APPLICATION FOR A RESIDENCE PERMIT BASED ON WORK

ÚTL-númer P D-207 Móttekið: APPLICATION FOR A RESIDENCE PERMIT BASED ON WORK Pleae fill out thi form carefully and remember to ign it. An application form that it not filled out in a atifactory manner may reult in delay of the procedure or in the application being denied. Pleae chooe the reidence permit you apply for (you can only check one option): Reidence permit requiring expert knowledge Shortage of worker Athlete Collaboration and ervice contract Qualified profeional eeking work Applie to application for renewal of a reidence permit of a qualified profeional who ha lot hi/her job for a long a three (3) month ince lo of job or the time hi/her employment-termination notice ha paed, in order to enable the relevant peron eeking other employment on ground of hi/her qualification. For whom i the application form? The form i only intended for individual aged 18 or older who have acquired employment in Iceland. What document mut accompany the application? See further information on the webite of the Directorate of Immigration about the requirement for accompanying document and data regarding renewal of reidence permit. Paport photograph (35 mm x 40 mm). Photocopy of the paport Confirmed original of a foreign criminal record certificate. Tranlation by an authorized tranlator of a criminal record certificate if applicable. Medical-expene inurance. Application for appropriate work permit. Employment contract. How i an application ubmitted? An application may be ubmitted and paid for at the reception dek of the Directorate of Immigration or at the office of a ditrict commiioner outide of the Reykjavík Capital Area. If the applicant i in Iceland he/he mut appear in peron. If an application i ent by mail a payment receipt mut be encloed. The applicant mut appear in peron when applying for renewal of hi/her reidence permit, either at the reception area of the Directorate of Immigration or at office of ditrict commiioner outide of the Reykjavík Capital Area. The applicant will be photographed and mut ubmit a ample of hi/her ignature. The applicant hould bring hi/her paport along. Information about the proceing fee A fee mut be paid for the proceing of the application for a reidence permit. The application will not be proceed without payment. An application that ha not been paid for will be returned to the applicant. Further information about the proceing fee i in part 13 of the application form and alo on the webite of the Directorate of Immigration. Objective regarding time of procedure and proce The Directorate of Immigration expedite a poible it proceing of application in accordance with the Adminitrative Procedure Act no. 37/1993. If the applicant provide all the required information in the application form and ubmit atifactory accompanying document with the application, the proceing of the application will take le time. The Directorate of Immigration contact the applicant or hi/her repreentative if further document are needed for proceing the application. Pleae note that the reception-dek peronnel of the Directorate of Immigration do not ae application or accompanying document. Other information Further information i contained on the webite of the Directorate of Immigration (www.utl.i). Pleae note that if the applicant ubmit an application in peron he/he hould bring hi/her paport along. To be filled out by the Directorate of Immigration Er umóknin undirrituð af umækjanda? Já Nei Er umóknin í frumriti? Já Nei Hafa allar umbeðnar upplýingar verið veittar (þ.m.t. heimilifang, netfang og ímanúmer)? Já Nei Fylgir ljórit af perónuíðu og rithandarýnihorni vegabréf? Já Nei Fylgir frumrit undirritaðrar umóknar um atvinnuleyfi? Fylgir frumrit undirritað ráðningaramning? Já Já Nei Nei Útlendingatofnun www.utl.i utl@utl.i 1 / 11

