This form contains 218 fields organized into 16 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Basis for Classification
b. Continuation of previously approved employment without change with the same employer. Checkbox
Check this box if the petition requests continuation of previously approved employment without any change and with the same employer.
a. New employment. Checkbox
Check this box if the petition is for new employment — the beneficiary is being newly employed in the requested classification.
c. Change in previously approved employment. Checkbox
Check this box if the petition requests a change in the terms or details of previously approved employment.
d. New concurrent employment. Checkbox
Check this box if the petition is for new concurrent employment where the beneficiary will take on an additional job alongside existing approved employment.
e. Change of employer. Checkbox
Check this box if the petition requests a change of employer — the beneficiary will work for a different employer than on the prior approval.
f. Amended petition. Checkbox
Check this box if you are filing an amended petition to make changes or corrections to an already filed petition.
Beneficiary Name (Family, Given, Middle)
Beneficiary Middle Name Text
Enter the beneficiary's middle name or initial, if any; leave blank if the beneficiary has no middle name. Fill only if 'Named' Fill only if 22 is 'Yes'.
Depends on: Named
Beneficiary Given Name (First Name) Text
Enter the beneficiary's given/first name as shown on legal documents. Fill only if 'Named' Fill only if 22 is 'Yes'.
Depends on: Named
Beneficiary Family Name (Last Name) Text
Enter the beneficiary's family/last name exactly as it appears on legal documents. Fill only if 'Named' Fill only if 22 is 'Yes'.
Depends on: Named
Company or Organization Name
Company or Organization Name Text
Enter the full legal name of the petitioning company or organization exactly as it appears on official records. Fill only if 'PDF417BarCode1' is a company or organization.
Depends on: PDF417BarCode1
Contact Information
Email Address (if any) Text
Enter the petitioner’s email address if available so USCIS can use electronic mail for correspondence.
Daytime Telephone Number Text
Enter the petitioner’s primary daytime telephone number, including country and area code as needed, so you can be contacted during business hours.
Max length: 15 characters
Mobile Telephone Number Text
Enter the petitioner’s mobile (cell) telephone number, including country and area code if applicable, for contact via mobile phone.
Max length: 15 characters
Entertainment Group Name
Entertainment Group Name Text
Enter the full legal or commonly used name of the entertainment group (for example, the band, troupe, or performance company) included in this petition.
Federal Employer Identification Number (FEIN)
Federal Employer Identification Number (FEIN) Number
Enter the petitioning employer's Federal Employer Identification Number issued by the IRS for the company or organization listed on this petition.
General
Continuation / Additional Information Text
Enter any additional or continuation text related to this page of the petition (use this field for extra details that do not fit in the labeled form fields).
PDF417BarCode1 Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 6. If the beneficiary is in the United States, complete the following: Date Passport or Travel Document Expires. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 6. If the beneficiary is in the United States, complete the following: Enter Student and Exchange Visitor Information System (S E V I S) Number, if any Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 6. If the beneficiary is in the United States, complete the following: Enter Employment Authorization Document (E A D) Number, if any Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 7. Current Residential U. S. Address, if applicable. Do not list a P. O. Box. Select State from a List of States ComboBox
CT MT WI VI IL MA CA FM AK MI MO WY KY AL VT CO UT PR LA ID OK MH IN MN ME GA RI NJ ND SD AZ TX AP MP NM OH DE GU PA TN NC NH AE NE VA SC MS WA NV FL HI DC PW AS WV AA AR MD IA OR NY KS
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 7. Current Residential U. S. Address, if applicable. Do not list a P. O. Box. Enter ZIP Code Text
Max length: 5 characters
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 7. Current Residential U. S. Address, if applicable. Do not list a P. O. Box. Enter City or Town Text
Max length: 40 characters
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 7. Current Residential U. S. Address, if applicable. Do not list a P. O. Box. Check Apartment CheckBox
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 7. Current Residential U. S. Address, if applicable. Do not list a P. O. Box. If Apartment, Suite or Floor is Checked, Enter Apartment, Suite or Floor Number Text
Max length: 6 characters
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 6. Current Residential U. S. Address, if applicable. Do not list a P. O. Box. Check Floor CheckBox
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 7. Current Residential U. S. Address, if applicable. Do not list a P. O. Box. Check Suite CheckBox
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 7. Current Residential U. S. Address, if applicable. Do not list a P. O. Box. Enter Street Number and Name Text
Max length: 34 characters
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 6. If the beneficiary is in the United States, complete the following: Select Current Nonimmigrant Status from list ComboBox
