Form I-140 Form I-140 Immigrant Petition for Alien Worker

USCIS
Form I-140

Immigrant Petition for Alien Worker
Department of Homeland Security
U.S. Citizenship and Immigration Services
Fee Stamp
For
USCIS
Use
Only

OMB No. 1615-0015
Expires 03/31/2016

Priority Date Consulate

Action Block

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Classification

Certification

203(b)(1)(A) Alien of
Extraordinary Ability

203(b)(2) Member of Professions with
Advanced Degree/Exceptional Ability

National Interest Waiver (NIW)

203(b)(1)(B) Outstanding
Professor or Researcher

203(b)(3)(A)(i) Skilled Worker

Schedule A, Group I

203(b)(3)(A)(ii) Professional

203(b)(1)(C) Multinational
Executive or Manager

203(b)(3)(A)(iii) Other Worker

Schedule A, Group II

Remarks

► START HERE - Type or print in black ink.

Part 1. Information About the Person or Organization Filing This Petition (If an individual is filing,
use numbers 1.a. - 1.c. If a Company or Organization is filing, use number 2).
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)

Mailing Address

5.a. In Care of Name

1.c. Middle Name
2.

Company or Organization Name

5.b. Street Number
and Name

5.c. Apt.

IRS Tax Number
must be 9 digits; no dashes

4.

Flr.

5.d. City or Town

Other Information
3.

Ste.

►

U.S. Social Security Number (if any)
must be 9 digits; no dashes

►

5.e. State

5.f.

Zip Code

5.g. Postal Code
5.h. Province

10/05/2016
5.i.

Country

Part 2. Petition Type

This petition is being filed for: (Select only one box):
1.a.

An alien of extraordinary ability.

1.b.

An outstanding professor or researcher.

1.c.

A multinational executive or manager.

1.d.

A member of the professions holding an advanced
degree or an alien of exceptional ability (who is NOT
seeking a National Interest Waiver).

1.e.

1.f.

A professional (at a minimum, possessing a
bachelor's degree or a foreign degree equivalent to a
U.S. bachelor's degree).
A skilled worker (requiring at least 2 years of
specialized training or experience).

Form I-140 03/05/13 N

1.g.

Any other worker (requiring less than 2 years of
training or experience).

1.h.

(Reserved)

1.i.

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).

Check below if this petition is being filed:
2.a.

To amend a previously filed petition.
Previous Petition Receipt Number:
►

2.b.

For the Schedule A, Group I or II designation.
Page 1 of 6

Part 3. Information About the Person for Whom You Are Filing
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)

9.

Country of Citizenship

10.

Country of Nationality

11.

Alien Registration Number (A-Number)

1.c. Middle Name

Mailing Address

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► A-

2.a. In Care of Name

12.

2.c. Apt.

Ste.

Flr.

2.g. Postal Code

2.f.

►

If in the United States, please provide the following
(complete all sections, as applicable):

2.d. City or Town
2.e. State

U.S. Social Security Number (if any)
must be 9 digits; no dashes

2.b. Street Number
and Name

13.

Zip Code

Date of Arrival (mm/dd/yyyy) ►

14.a. I-94 Arrival-Departure Record Number:
►

2.h. Province
2.i.

Country

14.b. Passport Number

14.c. Travel Document Number

Other Information
3.

14.d. Country of Issuance for Passport or Travel Document

E-mail Address (if any)

14.e. Expiration Date for Passport or Travel Document

(

4.

Daytime Phone Number

5.

Date of Birth (mm/dd/yyyy) ►

6.

City/Town/Village of Birth

)

(mm/dd/yyyy) ►

15.

Current Nonimmigrant Status

10/05/2016
16.

7.

State/Province of Birth

8.

Country of Birth

Date Status Expires:

(mm/dd/yyyy) ►

Part 4. Processing Information
Complete the following for the person named in Part 3:
(Check one)
1.a.

Alien will apply for a visa abroad at a U.S. Embassy
or consulate at:
City or Town

1.b.

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
United States, last country of permanent residence
abroad.

Country

Form I-140 03/05/13 N

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Part 4. Processing Information (continued)
If you provided a United States address in Part 3, provide the
person's foreign address:

4.

2.a. Street Number
and Name
2.b. Apt.

Ste.

Are any other petition(s) or application(s) being filed with
this Form I-140?
Yes
No
If you answered "Yes," check any applicable boxes:
Form I-485

Flr.

Form I-131

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2.c. City or Town
2.d. Postal Code
2.e. Province
2.f.

Form I-765

Other-Attach an explanation

5.

Country

If the person's native alphabet is other than Roman letters, write
the person's foreign name and address in the native alphabet:

6.

Is the person for whom you are filing in removal
proceedings?
Yes - Attach an explanation

Has any immigrant visa petition ever been filed by or on
behalf of this person?
Yes - Attach an explanation

3.a. Family Name
(Last Name)
3.b. Given Name
(First Name)

7.

Yes - Attach an explanation

8.

3.d. Street Number
and Name
3.e. Apt.
3.f.

Ste.

No

Is the petition being filed without an original labor
certification because the original labor certification was
previously submitted in support of another Form I-140?

3.c. Middle Name

Mailing Address

No

No

If the petition is being filed without an original labor
certification, are you requesting that USCIS request a
duplicate labor certification from the Department of Labor?
Yes - Attach an explanation

No

Flr.

If you answered "Yes" to any of questions 4 through 8,
provide the case number, office location, date of decision,
and disposition of the decision on a separate sheet of paper.

