Case #: — | Employer: — | Job Title: — | Location: —, — | Wage: — | Received: — | Determination: — | Prev Wage Determ: — | Expiration: —
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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
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
—