LZ WI L1A J1 PAL S9 O2 H1C H1 ASD U2 FSM N8 B1D I V1 U1 R2 G1 1B4 N9 G5 M1 A1 DX UN H4 WB TD C1 D1 P3 CP N6 P3S O3 T3 AW FUG L2 T4 C3 O1A TB IN H1B J2 H2B K4 WT DE P1 Q2 1B1 GT N5 P1A T1 T2 K1 WD 1BS AS F1 E2C L1B U4 Q1 E3 MIS EWI SDF UU GB CW2 H2A ML F2 RW PAR TN2 N1 D2 V2 H2 O1B K3 C2 TWO CW1 B1 BE J1S C4 A2 H3B L1 H2R P2S P2 K2 DT G3 TN1 1B3 H3 G2 O1 M2 Q3 EAO U5 1B5 E1 P1B PI A3 X HSC P4 H3A E2 B1B N3 RE DA H1A IMM S2 TC P1S 1B2 S1 J2S T5 ST CC B1A N4 G4 R1 B2 RE5 U3 N2 OP B1C V3 N7 CH
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 6. If the beneficiary is in the United States, complete the following: Enter Date Status or D/S. Expires as 2-digit Month, 2-digit Day, and 4-digit Year Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 6. If the beneficiary is in the United States, complete the following: Date Passport or Travel Document was Issued. Enter Date as 2-digit Month, 2-digit Day, and 4 digit Year Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 6. If the beneficiary is in the United States, complete the following: Enter Passport or Travel Document Country of Issuance Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 5. Other Information. Enter Province of Birth Text
Max length: 20 characters
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 6. If the beneficiary is in the United States, complete the following: Enter Date of Last Arrival as 2-digit Month, 2-digit Day, and 4-digit Year Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 6. If the beneficiary is in the United States, complete the following: Enter Passport or Travel Document Number Text
Max length: 30 characters
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. B. Office Address. Enter City Text
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. C. Enter U. S. State or Foreign Country Text
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. A. Type of Office. Select only one box. Check Consulate CheckBox
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. A. Type of Office. Select only one box. Check Pre-flight inspection CheckBox
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. A. Type of Office. Select only one box. Check Port of Entry CheckBox
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 5. Other Information. Enter Country of Birth Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 5. Other Information. Enter Country of Citizenship or Nationality Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 5. Other Information. Enter Alien Registration Number (A-Number) Text
Max length: 9 characters
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 6. If the beneficiary is in the United States, complete the following: Enter I-94 Arrival-Departure Record Number Text
Max length: 11 characters
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 5. Other Information. Enter Date of Birth as 2-digit Month, 2-digit Day and 4-digit Year Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 5. Other Information. Sex. Check Male CheckBox
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 5. Other Information. Sex. Check Female CheckBox
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 5. Other Information. Enter U. S. Social Security Number, If any Text
Max length: 9 characters
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 4. Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages. Name 2. Enter Given Name (First Name) Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 4. Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages. Name 2. Enter Middle Name Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 4. Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages. Name 3. Enter Family Name (Last Name) Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 4. Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages. Name 3. Enter Given Name (First Name) Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 4. Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages. Name 3. Enter Middle Name Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 4. Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages. Name 2. Enter Family Name (Last Name) Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 4. Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages. Name 1. Enter Middle Name Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 4. Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages. Name 1. Enter Given Name (First Name) Text
Part 3. Beneficiary Information. Information about the beneficiary/beneficiaries you are filing for. Complete the blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition. 4. Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages. Name 1. Enter Family Name (Last Name) Text
PDF417BarCode1 Text
Part 4. Processing Information. 4. Are you filing any applications for replacement/initial I-94, Arrival-Departure Records with this petition? Note that if the beneficiary was issued an electronic Form I-94 by U. S. Customs and Border Protection (C B P) when he/she was admitted to the United States at an air or sea port, he/she may be able to obtain the Form I-94 from the U. S. Customs and Border Protection (C B P) Web site at www.c b p/i94 instead of filing an application for a replacement/initial I-94. If Yes is Checked, Enter Number of Additional Applications Text
Part 4. Processing Information. 5. Are you filing any applications for dependents with this petition? Check No CheckBox
Part 4. Processing Information. 11. A. Has any beneficiary in this petition ever been a J-1 exchange visitor or J-2 dependent of a J-1 exchange visitor? Check Yes. If yes, proceed to Item Number 11. B CheckBox
