Form I-485 Supplement J, Confirmation of Bona Fide Offer or Request

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
Fee Receipt

For
USCIS
Use
Only

USCIS
Form I-485
OMB No. 1615-0023
Expires 10/31/2020

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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.
NOTE TO ALL APPLICANTS: If you leave any fields blank on this form or fail to submit required documents listed in the
Instructions, U.S. Citizenship and Immigration Services (USCIS) may reject or deny your application.
IMPORTANT: The applicant completes Parts 1., 2., and 3.

Part 1. Reason for Filing Supplement J

Other Information

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

3.

1.a.

1.b.

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.

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.

Alien Registration Number (A-Number)
► A-

4.

USCIS Online Account Number
►

5.

Date of Birth (mm/dd/yyyy)

6.

Country of Birth

Part 2. Information About You (Applicant)

Your Current Legal Name (do not provide a nickname)
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name

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

Form I-485 Receipt Number (if already filed with U.S.
Citizenship and Immigration Services (USCIS))

8.

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

9.

Form I-140 Receipt Number

10.

Has your Form I-140 been approved?

U.S. Mailing Address
2.a. In Care Of Name

2.b. Street Number
and Name
2.c.

Apt.

Yes
Ste.

No

Unknown

Flr.

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

2.f.

ZIP Code

Form I-485 Supplement J 10/15/19

Page 1 of 7

Applicant's Signature

Part 3. Applicant's Statement, Contact
Information, Certification, and Signature

6.a. Applicant's Signature (sign in ink)

Read the Penalties section of the Supplement J Instructions
before completing this part. You must file Supplement J while in
the United States.

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

Applicant's Statement
Select all applicable boxes.
1.

2.

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

Provide the following information about the preparer if you
used one.

At my request, the preparer named in Part 4.,

,

prepared this supplement for me based only upon
information I provided or authorized.

Applicant's Contact Information
3.

Part 4. Contact Information, Declaration, and
Signature of the Person Preparing Parts 1. - 4. of
This Supplement, if Other Than the Applicant

Preparer's Full Name

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

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

Applicant's Daytime Telephone Number

2.

4.

Applicant's Mobile Telephone Number (if any)

5.

Applicant's Email Address (if any)

Preparer's Business or Organization Name (if any)

Preparer's Mailing Address

3.a. Street Number
and Name

Applicant's Certification

Copies of any documents I have submitted are exact
photocopies of unaltered, original documents, and I understand
that 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 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 when necessary for the
administration and enforcement of any U.S. immigration laws.
I certify, under penalty of perjury, that I provided or authorized
all of the information in my supplement, especially in Part 1.
and Part 2., I understand all of the information contained in,
and submitted with my supplement, and that all of this
information is complete, true, and correct.
I further declare, under penalty of perjury, that I have reviewed
the job offer described in Part 6. of this supplement, and I
intend to accept the position offered in Part 6. of this
supplement upon approval of my Form I-485.

Form I-485 Supplement J 10/15/19

3.b.

Apt.

Ste.

Flr.

3.c. City or Town
3.d. State
3.f.

3.e. ZIP Code

Province

3.g. Postal Code
3.h. Country

Preparer's Contact Information
4.

Preparer's Daytime Telephone Number

5.

Preparer's Mobile Telephone Number (if any)

6.

Preparer's Email Address (if any)

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Part 4. Contact Information, Declaration, and
Signature of the Person Preparing Parts 1. - 4. of
This Supplement, if Other Than the Applicant
(continued)

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

Apt.

Ste.

Flr.

2.c. City or Town

Preparer's Statement
7.a.

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

7.b.

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

2.d. State

2.e. ZIP Code

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If you are an attorney or accredited representative,
you may be obliged to submit a completed Form
G-28, Notice of Entry of Appearance as Attorney or
Accredited Representative, with this supplement.

Preparer's Certification

Employer's U.S. Mailing Address

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 Numbers
2.a. - 2.e. or the address provided in Form I-140 on which the
applicant's Form I-485 is based.
3.a. Street Number
and Name

3.b.

Apt.

Ste.

Flr.

3.c. City or Town

By my signature, I certify, under penalty of perjury, that I
prepared Parts 1. - 4. of this supplement at the request of the
applicant. The applicant then reviewed this completed
supplement and informed me that he or she understands all of
the information contained in, and submitted with, his or her
supplement, including the Applicant's Certification, and that
all of this information is complete, true, and correct. I
completed this supplement based only on information that the
applicant provided to me or authorized me to obtain or use.

3.d. State

4.

Business or Organization Name

Preparer's Signature

5.

Employer Identification Number

3.e. ZIP Code

Information About the Business Entity Employer

If you, the employer, are a business entity, provide the
information requested in Item Numbers 4. - 11.

►

8.a. Preparer's Signature (sign in ink)

6.

Type of Business

7.

Date Established (mm/dd/yyyy)

8.

Current Number of U.S. Employees

9.

Gross Annual Income

10.

Net Annual Income

11.

NAICS Code

8.b. Date of Signature (mm/dd/yyyy)
IMPORTANT: The employer confirming an
existing bona fide job offer or offering the applicant a new,
permanent job must complete Parts 5., 6., and 7.

Part 5. Information About the Employer
1.

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

$
$
►

Self/Individual

Form I-485 Supplement J 10/15/19

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Part 5. Information About the Employer
(continued)

Yes

No

4.

