LMIA Start-up Form
(For Employer Only)
Please complete this form. If a question is NOT applicable to you, please indicate it with N/A.
Failure to provide a completed answer for the questions will result in delay of process.
If you have any questions of concerns, please
contact us
.
Refer by
BUSINESS INFORMATION
Canada Revenue Agency Business Number
*
Business Address
*
Business Legal Name
*
Business Operation Name
*
Date Business Started
*
Website Address
*
Organization Type: (Mark one)
*
Sole Proprietor
Partnership
Corporation
EMPLOYER INFORMATION
Your First Name (Given Name)
*
Your Middle Name(s)
Your Last Name (Surname)
*
Job Title
*
Cell No. (Including Area Code)
*
Business Tel. (Including Area Code)
Used Tel. for LMIA
*
Email Address
*
LABOUR MARKET
How many employees are employed under above CRA number?
*
Total number of employees currently working in this location
*
Canadian or Permanent Residents:
Full Time (30 hours per week or more):
Part Time (Less than 30 hours per week):
Temporary Foreign Workers:
Full Time (30 hours per week or more):
Part Time (Less than 30 hours per week):
The total number of TFWs hired but who have not started work (Previously approved LMIA applications):
*Full time: 30 hors per week or more / Part time: Less than 30 hours per week.
Do you have any franchise or other business under same CRA number?
*
Yes
No
Did the business report more than $5 million (CAD) in annual gross revenue to CRA?
*
Yes
No
In the last 12 months, did the employer lay off any employees working in the positions being requested in this application?
*
Yes
No
If Yes, explain
Has this business employed one or more foreign workers at any time during the past six years under the Temporary Foreign Worker Program or the International Mobility Program?
*
Yes
No
Is this business affiliated with any other business currently serving a ban or in the arrears of an administrative penalty under the Temporary Foreign Work Program or the International Mobility Program?
*
Yes
No
If you have previously applied for LMIA, what was the result and date?
*
Approved
Rejected
N/A
Date
Explain
JOB OFFER
General
Job Title Request
*
How many workers needed
*
What is the wage range for all employees in this same position for 2 pay period?
Lowest Wage
Highest Wage
No employees in this position
How many hours work each day?
*
How many hours per week?
*
Operation Hours
*
Is the position part of a Union?
*
Yes
No
Vacation
*
Days, or
% of Gross Salary
N/A
Newly Selected Employee
Do you have a person already selected for this LMIA application? (If so, please provide
passport and resume.
)
*
Yes
No
Upload Passport (Maximum Upload Size: 2mb)
Upload Resume (Maximum Upload Size: 2mb)
Additional Document (Maximum Upload Size: 2mb)
Job Offer-extension
Is there anyone currently working in that position? (If yes, please provide
passport and resume.
)
*
Yes
No
a. When did they start working?
b. When will the work permit expire?
Upload Passport (Maximum Upload Size: 2mb)
Upload Resume (Maximum Upload Size: 2mb)
Additional Document (Maximum Upload Size: 2mb)
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