I-129S Form TOC

I129S-FRM-TOC-30Day(Signature)-07212015.docx

Nonimmigrant Petition Based on Blanket L. Petition

I-129S Form TOC

OMB: 1615-0010

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TABLE OF CHANGES – FORM

Form I-129S, Nonimmigrant Petition Based on Blanket L Petition

OMB Number: 1615-0010

07/21/2015


Reason for Revision: Operational, USCIS standard formatting, and plain language updates.



Current Section and Page Number

Current Text

Proposed Text

Page 1, To Be Completed by Attorney or Accredited Representative, if any.


[Page 1]


Fill in box if G-28 is attached to represent the petition.


ATTY State License Number


[Page 1]


Select this box if Form G-28 is attached.



Attorney State Bar Number


Attorney or Accredited Representative USCIS ELIS Account Number (if any)


Page 1, Part 1. Information About the Employer


and


Page 1, Part 1A. Data Collection

[Page 1]


Part 1. Information About the Employer



Sponsoring Company or Organization's Name




Addressee - ATTN:

Street Number and Name

Room/Suite Number

City or Town

State or Province

Country

Zip/Postal Code



























Does the petitioner employ 50 or more individuals in the United States?





If yes, are more than 50% of those employees in H-1B, L-1A, or L-1B nonimmigrant status?


[Page 1]


Part 1. Information About the Employer (Petitioner)


1. Name of the Petitioner



Petitioner’s Mailing Address

2.a. In Care Of Name (if any)

2.b. Street Number and Name

2.c. Apt. Ste. Flr. [Number]

2.d. City or Town

2.e. State


2.f. ZIP Code


3. Is this mailing address the same as the physical location of the sponsoring company or organization?


If you answered “No” to Item Number 3., provide the sponsoring company’s or organization's physical address in Item Numbers 4.a. - 4.e.



Petitioner’s Physical Address

4.a. Street Number and Name

4.b. Apt. Ste. Flr. [Number]

4.c. City or Town

4.d. State

4.e. ZIP Code



Petitioner’s Contact Information

5. Daytime Telephone Number

6. Fax Number

7. Email Address (if any)

8. Web site Address (if any)


Petitioner’s Employees in the United States

9. Does the petitioner employ 50 or more individuals in the United States?


If you answered “Yes” to Item Number 9., complete Item Number 10.


10. Are more than 50% of the petitioner’s employees in H-1B, L-1A, or L-1B nonimmigrant status?


Page 1, Part 2. Information About the Proposed Employment


And


Page 2, Part 4. Additional Information About the Proposed Employment, Item e


[Page 1]


Part 2. Information About the Proposed Employment



This alien will be a:

a. Manager or Executive (L-1A)

b. Specialized Knowledge Professional (L-1B)


Blanket petition approval number:








[Page 2, Part 4]


e. Provide the alien's dates of prior periods of stay in the United States in a work authorized capacity and the type of visa.


[Page 2]


Part 2. Information About Proposed Position and Prior Employment Periods in the United States


The beneficiary will work as a:

1.a. Manager or Executive (L-1A)

1.b. Specialized Knowledge Professional (L-1B)


[Deleted]


Dates of Proposed Employment

Provide the beneficiary’s dates of proposed employment.


2.a. Start Date (mm/dd/yyyy)

2.b. End Date (mm/dd/yyyy)



Prior Periods of Stay in the United States

If the beneficiary was previously in the United States, provide the dates of the beneficiary’s prior periods of stay for the last seven years in a work-authorized capacity and indicate the beneficiary’s immigration status and visa category (for example, H-1B, O-1) during the period of stay. If you need extra space to complete this section, use the space provided in Part 10. Additional Information.


Period of Stay 1

10.a. From (mm/dd/yyyy)

10.b. To (mm/dd/yyyy)

11. Nonimmigrant Status During Period of Stay


Period of Stay 2

12.a. From (mm/dd/yyyy)

12.b. To (mm/dd/yyyy)

13. Nonimmigrant Status During Period of Stay


Page 1, Part 3. Information About the Employee

[Page 1]


Part 3. Information About the Employee











Family Name

Given Name

Middle Name















Address Outside the United States:


Street Number and Name

Room/Suite Number

City or Town

State or Province

Country

Zip/Postal Code



























Date of Birth (mm/dd/yyyy)




Country of Birth

Country of Citizenship/Nationality


[Page 2]


Part 3. Information About the Beneficiary


Provide the following information about the beneficiary.

1. Alien Registration Number (A-Number) (if any)

2. USCIS ELIS Account Number (if any)

3. U.S. Social Security Number (if any)



Beneficiary's Full Name

4.a. Family Name (Last Name)

4.b. Given Name (First Name)

4.c. Middle Name



Other Names Used

List all other names the beneficiary has ever used, including aliases, maiden name, and names from all previous marriages. If you need extra space to complete this section, use the space provided in Part 10. Additional Information.


