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Required H-1B Application Documents need to be provided by various parties, as indicated below:
Employer-related documents:
Employee-related documents:
Dependent-related documents:
Additional information is required to complete the H-1B application.
Please provide the following information:
Employer Information: _________________________________
Name: ____________________________________
Business Address:____________________________________________________
County:_____________________
Tel:____________________ Fax:________________________
IRS Tax #: ________________________
Type of Business: __________________________
Year Established: _____________
Current Number of Employees: _______
Gross Annual Income: _____________ Net Annual Income: ______________
Name and Title of Officer Who Will Sign the H-1B Petition: ___________________________________
Employee Information
Last Name:_________________ First Name:___________________ Middle Name: ________
Date of Birth (mm/dd/yy): _____________ Country of Birth: _________________
Social Security Number:_______________ A#: ________________
If in the U.S, please provide the following information:
Date of Arrival (mm/dd/yy):______________ I-94#: ______________________
Current Non-immigrant Status:______________________
Expires on (mm/dd/yy): ______________
Previous Foreign Address: ________________________________________________
Employment Information
Job Title: ___________________
Detailed, non-technical job description:
________________________________________________________________
_________________________________________________________________
Address where the employee will work (if different than Employer Address listed above):
________________________________________________________________
Is this full-time employment? Yes / No Hours per work __________
Wages per week or per year: ____________
Other compensation (Please explain): ________________________________
_______________________________________________________________
Value ($) per week or per year: __________________________
Dates of intended employment: From: __________ To: _______________
For more information on H-1B Visa, please refer to the following topics: