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pdfPetition for a Nonimmigrant Worker:
H-3, P, Q, or R Classifications
USCIS
Form I-129MISC
Department of Homeland Security
U.S. Citizenship and Immigration Services
OMB No. 1615-0009
Expires xx/xx/20xx
► START HERE - Type or print in black ink. Answer all questions fully and accurately. If a question does not apply to you (for
example, if you have never been married and the question asks, “Provide the name of your current spouse”), type or print “N/A”
unless otherwise directed. If your answer to a question which requires a numeric response is zero or none (for example, “How
many children do you have?” or “How many times have you departed the United States?”), type or print “None” unless otherwise
directed.
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Part 1. Petitioner Information
If you are an individual or sole proprietor filing this petition, you must complete Item Numbers 1. - 2. If you are a company or an
organization filing this petition on behalf of a beneficiary, complete Item Number 3. All petitioners should complete Item
Numbers 4. - 14., as applicable.
1.
Legal Name of Petitioning Individual or Sole Proprietor
Family Name (Last Name)
Given Name (First Name)
2.
Date of Birth (mm/dd/yyyy)
4.
Trade Name or “Doing Business As” Name
5.
USCIS Online Account Number
►
6.
Petitioner's Primary U.S. Office Address
7.
3.
Middle Name
Name of Petitioning Enterprise
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
ZIP Code (USPS ZIP Code Lookup)
Is your mailing address different from your Primary U.S. Office Address?
Yes
No
If you answered “Yes” to Item Number 7., provide your mailing address below.
8.
Mailing Address
In Care Of Name
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
Province
Form I-129MISC xx/xx/19
Postal Code
ZIP Code (USPS ZIP Code Lookup)
Country
Page 1 of 26
Part 1. Petitioner Information (continued)
Petitioner's Contact Information
9.
U.S. Daytime Telephone Number
11.
Email Address
10.
U.S. Mobile Telephone Number
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Tax Payer Identification Numbers
Provide the following information, as applicable.
12.
Employer Identification Number (EIN)
►
14.
13.
Individual Taxpayer Identification Number (ITIN)
►
U.S. Social Security Number
►
E-Verify Information
15.
Are you a participant in the E-Verify program?
Yes
No
If you answered “Yes” to Item Number 15., provide the information requested in Item Numbers 16. - 17.
16.
Employer's Name as Listed in E-Verify
17.
Employer's E-Verify Company Identification Number or an E-Verify Client Company Identification Number
Part 2. Information About This Petition
1.
Requested Nonimmigrant Classification (select only one box except as noted in box C)
A.
H-3 Trainee
B.
H-3 Special education exchange visitor program
C.
Major League Sports (must also select a P-1 or P-1S classification below)
D.
P-1A Internationally Recognized Athlete or Team
E.
P-1A Professional Athlete
F.
P-1A Amateur Athlete or Coach
G.
P-1ATheatrical Ice Skater
H.
P-1B Entertainment Group
I.
P-1S Essential Support Personnel for P-1
J.
P-2 Artist or entertainer for reciprocal exchange program
K.
P-2S Essential Support Personnel for P-2
L.
P-3 Artist/Entertainer coming to the United States to perform, teach, or coach under a program that is culturally unique
M.
P-3S Essential Support Personnel for P-3
N.
Q-1 International Cultural Exchange Alien
O.
R-1 Religious Worker
Form I-129MISC xx/xx/19
Page 2 of 26
Part 2. Information About This Petition (continued)
2.
3.
Basis for Classification select only one box):
A.
New employment.
B.
Continuation of previously approved employment without change with the same employer.
C.
Change in previously approved employment (provide an explanation in Part 10. Additional Information).
D.
New concurrent employment.
E.
Change of employer for a beneficiary already in the requested classification.
F.
Amended petition (provide an explanation in Part 10. Additional Information).
►
4.
5.
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If you selected F. Amended petition, in Item Number 2., provide the receipt number of the petition you seek to amend.
Requested Action (select only one box)
A.
Notify the office in Part 5. so that each beneficiary can apply for and obtain a visa or be admitted, if eligible.
B.
Change the status and extend the stay of each beneficiary because the beneficiary(ies) is/are now in the United States
in another status (see the Instructions for limitations). This is available only when you select A. New Employment in
Item Number 2. above.
C.
Extend the stay of each beneficiary because the beneficiary(ies) now hold(s) this status.
D.
Amend the stay of each beneficiary because the beneficiary(ies) now hold(s) this status.
Total number of beneficiaries included in this petition. (You may include up to 25 beneficiaries in a single I-129MISC petition.
See the Information About Form I-129MISC section of the Instructions for more information.)
►
Part 3. Beneficiary Information
Provide the information requested about the beneficiary(ies) for whom you are filing. Use Attachment 1-Additional Beneficiary for
Form I-129MISC to provide information about each additional beneficiary included in this petition.
1.
If the beneficiary is an entertainment group, provide the group name.
2.
Beneficiary's Full Name
Family Name (Last Name)
3.
Given Name (First Name)
Middle Name
Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages.
Family Name (Last Name)
Given Name (First Name)
Middle Name
Other Information
4.
Date of Birth (mm/dd/yyyy)
5.
Gender
6.
Male
7.
Alien Registration Number (A-Number)
► A-
Form I-129MISC xx/xx/19
8.
