HR LCA Compliance Memo

HR LCA COMPLIANCE MEMO

To:    From:

Date:    Subject:

Summary

This memorandum documents the employer's determinations and actions to comply with the Labor Condition Application (LCA) requirements for the candidate identified below. It sets forth the wage determination, worksites, recruitment and notice procedures, and attestations required under applicable labor regulations. The signatories certify the accuracy of the statements and supporting documentation contained herein.

Personal Information

Position Details

Job Title:    Department:

Manager / Supervisor:    Proposed Start Date:

Work Location(s)

Primary Worksite Address:

Wage and Prevailing Wage Determination

Offered Wage (per year):    Prevailing Wage Source:

Wage Level (if applicable):    Effective Wage Period From: To:

Recruitment, Posting and Notice

LCA Posting Location(s):

Supporting Documentation Checklist

Prevailing wage determination or documentation
Posting/notice evidence (screenshots, posted notice, receipts)
Recruitment advertisement copy and closing dates
Internal candidate review documentation
Copies of offers or employment agreements (if applicable)

Attestations and Certifications

By signing below, the employer certifies the following under penalty of perjury and consistent with labor regulations:

1. That the wage rate offered to the employee is not less than the required prevailing wage for the occupational classification in the area of employment and that the employer has documentation to support this determination.
2. That the employer has provided notice of the LCA filing at the appropriate place(s) and for the statutorily required period and retains evidence of such notice.
3. That the employment of the H‑1B (or other nonimmigrant) worker will not adversely affect the working conditions of similarly employed workers and that there is no intended displacement of U.S. workers.
4. That the employer will maintain public access file documentation and other records required under applicable labor regulations for the prescribed retention period and will produce such records upon authorized request.
5. That the employer has not engaged in conduct that would render it a willful violator and has disclosed H‑1B dependent status where applicable.

Recordkeeping and Public Access File

Location of public access file:

Retention period for records:

HR Review & Recommendation

Employment History (Most Recent)

Employment History (Prior)

Education

References

Legal Disclosures

At-Will Employment Statement: The employment relationship is at-will and may be terminated by either the employer or the employee at any time, with or without cause and with or without notice, unless otherwise set forth in a separate written agreement signed by an authorized representative of the employer.

Equal Employment Opportunity: The employer does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected by law. All employment decisions are based on business needs, job requirements and individual qualifications.

Applicant Certification and Authorization

I certify that all information provided in this memo and in supporting documentation is true, complete, and accurate to the best of my knowledge. I authorize the employer and its agents to contact prior employers, educational institutions, and references listed above and to conduct background and verification checks as required for compliance with employment and immigration requirements.

I authorize the employer to contact my previous employers and references for employment verification and background screening.

Sign Now