Emp5389 Form PDF Details

Navigating the intricate framework of hiring seasonal agricultural workers in Canada necessitates a thorough understanding of the EMP5389 form, a crucial document mandated by Human Resources and Skills Development Canada (HRSDC). This form serves as the foundation for obtaining a Labour Market Opinion (LMO), which evaluates the impact of hiring foreign workers on Canada's labour market. Employers seeking to participate in the Seasonal Agricultural Worker Program (SAWP) must meticulously complete this form, adhering to its comprehensive requirements that span personal information collection, detailed employer information, and job offer specifics. The form intricately binds various governmental and provincial regulations, including the Immigration and Refugee Protection Act and its Regulations, showcasing an intersection of immigration, labour laws, and seasonal agricultural needs. It emphasizes voluntary completion while warning of the consequences of non-compliance, such as unprocessed LMO requests, highlighting the importance of accuracy and transparency in the submission process. Additionally, the EMP5389 form extends beyond mere application by stipulating the conditions under which foreign workers can be employed, transferred, or replaced, thereby ensuring their protection under Canadian law. Its design reflects a careful balancing act between facilitating the entry of foreign agricultural workers and safeguarding Canadian labour standards and employment opportunities.

QuestionAnswer
Form NameEmp5389 Form
Form Length9 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 15 sec
Other namesesdc emp5389, form emp5389, ca lmo sawp download, form emp5389 2018

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Canada

PROTECTED WHEN COMPLETED - B

APPLICATION FOR A LABOUR MARKET OPINION (LMO)

SEASONAL AGRICULTURAL WORKER PROGRAM (SAWP)

Personal Information Collection Statement

The information you provide on this request for a Labour Market Opinion (LMO) form is collected by Human Resources and Skills Development Canada (HRSDC) under the authority of the Immigration and Refugee Protection Act and Regulations, for the purpose of providing a Labour Market Opinion (LMO) in accordance with these statutes. Completion is voluntary; however, failure to complete this form will result in your request for an LMO not being processed.

The information you provide may be shared with Citizenship and Immigration Canada (CIC) for the administration and enforcement of the Immigration and Refugee Protection Act (IRPA) and Regulations (IRPR) as permitted by the Department of Human Resources and Skills Development Act (DHRSD Act), and may be accessed by the Canada Border Services Agency (CBSA) for the purpose of issuing work permits at Ports of Entry. HRSDC may also provide information to CBSA in order for that agency to investigate and enforce the IRPA and IRPR in relation to an LMO.

The information may also be shared with Provincial/Territorial governments for the purpose of administration and enforcement of provincial/territorial legislation, including employment standards and occupational health and safety legislation, as permitted by the DHRSD Act. The information may also be used by HRSDC for policy analysis, research and evaluation in relation to the entry and hiring of foreign workers to Canada or the IRPA.

The information you provide is administered under Part 4 of the DHRSD Act and the Privacy Act. You have the right to access and request correction of your personal information, which is described in Personal Information Bank PPU 440 of Info Source. Instructions for making formal requests are outlined in the Info Source publication available online at infosource.gc.ca.

EMPLOYER INFORMATION

Check one:

 

 

Direct Arrival

Direct Replacement

Double Arrival

(Request to replace worker(s) who returned home

(Request where worker(s) go home and return

(Initial request for SAWP worker(s) from abroad)

prior to the expected departure date)

to the same employer in the same program year)

 

 

 

Double Transfer

 

Replacement Transfer

 

 

Transfer

 

 

 

 

(Request for worker(s) to transfer back to

 

 

(Request to transfer worker(s) from one

 

 

 

 

(Request to replace worker(s) from within Canada)

 

 

 

 

original employer from a second employer)

employer to another within Canada)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original System File #

or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original Employer:

 

 

 

 

 

 

 

 

 

 

 

 

 

Check box to indicate that substitute workers WILL NOT be accepted in situations where previously identified workers are not available.