Female
U.S. Social Security Number
►
USCIS Online Account Number
►
Page 3 of 26
Part 3. Beneficiary Information (continued)
9.
City or Town of Birth
10.
Province of Birth
11.
Country of Birth
12.
Country of Citizenship or Nationality
13.
Beneficiary's Foreign Address
Street Number and Name
City or Town
Province
14.
Apt. Ste. Flr.
Number
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Postal Code
Country
If the beneficiary is in the United States, complete the following:
Date of Last Arrival
Form I-94 Arrival-Departure Record Number
(mm/dd/yyyy)
►
Passport or Travel Document Number
Date Passport or Travel Document Issued
(mm/dd/yyyy)
Date Passport or Travel Document Expires
(mm/dd/yyyy)
Passport or Travel Document Country of Issuance
Current Nonimmigrant
Status
Date Status Expires or Duration of Status (D/S)
(see Form I-94 Arrival/Departure Document)
(mm/dd/yyyy)
Student and Exchange Visitor Information System (SEVIS)
Number
15.
Employment Authorization Document (EAD)
Number
Does the beneficiary have a U.S. residential address?
Yes
No
If you answered “Yes” to Item Number 15., you must provide the beneficiary's U.S. residential address information in Item
Number 16.
16.
17.
Beneficiary's Current U.S. Residential Address (Do not list a P.O. Box unless the beneficiary resides in the Commonwealth of
the Northern Mariana Islands (CMNI).)
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
ZIP Code (USPS ZIP Code Lookup)
Provide the most recent petition/application receipt number for the beneficiary. If none exists, write "None."
►
18.
Have you ever filed an immigrant petition for this beneficiary?
Yes
No
If you answered "Yes" to Item Number 18., provide the receipt number for each petition you have filed for this beneficiary in
Part 10. Additional Information.
Form I-129MISC xx/xx/19
Page 4 of 26
Part 3. Beneficiary Information (continued)
19.
Yes
Have you ever filed a nonimmigrant petition for this beneficiary?
No
If you answered "Yes" to Item Number 19., identify the classification requested and the receipt number for each petition in
Part 10. Additional Information.
Part 4. Information About The Beneficiary's Public Benefits
Part 4. only applies to petitions that also seek a change of a beneficiary's status or an extension of a beneficiary's nonimmigrant stay
in the United States. If you are filing this petition without a request for the beneficiary's change of status or extension of stay, you
may skip Part 4.
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For the beneficiary named above in Part 3. Beneficiary Information, provide the requested information and submit documentation as
outlined in the Instructions. For each additional beneficiary, please respond to the questions in a separate copy of the Attachment 1Additional Beneficiary for Form I-129MISC.
1.
Has the beneficiary received, since obtaining the nonimmigrant status that you seek to extend or that you seek to change on
behalf of the beneficiary, received, or is the beneficiary currently certified to receive, the following public benefits? (select all
that apply).
Yes, the beneficiary has received or is currently certified to receive the following public benefits: (select all that apply)
Any Federal, State, local or tribal cash assistance for income maintenance
Supplemental Security Income (SSI)
Temporary Assistance for Needy Families (TANF)
General Assistance (GA)
Supplemental Nutrition Assistance Program (SNAP, formerly called "Food Stamps")
Section 8 Housing Assistance under the Housing Choice Voucher Program
Section 8 Project-Based Rental Assistance (including Moderate Rehabilitation)
Public Housing under the Housing Act of 1937, 42 U.S.C. 1437 et seq.
Federal-funded Medicaid
No, the beneficiary has not received any of the above listed public benefits.
No, the beneficiary is not certified to receive any of the above listed public benefits.
2.
If the beneficiary has received or is currently certified to receive any of the above public benefits, provide information about the
public benefits below. If you need additional space to complete any Item Number in this Part, use the space provided in Part 10.
Additional Information. Submit evidence as outlined in the Instructions.
A.
Type of Public Benefit
Agency that Granted the Public Benefit
Date the Beneficiary Started Receiving the Benefit or if Certified,
Date the Beneficiary Will Start Receiving the Benefit
(mm/dd/yyyy)
B.
Type of Public Benefit
Agency that Granted the Public Benefit
Date the Beneficiary Started Receiving the Benefit or if Certified,
Date the Beneficiary Will Start Receiving the Benefit
(mm/dd/yyyy)
Form I-129MISC xx/xx/19
Date Benefit or Coverage Ended
or Expires
(mm/dd/yyyy)
Date Benefit or Coverage Ended
or Expires
(mm/dd/yyyy)
Page 5 of 26
Part 4. Information About The Beneficiary's Public Benefits (continued)
C.
Type of Public Benefit
Agency that Granted the Public Benefit
Date the Beneficiary Started Receiving the Benefit or if Certified,
Date the Beneficiary Will Start Receiving the Benefit
(mm/dd/yyyy)
D.
Type of Public Benefit
Agency that Granted the Public Benefit
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Date the Beneficiary Started Receiving the Benefit or if Certified,
Date the Beneficiary Will Start Receiving the Benefit
(mm/dd/yyyy)
3.
Date Benefit or Coverage Ended
or Expires
(mm/dd/yyyy)
Date Benefit or Coverage Ended
or Expires
(mm/dd/yyyy)
If you answered “Yes” to Item Number 1., do any of the following apply to the beneficiary? Provide the evidence listed in the
Form I-129 Instructions.
