This form contains 980 fields organized into 287 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name	Type	Description
A-Number
	Text
A-Number	Text	Please provide your A-Number. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Max length: 9 characters Depends on: Yes
Address in the United States
City or Town	Text	Enter the city or town of the address where you intend to live. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Max length: 40 characters Depends on: Total Beneficiaries
State	Combobox	Enter the state of the address where you intend to live. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
ZIP Code	Text	Enter the ZIP code of the address where you intend to live. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Max length: 5 characters Depends on: Total Beneficiaries
Street Number and Name	Text	Enter the street number and name of the address where you intend to live. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Max length: 34 characters Depends on: Total Beneficiaries
Apartment/Suite/Floor Number	Text	Enter the apartment, suite, or floor number of the address where you intend to live. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Max length: 6 characters Depends on: Total Beneficiaries
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Address of Agent, Facilitator, Recruiter, or Similar Employment Service
City or Town	Text	Enter the city or town for the agent, facilitator, recruiter, or similar employment service's address. Fill only if 'Did you or do you plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers that you intend to hire by filing this petition?' is 'Yes' Max length: 40 characters Depends on: Yes
ZIP Code	Text	Provide the ZIP code for the agent, facilitator, recruiter, or similar employment service's address. Fill only if 'Did you or do you plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers that you intend to hire by filing this petition?' is 'Yes' Max length: 5 characters Depends on: Yes
State	Combobox	Enter the state for the agent, facilitator, recruiter, or similar employment service's address. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
Street Number and Name	Text	Enter the street number and name for the agent, facilitator, recruiter, or similar employment service's address. Fill only if 'Did you or do you plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers that you intend to hire by filing this petition?' is 'Yes' Max length: 34 characters Depends on: Yes
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Apartment/Suite/Floor Number	Text	Enter the apartment, suite, or floor number, if applicable, for the agent, facilitator, recruiter, or similar employment service's address. Fill only if 'Did you or do you plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers that you intend to hire by filing this petition?' is 'Yes' Max length: 6 characters Depends on: Yes
Address of Employer Abroad
City or Town	Text	Please provide the city or town of the employer abroad. Max length: 40 characters
State	Combobox	Please provide the state of the employer abroad. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
ZIP Code	Text	Please provide the ZIP code of the employer abroad. Max length: 5 characters
Street Number and Name	Text	Please provide the street number and name of the employer abroad. Max length: 34 characters
Apartment, Suite, Floor Number	Text	Please provide the apartment, suite, or floor number of the employer abroad, if applicable. Max length: 6 characters
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Province	Text	Please provide the province of the employer abroad. Max length: 20 characters
Country	Text	Please provide the country of the employer abroad.
Postal Code	Text	Please provide the postal code of the employer abroad. Max length: 9 characters
Address of Institution of Higher Education
City or Town	Text	Enter the city or town where the institution of higher education is located. Fill only if 'Numerical Limitation Type selection' is 'Cap H-1B U.S. Master's Degree or Higher'. Max length: 40 characters
State	Combobox	Enter the state where the institution of higher education is located. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
ZIP Code	Text	Enter the ZIP code of the institution of higher education. Fill only if 'Numerical Limitation Type selection' is 'Cap H-1B U.S. Master's Degree or Higher'. Max length: 5 characters
Street Number and Name	Text	Enter the street number and name of the institution of higher education. Fill only if 'Numerical Limitation Type selection' is 'Cap H-1B U.S. Master's Degree or Higher'. Max length: 34 characters
Apt/Ste/Flr Number	Text	Enter the apartment, suite, or floor number of the institution of higher education, if applicable. Fill only if 'Numerical Limitation Type selection' is 'Cap H-1B U.S. Master's Degree or Higher'. Max length: 6 characters
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Amended Petition Status
Amended Petition Status - No	Checkbox	Check this box if this petition is not an amended petition that does not contain any request for extensions of stay. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Amended Petition Status - Yes	Checkbox	Check this box if this petition is an amended petition that does not contain any request for extensions of stay. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Annual Income
Gross Annual Income	Number	Please provide the total gross annual income. Max length: 15 characters
Net Annual Income	Number	Please provide the total net annual income. Max length: 15 characters
Are more than 50 percent of those employee in H-1B, L-1A, or L-1B nonimmigrant status?
Yes	Checkbox	Check this box if more than 50 percent of your employees are in H-1B, L-1A, or L-1B nonimmigrant status. Fill only if 'Yes' is 'Yes'. Depends on: Yes
No	Checkbox	Check this box if 50 percent or less of your employees are in H-1B, L-1A, or L-1B nonimmigrant status. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Arrival Information
Date of Last Arrival	Date	Enter the date of the beneficiary's last arrival in the United States. Fill only if 'Beneficiary is in the United States' is 'Yes'.
I-94 Arrival-Departure Record Number	Text	Provide the I-94 Arrival-Departure Record Number for the beneficiary. Fill only if 'Beneficiary is in the United States' is 'Yes'. Max length: 11 characters
I-94 Arrival-Departure Record Number	Text	Please provide the I-94 Arrival-Departure Record Number. Fill only if 'Requested Action' is for a beneficiary in the United States Max length: 11 characters Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
Date of Last Arrival	Date	Please provide the date of your last arrival. Fill only if 'Requested Action' is for a beneficiary in the United States Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
Passport or Travel Document Number	Text	Please provide the passport or travel document number. Fill only if 'Requested Action' is for a beneficiary in the United States Max length: 30 characters Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
I-94 Arrival-Departure Record Number	Text	Please enter the I-94 Arrival-Departure Record Number. Fill only if 'beneficiary is in the United States' is 'Yes' Max length: 11 characters
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Attestation
Date of Attestation	Date	Enter the date the attestation is signed. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Petitioner Name	Text	Enter the full name of the petitioner. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Petitioner Title	Text	Enter the official title of the person signing on behalf of the petitioner or organization. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Employer/Organization Name	Text	Enter the full name of the employer or organization. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Petitioner Signature	Text	Enter the typed name of the petitioner as their signature. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Attestation Item 10
Explanation for Attestation Item 10 (No)	Text	Provide a detailed explanation if the conditions for Attestation Item 10 are not met. If further space is needed, continue in Part 9 of Form I-129. Fill only if 'No' is 'No'. Depends on: No
Yes	Checkbox	Check this box if the offered position requires at least 20 hours of work per week, or if the combined compensated services total 20 hours per week, or if the self-supporting beneficiary's position is part of an established uncompensated missionary work program. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
No	Checkbox	Check this box if the offered position does not meet the specified 20-hour per week requirement or its alternatives for self-supporting beneficiaries. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Attestation Item 11
Attestation Item 11 Explanation	Text	Provide a detailed explanation if the beneficiary does not meet the criteria stated in Attestation Item 11. Fill only if 'No' is 'No'. Depends on: No
Yes	Checkbox	Check this box if the beneficiary has been a member of the petitioner's denomination for at least two years immediately before Form I-129 was filed and is otherwise qualified to perform the duties of the offered position. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
No	Checkbox	Check this box if the beneficiary has not been a member of the petitioner's denomination for at least two years immediately before Form I-129 was filed or is not otherwise qualified to perform the duties of the offered position. If checked, provide an explanation and refer to Part 9 of Form I-129. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Attestation Item 12
Attestation 12 Explanation	Text	Provide an explanation if you answered 'No' to Attestation Item 12 regarding notification to USCIS about an R-1 alien's employment status. Fill only if 'No' is 'No'. Depends on: No
Yes	Checkbox	Check this box if the petitioner will notify USCIS within 14 days if an R-1 alien is working less than the required number of hours or has been released from or has otherwise terminated employment before the expiration of a period of authorized R-1 stay. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
No	Checkbox	Check this box if the petitioner will not notify USCIS within 14 days if an R-1 alien is working less than the required number of hours or has been released from or has otherwise terminated employment before the expiration of a period of authorized R-1 stay, and provide an explanation. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Attestation Item 6
Explanation for Attestation Item 6	Text	Please provide a detailed explanation if the petitioner does not attest to Item 6. Fill only if 'No' is 'No'. Depends on: No
No	Checkbox	Check this box if the petitioner is not a bona fide non-profit religious organization or a bona fide organization affiliated with a religious denomination and is not tax-exempt as described in section 501(c)(3) of the Internal Revenue Code. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Yes	Checkbox	Check this box if the petitioner is a bona fide non-profit religious organization or a bona fide organization affiliated with a religious denomination and is tax-exempt as described in section 501(c)(3) of the Internal Revenue Code. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Attestation Item 7
Yes	Checkbox	Check this box if the petitioner is willing and able to provide compensation to the beneficiary, or if the self-supporting beneficiary's position is part of an established program for temporary, uncompensated missionary work. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
No	Checkbox	Check this box if the petitioner is not willing or able to provide compensation to the beneficiary, and/or if the self-supporting beneficiary's position does not meet the specified criteria for temporary, uncompensated missionary work. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Explanation for Item 7	Text	Provide a detailed explanation if the petitioner cannot attest to the conditions described in Attestation Item 7. Fill only if 'No' is 'No'. Depends on: No
Attestation Item 8
Yes	Checkbox	Check this box if the beneficiary worked in the United States in an R-1 status during the 2 years immediately before the petition was filed, and received verifiable salaried or non-salaried compensation, or provided uncompensated self-support. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
No	Checkbox	Check this box if the beneficiary did not work in the United States in an R-1 status during the 2 years immediately before the petition was filed, or did not receive verifiable salaried or non-salaried compensation, or did not provide uncompensated self-support. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Attestation 8 Explanation	Text	Provide a detailed explanation if the beneficiary did not meet the conditions described in Attestation Item 8 regarding verifiable compensation or uncompensated self-support. Fill only if 'No' is 'No'. Depends on: No
Attestation Item 9
Explanation for Attestation Item 9	Text	Provide a detailed explanation if the petitioner does not attest to the conditions described in Attestation Item 9. Fill only if 'No' is 'No'. Depends on: No
Yes	Checkbox	Check this box if the position is not a religious vocation, the beneficiary will not engage in secular employment, and the petitioner will provide salaried or non-salaried compensation; or if the position is a traditionally uncompensated and not a religious vocation, the beneficiary will not engage in secular employment, and the beneficiary will provide self-support. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
No	Checkbox	Check this box if the position is not a religious vocation, and the beneficiary will engage in secular employment, or the petitioner will not provide salaried or non-salaried compensation; or if the position is a traditionally uncompensated and not a religious vocation, and the beneficiary will engage in secular employment, or the beneficiary will not provide self-support. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
Attesting Organization Name and Address
City or Town	Text	Enter the city or town for the attesting organization's address. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Max length: 40 characters Depends on: Yes
State	Combobox	Enter the state for the attesting organization's address. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
ZIP Code	Text	Enter the ZIP code for the attesting organization's address. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Max length: 5 characters Depends on: Yes
Street Number and Name	Text	Enter the street number and name of the attesting organization's address. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Max length: 34 characters Depends on: Yes
Apartment, Suite, or Floor Number	Text	Enter the apartment, suite, or floor number for the attesting organization's address, if applicable. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Max length: 6 characters Depends on: Yes
Flr.	Checkbox	Check this box if the attesting organization's address includes a floor number. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Depends on: Yes
Ste.	Checkbox	Check this box if the attesting organization's address includes a suite number. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Depends on: Yes
Apt.	Checkbox	Check this box if the attesting organization's address includes an apartment number. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Depends on: Yes
Attesting Organization Name	Text	Enter the full legal name of the attesting organization. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Depends on: Yes
Attesting Organization's Contact Information
Email Address	Text	Please provide the email address for the attesting organization, if available. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Depends on: Yes
Fax Number	Text	Please provide the fax number for the attesting organization. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Max length: 10 characters Depends on: Yes
Daytime Telephone Number	Text	Please provide the daytime telephone number for the attesting organization. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Max length: 10 characters Depends on: Yes
Authorized Representative of Attesting Organization
Signature Date	Date	Enter the date when this form was signed by the authorized representative. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Depends on: Yes
Authorized Representative Printed Name	Text	Enter the printed name of the authorized representative who is signing this form. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Depends on: Yes
Authorized Representative Name	Text	Provide the full name of the authorized representative for the attesting organization. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Depends on: Yes
Authorized Representative Title	Text	Provide the job title or position of the authorized representative. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Depends on: Yes
Authorized Signatory Information
Signatory Title	Text	Please provide the official title of the authorized signatory. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 20 characters Depends on:
Signatory First Name	Text	Please provide the given name or first name of the authorized signatory. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Depends on:
Signatory Last Name	Text	Please provide the family name or last name of the authorized signatory. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Depends on:
Authorized Signatory Name and Title
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Authorized Signatory Last Name	Text	Enter the family name (last name) of the authorized signatory. Fill only if 'Filer Type' is 'Company or Organization' Depends on: Company or Organization Name
Authorized Signatory Title	Text	Enter the official title or position of the authorized signatory. Fill only if 'Filer Type' is 'Company or Organization' Depends on: Company or Organization Name
Authorized Signatory First Name	Text	Enter the given name (first name) of the authorized signatory. Fill only if 'Filer Type' is 'Company or Organization' Depends on: Company or Organization Name
Basis for Classification
Continuation of previously approved employment without change with the same employer	Checkbox	Check this box if the basis for classification is the continuation of previously approved employment without change with the same employer.
New employment	Checkbox	Check this box if the basis for classification is new employment.
Change in previously approved employment	Checkbox	Check this box if the basis for classification is a change in previously approved employment.
New concurrent employment	Checkbox	Check this box if the basis for classification is new concurrent employment.
Change of employer	Checkbox	Check this box if the basis for classification is a change of employer.
Amended petition	Checkbox	Check this box if the basis for classification is an amended petition.
Beneficiary H-1B Exemption Status
Beneficiary H-1B Not Exempt	Checkbox	Check this box if the H-1B beneficiary is not exempt from the Department of Labor attestation requirements. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Exempt due to $60,000+ Salary	Checkbox	Check this box if the beneficiary's exemption (selected in c.) is because their annual rate of pay is at least $60,000. Fill only if 'Beneficiary H-1B Exempt' is 'Yes'. Depends on: Beneficiary H-1B Exempt
Not Exempt due to Master's/Higher Degree	Checkbox	Check this box if the beneficiary's exemption (selected in c.) is not because they have a master's or higher degree in a specialty related to the employment. Fill only if 'Beneficiary H-1B Exempt' is 'Yes'. Depends on: Beneficiary H-1B Exempt
Exempt due to Master's/Higher Degree	Checkbox	Check this box if the beneficiary's exemption (selected in c.) is because they have a master's or higher degree in a specialty related to the employment. Fill only if 'Beneficiary H-1B Exempt' is 'Yes'. Depends on: Beneficiary H-1B Exempt
Not Exempt due to $60,000+ Salary	Checkbox	Check this box if the beneficiary's exemption (selected in c.) is not because their annual rate of pay is at least $60,000. Fill only if 'Beneficiary H-1B Exempt' is 'Yes'. Depends on: Beneficiary H-1B Exempt
Beneficiary H-1B Exempt	Checkbox	Check this box if the H-1B beneficiary is exempt from the Department of Labor attestation requirements. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Beneficiary Information
Beneficiary Name	Text	Provide the full name of the beneficiary.
Total Number of Beneficiaries	Number	Enter the total number of beneficiaries included in this petition. Max length: 15 characters
Beneficiary Name
Beneficiary Middle Name	Text	Provide the beneficiary's middle name.
Beneficiary Given Name	Text	Provide the beneficiary's given name or first name.
Beneficiary Family Name	Text	Provide the beneficiary's family name or last name.