Work requiring expert knowledge The applicant may tay in Iceland while applying for the permit and while it i beeing proceed provided that hi/her via i vaild and hi/her tay in the Schengen Area doe not exceed 90 day in the pat 180 day period. The applicant may not begin working before a work permit ha been granted and he/he may not work for other employer than the one on which the work permit i granted. A reidence permit may be granted for up to two (2) year, however, not longer than the period of validity of the work permit. A reidence permit may be renewed for a long a two (2) year at a time, provided the requirement of the permit are till being met, however, not longer than the period of validity of the work permit. A reidence permit of an applicant who ha lot hi/her job may be renewed for a long a three (3) month from the date of unemployment or the time when the employment-termination period ha paed, to enable the applicant to find new employment on ground of hi/her qualification/expertie. A renewed reidence permit mut be applied for at leat four (4) week before the permit period of validity expire. The reidence permit contain a right to family reunification for the applicant poue or cohabitant after at leat one year of cohabitation, applicant children younger than 18 year old and applicant parent who are 67 year of age or older. The reidence permit can be the bai of a permanent reidence permit. Shortage of worker An applicant to whom a via requirement applie may not be in Iceland when applying for the permit and while the application i being proceed. An applicant who i exempt from the via requirement may be in the country when applying for the permit and during it proceing for a long a the non-via requirement applie. The applicant may not begin working before a work permit ha been granted and he/he may not work for other employer than the one on which the work permit i granted. A firt reidence permit may be granted for up to one (1) year, however, not longer than the period of validity of the work permit. A reidence permit may be renewed for up to one (1) year at a time, provided the permit requirement are till met, however, not longer than the validity period of the work permit. A renewed reidence permit mut be applied for at leat four (4) week before the permit period of validity expire. If a renewal of application i not ubmitted before the former permit expire it will reult in a gap in the continuity of the applicant permit and a permit on thee Right attached to the permit ground cannot be reiued until the applicant ha tayed abroad continuouly for two (2) year effective from the end of the permit period of validity. The reidence permit doe not contain a right to family reunification. The reidence permit can be the bai of a permanent reidence permit. Athlete The applicant may tay in Iceland while applying for the permit and while it i beeing proceed provided that hi/her via i vaild and hi/her tay in the Schengen Area doe not exceed 90 day in the pat 180 day period. The applicant may not begin working before a work permit ha been granted and he/he may not work for other employer than the one on which the work permit i granted. The firt reidence permit may be granted for up to one (1) year, however, not longer than the period of validity of the work permit. A reidence permit may be renewed for a long a two (2) year at a time, provided the requirement of the permit are till being met, however, not longer than the period of validity of the work permit. A renewed reidence permit mut be applied for at leat four (4) week before the permit period of validity expire. The reidence permit contain a right to family reunification for the applicant poue or cohabitant after at leat one year of cohabitation, applicant children younger than 18 year old and applicant parent who are 67 year of age or older. The reidence permit can be the bai of a permanent reidence permit. Collaboration and ervice contract The applicant may tay in Iceland while applying for the permit and while it i beeing proceed provided that hi/her via i vaild and hi/her tay in the Schengen Area doe not exceed 90 day in the pat 180 day period. The applicant may not begin working before a work permit ha been granted and he/he may not work for other employer than the one on which the work permit i granted. The reidence permit may be granted for a long a ix (6) month, however, not longer than the period of validity of the work permit. The reidence permit may be renewed for up to ix (6) month on ground of the ame contract, however, not longer than the period of validity of the work permit. A renewed reidence permit mut be applied for at leat four (4) week before the permit period of validity expire. The reidence permit doe not contain a right to family unification.the reidence permit cannot be the bai of a permanent reidence permit. Útlendingatofnun www.utl.i utl@utl.i Bl. 2 / 11

1. Application for a reidence permit and period of validity State information about the period you wih the permit to apply to and whether thi i a firt permit or a permit on a new ground. I apply for: a) Firt reidence permit b) Renewal c) A permit on a new ground 2. The applicant Former name (if applicable) Date of birth Gender Male Female Place of birth (city) of birth Current nationality/nationalitie Former nationality (if applicable) Maritial tatu I requet the period of validity of the reidence permit being: From - tart date To - end date Unmarried Widow/widower Cohabitation Separated Married Divorced Are both or one of your parent Icelandic citizen? Both One Neither Addre, email and telephone number in the home country Thi information will be ued to contact the applicant; therefore, it i important that thi information i correct. If the information change during the proceing of the application you are kindly requeted to notify the Directorate of Immigration of thi uing the email: utl@utl.i Addre Potal code and city Telephone number Email Addre, email and telephone in Iceland A requirement for iuance of a reidence permit i that the applicant ha tated hi/her place of tay in Iceland, cf. Act no. 80/2016 on Foreigner. The tated addre will be regitered by Regiter Iceland a the applicant domicile. The information will be ued to contact the applicant; hence, it i important for uch information being correct. If the information change while the application i being proceed, kindly notify the Directorate of Immigration of thi immediately, email utl@utl.i. After a permit ha been iued change of addre will be reported to Regiter Iceland. Addre Potal code and city Telephone number Addre not yet known. Notification on place of tay ubmitted after arrival in Iceland (for example, during photographing). Útlendingatofnun www.utl.i utl@utl.i Bl. 3 / 11