The beneficiary is enlisted in the Armed Forces, or is serving in active duty or in the Ready Reserve Component of the U.S.
Armed Forces.
The beneficiary is the spouse or the child of an individual who is enlisted in the Armed Forces, or who is serving in active
duty or in the Ready Reserve Component of the U.S. Armed Forces.
At the time the beneficiary received the public benefits, the beneficiary (or the beneficiary's spouse or parent) was enlisted
in the Armed Forces, or was serving in active duty or in the Ready Reserve Component of the U.S. Armed Forces.
At the time the beneficiary received the public benefits, the beneficiary was present in the United States in a status exempt
from the public charge ground of inadmissibility.
At the time the beneficiary received the public benefits, the beneficiary was present in the United States after being granted
a waiver of the public charge ground of inadmissibility.
The beneficiary is a child currently residing abroad who entered the United States with a nonimmigrant visa to attend an
N-600K, Application for Citizenship and Issuance of Certificate Under INA Section 322 interview.
None of the above statements apply to the beneficiary.
4.
A.
Has the beneficiary received, applied for, or has been certified to receive federally-funded Medicaid in connection with
any of the following (select all that apply): Submit evidence as outlined in the Instructions.
An emergency medical condition
For a service under the Individuals with Disabilities Education Act (IDEA)
Other school-based benefits or services available up to the oldest age eligible for secondary education under State law
While under the of age 21
While pregnant or during the 60-day period following the last day of pregnancy
B.
Provide the applicable dates mm/dd/yyyy
Form I-129MISC xx/xx/19
to mm/dd/yyyy
Page 6 of 26
Part 5. Processing Information
1.
Indicate the U.S. Consulate or U.S. Customs and Border Protection (CBP) inspection facility you would like notified if the petition
will be approved with consular notification (for example, you requested consular notification or a requested extension of stay or
change of status cannot be granted).
A.
Type of Office (select only one box)
U.S. Consulate
B.
CBP Pre-flight Inspection Facility
City Where Office is Located
C.
U.S. Port of Entry
U.S. State or Foreign Country
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2.
Are you filing any other petitions with this one?
3.
If yes, how many?
4.
Are you filing any applications for replacement/initial Form I-94, Arrival-Departure Records with this
petition? (If the beneficiary(ies) was/were issued an electronic Form I-94 by CBP when admitted to the
United States at an air or sea port, they may be able to obtain the Form I-94 from the CBP website at
www.cbp.gov/i94 instead of filing an application for a replacement/initial I-94.)
5.
If yes, how many?
6.
Are you filing any applications for dependents with this petition?
7.
If yes, how many?
8.
Is any beneficiary in this petition in removal proceedings?
Yes
No
Yes
No
Yes
No
Yes
No
►
►
►
If you answered "Yes" to Item Number 8., list the beneficiary's(ies) name(s) in Part 10. Additional Information.
9.
Has any beneficiary in this petition ever been given the classification you are now requesting?
Yes
No
Yes
No
Yes
No
Yes
No
If you answered "Yes" to Item Number 9., provide an explanation in Part 10. Additional Information.
10.
Has any beneficiary in this petition ever been denied the classification you are now requesting?
If you answered "Yes" to Item Number 10., provide an explanation in Part 10. Additional Information.
11.
If you are filing for an entertainment group, has any beneficiary in this petition not been with the group
for at least one year?
If you answered "Yes" to Item Number 11., provide an explanation in Part 10. Additional Information.
12.
Has any beneficiary in this petition ever been a J-1 exchange visitor or J-2 dependent of a J-1 exchange
visitor?
If you answered "Yes" to Item Number 12., provide a response to Item Number 13.
13.
If you selected yes in Item Number 12., provide the dates the beneficiary(ies) maintained status as a J-1 exchange visitor or J-2
dependent. Also, provide evidence of this status by attaching a copy of either a DS-2019, Certificate of Eligibility for Exchange
Visitor (J-1) Status, a Form IAP-66, or a copy of the passport that includes the J visa stamp. Additionally, if applicable, provide
evidence that the beneficiary(ies) fulfilled the two-year foreign residence requirement or had such residence requirement waived.
Form I-129MISC xx/xx/19
Page 7 of 26
Part 6. Basic Information About the Proposed Employment and Employer
Attach the Form I-129MISC Supplement relevant to the classification you are requesting.
1.
Job Title
2.
Did you include an itinerary with this petition?
Yes
No
3.
Will the beneficiary(ies) work for you off-site at another company or organization's location?
Yes
No
4.
Will the beneficiary(ies) work exclusively in the CNMI?
Yes
No
5.
Is this a full-time position?
Yes
No
6.
If you answered "No" to Item Number 5., how many hours per week for the position? ►
7.
Wages (in U.S. dollars): $
8.
Other Compensation (Explain)
9.
Dates of intended employment
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per (Specify hour, week, month, or year) ►
From(mm/dd/yyyy)
To(mm/dd/yyyy)
10.
Type of Business
12.
Current Number of Employees in the United States ►
13.
Gross Annual Income
►
11.
14.
Year Established
Net Annual Income
►
Part 7. Statement, Contact Information, Certification, and Signature of the Petitioner or Authorized
Signatory
NOTE: Read the Penalties section of the Form I-129MISC Instructions before completing this part.
Petitioner's or Authorized Signatory's Statement
NOTE: Select the box for either Item A. or B. in Item Number 1. If applicable, select the box for Item Number 2.
1.
Petitioner's or Authorized Signatory's Statement Regarding the Interpreter
A.
I can read and understand English, and I have read and understand every question and instruction on this petition and
my answer to every question.
B.
The interpreter named in Part 8. has read to me every question and instruction on this petition and my answer to
every question in
, a language in which I am fluent, and
I understood all of this information as interpreted.
2.
Petitioner's or Authorized Signatory's Statement Regarding the Preparer
At my request, the preparer named in Part 9.,
,
prepared this petition for me based only upon information I provided or authorized.
Form I-129MISC xx/xx/19
Page 8 of 26
Part 7. Statement, Contact Information, Certification, and Signature of the Petitioner or Authorized
Signatory (continued)
Petitioner's or Authorized Signatory's Certification
Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that, as the
petitioner or authorized signatory, I may be required to submit original documents to USCIS at a later date.
I authorize the release of any information contained in this petition, in supporting documents, in my USCIS records, and in the petitioning
organization's USCIS records, to USCIS or other entities and persons where necessary to determine eligibility for the immigration benefit
sought or where authorized by law. I recognize the authority of USCIS to conduct audits of this petition using publicly available open
source information. I also recognize that any supporting evidence submitted in support of this petition may be verified by USCIS through
any means determined appropriate by USCIS, including but not limited to, on-site compliance reviews.
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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 provided or authorized all of the information in my petition, I understand all of the
information contained in, and submitted with, my petition, and that all of this information is complete, true, and correct.
Petitioner's or Authorized Signatory's Signature
3.
Petitioner's or Authorized Signatory's Signature
Date of Signature (mm/dd/yyyy)
If Part 7. is being completed by an Authorized Signatory, provide the name and title of the Authorized Signatory.
Name and Title of Authorized Signatory
4.
Family Name (Last Name)
5.
Title
Given Name (First Name)
Authorized Signatory's Contact Information
6.
Daytime Telephone Number
8.
Email Address (if any)
7.
Mobile Telephone Number (if any)
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 deny your petition.
Part 8. Interpreter's Contact Information, Certification, and Signature
Provide the following information about the interpreter.
Interpreter's Full Name
1.
Interpreter's Family Name (Last Name)
2.
Interpreter's Business or Organization Name (if any)
Form I-129MISC xx/xx/19
Interpreter's Given Name (First Name)
Page 9 of 26
Part 8. Interpreter's Contact Information, Certification, and Signature (continued)
Interpreter's Mailing Address
3.
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
Province
ZIP Code
(USPS ZIP Code Lookup)
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Postal Code
Country
Interpreter's Contact Information
4.
Interpreter's Daytime Telephone Number
6.
Interpreter's Email Address (if any)
5.
Interpreter's Mobile Telephone Number (if any)
Interpreter's Certification
I certify, under penalty of perjury, that:
I am fluent in English and
, which is the same language specified in Part 7.,
Item B. in Item Number 1., and I have read to this petitioner or the authorized signatory in the identified language every question and
instruction on this petition and his or her answer to every question. The petitioner or authorized signatory informed me that he or she
understands every instruction, question, and answer on the petition, including the Petitioner's or Authorized Signatory's Certification,
and has verified the accuracy of every answer.
Interpreter's Signature
7.
Interpreter's Signature
Date of Signature (mm/dd/yyyy)
Part 9. Contact Information, Declaration, 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.
Preparer's Family Name (Last Name)
2.
Preparer's Business or Organization Name (if any)
Form I-129MISC xx/xx/19
Preparer's Given Name (First Name)
Page 10 of 26
Part 9. Contact Information, Declaration, and Signature of the Person Preparing this Petition, If Other
Than the Petitioner (continued)
Preparer's Mailing Address
3.
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
Province
ZIP Code
(USPS ZIP Code Lookup)
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Postal 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 petition on behalf of the petitioner and with
the petitioner's or authorized signatory's consent.
B.
I am an attorney or accredited representative and my representation of the petitioner or authorized signatory in this case
extends
does not extend beyond the preparation of this request.
NOTE: If you are an attorney or accredited representative, you may need to submit a completed Form G-28, Notice of
Entry of Appearance as Attorney or Accredited Representative, or Form 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, under penalty of perjury, that I prepared this petition at the request of the petitioner or authorized signatory.
The petitioner or authorized signatory then reviewed this completed petition and informed me that he or she understands all of the
information contained in, and submitted with, his or her petition, including the Petitioner's or Authorized Signatory's Certification,
and that all of this information is complete, true, and correct. I completed this petition based only on information that the petitioner or
authorized signatory provided to me or authorized me to obtain or use.
Preparer's Signature
8.
Preparer's Signature
Form I-129MISC xx/xx/19
Date of Signature (mm/dd/yyyy)
Page 11 of 26
Part 10. Additional Information
If you require more space to provide any additional information within this petition, use the space below. If you require more space
than what is provided to complete this petition, you may make a copy of Part 10. to complete and file with this petition. In order to
assist us in reviewing your response, you must identify the Page Number, Part Number, and Item Number corresponding to the
additional information.
1.
Individual Petitioner or Company Name (same as Part 1.)
Family Name (Last Name)
2.
A.
D.
3.
A.
D.
4.
A.
D.
5.
A.
