H-1B ATT
E
STATION
Employee's Name:
Sponsoring Dep
artment:
I understand that a Labor Condition Application must be filed with the U.S. Department of Labor prior to filing
an H-1B petition. I certify that the department will comply with the following requirements of the Labor
Condition Application during the validity period of the H-1B petition:
The H-1B employee will be paid the higher of either: (a) the wage/salary paid to other UMMC
employees in the same occupation who have similar experience, qualifications, and duties or (b) the
prevailing wage for the occupation as determined by the Department of Labor's National Prevailing
Wage Center.
The employment of this H-1B nonimmigrant will not adversely affect the working conditions of
employees similarly employed in the area of intended employment.
The H-1B employee will be offered the same benefits afforded other UMMC workers in the same
classification.
There is no strike, lockout, or work stoppage in the
course of a labor dispute in this occupational
classification
I further certify that:
Adequate funds have been allocated within the department to pay the H-1B nonimmigrant's wage/
salary for the specific employment period requested in the H-1B petition.
A Determination of Necessity for H-1B Amended Petition form will be completed and submitted to the
Office of International Services a minimum of 30 days prior to any of the following changes in the
terms and conditions of employment:
Promotion or change in job title
Change in duties/responsibilities
Increase in salary
Reduction in salary
Transfer to another position or department
Termination of employment
The reasonable cost of the H-1B nonimmigrant's return trip home will be paid by
the department should he/she be terminated before the expiration of the petition's validity period.
_____________________________
Signature of Faculty Sponsor
______________________________
Signature of Department Chair
Date
Date
Notice of this employment will be posted in two conspicuous locations at the place of employment
as instructed by the Office of International Services.
______________________________
Signature of Department Business
Administrator
Date