 

 

 

 

 

 

NOTE: TFWs cannot be transferred to another employer or shared without approval as per the SAWP policy. Transferring or sharing TFWs informally

 

 

contravenes to sections 124(1)(c) and 125 of the Immigration and Refugee Protection Act

(IRPA) and is punishable by a fine of up to $50,000 and

 

 

imprisonment.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Employer ID # (if applicable)

2. Canada Revenue Agency Business Number

 

3. Employer Business Name

 

 

(First 9 digits are mandatory for Canadian Employers)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Employer Legal Name

5. Employer Mailing Address (including location as determined by the 911 system)

6. City

7. Province/State

8. Country

9. Postal/Zip Code

10. Business Telephone Number

11. Employer Business Address (if different than mailing address)

12. City

13. Province/State

14. Postal/Zip Code

15. Country

16. Website Address

17. Date Business Started (yyyy-mm-dd)

18. Describe the main business activity:

SC EMP5389 (2012-11-010) E

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19.

Primary Contact Name

 

 

20. Job Title

 

 

 

 

First

Middle

Last

 

 

 

 

 

 

 

 

 

 

 

21.

Telephone Number

 

22. Alternative Telephone Number (e.g. cell phone)

 

23. Fax Number

 

 

Extension

 

Extension

 

 

 

 

 

 

 

 

 

 

24.

E-mail Address

 

 

 

25. Preferred Official Language of Correspondence

 

 

 

 

 

English

French

 

 

 

 

 

 

 

 

Alternative Contact (please note that if you designate an alternate contact, he/she assumes responsibility for the business for the purpose of

 

 

applying for a Labour Market Opinion with HRSDC)

26. Contact Name

 

 

27. Job Title

First

Middle

Last

 

 

 

 

 

28. Telephone Number

Extension

29.Alternative Telephone Number (e.g. cell phone)

Extension

30. Fax Number

31. E-mail Address

32. Preferred Official Language of Correspondence

English

French

BUSINESS DETAILS

33. Total # of Canadian seasonal agricultural workers employed:

This year/

Last year/

season

season

 

 

34. Total # of Foreign seasonal agricultural workers requested:

This year/

Last year/

season

season

 

 

35. If the number of workers, which includes Canadian citizens, permanent residents and TFWs is different from last year/season, explain:

36.Only answer this question if you employed a temporary foreign worker in the last two years. Did you provide all temporary foreign workers employed by you in the last two years with wages, working conditions and employment in an occupation that were substantially the same as those that were described in the job offer(s)?

Yes, I have provided all temporary foreign workers employed by me in the last two years with substantially the same wages, working conditions, and occupation as described in the job offer(s).

No, I have not provided all temporary foreign workers employed by me in the last two years with substantially the same wages, working conditions, and occupation as described in the job offer(s).

37. List crops / commodities, acreage and method harvested:

Crop/Commodity

Acreage

Method Harvested

Fully automated

Semi-automatic

Hand harvested

Job does not require harvesting

Fully automated

Semi-automatic

Hand harvested

Job does not require harvesting

*THIRD PARTY INFORMATION (if applicable)

*If you are a third party representative acting on behalf of an employer, written authorization from the employer to act on his/her behalf is required. Employers who wish to have third party representation must fill out and sign the "Appointment of Representative" section included in this application. HRSDC/Service Canada reserves the right to contact the employer directly if necessary.

38. Third Party ID # (if applicable)

39.Canada Revenue Agency Business Number

(First 9 digits are mandatory for Canadian Employers)

40. Third Party Business Name

41. Third Party Legal Name

42. Third Party Mailing Address (including location as determined by the 911 system)

43. City

44. Province/State

45. Country

46. Postal/Zip Code

SC EMP5389 (2012-11-010) E

Page 2 of 9

47. Third Party Business Address (if different than mailing address)

48. City

49. Province/State

50. Postal/Zip Code

51. Country

 

 

52. Describe the main business activity:

53. Third Party Representative Authorized to Act on Behalf of the Employer

 

First

Middle

Last

54. Job Title

55. Telephone Number

56. Fax Number

Extension

57. E-mail Address

58. Preferred Official Language of Correspondence

English

French

JOB OFFER INFORMATION

Please provide details for each job offer. If this application covers more than one job offer and if the offers cover more

than one job title, you must complete a separate sheet providing the details of the offer(s) under each job title.

