This form contains 194 fields organized into 53 sections, giving it a Form Complexity Index of 76/100 (complex). Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Additional Information Identifiers (A-Number/Account Number)
A-Number / Account Number Text
Enter the individual's Alien Registration Number (A-Number) or USCIS online account number, if any, to identify the person referenced in this additional information section.
Birth Information
Date of Birth Date
Enter the person’s date of birth.
City/Town/Village of Birth Text
Enter the name of the city, town, or village where the person was born.
Country of Birth Text
Enter the country where the person was born.
State or Province of Birth Text
Enter the state or province where the person was born.
Citizenship and Identification Numbers
Country of Citizenship or Nationality Text
Enter the person's country of citizenship or nationality.
Alien Registration Number (A-Number) Text
Enter the person's Alien Registration Number (A-Number), if they have one.
Max length: 9 characters
U.S. Social Security Number (SSN) Text
Enter the person's U.S. Social Security Number, if they have one.
Max length: 9 characters
Concurrent Applications Filed (Item 6.b)
Form I-485 Checkbox
Check this box if you are also filing Form I-485 concurrently with this application/petition. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Form I-131 Checkbox
Check this box if you are also filing Form I-131 concurrently with this application/petition. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Form I-765 Checkbox
Check this box if you are also filing Form I-765 concurrently with this application/petition. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Checkbox
Check this box if you are concurrently filing another form not listed above and provide an explanation in Part 11 (Additional Information). Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Current Country of Residence
Current Country of Residence Text
Enter the alien’s current country of residence, or if the alien is now in the United States, enter the last country of permanent residence abroad. Fill only if 'Alien is in the United States and will apply for adjustment of status to that of lawful permanent resident' is 'Yes'.
Depends on: Apply for adjustment of status in the United States
Employer Identification Number (EIN)
Employer Identification Number (EIN) Text
Enter the IRS-issued Employer Identification Number (EIN) for the company or organization filing this petition.
Max length: 9 characters
Employs 25 or Fewer Full-Time Equivalent Employees (Yes/No)
No Checkbox
Check this box if you do not employ a total of 25 or fewer full-time equivalent employees in the United States (including all affiliates or subsidiaries).
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.
Filer Company/Organization Name
Company or Organization Name Text
Enter the full legal name of the company or organization filing this petition.
Max length: 34 characters
Filer Individual Name
Family Name (Last Name) Text
Enter the filer’s family name (last name).
Given Name (First Name) Text
Enter the filer’s given name (first name).
Middle Name Text
Enter the filer’s middle name, if any.
Footer Unlabeled Field
Footer Notes Text
Enter any additional information or notes intended for the form footer area.
Footer Reference/Tracking Text Text
Enter the reference, tracking text, or other internal-use value to appear in the form’s bottom footer field.
For USCIS Use Only
Form G-28 or Form G-28I attached Checkbox
Check this box if an attorney or accredited representative is filing and a completed Form G-28 or Form G-28I is attached to this petition.
Attorney State Bar Number Text
Enter the attorney's state bar number, if applicable. Fill only if 'Form G-28 or Form G-28I attached' is 'Yes'.
Max length: 15 characters
Depends on: Form G-28 or Form G-28I attached
Representative USCIS Online Account Number Text
Enter the attorney or accredited representative's USCIS online account number, if any. Fill only if 'Form G-28 or Form G-28I attached' is 'Yes'.
Max length: 12 characters
Depends on: Form G-28 or Form G-28I attached
Form Footer Field
Footer Tracking/Reference Text Text
Enter any internal tracking, reference, or other footer text that should appear at the bottom of this form page.
Form Footer Identifier Field
Form Footer Identifier Text
Enter the internal form footer identifier or tracking code shown in the document footer.
General
Click this button to open: https://tools.usps.com/go/ZipLookupAction_input. This is the U S Postal Service ZIP Code Lookup site Button
Immigrant Visa Petition Previously Filed (Item 8)
No Checkbox
Check this box if no immigrant visa petition has ever been filed by or on behalf of this person.
Yes Checkbox
Check this box if any immigrant visa petition has ever been filed by or on behalf of this person.
Interpreter Certification (Language Interpreted)
Language Interpreted Text
Enter the name of the language you interpreted for the petitioner or authorized signatory.
