Current Page Number and
Section
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Current Text
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Proposed
Text
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Page 1
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[Page 1]
NOTE: 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.
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[Page 1]
NOTE: Use Form I-485,
Supplement J, Confirmation of Valid 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 do not
completely fill out this supplement 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.
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Page 1,
Part 1. Reason for
Filing Supplement J
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[Page 1]
Part 1. Reason for Filing
Supplement J
This supplement is being filed to
(Select only one box):
1.a. 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.
1.b. 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.
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[Page 1]
Part 1. Reason for Filing
Supplement J
1.
This supplement is being filed to (Select only one
box):
[]
Confirm that the job offered to you in the Form I-140,
that is the basis of your Form I-485, remains a valid
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.
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Page 1,
Part 2. Information
About You (Applicant)
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[Page 1]
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
U.S. Mailing Address
2.a. In Care Of Name
(if any)
2.b. Street Number and
Name
2.c. Apt./Ste./Flr.
[Fillable field]
2.d. City or Town
2.e. State
2.f. ZIP Code
Other Information
3. Alien
Registration Number (A-Number) (if any)
4. USCIS Online
Account Number (if any)
5. Date of
Birth (mm/dd/yyyy)
6. Country of
Birth
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?
Yes
No
Unknown
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[Page 1]
Part 2. Information About You
(Applicant)
1.
Your Current Legal Name (do not provide a nickname)
Family Name
(Last Name)
Given Name
(First Name)
Middle Name
(if applicable)
2. U.S.
Mailing Address
In Care
Of Name (if any)
Street Number
and Name
Apt./Ste./Flr./Number
City or
Town
State
ZIP Code
Other Information
3. Alien
Registration Number (A-Number) (if any)
4. USCIS Online
Account Number (if any)
[Page 2]
5. Date of
Birth (mm/dd/yyyy)
6. Country of
Birth
Basic Information About Your
Form I-485 and the Underlying Form I-140
7. Form I-485
Receipt Number (if already filed with USCIS)
8.
Form I-485 Filing Date (if already
filed with USCIS) (mm/dd/yyyy)
9. Form I-140
Receipt Number
10. Has your
Form I-140 been approved?
Yes
No
Unknown
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Page 2,
Part 3. Applicant’s
Statement, Contact Information, Certification, and Signature
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[Page 2]
Part 3. Applicant's Statement,
Contact Information, Certification, and Signature
NOTE: Read the Penalties
section of the Supplement J Instructions before completing
this part. You must file Supplement J while in the United States.
Applicant's Statement
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 4., [Fillable field],
prepared this supplement for me based only upon information I
provided or authorized.
Applicant's Contact
Information
3. Applicant's Daytime
Telephone Number
4. Applicant's Mobile
Telephone Number (if any)
5. Applicant's Email
Address (if any)
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 of my records that USCIS may
need to determine my eligibility for the immigration benefit I
seek.
I further 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 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.
Applicant's Signature
6.a. Applicant's
Signature (sign in ink)
6.b. Date of
Signature (mm/dd/yyyy)
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[Page 2]
Part
3. Applicant's Contact Information,
Certification, and Signature
[deleted]
Applicant's
Contact Information
Provide your
daytime telephone number, mobile telephone number (if any), and
email address (if any).
1.
Applicant's Daytime Telephone Number
2.
Applicant's Mobile Telephone Number (if any)
3.
Applicant's Email Address (if any)
Applicant's Certification
and Signature
[deleted]
I
certify,
under penalty of perjury, that I provided or authorized all of the
responses
and information
contained in
and submitted with my
supplement,
I read and understand or, if interpreted to me in a language in
which I am fluent by the interpreter listed in Part
4.,
understood, all of the responses and information contained in, and
submitted with, my supplement,
and that all of the responses and the information are complete,
true, and correct. Furthermore, I authorize the release of any
information from any and all of my records that USCIS may need to
determine my eligibility for an immigration request and to other
entities and persons where necessary for the administration and
enforcement of U.S. immigration law.
[deleted]
4.
Applicant's Signature
Date
of Signature (mm/dd/yyyy)
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[new]
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[Page 2]
Part 4.