Part 4. Processing Information. 11. A. Has any beneficiary in this petition ever been a J-1 exchange visitor or J-2 dependent of a J-1 exchange visitor? Check No CheckBox
Part 4. Processing Information. 5. Are you filing any applications for dependents with this petition? Check Yes. If yes, how many? Enter Number of Dependent Applications in next field CheckBox
Part 4. Processing Information. 5. Are you filing any applications for dependents with this petition? If Yes is Checked, Enter Number of Dependent Applications Text
Part 4. Processing Information. 7. Have you ever filed an immigrant petition for any beneficiary in this petition? If Yes is Checked, Enter Number of Applications Text
Part 4. Processing Information. 8. Did you indicate you were filing a new petition in Part 2.? Check Yes. If yes, answer the questions below CheckBox
Part 4. Processing Information. 8. Did you indicate you were filing a new petition in Part 2.? Check No. If no, proceed to Item Number 9 CheckBox
Part 4. Processing Information. 4. Are you filing any applications for replacement/initial I-94, Arrival-Departure Records with this petition? Note that if the beneficiary was issued an electronic Form I-94 by U. S. Customs and Border Protection (C B P) when he/she was admitted to the United States at an air or sea port, he/she may be able to obtain the Form I-94 from the U. S. Customs and Border Protection (C B P) Web site at www.c b p/i94 instead of filing an application for a replacement/initial I-94. Check Yes. If yes, how many? Enter Number of Additional Applications in next field CheckBox
Part 4. Processing Information. 4. Are you filing any applications for replacement/initial I-94, Arrival-Departure Records with this petition? Note that if the beneficiary was issued an electronic Form I-94 by U. S. Customs and Border Protection (C B P) when he/she was admitted to the United States at an air or sea port, he/she may be able to obtain the Form I-94 from the U. S. Customs and Border Protection (C B P) Web site at www.c b p/i94 instead of filing an application for a replacement/initial I-94. Check No CheckBox
Part 4. Processing Information. 6. Is any beneficiary in this petition in removal proceedings? Check Yes. If yes, proceed to Part 9. and list the beneficiary or beneficiaries name or names CheckBox
Part 4. Processing Information. 7. Have you ever filed an immigrant petition for any beneficiary in this petition? Check No CheckBox
Part 4. Processing Information. 9. Have you ever previously filed a nonimmigrant petition for this beneficiary? Check Yes. If yes, proceed to Part 9. and type or print your explanation CheckBox
Part 4. Processing Information. 9. Have you ever previously filed a nonimmigrant petition for this beneficiary? Check No CheckBox
Part 4. Processing Information. 10. If you are filing for an entertainment group, has any beneficiary in this petition not been with the group for at least 1 year? Check Yes. If yes, proceed to Part 9. and type or print your explanation CheckBox
Part 4. Processing Information. 10. If you are filing for an entertainment group, has any beneficiary in this petition not been with the group for at least 1 year? Check No CheckBox
Part 4. Processing Information. 8. A. Has any beneficiary in this petition ever been given the classification you are now requesting within the last 7 years? Check Yes. If yes, proceed to Part 9. and type or print your explanation CheckBox
Part 4. Processing Information. 8. A. Has any beneficiary in this petition ever been given the classification you are now requesting within the last 7 years? Check No CheckBox
Part 4. Processing Information. 8. B. Has any beneficiary in this petition ever been denied the classification you are now requesting within the last 7 years? Check Yes. If yes, proceed to Part 9. and type or print your explanation CheckBox
Part 4. Processing Information. 8. B. Has any beneficiary in this petition ever been denied the classification you are now requesting within the last 7 years? Check No CheckBox
Part 4. Processing Information. 7. Have you ever filed an immigrant petition for any beneficiary in this petition? Check Yes. If yes, how many? Enter Number of Petitions in next field CheckBox
Part 4. Processing Information. 6. Is any beneficiary in this petition in removal proceedings? Check No CheckBox
Part 4. Processing Information. 11 .B. If you checked yes in Item Number 11. A., provide the dates the beneficiary maintained status as a J-1 exchange visitor or J-2 dependent. Also, provide evidence of this status by attaching a copy of either a D S-20 19, Certificate of Eligibility for Exchange Visitor (J-1) Status, a Form I A P-66, or a copy of the passport that includes the J visa stamp Text
Part 4. Processing Information. 3. Are you filing any other petitions with this one? Check No CheckBox
Part 4. Processing Information. 3. Are you filing any other petitions with this one? Check Yes. If yes, how many? Enter Number of Additional Petitions in next field CheckBox
Part 4. Processing Information. 3. Are you filing any other petitions with this one? If Yes is Checked, Enter Number of Additional Petitions Text
Part 4. Processing Information. 2. Does each person in this petition have a valid passport? Check No. If No, go to Part 9 and type or print your explanation CheckBox
Part 4. Processing Information. 2. Does each person in this petition have a valid passport? Check Yes CheckBox
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. D. Beneficiary's Foreign Address. Enter City or Town Text
