Page 1,
Part 1. Petitioner
Information
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[Page 1]
START HERE - Type or print in
black ink.
Part 1. Petitioner Information
If you are an individual filing this
petition, complete Item Number 1. If you are a company
or an organization filing this petition, complete Item
Number 2.
1. Legal Name of Individual
Petitioner
Family Name (Last Name)
Given Name (First Name)
Middle Name
2. Company or Organization
Name
3. Mailing Address of
Individual, Company or Organization
In Care Of Name
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
ZIP Code
(USPS ZIP Code Lookup)
Province
Postal Code
Country
4. Contact Information
Daytime Telephone Number
Mobile Telephone Number
Email Address (if any)
5. Other Information
Federal Employer Identification
Number (FEIN)
Individual IRS Tax Number
U.S. Social Security Number (if any)
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[Page 1]
START HERE - Type or print in
black ink. Answer all questions fully
and accurately. If an item is not applicable (for example, if you
have never been married and the question asks, “Provide the
name of your current spouse”), type or print “N/A.”
If your answer to a question which requires a numeric response is
zero or none (for example, “How many children do you have”
or “How many times have you departed the United States”),
type or print “None” unless otherwise directed.
Part 1. Petitioner Information
If you
are an individual or sole proprietor
filing this petition, complete Item Number 1. If you
are a company or an organization filing this petition,
complete Item Number 2.
1.
Legal Name of Petitioning Individual or Sole
Proprietor
Family Name (Last Name)
Given Name (First Name)
Middle Name
2. Petitioning
Company or Organization Name
3. Mailing Address of
Individual, Company or Organization
In Care Of Name
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
ZIP Code
(USPS ZIP Code Lookup)
Province
Postal Code
Country
4. Petitioner’s
Contact Information
Daytime Telephone Number
Mobile Telephone Number
Email Address
5. Other Information
Federal Employer Identification
Number (FEIN)
Individual IRS Tax Number
U.S. Social Security Number
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Pages 4-5,
Part 5. Basic
Information About the Proposed Employment and Employer
|
[Page 4]
Part 5. Basic Information About
the Proposed Employment and Employer
Attach the Form I-129 supplement
relevant to the classification of the worker(s) you are
requesting.
1. Job Title
2. LCA or ETA Case Number
[Page 5]
3. Address where the
beneficiary(ies) will work if different from address in Part 1.
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
ZIP Code
4. Did you include an
itinerary with the petition?
Yes
No
5. Will the beneficiary(ies)
work for you off-site at another company or organization's
location?
Yes
No
…
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[Page 4]
Part 5. Basic Information About
the Proposed Employment and Employer
Attach the Form I-129 supplement
relevant to the classification of the worker(s) you are
requesting.
1. Job Title
2. LCA or ETA Case Number
[Page 5]
3. Address where the
beneficiary(ies) will work if different from address in Part 1.
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
ZIP Code
4. Did you include an
itinerary with the petition?
Yes
No
5. Will the beneficiary(ies)
work for you at a third-party worksite?
Yes
No
[no changes]
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Pages 15-20,
H Classification
Supplement to Form I-129
|
[Page 15]
H Classification Supplement to
Form I-129
…
Section 1. Complete This
Section If Filing for H-1B Classification
1. Describe the proposed
duties.
2. Describe the beneficiary's
present occupation and summary of prior work experience.
…
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[Page 15]
H Classification Supplement to
Form I-129
[no changes]
Section 1. Complete This
Section If Filing for H-1B Classification
1. Describe the proposed
duties for the beneficiary’s proffered
position.
2. Describe the beneficiary's
present occupation and provide a summary
of prior work experience.
3.
What level of education is required for the position?
4.
What fields of study are required for this position?
5. How
many years of experience, if any, are required in order to qualify
for the position?
6.
What special skills, if any, are required in order to qualify for
the position?
7.
Is your petition requesting: (select all
that apply):
[] Recapture
time
[] 3-year
Per-Country Limitations Exemption
[] 1-year
Lengthy Adjudication Delay Exemption
[] A time
limit exemption because the beneficiary did not reside continually
in the United States and the beneficiary’s employment was
intermittent, seasonal, or for an aggregate of six months or less
per year.
[no changes]
|
Pages 21-23,
H-1B and H-1B1 Data
Collection and Filing Fee Exemption Supplement
|
[Page 21]
H-1B and H-1B1 Data Collection
and Filing Fee Exemption Supplement
…
Section 1. General Information
…
5. DOT Code
…
Section 2. Fee Exemption and/or
Determination
…
NOTE: A petitioner seeking
initial approval of H-1B nonimmigrant status for a beneficiary, or
seeking approval to employ an H-1B nonimmigrant currently working
for another employer, must submit an additional $500 Fraud
Prevention and Detection fee. For petitions filed on or after
December 18, 2015, an additional fee of $4,000 must be
submitted if you responded yes to Item Numbers 1.d. and
1.d.1. of Section 1. of this supplement. This $4,000
fee was mandated by the provisions of Public Law 114-113.
…
Section 4. Off-Site Assignment
of H-1B Beneficiaries
1. The beneficiary of this
petition will be assigned to work at an off-site location for all
or part of the period for which H-1B classification sought.
Yes
No
If no, do not complete Item
Numbers 2. and 3.
2. Placement of the
beneficiary off-site during the period of employment will comply
with the statutory and regulatory requirements of the H-1B
nonimmigrant classification.
Yes
No
3. The beneficiary will be
paid the higher of the prevailing or actual wage at any and all
off-site locations.
Yes
No
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[Page 21]
H-1B and H-1B1 Data Collection
and Filing Fee Exemption Supplement
…
Section 1. General Information
…
5. SOC
Code
…
Section 2. Fee Exemption and/or
Determination
…
NOTE: A petitioner seeking
initial approval of H-1B nonimmigrant status for a beneficiary, or
seeking approval to employ an H-1B nonimmigrant currently working
for another employer, must submit an additional $500 Fraud
Prevention and Detection fee. For H-1B
petitions filed on or after December 18, 2015, an
additional fee of $4,000 must be submitted if you responded
yes to Item Numbers 1.d. and 1.d.1. of Section 1.
of this supplement. This $4,000 fee was mandated by the
provisions of Public Law 114-113.
…
Section
4. H-1B Beneficiaries
Working at Third-Party Worksites
1.
The beneficiary of this petition will be assigned to work at one
or more third-party worksites for all or part of the period
for which H-1B classification is
sought.
Yes
No
If no, do not complete Item
Numbers 2. and 3.
2.
Placement of the beneficiary at a
third-party worksite during the period of employment will
comply with the statutory and regulatory requirements of the H-1B
nonimmigrant classification.
Yes
No
3.
The beneficiary will be paid the higher of the prevailing or
actual wage at any and all third-party
worksites.
Yes
No
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