Is this a full-time position?

5.

If you answered “No,” provide the number of hours per
week the applicant will work in this position.

6.

Is this a permanent position?

7.

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

8.

Is the applicant named in Part 2. of this supplement
currently employed by you?
Yes
No

9.

If you answered “Yes,” when did the applicant begin
employment with you (mm/dd/yyyy)? If you answered
“No,” write “N/A.”

Information About the Individual Employer
Your Current Legal Name (do not provide a nickname)
12.a. Family Name
(Last Name)
12.b. Given Name
(First Name)
12.c. Middle Name

Date of Birth (mm/dd/yyyy)

14.

U.S. Social Security Number
►
Annual Income

16.

Occupation

$

Part 6. Information About the Job Offer

You, the employer, must provide the information requested in
Part 6.
1.

Job Title

2.

Standard Occupational Classification (SOC) Code

Part 7. Statement, Contact Information,
Certification, and Signature of the Individual
Employer or Authorized Signatory of the
Business Entity Employer

NOTE: Read the Penalties section of the Supplement J
Instructions before completing this part.

Individual Employer's or Authorized Signatory's
Statement

►

3.

No

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13.

15.

Yes

-

Nontechnical Description of Job (If you need extra space
to complete this section, use the space provided in Part 9.
Additional Information.)

Select all applicable boxes.
1.

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

2.

At my request, the preparer named in Part 8.,
,
prepared this supplement for me based only upon
information I provided or authorized.

Individual Employer's or Authorized Signatory's
Contact Information
3.a. Individual Employer's or Authorized Signatory's Family
Name (Last Name)

3.b. Individual Employer's or Authorized Signatory's Given
Name (First Name)

Form I-485 Supplement J 10/15/19

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Part 7. Statement, Contact Information,
Certification, and Signature of the Individual
Employer or Authorized Signatory of the
Business Entity Employer (continued)
4.

Individual Employer's or Authorized Signatory's
Signature
8.a. Signature of Individual Employer or Authorized Signatory
(sign in ink)

Individual Employer's or Authorized Signatory's Title
8.b. Date of Signature (mm/dd/yyyy)

5.

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

6.

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

Part 8. Contact Information, Declaration, and
Signature of the Person Preparing Parts 5. - 8. of
This Supplement, if Other Than the Individual
Employer or Authorized Signatory of the
Business Entity Employer

7.

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

Provide the following information about the preparer.

Preparer's Full Name

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

Individual Employer's or Authorized Signatory's
Certification

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

Copies of any documents I have submitted are exact
photocopies of unaltered, original documents, and I understand
that, as the employer, USCIS may require that I submit original
documents to USCIS at a later date.

I authorize the release of any information from any records of
the employer that USCIS may need to determine eligibility for
the requested immigration benefit. 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 filling this supplement 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 5.
and Part 6. 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.

2.

Preparer's Business or Organization Name (if any)

Preparer's Mailing Address

3.a. Street Number
and Name
3.b.

Apt.

Ste.

Flr.

3.c. City or Town
3.d. State
3.f.

3.e. ZIP Code

Province

3.g. Postal Code
3.h. Country

I further declare, under penalty of perjury, and attest to the
following:
1) I am a viable employer and I am extending a bona fide job
offer to the applicant named in Part 2. of this supplement;
2) The job opportunity is for full-time, permanent
employment; and
3) I intend to employ the applicant in the job offer described
in Part 6. of this supplement upon the approval of the
applicant's Form I-485.
Form I-485 Supplement J 10/15/19

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Part 8. Contact Information, Declaration, and
Signature of the Person Preparing Parts 5. - 8. of
This Supplement, if Other Than the Individual
Employer or Authorized Signatory of the
Business Entity Employer (continued)
Preparer's Contact Information

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4.

Preparer's Daytime Telephone Number

5.

Preparer's Mobile Telephone Number (if any)

6.

Preparer's Email Address (if any)

Preparer's Statement
7.a.

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

7.b.

I am an attorney or accredited representative and my
representation of the individual employer or
authorized signatory in this case.
extends
does not extend beyond the
preparation of this supplement.
If you are an attorney or accredited representative,
you may be obliged to 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, under penalty of perjury, that I
prepared Parts 5. - 8. of this supplement at the request of the
individual employer or authorized signatory. The individual
employer or authorized signatory then reviewed this completed
supplement and informed me that he or she understands all of
the information contained in, and submitted with, his or her
supplement, including the Individual Employer's or
Authorized Signatory's Certification, and that all of this
information is complete, true, and correct. I completed this
supplement based only on information that the individual
employer or authorized signatory provided to me or authorized
me to obtain or use.

Preparer's Signature
8.a. Preparer's Signature (sign in ink)

8.b. Date of Signature (mm/dd/yyyy)
Form I-485 Supplement J 10/15/19

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5.a. Page Number

Part 9. Additional Information
If either the applicant, employer, or the preparer needs 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 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. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name
2.

A-Number

3.a. Page Number

3.d.

4.a. Page Number

5.b. Part Number

5.c. Item Number

5.d.

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► A-

3.b. Part Number

3.c. Item Number

6.a. Page Number

6.b. Part Number

6.c. Item Number

7.b. Part Number

7.c. Item Number

6.d.

4.b. Part Number

4.d.

Form I-485 Supplement J 10/15/19

4.c. Item Number

7.a. Page Number

7.d.

Page 7 of 7