Beneficiary Supervision Details
Supervision Details	Text	Enter the number of people the beneficiary will supervise and their corresponding position titles. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Beneficiary's Controlling Interest Information
No	Checkbox	Check this box if no beneficiary in this petition has a controlling interest in the petitioning organization, meaning they do not own more than 50 percent of the petitioner or have majority voting rights. Fill only if 'Classification sought' is 'H-1B Classification'. Depends on:
Yes	Checkbox	Check this box if any beneficiary in this petition has a controlling interest in the petitioning organization, meaning they own more than 50 percent of the petitioner or have majority voting rights. Fill only if 'Classification sought' is 'H-1B Classification'. Depends on:
Controlling Interest Explanation	Text	Provide a detailed explanation if the beneficiary has a controlling interest in the petitioning organization, including owning more than 50 percent or having majority voting rights. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Beneficiary's Foreign Address
City or Town	Text	Enter the city or town of the beneficiary's foreign address. Fill only if 'Requested Action' is 'Notify the office in Item Number 1., Part 5.' Max length: 40 characters Depends on: Notify office to obtain visa/admission
Street Number and Name	Text	Enter the street number and name of the beneficiary's foreign address. Fill only if 'Requested Action' is 'Notify the office in Item Number 1., Part 5.' Max length: 25 characters Depends on: Notify office to obtain visa/admission
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Apartment/Suite/Floor Number	Text	Enter the apartment, suite, or floor number for the beneficiary's foreign address, if applicable. Fill only if 'Requested Action' is 'Notify the office in Item Number 1., Part 5.' Max length: 6 characters Depends on: Notify office to obtain visa/admission
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State	Text	Enter the state for the beneficiary's foreign address. Fill only if 'Requested Action' is 'Notify the office in Item Number 1., Part 5.' Max length: 20 characters Depends on: Notify office to obtain visa/admission
Postal Code	Text	Enter the postal code for the beneficiary's foreign address. Fill only if 'Requested Action' is 'Notify the office in Item Number 1., Part 5.' Max length: 9 characters Depends on: Notify office to obtain visa/admission
Country	Text	Enter the country for the beneficiary's foreign address. Fill only if 'Requested Action' is 'Notify the office in Item Number 1., Part 5.' Depends on: Notify office to obtain visa/admission
Province	Text	Enter the province for the beneficiary's foreign address. Fill only if 'Requested Action' is 'Notify the office in Item Number 1., Part 5.' Max length: 20 characters Depends on: Notify office to obtain visa/admission
Beneficiary's Highest Level of Education
No Diploma	Checkbox	Check this box if the beneficiary has not obtained any diploma. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
High School Graduate Diploma or Equivalent (GED)	Checkbox	Check this box if the beneficiary has a high school graduate diploma or its equivalent, such as a GED. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Some College Credit (Less than 1 Year)	Checkbox	Check this box if the beneficiary has some college credit, but for less than one year. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
One or More Years of College (No Degree)	Checkbox	Check this box if the beneficiary has one or more years of college but has not obtained a degree. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Associate's Degree (AA, AS)	Checkbox	Check this box if the beneficiary has an Associate's degree, such as an AA or AS. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Master's Degree (MA, MS, MEng, MEd, MSW, MBA)	Checkbox	Check this box if the beneficiary has a Master's degree, such as an MA, MS, MEng, MEd, MSW, or MBA. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Professional Degree (MD, DDS, DVM, LLB, JD)	Checkbox	Check this box if the beneficiary has a Professional degree, such as an MD, DDS, DVM, LLB, or JD. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Bachelor's Degree (BA, AB, BS)	Checkbox	Check this box if the beneficiary has a Bachelor's degree, such as a BA, AB, or BS. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Doctorate Degree (PhD, EdD)	Checkbox	Check this box if the beneficiary has a Doctorate degree, such as a PhD or EdD. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Beneficiary's Occupation and Work Experience
Beneficiary's Occupation and Work Experience	Text	Provide a detailed description of the beneficiary's present occupation and a summary of their prior work experience. Fill only if 'Classification sought' is 'H-1B Classification'. Depends on:
Beneficiary's Passport or Travel Document Information
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Expiration Date	Date	Enter the expiration date of the beneficiary's passport or travel document. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Country of Issuance	Text	Enter the country of issuance for the beneficiary's passport or travel document. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Passport or Travel Document Number	Text	Enter the beneficiary's passport or travel document number. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Beneficiary's Pre-existing Skills
No	Checkbox	Check this box if the beneficiary does not already have skills related to the training. Fill only if 'Classification sought' is 'H-3 Trainee'. Depends on:
Yes	Checkbox	Check this box if the beneficiary already has skills related to the training. Fill only if 'Classification sought' is 'H-3 Trainee'. Depends on:
Beneficiary's Prior Work Experience
Prior Work Experience Details	Text	Provide a detailed list of the beneficiary's prior work experience, including dates, under the O-1 or P principal classification. Fill only if 'O-2 Accompanying Alien', 'P-1S Essential Support Personnel for P-1', 'P-2S Essential Support Personnel for P-2', 'P-3S Essential Support Personnel for P-3' is selected, any. Depends on: O-2 Accompanying Alien, P-1S Essential Support Personnel for P-1, P-2S Essential Support Personnel for P-2, P-3S Essential Support Personnel for P-3
Birth and Nationality Information
Province of Birth	Text	Please enter the province where the beneficiary was born. Max length: 20 characters
Country of Citizenship or Nationality	Text	Please enter the country of the beneficiary's citizenship or nationality.
Business Establishment Information
Type of Business	Text	Enter the type or nature of the business.
Year Established	Number	Provide the year in which the business was established. Max length: 4 characters
Classification Sought
E-1 Treaty Trader	Checkbox	Check this box if you are seeking classification as an E-1 Treaty Trader.
E-2 Treaty Investor	Checkbox	Check this box if you are seeking classification as an E-2 Treaty Investor.
E-2 CNMI Investor	Checkbox	Check this box if you are seeking classification as an E-2 CNMI Investor.
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L-1A manager or executive	Checkbox	Check this box if the classification sought is for an L-1A manager or executive.
L-1B specialized knowledge	Checkbox	Check this box if the classification sought is for an L-1B individual with specialized knowledge.
O-1B Alien	Checkbox	Check this box if the classification sought is for an O-1B alien of extraordinary ability in the arts or extraordinary achievement in the motion picture or television industry.
O-1A Alien	Checkbox	Check this box if the classification sought is for an O-1A alien of extraordinary ability in sciences, education, business, or athletics (not including the arts, motion picture, or television industry).
P-1 Major League Sports	Checkbox	Check this box if the classification sought is for a P-1 alien involved in Major League Sports.
P-1 Athlete or Athletic/Entertainment Group	Checkbox	Check this box if the classification sought is for a P-1 athlete or an athletic/entertainment group (includes minor league sports not affiliated with Major League Sports).
O-2 Accompanying Alien	Checkbox	Check this box if the classification sought is for an O-2 alien accompanying an O-1 alien to assist in their performance.
P-1S Essential Support Personnel for P-1	Checkbox	Check this box if the classification sought is for essential support personnel for a P-1 alien.
P-2 Artist or entertainer	Checkbox	Check this box if the classification sought is for a P-2 artist or entertainer participating in a reciprocal exchange program.
P-2S Essential Support Personnel for P-2	Checkbox	Check this box if the classification sought is for essential support personnel for a P-2 alien.
P-3 Artist/Entertainer	Checkbox	Check this box if the classification sought is for a P-3 artist or entertainer coming to the United States to perform, teach, or coach under a program that is culturally unique.
P-3S Essential Support Personnel for P-3	Checkbox	Check this box if the classification sought is for essential support personnel for a P-3 alien.
CNMI Exclusive Work Confirmation
Yes	Checkbox	Check this box if the beneficiary will work exclusively in the Commonwealth of the Northern Mariana Islands (CNMI).
No	Checkbox	Check this box if the beneficiary will not work exclusively in the Commonwealth of the Northern Mariana Islands (CNMI).
Company Financials
Company Assets	Number	Enter the total monetary value of the company's assets.
Company Net Worth	Number	Enter the company's total net worth.
Company Net Annual Income	Number	Enter the company's total net annual income.
Company or Organization Name
Company or Organization Name	Text	Provide the full legal name of the company or organization petitioning.
Company Relationship
Parent	Checkbox	Check this box if the U.S. company is a parent of the company abroad. Fill only if 'Classification sought' is 'L-1'.
Branch	Checkbox	Check this box if the U.S. company is a branch of the company abroad. Fill only if 'Classification sought' is 'L-1'.
Subsidiary	Checkbox	Check this box if the U.S. company is a subsidiary of the company abroad. Fill only if 'Classification sought' is 'L-1'.
Affiliate	Checkbox	Check this box if the U.S. company is an affiliate of the company abroad. Fill only if 'Classification sought' is 'L-1'.
Joint Venture	Checkbox	Check this box if the U.S. company is a joint venture with the company abroad. Fill only if 'Classification sought' is 'L-1'.
Concurrent Petitions Inquiry
No, I am not filing other petitions	Checkbox	Check this box if you are not filing any other petitions concurrently with this one.
Yes, I am filing other petitions	Checkbox	Check this box if you are filing any other petitions concurrently with this one.
Number of Concurrent Petitions	Number	Enter the number of other petitions you are filing concurrently with this one. Fill only if 'Yes, I am filing other petitions' is 'Yes'. Depends on: Yes, I am filing other petitions
Confirmation Number
Confirmation Number	Text	Provide the beneficiary Confirmation Number from the H-1B Registration Selection Notice for the beneficiary named in this petition (if applicable). Fill only if is 'Yes' for any. Depends on: ,
Consultation Submission Question
No - copy of request attached	Checkbox	Check this box if the required consultation or written advisory opinion is not being submitted, but a copy of the request for consultation or advisory opinion is attached. Fill only if 'Classification sought' is 'O Classification' or 'P Classification'.
Yes	Checkbox	Check this box if the required consultation or written advisory opinion is being submitted with this petition. Fill only if 'Classification sought' is 'O Classification' or 'P Classification'.
N/A	Checkbox	Check this box if the required consultation or written advisory opinion is not applicable to this petition. Fill only if 'Classification sought' is 'O Classification' or 'P Classification'.
Contact Information
Email Address	Text	Provide the email address, if any, for contact.
Daytime Telephone Number	Text	Enter the daytime telephone number for contact. Max length: 15 characters
Mobile Telephone Number	Text	Enter the mobile telephone number for contact. Max length: 15 characters
Email Address	Text	Please enter the email address, if applicable. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Depends on:
Daytime Telephone Number	Text	Please enter the daytime telephone number. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 15 characters Depends on:
Mobile Telephone Number	Text	Please enter the mobile telephone number. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 15 characters Depends on:
Correspondence Information
	Text
	Text	Max length: 10 characters
Country of Birth and Citizenship
Country of Birth	Text	Please provide the country where the person was born.
Country of Citizenship or Nationality	Text	Please provide the country of the person's citizenship or nationality.
Country of Birth	Text	Please provide the name of the country where you were born. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Depends on: Total Beneficiaries
Country of Citizenship or Nationality	Text	Please provide the name of your country of citizenship or nationality. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Depends on: Total Beneficiaries
Current Number of Employees in the United States
Current Number of Employees	Number	Provide the current total number of employees working in the United States. Max length: 10 characters
Current Residential U.S. Address
State	Combobox	Provide the U.S. state of the current residential U.S. address. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
ZIP Code	Text	Provide the U.S. ZIP code of the current residential U.S. address. Fill only if beneficiary is in the United States. Max length: 5 characters Depends on: Date Passport or Travel Document Expires, SEVIS Number, EAD Number, Status Expiration Date, Date Passport or Travel Document Issued, Passport or Travel Document Country of Issuance, Date of Last Arrival, Passport or Travel Document Number, I-94 Arrival-Departure Record Number
City or Town	Text	Provide the city or town of the current residential U.S. address. Fill only if beneficiary is in the United States. Max length: 40 characters Depends on: Date Passport or Travel Document Expires, SEVIS Number, EAD Number, Status Expiration Date, Date Passport or Travel Document Issued, Passport or Travel Document Country of Issuance, Date of Last Arrival, Passport or Travel Document Number, I-94 Arrival-Departure Record Number
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Apt. Ste. Flr. Number	Text	Provide the apartment, suite, or floor number of the current residential U.S. address, if applicable. Fill only if is selected, any. Max length: 6 characters Depends on: , ,
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Street Number and Name	Text	Provide the street number and name of the current residential U.S. address. Fill only if beneficiary is in the United States. Max length: 34 characters Depends on: Date Passport or Travel Document Expires, SEVIS Number, EAD Number, Status Expiration Date, Date Passport or Travel Document Issued, Passport or Travel Document Country of Issuance, Date of Last Arrival, Passport or Travel Document Number, I-94 Arrival-Departure Record Number
Dates of Intended Employment
Employment Start Date	Date	Enter the intended start date of employment.
Employment End Date	Date	Enter the intended end date of employment.
Debarment Order Status
Yes	Checkbox	Check this box if you are currently subject to any debarment order by the U.S. Department of Labor (or, if applicable, the Governor of Guam). Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker'. Depends on:
No	Checkbox	Check this box if you are not currently subject to any debarment order by the U.S. Department of Labor (or, if applicable, the Governor of Guam). Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker'. Depends on:
Degree Information
Type of Degree	Text	Specify the type of master's or higher degree earned from the United States institution. Fill only if 'Numerical Limitation Type selection' is 'Cap H-1B U.S. Master's Degree or Higher'.
Date Degree Awarded	Date	Enter the date when the master's or higher degree was awarded. Fill only if 'Numerical Limitation Type selection' is 'Cap H-1B U.S. Master's Degree or Higher'.
Institution Name	Text	Provide the full name of the United States institution of higher education where the degree was earned. Fill only if 'Numerical Limitation Type selection' is 'Cap H-1B U.S. Master's Degree or Higher'. Max length: 34 characters
Dependents Application Inquiry
No	Checkbox	Check this box if you are not filing any applications for dependents with this petition.
Yes	Checkbox	Check this box if you are filing any applications for dependents with this petition.
Number of Dependent Applications	Text	Provide the total number of applications for dependents being filed with this petition. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Description of Beneficiary's Duties Abroad
Beneficiary's Duties Abroad	Text	Provide a detailed description of the beneficiary's duties performed abroad for the 3 years preceding the filing of the petition, or preceding admission to the U.S. if currently inside the U.S. Fill only if 'Classification sought' is 'L-1'.
Description of Beneficiary's Proposed Duties in the United States
Proposed Duties in US	Text	Provide a detailed description of the duties the beneficiary is proposed to perform in the United States. Fill only if 'Classification sought' is 'L-1'.
Description of Fees
Types and Amounts of Fees Paid	Text	Provide a detailed list of the types of fees and the corresponding amounts that the worker(s) either paid or will pay, if you answered 'Yes' to Item Number 8. Fill only if 'Yes' is 'Yes'. Depends on: Yes
DHS Notification Agreement
Yes	Checkbox	Check this box if the petitioner agrees to notify DHS beginning on a date and in a manner specified in a notice published in the Federal Register within 2 workdays under the specified conditions related to H-2A/H-2B workers.
No	Checkbox	Check this box if the petitioner does not agree to notify DHS under the conditions specified in item 21.
DOD Project Manager Details
	Text	Depends on: Yes
Does the petitioner employ 50 or more individuals in the U.S.?
No	Checkbox	Check this box if the petitioner does not employ 50 or more individuals in the U.S. Fill only if 'Classification sought' is 'L Classification'. Depends on:
Yes	Checkbox	Check this box if the petitioner employs 50 or more individuals in the U.S. Fill only if 'Classification sought' is 'L Classification'. Depends on:
Duties Description
Duties Description	Text	Provide a detailed description of the duties that will be performed.
E-1 Treaty Trader Information
Total Annual Gross Trade/Business of US Company	Number	Enter the total annual gross trade or business amount for the U.S. company. Fill only if 'Classification sought' is 'E-1 Treaty Trader' Max length: 10 characters Depends on: E-1 Treaty Trader
Year Ending	Text	Provide the year for which the trade/business information is reported. Fill only if 'Classification sought' is 'E-1 Treaty Trader' Max length: 4 characters Depends on: E-1 Treaty Trader
Percent Gross Trade US-Treaty Country	Number	Enter the percentage of total gross trade conducted between the United States and the treaty trader country. Fill only if 'Classification sought' is 'E-1 Treaty Trader' Max length: 4 characters Depends on: E-1 Treaty Trader
E-2 Treaty Investor Total Investment
Cash Investment	Number	Enter the total amount of cash invested by the E-2 Treaty Investor. Fill only if 'Classification sought' is 'E-2 Treaty Investor' Depends on: E-2 Treaty Investor
Equipment Investment	Number	Enter the total value of equipment invested by the E-2 Treaty Investor. Fill only if 'Classification sought' is 'E-2 Treaty Investor' Depends on: E-2 Treaty Investor
Premises Investment	Number	Enter the total value of premises (e.g., land, buildings) invested by the E-2 Treaty Investor. Fill only if 'Classification sought' is 'E-2 Treaty Investor' Depends on: E-2 Treaty Investor
Inventory Investment	Number	Enter the total value of inventory invested by the E-2 Treaty Investor. Fill only if 'Classification sought' is 'E-2 Treaty Investor' Depends on: E-2 Treaty Investor
Other Investment	Number	Enter the total value of other assets invested by the E-2 Treaty Investor not covered by previous categories. Fill only if 'Classification sought' is 'E-2 Treaty Investor' Depends on: E-2 Treaty Investor
Total Investment	Number	Enter the calculated total value of all investments made by the E-2 Treaty Investor. Fill only if 'Classification sought' is 'E-2 Treaty Investor' Depends on: E-2 Treaty Investor
Eighth Affiliate Information
Eighth Affiliate Name and Address	Text	Provide the full name and address of the eighth U.S. or foreign parent, branch, subsidiary, or affiliate included in this petition. Fill only if 'Classification sought' is 'Blanket Petition'
Eighth Affiliate Relationship	Text	State the relationship of the eighth entity to the primary petitioner, such as parent, branch, subsidiary, or affiliate. Fill only if 'Classification sought' is 'Blanket Petition'
Employee Count Inquiry
Yes	Checkbox	Check this box if you currently employ a total of 25 or fewer full-time equivalent employees in the United States, including all affiliates or subsidiaries.
No	Checkbox	Check this box if you currently employ more than 25 full-time equivalent employees in the United States, including all affiliates or subsidiaries.
