Job Order by Fax Use this form to request a recruitment to fill your job openings through the Alaska Job Center Network and have them listed on Alaska's Job Bank, America's Job Bank and in each Alaska Job Center in the State. Print this form, fill it out, and fax it to 1-888-398-9243. If you prefer, you can fax it to your nearest Job Center. Note: Employers must have current Workers' Compensation insurance before the recruitment will be posted.

Business/company name: _____________________________________________________
Employer account number: _____________________________________________________ If you don't know this number, contact an ES TAX office.
Contact person: _______________________	Telephone: ___________________________
Fax: ________________________________	Email: _______________________________
Mailing address: _______________________	City, state, zip: ________________________
Work location: ________________________	Job title: _____________________________
Rate of pay: __________________________	Pay-related comments: _________________
Work start date:  ______________________	Projected work end date: _______________
Hours per week: _____ Number of openings: ______ Number of referrals requested: ______
Description of job duties:    ____________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
Experience/education/licensing/certifications required: ________________________________
Specific skills required: ________________________________________________________
Other job related requirements: ___________________________________________________
Interview and referral information - Do you wish to conduct interviews or orientations at our office(s)?  Y   N  (circle one). If yes, our representative will contact you to make arrangements.
Application to use: your company application  _____ generic employment application  _____
Referral instructions - how do you want applicants to contact you? _____________________ ___________________________________________________________________________
Other instructions for us: ______________________________________________________
Please fax this completed form to the Central Job Order office @ 1-888-398-9243 or to the Job Center nearest this job's worksite. For assistance with a job order call 1-888-830-4473.

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