■ 외국인근로자의 고용 등에 관한 법률 시행규칙 [별지 제13호의2서식] <개정 2011.7.5>	EPS시스템(www.eps.go.kr)에서도 이용할 수 있습니다
Application for Change of Workplace
※ Please check the appropriate box [ ].	(앞쪽)
Receipt No	Date of Receipt	Period of Process
①Name	②Sex	Photograph (3㎝×4㎝) (No hats allowed, White background, Taken within last 6 months)
③Nationality	⑤Alien Registration No.
④Date of Entry
⑥Sojourn Status	⑦Expiration Date of Sojourn Status
⑧Contact	Address in Korea
Phone No. in Korea	E-mail
Cell Phone No.	⑨Insurance [ ]Accident Insurance [ ]Return Cost Insurance
Preferred Condition of Employment	Order	⑩Choice of Business Type	⑪Choice of Work Type
1
2
3
⑫Choice of Work Area	1. ( )CityㆍProvince ( )GunㆍGu (County)	2. ( )CityㆍProvince ( )GunㆍGu (County)	[ ]Regardless
⑬Preferred Wage or Payment Type & Amount	More than ( ) won of monthly regular wage
⑭Other Requests (Possible working period, time, etc.)
Education & Experience	⑮Education / Major		License	1
2
Language Fluency	Korean [ ]High [ ]Mid [ ]Low
Cause of Applying for Workplace Change	[ ]Expiration of Labor Contract Period [ ]Termination of Labor Contract [ ]Suspension or Closing of Business [ ]Cancellation or Limit of Employment Permit [ ]PregnancyㆍInjury [ ]Other (Cause: )
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
210㎜×297㎜(일반용지 60g/㎡(재활용품))

(뒤 쪽)
For applicant to submit						Copy of passport (For those whose alien registration pursuant to Article 88 of the Immigration Control Act cannot be proved)										Fee None
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 ▶
☞ Please submit passport or alien registration certificate when applying for workplace change. ☞ Should the application be cancelled or changed, after applying for workplace change, please immediately inform the agency to which application form was submitted. ☞ Please fill out the Type of Business and Type of Work by referring to the Code Book for Recruitment, and ask the staff for their assistance should it be needed. ☞ 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. ①English name must be written identically to the name on passport or alien registration certificate. ⑧Telephone number that can be used to contact the applicant must be written as it is important for employment. ⑨According 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 80 days. ☞ Application form and other forms are provided at the Job Center.
※ 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)
											▼
											ConfirmationㆍExamination
											(Job Center)
											▼
			(Recruitment)								RegistrationㆍUpdate on Computer DB
											(Job Center)