3. Paport and reidence Paport Pleae note that a valid paport i required and the period of validity of the paport mut be at leat three (3) month longer than the validity of the reidence permit. Photocopie of the paport peronal information page and (the ignature page) mut be ubmited with the application. Paport number Other travel documentation, tate which in which the paport i iued Iued by Date of iue Date of expiry Via Doe not have a valid paport (Why not? Kindly explain in part 10 of thi form). Do you have a valid via into the Schengen-area? Ye No If ye, what i the period of validity? Reidence abroad Where have you lived over the lat five (5) year? 1. 2. 3. 4. 5. 6. Date from Date to Reidence in Iceland Only applicable to thoe applying for a firt permit When do you intend to come to Iceland? State the date Have arrived in Iceland When did you arrive? Have you ever applied for a via to come to Iceland? Ye No Have you previouly applied for a reidence permit in Iceland? Ye No Have you been in Iceland before? If ye, when and how long? Ye No Útlendingatofnun www.utl.i utl@utl.i Bl. 4 / 11

4. Applicant poue or cohabiting partner If a poue intend to apply for a reidence permit in Iceland, the relevant peron mut ubmit hi/her own application. Note that in repect of reidence permit on ground of work, only thoe holding reidence permit on ground of work requiring expert knowledge or reidence permit for athlete have a right to family reunification. Applicant poue or cohabiting partner I don t have a poue/cohabiting partner Former name (if applicable) Birth date Nationality Date of marriage Date of the regitration of cohabitation Further information on my poue/cohabitng partner My poue/cohabiting partner i in Iceland i going to apply for a reidence permit doe not intend to move to Iceland 5. Applicant children Pleae provide information on all your children. If a reidence permit for a child i to be applied for a eparate application for each child mut be ubmitted. Note that in repect of reidence permit on ground of work, only thoe holding reidence permit on ground of work requiring expert knowledge or reidence permit for athlete have a right to family reunification. Applicant children I do not have children Date of birth Nationality Gender I the child in Iceland? Female Male Ye No 1. 2. 3. 4. 5. 6. Are you alo applying for your child/children? Ye No Útlendingatofnun www.utl.i utl@utl.i Bl. 5 / 11

6. Applicant parent If a parent intend to apply for a reidence permit in Iceland, the relevant peron mut ubmit hi/her own application. Note that in repect of reidence permit on ground of work, only thoe holding reidence permit on ground of work requiring expert knowledge or reidence permit for athlete have a right to family reunification. Applicant father Former name (if applicable) Date of birth Date of death, (if applicable) Nationality Addre Potal code and city Applicant mother Former name (if applicable) Date of birth Date of death, (if applicable) Nationality Addre Potal code and city 7. Language kill and education Language kill Native language Other language Education level Check every box that applie to you, however, only completed tudie. None or le than primary chool Primary chool - Year of graduation: Secondary chool - Year of graduation: Secondary chool, additional level - Year of graduation: Univerity, le than BA/BS degree - Year of graduation: Univerity, BA/BS degree - Year of graduation: Univerity, mater degree - Year of graduation: Univerity, doctor degree - Year of graduation: Útlendingatofnun www.utl.i utl@utl.i Bl. 6 / 11