Given Name (First Name)
Middle Name
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Page Number
B. Part Number
C. Item Number
Page Number
B. Part Number
C. Item Number
Page Number
B. Part Number
C. Item Number
Page Number
B. Part Number
C. Item Number
Page Number
B. Part Number
C. Item Number
D.
6.
A.
D.
Form I-129MISC xx/xx/19
Page 12 of 26
H-3 Classification Supplement to Form I-129MISC
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-129MISC
OMB No. 1615-0009
Expires xx/xx/20xx
Provide the same petitioner name information that was provided in Part 1. of Form I-129MISC.
1.
Legal Name of Individual Petitioner
Family Name (Last Name)
Given Name (First Name)
Middle Name
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2.
Name of Petitioning Enterprise
3.
Address where the beneficiary(ies) will receive training or participate in the special education program, if different from address
in Part 1. of Form I-129MISC.
4.
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
ZIP Code
(USPS ZIP Code Lookup)
List each beneficiary's prior periods of stay in H or L classification in the United States for the last 6 years (beneficiaries
requesting H-2A or H-2B classification need to list only the last 3 years). Only list those periods in which each beneficiary was
actually in the United States in an H or L classification. Do not include periods in which the beneficiary was in a dependent
status, for example, H-4 or L-2 status. If you need more space, use Part 10. Additional Information of Form I-129MISC or
attach an additional sheet of paper.
NOTE: Submit photocopies of Forms I-94, I-797, and/or other USCIS issued documents noting these periods of stay in the H
or L classification.
Period of Stay (mm/dd/yyyy)
Beneficiary's Name
From
To
5.
Does any beneficiary in this petition have an ownership interest in the petitioning organization?
6.
If you answered "Yes" to Item Number 5., provide an explanation.
Yes
No
If you answer "Yes" to any of the questions in Item Numbers 7. - 13., provide an explanation in Part 10. Additional Information of
form I-129MISC or attach an additional sheet of paper.
7.
Is the training you intend to provide, or similar training, available in the beneficiary's country?
Yes
No
8.
Will the training benefit the beneficiary in pursuing a career abroad?
Yes
No
If you answered "No", provide an explanation in Part 10. Additional Information or attach an additional sheet of paper.
Form I-129MISC xx/xx/19
Page 13 of 26
9.
Does the training involve productive employment incidental to the training?
Yes
No
If you answered “Yes” to Item Number 9., explain the amount of compensation employment versus the classroom in Part 10.
Additional Information or attach an additional sheet of paper.
10.
Does the beneficiary already have skills related to the training?
Yes
No
11.
Is this training an effort to overcome a labor shortage?
Yes
No
12.
Do you intend to employ the beneficiary abroad at the end of this training?
Yes
No
13.
If you do not intend to employ the beneficiary abroad at the end of this training, explain why you wish to incur the cost of
providing this training and your expected return from this training. If you need more space, use the space provided in Part 10.
Additional Information or attach an additional sheet of paper.
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Form I-129MISC xx/xx/19
H-3 Classification Supplement
Page 14 of 26
P Classification Supplement to Form I-129MISC
USCIS
Form I-129MISC
Department of Homeland Security
U.S. Citizenship and Immigration Services
OMB No. 1615-0009
Expires xx/xx/20xx
Provide the same petitioner name information that was provided in Part 1. of Form I-129MISC. If you need more space to answer
any of the Item Numbers in this Supplement, use the space provided in Part 10. Additional Information or attach an additional
sheet of paper.
1.
Legal Name of Individual Petitioner
Family Name (Last Name)
Given Name (First Name)
Middle Name
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2.
Name of Petitioning Enterprise
3.
Address where the beneficiary(ies) will work if different from the address in Part 1. of form I-129MISC. (If the beneficiary(ies)
will work at more than one address, you must include the additional addresses in the itinerary information submitted with your
petition.)
Name
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
ZIP Code
(USPS ZIP Code Lookup)
4.
Explain the nature of the event.
5.
Describe the duties to be performed.
6.
If filing for any P support classification, list the dates of the beneficiary's prior work experience under the principal P alien. For
Major League Sports support personnel, please see the Information About Form I-129MISC section of the Instructions.
7.
Does an appropriate labor organization exist for the petition?
Yes
No
If you answered “No” to Item Number 7., provide an explanation in Part 10. Additional Information or attach an additional
sheet of paper.
8.
Is the required consultation or written advisory opinion being submitted with this petition?
Yes
No - a copy of the request is attached
N/A
If you answered “No” to Item Number 8., provide the following information about the organization(s) to which you have sent a
duplicate of this petition.
Form I-129MISC xx/xx/19
Page 15 of 26
9.
Name of Labor Organization
10.
Labor Organization's Address
11.
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
ZIP Code
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Labor Organization's Daytime Telephone Number
12.
Date Request Sent (mm/dd/yyyy)
P Nonimmigrant Classification Petitioner's or Authorized Signatory's Statement
I certify that I, the petitioner or authorized signatory, and the employer whose offer of employment formed the basis of status (if
different from the petitioner) will be jointly and severally liable for the reasonable costs of return transportation of the beneficiary
abroad if the beneficiary is dismissed from employment by the employer before the end of the period of authorized stay.
1.
Petitioner's Full Name
Family Name (Last Name)
2.
