Form I-485, Supple Form I-485, Supple Confirmation of Bona Fide Job Offer or Request for Job P

Supplement J, Confirmation of Bona Fide Job Offer or
Request for Job Portability Under INA Section 204(j)
Department of Homeland Security
U.S. Citizenship and Immigration Services

USCIS
Form I-485
OMB No. 1615-xxxx
Expires xx/xx/xxxx

NOTE: Use Form I-485, Supplement J, Confirmation of Bona Fide Job Offer or Request for Job Portability Under INA Section
204(j) (Supplement J), to either confirm that the job offered to you in Form I-140, Immigrant Petition for Alien Worker, that is the
basis of your Form I-485, Application to Register Permanent Residence or Adjust Status, remains available to you or to request job
portability under the Immigration and Nationality Act (INA) section 204(j).
► START HERE - Type or print in black ink.

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Part 1. Reason for Filing Supplement J
1.

This supplement is being filed to (Select only one box):
A.

Confirm that the job offered to you in the Form I-140, that is the basis of your Form I-485, remains a bona fide job
offer that you intend to accept once your Form I-485 is approved.

B.

Request job portability under INA section 204(j) to a new, full-time, permanent job offer that you intend to accept
once your Form I-485 is approved.

Part 2. Information About You (Applicant)
1.

Your Current Legal Name (Do not provide a nickname)
Family Name (Last Name)

2.

Given Name (First Name)

Middle Name

U.S. Mailing Address
In Care Of Name

Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

ZIP Code

Other Information
3.

Alien Registration Number (A-Number) (if any)
► A-

5.

Date of Birth (mm/dd/yyyy)

6.

4.

USCIS Online Account Number (if any)
►

Country of Birth

Basic Information About Your Form I-485 and the Underlying Form I-140
7.

Form I-485 Receipt Number
(If already filed with USCIS)

10.

Has your Form I-140 been approved?

Form I-485 Supplement J xx/xx/xx N

8.

Form I-485 Filing Date (mm/dd/yyyy)
(If already filed with USCIS)

9.

Form I-140 Receipt
Number

Yes

No

Unknown

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Part 3. Applicant's Statement, Contact Information, Certification, and Signature
NOTE: Read the information on penalties in the Penalties section of the Supplement J Instructions before completing this part. You
must file Supplement J while in the United States.

Applicant's Statement
Select all applicable boxes.
1.

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

2.

I have requested the services of and consented to
is
who
is not an attorney or accredited representative, preparing this supplement for me.

,

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Applicant's Contact Information
3.

Applicant's Daytime Telephone Number

5.

Applicant's Email Address (if any)

4.

Applicant's Mobile Telephone Number (if any)

Applicant's Certification

Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that U. S.
Citizenship and Immigrations Services (USCIS) may require that I submit original documents to USCIS at a later date. Furthermore,
I authorize the release of any information from any and all of my records that USCIS may need to determine my eligibility for the
immigration benefit that I seek.
I furthermore authorize release of information contained in this supplement, in supporting documents, and in my USCIS records to
other entities and persons where necessary for the administration and enforcement of U.S. immigration laws.
I certify, under penalty of perjury, that the information provided in Part 1. and Part 2. of this supplement, my responses to each
question, and any document submitted with my supplement were provided by me and are complete, true, and correct.

I further declare under penalty of perjury that I have reviewed the job offer described in Part 5. of this supplement, and I intend to
accept the position offered in Part 5. of this supplement upon approval of my Form I-485.

Applicant's Signature
6.

Applicant's Signature

Date of Signature (mm/dd/yyyy)

IMPORTANT: The employer confirming an existing bona fide job offer
or offering you a new, permanent job must complete Parts 4., 5., and 6.

Form I-485 Supplement J xx/xx/xx N

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Part 4. Information About the Employer
1.

Type of employer: (Select only one box)
Business/Organization
Self/Individual

2.

Employer's U.S. Mailing Address
In Care Of Name

Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

ZIP Code

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Information About the Business Entity Employer

If you, the employer, are a business entity, provide the information requested in Item Numbers 3. - 10.
3.

Business or Organization Name

4.

Employer Identification Number

5.

Type of Business

►
6.

Date Established (mm/dd/yyyy)

7.

Current Number of U.S. Employees

9.

Net Annual Income

10.

NAICS Code
►

8.

Gross Annual Income

Information About the Individual Employer

If you, the employer, are an individual, provide the information requested in Item Numbers 11. - 15.
11.

Your Current Legal Name (do not provide a nickname)
Family Name (Last Name)

12.

Date of Birth (mm/dd/yyyy)

15.

Occupation

Given Name (First Name)

13.

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

Middle Name

14.

Annual Income

Part 5. Information About the Job Offer
You, the employer, provide the information requested in Part 5.
1.

Job Title

2.

SOC Code
►

Form I-485 Supplement J xx/xx/xx N

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Part 5. Information About the Job Offer (continued)
3.

4.

Nontechnical Description of Job (If you need extra space to complete this section, use the space provided in Part 8. Additional
Information.)

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A.

Is this a full-time position?

B.

If you answered "No" to Item A. in Item Number 4., provide the number of hours per week the
applicant will work in this position.

