Human Resources and

Skills Development Canada

Ressources humaines et
Dveloppement des comptences Canada

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LABOUR MARKET OPINION APPLICATION FOR LOWER-SKILLED OCCUPATIONS

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

1. Employer ID # (if applicable)

2. Canada Revenue Agency Business Number (First 9

digits are mandatory for Canadian Employers)

3. Employer Business Name

4. Employer Legal Name

5. Employer Mailing Address

6. City

8. Country

9. Postal/Zip Code

10. Business Telephone Number

12. City

13. Province/State

14. Postal/Zip Code

19. Primary Contact Name:

First

Middle

+ extension if applicable

24. Preferred Official Language of Correspondence

English

11. Employer Business Address (if different than

mailing address)
15. Country

16. Website Address

18. Describe the main business activity:

17. Date Business Started

(yyyy-mm-dd)

21. Telephone Number

7. Province/State

French

20. Job Title

Last

22. Fax Number

23. E-mail Address

25. Number of Canadians citizens/permanent residents employed at

the location of employment covered by this LMO:

26. Only answer this question if you employed a foreign worker in the last two years. Did you provide all 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 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 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).
27. If you are currently employing foreign workers, please indicate the number employed at the location of employment covered by this LMO:
28. Were any employees laid off in the past 12 months?

No

Yes

If yes, how many?

Reason(s) for layoff(s) and occupations affected:

29. Does your business receive support through any Government of Canada program (e.g. Work-Sharing Program)?
If yes, name the program(s):
Aussi disponible en franais
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No

Yes

* THIRD PARTY INFORMATION (if applicable)

30. Third Party ID # (if applicable)

31. Canada Revenue Agency Business Number

32. Third Party Business Name

33. Third Party Legal Name

34. Third Party Mailing Address

35. City

37. Country

38. Postal/Zip Code

40. City

41. Province/State

36. Province/State

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

42. Postal/Zip Code

43. Country

44. Describe the main business activity:

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

First
Middle
Last

47. Contact Telephone Number + extension if applicable

46. Job Title

48. Fax Number

49. E-mail Address

50. Preferred Official Language of Correspondence

English
French
* 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" page attached to this form and
submit it with this application. HRSDC/Service Canada reserves the right to contact the employer directly if necessary.

JOB OFFER INFORMATION

51. Job title

Use a separate sheet for each additional job offer.

If you are requesting a Labour Market Opinion for identical job offers, provide the information only once.
52. Number of foreign workers requested for this job offer
(same wage, job description, location, etc):

53. Expected Employment Duration

days

weeks

54. Expected Employment Start Date (YYYY-MM-DD)

months

55. Work Address : Number and Street

years
City

Province

Postal Code

56. Describe the Main Duties of the Job:

57. Educational Requirements of the Job:

Secondary school diploma
Additional information:

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Vocational /school diploma or certificate

No formal education requirement

58. Experience/Skills Requirements of the Job:

59. Language requirements: Indicate the language requirement needed for this job. If you indicate a language that the foreign worker does not speak,
the application will be refused by Citizenship and Immigration Canada (CIC), even if the worker is suitable for the position.
Oral :

English

English or French

French
Other

Written:

English

English or French

English and French

French

English and French

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:

60. Wage in Canadian Dollars and Number of Work Hours

per hour
$

per day

per month

Overtime hours rate of $

61. Benefits:
Disability
insurance
Dental
insurance

per year

other

Number of hours
per day

Total number of
hours per week

Total number of
hours per month

hours of work per week.

starts after

Extended medical insurance (i.e. prescription drugs, paramedical

services, medical services and equipment, )
Pension

Vacation (if applicable):

Days:
(# of business days per year)
or
Remuneration:
(% of gross salary)

62. Other benefits (specify):

63. Are there any federal/provincial/territorial certification, licensing or registration requirements for this job?
No
Yes

If yes, what is the name of the certifying/licensing/registering body?

Will the foreign worker have all required certification, licensing, or registration prior to entering and starting work in Canada?
No

If no, please indicate the anticipated period of time to acquire all the required credential(s) after starting work in Canada:
days

Yes

weeks

months

If yes, the foreign worker must have proof that he/she already has all the required credential(s).

