U.S. Department of State - United States Department of State



DOMESTIC WORKER PRE-NOTIFICATIONMISSION ACKNOWLEDGEMENT STATEMENTThe Embassy of Click here to enter country. acknowledges and endorses the employment of Click here to enter name of proposed domestic worker. by Click here to enter name of employer., a Click here to enter job title / rank of employer. assigned to the Choose a Mission. in Click here to city and state..The Embassy has reviewed the terms of the signed employer/employee contract and confirms that it will seek to ensure that the mission member fully abides by the Department of State’s Domestic Worker Program requirements, to include the annual In-Person Registration Program and by all U.S. federal, state, and local law as it relates to the employment and equitable treatment of domestic workers.__________________________________________Signature of the Choose approving officials rank/title. ................
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