■ 외국인근로자의 고용 등에 관한 법률 시행규칙 [별지 제13호의2서식] <개정 2014.9.30.>	This is also available on the EPS website at www.eps.go.kr
Application for Change of Workplace
※ Please check the appropriate box [ ].	(Front page)
Receipt No	Date of Receipt	Period of Process
①Name	Sex	Photograph (3㎝×4㎝) (No hats allowed, White background, Taken within last 6 months)
Nationality	Alien Registration No.
Date of Entry
Sojourn Status	Expiration Date of Sojourn Status
②Contact	Address in Korea
Phone No. in Korea	E-mail
Cell Phone No.	③Insurance [ ]Accident Insurance [ ]Return Cost Insurance
Physical description	Height	㎝	Weight	㎏	Functional ability	Arm /Hand	Left [ ]Normal [ ]Dysfunction	Right [ ]Normal [ ]Dysfunction
Leg /Foot	Left [ ]Normal [ ]Dysfunction	Right [ ]Normal [ ]Dysfunction
Language Proficiency	Korean	[ ]High [ ]Mid [ ]Low	EPS-TOPIC Score
English	[ ]High [ ]Mid [ ]Low
License & Experience before Entry	Education /Major		Vocational School /Major		Skills Test	[ ]Yes [ ]No
License	[ ] Yes [ ] No	Title of license/certificate ※Only if you checked “[√]Yes” for License	1
2
Experience	[ ]Yes [ ]No	④Business Type (Code) ※Only if you checked “[√]Yes” for Experience	1. ( )	⑤Work Type (Code)	1. ( )	Term of Employ -ment	year(s) month(s)
2. ( )	2. ( )	year(s) month(s)
Experience after Entry	⑥ Business Type (Code)	1. ( )	⑦Work Type (Code)	1. ( )	Term of Employ -ment	year(s) month(s)
2. ( )	2. ( )	year(s) month(s)
3. ( )	3. ( )	year(s) month(s)
Preferred Condition of Employment	Order	⑧Choice of Business Type(Code)	⑨Choice of Work Type(Code)
1	( )	( )
2	( )	( )
3	( )	( )
Choice of Work Area 1. ( )CityㆍProvince ( )GunㆍGu (County) 2. ( )CityㆍProvince ( )GunㆍGu (County) [ ]Regardless
Preferred Wage or Payment Type & Amount More than ( ) won of monthly regular wage
Other Requests (Possible working period, time, etc.)
210mm×297mm[백상지 80g/㎡(재활용품)]

(Back page)
Cause of Applying for Workplace Change	[ ]Expiration of Labor Contract Period [ ]Termination of Labor Contract [ ]The Reasons that are proclaimed by the Minister of Employment and Labor, including Suspension or Closing of Business and Cancellation or Limit of Employment Permit [ ]Injury
I hereby certify that the above information is correct pursuant to Article 25, Paragraph 1 of the Act on Foreign Workers' Employment, etc. and Article 16, Paragraph 1 of the Enforcement Regulations of the same Act.
(YY/MM/DD)
Applicant	(signature)
This application is made to the Head of ○○ Local Employment and Labor Office
For applicant to submit	Copy of passport (For those whose alien registration pursuant to Article 88 of the Immigration Control Act cannot be proved)	No Fees
For government official to confirm(In case of disapproval, related documents need to be submitted)	Confirm whether the applicant is a registered alien pursuant to the Article 88 of the Immigration Control Act
Consent for co-use of administrative information
I hereby agree that a government official will confirm the above through the common use of administrative information pursuant to Article 36(1) of the Electronic Government Act.
		Applicant			(Signature)
Guideline
1. Please submit passport or alien registration certificate when applying for workplace change. 2. Should the application be cancelled or changed, after applying for workplace change, please immediately inform the agency to which application form was submitted. 3. Should a certain information, requested on the workplace change application form, have no relevance to the applicant, then the information does not have to be written on the form. 4. ①English name must be written identically to the name on passport or alien registration certificate. 5. ②Telephone number that can be used to contact the applicant must be written as it is important for employment. 6. ③According to the Employment Permit System, a foreigner that entered Korea under the EPS must join an accident insurance within 15 days since the labor contract has become effective (for E-9 visa holders within 15 days of entry into Korea), and a return cost insurance within 3 months. 7. Please fill out ④ㆍ⑥ㆍ⑧ on the Business Type and Code(a double-digit Divisions Code) by referring to the KSIC (Korean Standard Industrial Classification). Ask for assistance, if needed. 8. Please fill out ⑤ㆍ⑦ㆍ⑨ on the Work Type and Code(a triple-digit Groups Code) by referring to the KECO (Korean Employment Classification Occupation). Ask for assistance, if needed. 9. Application form and other forms are provided at the Job Center.
Procedure
This application form is processed as the following.
Applicant	Responsible Agency
Local Employment and Labor Office
	Fill out application form		(Submit)		▶	Receiving of application
	▲				(Job Center)
		▼
				Confirmation ․ Examination
				(Job Center)
				▼
	(Recruitment)		Registration ․ Update on Computer DB
			(Job Center)