Date Received

DD/MM/ YYYY

Received by:

Application Type:

Employed  Self-Employed 

Process:

Ref # Regular  Fast-Track 

Voucher #

Turks and Caicos Islands

WORK PERMIT APPLICATION FORM Ver 4.1 (REGULATION 33(1) AND 39(1) The online system is intended for those wishing to apply for either Employed or Self-Employed Work Permits in the Turks and Caicos Islands. 1. EMPLOYED; [An individual who is contracted to work for an employer/business owner] 2. SELF-EMPLOYED: [An individual who owns his/her own business and is employed in it] 3. TEMPORARY [An individual who is providing emergency/specialist qualified services]

INSTRUCTIONS: Please write in BLOCK letters and tick ( ) where relevant. Complete sections A, C, D, E, F, G, H and I if you are applying for Employed Work Permit Complete sections A, C, D, F, G, H and I and if you are applying for Self Employed Work Permit Complete sections A, B, C, D, F, G, H and I and if you are applying for Temporary Work Permit Ensure that the necessary documents are attached see checklists below.

Incomplete Applications Will Be Returned And Will Delay The Application Process.

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

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CHECKLIST: All Work Applications Require the following:  (1) Two photographs of the person to whom the work permit may be issued (ONE to be certified by a Notary/Justice of the Peace)  Two photographs for each person to be endorsed on the Work permit (ONE to be certified by a Notary/Justice of the Peace).  (2) Certified copy of the passport bio page showing photograph and date and place of birth of the person to whom the work permit may be issued  (3) If on island, proof of legal entry and lawful stay in the Islands of the person to whom the work permit may be issued  (4) Valid Police record (Local) for renewals. (Local and Overseas-if first time work permit)  (5) Certificate of Good Health (please contact the Ministry of Health for further information)  (7) Cover letter outlining the need for the work permit  (8) Completed application form signed by the employer/business owner and applicant if it is an Employed work permit application  (9) Employer’s/Businesses Owners - Business license  (10) Job description  (11) Academic/Professional Qualifications Certificates and Diplomas  (12) If not from an English speaking country evidence of proficiency in both spoken and written English

Additionally for: EMPLOYED – you will also require    

(1) News Paper Advertisements (2) Employment Contract (3) Business and Staffing Plan including organizational structure (4)For renewals of Employed work permits confirmation of up to date NHIP and NIB contribution (if previously employed or resident in the islands)

TEMPORARY – you will also require  (1) Employment Contract  (2) Proof of Health Insurance Coverage

SELF-EMPLOYED – you will also require    

(1) Proof of Ownership of Company (2) Listing of Partners/Shareholders/Certificate of Incumbency (3) Bank statement (4) For renewals of Self-Employed work permits confirmation of up to date NHIP and NIB contribution (if previously employed or resident in the islands)

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

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SECTION A

APPLICATION DETAILS

A1 Type of Application being requested: Employed: 

Self-Employed:  Temporary

A2 Is this a first-time application or renewal: First-time:  Renewal:  A3 If this is a renewal, please provide the following details; Work Permit # ………………………..

Valid Until Date: DD MM YYYY

A4 What is the duration of Work Permit being requested? EMPLOYED AND SELF-EMPLOYED:  3-Mnths

 6-Months

 9-Months

 1-year

 2-years

 3-years

TEMPORARY  10 days

SECTION B

 Tick this box if an extension to a maximum of 42 Days will be needed?

DETAILS OF THE URGENT SPECIALIST SKILLS REQUIRED

B1 For which industry/sector is the Temporary work permit being requested?             

Agriculture, forestry and fishing Manufacturing Electricity, gas, water and waste services Construction Hospitality and food services Transport Information media and telecommunications Financial, banking and insurance services Professional, scientific and technical Aviation and Health and Safety Health care and social assistance Arts and recreation services Other services, please specify __________________________________

B2 Provide details of the specialist skills, qualifications and experience that are relevant to the proposed work or activity which is not available in the Islands. __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________

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B3

Why are the skills, qualifications and experience needed urgently? _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ ____________________

B4

Will there be a need to recruit these skills, qualifications and experience on a long term basis in the future?  Yes  No If you answered yes above, yes please explain why. _________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________

B5

If your answer is yes, what steps are you taking to recruit locally or overseas and provide training for a Turks and Caicos Islander? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________

B6

What will be the impact on your business activity if the specialist skills, qualifications and experience are not recruited immediately?