Interpreter Contact Information
Interpreter Daytime Telephone Number Text
Enter the interpreter's daytime telephone number.
Max length: 10 characters
Interpreter Email Address Text
Enter the interpreter's email address, if any.
Max length: 30 characters
Interpreter Mobile Telephone Number Text
Enter the interpreter's mobile telephone number, if any.
Max length: 10 characters
Interpreter Full Name and Organization
Interpreter Last Name Text
Enter the interpreter's family name (last name).
Interpreter Organization Name Text
Enter the name of the interpreter's business or organization.
Max length: 30 characters
Interpreter First Name Text
Enter the interpreter's given name (first name).
Interpreter Signature and Date
Interpreter Signature Text
Enter the interpreter's signature to certify the interpretation of this form.
Date of Signature Date
Enter the date the interpreter signed this certification.
IRS EIN
IRS Employer Identification Number (EIN) Text
Enter the organization's IRS Employer Identification Number (EIN).
Max length: 9 characters
Labor Certification Previously Submitted (Item 9)
Yes Checkbox
Check this box if you are filing the petition without an original labor certification because the original labor certification was previously submitted in support of another Form I-140.
No Checkbox
Check this box if you are not filing the petition without an original labor certification due to a previously submitted labor certification for another Form I-140.
Last Arrival and Travel Document Information
Date of Last Arrival Date
Enter the date the person last arrived in the United States.
Form I-94 Record Number Text
Enter the Form I-94 Arrival-Departure Record Number for the person.
Max length: 11 characters
Passport Number Text
Enter the passport number for the person.
Travel Document Number Text
Enter the travel document number for the person, if they have a travel document.
Country of Issuance Text
Enter the country that issued the person’s passport or travel document.
Passport/Travel Document Expiration Date Date
Enter the expiration date of the person’s passport or travel document.
Authorized Stay Expiration Date (I-94) Date
Enter the expiration date of the authorized stay as shown on the person’s Form I-94.
Status on Form I-94 Text
Enter the status listed on the person’s Form I-94 (such as class of admission or parole status, if applicable).
Mailing Address
Petitioner USCIS Online Account Number Text
Provide the petitioner's USCIS Online Account Number (if any).
Max length: 12 characters
In Care Of Name Text
Enter the name of the person or organization who should receive mail on behalf of the petitioner (if applicable).
Max length: 34 characters
Street Address Text
Enter the street number and street name for the mailing address.
Max length: 34 characters
Apt/Ste/Flr Text
Enter the apartment, suite, or floor number for the mailing address, if applicable.
Max length: 6 characters
City or Town Text
Enter the city or town for the mailing address.
Province Text
Enter the province for the mailing address, if applicable.
Country Text
Enter the country for the mailing address.
State Combobox
Enter the U.S. state for the mailing address.
LA MP AZ VT AP KS IL NC NY AR PW WA OK NM DC MS MN OR TX AK WI GU NV GA WV MI HI FM CA PR UT IA AS WY AL MO MH MT IN CO DE MD NJ NH VA TN SD CT FL OH AA ID PA ME MA AE ND NE RI KY SC VI
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 person or organization receiving mail on behalf of the addressee, if applicable.
Max length: 34 characters
Ste. Checkbox
Check this box if the mailing address is a suite and you will enter the suite number on this line.
Flr. Checkbox
Check this box if the mailing address uses a floor designation and you will enter the floor number on this line.
Apt. Checkbox
Check this box if the mailing address is an apartment and you will enter the apartment number on this line.
Postal Code Text
Enter the postal code for the mailing address, if applicable.
Street Number and Name Text
Enter the mailing street address, including the house/building number and street name.
Max length: 34 characters
Apartment/Suite/Floor Text
Enter the apartment, suite, or floor identifier for the mailing address, if applicable.
Max length: 6 characters
City or Town Text
Enter the city or town for the mailing address.
Postal Code Text
Enter the postal code (ZIP code) for the mailing address.
Country Text
Enter the country for the mailing address.
Province Text
Enter the province for the mailing address, if applicable.
Ste. Checkbox
Check this box if the mailing address includes a suite number.
Flr. Checkbox
Check this box if the mailing address includes a floor number.
Apt. Checkbox
Check this box if the mailing address includes an apartment number.
In Care Of Name Text
Enter the name of the person or organization who will receive mail at this address (if applicable).
