Labour Market Impact Assessment (LMIA) Employer Questionnaire

Company Name: *

Business Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Business Phone Number: *

Email for this LMIA: *

Main Interview Contact and Job Title: *

Telephone number where you can be reached directly for an LMIA interview: *

Business Operating Name: *

Business Legal Name: *

Job Bank Account: *

Business Number and RP Extension: *

Primary Business Activity: *

Buisiness Website: *

List how many people are currently under your CRA number: *

Were any employees laid off in the last 12 months? If yes, what were the reasons? *

Is the application in support of permanent residency or a work permit or both?

If you do not know, leave it blank - we can help!

Address of the primary location where the foreign worker will work, if different from the above business address:

Please list any other addresses where the foreign workers will work:

Does the business receive support through employment and social development Canada or by Service Canada’s Work-Sharing Program? *

How did you find the temporary foreign worker and how did you determine they are qualified for the position? *

Who is currently performing the duties of the position? *

Why is the position necessary to your business and what will you do if you are unable to fill the position? *

Are your gross sales more than 5 million per year? *

Are you in a labour dispute at this time? *

Do you have plans for expansion as a result of hiring more staff? *

If yes, please provide details.

Have you employed any other foreign workers having the same skills and same years of experience working in the same position? *

If yes, please provide their pay range.

If this is a named LMIA, please list each temporary foreign worker (as it is in their passport), birthdate (yyyy/mm/dd) and country of residence.

Business Legitimacy

We will require business legitimacy documents for your process. Please upload them to us here. Check the boxes of the ones provided.

Required Documents for Upload *

Certificate of Incorporation.
An Accountants Attestation as per the below example as this is the best way to satisfy the officer of the businesses legitimacy.
In addition, provide one other document from each of the following sections.

File Upload

Click or drag files to this area to upload. You can upload up to 2 files.

Section 1: Ability to fulfill terms of the job offer To demonstrate that you can meet the conditions of the job offer, you must submit at least one of the following documents:

-T2 Schedule 100 Balance sheet information and T2 Schedule 125 Income statement information.
-T2042 Statement of farming activities (redact social insurance number).
-T2125 Statement of business or professional activities (redact social insurance number).
-T3010 Registered charity information return..
-T4 or payroll records for a minimum of 6 weeks immediately prior to the submission of this LMIA application, pay p-periods if the temporary foreign worker already works for you (redact social insurance number).
-an attestation confirming that your business is in good financial standing and will be able to meet all financial obligations to any temporary foreign worker you hire for the entire duration of their employment (see below for example).

File Upload

Click or drag files to this area to upload. You can upload up to 6 files.

Section 2 - Proof of providing a good or service You must submit at least one of these documents to demonstrate that you have a legal business that provides a good or service in Canada:

-municipal/provincial/territorial business license(valid, i.e. not expired).
-T4 Summary of remuneration paid.
-PD7A Statement of account for current source deductions.
-an attestation confirming that you are engaged in a legal business that provides a good or service in Canada where an employee could work and a description of the main business activity. Permanent residency stream only, confirmation that the business has been operating for at least one year must also be included in the attestation.

File Upload

Click or drag files to this area to upload. You can upload up to 4 files.

Business Legitimacy

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