Max length: 40 characters
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. D. Beneficiary's Foreign Address. Enter Street Number and Name Text
Max length: 25 characters
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. D. Beneficiary's Foreign Address. Check Suite CheckBox
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. D. Beneficiary's Foreign Address. Check Floor CheckBox
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. D. Beneficiary's Foreign Address. If Apartment, Suite or Floor is Checked, Enter Apartment, Suite or Floor Number Text
Max length: 6 characters
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. D. Beneficiary's Foreign Address. Check Apartment CheckBox
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. D. Beneficiary's Foreign Address. Enter State, if applicable Text
Max length: 20 characters
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. D. Beneficiary's Foreign Address. Enter Postal Code Text
Max length: 9 characters
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. D. Beneficiary's Foreign Address. Enter Country Text
Part 4. Processing Information. 1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of status cannot be granted, state the U. S. Consulate or inspection facility you want notified if this petition is approved. D. Beneficiary's Foreign Address. Enter Province, if applicable Text
Max length: 20 characters
PDF417BarCode1 Text
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 5. Will the beneficiary or beneficiaries work for you off-site at another company or organization's location? Check Yes CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 5. Will the beneficiary or beneficiaries work for you off-site at another company or organization's location? Check No CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 4. Did you include an itinerary with the petition? Check No CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 6. Will the beneficiary or beneficiaries work exclusively in the Commonwealth of the Northern Mariana Islands (C N M I)? Check Yes CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 6. Will the beneficiary or beneficiaries work exclusively in the Commonwealth of the Northern Mariana Islands (C N M I)? Check No CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 4. Did you include an itinerary with the petition? Check Yes CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 11. Dates of intended employment. Enter Employed From Date as 2-digit Month, 2-digit Day, and 4-digit Year Text
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 11. Dates of intended employment. Enter Employed To Date as 2-digit Month, 2-digit Day, and 4-digit Year Text
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 8. If the answer to Item Number 7. is no, how many hours per week for the position? Enter Number of Hours Text
Max length: 3 characters
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 7. Is this a full-time position? Check No CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 7. Is this a full-time position? Check Yes CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 10. Other Compensation (Explain). Enter Explanation Text
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 9. Wages. Enter Dollar Amount and specify per hour, week, month or year in the next field Text
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 9. Wages. Enter hour, week, month or year Text
Max length: 5 characters
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 1. Select State from a List of States ComboBox
CT MT WI VI IL MA CA FM AK MI MO WY KY AL VT CO UT PR LA ID OK MH IN MN ME GA RI NJ ND SD AZ TX AP MP NM OH DE GU PA TN NC NH AE NE VA SC MS WA NV FL HI DC PW AS WV AA AR MD IA OR NY KS
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 1. Enter ZIP Code Text
Max length: 5 characters
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 1. Check Apartment CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 1. If Apartment, Suite or Floor is Checked, Enter Apartment, Suite or Floor Number Text
Max length: 6 characters
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 1. Check Floor CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 1. Check Suite CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 1. Enter Street Number and Name Text
Max length: 34 characters
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 1. City or Town Text
Max length: 40 characters
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 2. Enter Labor Condition Application (L C A) or Employment and Training Administration (E T A) Case Number Text
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 1. Enter Job Title Text
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Is this a third-party location? Select No CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Is this a third-party location? Select Yes CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Is this a third-party location? If you answered "Yes," provide the name of the third-party organization. Enter name Text
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 2. Select State from a List of States ComboBox
CT MT WI VI IL MA CA FM AK MI MO WY KY AL VT CO UT PR LA ID OK MH IN MN ME GA RI NJ ND SD AZ TX AP MP NM OH DE GU PA TN NC NH AE NE VA SC MS WA NV FL HI DC PW AS WV AA AR MD IA OR NY KS
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 2. Enter ZIP Code Text
Max length: 5 characters
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 2. Check Apartment CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 2. If Apartment, Suite or Floor is Checked, Enter Apartment, Suite or Floor Number Text