Max length: 34 characters
Mailing Address - City/State/ZIP and Country Details
City or Town Text
Enter the city or town for the mailing address.
Postal Code Text
Enter the postal code for the mailing address if applicable.
Country Text
Enter the country for the mailing address.
State Combobox
Enter the state for the mailing address.
LA MP AZ VT AP KS IL NC NY AR PW WA OK NM DC MS MN OR TX AK WI GU NV GA WV MI HI FM CA PR UT IA AS WY AL MO MH MT IN CO DE MD NJ NH VA TN SD CT FL OH AA ID PA ME MA AE ND NE RI KY SC VI
ZIP Code Text
Enter the ZIP code for the mailing address.
Max length: 5 characters
Province Text
Enter the province for the mailing address if applicable.
Mailing Address - Street Number and Name
Street Number and Name Text
Enter the mailing address street number and street name.
Max length: 34 characters
Mailing Address - Unit Type and Unit Number
Unit Number Text
Enter the apartment, suite, or floor number for the mailing address (if applicable).
Max length: 6 characters
Ste. Checkbox
Check this box if the mailing address unit type is a suite, then enter the suite number in the unit number field.
Flr. Checkbox
Check this box if the mailing address unit type is a floor, then enter the floor number in the unit number field.
Apt. Checkbox
Check this box if the mailing address unit type is an apartment, then enter the apartment number in the unit number field.
Native Alphabet Name
Native Alphabet Middle Name Text
Enter the person’s middle name written in their native alphabet.
Native Alphabet Given Name (First Name) Text
Enter the person’s given name (first name) written in their native alphabet.
Native Alphabet Family Name (Last Name) Text
Enter the person’s family name (last name) written in their native alphabet.
Nonprofit/Governmental Research Organization (Yes/No)
No — Not a nonprofit/governmental research organization Checkbox
Check this box if the petitioner is not a nonprofit organized as tax-exempt and not a governmental research organization.
Yes — Nonprofit/governmental research organization Checkbox
Check this box if the petitioner is a nonprofit organized as tax-exempt or a governmental research organization.
Other Petitions or Applications with This Form I-140 (Item 6.a)
Yes Checkbox
Check this box if you are filing any other petitions or applications together with this Form I-140.
No Checkbox
Check this box if you are not filing any other petitions or applications together with this Form I-140.
Page Footer Identifier
Page Footer Identifier Text
Enter the internal page footer identifier or tracking code printed at the bottom of the form page.
Part 2 - Petition Type (Select One)
A professional (at least a bachelor's degree or foreign equivalent) Checkbox
Check this box if the petition is being filed for a professional who possesses at least a U.S. bachelor's degree (or a foreign equivalent).
An alien of extraordinary ability Checkbox
Check this box if the petition is being filed for an alien of extraordinary ability.
An outstanding professor or researcher Checkbox
Check this box if the petition is being filed for an outstanding professor or researcher.
A multinational executive or manager Checkbox
Check this box if the petition is being filed for a multinational executive or manager.
Advanced degree/exceptional ability (not seeking NIW) Checkbox
Check this box if the petition is being filed for a member of the professions holding an advanced degree or an alien of exceptional ability and the petitioner is NOT seeking a National Interest Waiver (NIW).
Part 5 - Labor Certification and Petitioner Financial Info
Labor Certification Expiration Date Date
Enter the expiration date of the labor certification. Fill only if 'Company or Organization Name' is provided.
Depends on: Company or Organization Name
Annual Income Number
Enter the individual filer’s annual income amount in U.S. dollars. Fill only if 'Company or Organization Name' is not provided.
Depends on: Company or Organization Name
Occupation Text
Enter the occupation of the individual filing this petition. Fill only if 'Company or Organization Name' is not provided.
Depends on: Company or Organization Name
Labor Certification DOL Filing Date Date
Enter the date the labor certification was filed with the U.S. Department of Labor (DOL). Fill only if 'Company or Organization Name' is provided.
Depends on: Company or Organization Name
Part 6 - Job Identification and Description
SOC Code (First Two Digits) Text
Enter the first two digits of the Standard Occupational Classification (SOC) code for the job.
Max length: 2 characters
SOC Code (Last Four Digits) Text
Enter the last four digits of the Standard Occupational Classification (SOC) code for the job.