City or Town

3.g. Postal Code
3.h. Province
3.i.

Country

10/05/2016

Part 5. Additional Information About the Petitioner
Type of petitioner (Select only one box):
1.a.

Employer

1.b.

Self

1.c.

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

2.c. Current Number of U.S. Employees

2.d. Gross Annual Income
2.e. Net Annual Income
2.f.

NAICS Code

►

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

2.g. Labor Certification DOL/ETA Case Number

2.b. Date Established (mm/dd/yyyy) ►

Form I-140 03/05/13 N

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Part 5. Additional Information About the Petitioner (continued)
2.h. Labor Certification DOL/ETA Filing Date

If an individual, give following:

(mm/dd/yyyy) ►
2.i.

3.a. Occupation

Labor Certification Expiration Date
3.b. Annual Income

(mm/dd/yyyy) ►

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Part 6. Basic Information About the Proposed Employment
1.

Job Title

2.

SOC Code

3.

Nontechnical Description of Job

►

-

6.

Is this a permanent position?

Yes

No

7.

Is this a new position?

Yes

No

8.

Wages: $

per

(Specify hour, week, month, or year)

Address where the person will work if different from address in
Part 1.
9.a. Street Number
and Name

4.

Is this a full-time position?

Yes

No

5.

If the answer to Number 4 is "No," how many hours per
week for the position?

9.b. Apt.

Ste.

Flr.

9.c. City or Town
9.d. State

9.e. Zip Code

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. Also, note if the individual will be
applying for a visa abroad or for adjustment of status as the dependent of the individual for whom the petition is filed. Provide an
attachment of additional family members, if needed.

10/05/2016

Person 1

Person 2

1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)

2.a. Family Name
(Last Name)
2.b. Given Name
(First Name)

1.c. Middle Name
1.d. Date of Birth

2.c. Middle Name

(mm/dd/yyyy) ►

2.d. Date of Birth

(mm/dd/yyyy) ►

1.e. Country of Birth

2.e. Country of Birth

1.f.

2.f.

Relationship

Relationship

1.g. Applying for Adjustment of Status?

Yes

No

2.g. Applying for Adjustment of Status?

Yes

No

1.h. Applying for Visa Abroad?

Yes

No

2.h. Applying for Visa Abroad?

Yes

No

Form I-140 03/05/13 N

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Part 7. Information on Spouse and All Children of the Person for Whom You Are Filing (continued)
Person 3

Person 5

3.a. Family Name
(Last Name)
3.b. Given Name
(First Name)

5.a. Family Name
(Last Name)
5.b. Given Name
(First Name)

3.c. Middle Name

5.c. Middle Name

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3.d. Date of Birth

(mm/dd/yyyy) ►

5.d. Date of Birth

(mm/dd/yyyy) ►

3.e. Country of Birth

5.e. Country of Birth

3.f.

5.f.

Relationship

Relationship

3.g. Applying for Adjustment of Status?

Yes

No

5.g. Applying for Adjustment of Status?

Yes

No

3.h. Applying for Visa Abroad?

Yes

No

5.h. Applying for Visa Abroad?

Yes

No

Yes

No

Yes

No

Person 4

Person 6

4.a. Family Name
(Last Name)
4.b. Given Name
(First Name)

6.a. Family Name
(Last Name)
6.b. Given Name
(First Name)

4.c. Middle Name

6.c. Middle Name

4.d. Date of Birth

(mm/dd/yyyy) ►

6.d. Date of Birth

(mm/dd/yyyy) ►

4.e. Country of Birth

6.e. Country of Birth

4.f.

6.f.

Relationship

4.g. Applying for Adjustment of Status?

Yes

No

Relationship

6.g. Applying for Adjustment of Status?

10/05/2016

4.h. Applying for Visa Abroad?

Yes

No

6.h. Applying for Visa Abroad?

Part 8. Signature of Petitioner

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
(USCIS) to release to other government agencies any information from
my USCIS records, if USCIS determines that such action is necessary
to determine eligibility for the benefit sought.
1.a. Signature of Petitioner

1.b. Date of Signature (mm/dd/yyyy) ►

Form I-140 03/05/13 N

2.

Daytime Phone Number

(

)

-

3.

Mobile Phone Number

(

)

-

4.

E-mail Address (if any)

5.

Job Title of Position with Petitioning Employer, If the
Petition Is Being Filed by an Employer

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.
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Part 9. Signature of Person Preparing This Petition, If Other Than the Petitioner
1.

Attorney or Representative: In the event of a Request for
Evidence (RFE), may USCIS contact you by e-mail?
Yes

No

Preparer's Mailing Address
6.a. Street Number
and Name

Preparer's Full Name

6.b. Apt.

Provide the following information concerning the preparer:

6.c. City or Town

Ste.

Flr.

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

6.d. State
6.f.

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

6.e. Zip Code

Postal Code

6.g. Province

3.

Preparer's Business or Organization Name

6.h. Country

Declaration

Preparer's Contact Information
4.

Preparer's Daytime Phone Number

(
5.

)

-

Preparer's E-mail Address (if any)

Extension

To be completed by all preparers, including attorneys and
authorized representatives: I declare that I prepared this petition
at the request of the petitioner, that it is based on all the
information of which I have knowledge, and that the information
is true to the best of my knowledge.
7.a. Signature
of Preparer

7.b. Date of Signature (mm/dd/yyyy) ►

10/05/2016
Form I-140 03/05/13 N

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