Max length: 6 characters
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 2. Check Floor CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 2. Check Suite CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Address 2. Enter Street Number and Name Text
Max length: 34 characters
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Additional Information. Address 2. City or Town Text
Max length: 40 characters
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Is this a third-party location? Select No CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Is this a third-party location? Select Yes CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. 3. Address(es) where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than two additional addresses, use Part 9. Is this a third-party location? If you answered "Yes," provide the name of the third-party organization. Enter name Text
PDF417BarCode1 Text
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 12. Enter Type of Business Text
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 12. Enter Year Established Text
Max length: 4 characters
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 14. Enter Current Number of Employees in the United States Text
Max length: 10 characters
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 16. Enter Gross Annual Income Text
Max length: 15 characters
Part 5. Basic Information About the Proposed Employment and Employer. Attach the Form I-1 29 supplement relevant to the classification of the worker or workers you are requesting. 17. Enter Net Annual Income Text
Max length: 15 characters
Part 5. Basic Information About the Proposed Employment and Employer. 15. Do you currently employ a total of 25 or fewer full-time equivalent employees in the United States, including all affiliates or subsidiaries of this company/organization? Check Yes CheckBox
Part 5. Basic Information About the Proposed Employment and Employer. 15. Do you currently employ a total of 25 or fewer full-time equivalent employees in the United States, including all affiliates or subsidiaries of this company/organization? Check No CheckBox
Part 6. Certification Regarding the Release of Controlled Technology or Technical Data to Foreign Persons in the United States. This section of the form is required only for H-1 B, H-1 B 1 Chile/Singapore, L-1, and O-1 A petitions. It is not required for any other classifications. Please review the Form I-1 29 General Filing Instructions before completing this section. Select Item Number 1. or Item Number 2. as appropriate. DO NOT select both boxes. With respect to the technology or technical data the petitioner will release or otherwise provide access to the beneficiary, the petitioner certifies that it has reviewed the Export Administration Regulations (E A R) and the International Traffic in Arms Regulations (I T A R) and has determined that: Check 1. A license is not required from either the U. S. Department of Commerce or the U. S. Department of State to release such technology or technical data to the foreign person; or CheckBox
Part 6. Certification Regarding the Release of Controlled Technology or Technical Data to Foreign Persons in the United States. This section of the form is required only for H-1 B, H-1 B 1 Chile/Singapore, L-1, and O-1 A petitions. It is not required for any other classifications. Please review the Form I-1 29 General Filing Instructions before completing this section. Select Item Number 1. or Item Number 2. as appropriate. DO NOT select both boxes. With respect to the technology or technical data the petitioner will release or otherwise provide access to the beneficiary, the petitioner certifies that it has reviewed the Export Administration Regulations (E A R) and the International Traffic in Arms Regulations (I T A R) and has determined that: Check 2. A license is required from the U. S. Department of Commerce and/or the U. S. Department of State to release such technology or technical data to the beneficiary and the petitioner will prevent access to the controlled technology or technical data by the beneficiary until and unless the petitioner has received the required license or other authorization to release it to the beneficiary CheckBox
Part 7. Declaration, Signature, and Contact Information of Petitioner or Authorized Signatory (Read the information on penalties in the instructions before completing this section.) Copies of any documents submitted are exact photocopies of unaltered, original documents, and I understand that, as the petitioner, I may be required to submit original documents to U. S. Citizenship and Immigration Services (U S C I S) at a later date. I authorize the release of any information from my records, or from the petitioning organization's records that U S C I S needs to determine eligibility for the immigration benefit sought. I recognize the authority of U S C I S to conduct audits of this petition using publicly available open source information. I also recognize that any supporting evidence submitted in support of this petition may be verified by U S C I S through any means determined appropriate by U S C I S, including but not limited to, on-site compliance reviews. If filing this petition on behalf of an organization, I certify that I am authorized to do so by the organization. I certify, under penalty of perjury, that I have reviewed this petition and that all of the information contained in the petition, including all responses to specific questions, and in the supporting documents, is complete, true, and correct. 1. Name and Title of Authorized Signatory. Enter Family Name (Last Name) Text
