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325 SW 7th Ave, USA

+1 352-362-3118

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Employer Intake Form

Ready to solve your labor shortages? Fill out the details below, and our H-2A case managers will assess your eligibility immediately.

1. Contact Information

First Name *

Last Name *

Email Address *

Phone Number *

2. Farm Details

Company / Farm Name *

City / Location *

State *

3. Labor Requirements

Primary Crop / Commodity *

Estimated Number of Workers Needed

When do you need workers to start? (Approximate)

Additional Comments or Specific Needs