Employee Count Status
No	Checkbox	Check this box if the company currently employs more than 25 full-time equivalent employees in the United States, including all affiliates or subsidiaries. Fill only if 'Nonprofit/Governmental Research Organization: No', 'Amended Petition Status - No', 'Primary or Secondary Education Institution - No', 'Nonprofit Entity for Clinical Training - No', 'No', 'Second or Subsequent Request (No)', 'No', 'No' all have a 'No' selection. Depends on: No, No, Nonprofit/Governmental Research Organization: No, Second or Subsequent Request (No), Amended Petition Status - No, No, Primary or Secondary Education Institution - No, Nonprofit Entity for Clinical Training - No
Yes	Checkbox	Check this box if the company currently employs a total of 25 or fewer full-time equivalent employees in the United States, including all affiliates or subsidiaries. Fill only if 'Nonprofit/Governmental Research Organization: No', 'Amended Petition Status - No', 'Primary or Secondary Education Institution - No', 'Nonprofit Entity for Clinical Training - No', 'No', 'Second or Subsequent Request (No)', 'No', 'No' all have a 'No' selection. Depends on: No, No, Nonprofit/Governmental Research Organization: No, Second or Subsequent Request (No), Amended Petition Status - No, No, Primary or Secondary Education Institution - No, Nonprofit Entity for Clinical Training - No
Employee Qualification Explanation
Explanation of Special Qualifications	Text	Provide a detailed explanation describing why the employee's special qualifications are essential for the successful or efficient operation of the treaty enterprise. Fill only if 'Classification sought' is for an 'employee with special qualifications' Depends on: E-1 Treaty Trader, E-2 Treaty Investor
Employee's Position, Title, Duties and Years Employed
Employee Position, Title, Duties, and Years Employed	Text	Please provide a detailed description of the employee's position, title, duties performed, and the number of years employed in this role.
Employer Change and Previous Guam-CNMI Cap Exemption
No	Checkbox	Check this box if you are not requesting a change of employer for the beneficiary, or if the beneficiary was not previously subject to the Guam-CNMI cap exemption under Public Law 110-229. Fill only if 'Basis for Classification' is 'Change of employer'. Depends on: Change of employer
Yes	Checkbox	Check this box if you are requesting a change of employer for the beneficiary and the beneficiary was previously subject to the Guam-CNMI cap exemption under Public Law 110-229. Fill only if 'Basis for Classification' is 'Change of employer'. Depends on: Change of employer
Employer Information
Foreign Employer	Checkbox	Check this box if the employer is a foreign employer. Fill only if 'Classification sought' is a classification that requires this supplement.
U.S. Employer	Checkbox	Check this box if the employer is a U.S. employer. Fill only if 'Classification sought' is a classification that requires this supplement.
Foreign Country Name	Text	Please provide the name of the foreign country where the employer is located. Fill only if 'Foreign Employer' is 'Yes'. Depends on: Foreign Employer
Employer or Organization Address
	Text
City or Town	Text	Enter the city or town of the employer or organization's address. Fill only if 'Classification sought' is 'R-1 Religious Worker' Max length: 40 characters
State	Combobox	Enter the state of the employer or organization's address. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
ZIP Code	Text	Enter the ZIP code of the employer or organization's address. Fill only if 'Classification sought' is 'R-1 Religious Worker' Max length: 5 characters
Street Number and Name	Text	Enter the street number and name of the employer or organization's address. Fill only if 'Classification sought' is 'R-1 Religious Worker' Max length: 34 characters
Apartment, Suite, or Floor Number	Text	Enter the apartment, suite, or floor number for the employer or organization's address. Fill only if 'Classification sought' is 'R-1 Religious Worker' Max length: 6 characters
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Employer or Organization's Contact Information
Email Address	Text	Please provide the email address of the employer or organization. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Daytime Telephone Number	Text	Please provide the daytime telephone number of the employer or organization. Fill only if 'Classification sought' is 'R-1 Religious Worker' Max length: 10 characters
Fax Number	Text	Please provide the fax number of the employer or organization. Fill only if 'Classification sought' is 'R-1 Religious Worker' Max length: 10 characters
Employer's Address
City or Town	Text	Provide the city or town of the employer's address. Max length: 40 characters
ZIP Code	Text	Provide the ZIP code of the employer's address. Max length: 5 characters
State	Combobox	Provide the state of the employer's address. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
Street Number and Name	Text	Provide the street number and name of the employer's address. Max length: 34 characters
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Apartment, Suite, or Floor Number	Text	Provide the apartment, suite, or floor number of the employer's address. Max length: 6 characters
Province	Text	Provide the province of the employer's address. Max length: 20 characters
Postal Code	Text	Provide the postal code of the employer's address. Max length: 9 characters
Country	Text	Provide the country of the employer's address.
Employer's Name and Employee Count
Employer's Name	Text	Provide the full legal name of the employer.
Total Number of Employees	Number	Enter the total number of employees in the employer's organization.
Employment is
Seasonal	Checkbox	Check this box if the employment is seasonal. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
Peak load	Checkbox	Check this box if the employment is for a peak load period. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
One-time occurrence	Checkbox	Check this box if the employment is a one-time occurrence. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
Intermittent	Checkbox	Check this box if the employment is intermittent. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
Entertainment Group Name
Entertainment Group Name	Text	Enter the name of the entertainment group.
Entertainment Group Tenure Inquiry
Yes	Checkbox	Check this box if any beneficiary in the entertainment group has not been with the group for at least one year, and you will provide an explanation in Part 9. Fill only if 'Type of Beneficiaries Requested' is 'Entertainment Group' Depends on: Entertainment Group Name
No	Checkbox	Check this box if all beneficiaries in the entertainment group have been with the group for at least one year. Fill only if 'Type of Beneficiaries Requested' is 'Entertainment Group' Depends on: Entertainment Group Name
Evidence Retention Agreement
Yes	Checkbox	Check this box if the petitioner agrees to retain evidence of notification and make it available for inspection by DHS officers for a one-year period.
No	Checkbox	Check this box if the petitioner does not agree to retain evidence of notification and make it available for inspection by DHS officers for a one-year period.
Exception Request Status
Yes	Checkbox	Check this box if you are requesting an exception to the mandatory denial or revocation for prohibited fees. Fill only if 'Yes' is 'Yes'. Depends on: Yes
No	Checkbox	Check this box if you are NOT requesting an exception to the mandatory denial or revocation for prohibited fees. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Explanation
Explanation	Text	Provide a detailed explanation relevant to the petition. Fill only if 'Classification sought' is 'O Classification' or 'P Classification'.
Explanation of temporary need for workers' services
Explanation of Temporary Need	Text	Please provide a detailed explanation of the temporary need for the workers' services. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
Explanation of Training Costs and Expected Return
Explanation of Training Costs and Expected Return	Text	Provide a detailed explanation of why you wish to incur the cost of providing this training and the expected return from this training, particularly if you do not intend to employ the beneficiary abroad. Fill only if 'Yes', 'Yes', 'Yes', 'No', 'Yes', 'Yes', 'Yes' any of the 'Yes' options for questions 1-6 is selected or if the 'No' option for question 6 is selected. Depends on: Yes, Yes, Yes, Yes, Yes, Yes, No
Federal Employer Identification Number (FEIN)
Federal Employer Identification Number (FEIN)	Number	Please enter the Federal Employer Identification Number (FEIN) for the petitioner.
Fee Reimbursement Status
No	Checkbox	Check this box if the workers, or their designee, were NOT reimbursed for any fee paid, or if any agreement to pay a fee was NOT terminated. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if the workers, or their designee, were reimbursed for any fee paid and any agreement to pay a fee was terminated. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Fifth Affiliate Information
Fifth Affiliate Name and Address	Text	Please enter the name and full address of the fifth affiliate. Fill only if 'Classification sought' is 'Blanket Petition'
Fifth Affiliate Relationship	Text	Please provide the relationship of the fifth affiliate to the main entity. Fill only if 'Classification sought' is 'Blanket Petition'
Fifth Alien or Dependent Family Member's Prior Stay
Fifth Alien/Dependent Name	Text	Please enter the full name of the fifth alien or dependent family member. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Fifth Alien/Dependent Stay From Date	Date	Please enter the start date of the fifth alien or dependent family member's prior stay. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Fifth Alien/Dependent Stay To Date	Date	Please enter the end date of the fifth alien or dependent family member's prior stay. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Fifth Beneficiary's Prior Period of Stay
Fifth Beneficiary's Name	Text	Provide the full name of the fifth beneficiary for this prior period of stay. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Fifth Beneficiary's From Date	Date	Indicate the start date of the fifth beneficiary's prior period of stay. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Fifth Beneficiary's To Date	Date	Indicate the end date of the fifth beneficiary's prior period of stay. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Fifth Company Qualifying Relationship
Fifth Company Stock Ownership Percentage	Number	Enter the percentage of stock ownership and managerial control for the fifth company that has a qualifying relationship. Fill only if 'Classification sought' is 'L-1'.
Fifth Company Federal Employer Identification Number	Text	Provide the Federal Employer Identification Number for the fifth U.S. company that has a qualifying relationship. Fill only if 'Classification sought' is 'L-1'.
Fifth Employee Position and Responsibilities
Fifth Employee Position	Text	Provide the job title or role for the fifth employee. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Fifth Employee Responsibilities Summary	Text	Provide a summary of the responsibilities for the fifth employee's position. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Fifth Employment Record
Fifth Employment From Date	Date	Enter the start date of the beneficiary's fifth employment period with this employer. Fill only if 'Classification sought' is 'L-1'.
Fifth Employment To Date	Date	Enter the end date of the beneficiary's fifth employment period with this employer. Fill only if 'Classification sought' is 'L-1'.
Fifth Employment Interruption Explanation	Text	Provide an explanation for any interruptions during the beneficiary's fifth employment period. Fill only if 'Classification sought' is 'L-1'.
Fifth Owner Nationality
Fifth Owner Name	Text	Provide the full name of the fifth owner, including first name, middle initial, and last name.
Fifth Owner Nationality	Text	Enter the nationality of the fifth owner.
Fifth Owner Immigration Status	Text	Specify the immigration status of the fifth owner.
Fifth Owner Percent of Ownership	Number	Enter the percentage of ownership held by the fifth owner. Max length: 4 characters
Fifth Prior Period of Stay
Fifth Period Subject's Name	Text	Enter the full name of the subject for this fifth prior period of stay.
Fifth Period From Date	Date	Provide the start date of this fifth prior period of stay.
Fifth Period To Date	Date	Provide the end date of this fifth prior period of stay.
Final Determination of Employment-Related Violation Status
Yes	Checkbox	The user should check this box if, within the last 3 years, they have been subject to any final administrative or judicial determination, other than those described in Items 14-18, finding a violation of any applicable employment-related laws or regulations, including health and safety laws or regulations. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker'. Depends on:
No	Checkbox	The user should check this box if, within the last 3 years, they have NOT been subject to any final administrative or judicial determination, other than those described in Items 14-18, finding a violation of any applicable employment-related laws or regulations, including health and safety laws or regulations. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker'. Depends on:
First Additional Information Entry
Page Number	Text	Enter the page number from the original petition where the corresponding additional information is located. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Max length: 2 characters Depends on: Yes
Part Number	Text	Enter the part number from the original petition that this additional information refers to. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Max length: 6 characters Depends on: Yes
Item Number	Text	Enter the item number from the original petition that this additional information pertains to. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Max length: 6 characters Depends on: Yes
Additional Information Content	Text	Provide any additional information related to the petition that requires more space than allotted elsewhere. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Depends on: Yes
First Affiliate Information
Affiliate Name and Address	Text	Enter the full name and mailing address of the first affiliate or entity included in this petition. Fill only if 'Classification sought' is 'Blanket Petition'
Affiliate Relationship	Text	Provide the relationship of this affiliate or entity to the primary petitioner (e.g., parent, branch, subsidiary). Fill only if 'Classification sought' is 'Blanket Petition'
First Alien or Dependent Family Member's Prior Stay
Family Member's Name	Text	Enter the full name of the first alien or dependent family member. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Prior Stay From Date	Date	Provide the start date of the first alien or dependent family member's prior stay in the United States. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Prior Stay To Date	Date	Provide the end date of the first alien or dependent family member's prior stay in the United States. Fill only if 'Yes' is 'Yes'. Depends on: Yes
First Beneficiary's Prior Period of Stay
First Beneficiary's Name	Text	Provide the full name of the first beneficiary for this prior period of stay. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
First Period of Stay From Date	Date	Enter the start date of the first beneficiary's prior period of stay. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
First Period of Stay To Date	Date	Enter the end date of the first beneficiary's prior period of stay. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
First Company Qualifying Relationship
Stock Ownership Percentage	Number	Enter the percentage of stock ownership and managerial control for the company that has a qualifying relationship. Fill only if 'Classification sought' is 'L-1'.
Federal Employer Identification Number	Text	Provide the Federal Employer Identification Number for the U.S. company that has a qualifying relationship. Fill only if 'Classification sought' is 'L-1'.
First Employee Position and Responsibilities
First Employee Position	Text	Enter the job title or position held by the first employee who works at the same location as the beneficiary. Fill only if 'Classification sought' is 'R-1 Religious Worker'
First Employee Responsibilities Summary	Text	Provide a summary of the type of responsibilities for the first employee's position. Fill only if 'Classification sought' is 'R-1 Religious Worker'
First Employment Record
First Employment From Date	Date	Provide the start date of the beneficiary's first employment period with this employer. Fill only if 'Classification sought' is 'L-1'.
First Employment To Date	Date	Provide the end date of the beneficiary's first employment period with this employer. Fill only if 'Classification sought' is 'L-1'.
First Employment Interruption Explanation	Text	Provide a detailed explanation for any interruptions that occurred during the beneficiary's first employment period with this employer. Fill only if 'Classification sought' is 'L-1'.
First Other Name
First Other Middle Name	Text	Enter the middle name for the beneficiary's first other name used. Fill only if 'Type of Beneficiaries Requested' is 'Named'. Depends on: Named
First Other Given Name	Text	Enter the given name (first name) for the beneficiary's first other name used. Fill only if 'Type of Beneficiaries Requested' is 'Named'. Depends on: Named
First Other Family Name	Text	Enter the family name (last name) for the beneficiary's first other name used. Fill only if 'Type of Beneficiaries Requested' is 'Named'. Depends on: Named
First Owner Nationality
Owner Name	Text	Enter the full name of the first owner, including first name, middle initial, and last name.
Owner Nationality	Text	Enter the nationality of the first owner.
Owner Immigration Status	Text	Enter the immigration status of the first owner.
Owner Percent of Ownership	Number	Enter the percentage of ownership held by the first owner. Max length: 4 characters
First Prior Period of Stay
Subject's Name	Text	Enter the name of the beneficiary or dependent family member for this prior period of stay.
Period of Stay From	Date	Enter the start date of the prior period of stay.
Period of Stay To	Date	Enter the end date of the prior period of stay.
First Work Location Address
State	Combobox	Enter the state for the first work location address. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
ZIP Code	Text	Enter the ZIP code for the first work location address. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization' Max length: 5 characters
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Apartment/Suite/Floor Number	Text	Enter the apartment, suite, or floor number for the first work location address, if applicable. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization' Max length: 6 characters
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Street Number and Name	Text	Enter the street number and name for the first work location address. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization' Max length: 34 characters
City or Town	Text	Enter the city or town for the first work location address. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization' Max length: 40 characters
First Work Location Third-Party Information
No	Checkbox	Check this box if the first work location is not a third-party location. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization'
Yes	Checkbox	Check this box if the first work location is a third-party location. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization'
Third-Party Organization Name	Text	Provide the full name of the third-party organization for the first work location. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Foreign Address
Foreign City or Town	Text	Enter the city or town of the foreign address. Fill only if 'Requested Action' is for a beneficiary outside the United States Max length: 40 characters Depends on: Notify office to obtain visa/admission
Foreign ZIP Code	Text	Enter the ZIP code of the foreign address, if applicable. Use this field if the foreign country uses a ZIP code for its address system. Fill only if 'Requested Action' is for a beneficiary outside the United States Max length: 5 characters Depends on: Notify office to obtain visa/admission
Foreign State	Combobox	Enter the state of the foreign address, if applicable. Use this field if the foreign country uses a state designation for its address system. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
Foreign Street Number and Name	Text	Enter the street number and name of the foreign address. Fill only if 'Requested Action' is for a beneficiary outside the United States Max length: 34 characters Depends on: Notify office to obtain visa/admission
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Foreign Apartment/Suite/Floor Number	Text	Enter the apartment, suite, or floor number of the foreign address, if applicable. Fill only if 'Requested Action' is for a beneficiary outside the United States Max length: 6 characters Depends on: Notify office to obtain visa/admission
Foreign Province	Text	Enter the province of the foreign address, if applicable. Use this field if the foreign country uses a province designation for its address system. Fill only if 'Requested Action' is for a beneficiary outside the United States Max length: 20 characters Depends on: Notify office to obtain visa/admission
Foreign Postal Code	Text	Enter the postal code of the foreign address, if applicable. Use this field if the foreign country uses a postal code for its address system. Fill only if 'Requested Action' is for a beneficiary outside the United States Max length: 9 characters Depends on: Notify office to obtain visa/admission
Foreign Country	Text	Enter the country of the foreign address. Fill only if 'Requested Action' is for a beneficiary outside the United States Max length: 20 characters Depends on: Notify office to obtain visa/admission
Foreign City or Town	Text	Enter the city or town for the foreign address. Fill only if 'beneficiary is outside the United States' is 'Yes' Max length: 40 characters Depends on: Consulate, Pre-flight inspection, Port of Entry
Foreign ZIP Code	Text	Enter the ZIP code for the foreign address, if applicable. Fill only if 'beneficiary is outside the United States' is 'Yes' Max length: 5 characters Depends on: Consulate, Pre-flight inspection, Port of Entry
Foreign State/Region	Combobox	Provide the state or region for the foreign address, if applicable. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
Foreign Street Number and Name	Text	Provide the street number and name for the foreign address. Fill only if 'beneficiary is outside the United States' is 'Yes' Max length: 34 characters Depends on: Consulate, Pre-flight inspection, Port of Entry
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Foreign Apartment, Suite, or Floor Number	Text	Enter the apartment, suite, or floor number for the foreign address. Fill only if 'beneficiary is outside the United States' is 'Yes' Max length: 6 characters Depends on: Consulate, Pre-flight inspection, Port of Entry
Foreign Province	Text	Enter the province for the foreign address, if applicable. Fill only if 'beneficiary is outside the United States' is 'Yes' Max length: 20 characters Depends on: Consulate, Pre-flight inspection, Port of Entry
Foreign Postal Code	Text	Provide the postal code for the foreign address, if applicable. Fill only if 'beneficiary is outside the United States' is 'Yes' Max length: 9 characters Depends on: Consulate, Pre-flight inspection, Port of Entry
Foreign Country	Text	Enter the country for the foreign address. Fill only if 'beneficiary is outside the United States' is 'Yes' Depends on: Consulate, Pre-flight inspection, Port of Entry
Fourth Affiliate Information
Fourth Affiliate Name and Address	Text	Provide the full name and address of the fourth U.S. or foreign parent, branch, subsidiary, or affiliate. Fill only if 'Classification sought' is 'Blanket Petition'
Fourth Affiliate Relationship	Text	State the relationship of this entity to the petitioning organization. Fill only if 'Classification sought' is 'Blanket Petition'
Fourth Alien or Dependent Family Member's Prior Stay
Fourth Alien/Dependent Family Member's Name	Text	Provide the full name of the fourth alien or dependent family member who previously stayed in the United States under R visa classification. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Fourth Alien/Dependent Family Member's Prior Stay From Date	Date	Enter the start date of the fourth alien or dependent family member's prior stay in the United States under R visa classification. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Fourth Alien/Dependent Family Member's Prior Stay To Date	Date	Enter the end date of the fourth alien or dependent family member's prior stay in the United States under R visa classification. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Fourth Beneficiary's Prior Period of Stay
Fourth Beneficiary's Name	Text	Please enter the full name of the fourth beneficiary for this prior period of stay. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Fourth Beneficiary's Prior Stay From Date	Date	Please provide the start date of the fourth beneficiary's prior period of stay in H or L classification. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Fourth Beneficiary's Prior Stay To Date	Date	Please provide the end date of the fourth beneficiary's prior period of stay in H or L classification. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Fourth Company Qualifying Relationship
Fourth Company Stock Ownership Percentage	Number	Please provide the percentage of stock ownership and managerial control for the fourth company that has a qualifying relationship. Fill only if 'Classification sought' is 'L-1'.