5.a. Family Name (Last Name)

5.b. Given Name (First Name)

5.c. Middle Name



Beneficiary's Foreign Mailing Address

6.a. In Care Of Name (if any)

6.b. Street Number and Name or P.O. Box

6.c. Apt. Ste. Flr. [Number]

6.d. City or Town

6.e. State

6.f. ZIP Code

6.g. Province

6.h. Postal Code

6.i. Country


7. Is this mailing address also where the beneficiary physically resides?

Yes/No


If you answered “No” to Item Number 7., provide the beneficiary's physical address in Item Numbers 8.a. - 8.h.



[Page 3]


Beneficiary's Foreign Physical Address

8.a. Street Number and Name

8.b. Apt. Ste. Flr. [Number]

8.c. City or Town

8.d. State

8.e. ZIP Code

8.f. Province

8.g. Postal Code

8.h. Country



Other Information About the Beneficiary

9. Date of Birth (mm/dd/yyyy)

10. Gender Male/Female

11. City or Town of Birth

12. Province or State of Birth

13. Country of Birth

14. Country of Citizenship or Nationality



Page 2-3, Part 4. Additional Information About the Proposed Employment, Items a-d and h

[Page 2]


Part 4. Additional Information About the Proposed Employment









a. Employment Address:


Street Number and Name

Room/Suite Number

City or Town


b. State or Province

Country

Zip/Postal Code


c. Dates of intended employment and wage







From (mm/dd/yyyy)

To (mm/dd/yyyy)

Weekly Wage

Hours Per Week




d. Job title and detailed description of duties to be performed.










[Page 3]






h. If you are seeking L-1B specialized knowledge professional status for the alien, will the beneficiary be stationed primarily offsite (at the worksite of an employer other than the petitioner or its affiliate, subsidiary, or parent)?


If you answered “Yes” to the preceding question, describe how and by whom the beneficiary's work will be controlled and supervised. Include a description of the amount of time each supervisor is expected to control and supervise the work. Use an attachment if needed.







If you answered “Yes” to the preceding question, also describe the reasons why placement at another worksite outside the petitioner, subsidiary, or parent is needed. Include a description of how the beneficiary's duties at another worksite relate to the need for the specialized knowledge he or she possesses. Use an attachment if needed.


[Page 3]


Part 4. Information About Proposed United States Employment


1. Provide the receipt number for the Blanket L petition upon which this petition is based.


2. Are you filing Form I-129, Petition for a Nonimmigrant Worker, with this petition?



Proposed Employment Address for the Beneficiary

3.a. Street Number and Name

3.b. Apt. Ste. Flr. [Number]

3.c. City or Town


3.d. State


3.e. ZIP Code


Wages and Hours of Proposed Employment

Provide the wages per year the beneficiary will receive and the number of hours the beneficiary will work per week for the proposed employment. Also describe any other compensation the beneficiary will receive, including dollar value (if applicable).

[Deleted]

[Deleted]

4. Beneficiary’s Wages Per Year

5. Beneficiary’s Hours Per Week

6. Other Compensation



Proposed Job Title and Duties

Provide the job title and duties the beneficiary will perform. Also indicate the percentage of time the beneficiary will spend performing the duties on a daily basis. If you need extra space to complete this section, use the space provided in Part 10. Additional Information.


7. Job Title

8. Duties Performed on a Daily Basis



Primary Worksite

If you need extra space to complete this section, use the space provided in Part 10. Additional Information.


9. If you are seeking L-1B specialized knowledge professional status for the beneficiary, will the beneficiary work primarily offsite (at a worksite of a company or organization other than the petitioner or its affiliate, branch, subsidiary, or parent company)?


If you answered "Yes" to Item Number 9., describe how and who will control and supervise the beneficiary's work and why the placement is not labor for hire in Item Numbers 10.a. 11.


10.a. Supervisor’s Name

10.b. Nature of Supervision and Control of the Beneficiary’s Work



[Page 4]


11. Describe the reasons why the placement of the beneficiary at this worksite is not an arrangement to provide labor for hire. Also include a description of how the beneficiary’s duties at this worksite relate to your need for the specialized knowledge he or she possesses.


Page 2, Part 4. Additional Information About the Proposed Employment, Item f-g

[Page 2]


Part 2. Information About the Proposed Employment


f. Provide the name and address of the alien's foreign employers, dates of employment, and job duties for the last 3 years.



























































g. Summarize the alien's education and other work experience.


[Page 4]


Part 5. Information About Foreign Employment


Provide information for each qualifying foreign employer for whom the beneficiary worked during the required one continuous year out of three years. If you need extra space to complete this section, use the space provided in Part 10. Additional Information.



