Employment and Emploi et Please Print

Social Development Canada Développement social Canada PROTECTED WHEN COMPLETED - B

LABOUR MARKET IMPACT ASSESSMENT APPLICATION

HIGHER-SKILLED OCCUPATIONS
Employers should visit the Temporary Foreign Worker Program website at www.esdc.gc.ca/eng/jobs/foreign_workers/index.shtml,
to verify that the Program is accepting applications for the specific occupation or sector for which they wish to hire the temporary
foreign worker (TFW) and to determine if they are eligible to participate in the Program.

Personal Information Collection Statement

The information you provide on this form is collected by Employment and Social Development Canada (ESDC) under the authority of the Immigration and
Refugee Protection Act (IRPA) and Immigration and Refugee Protection Regulations (IRPR), for the purpose of providing a Labour Market Impact Assessment
(LMIA) in accordance with these statutes. Completion is voluntary; however, failure to complete this form will result in your LMIA application not being
processed.

The information you provide may be shared with Citizenship and Immigration Canada (CIC) for the administration and enforcement of the IRPA and IRPR as
permitted by the Department of Employment and Social Development Act (DESD Act), and may be accessed by the Canada Border Services Agency (CBSA)
for the purpose of issuing work permits at Ports of Entry. ESDC may also provide information to CBSA in order for that agency to investigate and enforce the
IRPA and IRPR in relation to an LMIA.

The information may also be shared with provincial/territorial governments for the purpose of administration and enforcement of provincial/territorial legislation,
including employment standards and occupational health and safety legislation, as permitted by the DESD Act. The information may also be used by ESDC for
inspections, policy analysis, research and evaluation in relation to the entry and hiring of TFWs to Canada or the IRPA.

The information you provide is administered under Part 4 of the DESD Act and the Privacy Act. You have the right to access and request correction of your
personal information, which is described in Personal Information Bank PPU 440 and PPU 171 of Info Source. Instructions for making formal requests are
outlined in the Info Source publication available online at infosource.gc.ca.

A person, who contravenes a provision set out under sections 126 or 127 of the Immigration and Refugee Protection Act
(misrepresentation), could be liable to a fine or to imprisonment, or to both. Also, providing inaccurate information, in the context
of this application, may lead to an administrative penalty such as being ineligible to access the Program for a period of two years.
BUSINESS INFORMATION
2. Canada Revenue Agency Business Number
1. Employer ID number (if applicable): 3. Business Legal Name:
(First 9 digits are mandatory for Canadian Businesse):
243415** 833 995 233 YYC HOMECARE SERVICES
4. Business Operating Name: 5. Business Mailing Address: 6. City: 7. Province/State:
SERVICEHAND CARE SERVICE 1925 18 AVE NE #115, CALGARY,AB CALGARY AB T2E
11. Business Address (if different than mailing
8. Country: 9. Postal/Zip Code: 10. Business Telephone Number:
address):
CANADA T1W +1 (825)760-0983
12. City: 13. Province/State: 14. Country: 15. Postal/Zip Code:
CALGARY ALBERTA CANADA T1W
16. Type of business (select all that apply):
✔ incorporated/limited partnership sole proprietor other, specify

17. Is the business a franchise? 18. If the business is a franchise, is the corporate head office aware of this
✔ No application for temporary foreign workers (TFW)?

