Form I-140 Immigrant Petition for Alien Workers

Immigrant Petition for Alien Workers

I140-012-FRM-83C-OMBReview-05212024

Immigrant Petition for Alien Workers

OMB: 1615-0015

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USCIS
Form I-140

Immigrant Petition for Alien Workers
Department of Homeland Security
U.S. Citizenship and Immigration Services

OMB No. 1615-0015
Expires 02/28/2026

Priority Date Consulate

Fee Stamp

Action Block

DRAFT
NOT FOR
PRODUCTION
05/21/2024

For
USCIS
Use
Only

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)(1)(C) Multinational
Executive or Manager

Schedule A, Group II

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

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

To be completed
by an Attorney
or Accredited
Representative (if any).

Select this box if
Form G-28 or
Form G-28I is
attached.

Remarks

Attorney State Bar Number
(if applicable)

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

► START HERE - Type or print in black ink.

Part 1. Information About the Person or
Organization Filing This Petition

If an individual is filing this petition, answer Item Numbers
1.a. - 1.c. If a company or organization is filing this petition,
answer Item Number 2.
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)

Other Information

4.

►

5.

Are you a nonprofit organized as tax
exempt or a governmental research
organization?

Yes

No

6.

Do you currently employ a total of
25 or fewer full-time equivalent
employees in the United States,
including all affiliates or subsidiaries
of this company/organization?

Yes

No

7.

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

1.c. Middle Name
2.

IRS Employer Identification Number (EIN)

Company or Organization Name

►

Mailing Address

(USCIS ZIP Code Lookup)

8.

3.b. Street Number
and Name
3.c.

Apt.

Part 2. Petition Type

Ste.

Flr.

3.d. City or Town
3.e. State

3.f.

3.g. Province

ZIP Code

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 (NIW)).

1.e.

A professional (at a minimum, possessing a
bachelor's degree or a foreign degree equivalent to a
U.S. bachelor's degree).

3.h. Postal Code
3.i.

USCIS Online Account Number (if any)
►

3.a. In Care Of Name

Country

Form I-140 Edition 04/01/24

Page 1 of 8

Part 2. Petition Type (continued)
1.f.

A skilled worker (requiring at least two years of
specialized training or experience).

1.g.

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

1.h.

An alien applying for an NIW (who IS a member of
the professions holding an advanced degree or an
alien of exceptional ability).

6.

Country of Birth

7.

Country of Citizenship or Nationality

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8.

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

9.

U.S. SSN (if any)

►

This petition is being filed (select only one box):
2.a.

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

2.b.

Information About His or Her Last Arrival in the
United States

If the person for whom you are filing is in the United States,
provide the following information.

For the Schedule A, Group I or II designation.

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

10.

Date of Last Arrival (mm/dd/yyyy)

11.a. Form I-94 Arrival-Departure Record Number
►

11.b. Expiration Date of Authorized Stay Shown on Form I-94
(mm/dd/yyyy)
11.c. Status on Form I-94 (for example, class of admission, or
paroled, if paroled)

1.c. Middle Name

Mailing Address

12.

Passport Number

13.

Travel Document Number

14.

Country of Issuance for Passport or Travel Document

15.

Expiration Date for Passport or Travel Document
(mm/dd/yyyy)

2.a. In Care Of Name

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

Apt.

Ste.

Flr.

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

2.f.

ZIP Code

2.g. Province
2.h. Postal Code
2.i.

Country

Part 4. Processing Information
Provide the following information for the person named in
Part 3. (select only one box):
1.a.

Other Information
3.

Date of Birth (mm/dd/yyyy)

4.

City/Town/Village of Birth

1.b. City or Town

1.c. Country

2.a.
5.

State or Province of Birth

Form I-140 Edition 04/01/24

Alien will apply for a visa abroad at a U.S. Embassy
or U.S. Consulate at:

Alien is in the United States and will apply for
adjustment of status to that of lawful permanent
resident.
Page 2 of 8

Part 4. Processing Information (continued)

6.b. If you answered “Yes” to Item Number 6.a., select all
applicable boxes:

2.b. Alien's current country of residence or, if now in the
United States, last country of permanent residence abroad.

Form I-485
Form I-131

DRAFT
NOT FOR
PRODUCTION
05/21/2024
Form I-765

If you provided a United States address in Part 3., provide the
person's foreign address in Item Numbers 3.a. - 3.f.:
3.a. Street Number
and Name
3.b.