Part 7. Declaration, Signature, and Contact Information of Petitioner or Authorized Signatory (Read the information on penalties in the instructions before completing this section.) Copies of any documents submitted are exact photocopies of unaltered, original documents, and I understand that, as the petitioner, I may be required to submit original documents to U. S. Citizenship and Immigration Services (U S C I S) at a later date. I authorize the release of any information from my records, or from the petitioning organization's records that U S C I S needs to determine eligibility for the immigration benefit sought. I recognize the authority of U S C I S to conduct audits of this petition using publicly available open source information. I also recognize that any supporting evidence submitted in support of this petition may be verified by U S C I S through any means determined appropriate by U S C I S, including but not limited to, on-site compliance reviews. If filing this petition on behalf of an organization, I certify that I am authorized to do so by the organization. I certify, under penalty of perjury, that I have reviewed this petition and that all of the information contained in the petition, including all responses to specific questions, and in the supporting documents, is complete, true, and correct. 1. Name and Title of Authorized Signatory. Enter Title Text
Part 7. Declaration, Signature, and Contact Information of Petitioner or Authorized Signatory (Read the information on penalties in the instructions before completing this section.) Copies of any documents submitted are exact photocopies of unaltered, original documents, and I understand that, as the petitioner, I may be required to submit original documents to U. S. Citizenship and Immigration Services (U S C I S) at a later date. I authorize the release of any information from my records, or from the petitioning organization's records that U S C I S needs to determine eligibility for the immigration benefit sought. I recognize the authority of U S C I S to conduct audits of this petition using publicly available open source information. I also recognize that any supporting evidence submitted in support of this petition may be verified by U S C I S through any means determined appropriate by U S C I S, including but not limited to, on-site compliance reviews. If filing this petition on behalf of an organization, I certify that I am authorized to do so by the organization. I certify, under penalty of perjury, that I have reviewed this petition and that all of the information contained in the petition, including all responses to specific questions, and in the supporting documents, is complete, true, and correct. 1. Name and Title of Authorized Signatory. Enter Given Name (First Name) Text
PDF417BarCode1 Text
Part 7. Declaration, Signature, and Contact Information of Petitioner or Authorized Signatory (Read the information on penalties in the instructions before completing this section.) 2. Signature and Date. Date of Signature. Enter Date of Signature as 2-digit Month, 2-digit Day, and 4-digit Year Text
Part 7. Declaration, Signature, and Contact Information of Petitioner or Authorized Signatory (Read the information on penalties in the instructions before completing this section.) 2. Signature and Date. Signature of Authorized Signatory. This is a protected field Text
Part 7. Declaration, Signature, and Contact Information of Petitioner or Authorized Signatory (Read the information on penalties in the instructions before completing this section.) 3. Signatory's Contact Information. Enter Email Address, if any Text
Part 7. Declaration, Signature, and Contact Information of Petitioner or Authorized Signatory (Read the information on penalties in the instructions before completing this section.) 3. Signatory's Contact Information. Enter Daytime Telephone Number Text
Max length: 10 characters
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. Preparer's Declaration. By my signature, I certify, swear or affirm, under penalty of perjury, that I prepared this form on behalf of, at the request of, and with the express consent of, the petitioner. I completed the form based only on responses the petitioner provided to me. After completing the form, I reviewed it and all of the petitioner's responses with the petitioner, who agreed with every answer provided for every question on the form and, when required, supplied additional information to respond to a question on the form. 5. Signature and Date. Signature of Preparer. No Entry. Print and Sign completed form Text
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. Preparer's Declaration. By my signature, I certify, swear or affirm, under penalty of perjury, that I prepared this form on behalf of, at the request of, and with the express consent of, the petitioner. I completed the form based only on responses the petitioner provided to me. After completing the form, I reviewed it and all of the petitioner's responses with the petitioner, who agreed with every answer provided for every question on the form and, when required, supplied additional information to respond to a question on the form. 5. Signature and Date. Enter Date of Signature as 2-digit Month, 2-digit Day, and 4-digit Year Text
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 4. Preparer's Contact Information. Enter E-mail Address, if any Text
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 4. Preparer's Contact Information. Enter Daytime Telephone Number Text