SECTION C

INFORMATION ABOUT THE PROSPECTIVE WORK PERMIT HOLDER

The ‘Prospective Work Permit Holder’ is the person for whom this work permit is be applied for

C1 Name of person (as printed in the Passport): TITLE:

 Mr.  Mrs. Ms.

Miss.

 Dr. Other (Please specify) __________________

Surname/Last Name Given/First Names

Middle/Other names known by or have ever been known by

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

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C2

Date of Birth:

D

D

M

Y

Y

Y

Y

C3

Sex/Gender:

 Male

 Female

C4 Country of Birth (including province/state):_______________________________________________ C5 Country of Citizenship:___________________ C6Other Country of citizenship: __________________ C7 Race/Ethnicity: ________________ C8 Languages spoken: ________________, ________________ C9 Marital Status (tick one)  Single  Married - Date DD MM YYYY

 Divorced - Date DD MM YYY)  Separated - Date DD MM YYYY

C10 In which country is the prospective work permit holder residing at the time of this application?

If the person is resident in the Islands please provide the following: C11 Residential address In TCI

C12 Telephone Number

C13 Email (if different from above)

C14 National Health Insurance Number

C15 National Insurance Number

C16 If the person is residing outside of the Islands please state residential address in home country:

C17 Telephone Number

C18 Email (if different from above)

IMMIGRATION DETAILS OF THE PROSPECTIVE WORK PERMIT HOLDER

C19 Passport Number C20 Expiry Date DD MM

YYYY

C21 Details of all other valid passports that the Prospective Work Permit Holder has been issued. Please give all information as printed in each passport. PASSPORT 1

Passport 2

Passport 3

DD MM YYYY

DD MM YYYY

DD MM YYYY

Country of Issue Passport Number Expiration Date

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

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C22 Has the Prospective Work Permit Holder ever held legal residence in the Islands?  Yes

 No

NB: If “No” please continue to Section D. If “YES” please specify LAST legal immigration status in Turks and Caicos Islands in the following section.

IMMIGRATION DETAILS SECTION I –WORK PERMIT C23 If the Prospective Work Permit Holder previously held a Work Permit, what type of work permit did he or she have?  Employed  Self-Employed  Temporary

Details of last Work Permit Last Work Permit Number Name of last Employer Job Title/Occupation Expiration Date

DD MM YYYY

C24 Does the Prospective Work Permit Holder have a pending arbitration/reconciliation case at the Employment Services/Labour Department or Labour Tribunal?  Yes  No

IMMIGRATION DETAILS SECTION II – RESIDENCE PERMIT C25 If the Prospective Work permit previously held legal status as a Residence Permit Holder please provide the following information. Last Residence Permit Number Expiration Date

DD MM YYYY

IMMIGRATION DETAILS SECTION III- ENDORSEE

C26 If the Prospective Work permit Holder previously held legal status as an Endorsee, what type of document was he/she endorsed on?  Work Permit  Residence Permit  PRC C27 Name of Permit Holder

C28 What is the relationship of the permit holder

named in C27 to the Prospective Work permit Holder named in B1?

 Spouse C29 Permit Number

C30 Expiration Date

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

 Dependant Child DD MM YYYY

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SECTION D

APPLICANT DETAILS (EMPLOYER/BUSINESS OWNER)

D1 Company Name

D2 Company Address

D3 Telephone Number

D5

D4 Email

Fax number

Please provide details about Company or Firm D6 Business License Number:

D7 Business License Category

D9 Company’s National Insurance Number:

D8 Expiration Date DD MM YYYY

D10 National Health Insurance Number:

D11 If Self-Employed: a) what will be/is the Prospective Work Permit Holder’s employment status in the company or firm (tick as permit appropriate):  Partner  Sole Proprietor  Director  Shareholder (please specify percentage) ____________________________________________________________________________

b) Please provide a brief description of the business, for example, who are the customers, what products/services it offers and how many Turks and Caicos Islanders are likely to be employed. Attach an additional page if more space is required.

