant Status
Please check the following to indicate the status of the applicant:*

An individual authorized to work in OntarioAn Individual applying as an international studentAn individual in another Canadian province or territory working on a valid temporary work permitAn individual who currently lives abroad or is visiting Ontario

1.General Business Information