Fourth Company FEIN	Text	Please provide the Federal Employer Identification Number (FEIN) for the fourth U.S. company that has a qualifying relationship. Fill only if 'Classification sought' is 'L-1'.
Fourth Employee Position and Responsibilities
Fourth Employee Position	Text	Enter the job title or position of the fourth employee who works at the same location as the beneficiary. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Fourth Employee Responsibilities Summary	Text	Provide a summary of the type of responsibilities for the fourth employee's position. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Fourth Employment Record
Fourth Employment Start Date	Date	Provide the start date of the fourth employment record. Fill only if 'Classification sought' is 'L-1'.
Fourth Employment End Date	Date	Provide the end date of the fourth employment record. Fill only if 'Classification sought' is 'L-1'.
Fourth Employment Interruption Explanation	Text	Provide an explanation for any interruptions in the fourth employment record. Fill only if 'Classification sought' is 'L-1'.
Fourth Owner Nationality
Fourth Owner Name	Text	Enter the full name (First, Middle Initial, Last) of the fourth owner or entity.
Fourth Owner Nationality	Text	Enter the nationality of the fourth owner or entity.
Fourth Owner Immigration Status	Text	Enter the immigration status of the fourth owner.
Fourth Owner Percent of Ownership	Number	Enter the percentage of ownership held by the fourth owner or entity. Max length: 4 characters
Fourth Prior Period of Stay
Fourth Prior Period Subject's Name	Text	Enter the name of the subject for the fourth prior period of stay.
Fourth Prior Period Start Date	Date	Enter the start date of the fourth prior period of stay.
Fourth Prior Period End Date	Date	Enter the end date of the fourth prior period of stay.
Free Trade Status Request
Free Trade, Canada (TN1)	Checkbox	Check this box if the request for Free Trade status is based on an agreement with Canada under the TN1 category. Fill only if 'Classification sought' is a classification that requires this supplement.
Free Trade, Mexico (TN2)	Checkbox	Check this box if the request for Free Trade status is based on an agreement with Mexico under the TN2 category. Fill only if 'Classification sought' is a classification that requires this supplement.
Free Trade, Chile (H-1B1)	Checkbox	Check this box if the request for Free Trade status is based on an agreement with Chile under the H-1B1 category. Fill only if 'Classification sought' is a classification that requires this supplement.
Free Trade, Other	Checkbox	Check this box if the request for Free Trade status is based on an agreement with a country not specifically listed. Fill only if 'Classification sought' is a classification that requires this supplement.
Free Trade, Singapore (H-1B1)	Checkbox	Check this box if the request for Free Trade status is based on an agreement with Singapore under the H-1B1 category. Fill only if 'Classification sought' is a classification that requires this supplement.
Sixth Consecutive Request, Chile or Singapore (H-1B1)	Checkbox	Check this box if this is a sixth consecutive request for Free Trade status based on an agreement with Chile or Singapore under the H-1B1 category. Fill only if 'Classification sought' is a classification that requires this supplement.
Full-time Position Confirmation
No	Checkbox	Check this box if the proposed employment position is not full-time.
Yes	Checkbox	Check this box if the proposed employment position is full-time.
General
	Combobox	FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
Page Number	Text	Please enter the current page number of the form. Fill only if 'Consulate', 'Pre-flight inspection', 'Port of Entry' is selected, any. Depends on: Consulate, Pre-flight inspection, Port of Entry
Page Number	Text	Please enter the current page number of the form.
Petitioner's Name	Text	Please provide the full legal name of the petitioner.
Page Number	Text	Please enter the current page number of the form.
Page Number	Text	Please provide the current page number of the form.
Confirmation Number	Text	Enter the beneficiary's Confirmation Number from the H-1B Registration Selection Notice.
	Text
Petitioner Signature	Text	Enter the signature of the petitioner. Fill only if 'Classification sought' is 'H-2A Agricultural worker'. Depends on:
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Page Number	Text	Provide the current page number of the form.
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Page Number	Text	Enter the current page number of the form.
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Page Number	Text	Provide the current page number. Fill only if 'Classification sought' is 'L-1'.
Page Number	Text	Enter the current page number of the form.
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Form Page Number	Text	Provide the current page number of the form.
	Text
Page Number	Text	Enter the current page number of the form. Fill only if 'Classification sought' is 'R-1' Depends on: Requested Nonimmigrant Classification Symbol
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Government Access Consent
Yes	Checkbox	Check this box if the H-2A/H-2B petitioner and employer consent to allow government access to all sites and to conduct interviews for compliance.
No	Checkbox	Check this box if the H-2A/H-2B petitioner and employer do not consent to allow government access to all sites and to conduct interviews for compliance.
Guam-CNMI Cap Exemption Status
Yes	Checkbox	Check this box if you are filing this petition on behalf of a beneficiary subject to the Guam-CNMI cap exemption under Public Law 110-229.
No	Checkbox	Check this box if you are NOT filing this petition on behalf of a beneficiary subject to the Guam-CNMI cap exemption under Public Law 110-229.
H-1B Petition Type
Cap H-1B Bachelor's Degree	Checkbox	Check this box if the H-1B petition you are filing is subject to the annual cap for individuals with a Bachelor's Degree. Fill only if 'Classification sought' is 'H-1B Specialty Occupation'. Depends on:
Cap H-1B U.S. Master's Degree or Higher	Checkbox	Check this box if the H-1B petition you are filing is subject to the annual cap for individuals with a U.S. Master's Degree or higher. Fill only if 'Classification sought' is 'H-1B Specialty Occupation'. Depends on:
Cap H-1B1 Chile/Singapore	Checkbox	Check this box if the H-1B petition you are filing is for an H-1B1 visa under the Chile or Singapore Free Trade Agreements. Fill only if 'Classification sought' is 'H-1B1 Chile and Singapore'. Depends on:
Cap Exempt	Checkbox	Check this box if the H-1B petition you are filing is exempt from the annual H-1B numerical limitation. Fill only if 'Classification sought' is 'H-1B Specialty Occupation'. Depends on:
Higher Education Institution Status
Yes	Checkbox	Check this box if you are an institution of higher education as defined in section 101(a) of the Higher Education Act of 1965, 20 U.S.C. 1001(a). Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
No	Checkbox	Check this box if you are not an institution of higher education as defined in section 101(a) of the Higher Education Act of 1965, 20 U.S.C. 1001(a). Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
I-94 Application Inquiry
Number of I-94 Applications	Text	Provide the total number of applications for replacement/initial I-94, Arrival-Departure Records being filed with this petition. Fill only if 'Yes, filing I-94 application' is 'Yes'. Depends on: Yes, filing I-94 application
Yes, filing I-94 application	Checkbox	Check this box if you are filing any applications for replacement/initial I-94, Arrival-Departure Records with this petition, and then specify the number of applications.
No, not filing I-94 application	Checkbox	Check this box if you are not filing any applications for replacement/initial I-94, Arrival-Departure Records with this petition.
Identification Numbers
SEVIS Number	Number	Please provide the Student and Exchange Visitor Information System (SEVIS) Number. Fill only if 'Beneficiary is in the United States' is 'Yes'.
EAD Number	Number	Please provide the Employment Authorization Document (EAD) Number. Fill only if 'Beneficiary is in the United States' is 'Yes'.
SEVIS Number	Text	Provide the Student and Exchange Visitor Information System (SEVIS) number, if applicable. Fill only if 'beneficiary is in the United States' is 'Yes'
EAD Number	Text	Provide the Employment Authorization Document (EAD) number, if applicable. Fill only if 'beneficiary is in the United States' is 'Yes'
Immigration Information
Country of Birth	Text	Enter the country where the beneficiary was born.
Alien Registration Number	Text	Provide the beneficiary's Alien Registration Number (A-Number). Fill only if 'Beneficiary is in the United States' is 'Yes'. Max length: 9 characters
Immigration Status
Current Nonimmigrant Status	Combobox	Please provide your current nonimmigrant status. DT 1B3 F1 PI TWO GT LZ U3 T3 L1A B1B GB M1 J2S A1 HSC UN U1 P1S IN PAL TC H1C N8 PAR CP WB RE SDF Q2 AS RW V2 EWI N1 H2B N5 T2 1B5 P1B V3 G5 B1C DE H2A WT OP G3 B1D H1 I E3 J2 S2 C3 N6 K3 G2 P4 D1 CH N2 U4 BE P2 UU O2 X P3S WI 1B2 E2C S1 C4 L1B M2 D2 MIS H4 B2 C2 E2 R1 N9 Q1 H3 CW2 T5 CC DA B1A IMM Q3 O1A H1B P1A TN2 K2 ML P3 K1 A2 ST L2 F2 N7 FSM O1 T4 FUG U2 1B1 N3 O1B P2S N4 U5 K4 WD H3B L1 TB H1A P1 1B4 1BS A3 AW V1 C1 EAO J1 TN1 DX S9 J1S TD H2R H2 B1 ASD RE5 CW1 R2 T1 G4 H3A O3 E1 G1
Status Expiration Date	Date	Please provide the date your current nonimmigrant status expires, or indicate D/S if applicable. Fill only if 'beneficiary is in the United States' is 'Yes'
Immigration-Related Numbers
SEVIS Number	Text	Provide your Student and Exchange Visitor Information System (SEVIS) number, if applicable. Fill only if 'Requested Action' is for a beneficiary in the United States Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
EAD Number	Text	Provide your Employment Authorization Document (EAD) number, if applicable. Fill only if 'Requested Action' is for a beneficiary in the United States Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
INA Section 274(a) Violation Status
Yes	Checkbox	Check this box if you have been the subject of a final determination of violation(s) under INA section 274(a) within the last 3 years. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker'. Depends on:
No	Checkbox	Check this box if you have NOT been the subject of a final determination of violation(s) under INA section 274(a) within the last 3 years. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker'. Depends on:
Incorporation or Establishment Information
Place of Incorporation or Establishment	Text	Please provide the place where the U.S. company was incorporated or established in the United States.
Date of Incorporation or Establishment	Date	Please provide the date when the U.S. company was incorporated or established.
Intention to Employ Beneficiary Abroad After Training
No	Checkbox	Check this box if you do not intend to employ the beneficiary abroad at the end of this training. Fill only if 'Classification sought' is 'H-3 Trainee'. Depends on:
Yes	Checkbox	Check this box if you intend to employ the beneficiary abroad at the end of this training. Fill only if 'Classification sought' is 'H-3 Trainee'. Depends on:
Itinerary Inclusion Confirmation
No	Checkbox	Check this box if an itinerary was not included with the petition.
Yes	Checkbox	Check this box if an itinerary was included with the petition.
J-1/J-2 Exchange Visitor History
Yes	Checkbox	Check this box if any beneficiary in this petition has ever been a J-1 exchange visitor or J-2 dependent of a J-1 exchange visitor.
No	Checkbox	Check this box if no beneficiary in this petition has ever been a J-1 exchange visitor or J-2 dependent of a J-1 exchange visitor.
J-1/J-2 Status Dates and Evidence	Text	Enter the dates the beneficiary maintained J-1 exchange visitor or J-2 dependent status, and provide a description of the supporting evidence. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Job Title
	Text
Job Title	Text	Enter the job title for the proposed employment.
Joint Employer Company or Organization Name
Joint Employer Company or Organization Name	Text	Please provide the full legal name of the joint employer company or organization. Fill only if 'Classification sought' is 'H-2A Agricultural worker'. Depends on:
Labor Condition Application Case Number
Labor Condition Application Case Number	Text	Provide the Labor Condition Application (LCA) or Employment and Training Administration (ETA) Case Number.
Labor Organization Address
City or Town	Text	Please provide the city or town for the labor organization's address. Fill only if 'Classification Sought' is O or P Classification Max length: 40 characters Depends on: Requested Nonimmigrant Classification Symbol
State	Combobox	Please provide the state for the labor organization's address. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
ZIP Code	Text	Please provide the ZIP code for the labor organization's address. Fill only if 'Classification Sought' is O or P Classification Max length: 5 characters Depends on: Requested Nonimmigrant Classification Symbol
Street Number and Name	Text	Please provide the street number and name of the labor organization's address. Fill only if 'Classification Sought' is O or P Classification Max length: 34 characters Depends on: Requested Nonimmigrant Classification Symbol
Apartment/Suite/Floor Number	Text	Please provide the apartment, suite, or floor number for the labor organization's address. Fill only if 'Classification Sought' is O or P Classification Max length: 6 characters Depends on: Requested Nonimmigrant Classification Symbol
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Labor Organization Existence Question
Yes	Checkbox	Check this box if an appropriate labor organization exists for the petition. Fill only if 'Classification sought' is 'O Classification' or 'P Classification'.
No	Checkbox	Check this box if an appropriate labor organization does not exist for the petition. Fill only if 'Classification sought' is 'O Classification' or 'P Classification'.
Labor Organization Information (Motion Pictures/Television)
City or Town	Text	Enter the city or town of the labor organization's complete address. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 40 characters Depends on: No - copy of request attached
State	Combobox	Enter the state of the labor organization's complete address. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP Depends on: No - copy of request attached
ZIP Code	Text	Enter the ZIP code of the labor organization's complete address. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 5 characters Depends on: No - copy of request attached
Street Number and Name	Text	Provide the street number and name of the labor organization's complete address. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 34 characters Depends on: No - copy of request attached
Date Sent	Date	Provide the date the duplicate petition was sent. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Depends on: No - copy of request attached
Apartment, Suite, Floor Number	Text	Enter the apartment, suite, or floor number, if applicable, for the labor organization's address. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 6 characters Depends on: No - copy of request attached
Flr.	Checkbox	Check this box if the labor organization's address includes a floor number. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Depends on: No - copy of request attached
Ste.	Checkbox	Check this box if the labor organization's address includes a suite number. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Depends on: No - copy of request attached
Apt.	Checkbox	Check this box if the labor organization's address includes an apartment number. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Depends on: No - copy of request attached
Name of Labor Organization	Text	Enter the full name of the labor organization. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 34 characters Depends on: No - copy of request attached
Daytime Telephone Number	Text	Enter the daytime telephone number of the labor organization. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 10 characters Depends on: No - copy of request attached
Legal Name of Individual Joint Employer
Family Name	Text	Please provide the family name (last name) of the individual joint employer. Fill only if 'Classification sought' is 'H-2A Agricultural worker'. Depends on:
Given Name	Text	Please provide the given name (first name) of the individual joint employer. Fill only if 'Classification sought' is 'H-2A Agricultural worker'. Depends on:
Middle Name	Text	Please provide the middle name of the individual joint employer. Fill only if 'Classification sought' is 'H-2A Agricultural worker'. Depends on:
Legal Name of Individual Petitioner
	Text
Middle Name	Text	Enter the legal middle name of the individual petitioner.
Given Name	Text	Enter the legal given name of the individual petitioner.
Family Name	Text	Enter the legal family name of the individual petitioner.
Liquidated Damages Agreement
Yes	Checkbox	Check this box if the H-2A petitioner agrees to pay $10 in liquidated damages for each instance where compliance with the notification requirement cannot be demonstrated.