Interpreter’s Contact
Information, Certification,
and Signature
Interpreter’s
Full Name
1.
Interpreter’s Family Name (Last Name)
Interpreter’s
Given Name (First Name)
2.
Interpreter’s Business or Organization Name
[Page 3]
Interpreter’s
Contact Information
3.
Interpreter’s Daytime Telephone Number
4.
Interpreter’s Mobile Telephone Number (if any)
5.
Interpreter’s Email Address (if any)
Interpreter’s
Certification and Signature
I
certify, under penalty of perjury, that I
am fluent in English and [Fillable language field], and I have
interpreted every question on the supplement and Instructions and
interpreted the applicant’s answers to the questions in that
language, and the applicant
informed
me that they understood every instruction, question, and answer on
the supplement.
6.
Interpreter’s Signature
Date of
Signature (mm/dd/yyyy)
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Page 2-3,
Part 4. Contact
Information, Declaration, and Signature of the Person Preparing
This Supplement, if Other Than the Applicant
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[Page 2]
Part 4. Contact Information,
Declaration, and Signature of the Person Preparing This
Supplement, if Other Than the Applicant
Provide the following information
about the preparer.
Preparer's Full Name
1.a. Preparer's
Family Name (Last Name)
1.b. Preparer's
Given Name (First Name)
2. Preparer's
Business or Organization Name (if any)
Preparer's Mailing Address
3.a. Street
Number and Name
3.b. Apt./Ste./Flr.
[Fillable field]
3.c. City or
Town
3.d. State
3.e. ZIP Code
3.f. 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)
[Page 3]
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.
NOTE: 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 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.
Preparer's Signature
8.a. Preparer's Signature
(sign in ink)
8.b. Date of Signature
(mm/dd/yyyy)
IMPORTANT: The employer
confirming an existing bona fide job offer or offering you a new,
permanent job must complete Parts 5., 6., and 7.
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[Page 3]
Part
5. Contact Information,
Certification, and
Signature of the Person Preparing Parts
1. - 4. of this Supplement, if Other Than the
Applicant
[deleted]
Preparer's
Full Name
1.
Preparer's Family Name (Last Name)
Preparer's
Given Name (First Name)
2. Preparer's
Business or Organization Name
[deleted]
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)
[deleted]
Preparer's
Certification and
Signature
I
certify,
under penalty of perjury, that I prepared
Parts
1. - 4.
of this
supplement for
the applicant
at their request and with express consent and that all of the
responses and information contained in and submitted with the
supplement are complete, true, and correct and reflects only
information provided by the applicant. The applicant reviewed the
responses and information and
informed me that they understand the responses and information in
or submitted with the supplement.
[deleted]
6.
Preparer's Signature
Date of
Signature (mm/dd/yyyy)
IMPORTANT:
The employer confirming an existing valid
job offer or offering the applicant a
new, permanent job must complete Parts 6.,
7., and 8.
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Page 3,
Part 5. Information
About the Employer
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[Page 3]
Part 5. Information About the
Employer
1. Type of employer
(Select only one box):
Business/Organization
Self/Individual
Employer's U.S. Mailing
Address
2.a. Street
Number and Name
2.b. Apt./Ste./Flr.
[Fillable field]
2.c. City or
Town
2.d. State
2.e. ZIP Code
Information About the Business
Entity Employer
If you, the employer, are a business
entity, provide the information requested in Item Numbers 3. -
10.
3. Business or
Organization Name
4. Employer
Identification Number
5. Type of
Business
6. Date
Established (mm/dd/yyyy)
7. Current
Number of U.S. Employees
8. Gross Annual
Income
9. Net Annual
Income
10. NAICS Code
Information About the
Individual Employer (if applicable)
Your Current Legal Name (do
not provide a nickname)
11.a. Family
Name (Last Name)
11.b. Given Name (First Name)
11.c. Middle Name
12. Date of
Birth (mm/dd/yyyy)
13. U.S. Social
Security Number (if any)
14. Annual
Income
15. Occupation
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[Page 4]
Part 6.
Information About the Employer
1. Type of employer
(Select only one box):
Business/Organization
Self/Individual
Employer's U.S. Mailing
Address
2.