Yes If yes, provide the name of the corporation: Yes No Not applicable

20. Date Business Started

19. Website Address:
(YYYY-MM-DD)
WWW.YYCHOMECARESERVICES.CA 2014-06-12
21. Describe the main business activity:

IN-HOME NURSING CARE

22. Primary Contact Name: 23. Job Title:
First Middle Last

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24. Contact Phone Number: Ext. 25. Fax Number: 26. E-mail:
+1 (825) 760 - 0983 [email protected]
27. Preferred Official Language of Correspondence:
✔ English French
THIRD-PARTY, RECRUITER OR EMPLOYMENT AGENCY INFORMATION
1. Are you using the services of a third-party, recruiter or employment agency for the 2. Name of third-party, recruiter or employment agency:
purpose of hiring a TFW?
✔ No Yes If yes, complete the boxes on the right
3. Registration, license or certificate number:
Note:
In some provinces/territories it is mandatory to be registered in order to recruit
TFWs on behalf of an employer. For more information visit:
www.esdc.gc.ca/eng/jobs/foreign_workers/higher_skilled/index.shtml
4. Are you appointing a third-party to represent you in completing this application form 5. Name of third-party representative:
or to provide advice in an immigration process?
✔ No
Yes If yes, complete Schedule A - Third-party representative

6. A number of provinces/territories prohibit the charging of recruitment fees to TFWs for the purpose of securing a job offer. Have you the employer or any
other third-party in connection to this job offer received payment from the TFWs to secure this offer of employment?
Yes ✔ No

BUSINESS DETAILS
1. Number of employees currently employed nationally under this Canada Revenue Agency Business number (e.g. 5 franchises are covered
by the business number and there are a total of 100 employees):

2. Total number of employees currently employed at the work location specified on this form:

3. Total number of Canadian/permanent resident employees at the work location specified on this form:

4. Total number of TFWs (as the result of receiving a positive LMIA, formerly known as a labour market opinion or LMO) at the work location
specified on this form:
5. Did you employ a TFW (as the result of receiving a positive LMIA) in the last two years, prior to December 31, 2024?
No

✔ Yes
If YES – did you provide all TFWs employed by you in the last two years with wages, working conditions and employment in an occupation that were
substantially the same as those that were described in the offer(s) of employment (and confirmed in the LMIA letter(s) and an nexe(s))?

✔ Yes No

6. Have you applied for and received a positive LMIA on or after December 31, 2024, and employed a TFW in that position?
✔ No

Yes
If YES – did you provide all TFWs employed by you, on LMIAs received on or after December 31, 2024, with employment in the same occupation as
described in the offer(s) of employment (and confirmed in the LMIA letter(s) and annexe(s)) and with substantially the same wages and working conditions
- but not less favourable than- those set out in that offer(s) of employment (and confirmed in the LMIA letter(s) and annexe(s))?
Yes No

Note:
Employers should be aware that with recent changes to the Immigration and Refugee Protection Regulations, the look back period has changed from 2 to
6 years. However, this change is not retroactive and, therefore will not be fully implemented until January 2025.
7. Have you had an LMIA (formerly known as a labour market opinion or LMO) revoked within the previous 2 years from the date you submitted this application?
✔ No Yes

If yes, was the LMIA revoked because you had provided false, misleading or inaccurate information in the context of a request for an opinion.

✔ No Yes If yes, please provide the following details regarding this revocation:

Date (YYYY-MM-DD): System File Number:

If the public policy considerations that justified the revocation are no longer relevant, please provide a detailed explanation:

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8. Were any employees laid off in the past 12 months?

✔ No

Yes If yes, how many Canadians/permanent residents? How many TFWs?

Reason(s) for layoff(s) and occupations affected:

9. Does your business receive support through any Government of Canada program (e.g. Work-Sharing Program)?
✔ No

Yes If yes, name the program(s):

JOB OFFER INFORMATION

If you are requesting an LMIA to fill multiple jobs for the identical position/occupation, provide the job offer information only once.
However, if there are multiple jobs for different positions/occupations, use a separate application form for each unique position/occupation.
1. Job Title: 2. Number of TFWs requested for this job offer (same wage, job description,
location, etc.):
HEALTHCAREAIDE 5
3. Expected employment duration: 4. Expected employment start date (YYYY– MM –DD):
1460 Days 208 weeks 48 months 2 years 2025-10-30
5. Provide exact location where the TFW will be working (number and street address):
1925 18 AVE NE #115,

6. City: CALGARY 7. Province: ALBERTA 8. Postal Code: T1W

9. Describe the main duties of the job:

1. PERSONAL CARE. 2. PATIENT SUPPORT

3. VITAL SIGN MONITORING.4. COMMUNICATION. 5. RECORD KEEPING.

10. Education requirements of the job:

Doctorate/PhD Doctor of Medicine Master’s degree

Bachelor’s degree ✔ College level diploma/certificate ✔ Apprenticeship diploma/certificate

✔ Trade diploma/certificate ✔ Secondary school ✔ Vocational school diploma/certificate

No formal education requirement

Additional Information:

11. Experience/skills requirements of the job: (including occupational designations such as CA, BLS, CGA, R.N., CPR.)

(EMPLOYEE)- CV, CERTIFICATES ATTACHED.