Qualifying Foreign Position

Indicate the type of qualifying position the beneficiary was employed in while working for the qualifying foreign employer.


1.a. Manager

1.b. Executive

1.c. Specialized Knowledge Professional



Qualifying Foreign Employer Name and Address

Provide the name and address for the qualifying foreign employer for whom the beneficiary worked.


2. Foreign Employer Name



Mailing Address

3.a. Street Number and Name

3.b. Apt. Ste. Flr. [Number]

3.c. City or Town

3.d. Province

3.e. Postal Code

3.f. Country



Other Information About the Beneficiary’s Foreign Employment

Provide the beneficiary’s job titles, dates of foreign employment, and the duties of the jobs the beneficiary performed during the required one continuous year out of three years. Also provide the yearly wage the beneficiary received and the number of hours the beneficiary worked per week.


Job 1

4. Job Title

5.a. Start Date (mm/dd/yyyy)

5.b. End Date (mm/dd/yyyy)

6. Job Duties

7. Wages Earned Per Year

8. Hours Worked Per Week


Job 2

9. Job Title

10.a. Start Date (mm/dd/yyyy)

10.b. End Date (mm/dd/yyyy)

11. Job Duties

12. Wages Earned Per Year

13. Hours Worked Per Week


[Deleted]

Page 3, Part 5. Certification Regarding the Release of Controlled Technology or Technical Data to Foreign Persons in the United States

[Page 3]


Part 5. Certification Regarding the Release of Controlled Technology or Technical Data to Foreign Persons in the United States

Check Box 1 or Box 2 as appropriate:



With respect to the technology or technical data the petitioner will release or otherwise provide access to the alien beneficiary, the petitioner certifies that it has reviewed the Export Administration Regulations (EAR) and the International Traffic in Arms Regulations (ITAR) and has determined that:


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


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 alien beneficiary and the petitioner will prevent access to the controlled technology or technical data by the alien beneficiary until and unless the petitioner has received the required license or other authorization to release it to the alien beneficiary.


[Page 5]


Part 6. Certification Regarding the Release of Controlled Technology or Technical Data to Foreign Persons in the United States


Select Item Number 1. or 2., as appropriate.


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 (EAR) and the International Traffic in Arms Regulations (ITAR) and has determined that:


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


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.


Page 4, Part 6. Signature of Petitioner Read the information on penalties in the instructions before completing this section.

Page 4


Part 6. Signature of Petitioner



Read the information on penalties in the instructions before completing this section.


































Daytime Telephone Number (with area code)




E-Mail Address (if any)





























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 am filing this on behalf of an organization, and I certify that I am empowered to do so by that organization. If this petition is to extend a prior petition, I certify that the proposed employment is under the same terms and conditions as in the prior approved petition. I authorize the release of any information from my records, or from the petitioning organizations records that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought.



Signature of Petitioner


Printed Name of Petitioner

Date (mm/dd/yyyy)


NOTE: If you do not completely fill out this form or fail to submit required documents listed in the instructions, the employee for whom you are petitioning may not be found eligible for the requested benefit and this petition may be denied.


[Page 5]


Part 7. Statement, Contact Information, Certification, and Signature of the Petitioner or Authorized Signatory


NOTE: Read the information on penalties in the Penalties section of the Form I-129S Instructions before completing this part.


Petitioner’s or Authorized Signatory’s Statement

NOTE: Select the box for either Item Number 1.a. or 1.b.  If applicable, select the box for Item Number 2.


1.a. I can read and understand English, and have read and understand every question and instruction on this petition, as well as my answer to every question.


1.b. The interpreter named in Part 7. has also read to me every question and instruction on this petition, as well as my answer to every question, in [Fillable Field], a language in which I am fluent. I understand every question and instruction on this petition as translated to me by my interpreter, and have provided complete, true, and correct responses in the language indicated above.


2. I have requested the services of and consented to [Fillable Field], who is/is not an attorney or accredited representative, preparing this petition for me.



Authorized Signatory's Contact Information

3.a. Authorized Signatory’s Last Name

3.b. Authorized Signatory’s First Name

4. Authorized Signatory’s Title

5. Authorized Signatory's Daytime Telephone Number

6. Authorized Signatory's Mobile Telephone Number (if any)

7. Authorized Signatory's Email Address (if any)



Petitioner's or Authorized Signatory’s Certification

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 (USCIS) at a later date. Photocopied, faxed, or scanned copies of Form I-129S that I will submit to any other Federal agency, including U.S. Department of State and U.S. Customs and Border Protection (CBP), are exact copies of this unaltered, original Form I-129S.


I authorize the release of any information from my records, or from the petitioning organization’s records, that USCIS needs to determine eligibility for the immigration benefit sought. I recognize the authority of USCIS to conduct audits of this petition using publicly available open source information. I also recognize that USCIS may verify any supporting evidence submitted in support of this petition through any means determined appropriate by USCIS, 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.