Street Number and Name
Apt./Ste./Flr./Number
City or
Town
State
ZIP Code
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
Number 3. or the address provided
in Form I-140 on which the applicant's Form I-485 is based.
3.
Street Number and Name
Apt./Ste./Flr.
Number [Fillable field]
City or Town
State
ZIP Code
Information About the Business
Entity Employer
If you, the employer, are a business
entity, provide the information requested in Item Numbers 4.
-
12.
4.
Business or Organization Name
5.
Employer Identification Number
6.
Type of Business Entity
7.
Type of Business Activity
8.
Date Established (mm/dd/yyyy)
9.
Current Number of U.S. Employees
10.
Gross Annual Income
11.
Net Annual Income
12.
NAICS Code
Information About the
Individual Employer (if applicable)
13. Your
Current Legal Name (do not provide a nickname)
Family Name
(Last Name)
Given Name
(First Name)
Middle Name
(if applicable)
14.
Date of Birth (mm/dd/yyyy)
15.
U.S. Social Security Number (if any)
16.
Annual Income
17.
Occupation
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Page 4,
Part 6. Information
About the Job Offer
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[Page 4]
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
3. Nontechnical
Description of Job (If you need extra space to complete this
section, use the space provided in Part 9. Additional
Information.) [Fillable field]
4. Is this a full-time
position?
Yes
No
5. If you answered
"No" to Item Number 4., provide the number of
hours per week the applicant will work in this position.
6. Is this a permanent
position?
Yes
No
7. Wages Offered
(Specify hour, week, month, or year)
[Fillable field (dollars)] per
[Fillable field (unit of time)]
Employer's U.S. Physical
Address
Provide the physical address where
the applicant will work if different from the employer's mailing
address in Part 5., Item Numbers 2.a. - 2.e. or the
address provided in Form I-140 on which the applicant's Form I-485
is based.
8.a. Street Number and
Name
8.b. Apt./Ste./Flr.
[Fillable field]
8.c. City or Town
8.d. State
8.e. ZIP Code
9. Is the applicant named in
Part 2. of this supplement currently employed by you?
Yes
No
10. If you answered "Yes"
to Item Number 9., when did the applicant begin employment
with you (mm/dd/yyyy)?
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[Page 5]
Part 7.
Information About the Job Offer
You, the employer, must provide the
information requested in Part 7.
1. Job Title
2. Standard
Occupational Classification (SOC) Code
3. Nontechnical
Description of Job (If you need extra space to complete this
section, use the space provided in Part 10.
Additional Information.) [Fillable field]
4. Is this a full-time
position?
Yes
No
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?
Yes
No
7. Wages Offered
(Specify hour, week, month, or year)
[Fillable field (dollars)] per
[Fillable field (unit of time)]
[delete]
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)?
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Page 4-5,
Part 7. Statement,
Contact Information, Certification, and Signature of the
Individual Employer or Authorized Signatory of the Business Entity
Employer
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[Page 4]
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
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., [Fillable field],
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)
4. Individual Employer's or
Authorized Signatory's Title
5. Individual Employer's or
Authorized Signatory's Daytime Telephone Number
6. Individual Employer's or
Authorized Signatory's Mobile Telephone Number (if any)
7. Individual Employer's or
Authorized Signatory's Email Address (if any)
[Page 5]
Individual Employer'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 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 filing 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.
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.
Individual Employer's or
Authorized Signatory's Signature
8.a. Signature of
Individual Employer or Authorized Signatory (sign in ink)
8.b. Date of Signature
(mm/dd/yyyy)
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[Page 5]
Part 8.
Contact Information,
Certification, and Signature of the Individual Employer or
Authorized Signatory of the Business Entity Employer
[deleted]
Individual
Employer's or Authorized Signatory's Contact Information
1.
Individual Employer's or Authorized Signatory's Family Name
(Last Name)
Individual
Employer's or Authorized Signatory's Given Name (First
Name)
2.
Individual Employer's or Authorized Signatory's Title
[Page 6]
3.
Individual Employer's or Authorized Signatory's Daytime
Telephone Number
4.