59. Job Title

60. Total # of workers requested for this job:

61. Source Country

 

 

 

62. Describe the Main Duties/Requirements of the job (In addition to duties, please detail any experience/skill requirements):

63.

Primary work Address (including location as determined by the 911 system)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

64.

City

 

 

 

 

 

 

 

 

 

 

 

65. Province

 

 

 

 

66. Postal Code

67. County/District/Region

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

68.

Secondary work Address (which includes location as determined by the 911 system)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

69.

City

 

 

 

 

 

 

 

 

 

 

 

70. Province

 

 

 

 

71. Postal Code

72. County/District/Region

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

73.

Language requirements: Indicate the language requirement needed for this job. If you indicate a language that the temporary foreign worker does not speak, the

 

application will be refused by Citizenship and Immigration Canada, even if the worker is suitable for the position.

 

 

 

Oral:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

English

 

 

 

English or French

Written:

 

 

English

 

English or French

 

 

 

 

 

 

 

French

 

 

English and French

 

 

 

French

 

English and French

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

None

 

 

 

Other

 

None

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If the language required for the job is other than English and/or French, please identify the language requirement and provide an explanation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

74.

Wage offered to the TFWs in Canadian dollars and number of hours of work

 

 

 

 

 

 

 

 

 

NOTE: Employers must offer the same wage rate set by HRSDC/Service Canada for occupations under the National Commodity List. In a unionized environment,

 

employers must offer the Temporary Foreing Worker the wage rate as established under the collective bargaining agreement.

 

 

per hour: $

 

other/piecework: $

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Provide description of other/piecework:

 

 

 

 

 

 

 

 

 

Overtime rate per hour of $

 

 

 

 

 

 

 

 

 

 

 

starts after

 

hours of work per week as per provincial/territorial legislation.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check box if not applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: Employers can hire TFWs for a maximum duration of 8 months, between January 1 and December 15, provided they are able to offer a minimum of 240 hours of work within a period of 6 weeks or less.

SC EMP5389 (2012-11-010) E

Page 3 of 9
SC EMP5389 (2012-11-010) E
. Check box if not applicable
. Check box if not applicable
. Check box if work location is in a province/territory other than British Columbia
. Check box if work location is in British Columbia

75. Deductions

Transportation costs: Deduction from the TFW’s pay (applicable in all provinces except in British Columbia) as per the SAWP employment contract.

Total deduction: $. Per pay: $

Amount for coming year to be provided to HRSDC/Service Canada by (yyyy-mm-dd):

Accommodation costs: Deduction from the TFW’s pay (applicable in British Columbia only) as per the SAWP employment contract.

Total deduction: $. Per pay: $

Amount for coming year to be provided to HRSDC/Service Canada by (yyyy-mm-dd):

Utility costs: Daily deduction from the TFW’s pay (applicable only in provinces authorizing this deduction) as per the SAWP employment.

contract: $

Amount for coming year to be provided to HRSDC/Service Canada by (yyyy-mm-dd):

NOTE: TFWs must work for a minimum of 4 hours in any given day in order to be subject to this deduction.

Meals costs: Daily deduction from the TFW's pay: $

 

, and number of daily meals provided

 

. Check box if not applicable

 

 

 

 

 

 

 

Health insurance costs (Great-West Life Assurance Company):

Daily deduction from the TFW’s pay: $

 

(applicable for Mexican TFW's only). Check box if not applicable

 

 

 

 

 

Work permit processing fee: Deduction from the TFW's pay (applicable for Mexican TFWs only) as per the SAWP employment contract.

Total deduction: $. Per pay: $

For Caribbean TFWs, this deduction is done within 30 days after their arrival in Canada through the 25% remittance to the foreign Government.