No	Checkbox	Check this box if the H-2A petitioner does not agree to pay $10 in liquidated damages for each instance where compliance with the notification requirement cannot be demonstrated.
Mailing Address
City or Town	Text	Enter the city or town of the mailing address. Max length: 40 characters
ZIP Code	Text	Enter the ZIP code for the mailing address. Max length: 5 characters
In Care Of Name	Text	Enter the name of the individual or organization who will receive mail on behalf of the primary recipient at this address. Max length: 34 characters
Street Number and Name	Text	Enter the full street number and name of the mailing address. Max length: 34 characters
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Apartment/Suite/Floor Number	Text	Enter the apartment, suite, or floor number for the mailing address, if applicable. Max length: 6 characters
Postal Code	Text	Enter the postal code for the mailing address, if applicable. Max length: 9 characters
Province	Text	Enter the province for the mailing address, if applicable. Max length: 20 characters
Country	Text	Enter the country for the mailing address.
Mailing Address of Joint Employer
City or Town	Text	Enter the city or town for the mailing address. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 40 characters Depends on:
ZIP Code	Text	Enter the ZIP code for the mailing address. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 5 characters Depends on:
State	Combobox	Provide the state for the mailing address. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
In Care Of Name	Text	Provide the name of the person or organization to whose care the mail should be delivered, if applicable. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 34 characters Depends on:
Street Number and Name	Text	Enter the street number and name for the mailing address. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 34 characters Depends on:
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Apartment/Suite/Floor Number	Text	Provide the apartment, suite, or floor number of the mailing address. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 6 characters Depends on:
Postal Code	Text	Enter the postal code for the mailing address, if applicable. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 9 characters Depends on:
Province	Text	Provide the province for the mailing address, if applicable. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 20 characters Depends on:
Country	Text	Provide the country for the mailing address. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Depends on:
Major/Primary Field of Study
Major/Primary Field of Study	Text	Please provide the major or primary field of study. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Management Organization Information
City or Town	Text	Enter the city or town where the management organization is located. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 40 characters Depends on: No - copy of request attached
State	Combobox	Provide the state of the management organization's physical address. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP Depends on: No - copy of request attached
ZIP Code	Text	Enter the ZIP code of the management organization's physical address. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 5 characters Depends on: No - copy of request attached
Street Number and Name	Text	Provide the street number and name of the management organization's physical address. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 34 characters Depends on: No - copy of request attached
Date Sent	Date	Enter the date this information was sent. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Depends on: No - copy of request attached
Apartment/Suite/Floor Number	Text	Enter the apartment, suite, or floor number of the management organization's physical address, if applicable. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 6 characters Depends on: No - copy of request attached
Flr.	Checkbox	Check this box if the number provided in the 'Number' field refers to a floor number. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Depends on: No - copy of request attached
Ste.	Checkbox	Check this box if the number provided in the 'Number' field refers to a suite number. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Depends on: No - copy of request attached
Apt.	Checkbox	Check this box if the number provided in the 'Number' field refers to an apartment number. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Depends on: No - copy of request attached
Management Organization Name	Text	Enter the full legal name of the management organization. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 34 characters Depends on: No - copy of request attached
Daytime Telephone Number	Text	Enter the daytime telephone number of the management organization. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 10 characters Depends on: No - copy of request attached
Most Recent Petition/Application Receipt Number
Most Recent Petition/Application Receipt Number	Text	Enter the most recent petition or application receipt number for the beneficiary. If no such number exists, type 'None'. Max length: 13 characters
NAICS Code
NAICS Code	Number	Please provide the NAICS code for the employer's primary business activity. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Max length: 6 characters Depends on:
Name of country signatory to treaty with the United States
Treaty Country Name	Text	Please provide the name of the country that is a signatory to a treaty with the United States.
Name of Employer Abroad
Name of Employer Abroad	Text	Please provide the full legal name of the employer located outside the United States.
Name of Labor Organization
	Text
Name of Labor Organization	Text	Please provide the full legal name of the labor organization. Fill only if 'Classification Sought' is O or P Classification Max length: 80 characters Depends on: Requested Nonimmigrant Classification Symbol
Name of Petitioner
Petitioner's Family Name	Text	Please provide the family name or last name of the petitioner. Fill only if 'Classification Sought' is O or P Classification Depends on: Requested Nonimmigrant Classification Symbol
Petitioner's Given Name	Text	Please provide the given name or first name of the petitioner. Fill only if 'Classification Sought' is O or P Classification Depends on: Requested Nonimmigrant Classification Symbol
Petitioner's Middle Name	Text	Please provide the middle name of the petitioner. Fill only if 'Classification Sought' is O or P Classification Depends on: Requested Nonimmigrant Classification Symbol
Petitioner's Given Name	Text	Please provide the given name (first name) of the petitioner.
Petitioner's Middle Name	Text	Please provide the middle name of the petitioner.
Petitioner's Family Name	Text	Please provide the family name (last name) of the petitioner.
Name of Preparer
Preparer's Family Name	Text	Please enter the family name (last name) of the person preparing the form. Fill only if 'Person Preparing Form' is 'Other Than Petitioner'
Preparer's Given Name	Text	Please enter the given name (first name) of the person preparing the form. Fill only if 'Person Preparing Form' is 'Other Than Petitioner'
Preparer's Last Name	Text	Please provide the last name of the person preparing this form.
Preparer's First Name	Text	Please provide the first name of the person preparing this form.
Name of Recruiter, Agent, or Facilitator
	Text
Recruiter's Middle Name	Text	Enter the middle name of the recruiter, agent, or facilitator, if applicable. Fill only if 'Did you or do you plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers that you intend to hire by filing this petition?' is 'Yes' Depends on: Yes
Recruiter's Given Name	Text	Enter the given name (first name) of the recruiter, agent, or facilitator. Fill only if 'Did you or do you plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers that you intend to hire by filing this petition?' is 'Yes' Depends on: Yes
Recruiter's Family Name	Text	Enter the family name (last name) of the recruiter, agent, or facilitator. Fill only if 'Did you or do you plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers that you intend to hire by filing this petition?' is 'Yes' Depends on: Yes
Name of Recruiting Organization or Similar Employment Service
Name of Recruiting Organization or Similar Employment Service	Text	Please enter the full name of the recruiting organization or similar employment service. Fill only if 'Did you or do you plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers that you intend to hire by filing this petition?' is 'Yes' Depends on: Yes
Name of the Beneficiary
Beneficiary Last Name	Text	Please provide the family name (last name) of the beneficiary.
Beneficiary First Name	Text	Please provide the given name (first name) of the beneficiary.
Beneficiary Middle Name	Text	Please provide the middle name of the beneficiary.
Beneficiary's Name	Text	Provide the full legal name of the beneficiary. Fill only if 'Classification sought' is a classification that requires this supplement.
Name of the Beneficiary	Text	Please provide the full legal name of the beneficiary. Fill only if 'Type of Beneficiaries Requested' is 'Named'. Depends on: Named
Beneficiary's Full Name	Text	Please provide the full legal name of the beneficiary. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Beneficiary Name	Text	Enter the full name of the beneficiary. Fill only if 'Classification sought' is 'L Classification'. Depends on:
Beneficiary Name	Text	Provide the full legal name of the beneficiary.
Beneficiary Name	Text	Provide the full legal name of the beneficiary. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Name of the Petitioner
Petitioner's Name	Text	Provide the full legal name of the petitioner.
Petitioner's Name	Text	Please provide the full name of the petitioner. Fill only if 'Classification sought' is a classification that requires this supplement.
	Text
Petitioner's Name	Text	Provide the full legal name of the petitioner as it appears on official documents. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Petitioner Name	Text	Please provide the full name of the petitioner. Fill only if 'Classification sought' is 'L Classification'. Depends on:
	Text
Petitioner's Name	Text	Provide the full legal name of the petitioner.
	Text
Petitioner's Name	Text	Please provide the full name of the petitioner. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Nature of Event Explanation
Nature of Event	Text	Provide a detailed explanation of the nature of the event.
New Office Status
Yes	Checkbox	Check this box if the beneficiary is coming to the United States to open a new office. Fill only if 'Classification sought' is 'L-1'.
No	Checkbox	Check this box if the beneficiary is not coming to the United States to open a new office. Fill only if 'Classification sought' is 'L-1'.
New Petition Confirmation
Yes	Checkbox	Check this box if you indicated in Part 2 that you are filing a new petition, and then proceed to answer the questions below. Fill only if 'Basis for Classification' is 'New employment' Depends on: New employment
No	Checkbox	Check this box if you did not indicate in Part 2 that you are filing a new petition, and then proceed to Item Number 9. Fill only if 'Basis for Classification' is 'New employment' Depends on: New employment
Nonimmigrant Status
Current Nonimmigrant Status	Combobox	Provide your current nonimmigrant status. DT 1B3 F1 PI TWO GT LZ U3 T3 L1A B1B GB M1 J2S A1 HSC UN U1 P1S IN PAL TC H1C N8 PAR CP WB RE SDF Q2 AS RW V2 EWI N1 H2B N5 T2 1B5 P1B V3 G5 B1C DE H2A WT OP G3 B1D H1 I E3 J2 S2 C3 N6 K3 G2 P4 D1 CH N2 U4 BE P2 UU O2 X P3S WI 1B2 E2C S1 C4 L1B M2 D2 MIS H4 B2 C2 E2 R1 N9 Q1 H3 CW2 T5 CC DA B1A IMM Q3 O1A H1B P1A TN2 K2 ML P3 K1 A2 ST L2 F2 N7 FSM O1 T4 FUG U2 1B1 N3 O1B P2S N4 U5 K4 WD H3B L1 TB H1A P1 1B4 1BS A3 AW V1 C1 EAO J1 TN1 DX S9 J1S TD H2R H2 B1 ASD RE5 CW1 R2 T1 G4 H3A O3 E1 G1
Date Status Expires	Text	Provide the date your current nonimmigrant status expires, or enter D/S if applicable. Fill only if 'Requested Action' is for a beneficiary in the United States Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
Nonprofit Entity for Clinical Training Status
Nonprofit Entity for Clinical Training - Yes	Checkbox	Check this box if the petitioner is a nonprofit entity that engages in an established curriculum-related clinical training of students registered at such an institution. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Nonprofit Entity for Clinical Training - No	Checkbox	Check this box if the petitioner is NOT a nonprofit entity that engages in an established curriculum-related clinical training of students registered at such an institution. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Nonprofit Organization Affiliation Status
No	Checkbox	Check this box if you are not a nonprofit organization or entity related to or affiliated with an institution of higher education. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Yes	Checkbox	Check this box if you are a nonprofit organization or entity related to or affiliated with an institution of higher education. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Nonprofit Status Question
No	Checkbox	Check this box if you are not a nonprofit organized as tax exempt or a governmental research organization.
Yes	Checkbox	Check this box if you are a nonprofit organized as tax exempt or a governmental research organization.
Nonprofit/Governmental Research Organization Status
Nonprofit/Governmental Research Organization: No	Checkbox	Check this box if the organization is not a nonprofit research organization and not a governmental research organization. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Nonprofit/Governmental Research Organization: Yes	Checkbox	Check this box if the organization is a nonprofit research organization or a governmental research organization, as defined in 8 CFR 214.2(h)(19)(iii)(C). Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Off-site Work Assignment Confirmation
Yes	Checkbox	Check this box if the beneficiary will be assigned to work at an off-site location for all or part of the period for which H-1B classification is sought.
No	Checkbox	Check this box if the beneficiary will not be assigned to work at an off-site location for any part of the period for which H-1B classification is sought.
Off-site Work Confirmation
Off-site Work Yes	Checkbox	Check this box if the beneficiary will work for you off-site at another company or organization's location.
Off-site Work No	Checkbox	Check this box if the beneficiary will not work for you off-site at another company or organization's location.
Office Location
Office City	Text	Enter the city of the office where processing information will be handled. Fill only if 'Consulate', 'Pre-flight inspection', 'Port of Entry' is selected, any. Depends on: Consulate, Pre-flight inspection, Port of Entry
Office State or Foreign Country	Text	Enter the U.S. state or foreign country of the office where processing information will be handled. Fill only if 'Consulate', 'Pre-flight inspection', 'Port of Entry' is selected, any. Depends on: Consulate, Pre-flight inspection, Port of Entry
Offsite Stationing Status
Offsite Stationing: No	Checkbox	Check this box if the beneficiary will not be stationed primarily offsite at the worksite of an employer other than the petitioner or its affiliate, subsidiary, or parent. Fill only if 'Classification sought' is 'L-1'.
Offsite Stationing: Yes	Checkbox	Check this box if the beneficiary will be stationed primarily offsite at the worksite of an employer other than the petitioner or its affiliate, subsidiary, or parent. Fill only if 'Classification sought' is 'L-1'.
Offsite Work Control and Supervision Explanation
Offsite Work Control and Supervision Explanation	Text	Provide a detailed explanation of how and by whom the beneficiary's offsite work will be controlled and supervised, including the expected amount of time each supervisor will spend on control and supervision. Fill only if 'Offsite Stationing: Yes' is 'Yes'. Depends on: Offsite Stationing: Yes
Other Business Information
Type of Business Activity(ies)	Text	Provide the type of business activity or activities performed by the organization. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Depends on:
Year Established	Text	Enter the year the business was established. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 4 characters Depends on:
Current Number of Employees in the United States	Text	Enter the current number of employees working in the United States. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 10 characters Depends on:
Gross Annual Income	Number	Enter the gross annual income of the business. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 15 characters Depends on:
Net Annual Income	Number	Enter the net annual income of the business. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 15 characters Depends on:
Other Compensation
Other Compensation Details	Text	Provide a detailed explanation of any other compensation received by the beneficiary.
Other Names Used
Other Middle Name Used	Text	Please provide any other middle name previously used, including aliases or names from previous marriages.
Other Given Name Used	Text	Please provide any other given name (first name) previously used, including aliases or names from previous marriages.
Other Family Name Used	Text	Please provide any other family name (last name) previously used, including aliases, maiden name, or names from previous marriages.
Other Middle Name	Text	Provide any other middle name previously used, including aliases, maiden names, or names from previous marriages. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Depends on: Total Beneficiaries
Other Given Name (First Name)	Text	Provide any other given name (first name) previously used, including aliases, maiden names, or names from previous marriages. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Depends on: Total Beneficiaries
Other Family Name (Last Name)	Text	Provide any other family name (last name) previously used, including aliases, maiden names, or names from previous marriages. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Depends on: Total Beneficiaries
Ownership Interest in Petitioning Organization
Yes	Checkbox	Check this box if any beneficiary in this petition has an ownership interest in the petitioning organization.
No	Checkbox	Check this box if no beneficiary in this petition has an ownership interest in the petitioning organization.
Page 13 of 38
Petitioner's Name	Text	Please provide the full legal name of the petitioner. Fill only if 'Classification sought' is for an E-1 Treaty Trader or E-2 Treaty Investor Depends on: E-1 Treaty Trader, E-2 Treaty Investor
Part 7. Declaration, Signature, and Contact Information of Petitioner or Authorized Signatory (Read the information on penalties in the instructions before completing this section.) (continued)
Date of Signature	Date	Provide the date the signatory signed the document. Fill only if 'Signature of Authorized Signatory' is signed. Depends on: Signature of Authorized Signatory
Signature of Authorized Signatory	Text	Enter the full name of the authorized signatory. Fill only if 'Company or Organization Name' is filled Depends on: Company or Organization Name
Email Address	Text	Provide the email address of the signatory, if available. Fill only if 'Signature of Authorized Signatory' is signed. Depends on: Signature of Authorized Signatory
Daytime Telephone Number	Text	Enter the signatory's daytime telephone number. Fill only if 'Signature of Authorized Signatory' is signed. Max length: 10 characters Depends on: Signature of Authorized Signatory
Part A. Petitioner
Date	Date	Enter the date the petitioner signed this form. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Depends on:
Name of Petitioner	Text	Provide the full name of the petitioner. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Depends on:
Signature of Petitioner	Text	Enter the digital or typed signature of the petitioner. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Depends on:
Part B. Employer who is not the petitioner
Signature Date	Date	Please enter the date the employer signed this part of the form. Fill only if 'Did you or do you plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers that you intend to hire by filing this petition?' is 'Yes'. Depends on: Yes
Employer Signature	Text	Please enter the signature of the employer who is not the petitioner. Fill only if 'Did you or do you plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers that you intend to hire by filing this petition?' is 'Yes'. Depends on: Yes
Employer Name	Text	Please enter the full name of the employer who is not the petitioner. Fill only if 'Did you or do you plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers that you intend to hire by filing this petition?' is 'Yes'. Depends on: Yes
Passport Information
Date Passport Expires	Date	Provide the date your passport or travel document will expire. Fill only if 'Requested Action' is for a beneficiary in the United States Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
Date Passport Issued	Date	Provide the date your passport or travel document was issued. Fill only if 'Requested Action' is for a beneficiary in the United States Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
Country of Issuance	Text	Enter the country that issued your passport or travel document. Fill only if 'Requested Action' is for a beneficiary in the United States Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
Passport or Travel Document Information
Date Passport or Travel Document Expires	Date	Provide the date when the beneficiary's passport or travel document will expire. Fill only if 'Beneficiary is in the United States' is 'Yes'.