Max length: 10 characters
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 4. Preparer's Contact Information. Enter Fax Number Text
Max length: 10 characters
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 1. Name of Preparer. Enter Family Name (Last Name) Text
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 1. Name of Preparer. Enter Given Name (First Name) Text
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 2. Enter Preparer's Business or Organization Name. If applicable, provide the name of your accredited organization recognized by the Board of Immigration Appeals (B I A) Text
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 3. Preparer's Mailing Address. Enter City or Town Text
Max length: 40 characters
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 3. Preparer's Mailing Address. Enter ZIP Code Text
Max length: 5 characters
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 3. Preparer's Mailing Address. Select State from a List of States ComboBox
CT MT WI VI IL MA CA FM AK MI MO WY KY AL VT CO UT PR LA ID OK MH IN MN ME GA RI NJ ND SD AZ TX AP MP NM OH DE GU PA TN NC NH AE NE VA SC MS WA NV FL HI DC PW AS WV AA AR MD IA OR NY KS
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 3. Preparer's Mailing Address. Enter Street Number and Name Text
Max length: 34 characters
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 3. Preparer's Mailing Address. Check Apartment CheckBox
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 3. Preparer's Mailing Address. Check Suite CheckBox
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 3. Preparer's Mailing Address. Check Floor CheckBox
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. If Apartment, Suite or Floor is Checked, Enter Apartment, Suite or Floor Number Text
Max length: 6 characters
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 3. Preparer's Mailing Address. Enter Province, if applicable Text
Max length: 20 characters
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 3. Preparer's Mailing Address. Enter Postal Code, if applicable Text
Max length: 9 characters
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than Above. Provide the following information concerning the preparer. 3. Preparer's Mailing Address. Enter Country Text
PDF417BarCode1 Text
Part 9. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. 4. D. Enter Additional Information here Text
Part 9. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. 3. D. Enter Additional Information here Text
Part 10. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. Enter Alien Registration Number (A-Number) Text
Max length: 9 characters
Part 9. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. 2. A. Enter Page Number Text
Max length: 2 characters
Part 9. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. 2. B. Enter Part Number Text
Max length: 6 characters
Part 9. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. 2. C. Enter Item Number Text
Max length: 6 characters
Part 9. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. 4. C. Enter Item Number Text
Max length: 9 characters
Part 9. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. 4. B. Enter Part Number Text
Max length: 4 characters
Part 9. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. 4. A. Enter Page Number Text
Max length: 2 characters
Part 9. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. 3. A. Enter Page Number Text
Max length: 2 characters
Part 9. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. 3. B. Enter Part Number Text
Max length: 4 characters
Part 9. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. 3. C. Enter Item Number Text
Max length: 9 characters
Part 9. Additional Information About Your Petition For Nonimmigrant Worker. If you require more space to provide any additional information within this application, please use the space below. If you require more space than what is provided to complete this application, you may make a copy of Part 10 to complete and file with this application. In order to assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number along with the additional information. 2. D. Enter Additional Information here Text
Legal Name of Individual Petitioner
PDF417BarCode1 Text
Legal Name - Middle Name Text
Enter the petitioner’s middle name as shown on legal documents, or leave blank if none. Fill only if 'PDF417BarCode1' is an individual.
Depends on: PDF417BarCode1
Legal Name - Given Name (First Name) Text
Enter the petitioner’s given name (first name) exactly as it appears on legal documents. Fill only if 'PDF417BarCode1' is an individual.
Depends on: PDF417BarCode1
Legal Name - Family Name (Last Name) Text
Enter the petitioner’s family name (surname or last name) exactly as it appears on legal documents. Fill only if 'PDF417BarCode1' is an individual.
Depends on: PDF417BarCode1
Mailing Address of Individual, Company or Organization
City or Town Text
Enter the city or town name for the mailing address.
Max length: 40 characters
ZIP Code Text
Enter the U.S. ZIP Code or postal code for the mailing address (include ZIP+4 if available).
Max length: 5 characters
State Combobox
Enter the U.S. state or territory (or applicable region) where the mailing address is located.
CT MT WI VI IL MA CA FM AK MI MO WY KY AL VT CO UT PR LA ID OK MH IN MN ME GA RI NJ ND SD AZ TX AP MP NM OH DE GU PA TN NC NH AE NE VA SC MS WA NV FL HI DC PW AS WV AA AR MD IA OR NY KS
In Care Of Name Text
Enter the name of the person or entity to whom mail should be addressed (c/o), if applicable.
