INSTRUCTIONS: ARIZONA PREVAILING WAGE REQUEST (Form ESA-1161A)

To submit a prevailing wage request when hiring an alien as an Arizona employer, a form ESA-1161A should be completed. This document can be obtained from the website maintained by the Arizona Department of Economic Security.

Arizona Prevailing Wage Request ESA-1161A Step 1: Indicate with a check mark if this concerns an H-2A or H-2B, if this is an H-1B labor condition application, or whether this form concerns a labor certification.

Arizona Prevailing Wage Request ESA-1161A Step 2: In box 1, enter the employer name.

Arizona Prevailing Wage Request ESA-1161A Step 3: In box 2, enter the employer phone number, including the area code.

Arizona Prevailing Wage Request ESA-1161A Step 4: In box 3, enter the complete employer address.

Arizona Prevailing Wage Request ESA-1161A Step 5: In box 4, enter the name of the alien who is to be employed.

Arizona Prevailing Wage Request ESA-1161A Step 6: In box 5, give the address where the alien will work if different from the employer address.

Arizona Prevailing Wage Request ESA-1161A Step 7: In box 6, enter the nature of the employer's business activity or industry.

Arizona Prevailing Wage Request ESA-1161A Step 8: In box 7, enter the alien's job title.

Arizona Prevailing Wage Request ESA-1161A Step 9: In box 8, enter the business standard occupation classification.

Arizona Prevailing Wage Request ESA-1161A Step 10: In box 9, enter the number of hours that will be worked per week.

Arizona Prevailing Wage Request ESA-1161A Step 11: In box 10, enter the number of hours the employee will be expected to work per day.

Arizona Prevailing Wage Request ESA-1161A Step 12: In box 11, give the rate of pay.

Arizona Prevailing Wage Request ESA-1161A Step 13: In box 12, indicate whether or not a state license will be required with a check mark.

Arizona Prevailing Wage Request ESA-1161A Step 14: In box 13, enter the number of employees who are supervised.

Arizona Prevailing Wage Request ESA-1161A Step 15: In box 14, indicate with a check mark whether or not your workplace is unionized.

Arizona Prevailing Wage Request ESA-1161A Step 16: Complete boxes 15 through 24 as directed.

Arizona Prevailing Wage Request ESA-1161A Step 17: Fax or email the completed form to the number or address given at the bottom of the first page.