Date Passport or Travel Document Issued	Date	Provide the date when the beneficiary's passport or travel document was issued. Fill only if 'Beneficiary is in the United States' is 'Yes'.
Passport or Travel Document Country of Issuance	Text	Enter the country where the beneficiary's passport or travel document was issued. Fill only if 'Beneficiary is in the United States' is 'Yes'.
Passport or Travel Document Number	Text	Enter the number of the beneficiary's passport or travel document. Fill only if 'Beneficiary is in the United States' is 'Yes'. Max length: 30 characters
Passport Expiration Date	Date	Enter the expiration date of your passport or travel document. Fill only if 'beneficiary is in the United States' is 'Yes'
Passport Issue Date	Date	Enter the issue date of your passport or travel document. Fill only if 'beneficiary is in the United States' is 'Yes'
Passport Number	Text	Enter the passport or travel document number. Fill only if 'beneficiary is in the United States' is 'Yes' Max length: 30 characters
Country of Passport Issuance	Text	Enter the country that issued your passport or travel document. Fill only if 'beneficiary is in the United States' is 'Yes'
Passport Validity Inquiry
Valid Passport No	Checkbox	Check this box if any person included in this petition does not have a valid passport.
Valid Passport Yes	Checkbox	Check this box if each person included in this petition has a valid passport.
Peer/Peer Group or Labor Organization Information
City or Town	Text	Enter the city or town where the organization is located. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 40 characters Depends on: No - copy of request attached
State	Combobox	Enter the two-letter abbreviation for the state where the organization is located. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP Depends on: No - copy of request attached
ZIP Code	Text	Enter the five or nine-digit ZIP code for the organization's physical address. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 5 characters Depends on: No - copy of request attached
Street Number and Name	Text	Enter the street number and name of the organization's physical address. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 35 characters Depends on: No - copy of request attached
Date Sent	Date	Enter the date the duplicate petition was sent to the organization. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Depends on: No - copy of request attached
Apt/Ste/Flr Number	Text	Enter the apartment, suite, or floor number of the organization's physical address, if applicable. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 6 characters Depends on: No - copy of request attached
	CheckBox	Depends on: No - copy of request attached
	CheckBox	Depends on: No - copy of request attached
	CheckBox	Depends on: No - copy of request attached
Organization Name	Text	Enter the full legal name of the recognized peer/peer group or labor organization. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 34 characters Depends on: No - copy of request attached
Daytime Telephone Number	Text	Enter the daytime telephone number of the organization, including the area code. Fill only if 'No - copy of request attached' is 'No - copy of request attached'. Max length: 10 characters Depends on: No - copy of request attached
Person's Details
Male	Checkbox	Check this box if the person's sex is male. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Depends on: Total Beneficiaries
Female	Checkbox	Check this box if the person's sex is female. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Depends on: Total Beneficiaries
U.S. Social Security Number	Text	Provide the U.S. Social Security Number if applicable. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Max length: 9 characters Depends on: Total Beneficiaries
Date of Birth	Date	Enter the date of birth. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Depends on: Total Beneficiaries
A-Number	Text	Provide the Alien Registration Number (A-Number) if applicable. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Max length: 9 characters Depends on: Total Beneficiaries
Person's Name
	Text
	Text
	Text
	Text
Middle Name	Text	Please enter the person's middle name. Fill only if 'Provide the total number of beneficiaries' is greater than 1 Depends on: Total Beneficiaries
First Name	Text	Please enter the person's given name (first name). Fill only if 'Provide the total number of beneficiaries' is greater than 1 Depends on: Total Beneficiaries
Last Name	Text	Please enter the person's family name (last name). Fill only if 'Provide the total number of beneficiaries' is greater than 1 Depends on: Total Beneficiaries
Personal Information
Date of Birth	Date	Enter the date of birth for the beneficiary.
Male	Checkbox	Check this box if the beneficiary is male.
Female	Checkbox	Check this box if the beneficiary is female.
U.S. Social Security Number	Text	Provide the U.S. Social Security Number if the beneficiary has one. Fill only if 'Beneficiary is in the United States' is 'Yes'. Max length: 9 characters
Male	Checkbox	Check this box if the individual's sex is male.
Female	Checkbox	Check this box if the individual's sex is female.
U.S. Social Security Number (if any)	Text	Enter the person's U.S. Social Security Number, if applicable. Max length: 9 characters
Date of Birth	Date	Provide the person's date of birth.
A-Number (if any)	Text	Enter the person's A-Number, if applicable. Max length: 9 characters
Petition to Correct USCIS Error Status
Yes	Checkbox	Check this box if you are filing this petition to correct a USCIS error. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
No	Checkbox	Check this box if you are not filing this petition to correct a USCIS error. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Petitioner Employee Count Information
Petitioner Employs 50 or More Individuals - No	Checkbox	Check this box if the petitioner does not employ 50 or more individuals in the United States. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Over 50% Employees in H-1B/L-1A/L-1B Status - Yes	Checkbox	Check this box if more than 50 percent of the petitioner's employees are in H-1B, L-1A, or L-1B nonimmigrant status. Fill only if 'Petitioner Employs 50 or More Individuals - Yes' is 'Yes'. Depends on: Petitioner Employs 50 or More Individuals - Yes
Over 50% Employees in H-1B/L-1A/L-1B Status - No	Checkbox	Check this box if 50 percent or less of the petitioner's employees are in H-1B, L-1A, or L-1B nonimmigrant status. Fill only if 'Petitioner Employs 50 or More Individuals - Yes' is 'Yes'. Depends on: Petitioner Employs 50 or More Individuals - Yes
Petitioner Employs 50 or More Individuals - Yes	Checkbox	Check this box if the petitioner employs 50 or more individuals in the United States. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Petitioner H-1B Dependent Employer Status
No	Checkbox	Check this box if the petitioner is not an H-1B dependent employer. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Yes	Checkbox	Check this box if the petitioner is an H-1B dependent employer. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Petitioner Information
Number of Religious Organization Members	Number	Enter the total number of members in the petitioner's religious organization. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Number of Employees at Beneficiary's Work Location	Number	Enter the number of employees working at the same location where the beneficiary will be employed. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Number of Religious Workers Employed	Number	Enter the number of aliens holding special immigrant or nonimmigrant religious worker status currently employed or employed within the past five years. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Number of Religious Worker Petitions Filed	Number	Enter the number of special immigrant religious worker petitions (I-360) and nonimmigrant religious worker petitions (I-129) filed by the petitioner within the past five years. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Petitioner Name
Petitioner Family Name	Text	Please provide the family name of the petitioner. Fill only if 'Classification sought' is a classification that requires this supplement.
Petitioner Given Name	Text	Please provide the given name of the petitioner. Fill only if 'Classification sought' is a classification that requires this supplement.
	Text	Depends on: Yes
Petitioner's Name	Text	Please enter the full legal name of the petitioner.
Petitioner Tax Information
U.S. Social Security Number	Text	Enter the U.S. Social Security Number, if available. Max length: 9 characters
Individual IRS Tax Number	Text	Provide the individual's IRS Tax Number. Max length: 9 characters
Petitioner Willful Violator Status
Yes	Checkbox	Check this box if the petitioner has previously been found to be a willful violator. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
No	Checkbox	Check this box if the petitioner has never been found to be a willful violator. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Petitioner's Contact Information
Email Address	Text	Provide the petitioner's email address, if applicable. Fill only if 'Classification sought' is a classification that requires this supplement.
Daytime Telephone Number	Text	Provide the petitioner's daytime telephone number. Fill only if 'Classification sought' is a classification that requires this supplement. Max length: 10 characters
Mobile Telephone Number	Text	Provide the petitioner's mobile telephone number. Fill only if 'Classification sought' is a classification that requires this supplement. Max length: 10 characters
Email Address	Text	Please provide the petitioner's email address. Fill only if 'Classification Sought' is O or P Classification Depends on: Requested Nonimmigrant Classification Symbol
Daytime Telephone Number	Text	Please enter the petitioner's daytime telephone number. Fill only if 'Classification Sought' is O or P Classification Max length: 10 characters Depends on: Requested Nonimmigrant Classification Symbol
Email Address	Text	Provide the petitioner's email address if available.
Daytime Telephone Number	Text	Provide the petitioner's daytime telephone number. Max length: 10 characters
Petitioner's Signature Information
Signature Date	Date	Provide the date the petitioner signed the form. Fill only if 'Classification sought' is 'H-1B Classification'. Depends on:
Petitioner's Name	Text	Enter the full name of the petitioner. Fill only if 'Classification sought' is 'H-1B Classification'. Depends on:
Petitioner's Signature	Text	Enter the petitioner's signature or typed name confirming their agreement. Fill only if 'Classification sought' is 'H-1B Classification'. Depends on:
Preparer's Business or Organization Name
Preparer's Business or Organization Name	Text	Provide the name of the preparer's business or organization, if applicable, including any accredited organization recognized by the Board of Immigration Appeals (BIA). Fill only if 'Person Preparing Form' is 'Other Than Petitioner'
Preparer's Business or Organization Name	Text	Provide the name of the preparer's business or organization, if applicable.
Preparer's Contact Information
Email Address	Text	Enter the preparer's email address if applicable. Fill only if 'Person Preparing Form' is 'Other Than Petitioner'
Daytime Telephone Number	Text	Provide the preparer's daytime telephone number. Fill only if 'Person Preparing Form' is 'Other Than Petitioner' Max length: 10 characters
Fax Number	Text	Enter the preparer's fax number. Fill only if 'Person Preparing Form' is 'Other Than Petitioner' Max length: 10 characters
Email Address	Text	Please provide the preparer's email address if applicable.
Daytime Telephone Number	Text	Please provide the preparer's daytime telephone number. Max length: 10 characters
Fax Number	Text	Please provide the preparer's fax number. Max length: 10 characters
Preparer's Declaration
	Text
Preparer's Signature	Text	Please provide the signature of the preparer.
Date of Signature	Date	Please provide the date the preparer signed the declaration.
Preparer's Mailing Address
City or Town	Text	Provide the city or town of the preparer's mailing address. Fill only if 'Person Preparing Form' is 'Other Than Petitioner' Max length: 40 characters
ZIP Code	Text	Provide the ZIP code of the preparer's mailing address. Fill only if 'Person Preparing Form' is 'Other Than Petitioner' Max length: 5 characters
State	Combobox	Provide the state of the preparer's mailing address. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
Street Address	Text	Provide the street number and name of the preparer's mailing address. Fill only if 'Person Preparing Form' is 'Other Than Petitioner' Max length: 34 characters
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Apt/Suite/Floor Number	Text	Provide the apartment, suite, or floor number of the preparer's mailing address, if applicable. Fill only if 'Person Preparing Form' is 'Other Than Petitioner' Max length: 6 characters
Province	Text	Provide the province of the preparer's mailing address, if applicable. Fill only if 'Person Preparing Form' is 'Other Than Petitioner' Max length: 20 characters
Postal Code	Text	Provide the postal code of the preparer's mailing address. Fill only if 'Person Preparing Form' is 'Other Than Petitioner' Max length: 9 characters
Country	Text	Provide the country of the preparer's mailing address. Fill only if 'Person Preparing Form' is 'Other Than Petitioner'
City or Town	Text	Provide the city or town of the preparer's mailing address. Max length: 40 characters
ZIP Code	Text	Provide the ZIP code of the preparer's mailing address. Max length: 5 characters
State	Combobox	Provide the state of the preparer's mailing address. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
Street Address	Text	Provide the street number and name of the preparer's mailing address. Max length: 25 characters
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Apartment/Suite/Floor Number	Text	Provide the apartment, suite, or floor number, if applicable. Max length: 6 characters
Province	Text	Provide the province of the preparer's mailing address, if applicable. Max length: 20 characters
Postal Code	Text	Provide the postal code of the preparer's mailing address, if applicable. Max length: 9 characters
Country	Text	Provide the country of the preparer's mailing address.
Previous Admission of Beneficiary or Family
No	Checkbox	Check this box if neither the beneficiary nor any of their dependent family members has previously been admitted to the United States for a period of stay in the R visa classification within the last five years. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Yes	Checkbox	Check this box if the beneficiary or any of their dependent family members has previously been admitted to the United States for a period of stay in the R visa classification within the last five years. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Primary or Secondary Education Institution Status
Primary or Secondary Education Institution - No	Checkbox	Check this box if the petitioner is not a primary or secondary education institution. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Primary or Secondary Education Institution - Yes	Checkbox	Check this box if the petitioner is a primary or secondary education institution. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Principal Product, Merchandise or Service
Principal Product, Merchandise or Service	Text	Provide a detailed description of the principal product, merchandise, or service that the employer offers.
Prior admission status of named beneficiaries
No	Checkbox	Check this box if none of the named beneficiaries have ever been admitted to the United States previously in H-2A/H-2B status. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
Yes	Checkbox	Check this box if any of the named beneficiaries have ever been admitted to the United States previously in H-2A/H-2B status. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
Prior Classification Denial within 7 Years
Prior Classification Denied - Yes	Checkbox	Check this box if any beneficiary in this petition has been denied the classification you are now requesting within the last seven years. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Prior Classification Denied - No	Checkbox	Check this box if no beneficiary in this petition has been denied the classification you are now requesting within the last seven years. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Prior Classification within 7 Years
Yes	Checkbox	Check this box if any beneficiary in this petition has previously been given the classification you are currently requesting within the last seven years. Fill only if 'Yes' is 'Yes'. Depends on: Yes
No	Checkbox	Check this box if no beneficiary in this petition has previously been given the classification you are currently requesting within the last seven years. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Prior Immigrant Petition History
Count of Prior Immigrant Petitions	Text	Enter the total number of immigrant petitions previously filed for any beneficiary listed in this petition. Fill only if 'Yes' is 'Yes'. Depends on: Yes
No	Checkbox	Check this box if you have not previously filed an immigrant petition for any beneficiary included in this petition.
Yes	Checkbox	Check this box if you have previously filed an immigrant petition for any beneficiary included in this petition.
Prior Nonimmigrant Petition History
Yes	Checkbox	Check this box if you have previously filed a nonimmigrant petition for this beneficiary, and then proceed to Part 9 to provide an explanation.
No	Checkbox	Check this box if you have not previously filed a nonimmigrant petition for this beneficiary.
Prior Petition Denial/Revocation History
Yes	Checkbox	Check this box if, within the last four years, you have had an H-2A or H-2B petition denied or revoked because an employee paid or agreed to pay a fee related to the employment, or if you withdrew an H-2A or H-2B petition after USCIS issued a notice of intent to deny or revoke on such basis.
No	Checkbox	Check this box if, within the last four years, you have NOT had an H-2A or H-2B petition denied or revoked because an employee paid or agreed to pay a fee related to the employment, and you have NOT withdrawn an H-2A or H-2B petition after USCIS issued a notice of intent to deny or revoke on such basis.
Productive Employment Incidental to Training
Yes	Checkbox	Check this box if the training involves productive employment incidental to the training. Fill only if 'Classification sought' is 'H-3 Trainee'. Depends on:
No	Checkbox	Check this box if the training does not involve productive employment incidental to the training. Fill only if 'Classification sought' is 'H-3 Trainee'. Depends on:
Prohibited Fee Payment Status
Yes	Checkbox	Check this box if any H-2A/H-2B worker you are requesting paid a prohibited fee to you, your employee(s), or any related service, or has an agreement to pay such a fee later.
No	Checkbox	Check this box if no H-2A/H-2B worker you are requesting paid a prohibited fee to you, your employee(s), or any related service, and there is no agreement to pay such a fee later.
Proposed Duties
Proposed Duties Description	Text	Provide a detailed description of the proposed duties for the beneficiary. Fill only if 'Classification sought' is 'H-1B Classification'. Depends on:
Prospective Employment Information
Beneficiary's Proposed Daily Duties	Text	Provide a detailed description of the daily duties that the beneficiary is proposed to perform. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Beneficiary's Qualifications	Text	Provide a description of the beneficiary's qualifications for the position offered. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Position Title	Text	Enter the title of the position being offered to the beneficiary. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Compensation Details	Text	Describe the proposed salaried or non-salaried compensation for the beneficiary's position, or provide details if the beneficiary will be self-supporting as part of an uncompensated missionary program. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Responsibilities of Other Employees	Text	Provide a summary of the type of responsibilities of other employees who work at the same location as the beneficiary. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Qualifying Fields of Study for Position
Qualifying Field of Study	Text	Provide the field(s) of study that would qualify a candidate for this position. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Rate of Pay Per Year
Annual Rate of Pay	Number	Enter the annual rate of pay for the position. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Max length: 15 characters Depends on:
Reason for Cap Exemption
Petitioner is Institution of Higher Education	Checkbox	Check this box if the petitioner is an institution of higher education as defined in section 101(a) of the Higher Education Act of 1965, 20 U.S.C. 1001(a). Fill only if 'Numerical Limitation Type selection' is 'Cap Exempt'.
Petitioner is Nonprofit or Governmental Research Organization	Checkbox	Check this box if the petitioner is a nonprofit research organization or a governmental research organization as defined in 8 CFR 214.2(h)(8)(iii)(F)(3). Fill only if 'Numerical Limitation Type selection' is 'Cap Exempt'.
Petitioner is Nonprofit Entity Affiliated with Higher Education	Checkbox	Check this box if the petitioner is a nonprofit entity related to or affiliated with an institution of higher education as defined in 8 CFR 214.2(h)(8)(iii)(F)(2). Fill only if 'Numerical Limitation Type selection' is 'Cap Exempt'.
