EBBI LMIA Employer Intake — Employer Information (Blank)

How to fill this out: Write dates as Day / Month / Year (e.g. 04 / 07 / 2026). Where a question does not apply, write N/A. Print clearly in block letters. Return by mail, in person, or scan and email to admin@explorebeyondborders.ca. Expected response: 2–3 business days.

1. Employer contact & authorization

2. LMIA pathway

Select all that apply

We need to apply for an LMIA for this foreign worker hireNot sure — EBBI should advise whether LMIA is requiredWe believe this hire is LMIA-exempt (worker should use work permit assessment instead)

Company legal name *

Operating / trade name (if different)

Primary contact name *

Title / role *

Email *

Phone *

Authorized signatory (if different from contact)

Business address — street *

City *

Province *

Postal code *

Website

3. Business legitimacy & capacity

Expected IRCC employer form: IMM 0267 or IMM 0268

Employer on IRCC non-compliant list (to our knowledge)Primarily sex industry / relatedNone of the above apply

CRA business number (BN) *

Employer structure *

CorporationPartnershipSole proprietorshipNon-profit / registered charityIndividual employer (household / caregiver)

NAICS code (if known)

Approx. employees in Canada

Approx. gross revenue (last fiscal year)

Under $30,000$30,000 – $100,000$100,000 – $500,000$500,000 – $1 million$1 – $5 millionOver $5 million

Has this employer obtained LMIA(s) before? (Yes / No — first time)

Can the employer pay the offered wage and benefits for the full term? * (Yes / No / uncertain)

4. LICO income reference (Toronto / Ontario / Canada)

5. Job offer details

Job title *

NOC 2021 code *

Number of positions *

Full-time or part-time * (Full-time / Part-time)

Hours per week *

Wage ($/hour) *

Or annual salary ($/year)

Benefits (health, pension, vacation, etc.)

Work location — street *

City *

Province *

Postal code *

Anticipated start date (D/M/Y)

Term *

Permanent / indeterminateTemporary — fixed end date

Main duties (IRCC-style job description) *

Minimum education & experience required *

6. Recruitment & LMIA stream

Select all that apply

Job BankOther job boardsInternal candidatesReferrals / networks

LMIA stream (best estimate) *

High-wageLow-wagePermanent residence supportingAgriculturalOther / not sure

Housing plan for low-wage workers (if applicable)

Recruitment efforts summary *

Recruitment start date (D/M/Y)

Recruitment end date (D/M/Y)

Canadians/PRs who applied

Interviewed

Why no suitable Canadian/PR was hired *

Unionized workplace? YesNo

Union name (if yes)

7. Foreign worker (if identified)

Worker already identified?

YesNo — recruiting internationally

Worker full name

Country of residence

Worker email (with consent)

Worker currently in Canada? YesNo

8. Documents you can provide now

Documents ready — check all that apply

Business registration / incorporationCRA documents (BN letter, T4 summary)Signed job offer on letterheadSigned IMM 0267 / 0268Recruitment ads & applicant logPayroll / financial statements

Additional notes for EBBI

Client Declaration

I declare that the information provided is true, complete, and accurate to the best of my knowledge. This form is for assessment only, does not constitute legal advice, and does not guarantee any immigration outcome. I have read the Privacy Policy and Legal Notice at explorebeyondborders.ca. I authorize EBBI to share this information with supervising counsel, Atty. George M. Garvida.

☐ I have read and agree to the above declaration

Full name (print)

Signature

Date (D/M/Y)

For EBBI Staff Use Only

Received by

Date received (D/M/Y)

Reference code assigned

Pathway flagged

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