Quebec Certificate of Acceptance (CAQ) fee:

 

Total deduction from the TFW's pay as per the SAWP employment contract: $

. If total amount is to be deducted from the final pay, check box

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or indicate the amount to be deducted per pay: $

 

 

 

. Check box if not applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

76. Benefits:

 

 

 

 

 

 

 

 

Vacation (if applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disability insurance

 

Extended medical insurance (e.g. prescription drugs,

 

 

Number of paid vacation days per year:

 

 

 

 

 

 

 

 

 

 

 

 

 

paramedical services,medical services and equipment)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or

Remuneration: $

(% of gross salary)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dental insurance

 

Pension

 

 

Check box if not

 

 

as per provincial/territorial legislation.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

applicable

 

 

 

 

 

Check box if not applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

77. Other benefits (specify):

Check box if not applicable

Will you provide a weekly recognition payment of $4, up too a maximim of $128, to the TFW(s) you have employed for a period of 5 or more consecutive

years? Yes No

78.Advertisement and Recruitment

Describe methods used to recruit Canadian citizens/permanent residents for this job :

Provide dates and duration of advertisements:

Job Bank (or provincial/territorial equivalent) Job number: Results of recruitment efforts:

Total number of applications received from Canadian/permanent resident candidates: Number of Canadian/permanent resident applicants interviewed:

Number of positions offered to Canadian/permanent resident applicants: Number of job offers declined by Canadian/permanent resident applicants:

Number of Canadian/permanent resident applicants who did not qualify for the job and reasons:

NOTE: Supporting documentation such as advertisements in local and national newspapers, or on recognized Internet job sites, and in professional publications, recruitment drives, as well as proof of participation in job fairs, etc., may be requested by HRSDC/Service Canada.

Page 4 of 9

79.

Is the position part of a union?

 

 

 

 

 

 

 

 

 

No

 

 

 

Yes

If yes, what is the name of the union and the local?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Has the union been consulted about the hiring of a temporary foreign worker?

 

 

 

 

 

 

 

 

 

 

 

 

No

If no, please explain:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

If yes, what is the position of the union? Provide details and documents, if available:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

80.

Is there a labour dispute in progress?

 

 

 

 

 

 

 

 

No

 

 

 

Yes

If yes, please provide details:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

81.

Seasonal Housing Approval (If prior year is attached, proof of housing for the current year must follow as soon as it is available):

 

 

Proof of Seasonal Housing Inspection:

 

 

 

 

 

 

 

 

 

Prior or current year attached or

 

Previous year's inspection attached and current year to follow by

 

(yyyy-mm-dd)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(NOTE: current year's inspection must be submitted as soon as possible)

 

Employers must provide TFWs with free suitable housing (except for British Columbia) either on-farm (e.g. bunkhouse) or off-site (e.g. commercial establishment). A copy of the signed contract between the employer and the facility is required for off-site housing (except in cases where the employer is the owner of the dwelling).

Employers must provide proof that the on-farm or off-site housing has been inspected by the appropriate provincial/municipal body or by an authorized private inspector with appropriate certifications from the relevant level of government. As proof, employers can submit a copy of the housing inspection report from the previous year, with an expected date for the current year.

82. Physical address of housing provided to the TFWs (including location as determined by the 911 system):

83. City

 

 

 

84. Province

 

 

 

 

 

 

 

85. Physical address of a second housing provided to the TFWs (including location as determined by the 911 system), if applicable:

NOTE: Addresses of additional housing provided to the TFWs must be provided on a separate sheet.

 

 

 

 

 

 

 

 

 

86. City

 

 

 

87. Province

 

 

 

 

 

 

 

 

88. Arrival Dates for SAWP Workers with this Job Title

 

 

 

 

Number of Named Workers

 

Number of Unnamed Workers

 

Requested Arrival Date

 

Anticipated Departure Date

 

 

 

 

(if applicable)

 

(yyyy-mm-dd)

 

(yyyy-mm-dd)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Important Notes:

 

 

 

 

 

 

-

Workers are hired according to the current year's Seasonal Agricultural Worker Program policies and contract terms..