Please note: When processing a work permit application, Citizenship and Immigration Canada (CIC) will verify whether the foreign worker requires certification,
licensing or registration. If the foreign worker does not meet these requirements prior to entering and starting work in Canada, then CIC will verify that
arrangements have been made to this end.
64. 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 foreign worker?
No

If no, please explain.

Yes If yes, what is the position of the union? Provide details. Attach documentation, if available:

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65. Have you attempted to recruit Canadian citizens/permanent residents for this job?
If no, please explain:
No

Yes

If yes, please provide details of your recruitment efforts and the results.

(Attach supporting documentation such as advertisements in local and national newspapers, recognized Internet job sites, job-specific and professional
publications, recruitment drives, job faires, etc.)
If you posted on Job Bank (or the equivalent in some provinces) please provide, in addition to supporting documents, the order number:

66. What are the potential benefits to the Canadian labour market for offering this job to a foreign worker (s)?
Filling a labour shortage
Transfer of new skills or knowledge to Canadian
Direct job creation or retention of Canadian
citizens/permanent residents
citizens/permanent residents
Provide details:

Other

67. Provide a rationale for the job offer you are making to the foreign worker(s) and describe how this will meet your employment needs:

68. Do you plan to train Canadians citizens/permanent residents for the position(s) for which you are requesting an LMO?
If no, please explain:
No

Yes

If yes, provide a brief description of the training plan:

69. Will you provide the foreign worker with suitable and affordable accommodation?
No, but I will assist by doing the following:

Yes

per

If yes, please indicate the rent : CAD$

week or

Per month and describe the type of accommodation:

FOREIGN WORKER INFORMATION

Please provide information on a separate sheet for each foreign worker coming to Canada. If you have not yet identified the foreign worker, leave this
section blank. NOTE: you will have six months, from the date the labour market opinion confirmation letter is issued, to provide HRSDC/Service
Canada with the names of the foreign workers you intend to hire, and for the workers to submit their applications for a work permit to CIC.
70. Foreign Worker Surname (family name) as Shown on the Passport
72. Gender
Male

73. Date of Birth (yyyy-mm-dd)

Female

71. Foreign Worker Given Name(s) as Shown on the Passport

75. Location of Residence Outside Canada:

City

Country

77. If the foreign worker is currently in Canada, please indicate his/her location (City and Province) and immigration status:
City:
Visitor

Province:
Temporary Foreign Worker

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Refugee Claimant

Student

76. Citizenship(s)

DECLARATION OF EMPLOYER
I am an unincorporated employer, sole proprietor or partnership.

Yes

No

If you answered "YES" to the above:

I understand that some provinces and territories operate, pursuant to agreements with the federal Department of
Citizenship and Immigration, provincial nominee programs. I hereby consent to HRSDC providing the personal
information contained in this request for a Labour Market Opinion to the provincial/territorial government(s) of the
province(s) or territory(ies) where I carry on business to be used by the province(s) or territory(ies) for the
administration of their Provincial Nominee Programs