Apt.

Ste.

Other (Provide an explanation in Part 11. Additional
Information.)

7.

Flr.

Has any immigrant visa petition ever been filed by or on
behalf of this person?
Yes
No

9.

Are you filing this petition without an original labor
certification because the original labor certification was
previously submitted in support of another Form I-140?
Yes
No

10.

If you are filing this petition without an original labor
certification, are you requesting that U.S. Citizenship and
Immigration Services (USCIS) request a duplicate labor
certification from the Department of Labor (DOL)?
Yes
No

3.e. Postal Code
3.f.

Country

No

8.

3.c. City or Town
3.d. Province

Is the person for whom you are filing in removal
proceedings?
Yes

If the person's native alphabet is other than Roman letters, type
or print the person's foreign name and address in the native
alphabet in Item Numbers 4.a. - 4.c.:
4.a. Family Name
(Last Name)
4.b. Given Name
(First Name)

Type of petitioner (select only one box):

4.c. Middle Name

1.a.

Employer

1.b.

Self

1.c.

Other (For example, Lawful Permanent Resident,
U.S. citizen or any other person filing on behalf of
the alien)

Part 5. Additional Information About the
Petitioner

Mailing Address

5.a. In Care Of Name

5.b. Street Number
and Name
5.c.

Apt.

Ste.

Flr.

If a company or an organization is filing this petition, provide
the following information:
2.

Type of Business

3.

Date Established (mm/dd/yyyy)

4.

Current Number of U.S. Employees

5.

Gross Annual Income

$

6.

Net Annual Income

$

7.

NAICS Code

8.

Labor Certification DOL Case Number

5.d. City or Town
5.e. Province
5.f.

Postal Code

5.g. Country

If you answer "Yes" to Item Numbers 6.a. - 10., provide the
case number, office location, date of decision, and disposition
of the decision in the space provided in Part 11. Additional
Information.

►

6.a. Are you filing any other petitions or applications with this
Form I-140?
Yes
No

Form I-140 Edition 04/01/24

Page 3 of 8

Part 5. Additional Information About the
Petitioner (continued)

Part 7. Information About the Spouse and All
Children of the Person for Whom You Are Filing

9.

Labor Certification DOL Filing Date (mm/dd/yyyy)

10.

Labor Certification Expiration Date (mm/dd/yyyy)

For Part 7., provide information on the spouse and all children
related to the individual for whom you are filing this petition.
Also, note if the individual will apply for a visa abroad or
adjustment of status as the dependent of the individual for
whom the petition is filed. If you need extra space to provide
information about additional family members, use the space
provided in Part 11. Additional Information.

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If an individual is filing this petition, provide the following
information.
11.

Occupation

12.

Annual Income

Person 1

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

$

1.c. Middle Name

Part 6. Basic Information About the Proposed
Employment

2.

Date of Birth (mm/dd/yyyy)

1.

Job Title

3.

Country of Birth

2.

SOC Code

4.

Relationship

3.

Nontechnical Job Description

5.

Is he or she applying for adjustment of status?
Yes

►

-

6.

No

Is he or she applying for a visa abroad?

Yes

No

No

Person 2

4.

Is this a full-time position?

Yes

5.

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

No

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

7.c. Middle Name
6.

Is this a permanent position?

Yes

No

8.

Date of Birth (mm/dd/yyyy)

7.

Is this a new position?

Yes

No

9.

Country of Birth

8.

Wages (Specify hour, week, month, or year):
$
per
10.

Relationship

11.

Is he or she applying for adjustment of status?
Yes

Worksite Location
For Item Numbers 9.a. - 9.e., provide the address where the
person will work if different from the address provided in Part 1.

Apt.

Is he or she applying for a visa abroad?
Yes

9.a. Street Number
and Name
9.b.

12.

Ste.

No

Flr.

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

9.e. ZIP Code

Form I-140 Edition 04/01/24

Page 4 of 8

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

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

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25.c. Middle Name

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

26.

Date of Birth (mm/dd/yyyy)

27.

Country of Birth

28.

Relationship

29.

Is he or she applying for adjustment of status?
Yes

13.c. Middle Name
14.

Date of Birth (mm/dd/yyyy)

15.

Country of Birth

30.

16.

Relationship

17.

Is he or she applying for adjustment of status?
Yes

18.