 

 

-

It is the responsibility of the employer to sign a copy of the current employer-employee contract for the employment of SAWP workers in Canada. Employer must

 

submit a copy of the contract to Service Canada with this application.

 

 

 

 

 

 

 

 

 

 

 

 

SC EMP5389 (2012-11-010) E

Page 5 of 9

TEMPORARY FOREIGN WORKER INFORMATION (if available)

Add the names of the TFWs hired on a separate sheet or on the page entitled Annex A - TEMPORARY FOREIGN WORKER INFORMATION found on this application. If the names of the TFWs have not been identified yet, leave this section blank.

NOTE:

HRSDC/Service Canada must be provided with the names of the TFWs hired within 2 months after their arrival in Canada.

TFWs have 6 months from the date of issuance of the positive LMO letter to submit their work permit applications to CIC.

89. Family Name as Shown on the Passport

90. First Name(s) as Shown on the Passport

91.

Gender

 

 

92. Date of Birth (YYYY-MM-DD)

93. Location of Residence Outside Canada:

 

 

94. Citizenship(s)

 

 

 

Male

 

Female

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

95.

If the temporary foreign worker is currently in Canada, please provide the location (City and Province) and their immigration status:

City:

 

 

Province:

 

Visitor

 

 

Temporary foreign worker

 

 

 

 

 

DECLARATION

I am an unincorporated employer, sole proprietor or partnership.

YES

NO

Check each box to declare that you comply (or will comply) with the statements below:

I will provide any TFW employed by me with wages, working conditions, and employment in an occupation that are substantially the same as those described in the labour market opinion (LMO) confirmation letter, annex and employment contract.

I signed the employment contract outlining wages, duties, and conditions related to the transportation, accommodation and health and occupational safety of the TFW. This contract will also be signed by the TFW upon his/her arrival to Canada. It accurately represents the actual terms and conditions of

employment that I intend to provide to the TFW.

I will keep a copy of the contract signed by me, as employer, and the TFW. In case of any changes to the wages or payroll deductions throughout the season, I will modify the original contract and sign it. I will also provide the TFW with a signed copy of the original and other modified contracts.

I agree to pay the air transportation costs as stipulated in the SAWP Employment contract. In all provinces except British Columbia, a part of this cost can be deducted from the TFW’s wage, up to a maximum amount, as stipulated in the employment contract.

I will pay upfront the fees for the TFW’s work permit.

I will pay upfront the Great-West Life medical insurance coverage for TFWs from Mexico only. I will also deduct this amount from the TFW’s wage, as stipulated in the employment contract.

I agree to periodically review and adjust the TFW's wage according to the National Commodities List posted on the TFWP Web site at: hrsdc.gc.ca/eng/ workplaceskills/foreign_workers/commodities.shtml. This is to ensure that the TFW continues to receive the prevailing wage rate according to the

occupation and region where he/she is employed.

I will provide free housing to the TFW in all provinces, except in British Columbia, where a part of this cost can be deducted from the TFW’s wage, up to a maximum amount, as stipulated in the employment contract.

I submitted to Service Canada an accurate housing inspection report provided by the appropriate provincial or municipal body, or by a private inspection company.

I agree to follow the TFW transfer directives, as stipulated in the employment/transfer contract, when a TFW is transferred between SAWP employers.

I will immediately inform Service Canada staff and the foreign Government Agent of any subsequent changes related to the TFWs' terms and conditions of employment, as described in the LMO confirmation letter, annex and employment contract.

I am in good standing with the applicable workers' compensation program and I will register the TFW under the appropriate provincial/territorial workers' compensation / workplace safety insurance plans, where available, or purchase a personal for free, on-the-job-injury or illness insurance that provides the

TFW with a protection equivalent to the one offered by the applicable provincial/territorial law.