Yes
No

Agreement to Participate in the Monitoring Initiative

(The Initiative does not apply to employers seeking foreign workers to fill job offers located in Quebec.)
I have read and understand the Monitoring Initiative Fact Sheet and agree to participate in the Initiative.
I have read and understand the Monitoring Initiative Fact Sheet and do NOT agree to participate in the
Initiative.
Check each box to declare that you comply (or will comply) with the statements below:
I will provide the foreign worker(s) I employ with the wages, working conditions and employment in an occupation that are
substantially the same as those described in the positive Labour Market Opinion letter and annex, and the employment contract.
I have signed and enclosed a copy of the employment contract for the job offer indicated in the attached LMO application. The
employment contract meets all the program requirements of the Stream for Lower Skill Occupations (NOC C and D). The terms
and conditions of the contract, including the wages, working conditions, job duties and any benefits are (or will be adjusted to be)
the same as those described in the positive Labour Market Opinion letter and annex.
I will forward a copy of this contract signed by me, together with the positive Labour Market Opinion letter and annex, to the foreign
worker. I will ensure that the foreign worker has signed the contract once he/she arrives and I will provide a copy of the jointlysigned contract to the foreign worker. I will also retain a copy of this signed contract, which Service Canada may request during an
employer compliance review in accordance with the Immigration and Refugee Protection Regulations.
I will pay all recruitment costs related to the hiring of the foreign worker and will not recoup, directly or indirectly, any of these costs
from the worker.
I will pay full transportation costs for the foreign worker to travel from his/her country of residence to the location of work in Canada
and for the return to the country of residence. In the event that the foreign worker is already in Canada, I will pay full transportation
costs from his/her residence in Canada to the location of work in Canada, and for the return to the country of residence. I will not
recoup, directly or indirectly, any of these costs from the foreign worker.
I will provide the foreign worker with medical coverage, at least equivalent to provincial/territorial health care coverage, until he/she
is eligible for provincial/territorial health care insurance coverage (where applicable).
I agree to review and adjust, when applicable, the foreign worker's wages after 12 months of employment to ensure he/she
continues to receive the prevailing wage rate of the occupation and region where he/she is employed.
I will immediately inform Service Canada of any subsequent changes related to the foreign workers' terms and conditions of
employment, as described in the positive Labour Market Opinion letter and annex, and the employment contract.
I am in good standing with the applicable workers' compensation program and I will register the foreign worker 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 foreign worker 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 offer of employment are considered null and void if they are less favourable to the foreign
worker than the standards stipulated in the relevant Labour Standards Act.
I am compliant with, and agree to continue to abide by federal/provincial/territorial legislation related to the foreign worker's
recruitment applicable in the jurisdiction where the job is located. I declare that all recruitment done or that will be done on my
behalf by a third party, was or will be done in compliance with federal/provincial/territorial laws governing recruitment. I am aware
that I will be held responsible for the actions of any person recruiting foreign workers on my behalf.

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There is no ongoing or pending labour dispute at my business, and I will inform Service Canada staff in the case that one should
develop.
I am actively engaged in an operating and functioning business located in Canada, or that will be undertaking work located in
Canada, and will be providing a good or service related to the job offer made to the foreign national(s) in this application.
I have a reasonable need to fill a vacant or new position and I am offering the foreign worker(s) the position(s), job descriptions and
duties that are related directly to my main business activities.
I can demonstrate that my business is able to fulfil the terms and conditions related to the employment of the foreign worker(s), the
subject of this application, for the duration of employment indicated in this application. The job offered is for full time employment
(a minimum of 30 hours per week), is consistent with the job description provided with this application and meets acceptable
employment standards.
I am aware of and I will comply with the published prevailing wage requirements set by HRSDC on its website. I can provide
documentation that clearly demonstrates that the wage being paid to a foreign worker in the same occupation and in the same
location meets the requirements set by HRSDC.
I am aware of the minimum employment standards set out by the applicable employment standards legislation for the occupation
and location where the position is located, and I will provide the foreign worker(s) with working conditions that meet or exceed
those standards.
I am aware of and I have complied with the published recruitment and advertising requirements set by HRSDC. I can provide the
proof of the recruitment efforts made if requested by Service Canada.

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

Printed Name of Employer

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

Printed Name of Third Party Representative

Date (YYYY-MM-DD)

INFORMATION FOR EMPLOYERS

Please forward this application to the Service Canada Centre responsible for processing foreign worker applications.
For the list of appropriate centres, please consult our website at:
hrsdc.gc.ca/eng/workplaceskills/foreign_workers/listhrcc.shtml
Once the application is assessed, the employer will be notified of the decision.

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APPOINTMENT OF REPRESENTATIVE
To Human Resources and Skills Development Canada (HRSDC)/Service Canada
FOR THE PURPOSE OF A FOREIGN WORKER APPLICATION (Labour Market Opinion).

I,

, residing at

(name of employer)

(full address)
Telephone Number:

Fax Number:

hereby appoint

(name of representative and 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 relating to

(name of individual to whom employment has been offered)

I, hereby, agree to ratify and confirm all that 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 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.

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