Max length: 4 characters
Job Title Text
Enter the title of the proposed job position.
Max length: 31 characters
Nontechnical Job Description Text
Provide a nontechnical description of the job duties and responsibilities.
Part 6 - Position Type and Hours
Hours per Week (If Not Full-Time) Number
Enter the number of hours per week the position will require if the job is not full-time. Fill only if 'Full-time position — No' is 'Yes'.
Max length: 3 characters
Depends on: Full-time position — No
Full-time position — No Checkbox
Check this box if the proposed employment is not a full-time position.
Full-time position — Yes Checkbox
Check this box if the proposed employment is a full-time position.
New position — No Checkbox
Check this box if the job is not a new position.
New position — Yes Checkbox
Check this box if the job is a new position.
Permanent position — No Checkbox
Check this box if the proposed employment is not a permanent position.
Permanent position — Yes Checkbox
Check this box if the proposed employment is a permanent position.
Part 6 - Wages
Wage Amount Number
Enter the wage amount being offered for the position.
Wage Period Text
Enter the time period the wage amount applies to (for example, hour, week, month, or year).
Max length: 5 characters
Part 6 - Worksite Location Address
Worksite Street Address Text
Enter the worksite street number and street name where the person will work. Fill only if 'Mailing Address (Part 1) - Street Number and Name' is different from the worksite location address.
Max length: 34 characters
Depends on: Street Number and Name
Worksite Apt/Ste/Flr Number Text
Enter the apartment, suite, or floor number for the worksite address (as applicable). Fill only if 'Mailing Address (Part 1) - Street Number and Name' is different from the worksite location address.
Max length: 6 characters
Depends on: Street Number and Name
Worksite City or Town Text
Enter the city or town for the worksite address. Fill only if 'Mailing Address (Part 1) - Street Number and Name' is different from the worksite location address.
Max length: 20 characters
Depends on: Street Number and Name
Worksite State Combobox
Enter the state for the worksite address.
LA MP AZ VT AP KS IL NC NY AR PW WA OK NM DC MS MN OR TX AK WI GU NV GA WV MI HI FM CA PR UT IA AS WY AL MO MH MT IN CO DE MD NJ NH VA TN SD CT FL OH AA ID PA ME MA AE ND NE RI KY SC VI
Worksite ZIP Code Text
Enter the ZIP Code for the worksite address. Fill only if 'Mailing Address (Part 1) - Street Number and Name' is different from the worksite location address.
Max length: 5 characters
Depends on: Street Number and Name
Ste. Checkbox
Check this box if the worksite street address includes a suite number. Fill only if 'Mailing Address (Part 1) - Street Number and Name' is different from the worksite location address.
Depends on: Street Number and Name
Flr. Checkbox
Check this box if the worksite street address includes a floor number. Fill only if 'Mailing Address (Part 1) - Street Number and Name' is different from the worksite location address.
Depends on: Street Number and Name
Apt. Checkbox
Check this box if the worksite street address includes an apartment number. Fill only if 'Mailing Address (Part 1) - Street Number and Name' is different from the worksite location address.
Depends on: Street Number and Name
Part 7 - Person 1 (Spouse/Child) Information
Person 1 Middle Name Text
Enter Person 1’s middle name, if any.
Person 1 Given Name (First Name) Text
Enter Person 1’s given name (first name).
Person 1 Family Name (Last Name) Text
Enter Person 1’s family name (last name).
Person 1 Date of Birth Date
Enter Person 1’s date of birth.
Person 1 Country of Birth Text
Enter the country where Person 1 was born.
Person 1 Relationship to Beneficiary Text
Enter Person 1’s relationship to the person for whom this petition is being filed (for example, spouse or child).
Max length: 28 characters
Applying for adjustment of status? - Yes Checkbox
Check this box if Person 1 will apply for adjustment of status as the dependent of the person for whom this petition is filed.
Applying for adjustment of status? - No Checkbox
Check this box if Person 1 will not apply for adjustment of status as the dependent of the person for whom this petition is filed.
Applying for a visa abroad? - Yes Checkbox
Check this box if Person 1 will apply for a visa abroad.
Applying for a visa abroad? - No Checkbox
Check this box if Person 1 will not apply for a visa abroad.
Part 7 - Person 2 (Spouse/Child) Information
Person 2 Relationship Text
Describe Person 2’s relationship to the person for whom the petition is being filed (e.g., spouse or child).
Max length: 28 characters
Person 2 Middle Name Text
Enter Person 2’s middle name, if any.
Person 2 First Name Text
Enter Person 2’s given name (first name).
Person 2 Last Name Text
Enter Person 2’s family name (last name).
Person 2 Date of Birth Date
Enter Person 2’s date of birth.
Person 2 Country of Birth Text
Enter the country where Person 2 was born.
Person 2 applying for adjustment of status: Yes Checkbox
Check this box if Person 2 will apply for adjustment of status.
Person 2 applying for adjustment of status: No Checkbox
Check this box if Person 2 will not apply for adjustment of status.
Person 2 applying for a visa abroad: Yes Checkbox
Check this box if Person 2 will apply for a visa at a U.S. embassy or consulate outside the United States.
Person 2 applying for a visa abroad: No Checkbox
Check this box if Person 2 will not apply for a visa at a U.S. embassy or consulate outside the United States.
Person Name
Family Name (Last Name) Text
Enter the person's family name (last name/surname).
Given Name (First Name) Text
Enter the person's given name (first name).
Middle Name Text
Enter the person's middle name, if any.
Person's Foreign Address (Part 3 Reference)
Foreign Street Address Text
Enter the person's foreign street number and street name. Fill only if 'Part 3. Mailing Address - Country' is 'United States'.
Max length: 34 characters
Depends on: Country
Foreign Address Unit Text
Enter the apartment, suite, or floor number for the person's foreign address (if applicable). Fill only if 'Part 3. Mailing Address - Country' is 'United States'.
Max length: 6 characters
Depends on: Country
Foreign City or Town Text
Enter the city or town of the person's foreign address. Fill only if 'Part 3. Mailing Address - Country' is 'United States'.
Depends on: Country
Foreign Province Text
Enter the province, state, or region of the person's foreign address. Fill only if 'Part 3. Mailing Address - Country' is 'United States'.
Depends on: Country
Foreign Country Text
Enter the country of the person's foreign address. Fill only if 'Part 3. Mailing Address - Country' is 'United States'.
Depends on: Country
Foreign Postal Code Text
Enter the postal code or ZIP code for the person's foreign address. Fill only if 'Part 3. Mailing Address - Country' is 'United States'.
Depends on: Country
Ste. Checkbox
Check this box if the person's foreign address includes a suite number. Fill only if 'Part 3. Mailing Address - Country' is 'United States'.
Depends on: Country
Flr. Checkbox
Check this box if the person's foreign address includes a floor number. Fill only if 'Part 3. Mailing Address - Country' is 'United States'.
Depends on: Country
Apt. Checkbox
Check this box if the person's foreign address includes an apartment number. Fill only if 'Part 3. Mailing Address - Country' is 'United States'.
Depends on: Country
Petition Type Category
Any other worker (less than 2 years training or experience) Checkbox
Check this box if the petition is for a position requiring less than two years of training or experience.
Alien applying for an NIW (National Interest Waiver) Checkbox
Check this box if the petition is for an alien applying for a National Interest Waiver (NIW) as a member of the professions holding an advanced degree or as an alien of exceptional ability.
Skilled worker (at least 2 years training or experience) Checkbox
Check this box if the petition is for a skilled worker position requiring at least two years of specialized training or experience.
Petitioner or Authorized Signatory Contact Information
Family Name (Last Name) Text
Enter the petitioner’s or authorized signatory’s family name (last name).
Title Text
Enter the petitioner’s or authorized signatory’s title or position (if applicable).
Max length: 30 characters
Given Name (First Name) Text
Enter the petitioner’s or authorized signatory’s given name (first name).
Email Address Text
Enter the petitioner’s or authorized signatory’s email address, if any.
Max length: 30 characters
Mobile Telephone Number Text
Enter the petitioner’s or authorized signatory’s mobile telephone number, if any.
Max length: 10 characters
Daytime Telephone Number Text
Enter the petitioner’s or authorized signatory’s daytime telephone number.
Max length: 10 characters
Petitioner or Authorized Signatory Signature and Date
Date of Signature Date
Enter the date on which the petitioner or authorized signatory signed the certification.
Petitioner/Authorized Signatory Signature Text
Enter the handwritten or typed signature of the petitioner or authorized signatory certifying the information in the petition.