I am compliant with, and agree to continue to abide by, the relevant federal/provincial/territorial laws that regulate employment in the occupation specified and, if applicable, the terms and conditions of any collective agreement in place. I recognize that any terms and conditions of the attached employment

contract are considered null and void if they are less favourable to the TFW than the standards stipulated in the relevant Labour Standards Act.

SC EMP5389 (2012-11-010) E

Page 6 of 9

SIGNATURE OF EMPLOYER

I have read and I understand the Personal Information Collection Statement found at the beginning of this application. I declare that the information provided in this application is true and accurate.

Signature of Employer

Name of Employer (Please Print)

Title of Employer

Date (YYYY-MM-DD)

SIGNATURE OF THIRD PARTY (if applicable)

I declare that the information provided in this application is true and accurate to the best of my knowledge.

Signature of Third Party Representative

Name of Third Party Representative (please print)

Date (YYYY-MM-DD)

INFORMATION FOR EMPLOYERS

Employers in all provinces/territories (except those in Quebec) or their third-party representatives, must submit the completed application and required supporting documentation to the Service Canada Centre of Specialization at:

Service Canada Centre

Seasonal Agricultural Worker Program Centre of Specialization

5 Queensway East

Simcoe, ON N3Y 5K2

Fax: 519-426-0362 or

Fax (toll free): 1-855-221-1601

Telephone (toll free): 1-866-431-7297

Employers in the Province of Quebec, or their third-party representatives, must submit the completed application and required supporting documentation to:

Service Canada

Temporary Foreign Worker Program 1001 de Maisonneuve Boulevard East 4th floor

Montreal, QC H2L 5A1

Fax: 514-877-3680

Telephone: 514-877-0022

Telephone (toll free): 1-(866)-840-0222

The employer will be notified of the decision after the application has been assessed.

SC EMP5389 (2012-11-010) E

Page 7 of 9

APPOINTMENT OF REPRESENTATIVE

To: Human Resources and Skills Development Canada, (HRSDC) /Service Canada.

FOR THE PURPOSE OF A SAWP APPLICATION (Labour Market Opinion).

I

 

 

 

, located at

 

 

 

 

 

 

 

 

 

 

 

 

 

(Name of Employer)

 

 

 

 

 

 

 

 

 

 

 

 

 

(Full Address)

 

 

 

 

 

 

 

Telephone Number:

 

Fax Number:

hereby appoint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Name of Representative and Legal Business Name)

of

 

 

 

 

 

 

 

 

 

 

(Full Address)

 

 

 

 

 

Telephone Number:

 

Fax Number:

 

 

 

 

 

 

 

 

 

as my representative to act on my behalf in order to obtain from HRSDC/Service Canada a labour market opinion.

I, hereby, agree to ratify and confirm all what my representative shall do or cause to be done by virtue of this appointment.

This appointment shall remain in full force and effect only for the processing of this application, unless due notice in writing of its revocation has been given to HRSDC/Service Canada.

Signature of Employer

 

 

Print Name of Employer

 

 

 

 

Date (YYYY-MM-DD)

 

 

 

 

 

 

 

Signature of Witness

 

 

Print Name of Witness

Personal information is administered in accordance with the Privacy Act. It will be retained in a Personal Information Bank HRDC PPU 440. Individuals have the right to access their personal information. For instructions, please consult the government publication Info Source found in Service Canada Centres and available at the following address: infosource.gc.ca.

SC EMP5389 (2012-11-010) E

Page 8 of 9

Annex A – ADDITIONAL TEMPORARY FOREIGN WORKER INFORMATION

96. Family Name as Shown on the Passport

97. First Name(s) as Shown on the Passport

98. Gender

 

 

99. Date of Birth (YYYY-MM-DD)

100. Location of Residence Outside Canada:

 

 

 

101. Citizenship(s)

 

 

Male

 

Female

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

102. If the temporary foreign worker is currently in Canada, please provide the location (City and Province) and their immigration status:

City:

 

 

Province:

 

Visitor

 

 

Temporary foreign worker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

103. Family Name as Shown on the Passport

104. First Name(s) as Shown on the Passport

105.