[Page 6]


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.



Petitioner's Signature

8.a. Signature of Authorized Signatory for the Petitioner

[Deleted]

8.b. Date of Signature (mm/dd/yyyy)


NOTE TO ALL PETITIONERS AND AUTHORIZED SIGNATORIES: If you do not completely fill out this petition or fail to submit required documents listed in the Instructions, USCIS may delay a decision on or deny your petition.


New


[Page 6]


Part 8. Interpreter's Contact Information, Certification, and Signature


Provide the following information about the interpreter.


Interpreter's Full Name

1.a. Interpreter's Family Name (Last Name)

1.b. Interpreter's Given Name (First Name)

2. Interpreter's Business or Organization Name (if any)



Interpreter's Mailing Address

3.a. Street Number and Name

3.b. Apt. Ste. Flr. [Number]

3.c. City or Town

3.d. State

3.e. ZIP Code

3.f. Province

3.g. Postal Code

3.h. Country


Interpreter's Contact Information

4. Interpreter's Daytime Telephone Number

5. Interpreter's Email Address (if any)



Interpreter's Certification

I certify that:


I am fluent in English and [Fillable Field], which is the same language provided in Part 7., Item Number 1.b.;


I have read to this petitioner every question and instruction on this petition, as well as the answer to every question, in the language provided in Part 7., Item Number 1.b.; and


The petitioner has informed me that it understands every instruction and question on the petition, as well as the answer to every question, and the petitioner verified the accuracy of every answer.



Interpreter's Signature

6.a. Interpreter's Signature

6.b. Date of Signature (mm/dd/yyyy)


Page 4, Part 7. Signature and Contact Information of Person Preparing This Form, If Other than Above

[Page 4]


Part 7. Signature and Contact Information of Person Preparing This Form, If Other than Above







Printed Name of the Preparer


Preparer's Firm Name and Address
























Daytime Telephone Number (with area code)


E-Mail Address (if any)
























Declaration of Preparer

I declare that this document was prepared by me at the request of the petitioner, and it is based on all information of which I have knowledge and/or was provided to me by the above named person in response to the exact questions contained on this form. I have not knowingly withheld any information or provided responses for the petitioner.





Signature of Preparer

Date (mm/dd/yyyy)


[Page 6]


Part 9. Contact Information, Statement, Certification, and Signature of the Person Preparing this Petition, If Other Than the Petitioner


Provide the following information about the preparer.


Preparer's Full Name

1.a. Preparer's Family Name (Last Name)

1.b. Preparer's Given Name (First Name)

2. Preparer's Business or Organization Name (if any)


NOTE: If applicable, provide the name of your accredited organization recognized by the Board of Immigration Appeals (BIA).



[Page 7]


Preparer's Mailing Address

3.a. Street Number and Name

3.b. Apt. Ste. Flr. [Number]

3.c. City or Town

3.d. State

3.e. ZIP Code

3.f. Province

3.g. Postal Code

3.h. Country



[Page 7]


Preparer's Contact Information

4. Preparer's Daytime Telephone Number

5. Preparer's Fax Number

6. Preparer's Email Address (if any)



Preparer's Statement

7.a. I am not an attorney or accredited representative but have prepared this petition on behalf of the petitioner and with the petitioner's consent.

7.b. I am an attorney or accredited representative and my representation of the petitioner in this case extends/does not extend beyond the preparation of this petition.


NOTE: If you are an attorney or accredited representative whose representation extends beyond preparation of this petition, you must submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, or G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines of the United States, with this petition.



Preparer's Certification

By my signature, I certify, swear, or affirm, under penalty of perjury, that I prepared this petition on behalf of, at the request of, and with the express consent of the petitioner or authorized signatory.  The petitioner has reviewed this completed petition as prepared by me and informed me that all of the information in the form and in the supporting documents, is complete, true, and correct.


Preparer's Signature

8.a. Preparer's Signature

8.b. Date of Signature (mm/dd/yyyy)


New


[Page 8]


Part 10. Additional Information


If you need extra space to provide any additional information within this petition, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this petition or attach a separate sheet of paper. Include the beneficiary’s name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.


1.a. Beneficiary’s Family Name (Last Name)

1.b. Beneficiary’s Given Name (First Name)

1.c. Beneficiary’s Middle Name


2. Beneficiary’s A-Number (if any)


3.a. Page Number

3.b. Part Number

3.c. Item Number

3.d. [Fillable Field]


4.a. Page Number

4.b. Part Number

4.c. Item Number

4.d. [Fillable Field]


5.a. Page Number

5.b. Part Number

5.c. Item Number

5.d. [Fillable Field]


6.a. Page Number

6.b. Part Number

6.c. Item Number

6.d. [Fillable Field]



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