Beneficiary Currently Employed at Cap-Exempt Institution and Petitioner Seeks Concurrent Employment	Checkbox	Check this box if the beneficiary is currently employed at a cap-exempt institution, organization, or entity, and the petitioner seeks to concurrently employ the H-1B beneficiary. Fill only if 'Numerical Limitation Type selection' is 'Cap Exempt'.
Beneficiary is J-1 Nonimmigrant Physician with Waiver	Checkbox	Check this box if the beneficiary of this petition is a J-1 nonimmigrant physician who has received a waiver based on section 214(l) of the Act. Fill only if 'Numerical Limitation Type selection' is 'Cap Exempt'.
Beneficiary Employed at Qualifying Cap Exempt Institution	Checkbox	Check this box if the beneficiary will be employed at a qualifying cap exempt institution, organization, or entity pursuant to 8 CFR 214.2(h)(8)(iii)(F)(4). Fill only if 'Numerical Limitation Type selection' is 'Cap Exempt'.
Beneficiary Cap-Exempt Due to Prior Counting, Extension, or Amendment	Checkbox	Check this box if the beneficiary has been counted against the cap and is applying for the remaining portion of the 6-year period of admission, or is seeking an extension beyond the 6-year limitation, or is seeking an amendment to a petition that was part of the beneficiary's 6-year period of admission or an extension beyond the 6-year limitation. Fill only if 'Numerical Limitation Type selection' is 'Cap Exempt'.
Petitioner is Employer Subject to Guam-CNMI Cap Exemption	Checkbox	Check this box if the petitioner is an employer subject to the Guam-CNMI cap exemption pursuant to Public Law 110-229. Fill only if 'Numerical Limitation Type selection' is 'Cap Exempt'.
Reasons for Offsite Placement
Reasons for Offsite Placement	Text	Explain the reasons why placement at another worksite outside the petitioner, subsidiary, affiliate, or parent is needed, and describe how the beneficiary's duties at that worksite relate to their specialized knowledge. Fill only if 'Offsite Stationing: Yes' is 'Yes'. Depends on: Offsite Stationing: Yes
Relationship between Religious Organizations
Relationship Description	Text	Provide a detailed description of the relationship, if any, between the religious organization in the United States and the organization abroad of which the beneficiary is a member. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Religious Denomination Certification
Employing Organization Name	Text	Provide the full legal name of the employing organization. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Depends on: Yes
Religious Denomination Name	Text	Provide the full legal name of the religious denomination. Fill only if 'Petitioner is affiliated with the religious denomination' is 'Yes' Depends on: Yes
Removal Proceedings Status
Yes	Checkbox	Check this box if any beneficiary in this petition is currently in removal proceedings.
No	Checkbox	Check this box if no beneficiary in this petition is currently in removal proceedings.
Request for Extension of Stay Status
Second or Subsequent Request (Yes)	Checkbox	Check this box if this is the second or a subsequent request for an extension of stay that this petitioner has filed for this alien. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Second or Subsequent Request (No)	Checkbox	Check this box if this is not the second or a subsequent request for an extension of stay that this petitioner has filed for this alien. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' or 'H-1B1 Chile and Singapore' or 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)' or 'H-1B3 Fashion model of distinguished merit and ability'. Depends on:
Requested Action
Notify office to obtain visa/admission	Checkbox	Check this box if you want to notify the office in Part 4 so each beneficiary can obtain a visa or be admitted, noting that a petition is not required for E-1, E-2, E-3, H-1B1 Chile/Singapore, or TN visa beneficiaries.
Change status and extend stay (in U.S. in another status)	Checkbox	Check this box if you want to change the status and extend the stay of each beneficiary because they are currently in the United States in another status, noting this option is only available when "New Employment" is selected in Item Number 2. Fill only if 'New employment' is checked. Depends on: New employment
Extend stay (beneficiary holds this status)	Checkbox	Check this box if you want to extend the stay of each beneficiary because they currently hold this status.
Amend stay (beneficiary holds this status, not seeking additional time)	Checkbox	Check this box if you want to amend the stay of each beneficiary because they currently hold this status and are not seeking additional time from their current authorized period of stay.
Extend status (free trade agreement)	Checkbox	Check this box if you want to extend the status of a nonimmigrant classification based on a free trade agreement.
Change status (free trade agreement)	Checkbox	Check this box if you want to change the status to a nonimmigrant classification based on a free trade agreement.
Requested Nonimmigrant Classification
Requested Nonimmigrant Classification Symbol	Text	Provide the requested nonimmigrant classification symbol.
Required Level of Education for Position
Required Education Level	Text	Please provide the minimum level of education required for the position. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Required Special Skills for Position
Required Special Skills	Text	Please provide a detailed list or description of all special skills that are required to qualify for this specific position. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Required Years of Experience for Position
Required Years of Experience	Number	Enter the number of years of experience required for this position. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Depends on:
Restarting of 3-year maximum period of stay limit
Yes	Checkbox	Check this box if you are requesting a restarting of the 3-year maximum period of stay limit for your named beneficiaries because they were absent from the United States for an uninterrupted period of at least 60 days. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
No	Checkbox	Check this box if you are NOT requesting a restarting of the 3-year maximum period of stay limit. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
Revoked Temporary Labor Certification Status
Yes	Checkbox	Check this box if, within the last 3 years, you have had an approved temporary labor certification revoked by the U.S. Department of Labor (or Guam Department of Labor) or have been subject to any administrative sanction or remedy, including a debarment or assessment of civil money penalties. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker'. Depends on:
No	Checkbox	Check this box if, within the last 3 years, you have not had an approved temporary labor certification revoked by the U.S. Department of Labor (or Guam Department of Labor) and have not been subject to any administrative sanction or remedy, including a debarment or assessment of civil money penalties. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker'. Depends on:
Same Qualifying Relationship Status
No	Checkbox	Check this box if the companies do not currently have the same qualifying relationship as they did during the one-year period of the beneficiary's employment with the company abroad, and provide an explanation in Part 9 of Form I-129. Fill only if 'Classification sought' is 'L-1'.
Yes	Checkbox	Check this box if the companies currently have the same qualifying relationship as they did during the one-year period of the beneficiary's employment with the company abroad. Fill only if 'Classification sought' is 'L-1'.
Second Additional Information Entry
Additional Information	Text	Provide the detailed additional information that corresponds to the entered page, part, and item numbers. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Depends on: Yes
Page Number	Text	Enter the page number from the original form that this additional information refers to. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Max length: 2 characters Depends on: Yes
Part Number	Text	Enter the part number from the original form that this additional information refers to. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Max length: 4 characters Depends on: Yes
Item Number	Text	Enter the item number from the original form that this additional information refers to. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Max length: 9 characters Depends on: Yes
Second Affiliate Information
Second Affiliate Name and Address	Text	Provide the full name and complete address of the second affiliate. Fill only if 'Classification sought' is 'Blanket Petition'
Second Affiliate Relationship	Text	Enter the relationship of the second affiliate to the petitioning entity. Fill only if 'Classification sought' is 'Blanket Petition'
Second Alien or Dependent Family Member's Prior Stay
Second Alien or Dependent Family Member's Name	Text	Enter the full name of the second alien or dependent family member who had a prior stay. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Alien or Dependent Family Member's Prior Stay From Date	Date	Enter the start date of the second alien or dependent family member's prior stay in the R visa classification. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Alien or Dependent Family Member's Prior Stay To Date	Date	Enter the end date of the second alien or dependent family member's prior stay in the R visa classification. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Beneficiary's Prior Period of Stay
Second Beneficiary's Name	Text	Enter the full name of the second beneficiary for this prior period of stay. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Second Beneficiary's Period of Stay From Date	Date	Provide the start date of the second beneficiary's prior period of stay in H or L classification. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Second Beneficiary's Period of Stay To Date	Date	Provide the end date of the second beneficiary's prior period of stay in H or L classification. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Second Company Qualifying Relationship
Second Company Stock Ownership Percentage	Number	Enter the percentage of stock ownership and managerial control for the second company that has a qualifying relationship. Fill only if 'Classification sought' is 'L-1'.
Second Company FEIN	Text	Provide the Federal Employer Identification Number (FEIN) for the second U.S. company that has a qualifying relationship. Fill only if 'Classification sought' is 'L-1'.
Second Employee Position and Responsibilities
Second Employee Position	Text	Enter the job title or position for the second employee whose responsibilities are being summarized. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Second Employee Responsibilities Summary	Text	Provide a summary of the type of responsibilities for the second employee's position. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Second Employment Record
Second Employment Start Date	Date	Provide the start date of the second employment record. Fill only if 'Classification sought' is 'L-1'.
Second Employment End Date	Date	Provide the end date of the second employment record. Fill only if 'Classification sought' is 'L-1'.
Second Employment Interruptions Explanation	Text	Explain any interruptions that occurred during the second employment period. Fill only if 'Classification sought' is 'L-1'.
Second Other Name
Second Other Given Name	Text	Please provide the beneficiary's given name (first name) for another name they have used. Fill only if 'Type of Beneficiaries Requested' is 'Named'. Depends on: Named
Second Other Middle Name	Text	Please provide the beneficiary's middle name for another name they have used. Fill only if 'Type of Beneficiaries Requested' is 'Named'. Depends on: Named
Second Other Family Name	Text	Please provide the beneficiary's family name (last name) for another name they have used. Fill only if 'Type of Beneficiaries Requested' is 'Named'. Depends on: Named
Second Owner Nationality
Second Owner Name	Text	Please provide the full name (First, Middle Initial, Last) of the second owner.
Second Owner Nationality	Text	Please provide the nationality of the second owner.
Second Owner Immigration Status	Text	Please provide the immigration status of the second owner.
Second Owner Percent of Ownership	Number	Please provide the percentage of ownership held by the second owner. Max length: 4 characters
Second Prior Period of Stay
Second Dependent Name	Text	Please provide the name of the dependent family member for this prior period of stay.
Second From Date of Stay	Date	Please enter the start date of this prior period of stay.
Second To Date of Stay	Date	Please enter the end date of this prior period of stay.
Second Work Location Address
Second Work Location State	Combobox	Enter the state for the second work location. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
Second Work Location ZIP Code	Text	Enter the ZIP code for the second work location. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization' Max length: 5 characters
Yes	Checkbox	Check this box if the second work location is a third-party location. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization'
Second Work Location Apartment/Suite/Floor Number	Text	Enter the apartment, suite, or floor number for the second work location, if applicable. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization' Max length: 6 characters
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No	Checkbox	Check this box if the second work location is not a third-party location. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization'
Second Work Location Street Number and Name	Text	Enter the street number and name for the second work location. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization' Max length: 34 characters
Second Work Location City or Town	Text	Enter the city or town for the second work location. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization' Max length: 40 characters
Second Work Location Third-Party Information
No	Checkbox	Check this box if the second work location is not a third-party location. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization'
Yes	Checkbox	Check this box if the second work location is a third-party location. Fill only if 'work address' is different from 'Mailing Address of Individual, Company or Organization'
Second Work Location Third-Party Organization Name	Text	Provide the name of the third-party organization for the second work location, if applicable. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Seventh Affiliate Information
Seventh Affiliate Name and Address	Text	Please enter the full name and address of the seventh affiliate. Fill only if 'Classification sought' is 'Blanket Petition'
Seventh Affiliate Relationship	Text	Please describe the relationship of the seventh affiliate to the main entity. Fill only if 'Classification sought' is 'Blanket Petition'
Seventh Alien or Dependent Family Member's Prior Stay
Seventh Family Member's Name	Text	Please provide the full name of the seventh alien or dependent family member. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Seventh Family Member's Stay From Date	Date	Please provide the start date of the seventh alien or dependent family member's prior stay. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Seventh Family Member's Stay To Date	Date	Please provide the end date of the seventh alien or dependent family member's prior stay. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Seventh Owner Nationality
Seventh Owner Name	Text	Please enter the full name (First, Middle Initial, Last) of the seventh owner or corporate entity.
Seventh Owner Nationality	Text	Please enter the nationality of the seventh owner or corporate entity.
Seventh Owner Immigration Status	Text	Please enter the immigration status of the seventh owner.
Seventh Owner Percent of Ownership	Number	Please enter the percentage of ownership held by the seventh owner. Max length: 4 characters
Seventh Prior Period of Stay
Seventh Prior Stay Subject's Name	Text	Enter the name of the subject for the seventh prior period of stay.
Seventh Prior Stay From Date	Date	Provide the start date of the seventh prior period of stay.
Seventh Prior Stay To Date	Date	Provide the end date of the seventh prior period of stay.
Signature and Date
Date of Signature	Date	Please provide the date when the signature was made. Fill only if 'Classification sought' is a classification that requires this supplement.
Signature of Petitioner	Text	Please enter the signature of the petitioner. Fill only if 'Classification sought' is a classification that requires this supplement.
Signature of Preparer	Text	Provide the signature of the preparer.
Date of Signature	Date	Provide the date the preparer signed the form.
Date of Signature	Date	Please provide the date when the authorized signatory signed the document. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Depends on:
Authorized Signatory	Text	Please enter the full name of the authorized signatory to serve as their signature. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 20 characters Depends on:
Date of Signature	Date	Please provide the date the signature was made. Fill only if 'Classification Sought' is O or P Classification Depends on: Requested Nonimmigrant Classification Symbol
Signature of Petitioner	Text	Please provide the signature of the petitioner. Fill only if 'Classification Sought' is O or P Classification Depends on: Requested Nonimmigrant Classification Symbol
Date of Signature	Date	Please provide the date of the petitioner's signature.
Signature of Petitioner	Text	Please provide the petitioner's signature.
Sixth Affiliate Information
Sixth Affiliate Name and Address	Text	Enter the full name and address of the sixth affiliate, parent, branch, or subsidiary included in this petition. Fill only if 'Classification sought' is 'Blanket Petition'
Sixth Affiliate Relationship	Text	Specify the relationship of this entity to the petitioning organization (e.g., parent, branch, subsidiary, affiliate). Fill only if 'Classification sought' is 'Blanket Petition'
Sixth Alien or Dependent Family Member's Prior Stay
Family Member's Name	Text	Enter the full name of the sixth alien or dependent family member. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Period of Stay From Date	Date	Enter the start date of the sixth family member's prior stay. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Period of Stay To Date	Date	Enter the end date of the sixth family member's prior stay. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Sixth Beneficiary's Prior Period of Stay
Sixth Beneficiary's Subject's Name	Text	Please enter the name of the sixth beneficiary whose prior period of stay is being listed. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Sixth Beneficiary's Period of Stay From Date	Date	Please enter the start date of the sixth beneficiary's prior period of stay. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Sixth Beneficiary's Period of Stay To Date	Date	Please enter the end date of the sixth beneficiary's prior period of stay. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Sixth Employee Position and Responsibilities
Sixth Employee Position	Text	Enter the job title or position for the sixth employee working at the same location where the beneficiary will be employed. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Sixth Employee Responsibilities Summary	Text	Provide a summary of the type of responsibilities for the sixth employee's position. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Sixth Employment Record
Sixth Employment From Date	Date	Enter the start date of the sixth employment record. Fill only if 'Classification sought' is 'L-1'.
Sixth Employment To Date	Date	Enter the end date of the sixth employment record. Fill only if 'Classification sought' is 'L-1'.
Sixth Employment Interruptions Explanation	Text	Provide an explanation for any interruptions during the sixth employment record. Fill only if 'Classification sought' is 'L-1'.
Sixth Owner Nationality
Sixth Owner Name	Text	Please provide the full name (first, middle initial, last) of the sixth individual or corporate owner.
Sixth Owner Nationality	Text	Please enter the nationality of the sixth individual or corporate owner.
Sixth Owner Immigration Status	Text	Please specify the immigration status of the sixth individual owner, if applicable.
Sixth Owner Percent of Ownership	Number	Please enter the percentage of ownership held by the sixth individual or corporate owner. Max length: 4 characters
Sixth Prior Period of Stay
Sixth Prior Period Subject Name	Text	Provide the name of the individual for the sixth prior period of stay.
Sixth Prior Period From Date	Date	Enter the start date of the sixth prior period of stay.
Sixth Prior Period To Date	Date	Enter the end date of the sixth prior period of stay.
SOC Code
SOC Code Prefix	Text	Please enter the first four digits of the Standard Occupational Classification (SOC) code. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Max length: 2 characters Depends on:
SOC Code Suffix	Text	Please enter the last two digits of the Standard Occupational Classification (SOC) code. Fill only if 'Classification sought' is 'H-1B Specialty Occupation' Max length: 4 characters Depends on:
Staff in the United States Information
Treaty National Executives/Managers	Number	Provide the number of executive and managerial employees who are nationals of the treaty country and hold E, L, or H nonimmigrant status.
E/L/H Special Qualifications Staff	Number	Provide the number of persons with special qualifications employed in E, L, or H nonimmigrant status.
Total US Executive/Managerial Staff	Number	Provide the total number of employees in executive and managerial positions within the United States.
Total US Special Qualifications Positions	Number	Provide the total number of positions in the United States that require persons with special qualifications.