Gender

 

 

106. Date of Birth (YYYY-MM-DD)

107. Location of Residence Outside Canada:

 

 

 

108. Citizenship(s)

 

 

 

Male

 

Female

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

109.

If the temporary foreign worker is currently in Canada, please provide the location (City and Province) and their immigration status:

City:

 

 

 

 

Province:

 

Visitor

 

 

Temporary foreign worker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

110. Family Name as Shown on the Passport

111. First Name(s) as Shown on the Passport

112.

Gender

 

 

113. Date of Birth (YYYY-MM-DD)

114. Location of Residence Outside Canada:

 

 

115. Citizenship(s)

 

 

 

Male

 

Female

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

116.

If the temporary foreign worker is currently in Canada, please provide the location (City and Province) and their immigration status:

City:

 

 

 

 

Province:

 

Visitor

 

 

Temporary foreign worker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

117. Family Name as Shown on the Passport

118. First Name(s) as Shown on the Passport

119.

Gender

 

 

120. Date of Birth (YYYY-MM-DD)

121. Location of Residence Outside Canada:

 

 

122. Citizenship(s)

 

 

 

Male

 

Female

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

123.

If the temporary foreign worker is currently in Canada, please provide the location (City and Province) and their immigration status:

City:

 

 

 

 

Province:

 

Visitor

 

 

Temporary foreign worker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

124. Family Name as Shown on the Passport

125. First Name(s) as Shown on the Passport

126.

Gender

 

 

127. Date of Birth (YYYY-MM-DD)

128. Location of Residence Outside Canada:

 

 

129. Citizenship(s)

 

 

 

Male

 

Female

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

130.

If the temporary foreign worker is currently in Canada, please provide the location (City and Province) and their immigration status:

City:

 

 

 

 

Province:

 

Visitor

 

 

Temporary foreign worker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

131. Family Name as Shown on the Passport

132. First Name(s) as Shown on the Passport

133.

Gender

 

 

134. Date of Birth (YYYY-MM-DD)

135. Location of Residence Outside Canada:

 

 

136. Citizenship(s)

 

 

 

Male

 

Female

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

137.

If the temporary foreign worker is currently in Canada, please provide the location (City and Province) and their immigration status:

City:

 

 

 

 

Province:

 

Visitor

 

 

Temporary foreign worker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SC EMP5389 (2012-11-010) E

Page 9 of 9

How to Edit Emp5389 Form Online for Free

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2. Once your current task is complete, take the next step – fill out all of these fields - City, ProvinceState, PostalZip Code, Country, Website Address, Date Business Started yyyymmdd, Describe the main business, SC EMP E, and Page of with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

PostalZip Code, Website Address, and SC EMP E inside lmo seasonal agricultural worker program

3. In this particular stage, take a look at Primary Contact Name, Job Title, First Middle Last, Telephone Number, Alternative Telephone Number eg, Fax Number, Email Address, Extension, Extension, Preferred Official Language of, English, French, Alternative Contact please note, Contact Name, and applying for a Labour Market. Each of these will need to be taken care of with utmost precision.

Filling in part 3 in lmo seasonal agricultural worker program

4. Filling out Only answer this question if you, Yes I have provided all temporary, No I have not provided all, List crops commodities acreage, CropCommodity, Acreage, Method Harvested, Fully automated, Semiautomatic, Hand harvested, Job does not require harvesting, Fully automated, Semiautomatic, Hand harvested, and Job does not require harvesting is essential in this form section - always be patient and fill in every field!

Find out how to complete lmo seasonal agricultural worker program portion 4

Be extremely careful when completing Hand harvested and No I have not provided all, because this is where most people make some mistakes.

5. Now, this final portion is precisely what you will have to finish prior to closing the document. The blanks here are the following: Canada Revenue Agency Business, Third Party Legal Name, Third Party Mailing Address, City, ProvinceState, Country, PostalZip Code, SC EMP E, and Page of.

How to prepare lmo seasonal agricultural worker program part 5

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