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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
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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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05/21/2024
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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05/21/2024
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 Type | application/pdf |
File Title | Form I-140, Immigrant Petition for Alien Workers |
Author | USCIS |
File Modified | 2024-05-22 |
File Created | 2024-05-21 |