Maine DOL Employer Details Form

Initial Request Form
Company Name*
State Employer Identification Number (EAN)*
Please enter your 10 digit EAN with no dash. If you don't know your EAN, please contact your company's payroll department or whomever files your quarterly tax reports. MDOL's Unemployment Insurance Tax Division, which can also provide this number if unknown, can be reached at (207) 621-5100.
Description of Product and Services*
Please provide a brief description of the products or services you provide in relation to Maine's manufacturing sector.
Website
Sector*
Which sector do you operate in?
Subsector*
Other Subsector*
Prime contractorSub-contractor
Please enter the name of your prime contractor in the defense shipbuilding sector*
Commercial and Government Entity Code (CAGE)*
Please provide your Commercial and Government Entity Code (CAGE) code
Staff Size*
Maine Headquarters Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Maine JobLink (MJL) Email*
Employers must have an MJL account to participate in the training fund. Please enter the email address associated with your account. If you are unsure of the email address associated with your account, please call (207) 623-7967. If your company does not already have an MJL account, please follow the link below to create one and return to this page.
To register with MJL please follow this link:

MJL Employer Registration
State Vendor ID
Employers may submit a form for provisional approval without being a registered vendor with the state but will ultimately be required to in order to participate in the program. If your company is already registered, please enter your vendor ID below. If not, you can register with the state by creating a new account here:Welcome to CGI Advantage Vendor Self Service Portal Home. If you are unsure whether your company is already registered, follow that same link, select "Public Access," navigate to the "Vendor Registration" tab, select "Accept Terms," then use the "Company Search" tool to locate your vendor ID. Providing a vendor ID at this stage will help expedite your application review.
Point of Contact Information
Name*

First NameLast Name
Title*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
Point of contact email address example@example.com
YesNo
Authorized Representative Information
Name*

First NameLast Name
Title*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Training Information
YesNo
Engineers and Engineering TechniciansDraftersMachine Operations and MaintenanceMachiningProduction ManagersQuality Control and AssuranceWelding
Aerospace Engineering and Operations Technologists and TechniciansAerospace EngineersCalibration Technologists and TechniciansChemical EngineersElectrical and Electronic Engineering Technologists and TechniciansElectrical EngineerElectro-Mechanical and Mechatronics Technologists and TechniciansElectronics Engineers, Except ComputerEngineering Technologists and Technicians, Except Drafters, All OtherEngineers, All OtherIndustrial EngineerIndustrial Engineering Technologists and TechniciansManufacturing EngineersManufacturing TechnicianMaterials EngineersMechanical EngineersMechanical Engineering Technologists and TechniciansRobotics TechniciansSoftware Developers
Drafters, All OtherElectrical and Electronics DraftersMechanical Drafters
Helpers--Production WorkersCoating, Painting, and Spraying Machine Setters, Operators and TendersElectrical and Electronic AssemblersElectrical and Electronics Repairers, Commercial and Industrial EquipmentElectromechanical AssemblersIndustrial Machinery MechanicsLayout Workers, Metal and PlasticMaintenance and Repair Workers, GeneralMiscellaneous Assemblers and FabricatorsMolding, Coremaking, and Casting Machine Setters, Operators, and Tenders, Metal and PlasticMultiple Machine Tool Setters, Operators, and Tenders, Metal and PlasticPackaging and Filling Machine Operators and TendersPaper Goods Machine Setters, Operators and TendersProduction HelperProduction Workers, All Other
Computer Numerically Controlled Tool OperatorsComputer Numerically Controlled Tool ProgrammersMachinistsMillwrights
Architectural and Engineering ManagersFirst-Line Supervisors of Mechanics, Installers, and RepairersFirst-Line Supervisors of Production and Operating WorkersGeneral and Operations ManagerIndustrial Production Manager
Health and Safety Engineers, Except Mining Safety Engineers and InspectorsInspectors, Testers, Sorters, Samplers, WeighersOccupational Health and Safety SpecialistsQuality Assurance TechnologistQuality Control InspectorQuality Control Supervisor
Sheet Metal WorkersStructural Iron and Steel WorkersStructural Metal Fabricators and FitteWelders, Cutters, Solderers, and BrazersWelding EngineerWelding InspectorWelding InstructorWelding SupervisorWelding, Soldering, and Brazing Machine Setters, Operators, and Tenders
ONET Manufacturing Industry
Ability to bridge OT and IT networksAdditive manufacturingAugmented realityAutomation & roboticsCapturing, integrating and sharing dataCloud computingCyber-physical systemsCybersecurityData analytics and visualizationEnterprise systems knowledge (ERP, MES)Machine learning/AINetworking, integration and edge computing, unified namespace/data lakesSensors/IoTOther
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Initial Request Form

Point of Contact Information

Authorized Representative Information

Training Information