Field of tudy, highet education Check only one box. General tudie IT and communication Education Civil engineering, production and contruction Art and humanitie Agriculture, foretry, fiherie and veterinary tudie Social cience, journalim and information theory Health Buine, adminitration and law Welfare Science, mathematic and tatitic Service 8. Stay abroad Only applie to thoe renewing their reidence permit. Lit all travel abroad during the period of validity of your latet reidence permit until the date thi application i ubmitted. A permit holder may not tay abroad for more than three (3) month per every 12-month period while the reidence permit i valid. The Directorate of Immigration decide whether a reidence permit hould be recinded if a permit holder ha tayed abroad for more than three (3) month. Where have you tayed during the tated period? 1. 2. 3. 4. 5. 6. 7. Date of departure from Iceland Date of arrival in Iceland Number of day abroad Purpoe of tay abroad 9. Criminal record Pleae ubmit a criminal record certificate from the country or countrie where you have reided over the lat five (5) year. The criminal record certificate mut be received in original format, be lawfully confirmed (i.e. apotille or double confirmation), and may not be older than ix (6) month when ubmitted to the Directorate of Immigration. If the certificate i in another language than Englih or one of the Nordic language, a tranlation mut accompany the original, tranlated by an authorized tranlator. See further www.utl.i. A. Have you been fined or entenced to imprionment? No Ye State the offence: In what country? What penalty did you receive? When? Útlendingatofnun www.utl.i utl@utl.i Bl. 7 / 11

B. Do you have the tatu of a upect in a police invetigation? No Ye State the offence: In what country? When? C. Do you authorize the Directorate of Immigration to check your criminal record with foreign authoritie? Ye No If no, tate the reaon why? D. Have you been ubject to a re-entry ban into the Schengen Area? No Ye In what country? I the ban till in effect? No. When wa it in effect? Ye. When doe the ban expire? 10. Additional information If you have further information of ignificance regarding your application for a reidence permit in Iceland, kindly tate it here in the box below. Útlendingatofnun www.utl.i utl@utl.i Bl. 8 / 11

11. Via Applie only to applicant for firt reidence permit. If you need a via to come to Iceland, where do you wih to obtain the via? If your application i accepted, the Directorate of Immigration may end a requet for a D-via to Danih or Norwegian embaie repreenting Iceland and a lited on the webite of the Directorate of Immigration and the Icelandic embaie in China and Ruia. Á aðein við um þá em ækja um fyrta dvalarleyfi. 12. Applicant repreentative An applicant may only have one repreentative at any time. An applicant wihing to replace hi/her repreentative mut ubmit a form to thi effect to the Directorate of Immigration. If an applicant wihe to withdraw hi/her authorization for repreentation, the applicant mut end a written notification to the Directorate of Immigration tating uch change. Pleae note that the repreentative may not ign the application. Check the box regarding authorization I realize that all communication (including correpondence) with the Directorate of Immigration will be with my repreentative and that the repreentative will have acce to the information and data in my application. I realize that my repreentative, not I, will receive information about the concluion of my application. I authorize the following individual to repreent me regarding thi application, to receive document on my behalf, to appeal a deciion by the Directorate of Immigration to the Immigration and Aylum Appeal Board in the event of my application being refued. Information about the repreentative ID number (Kennitala) Addre Potal code and city Telephone number Email addre Applicant ignature 13. Proceing fee The Directorate of Immigration and ditrict commiioner outide of the Reykjavík Capital Area receive application for reidence permit in return for the payment of a ervice fee. The amount of the fee i decided in the Act no.88/1991 on Additional Revenue of the National Treaury. If the proceing fee i not paid, the application will not be proceed. An application that ha not been paid for will be returned to the applicant. An application may be ubmitted on behalf of the applicant and paid for at the reception dek of the Directorate of Immigration or at the office of ditrict commiioner outide of the Reykjavík Capital Area. A payment receipt mut accompany an application ent by mail and if the applicant i in Iceland, he/he mut appear in peron. Pleae note that if the applicant ubmit an application in peron he/he hould bring hi/her paport along. See further information on the webite of the Directorate of Immigration (www.utl.i). Útlendingatofnun www.utl.i utl@utl.i Bl. 9 / 11