Individual Employer's or Authorized Signatory's Mobile
Telephone Number (if any)
5.
Individual Employer's or Authorized Signatory's Email Address
(if any)
Individual Employer's or
Authorized Signatory's Certification and
Signature
[deleted]
If filling
this supplement on behalf of an organization, I certify that I am
authorized to do so by the organization:
[deleted]
I
reviewed and provided or authorized all of the responses and
information in my supplement;
I
understood all of the responses and information contained in, and
submitted with, my supplement; and
All
of the responses and information were complete, true, and correct
at the time of filing.
Furthermore,
I authorize the release of any information from any and all of my
records as authorized signatory and the individual employer’s
records that USCIS may need to determine the individual employer’s
eligibility for an immigration request and to other entities and
persons where necessary for the administration and enforcement of
U.S. immigration law.
[deleted]
6.
Signature of Individual Employer or Authorized
Signatory
Date of
Signature (mm/dd/yyyy)
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Page 5-6,
Part 8. Contact
Information, Declaration, and Signature of the Person Preparing
This Supplement, if Other Than the Individual Employer or
Authorized Signatory of the Business Entity Employer
|
[Page 5]
Part 8. Contact Information,
Declaration, and Signature of the Person Preparing This
Supplement, if Other Than the Individual Employer or Authorized
Signatory of the Business Entity Employer
Provide the following information
about the preparer.
Preparer's Full Name
1.a. Preparer's Family
Name (Last Name)
1.b. Preparer's Given
Name (First Name)
2. Preparer's Business
or Organization Name (if any)
Preparer's Mailing Address
3.a. Street Number and
Name
3.b. Apt./Ste./Flr.
[Fillable field]
3.c. City or Town
3.d. State
3.e. ZIP Code
3.f. 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)
[Page 6]
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.
NOTE: 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 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.
Preparer's Signature
8.a. Preparer's Signature
(sign in ink)
8.b. Date of Signature
(mm/dd/yyyy)
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[deleted]
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[Page 6]
Part
9.
Interpreter’s
Contact Information,
Certification,
and Signature
Interpreter’s
Full Name
1.
Interpreter’s Family Name (Last Name)
Interpreter’s
Given Name (First Name)
2.
Interpreter’s Business or Organization Name
Interpreter’s
Contact Information
3.
Interpreter’s Daytime Telephone Number
4.
Interpreter’s Mobile Telephone Number
5.
Interpreter’s Email Address
[Page
7]
Interpreter’s
Certification and Signature
I
certify, under penalty of perjury, that I
am fluent in English and [Fillable language field], and I have
interpreted every question on the supplement and Instructions and
interpreted the individual employer’s or authorized
signatory’s answers to the questions in that language, and
the indivudual employer or authorized signatory informed me that
they understood every instruction, question, and answer on the
supplement.
6.
Interpreter’s Signature
Date of
Signature (mm/dd/yyyy)
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Page 7,
Part 9. Additional
Information
|
[Page 7]
Part 9. Additional Information
If you need 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 (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.a. Family Name (Last
Name)
1.b. Given Name (First Name)
1.c. Middle Name
2. A-Number (if any)
3.a. Page Number
3.b. Part Number
3.c. Item Number
3.d. [Fillable field]
4.a. Page Number
4.b. Part Number
4.c. Item Number
4.d. [Fillable field]
5.a. Page Number
5.b. Part Number
5.c. Item Number
5.d. [Fillable field]
6.a. Page Number
6.b. Part Number
6.c. Item Number
6.d. [Fillable field]
7.a. Page Number
7.b. Part Number
7.c. Item Number
7.d. [Fillable field]
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[Page 8]
Part 10.
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 (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.
Family Name (Last Name)
Given Name
(First Name)
Middle Name
(if applicable)
2. A-Number (if any)
3.
Page Number
Part
Number
Item
Number
[Fillable
field]
4.
Page Number
Part
Number
Item
Number
[Fillable
field]
5.
Page Number
Part Number
Item
Number
[Fillable
field]
6.
Page Number
Part
Number
Item
Number
[Fillable
field]
7.
Page Number
Part Number
Item Number
[Fillable
field]
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