Max length: 34 characters
Street Number and Name Text
Enter the street number and street name for the mailing address, including any directional or street type information.
Max length: 34 characters
Ste. Checkbox
Check this box when the mailing address includes a suite (Ste.) number and place the suite number in the adjacent number field.
Apt. Checkbox
Check this box when the mailing address includes an apartment (Apt.) number and place the apartment number in the adjacent number field.
Flr. Checkbox
Check this box when the mailing address includes a floor (Flr.) number and place the floor number in the adjacent number field.
Apt./Suite/Floor/Unit Number Text
Enter the apartment, suite, floor, unit, or other secondary address number associated with the street address, if applicable.
Max length: 6 characters
Postal Code Text
Enter the postal code for the mailing address when applicable for non-U.S. addresses.
Max length: 9 characters
Province Text
Enter the province, state, or region for the mailing address, if applicable.
Max length: 20 characters
Country Text
Enter the country name for the mailing address.
Most Recent Petition Receipt Number
Most Recent Petition Receipt Number Text
Enter the most recent petition or application receipt number for the beneficiary (or type "None" if no prior receipt number exists).
Max length: 13 characters
Nonprofit or Governmental Research Organization (Yes/No)
Nonprofit or Governmental Research Organization — No Checkbox
Check this box if the petitioner is not organized as a nonprofit (tax-exempt) and is not a governmental research organization.
Nonprofit or Governmental Research Organization — Yes Checkbox
Check this box if the petitioner is organized as a nonprofit (tax-exempt) or is a governmental research organization.
Petitioner Tax and SSN
U.S. Social Security Number (Item 8) Text
Enter the petitioner's U.S. Social Security Number exactly as assigned, or leave blank if the petitioner does not have a SSN.
Max length: 9 characters
Individual IRS Tax Number (Item 7) Text
Enter the petitioner's IRS taxpayer identification number (such as an ITIN or EIN) exactly as issued by the IRS; leave blank if none.
Max length: 9 characters
Requested Action
a. Notify the office in Part 4 so each beneficiary can obtain a visa or be admitted Checkbox
Check this box when you want USCIS to notify the consulate/port of entry listed in Part 4 so each beneficiary can apply for a visa or be admitted.
b. Change the status and extend the stay of each beneficiary Checkbox
Check this box when the beneficiary(ies) are in the United States in another status and you request a change of status and extension of stay (available only when 'New employment' in Item 2 is selected). Fill only if 'a. New employment.' Fill only if 4 is 'Yes'.
Depends on: a. New employment.
c. Extend the stay of each beneficiary because the beneficiary(ies) now hold(s) this status Checkbox
Check this box when you are requesting an extension of stay for beneficiaries who currently hold the requested nonimmigrant status.
d. Amend the stay of each beneficiary because the beneficiary(ies) now hold(s) this status Checkbox
Check this box when you are requesting an amendment to the beneficiaries' stay because they now hold the requested status and are not seeking additional authorized time beyond the current period of stay.
e. Extend the status of a nonimmigrant classification based on a free trade agreement Checkbox
Check this box when you seek to extend a beneficiary's nonimmigrant status under a free trade agreement (see Trade Agreement Supplement to Form I-129 for TN and H-1B1).
f. Change status to a nonimmigrant classification based on a free trade agreement Checkbox
Check this box when you request a change of status to a nonimmigrant classification that is allowed by a free trade agreement (see Trade Agreement Supplement to Form I-129 for TN and H-1B1).
Requested Nonimmigrant Classification
1. Requested Nonimmigrant Classification (classification symbol) Text
Enter the nonimmigrant classification symbol (for example, H-1B, L-1A, O-1) that you are requesting for the beneficiary.
Total Number of Workers
Total number of workers included in petition Text
Enter the total count of workers included on this petition as a whole number (for example, 1, 2, 10).
Max length: 7 characters
Type of Beneficiaries Requested
Unnamed (for H-2A or H-2B petitions only) Checkbox
Check this box only for H-2A or H-2B petitions when you are requesting beneficiaries who are not yet individually named (unnamed/anonymous beneficiaries).
Named Checkbox
Check this box when you are requesting specific, named beneficiaries (you will list each beneficiary’s name on the form or an attachment).