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Please check the relevant box.

Declaration of employment
for submission

in the procedure for issuing a residence permit for the purpose of employment

in the procedure for approving the taking up of employment by persons with a temporary

suspension of deportation or a residence permit (please only fill in numbers 1 to 3, 5 and 6

and 9 to 12)

in the procedure for approval of a residence permit that does not allow
employment

in the procedure for granting preliminary approval from the Federal Employment Agency

first grant renewal change of employer

1. Employee

Surname: First name/s: _

Female male various

Date of birth: Nationality:

Current residence or usual place of residence:

2. Employer

Company:

Contact person:

Telephone number:

Street:

Postal code and location:

Fax:
E-mail:

Company no. of the employing company (please always enter):

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 If it is an intra-company transfer (ICT), personnel exchange and/or temporary employment as part of
a foreign employment relationship, please also fill out the supplementary sheet [B].

3. Beginning and duration of employment

3.1 The employment relationship in Germany

starts on exists since

3.2 The employment relationship is

unlimited limited to

4. Use as a temporary worker Employees should be

assigned to third parties: Yes no

5. Place of work
employee becomes in occupied.
Employee is employed at changing work/locations.

6. Job title and job description:

(exact description of the activity; please state specialization, functional area and industry; continue on
a separate sheet if necessary)

7. Qualifications of the employee (Please enclose proof and

translation into German)

7.1 no degree

7.2 University Degree

as

The degree was in acquired.

If the degree was obtained abroad: The degree is in De Recognized in Germany or

comparable to a German university degree: Yes no

If yes: Evidence is available in the form of: (please enclose proof)

7.3 Vocational training as

The vocational training was acquired.

If the training was acquired abroad: The body responsible for professional recognition has
determined the equivalence of the foreign professional qualification:

Yes no Partial

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 If yes or partially: Evidence is available in the form of:

(please attach)

(If the partial equivalence of the foreign qualification and the need for a qualification
measure was determined, it is possible to apply for a residence permit to carry out the
recognition procedure (§ 16d AufenthG). Please fill out additional sheet [A] for this.

7.4 Miscellaneous (knowledge, skills, professional experience relevant to the exercise of the
employment; continue on a separate sheet if necessary):

* To my knowledge, the activity does not require qualified professional training (regular
Duration of training at least two years) and no university degree; e.g. B. because it is a
helper or semi-skilled job or because the employment is to take place on the basis of a
specific provision of the Employment Ordinance, according to which a specific qualification is
not required.

* Voluntary information:

8. License to practice
Is the practice of the profession linked to a specific qualification or permit (e.g. § 10
BAO for the medical profession, § 1 PflBG for nursing staff or a comparable permit for
using the professional title)?

Yes, the required qualification or permit is: (please

attach evidence)

no

9. Working hours

full time: hours/week part-time: hours/week

Marginal employment: hours/week

10. Overtime

Employees are obliged to work overtime Yes no

If yes: To the extent of

Overtime is compensated by

11. Holiday Entitlement

working days per holiday year

12. Compensation(Please specify in EURO gross)

If it is an intra-corporate transfer (ICT), personnel exchange and/or temporary employment as part
of a foreign employment relationship, please fill in instead of thisthe supplementary sheet [B].

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 12.1 Salary is based on

collective agreement:

salary group
Agreement through employment contract

wages salary

12.2 Calculation of the amount of the fee

per hour EUR

per month EUR
additional transfers of value in the form of to
the value of EUR
other calculation (e.g. variable remuneration):

13. Domestic Employment Relationship

13.1 Does the employee have to pay social insurance in Germany? Yes, in the following classes of
insurance:
Statutory pension insurance Statutory health
and nursing care insurance Unemployment
insurance
Statutory accident insurance

No, reason (please also state the reason or reasons if there is no compulsory insurance in
individual classes of insurance):

___________________________________________________________________________________

13.2 Does the social insurance obligation in Germany not exist in whole or in part because there is an
exceptional agreement between the German Liaison Office for Health Insurance – Abroad (DVKA) and
the foreign social insurance?

Yes (proof will be attached in the form of ___________________________________________) No

14. Other information about the employer

Are there arrears in social security contributions or with the tax office, which were determined
by a final official decision or a final court decision?
Yes no

Has a final fine been issued in the last five years, or has a final court judgment (criminal or
administrative offense proceedings) been issued due to the violation of social security, tax or labor
law obligations?

Yes no

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 If so, when? How often? What was the fine, penalty or imprisonment?

Have insolvency proceedings been opened against the assets of the employer or the assets of the
host branch in the last five years?
Yes no

In the last five years, has the opening of insolvency proceedings against the assets of the employer or the
assets of the receiving branch been rejected due to a lack of assets and have business operations been
discontinued?
Yes no

The employer's company was founded in ________. The company employed an average of
_______________ people in the last calendar year.

Family relationships exist between the business owner or managing director and the future
foreign employee:
Yes no

If necessary, information on the commercial/association register/craft

register district court/chamber of crafts

Register no.

15. Space for additional information:

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Please take note of the following guidelines:

The form can be submitted to the responsible diplomatic mission or foreigners authority to apply for a residence
permit for the purpose of employment, preliminary approval from the Federal Employment Agency or to issue an
employment permit for those who are permitted or tolerated or holders of a residence permit that do not allow
employment by law. In order to issue a residence permit, the diplomatic mission or foreigners authority must usually
obtain the approval of the Federal Employment Agency. In principle, this declaration also includes the information
required for the approval of the Federal Employment Agency. The responsible diplomatic mission or foreigners
authority forwards this information to the Federal Employment Agency for verification. With this declaration, the
employer bindingly confirms that he/she offers the foreign employee named under 1. a specific job (section 18 subs. 2
no. 1 AufenthG). The submission of the employment contract is only required in the event of a separate request from
the diplomatic mission or immigration authorities.
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In the case of extensions or a change of employer, please submit: copy of wage/salary slips for the first two months
and the last two months. In the case of extensions, it is not necessary to submit the proof of qualification again.

I am aware that the authorities involved in the residence law procedure may request further information and
evidence.

Anyone who employs a foreign employee in Germany must inform the immigration authorities within four weeks if
the employment has ended prematurely (Section 4a (5) sentence 3 no. 3 AufenthG).

I am aware that the employer who employs a foreigner who needs or has received approval for this must provide the
Federal Employment Agency with information about pay, working hours and other working conditions (§ 39 para. 4
AufenthG). Employers who employ foreigners must provide the Federal Employment Agency with this information on
request even if the approval of the Federal Employment Agency was not required.

I am aware that foreign workers may only be employed if they are in possession of a residence permit, a work permit
for the purpose of seasonal employment or a residence permit or tolerance permit that states that employment is
permitted.

Anyone who intentionally or negligently provides incorrect, incomplete, late or no information in the procedure for obtaining
approval from the Federal Employment Agency is acting improperly (Section 404 (2) No. 5 of the Third Book of the Social Code
- SGB III). Anyone who provides incorrect or incomplete information in order to obtain a residence permit or a toleration
permit for themselves or another person or to prevent it from expiring will be punished with a fine or imprisonment (section
95 subs. 2 no. 2 of the Residence Act).

You can find the data protection notices of the Federal Employment Agency at

http://www.arbeitsagentur.de/datenernahme .

All information in this form corresponds to the content of the employment contract that is concluded between the
designated company and the applicant. I am aware that this form can be passed on to third parties (municipality, joint
institution according to SGB II) to search for priority applicants if a priority check is carried out.

The accuracy of the information is confirmed by the date and signature.

Place and date signature

______________________________ ________________________________

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