14.. Did you remember everything? If the application form i correctly filled out and accompanied by all relevant data, thi will expedite the application procedure. It i therefore important that you check whether your application i well filled out, whether correct information i tated and whether you have ubmitted all neceary data. The Directorate of Immigration recommend that you ue the checklit below to enure that your application i atifactory. The Directorate of Immigration may requet additional data if it feel there i a need to examine whether the requirement for a reidence permit are met. 15. Applicant checklit for a firt permit Payment receipt (if the application ha been paid for at a bank). The name of the peron for whom payment i being made mut be clearly tated. Lit the name of the applicant, hi/her date of birth a a reference. Application for a reidence permit. In original format, carefully filled out and igned by the applicant. Paport photo (35 mm x 45 mm). Photocopie of the peronal information page and ignature page of your paport. The paport period of validity mut be at leat three (3) month longer than the period of validity of a reidence permit. Confirmed original criminal record certificate (from all countrie where the applicant ha reided over the lat five (5) year, not older than ix (6) month). A lawful confirmation of the criminal record certificate i required (i.e. apotille or double confirmation). Tranlation by an authorized tranlator of a criminal record certificate (only applie if a foreign criminal record certificate i in another language than Englih or a Nordic language). Certified confirmation i required of the tranlation if done by a tranlator who doe not hold formal authorization in Iceland a a tranlator, i.e. apotile or double confirmation. Medical expene inurance, valid for ix (6) month, minimum ISK 2,000,000 (iued by an inurance company that i licened to operate in Iceland). Application for appropriate work permit. In original format, igned both by the applicant and the employer, and confirmed by the relevant trade union. Employment contract. Submitted in original format and igned by both the applicant and the employer. The applicant ha igned the application. 16. Applicant checklit for a renewal of a permit If a renewal of the reidence permit i not applied for before the period of validity expire, the application will be proceed a if thi were an application for a firt permit, not renewal. Any accumulated right in connection with a permanent reidence permit and citizenhip become void. Application for a reidence permit. In original format, carefully filled out and igned by the applicant. Photocopie of the peronal information page and ignature page of your paport. The paport period of validity mut be at leat three (3) month longer than the period of validity of a reidence permit. Application for the appropriate work permit, in original format, igned by both the applicant and the employer, and confirmed by the relevant trade union. Employment contract, if applicable. Submitted in original format and igned by both the applicant and the employer. The applicant ha igned the application. 17. Applicant checklit regarding an application by a qualified expert eeking employment Photocopie of the peronal information page and ignature page of your paport. The paport period of validity mut be at leat three (3) month longer than the period of validity of a reidence permit. Support document, confirming ecure maintenance during the period of tay. The applicant ha igned the application. Útlendingatofnun www.utl.i utl@utl.i Bl. 10 / 11

18. Date and ignature I hereby apply for an Icelandic reidence permit and confirm with my ignature that the information I have tated in thi application form, in annexe and the encloed document a being true and correct. I undertand that giving mileading or fale information to public authoritie i punihable according to the Icelandice Penal Code No. 19/1940, and could reult in denial or withdrawal of a reidence permit and poibly expulion on ground of the Act on Foreigner No. 80/2016. Violation of the Act on Foreigner are reported to the police. I am informed of it being permiible to integrate data held by the Directorate of Immigration, the Immigration and Aylum Appeal Board, Regiter Iceland and the police according to the Act on Foreigner. The Directorate of Immigration i furthermore authorized to obtain information from the tax authoritie, the Directorate of Labor and the municipal ocial ervice according to the ame law. I am furthermore informed of how the Directorate of Immigration may obtain further information if neceary becaue of thi application and a provided for by the Data Protection Act no. 77/2000. I realize that the information I provide might be ued regarding the proceing of ubequent application and/or application of family member. I am informed that the Directorate of Immigration forward data to Regiter Iceland a neceary for regitration in Regiter Iceland. I agree to undergo medical examination within two week from arrival in Iceland according to applicable law and a intructed by health authoritie. Place, date and applicant ignature Place Date of ignature Applicant ignature Who filled out the application? Applicant Repreentative Another peron, who? Connection to the applicant To be filled out by the Directorate of Immigration Dvalarleyfi veitt til Afgreitt Útlendingatofnun www.utl.i utl@utl.i Bl. 11 / 11