Form I-140 Immigrant Petition for Alien Workers

OMB No. 1615-0015; Exp. 07/31/07

Form I-140, Immigrant
Petition for Alien Worker

Department of Homeland Security
U.S. Citizenship and Immigration Services

START HERE - Please type or print in black ink.
Part 1.

For USCIS Use Only

Information about the person or organization filing this petition. If

an individual is filing, use the top name line. Organizations should use the second line.
Family Name (Last Name)
Given Name (First Name)
Full Middle Name
Company or Organization Name
Address: (Street Number and Name)

Suite #

Attn:

Returned
Date
Date
Resubmitted
Date

City

State/Province

Date
Reloc Sent

Country

Zip/Postal Code

Date

IRS Tax #

U.S. Social Security # (if any)

E-Mail Address (if any)

Part 2. Petition type.

e.

A professional (at a minimum, possessing a bachelor's degree or a foreign degree
equivalent to a U.S. bachelor's degree) or a skilled worker (requiring at least two years of
specialized training or experience).

f.
g.
h.
i.

(Reserved.)
Any other worker (requiring less than two years of training or experience).
Soviet Scientist.
An alien applying for a National Interest Waiver (who IS a member of the professions
holding an advanced degree or an alien of exceptional ability).

Part 3. Information about the person you are filing for.
Family Name (Last Name)

Given Name (First Name)

Full Middle Name

Address: (Street Number and Name)

Apt. #

203(b)(1)(A) Alien of Extraordinary
Ability
203(b)(1)(B) Outstanding Professor or
Researcher
203(b)(1)(C) Multi-National Executive or
Manager
203(b)(2) Member of Professions w/Adv.
Degree or Exceptional Ability
203(b)(3)(A)(i) Skilled Worker
203(b)(3)(A)(ii) Professional
203(b)(3)(A)(iii) Other Worker

Certification:

National Interest Waiver (NIW)
Schedule A, Group I
Schedule A, Group II

Priority Date

Consulate

I-485 filed concurrently.

City

State/Province

Date of Birth (mm/dd/yyyy)

State/Province of Birth

Country of Nationality/Citizenship

A # (if any)

Remarks

E-Mail Address (if any)

Zip/Postal Code

Daytime Phone # (with area/country codes)

If
in
the
U.S.

Date
Classification:

Concurrent Filing:

C/O: (In Care Of)

City/Town/Village of Birth

Date
Reloc Rec'd
Date

This petition is being filed for: (Check one.)
a.
An alien of extraordinary ability.
b.
An outstanding professor or researcher.
c.
A multinational executive or manager.
d.
A member of the professions holding an advanced degree or an alien of exceptional
ability (who is NOT seeking a National Interest Waiver).

Country

Receipt

Action Block

Country of Birth
U.S. Social Security # (if any)

Date of Arrival (mm/dd/yyyy)

I-94 # (Arrival/Departure Document)

Current Nonimmigrant Status

Date Status Expires (mm/dd/yyyy)

To Be Completed by
Attorney or Representative, if any.
Fill in box if G-28 is attached
to represent the applicant.
ATTY State License #
Form I-140 (Rev. 07/30/07) Y

Part 4. Processing Information.
1. Please complete the following for the person named in Part 3: (Check one)
Alien will apply for a visa abroad at the American Embassy or Consulate at:
City

Foreign Country

Alien is in the United States and will apply for adjustment of status to that of lawful permanent resident.
Alien's country of current residence or, if now in the U.S., last permanent residence abroad.
2. If you provided a U.S. address in Part 3, print the person's foreign address:
3. If the person's native alphabet is other than Roman letters, write the person's foreign name and address in the native alphabet:
4. Are any other petition(s) or application(s) being filed with this Form I-140?

Form I-485

Form I-765

Form I-131

Other - Attach an explanation.

5. Is the person you are filing for in removal proceedings?

No

Yes-Attach an explanation.

6. Has any immigrant visa petition ever been filed by or on behalf of this person?

No

Yes-Attach an explanation.

No

Yes-(check all that apply)

If you answered yes to any of these questions, please provide the case number, office location, date of decision and disposition of the decision on a
separate sheet(s) of paper.

Part 5. Additional information about the petitioner.
1. Type of petitioner (Check one.)
Employer

Self

Other (Explain, e.g., Permanent Resident, U.S. citizen or any other person filing on behalf of the alien.)

2. If a company, give the following:
Type of Business

Date Established (mm/dd/yyyy)

Current Number of Employees

Gross Annual Income

Net Annual Income

NAICS Code

DOL/ETA Case Number
3. If an individual, give the following:
Occupation

Annual Income

Part 6. Basic information about the proposed employment.
1. Job Title

2. SOC Code

3. Nontechnical Description of Job

4. Address where the person will work if different from address in Part 1.
5. Is this a full-time position?
Yes

No

7. Is this a permanent position?
Yes

6. If the answer to Number 5 is "No," how many hours per week for the position?

No

8. Is this a new position?
Yes

No

9. Wages per week
$
Form I-140 (Rev. 07/30/07) Y Page 2

Part 7. Information on spouse and all children of the person for whom you are filing.
List husband/wife and all children related to the individual for whom the petition is being filed. Provide an attachment of additional family
members, if needed.
Name (First/Middle/Last)

Part 8.

Signature.

Relationship

Date of Birth (mm/dd/yyyy)

Country of Birth

Read the information on penalties in the instructions before completing this section. If someone helped you prepare this
petition, he or she must complete Part 9.

I certify, under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it are all true and
correct. I authorize U.S. Citizenship and Immigration Services to release to other government agencies any information from my USCIS (or former
INS) records, if USCIS determines that such action is necessary to determine eligibility for the benefit sought.
Petitioner's Signature

Daytime Phone Number (Area/Country Codes)

Print Name

E-Mail Address

Date (mm/dd/yyyy)

NOTE: If you do not fully complete this form or fail to submit the required documents listed in the instructions, a final decision on your petition
may be delayed or the petition may be denied.

Part 9.

Signature of person preparing form, if other than above.

(Sign below.)

I declare that I prepared this petition at the request of the above person and it is based on all information of which I have knowledge.
Attorney or Representative: In the event of a Request for Evidence (RFE), may the USCIS contact you by Fax or E-mail?
Signature

Print Name

Yes

No

Date (mm/dd/yyyy)

Firm Name and Address

Daytime Phone Number (Area/Country Codes) Fax Number (Area/Country Codes)

E-Mail Address

Form I-140 (Rev. 07/30/07) Y Page 3