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

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SECTION E

DETAILS OF THE POSITION FOR WHICH A LABOUR CLEARANCE IS BEING SOUGHT

E1 What will be the Prospective Work Permit Holder’s occupation/job title if given a work permit: _________________________________________________________________________________ E2 What will be the Prospective Work Permit Holder’s main duties if given a work permit: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ E3 How many hours per week will the Prospective Work Permit Holder be needed? ____________

Provide the following information on Prospective Work Permit Holder’s remuneration package? E4 Basic Salary $ _______________

 weekly  biweekly  monthly

E5 Housing Allowance $ __________ E7Transport Allowance

$ __________

E6 Telephone Allowance

$ __________________

E8 Education Allowance

$ __________________

E9 Other Allowances (specify) $ __________________________________________________ E10 If the Prospective Work permit Holder’s remuneration package includes a bonus program, say how bonus will be calculated: _____________________________________________________________________________ _____________________________________________________________________________ E11 List the names and qualifications of every Turks and Caicos Islander who applied for the position being offered to the Prospective Work permit Holder

Name of TCIslander #1 Contact Information

Tel:

Email:

Tel:

Email:

Qualifications Reason why he/she are unable to be hired Name of TCIslander #2 Contact Information Qualifications Reason why he/she are unable to be hired

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

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Name of TCIslander #3 Tel:

Contact Information

Email:

Qualifications Reason why he/she are unable to be hired

SECTION F

DETAILS FOR SPOUSE OF THE PROSPECTIVE WORK PERMIT HOLDER

If you indicated in Section C9 that the prospective employee is married, please complete this section F1 Name of spouse (as printed in the Passport): TITLE:

 Mr.  Mrs. Ms.

 Dr Other (Please specify) __________________

Surname/Last Name Given/First Names Middle/Other names known by or have ever been known by

F2 Date of Birth:

D

D

M

Y

Y

Y

Y

F3 Sex/Gender:

 Male

 Female

F4 Country of Birth (including province/state):____________________________________________ F5 Country of Citizenship:___________________

F6 Other Country of citizenship: ______________

F7 Occupation ________________________

F8 Present country of residence__________________

IMMIGRATION DETAILS FOR THE SPOUSE OF THE PROSPECTIVE WORK PERMIT HOLDER You are required to complete each section below regarding the spouse’s present and/or previous immigration status, including within in the Turks and Caicos Islands. If do not complete it tour application may be rejected and later decide to apply for an endorsement for a family member and this information was not completed it may jeopardise the application for endorsement

F9 Passport Number

F10 Has the Prospective Work Permit Holder’s spouse ever held legal residence in the Islands?  Yes

 No

NB: If your response to F10 is “YES,” you are required to complete ONE of the relevant sections below regarding the spouse’s previous immigration status in Turks and Caicos Islands.

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

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IMMIGRATION DETAILS SECTION I – WORK PERMIT F11 If the spouse’s previous status was as a Work Permit Holder what type of work permit did he/she have?  Employed

 Self-Employed

 Temporary

Details of last Work Permit Last Work Permit Number Name of last Employer Job Title/Occupation DD MM YYYY

Expiration Date

IMMIGRATION DETAILS SECTION II – RESIDENCE PERMIT If the previous status of the spouse of the Prospective Work Permit Holder was as a Residence Permit Holder please provide the following information: F12 Permit Number

F13 Expiration Date

DD MM YYYY

IMMIGRATION DETAILS SECTION III - ENDORSEE F14 If the last legal status of the spouse of a Prospective Work permit Holder was as an Endorsee, what type of document was he/she endorsed on?  Work Permit

F15 Name of Permit Holder

 Residence Permit

 PRC

F16 What is the relationship of the permit holder in named in F15 to the spouse named in F1?  Former Spouse  Dependant Child

F17 Permit Number F18 Expiration Date

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

DD MM YYYY

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SECTION G

DETAILS FOR DEPENDANT CHILDREN OF THE PERSON TO BE EMPLOYED

You are required to complete each section below regarding the spouse’s present and/or previous immigration status, including within in the Turks and Caicos Islands. If do not complete it tour application may be rejected and later decide to apply for an endorsement for a family member and this information was not completed it may jeopardise the application for endorsement DEPENDANT CHILD G1

Name of child (as printed in the Passport):

Surname/Last Name Given/First Names Middle/Other names known by or have ever been known by

G2 Date of Birth:

G3 Sex/Gender:  Male

D D/ M M/ Y Y Y Y

 Female

G4 Country of Birth:________________________

G5 Country of Citizenship _____________

G6 Passport Number ____________________

G7 Expiration Date DD MM YYYY

G8 Present country of residence______________________

G9 If this child is residing in the Turks and Caicos Islands (i)

What is his/her immigration status? Endorsed on ----  Work Permit

D11 (ii)

 Residence Permit

 Not Endorsed

please give name of school currently attending _________________________________________

G10 What was his/her last date of entry into the Turks and Caicos Islands? DD MM YYYY G11 Are you seeking an endorsement for this child?  Yes  No

 I intend to do so in a future application.

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

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SECTION H

EDUCATION DETAILS FOR THE PROSPECTIVE WORK PERMIT HOLDER

H1 What is the person’s last level/type of formal education?  Primary School

 Secondary/High School

 Vocational/Trade School  College/University

H2 List ALL Trade or Professional Bodies or Associations with which the person to be employed are affiliated: _______________________ _______________________________ SECTION I

CHARACTER DETAILS

I1 For ANY offence, including any driving offence, in any country, has the Prospective Work Permit Holder, or anyone included in this application, ever been:  Charged with an offence?  Convicted of an offence?

 Yes  No  Yes  No

I 2 Name of Person: _____________________________________________________ Please state briefly the reason/circumstance if charged, the nature of the offence charged; if convicted the date of conviction and if sentenced, the date of sentencing.___________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________

I 3 Does anyone included in this application, currently have an outstanding arrest warrant in any country?  Yes  No I 4 With respect to any country, including the Turks and Caicos Islands, has anyone included in this application ever been  repatriated?  refused entry?  removed or deported ?

 Yes  No  Yes  No  Yes  No

I 5 If your response to any of the questions in I3 and I 4 above is “YES,” provide name and details in the box below.

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

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SECTION J

DECLARATIONS

J1 Declaration by Employer/Business Owner (Company/Firm/Individual): I hereby declare that I am authorized to submit this application on behalf of the Prospective Work Permit Holder named in Section B. I have read and I understand the applicable regulatory conditions of the grant of a Work permit, as specified in the Immigration Ordinance. I, the Employer consent, for the purpose of assessing this application, for the Government of the Turks and Caicos Islands to obtain and verify information with any statutory authority, person, organization, or any other source; and further, to the release of all information thereby obtained to the Government of Turks and Caicos Islands and their authorized agents. I hereby declare that the information as set out in this application are, to the best of my knowledge and belief, true and correct; and that all documents submitted in support of this application are true and authentic copies of the original document. I understand that it is an offence to provide false or misleading information under Section 97 of the Immigration Ordinance 2015 and that if found guilty, I am liable on summary conviction to a fine of $20,000 or a term of imprisonment of four years, or to both.

____________________________________________ Signature of Employer or Authorized Representative

Date:

DD MM YYYY

J2 Declaration by an Agency (If applicable): (Applicable if the Employer engage the services of an Agency/Agent) I hereby declare that I am authorized to act on behalf of the Employer named in Section A and that the Employer is authorized to submit this application on behalf of the Prospective Work permit Holder named in Section B. I, the undersigned, am the Agency personnel responsible for this application. I have explained the contents of the application and the applicable regulatory conditions of the grant of a Work permit, as specified in the Immigration Ordinance 2015 to the Authorised Officer of Employer and I confirm they have explained the same to the Prospective Work permit Holder named in Section B. I hereby declare that the information as set out in this application are, to the best of my knowledge and belief , true and correct; and that all documents submitted in support of this application are true and authentic copies of the original document. I understand that it is an offence to provide false or misleading information under Section 97 of the Immigration Ordinance 2015 and that if found guilty, I am liable on summary conviction to a fine of $20,000 or a term of imprisonment of four years, or to both.