Statement for H-1B Specialty Occupations and U.S. Department of Defense (DOD) Projects
Authorized Official Signature	Text	Provide the signature of the authorized official of the employer. Fill only if 'Classification sought' is 'H-1B Classification' Depends on:
Date of Signature	Date	Provide the date the authorized official signed the statement. Fill only if 'Classification sought' is 'H-1B Classification' Depends on:
Authorized Official Name	Text	Provide the full name of the authorized official of the employer. Fill only if 'Classification sought' is 'H-1B Classification' Depends on:
Statement for H-1B U.S. Department of Defense Projects Only
Date	Date	Please provide the date. Fill only if 'Classification sought' is 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)'. Depends on:
Signature of DOD Project Manager	Text	Please provide the signature of the U.S. Department of Defense project manager. Fill only if 'Classification sought' is 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)'. Depends on:
Name of DOD Project Manager	Text	Please enter the full name of the U.S. Department of Defense project manager. Fill only if 'Classification sought' is 'H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense (DOD)'. Depends on:
Status Information
Current Nonimmigrant Status	Combobox	Please provide the beneficiary's current nonimmigrant status. DT 1B3 F1 PI TWO GT LZ U3 T3 L1A B1B GB M1 J2S A1 HSC UN U1 P1S IN PAL TC H1C N8 PAR CP WB RE SDF Q2 AS RW V2 EWI N1 H2B N5 T2 1B5 P1B V3 G5 B1C DE H2A WT OP G3 B1D H1 I E3 J2 S2 C3 N6 K3 G2 P4 D1 CH N2 U4 BE P2 UU O2 X P3S WI 1B2 E2C S1 C4 L1B M2 D2 MIS H4 B2 C2 E2 R1 N9 Q1 H3 CW2 T5 CC DA B1A IMM Q3 O1A H1B P1A TN2 K2 ML P3 K1 A2 ST L2 F2 N7 FSM O1 T4 FUG U2 1B1 N3 O1B P2S N4 U5 K4 WD H3B L1 TB H1A P1 1B4 1BS A3 AW V1 C1 EAO J1 TN1 DX S9 J1S TD H2R H2 B1 ASD RE5 CW1 R2 T1 G4 H3A O3 E1 G1
Status Expiration Date	Date	Please provide the date on which the beneficiary's current status expires, or indicate D/S if applicable. Fill only if 'Beneficiary is in the United States' is 'Yes'.
Statutory and Regulatory Compliance Confirmation
Comply with Statutory and Regulatory Requirements	Checkbox	Check this box if the placement of the beneficiary off-site during the period of employment will comply with the statutory and regulatory requirements of the H-1B nonimmigrant classification. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Do Not Comply with Statutory and Regulatory Requirements	Checkbox	Check this box if the placement of the beneficiary off-site during the period of employment will NOT comply with the statutory and regulatory requirements of the H-1B nonimmigrant classification. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Summary of Beneficiary's Education and Work Experience
Education and Work Experience Summary	Text	Provide a comprehensive summary of the beneficiary's educational background and work experience. Fill only if 'Classification sought' is 'L-1'.
Taxpayer Identification Numbers
Employer Identification Number (EIN)	Text	Please provide the Employer Identification Number (EIN). Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Depends on:
U.S. Social Security Number (SSN)	Text	Please provide the U.S. Social Security Number (SSN). Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 9 characters Depends on:
Individual Taxpayer Identification Number (ITIN)	Text	Please provide the Individual Taxpayer Identification Number (ITIN). Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker' Max length: 9 characters Depends on:
Technology Release Certification
License Not Required	Checkbox	Check this box if a license is not required from either the U.S. Department of Commerce or the U.S. Department of State to release the technology or technical data to the foreign person. Fill only if 'Classification' is 'H-1B, H-1B1 Chile/Singapore, L-1, or O-1A'
License Required	Checkbox	Check this box if a license is required from the U.S. Department of Commerce and/or the U.S. Department of State to release the technology or technical data to the beneficiary, and the petitioner will prevent access until the required license or authorization is obtained. Fill only if 'Classification' is 'H-1B, H-1B1 Chile/Singapore, L-1, or O-1A'
Temporary need is
Recurrent annually	Checkbox	Check this box if the temporary need for workers recurs annually. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
Unpredictable	Checkbox	Check this box if the temporary need for workers is unpredictable. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
Periodic	Checkbox	Check this box if the temporary need for workers is periodic. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
Third Additional Information Entry
Additional Information Text for Entry 4	Text	Provide any additional information for this entry that requires more space than originally provided in the petition. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Depends on: Yes
Entry 4 Item Number	Text	Enter the item number from which the additional information is being provided for this entry. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Max length: 9 characters Depends on: Yes
Entry 4 Part Number	Text	Enter the part number from which the additional information is being provided for this entry. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Max length: 4 characters Depends on: Yes
Entry 4 Page Number	Text	Enter the page number from which the additional information is being provided for this entry. Fill only if 'Is any beneficiary in this petition in removal proceedings?' is 'Yes'. Max length: 2 characters Depends on: Yes
Third Affiliate Information
Third Affiliate Name and Address	Text	Please provide the full name and address of the third affiliate. Fill only if 'Classification sought' is 'Blanket Petition'
Third Affiliate Relationship	Text	Please describe the relationship of the third affiliate (e.g., parent, branch, subsidiary). Fill only if 'Classification sought' is 'Blanket Petition'
Third Alien or Dependent Family Member's Prior Stay
Third Family Member's Name	Text	Enter the full name of the third alien or dependent family member. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Third Family Member's Stay From Date	Date	Enter the start date of the third alien or dependent family member's prior stay in R visa classification. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Third Family Member's Stay To Date	Date	Enter the end date of the third alien or dependent family member's prior stay in R visa classification. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Third Beneficiary's Prior Period of Stay
Third Beneficiary Name	Text	Enter the full name of the third beneficiary as it appears on their legal documents. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Third Beneficiary Stay From Date	Date	Enter the start date of the third beneficiary's prior period of stay. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Third Beneficiary Stay To Date	Date	Enter the end date of the third beneficiary's prior period of stay. Fill only if 'Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?' is 'Yes'. Depends on: Yes
Third Company Qualifying Relationship
Third Company Ownership Percentage	Number	Please provide the percentage of stock ownership and managerial control for the third company that has a qualifying relationship. Fill only if 'Classification sought' is 'L-1'.
Third Company EIN	Text	Please provide the Federal Employer Identification Number for the third U.S. company that has a qualifying relationship. Fill only if 'Classification sought' is 'L-1'.
Third Employee Position and Responsibilities
Third Employee Position	Text	Enter the job title or position of the third employee. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Third Employee Responsibilities Summary	Text	Provide a summary of the responsibilities for the third employee's position. Fill only if 'Classification sought' is 'R-1 Religious Worker'
Third Employment Record
Third Employment Start Date	Date	Enter the start date for the third employment record. Fill only if 'Classification sought' is 'L-1'.
Third Employment End Date	Date	Enter the end date for the third employment record. Fill only if 'Classification sought' is 'L-1'.
Third Employment Interruption Explanation	Text	Provide a detailed explanation for any interruptions in the third employment record. Fill only if 'Classification sought' is 'L-1'.
Third Other Name
Third Other Family Name	Text	Enter the beneficiary's third other family name as they have used it. Fill only if 'Type of Beneficiaries Requested' is 'Named'. Depends on: Named
Third Other Given Name	Text	Enter the beneficiary's third other given name as they have used it. Fill only if 'Type of Beneficiaries Requested' is 'Named'. Depends on: Named
Third Other Middle Name	Text	Enter the beneficiary's third other middle name as they have used it. Fill only if 'Type of Beneficiaries Requested' is 'Named'. Depends on: Named
Third Owner Nationality
Third Owner Name	Text	Enter the full name (First, Middle Initial, Last) of the third individual or corporate owner.
Third Owner Nationality	Text	Enter the nationality of the third individual or corporate owner.
Third Owner Immigration Status	Text	Enter the immigration status of the third individual owner, if applicable.
Third Owner Percent of Ownership	Number	Enter the percentage of ownership held by the third individual or corporate owner. Max length: 4 characters
Third Prior Period of Stay
Subject's Name (Third Prior Period)	Text	Provide the name of the beneficiary or dependent family member for this third prior period of stay.
From Date (Third Prior Period)	Date	Enter the start date for this third prior period of stay.
To Date (Third Prior Period)	Date	Enter the end date for this third prior period of stay.
This petition is
An individual petition	Checkbox	Check this box if this petition is being filed for a single individual. Fill only if 'Classification sought' is 'L Classification'. Depends on:
A blanket petition	Checkbox	Check this box if this petition is a blanket petition for multiple beneficiaries. Fill only if 'Classification sought' is 'L Classification'. Depends on:
Total Number of Beneficiaries
Total Beneficiaries	Number	Provide the total number of beneficiaries for this petition. Fill only if 'Type of Beneficiaries Requested' is 'Unnamed'. Max length: 15 characters Depends on: Unnamed
Total Number of Workers
Total Workers	Number	Provide the total number of workers included in this petition. Max length: 7 characters
Training Availability in Beneficiary's Country
Yes	Checkbox	Check this box if the training you intend to provide, or similar training, is available in the beneficiary's country. Fill only if 'Classification sought' is 'H-3 Trainee'. Depends on:
No	Checkbox	Check this box if the training you intend to provide, or similar training, is not available in the beneficiary's country. Fill only if 'Classification sought' is 'H-3 Trainee'. Depends on:
Training Benefit for Career Abroad
No	Checkbox	Check this box if the training will not benefit the beneficiary in pursuing a career abroad. Fill only if 'Classification sought' is 'H-3 Trainee'. Depends on:
Yes	Checkbox	Check this box if the training will benefit the beneficiary in pursuing a career abroad. Fill only if 'Classification sought' is 'H-3 Trainee'. Depends on:
Training to Overcome Labor Shortage
Yes	Checkbox	Check this box if the training is an effort to overcome a labor shortage. Fill only if 'Classification sought' is 'H-3 Trainee'. Depends on:
No	Checkbox	Check this box if the training is not an effort to overcome a labor shortage. Fill only if 'Classification sought' is 'H-3 Trainee'. Depends on:
Type of Beneficiaries Requested
	Text
Unnamed	Checkbox	Check this box if the petition is for H-2A or H-2B visas and the beneficiaries are unnamed.
Named	Checkbox	Check this box if the beneficiaries of this petition are specifically named individuals.
Type of Office
Consulate	Checkbox	Check this box if you want a U.S. Consulate to be notified if the petition is approved. Fill only if 'Requested Action' is for a beneficiary outside the United States Depends on: Notify office to obtain visa/admission
Pre-flight inspection	Checkbox	Check this box if you want a pre-flight inspection facility to be notified if the petition is approved. Fill only if 'Requested Action' is for a beneficiary outside the United States Depends on: Notify office to obtain visa/admission
Port of Entry	Checkbox	Check this box if you want a Port of Entry to be notified if the petition is approved. Fill only if 'Requested Action' is for a beneficiary outside the United States Depends on: Notify office to obtain visa/admission
U.S. Address
City or Town	Text	Please provide the city or town of the address in the United States where you intend to live. Fill only if 'Requested Action' is for a beneficiary in the United States Max length: 40 characters Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
State	Combobox	Please provide the state of the address in the United States where you intend to live. FM CT MS WV NY FL DE NE LA AK MP WY CO AZ PA VI OK VA WA KY MT IA MI SC AE VT AA TN IN GU OH MA CA GA MH IL ND PR ME RI AR OR UT WI DC ID NC NV PW SD TX MD NH MN KS NM MO NJ HI AS AL AP
ZIP Code	Text	Please provide the ZIP code of the address in the United States where you intend to live. Fill only if 'Requested Action' is for a beneficiary in the United States Max length: 5 characters Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
Street Number and Name	Text	Please provide the street number and name of the address in the United States where you intend to live. Fill only if 'Requested Action' is for a beneficiary in the United States Max length: 34 characters Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
Apartment/Suite/Floor Number	Text	Please provide the apartment, suite, or floor number of the address in the United States where you intend to live. Fill only if 'Requested Action' is for a beneficiary in the United States Max length: 6 characters Depends on: Change status and extend stay (in U.S. in another status), Extend stay (beneficiary holds this status), Amend stay (beneficiary holds this status, not seeking additional time), Extend status (free trade agreement), Change status (free trade agreement)
	CheckBox
	CheckBox
	CheckBox
U.S. Company Relationship to Company Abroad
	Text
Parent	Checkbox	Check this box if the U.S. company is the parent company of the company abroad.
Branch	Checkbox	Check this box if the U.S. company is a branch of the company abroad.
Subsidiary	Checkbox	Check this box if the U.S. company is a subsidiary of the company abroad.
Affiliate	Checkbox	Check this box if the U.S. company is an affiliate of the company abroad.
Joint Venture	Checkbox	Check this box if the U.S. company is a joint venture with the company abroad.
USCIS Advice Request
Yes	Checkbox	Check this box if you are seeking advice from USCIS to determine whether changes in the terms or conditions of E status for one or more employees are substantive. Fill only if 'Basis for Classification' is 'Change in previously approved employment'. Depends on: Change in previously approved employment
No	Checkbox	Check this box if you are not seeking advice from USCIS to determine whether changes in the terms or conditions of E status for one or more employees are substantive. Fill only if 'Basis for Classification' is 'Change in previously approved employment'. Depends on: Change in previously approved employment
USCIS Decision Revoking Approval of Prior Petition Status
Yes	Checkbox	Check this box if, within the last 3 years, you have been subject to a final USCIS decision revoking the approval of a prior petition due to findings that the beneficiary was not employed as specified, facts were untrue, terms were violated, or INA requirements were violated. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker'. Depends on:
No	Checkbox	Check this box if, within the last 3 years, you have NOT been subject to a final USCIS decision revoking the approval of a prior petition due to any of the specified reasons. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker'. Depends on:
USCIS Denial or Revocation with Finding of Fraud Status
Yes	Checkbox	Check this box if, within the last three years, you have been subject to a final USCIS denial or revocation decision for a prior H-2A or H-2B petition that included a finding of fraud or willful misrepresentation of a material fact. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker'. Depends on:
No	Checkbox	Check this box if, within the last three years, you have not been subject to a final USCIS denial or revocation decision for a prior H-2A or H-2B petition that included a finding of fraud or willful misrepresentation of a material fact. Fill only if 'Classification sought' is 'H-2A Agricultural worker' or 'H-2B Non-agricultural worker'. Depends on:
Use of agent or recruiter
Yes	Checkbox	Check this box if you did or plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
No	Checkbox	Check this box if you did not and do not plan to use an agent, facilitator, staff, recruiter, or similar employment service to locate and/or recruit the H-2A/H-2B workers. Fill only if 'Classification sought' is 'H-2A or H-2B' Depends on:
Wage Level
Wage Level IV	Checkbox	Check this box if the appropriate wage level for the position is Wage Level IV, as determined by the wage level instructions for H-1B petitions. Fill only if 'Cap H-1B Bachelor's Degree', 'Cap H-1B U.S. Master's Degree or Higher' is 'Yes' or if Cap H-1B U.S. Master's Degree or Higher is 'Yes', any. Depends on: Cap H-1B Bachelor's Degree, Cap H-1B U.S. Master's Degree or Higher
Wage Level III	Checkbox	Check this box if the appropriate wage level for the position is Wage Level III, as determined by the wage level instructions for H-1B petitions. Fill only if 'Cap H-1B Bachelor's Degree', 'Cap H-1B U.S. Master's Degree or Higher' is 'Yes' or if Cap H-1B U.S. Master's Degree or Higher is 'Yes', any. Depends on: Cap H-1B Bachelor's Degree, Cap H-1B U.S. Master's Degree or Higher
Wage Level II	Checkbox	Check this box if the appropriate wage level for the position is Wage Level II, as determined by the wage level instructions for H-1B petitions. Fill only if 'Cap H-1B Bachelor's Degree', 'Cap H-1B U.S. Master's Degree or Higher' is 'Yes' or if Cap H-1B U.S. Master's Degree or Higher is 'Yes', any. Depends on: Cap H-1B Bachelor's Degree, Cap H-1B U.S. Master's Degree or Higher
Wage Level I	Checkbox	Check this box if the appropriate wage level for the position is Wage Level I, as determined by the wage level instructions for H-1B petitions. Fill only if 'Cap H-1B Bachelor's Degree', 'Cap H-1B U.S. Master's Degree or Higher' is 'Yes' or if Cap H-1B U.S. Master's Degree or Higher is 'Yes', any. Depends on: Cap H-1B Bachelor's Degree, Cap H-1B U.S. Master's Degree or Higher
Wage Payment Confirmation
No	Checkbox	Check this box if the beneficiary will NOT be paid the higher of the prevailing or actual wage at any and all off-site locations. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if the beneficiary will be paid the higher of the prevailing or actual wage at any and all off-site locations. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Wages
Wage Amount	Number	Please enter the amount of wages for the position.
Wage Payment Frequency	Text	Please specify the frequency of the wage payment (e.g., hour, week, month, or year). Max length: 5 characters
Weekly Hours
Weekly Hours	Number	Enter the total number of hours the position requires per week. Fill only if 'No' is 'No'. Max length: 3 characters Depends on: No
Worker Reimbursement Status After Petition Denial/Revocation
Yes	Checkbox	Check this box if, in response to Item 12, the workers or their designees were reimbursed for any fees paid, and any agreement to pay a fee was terminated. Fill only if 'Yes' is 'Yes'. Depends on: Yes
No	Checkbox	Check this box if, in response to Item 12, the workers or their designees were NOT reimbursed for any fees paid, or any agreement to pay a fee was NOT terminated. Fill only if 'Yes' is 'Yes'. Depends on: Yes

Form I-129, Petition for a Nonimmigrant Worker Instructions