12. Indicate the language requirement stated in the offer of employment:

The offer of employment does not require the ability to communicate in any specific language.

✔ The offer of employment requires the ability to communicate orally in:

✔ English French English or French English and French

The offer of employment requires the ability to communicate in writing in:

✔ English French English or French English and French

✔ The offer of employment requires the ability to communicate in a language other than English or French.
If this option is selected, identify the specific language needed and clearly describe why this is a bona fide employment
requirement for performing the duties associated with the employment. If insufficient space, attach a separate signed and dated sheet.

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13. Wage in Canadian dollars and number of work hours:
Number of hours Total number of Total number of
$ per hour $ per year per day hours per week hours per month
47.60 89,664

Overtime rate of $ starts after 40 hours of work per week.

14. Is this employment seasonal?

Yes ✔ No

15. Benefits:
Vacation (if applicable):
Disability insurance Dental insurance Pension
Days: 30 (Number of business days per year) OR
Extended medical insurance (e.g. prescription drugs, paramedical services,
medical services and equipment) (% of gross salary)
Remuneration:

16. Other benefits (specify):

ACCOMODATION AND FOOD
17. Are there any federal/provincial/territorial certification, licensing or registration requirements for this job?
✔ No Yes If yes, what is the name of the certifying/licensing/registering body?

Will the TFW have all required certification, licensing, or registration prior to entering and starting work in Canada?

No If no, indicate the anticipated period of time to acquire all of the required qualifications after starting work

Days: weeks months

✔
Yes If yes, the TFW must have proof that he/she already has all the required qualifications.
Note:
Securing the necessary documents to practice in Canada is the employer's and the worker's responsibility. CIC must be satisfi ed that the skilled workers
are capable of performing the employment being offered to them. CIC will check to ensure the skilled workers hold the required certification, or license to
practice in a regulated occupation in Canada. If the applicant is not certified or licensed, CIC will assess whether the applicant is likely to qualify for
licensing/certification when in Canada.
18. Is the position part of a union?
✔ No Yes If yes, what is the name of the union and the local?

Has the union been consulted about the hiring of a TFW?

No If no, explain.

✔ Yes If yes, what is the position of the union? Provide details and attach documentation, if available.

19. Have you attempted to recruit Canadians/permanent residents for this job?

No If no, explain.

✔ Yes If yes, you must provide proof of recruitment (e.g. copy of advertisements and information to support where, when and for how long the position
was advertised).

In addition, if you advertised on the Job Bank (or the provincial/territorial equivalent), provide the order number:

20. What are the potential benefits to the Canadian labour market for offering this job to a TFW(s)?
✔ Filling a labour shortage ✔ Development or transfer of skills and knowledge for the benefit of Canadians/permanent residents

✔ Other ✔ Direct job creation or job retention of Canadians/permanent residents

Provide Details:

21. Provide a rationale for the job offer you are making to the TFW(s) and describe how this will meet your employment needs:

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TEMPORARY FOREIGN WORKER INFORMATION
If you are hiring more than one TFW, use separate sheets to identify each worker coming to work for you in Canada.
If the TFW information is not available, leave this section blank.

Note:
After the positive LMIA letter and annexes have been issued, six months will be allocated to the:
• employer to provide ESDC/Service Canada with the names of the TFWs; and
• TFWs to submit an application for a work permit to Citizenship and Immigration Canada.