Given Name (First Name)
Middle Name
Signature and Date
Signature of Petitioner
Form I-129MISC xx/xx/19
Date of Signature (mm/dd/yyyy)
P Classification Supplement
Page 16 of 26
Q-1 International Cultural Exchange Alien
Supplement to Form I-129MISC
USCIS
Form I-129MISC
Department of Homeland Security
U.S. Citizenship and Immigration Services
OMB No. 1615-0009
Expires xx/xx/20xx
Provide the same petitioner name information that was provided in Part 1. of Form I-129MISC.
1.
Legal Name of Individual Petitioner
Family Name (Last Name)
Given Name (First Name)
Middle Name
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2.
Name of Petitioning Enterprise
3.
Address where the beneficiary(ies) will work if different from address in Part 1. If you need to provide more than one
additional address, use Part 10. Additional Information or attach an additional sheet of paper.
4.
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
ZIP Code
(USPS ZIP Code Lookup)
I hereby certify that the beneficiary(ies) of this petition:
A.
Is/are at least 18 years of age;
B.
Is/are qualified to perform the service or labor or receive the type of training stated in the petition;
C.
Has/have the ability to communicate effectively about the cultural attributes of their country of nationality to the American
public; and
D.
Has/have resided and been physically present outside the United States for the 12 months immediately prior to the filing
of this petition. (Applies only if the beneficiary was previously admitted as a Q-1).
I also certify that I will offer the beneficiary(ies) wages and working conditions comparable to those accorded to local domestic
workers who are similarly employed.
5.
Petitioner's Full Name
Family Name (Last Name)
6.
Given Name (First Name)
Middle Name
Signature and Date
Signature of Petitioner
Form I-129MISC xx/xx/19
Date of Signature (mm/dd/yyyy)
Page 17 of 26
R-1 Classification Supplement to Form I-129MISC
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-129MISC
OMB No. 1615-0009
Expires xx/xx/20xx
Provide the same petitioner name information that was provided in Part 1. of Form I-129MISC.
1.
Legal Name of Individual Petitioner
Family Name (Last Name)
2.
Given Name (First Name)
Middle Name
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Name of Petitioning Enterprise
Section 1. Complete This Section If You Are Filing For An R-1 Religious Worker
3.
Has the beneficiary or any of the beneficiary's dependent family members previously been admitted to the
United States for a period of stay in the R visa classification in the last 5 years?
Yes
No
If you answered “Yes” to Item Number 3., complete the table below. List the beneficiary and any dependent family member's
prior periods of stay in the R visa classification in the United States in the last five years. Be sure to list only those periods in
which the beneficiary and/or family members were actually in the United States in an R classification.
NOTE: Submit photocopies of Forms I-94 (Arrival-Departure Record), I-797 (Notice of Action), and/or other USCIS
documents identifying these periods of stay in the R visa classification(s). If you need more space, use Part 10. Additional
Information or attach an additional sheet of paper.
Alien or Dependent Family Member's Name
Period of Stay (mm/dd/yyyy)
From
To
4.
Describe the relationship between the religious organization in the United States and the organization abroad of which the
beneficiary is a member. If you need more space, use the space provided in Part 10. Additional Information or attach an
additional sheet of paper.
5.
The beneficiary will be working (select one of the following):
As a minister
In a religious vocation
In a religious occupation
Petitioner Attestations
If you answer “No” to any of the questions in Item Numbers 6. - 14, provide an explanation in Part 10. Additional Information of
Form I-129MISC.
6.
The prospective employer is a bona fide non-profit religious organization or a bona fide organization
which is affiliated with the religious denomination and is exempt from taxation.
Form I-129MISC xx/xx/19
Yes
No
Page 18 of 26
Section 1. Complete This Section If You Are Filing For An R-1 Religious Worker (continued)
7.
The alien has been a member of the denomination for at least two years and is otherwise qualified for the
position offered.
8.
The number of members of the perspective employer's organization is: ►
9.
The number of employees who work at the same location where the beneficiary will be employed is: ►
10.
Provide a summary of those employees' responsibilities. (At our discretion, USCIS may additionally request a list of all
employees, their titles, and a brief description of their duties.)
Yes
No
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Position
Summary of the Type of Responsibilities for That Position
11.
The number of aliens holding special immigrant or nonimmigrant religious worker status who are currently employed or have
been employed within the past five years by the prospective employer's organization is:
►
12.
The number of special immigrant religious worker and nonimmigrant religious worker petitions and applications filed by or on
behalf of any aliens for employment by the prospective employer in the past 5 years is:
►
13.
Provide the title of the position offered to the beneficiary and a detailed description of the beneficiary's proposed daily duties. If
you need more space, use the space provided in Part 10. Additional Information or attach an additional sheet of paper.
14.
The beneficiary will receive (select only one box):
Salaried Compensation
15.
Non-Salaried Compensation
Provide the details of the beneficiary's compensation indicated in Item Number 14. If you need more space, use the space
provided in Part 10. Additional Information or attach an additional sheet of paper.
Form I-129MISC xx/xx/19
R-1 Classification Supplement
Page 19 of 26
Section 1. Complete This Section If You Are Filing For An R-1 Religious Worker (continued)
16.
The beneficiary will be employed at least 20 hours per week.
Yes
17.
Provide the specific locations(s) of the proposed employment. If you need to provide information about more than two
locations, use Part 10. Additional Information or attach an additional sheet of paper.
No
Location or Address 1
Name
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Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
ZIP Code
(USPS ZIP Code Lookup)
Location or Address 2
Name
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
18.