Petitioner/Applicant Name
Family Name (Last Name) Text
Enter the petitioner/applicant's family name (last name).
Max length: 30 characters
Given Name (First Name) Text
Enter the petitioner/applicant's given name (first name).
Max length: 18 characters
Middle Name Text
Enter the petitioner/applicant's middle name, if any.
Max length: 18 characters
Preparer's Certification and Signature
Preparer's Printed Name (for Signature Line) Text
Enter the preparer’s full name as it should appear with the signature.
Date of Signature Date
Enter the date the preparer signed this petition.
Preparer's Signature Text
Enter the signature of the person who prepared this petition.
Preparer's Contact Information
Preparer Daytime Telephone Number Text
Enter the preparer’s daytime telephone number where they can be reached.
Max length: 10 characters
Preparer Email Address Text
Enter the preparer’s email address, if they have one.
Max length: 30 characters
Preparer Mobile Telephone Number Text
Enter the preparer’s mobile telephone number, if they have one.
Max length: 10 characters
Preparer's Full Name
Preparer Family Name (Last Name) Text
Enter the preparer’s family name (last name).
Preparer Business or Organization Name Text
Enter the name of the preparer’s business or organization, if applicable.
Max length: 30 characters
Preparer Given Name (First Name) Text
Enter the preparer’s given name (first name).
Previously Filed Petition Selection and Receipt Number
To amend a previously filed petition Checkbox
Check this box if you are filing this petition to amend a petition that was previously filed (and then provide the previous petition receipt number).
For the Schedule A, Group I or II designation Checkbox
Check this box if you are filing this petition for the Schedule A, Group I or Group II designation.
Previous Petition Receipt Number Text
Enter the receipt number of the previously filed petition that this filing is intended to amend. Fill only if 'To amend a previously filed petition' is 'Yes'.
Max length: 13 characters
Depends on: To amend a previously filed petition
Processing Type and Visa/Consulate Location
Apply for visa abroad at U.S. Embassy/Consulate Checkbox
Check this box if the person will apply for an immigrant visa outside the United States at a U.S. Embassy or U.S. Consulate (and you will provide the city/town and country).
U.S. Embassy/Consulate City or Town Text
Enter the city or town where the U.S. Embassy or U.S. Consulate abroad is located for the visa application. Fill only if 'Apply for visa abroad at U.S. Embassy/Consulate' is 'Yes'.
Depends on: Apply for visa abroad at U.S. Embassy/Consulate
U.S. Embassy/Consulate Country Text
Enter the country where the U.S. Embassy or U.S. Consulate abroad is located for the visa application. Fill only if 'Apply for visa abroad at U.S. Embassy/Consulate' is 'Yes'.
Depends on: Apply for visa abroad at U.S. Embassy/Consulate
Apply for adjustment of status in the United States Checkbox
Check this box if the person is in the United States and will apply to adjust status to lawful permanent resident (green card) from within the U.S.
Removal Proceedings (Item 7)
No Checkbox
Check this box if the person for whom you are filing is not in removal proceedings.
Yes Checkbox
Check this box if the person for whom you are filing is currently in removal proceedings.
Request Duplicate Labor Certification (Item 10)
Yes Checkbox
Check this box if you are requesting that USCIS obtain a duplicate labor certification from the Department of Labor (DOL). Fill only if 'Yes' is 'Yes'.
Depends on: Yes
No Checkbox
Check this box if you are not requesting that USCIS obtain a duplicate labor certification from the Department of Labor (DOL). Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Type of Petitioner (Select One)
Employer Checkbox
Check this box if the petitioner filing the form is the employer.
Self Checkbox
Check this box if you are filing the petition for yourself.
Other Checkbox
Check this box if the petitioner is someone other than the employer or the individual beneficiary (for example, a lawful permanent resident or U.S. citizen filing on behalf of the alien).
Other Type of Petitioner Text
If you selected “Other” for the type of petitioner, enter the specific type of petitioner (e.g., lawful permanent resident, U.S. citizen, or other person filing on behalf of the alien). Fill only if 'Other' is 'Yes'.
Max length: 34 characters
Depends on: Other
U.S. Social Security Number (SSN)
U.S. Social Security Number (SSN) Text
Enter the person's U.S. Social Security Number, if they have one.
Max length: 9 characters