Yes

No

Yes

No

5.

Is this a permanent position?

6.

Wages Offered (Specify hour, week, month, or year)

7.

Employer's U.S. Physical Address
Provide the physical address where the applicant will work if different from the employer's mailing address in Item Number 2.
in Part 4. or the address provided in Form I-140 on which the applicant's Form I-485 is based.
Street Number and Name
Apt. Ste. Flr. Number

$

City or Town

8.

per

State

A.

Is the applicant named in Part 2. of this supplement currently employed by you?

B.

If you answered "Yes" to Item A. in Item Number 8., when did the applicant begin
employment with you (mm/dd/yyyy)?

ZIP Code

Yes

No

Part 6. Statement, Contact Information, Certification, and Signature of the Individual Employer or
Authorized Signatory
NOTE: Read the information on penalties in the Penalties section of the Supplement J Instructions before completing this part.

Individual Employer's or Authorized Signatory's Statement
Select all applicable boxes.
1.

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

2.

I have requested the services of and consented to
is
who
is not an attorney or accredited representative, preparing this supplement for me.

Form I-485 Supplement J xx/xx/xx N

,

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Part 6. Statement, Contact Information, Certification, and Signature of the Individual Employer or
Authorized Signatory (continued)
Individual Employer's or Authorized Signatory's Contact Information
3.

Name and Title of Individual Employer or Authorized Signatory
Family Name (Last Name)
Given Name (First Name)

Title

4.

Individual Employer's or Authorized Signatory's
Daytime Telephone Number

5.

Individual Employer's or Authorized Signatory's
Mobile Telephone Number (if any)

6.

Individual Employer's or Authorized Signatory's Email Address (if any)

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Individual Employer's or Authorized Signatory's Certification

Copies of any documents submitted are exact photocopies of unaltered, original documents, and I understand that, as the employer, I
may be required to submit original documents to USCIS at a later date.
I authorize the release of any information from my records, or from the employing 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 supplement using
publicly available open source information. I also recognize that USCIS may verify any supporting evidence submitted in support of
this supplement 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.

I certify, under penalty of perjury, that I have reviewed this supplement, and that all of the information contained in Part 4. and Part 5.
of this supplement, including all responses provided by me to specific questions and in the supporting documents provided by me, is
complete, true, and correct.
I further declare under penalty of perjury and attest to the following:
A.

I am a viable employer and I am extending a bona fide job offer to the applicant named in Part 2. of this supplement;

B.

The job opportunity is for full-time, permanent employment; and

C.

I intend to employ the applicant in the job offer described in Part 5. of this supplement upon the approval of the applicant's
Form I-485.

Individual Employer's or Authorized Signatory's Signature
7.

Signature of Individual Employer or Authorized Signatory

Form I-485 Supplement J xx/xx/xx N

Date of Signature (mm/dd/yyyy)

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Part 7. Contact Information, Statement, Certification, and Signature of the Person Preparing This
Supplement, If Other Than the Applicant and/or Employer
Provide the following information about the preparer.

Preparer's Full Name
1.

Preparer's Family Name (Last Name)

2.

Preparer's Business or Organization Name (if any)

Preparer's Given Name (First Name)

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

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Preparer's Mailing Address
3.

Street Number and Name

Apt. Ste. Flr. Number

State

City or Town

Province

Postal Code

ZIP Code

Country

Preparer's Contact Information
4.

Preparer's Daytime Telephone Number

6.

Preparer's Email Address (if any)

5.

Preparer's Mobile Telephone Number (if any)

Preparer's Statement
7.

A.

I am not an attorney or accredited representative but have prepared this supplement on behalf of the applicant
and/or employer and with the applicant's and/or employer's consent.

B.

I am an attorney or accredited representative and my representation of the applicant and/or employer in this case
extends
does not extend beyond the preparation of this supplement.

NOTE: If you are an attorney or accredited representative whose representation extends beyond preparation
of this supplement, you must submit a completed Form G-28, Notice of Entry of Appearance as Attorney or
Accredited Representative, with this supplement.

Preparer's Certification
By my signature, I certify, swear, or affirm, under penalty of perjury, that I prepared this supplement on behalf of, at the request of,
and with the express consent of the applicant and/or individual employer or authorized signatory. The applicant and/or employer has
reviewed this completed supplement and informed me that all of the answers and any other information in the supplement and in the
supporting documents are complete, true, and correct.

Preparer's Signature
8.

Preparer's Signature

Form I-485 Supplement J xx/xx/xx N

Date of Signature (mm/dd/yyyy)

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Part 8. Additional Information
If you need extra space to provide any additional information within this supplement, 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 supplement or attach a separate sheet of paper.
Type or print your 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.

Family Name (Last Name)

2.

A-Number (if any) ► A-

3.

A. Page Number

B. Part Number

Given Name (First Name)

Middle Name

C. Item Number

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D.

4.

A. Page Number

B. Part Number

C. Item Number

B. Part Number

C. Item Number

B. Part Number

C. Item Number

D.

5.

A. Page Number

D.

6.

A. Page Number

D.

Form I-485 Supplement J xx/xx/xx N

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