O 
 MB
	Approval: 1205-0466
MB
	Approval: 1205-0466
Expiration Date: XX/XX/XXXX
H-2A Agricultural Clearance Order
Form ETA-790A Addendum A
U.S. Department of Labor
A.9. Additional Crop or Agricultural Activities and Wage Offer Information
| Crop ID | Crop or Agricultural Activity | Wage Offer | Per | Piece Rate Units/Special Pay Information | 
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			 | $ ______ . _____ | 
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			 | $ ______ . _____ | 
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			 | $ ______ . _____ | 
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			 | $ ______ . _____ | 
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	Form ETA-790A Addendum A	  
	                                                                    
	                                  FOR DEPARTMENT OF LABOR USE ONLY
	                                                                    
	                       		                         Page A.
	
	
H-2A Case Number: ____________________ Case Status: __________________ Determination Date: _____________ Validity Period: _____________ to _____________
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Modified | 0000-00-00 | 
| File Created | 0000-00-00 |