____________________________________________ Name and Signature of Authorized Agency Personnel

Date:

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

DD MM YYYY

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J3 Declaration by Prospective Work Permit Holder: (including Business Owner) I, ____________________________________________________________, have provided true and correct answers to the questions in this form to my prospective employer or agent acting on their behalf. I understand that if false or misleading information is submitted, this application may be declined without further notice. I agree to abide to all laws pertaining to work and residence in the Islands and to inform Immigration Officials about any changes to my circumstances (including a change in my employment or partnership status) that occur after making this application. I agree to leave the Turks and Caicos Islands when permission of stay in the Islands has ended. If I remain in the Turks and Caicos Islands, I am to subject deportation by Immigration authorities. I authorise any agency whether in the Turks and Caicos Islands or overseas, including but not limited to border or immigration agencies, education providers, financial institutions, foreign embassies, government authorities, healthcare providers, police or other law enforcement agencies, that holds information (including personal information) related to information on this application form and/or accompanying documentation to disclose that information to enable a decision on this application to be made and to answer enquiries about my immigration status once my application has been decided.

Signature of Prospective Work permit Holder (Please sign within the box above)

Date:

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

DD MM YYYY

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REQUIRED DOCUMENTS AND FEES EMPLOYED PERSON’S APPLICATIONS

SELF-EMPLOYED APPLICATIONS





            

(1) Two photographs of the Prospective Work permit Holder and each person to be endorsed. Only ONE photograph of each individual must be certified (2) Certified copy of the Prospective Work permit Holder’s passport bio data page showing photograph and date and place of birth (3) If on island, proof of legal entry and lawful stay in the Islands (4) Valid Police record (Local) for renewals. (Local and Overseas-if first time) (5) Certificate of Good Health (please contact the Ministry of Health for further information) (6) Confirmation of up to date NHIP and NIB contribution (if previously employed or resident in the islands) (7) Cover letter outlining the need for the work permit from the prospective employer (8) Completed application form signed by the employer and applicant (9) Employer’s Business license (10) News Paper Advertisements (11) Job description (12) Employment Contract (13) Academic/Professional Qualifications Certificates and Diplomas (14) If not from an English speaking country evidence of proficiency in both spoken and written English

FEES     

(1) A non-refundable Administration Fee which will be either $150.00 or 10% of the work permit fee per application, which-ever is greater. (2) Labour Clearance Fees $100.00 per application (3) A non-refundable Fast Track Service Fee of $500 00 for Fast Track Service, if desired (i.e. 7 days processing service) (4) A non-refundable Repatriation Fee for each first time work permit application and/or upon a new work permit application involving a change in employer. (5) Any other fees owed to the Turks and Caicos Islands Government with respect to work permits





(1) Two photographs of the applicant and each person to be endorsed. Only ONE photograph of each individual must be certified (2) Certified copy of the Prospective Work permit Holder’s passport bio data page showing photograph and date and place of birth (3) If on island, proof of legal entry and lawful stay in the Islands

FEES   

(1) A non-refundable Administration Fee which will be either $150.00 or 10% of the work permit fee per application, which-ever is greater. (2) A non-refundable Fast Track Service Fee of $500 00 for Fast Track Service, if desired (i.e. 7 days processing service) (3) Any other fees owed to the Turks and Caicos Islands Government with respect to work permits

ENDORSEMENT OF SPOUSE / CHILDREN         

 

(1) Two Photographs each (2) Marriage certificate (3) Copy of spouse / children valid passport (Bio page) (4) Medical (certificate of good health) (5) Police record (valid for six months) (6) In the case of a child police record is need for ten (10) years and older (7) A school letter is need for children (private school) (8) Birth certificate of spouse and child/children (9) The applicant/employer has to demonstrate that the employee’s income is sufficient to support him/herself and family in the islands and provide for the registration of the children in a private school. (10) Applications are submitted in the same manner as work permits. (11) The fee structure is a $150.00 non-refundable administrative fee, as well as a non-refundable fee of $500 with respect to each endorsee. Both are to be paid upon application.

THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED

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