ZIP Code
The beneficiary will be employed only in a religious worker position and will not be engaged in secular
employment.
(USPS ZIP Code Lookup)
Yes
No
If you answered “No” to Item Number 18., provide an explanation in Part 10. Additional Information or attach an additional
sheet of paper.
19.
The petitioner will notify USCIS within fourteen days if an R-1 alien is working less than the required
number of hours, or has been released from or has otherwise terminated employment before the
expiration of a period of authorized R-1 stay.
Yes
No
If you answered “No” to Item Number 19., provide an explanation in Part 10. Additional Information or attach an additional
sheet of paper.
Attestation
I certify, under penalty of perjury, that the information in this Supplement, the evidence submitted with it, and the contents of
this attestation are true and correct.
1.
Petitioner's Full Name
Family Name (Last Name)
2.
Petitioner's Title
3.
Signature of Petitioner
Form I-129MISC xx/xx/19
Given Name (First Name)
Middle Name
Date of Signature (mm/dd/yyyy)
R-1 Classification Supplement
Page 20 of 26
Section 1. Complete This Section If You Are Filing For An R-1 Religious Worker (continued)
4.
5.
Employer or Organization Address (Do not use a post office or private mail box)
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
ZIP Code
Employer or Organization's Contact Information
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Daytime Telephone Number
Email Address
Fax Number
Section 2. This Section Is Required For Petitioners Affiliated With The Religious Denomination
Religious Denomination's Certification
I certify, under penalty of perjury, that:
Name of Employing Organization
is affiliated with:
Name of Religious Denomination
and
that the attesting organization within the religious denomination is tax-exempt as described in section 501(c)(3) of the Internal Revenue
Code of 1986 (codified at 26 U.S.C. 501(c)(3)), any subsequent amendment(s), subsequent amendment, or equivalent sections of prior
enactments of the Internal Revenue Code. The contents of this certification are true and correct to the best of my knowledge.
1.
Name of Authorized Representative of Attesting Organization (The authorized representative
of the attesting organization cannot be the petitioner.)
2.
Authorized Representative's Title
3.
Signature of Authorized Representative of Attesting Organization
Date (mm/dd/yyyy)
Attesting Organization's Name and Address (Do not use a post office or private mail box)
4.
Attesting Organization's Name
5.
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
Form I-129MISC xx/xx/19
R-1 Classification Supplement
ZIP Code
Page 21 of 26
Section 2. This Section Is Required For Petitioners Affiliated With The Religious Denomination
(continued)
6.
Attesting Organization's Contact Information
Daytime Telephone Number
Fax Number
Email Address
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Form I-129MISC xx/xx/19
R-1 Classification Supplement
Page 22 of 26
Attachment 1-Additional Beneficiary for
Form I-129MISC
USCIS
Form I-129MISC
Department of Homeland Security
U.S. Citizenship and Immigration Services
OMB No. 1615-0009
Expires xx/xx/20xx
Complete a separate copy of this attachment for each additional beneficiary included in this petition. (Do not complete a copy
of Attachment 1 for the beneficiary you already named in Part 3. of Form I-129MISC.)
Provide the same petitioner name information that was provided in Part 1. of Form I-129MISC.
1.
Legal Name of Individual Petitioner
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Family Name (Last Name)
Given Name (First Name)
2.
Name of Petitioning Enterprise
3.
If the beneficiary is an entertainment group, provide the group name.
4.
Beneficiary's Full Name
Family Name (Last Name)
5.
Given Name (First Name)
Other Information
Date of Birth (mm/dd/yyyy)
Given Name (First Name)
7.
Gender
8.
Male
9.
Middle Name
Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages.
Family Name (Last Name)
6.
Middle Name
Alien Registration Number (A-Number)
► A-
Female
10.
Middle Name
U.S. Social Security Number
►
USCIS Online Account Number
►
11.
City or Town of Birth
12.
Province of Birth
13.
Country of Birth
14.
Country of Citizenship or Nationality
15.
Beneficiary's Foreign Address
Street Number and Name
Apt. Ste. Flr. Number
City or Town
Province
Form I-129MISC xx/xx/19
Postal Code
Country
Page 23 of 26
16.
If the beneficiary is in the United States, complete the following:
Date of Last Arrival
Form I-94 Arrival-Departure Record Number
(mm/dd/yyyy)
►
Passport or Travel Document Number
Date Passport or Travel Document Issued
(mm/dd/yyyy)
Passport or Travel Document Country of Issuance
Date Passport or Travel Document Expires
(mm/dd/yyyy)
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Current Nonimmigrant
Status
Date Status Expires or Duration of Status (D/S)
(see Form I-94 Arrival/Departure Document)
(mm/dd/yyyy)
Student and Exchange Visitor Information System (SEVIS)
Number
17.
Employment Authorization Document (EAD)
Number
Does the beneficiary have a U.S. residential address?
Yes
No
If you answered “Yes” to Item Number 17., you must provide the beneficiary's U.S. residential address information in Item Number 18.
18.
19.
Beneficiary's Current U.S. Residential Address (Do not list a P.O. Box unless the beneficiary resides in the CMNI.)
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
Provide the most recent petition/application receipt number for the beneficiary. If none exists, write "None."
►
20.
ZIP Code
Have you ever filed an immigrant petition for this beneficiary?
Yes
No
If you answered "Yes" to Item Number 20., provide the receipt number for each petition you have filed for this beneficiary in
Part 10. Additional Information or attach an additional sheet of paper.
