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[ Back | Edit ] – ETA FORM 9141 - PREVAILING WAGE DETERMINATION
Case #: | Employer: | Job Title: | Location: , | Wage: | Received: | Determination: | Prev Wage Determ: | Expiration:

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📰 Job Ad Builder (CFR 656.17 Line Ad Format)

Req. exp in job or 0 mos exp as NA, or rel. occup. Send resume ref#TBD to sdfdfs,
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A. CASE INFORMATION
Case Number
Case Status
Visa Type
Visa Class
Date Received
Date of Determination
PWD Expiration Date
Date Redetermination
Date Withdrawal
Date Center Review
B. EMPLOYER INFORMATION
Legal Business Name
Trade Name/DBA
FEIN
NAICS
Address 1
Address 2
sddfsdfsdf
City
State
Zip
Country
Province
Phone
Ext
C. EMPLOYER POINT OF CONTACT
First Name
Middle
Last Name
sdfdfs
Job Title
sdsdfdf
Phone
Ext
Email
Address 1
sdfsfdfs
Address 2
City
State
Zip
Country
Province
D. ATTORNEY OR AGENT INFORMATION
First Name
Middle
Last Name
Law Firm/Business Name
Law Firm FEIN
Type of Rep
Address 1
Address 2
City
State
Zip
Country
Province
Phone
Ext
Email
E. JOB OPPORTUNITY & PRIMARY WORKSITE
Job Title
Supervisor Job Title
Supervise Others
Travel Req
Primary Worksite Address 1
Primary Worksite Address 2
City
State
County
Zip
Other Worksite Location
Travel Details
Job Duties
F. SOC CODE & OCCUPATION CLASSIFICATION
PWD SOC Code
PWD SOC Title
O*NET Code
O*NET Title
Employer SOC Codes
Employer SOC Titles
Suggested SOC Code
Suggested SOC Title
O*NET Code Combo
O*NET Title Combo
G. EDUCATION & EXPERIENCE REQUIREMENTS
Required Education Level
Required Other Degree
Required Education Major
Second Education Major
Second Education
Required Training
Training Name
Training Mos
Required Experience
Exp Months
Required Occupation
Special Skills Requirements
License/Cert
Foreign Language
Research Fellow
Other Special Requirements
H. ALTERNATIVE REQUIREMENTS
Alternative Requirements
Alt Education Level
Alt Other Degree
Alt Educ Major
Alt Training
Alt Training Name
Training Mos
Alt Experience
Exp Months
Alt Special Skills
Alt License/Cert
Alt Foreign Language
Alt Research Fellowship
Alt Other Req
I. PREVAILING WAGE DETERMINATION
PWD Wage Rate
Unit of Pay
OES Wage Level
Wage Source
Wage Source Requested
PWD Survey Name
Survey Name
Survey Publication Date
BLS Area
Wage Determination Notes
J. ALTERNATIVE PREVAILING WAGE DETERMINATION
Alt PWD Wage Rate
Alt Unit of Pay
Alt OES Wage Level
Alt Wage Source
Alt Survey Name
K. ACWIA & ADDITIONAL INFORMATION
Covered by ACWIA
ACWIA Inst Higher Education
ACWIA Affiliated Nonprofit
ACWIA Research Org
Stat ACWIA Changed
CBA
H-2B Highest PWD
Professional Sports League
L. ADDENDUMS
Addendum SOC
Addendum Job Duties
Addendum Education
M. DESCRIPTION / NOTES
Description
N. SYSTEM INFORMATION
PWD ID
690736a72e8d2337b
Created At
11/02/2025 10:47 AM
Modified At
11/02/2025 10:47 AM
Deleted
No
Created By
644f0c0ed18cf1430
Modified By
Assigned User ID
Date Updated
Created At (Alt)
Prev Wage Determ Date