Yes

Person 4

Is he or she applying for a visa abroad?

No

Person 6

No

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

Is he or she applying for a visa abroad?

No

Yes

No

No

31.c. Middle Name

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

32.

Date of Birth (mm/dd/yyyy)

33.

Country of Birth

34.

Relationship

35.

Is he or she applying for adjustment of status?
Yes

19.c. Middle Name
20.

Date of Birth (mm/dd/yyyy)

21.

Country of Birth

36.

22.

Relationship

23.

Is he or she applying for adjustment of status?
Yes

Is he or she applying for a visa abroad?
Yes

24.

No

No

Is he or she applying for a visa abroad?
Yes

Form I-140 Edition 04/01/24

No

Page 5 of 8

Part 8. Contact Information, Certification, and
Signature of the Petitioner or Authorized
Signatory

Part 9. Interpreter's Contact Information,
Certification, and Signature
Interpreter's Full Name

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Petitioner or Authorized Signatory's Contact
Information

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

1.a. Petitioner's or Authorized Signatory's Family Name (Last
Name)

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

1.b. Petitioner's or Authorized Signatory's Given Name (First
Name)

2.

3.

Petitioner's or Authorized Signatory's Title

Petitioner's or Authorized Signatory's Daytime Telephone
Number

2.

Interpreter's Business or Organization Name

Interpreter's Contact Information
3.

Interpreter's Daytime Telephone Number

4.

Interpreter's Mobile Telephone Number (if any)

Interpreter's Email Address (if any)

4.

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

5.

5.

Petitioner's or Authorized Signatory's Email Address (if
any)

Interpreter's Certification and Signature

I certify, under penalty of perjury, that I am fluent in English
and

Petitioner's or Authorized Signatory's Certification
and Signature

If filing this petition on behalf of an organization, I certify that I
am authorized to do so by the organization:
a.

I reviewed and provided or authorized all of the responses
and information in my petition;

b.

I understood all of the responses and information
contained in, and submitted with, my petition; and

c.

All of the responses and information were complete, true,
and correct at the time of filing

,

and I have interpreted every question on the petition and
Instructions and interpreted the petitioner's or authorized
signatory's answers to the questions in that language, and the
petitioner or authorized signatory informed me that they
understood every instruction, question, and answer on the
petition.

6.a. Interpreter's Signature

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

Furthermore, I authorize the release of any information from
any and all of my records as authorized signatory and the
petitioner's records that USCIS may need to determine the
petitioner's eligibility for an immigration request and to other
entities and persons where necessary for the administration and
enforcement of U.S. immigration law.
6.a. Petitioner's or Authorized Signatory's Signature

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

Form I-140 Edition 04/01/24

Page 6 of 8

Part 10. Contact Information, Certification, and
Signature of the Person Preparing this Petition, if
Other Than the Petitioner or Authorized
Signatory

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Preparer's Full Name
1.

Preparer's Family Name (Last Name)

Preparer's Given Name (First Name)

2.

Preparer's Business or Organization Name

Preparer's Contact Information
3.

Preparer's Daytime Telephone Number

4.

Preparer's Mobile Telephone Number (if any)

5.

Preparer's Email Address (if any)

Preparer's Certification and Signature

I certify, under penalty of perjury, that I prepared this petition
for the petitioner or authorized signatory at their request and
with express consent and that all of the responses and
information contained in and submitted with the petition are
complete, true, and correct and reflects only information
provided by the petitioner or authorized signatory. The
petitioner or authorized signatory reviewed the responses and
information and informed me that they understand the responses
and information in or submitted with the petition.
6.

Preparer's Signature

Date of Signature (mm/dd/yyyy)

Form I-140 Edition 04/01/24

Page 7 of 8

5.

Part 11. Additional Information

Page Number

Part Number

Item Number

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. 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.

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Family Name
(Last Name)
Given Name
(First Name)

Middle Name

►

2.

IRS EIN

3.

Page Number

Part Number

Item Number

6.

Page Number

Part Number

Item Number

4.

Page Number

Part Number

Item Number

7.

Page Number

Part Number

Item Number

Form I-140 Edition 04/01/24

Page 8 of 8


File Typeapplication/pdf
File TitleForm I-140, Immigrant Petition for Alien Workers
AuthorUSCIS
File Modified2024-05-22
File Created2024-05-21

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