21.
Have you ever filed a nonimmigrant petition for this beneficiary?
Yes
No
If you answered "Yes" to Item Number 21., identify the classification requested and the receipt number for each petition in
Part 10. Additional Information or attach an additional sheet of paper.
Information About The Beneficiary's Public Benefits
Item Numbers 22. - 25.B. only apply to petitions that also seek a change of a beneficiary's status or an extension of a beneficiary's
nonimmigrant stay in the United States. If you are filing this petition without a request for the beneficiary's change of status or
extension of stay, you may skip Item Numbers 22. - 25.B.
22.
Has the beneficiary received, since obtaining the nonimmigrant status that you seek to extend or that you seek to change on
behalf of the beneficiary, received, or is the beneficiary currently certified to receive, the following public benefits? (select all
that apply).
Yes, the beneficiary has received or is currently certified to receive the following public benefits: (select all that apply)
Any Federal, State, local or tribal cash assistance for income maintenance
Supplemental Security Income (SSI)
Temporary Assistance for Needy Families (TANF)
Form I-129MISC xx/xx/19
Attachment 1
Page 24 of 26
Information About The Beneficiary's Public Benefits (continued)
General Assistance (GA)
Supplemental Nutrition Assistance Program (SNAP, formerly called "Food Stamps")
Section 8 Housing Assistance under the Housing Choice Voucher Program
Section 8 Project-Based Rental Assistance (including Moderate Rehabilitation)
Public Housing under the Housing Act of 1937, 42 U.S.C. 1437 et seq.
Federal-funded Medicaid
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No, the beneficiary has not received any of the above listed public benefits.
No, the beneficiary is not certified to receive any of the above listed public benefits.
23.
If the beneficiary has received or is currently certified to receive any of the above public benefits, provide information about the
public benefits below. If you need additional space to complete any Item Number in this Part, use the space provided in Part 10.
Additional Information. Submit evidence as outlined in the Instructions.
A.
Type of Public Benefit
Agency that Granted the Public Benefit
Date the Beneficiary Started Receiving the Benefit or if Certified,
Date the Beneficiary Will Start Receiving the Benefit
(mm/dd/yyyy)
B.
Type of Public Benefit
Agency that Granted the Public Benefit
Date the Beneficiary Started Receiving the Benefit or if Certified,
Date the Beneficiary Will Start Receiving the Benefit
(mm/dd/yyyy)
C.
Type of Public Benefit
(mm/dd/yyyy)
Type of Public Benefit
Date Benefit or Coverage Ended
or Expires
(mm/dd/yyyy)
Agency that Granted the Public Benefit
Date the Beneficiary Started Receiving the Benefit or if Certified,
Date the Beneficiary Will Start Receiving the Benefit
(mm/dd/yyyy)
Form I-129MISC xx/xx/19
Date Benefit or Coverage Ended
or Expires
(mm/dd/yyyy)
Agency that Granted the Public Benefit
Date the Beneficiary Started Receiving the Benefit or if Certified,
Date the Beneficiary Will Start Receiving the Benefit
D.
Date Benefit or Coverage Ended
or Expires
(mm/dd/yyyy)
Attachment 1
Date Benefit or Coverage Ended
or Expires
(mm/dd/yyyy)
Page 25 of 26
Information About The Beneficiary's Public Benefits (continued)
24.
If you answered “Yes” to Item Number 22., do any of the following apply to the beneficiary? Provide the evidence listed in the
Form I-129 Instructions.
The beneficiary is enlisted in the Armed Forces, or is serving in active duty or in the Ready Reserve Component of the U.S.
Armed Forces.
The beneficiary is the spouse or the child of an individual who is enlisted in the Armed Forces, or who is serving in active
duty or in the Ready Reserve Component of the U.S. Armed Forces.
At the time the beneficiary received the public benefits, the beneficiary (or the beneficiary's spouse or parent) was enlisted
in the Armed Forces, or was serving in active duty or in the Ready Reserve Component of the U.S. Armed Forces.
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At the time the beneficiary received the public benefits, the beneficiary was present in the United States in a status exempt
from the public charge ground of inadmissibility.
At the time the beneficiary received the public benefits, the beneficiary was present in the United States after being granted
a waiver of the public charge ground of inadmissibility.
The beneficiary is a child currently residing abroad who entered the United States with a nonimmigrant visa to attend an
N-600K, Application for Citizenship and Issuance of Certificate Under INA Section 322 interview.
None of the above statements apply to the beneficiary.
25.
A.
Has the beneficiary received, applied for, or has been certified to receive federally-funded Medicaid in connection with
any of the following (select all that apply): Submit evidence as outlined in the Instructions.
An emergency medical condition
For a service under the Individuals with Disabilities Education Act (IDEA)
Other school-based benefits or services available up to the oldest age eligible for secondary education under State law
While under the of age 21
While pregnant or during the 60-day period following the last day of pregnancy
B.
Provide the applicable dates mm/dd/yyyy
Form I-129MISC xx/xx/19
to mm/dd/yyyy
Attachment 1
Page 26 of 26
| File Type | application/pdf |
| File Title | Form I-129MISC, Petition for a Nonimmigrant Worker:
H-3, P, Q, or R Classifications |
| Author | USCIS |
| File Modified | 2020-07-10 |
| File Created | 2020-07-10 |