1. Surname (family name) as shown on the passport: 2. Given name(s) as shown on the passport:
ODUH JOSEPH ONYEMAECHI
3. Gender: 4. Date of Birth (YYYY–MM–DD):
✔ Male Female 1975-11-28
5. Location of residence outside Canada: 6. Citizenship(s):

City: LAGOS Country: NIGERIA NIGERIAN

7. If the TFW is currently in Canada, indicate his/her location (city and province) and immigration status:

City: Province:

Status:
Visitor Student Temporary foreign worker Refugee claimant

DECLARATION OF EMPLOYER
I am an unincorporated employer, sole proprietor or partnership. Yes ✔ No

If you answered "YES" to the above:

I understand that some provinces and territories operate, pursuant to agreements with the federal ✔ Yes
Department of Citizenship and Immigration, Provincial Nominee Programs. I hereby consent to ESDC
providing the personal information contained in this request for a Labour Market Impact Assessment to the
provincial/territorial government(s) of the province(s) or territory(ies) where I carry on business No
to be used by the province(s) or territory(ies) for the administration of their Provincial Nominee
Programs.

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SIGNATURE OF EMPLOYER
The individual signing this form must have authority for either the hiring or financial decisions of the organization (e.g. owner, franchisee, general
manager, or senior executive – such as VP Human Resources).

I have read and I understand the Personal Information Collection Statement found at the beginning of this application. I
declare that the information provided in this Labour Market Impact Assessment is true, accurate and complete.

Signature of Employer Printed Name of Employer

Title of Employer Date (YYYY-MM-DD)

A person, who contravenes a provision set out under sections 126 or 127 of the Immigration and Refugee Protection Act (misrepresentation), could
be liable to a fine or to imprisonment, or to both. Also, providing inaccurate information, in the context of this application, may lead to an
administrative penalty such as being ineligible to access the Program for a period of two years.

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DOCUMENTATION REQUIRED
The boxes with check marks indicate the required documents that should be included with the application.

If a required document is not attached, please explain:

Documentation Required

Proof of recruitment (e.g. copy of advertisement and information to support where,

when and for how long the position was advertised) ✔

Business registration or legal incorporation documents (if first LMIA application) ✔

Provincial/municipal business license (where applicable and if first LMIA application) ✔

Canada Revenue Agency:

• T2 Schedule 100 Balance Sheet Information (for corporations only – 2 most recent returns filed)
• T2 Schedule 125 Income Statement Information (for corporations only – 2 most recent returns filed) ✔
Only required if this is the employer’s first LMIA application. Does not apply to film and entertainment

Commercial lease agreement (where applicable and if first LMIA) ✔

Film and Entertainment – copy of employment contract (except film and TV) ✔

Provincial documentation requirements (for the provinces noted below):

ALBERTA - Employment Agency Business Licence (Alberta's Fair Trading Act) if applicable
BRITISH COLUMBIA - Employment Agency License (British Columbia's Employment Standards Act) if applicable
MANITOBA - Certificate of Registration (Manitoba's Worker Recruitment and Protection Act)
NOVA SCOTIA - Employer Registration Certificate (Labour Standards Code)
SASKATCHEWAN – Employer Registration Certificate (The Foreign Worker Recruitment and Immigration Services Act) ✔

Note:
In some cases the province may not provide a physical document but rather post the names of registered/certified employers on a
website.

Send Application and all Supporting Documentation:

Employers must sign, and send the completed application and all required documentation to the Service Canada Centre responsible for processing
applications in their area.

A list of LMIA Processing centres is available on the ESDC website: www.esdc.gc.ca/eng/jobs/foreign_workers/scc.shtml

Note:
A complete application means that employers have:
• filled out all of the fields in all of the necessary forms;

• included all of the required documentation;

• signed the forms where required; and

• submitted the fee payment with the application.

If an application is submitted and it is not complete, Service Canada staff will inform the employer that the application will not be processed. Incomplete
applications and supporting documents submitted with the application will not be retained or returned to the employer. As a result, employers are advised to
submit copies, not original documents.

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