I-129 CW Petition for CNMI-Only Nonimmigrant Transition Worker

OMB No. 1615-XXXX; Expires 00/00/0000

I-129CW, Petition for a CNMI-Only
Nonimmigrant Transitional Worker

Department of Homeland Security
U.S. Citizenship and Immigration Services

For USCIS Use Only

START HERE - Type or print in black ink.

Part 1. Information About the Employer Filing This Petition

Receipt

1. Name of Representative for Employer/Organization
a. Family Name (Last Name):

b. Given Name (First Name):

c. Full Middle Name:

d. Telephone Number (include area code, no spaces or dashes):

2. Employer/Organization
a. Name of Employer/Organization:

DRAFT

Class:
# of Workers:
Job Code:
Priority Number:
Validity Dates:

b. C/O (In Care Of):

From:
To:

Classification Approved
Consulate/POE/PFI Notified

c. Mailing Address (Street Number and Name):

d. Suite Number:

At
Extension Granted
COS/Extension Granted

e. City:

f. State/Province:

Partial Approval (explain)

Action Block
g. Country:

h. Zip/Postal Code:

i. E-Mail Address (if any):

j. Federal Employer Identification Number:

Form I-129CW (05/05/09)

Part 2. Information About This Petition (See instructions for fee information)
1.

Requested Nonimmigrant Classification. (Write classification symbol):

2.

Basis for Classification (Check one):
a. New employment (including a duplicate for U.S. Department of State notification).
b. Continuation of previously approved employment without change with the same employer.
c. Change in previously approved employment.
d. New concurrent employment.
e. Change of employer.
f. Amended petition.

3.

If you checked Box 2b, 2c, 2d, 2e, or 2f, give the petition
receipt number.

4.

Prior Petition. If the beneficiary is in the CNMI as a
nonimmigrant and is applying to change and/or extend his
or her status, give the prior petition or application receipt
number:

5.

Requested Action (Check one):

DRAFT

a. Notify the office in Part 4 so the person(s) can obtain a visa or be admitted.
b. Change the person(s)'s status and extend their stay since the person(s) are all now in the CNMI in another status (see
instructions for limitations). This is available only where you check "New Employment" in Item 2, above.
c. Extend the stay of the person(s) since they now holds this status.
d. Amend the stay of the person(s) since they now holds this status.
6.

Total number of workers in petition (See instructions relating to when more than one worker can
be included):

Form I-129CW (05/05/09) Page 2

Part 3. Information About the Persons For Whom You Are Filing (Complete the blocks below. Use the
continuation sheet to name each person included in this petition.)
1. Complete the following information about the person being filed:
a.Family Name (Last Name)

b. Given Name (First Name)

c. Full Middle Name

d. All Other Names Used (include maiden name and names
from all previous marriages)

e. Date of Birth (mm/dd/yyyy)

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

g. A-Number (if any)

h. Country of Birth

DRAFT

j. Country of Citizenship

i. Province of Birth

2. If in the CNMI, Complete the following:
a. Date of Last Arrival
(mm/dd/yyyy)

d. Date Status Expires
(mm/dd/yyyy)

b. I-94 Number (Arrival-Departure Document)

e. Passport Number

c. Current Nonimmigrant Status

f. Date Passport Issued
(mm/dd/yyyy)

g. Date Passport Expires
(mm/dd/yyyy)

h. Current CNMI Address

Part 4. Processing Information
1. If the person named in Part 3 is outside the CNMI, or a requested extension of stay, or change of status cannot be granted, give
the U.S. consulate or inspection facility you want notified if this petition is approved.
a. Type of Office (Check one):
b. Office Address (City)

Consulate

Pre-flight inspection

Port of Entry

c. U.S. State or Foreign Country

d. Person's Foreign Address

Form I-129CW (05/05/09) Page 3

Part 4. Processing Information (Continued)
2. Does each person in this petition have a valid passport?
Not required to have passport

Yes

No - write a brief explanation in Part 8.

3. Are you filing any other petitions with this one?

No

Yes - How many?

4. Are applications for replacement/initial I-94s being filed with this petition?

No

Yes - How many?

5. Are applications by dependents being filed with this petition?

No

Yes - How many?

6. Is any person in this petition in removal proceedings?

No

Yes - explain in Part 8

7. Have you ever filed an immigrant petition for any person in this petition?

No

Yes - explain in Part 8

8. If you indicated you were filing a new petition in Part 2, has any person in this petition:
a. Ever been given the classification you are now requesting?

No

Yes - explain in Part 8

No

Yes - explain in Part 8

No

Yes - explain in Part 8

DRAFT

b. Ever been denied the classification you are now requesting?
9. Have you ever previously filed a petition for this person?

Part 5. Basic Information About the Proposed Employment and Employer (Attach Form I-129 CW Supplement)
1.

Job Title

2.

Nontechnical Job Description

3.

Reserved for future use.

4.

Reserved for future use.

5.

Address where the person(s) will work if different from address in Part 1. (Street Number and Name, City/Town, State, Zip Code)

6. Is this a full-time position?
No - Hours per week:

Yes - Wages per week or per year:

7. Other Compensation (Explain)

Form I-129CW (05/05/09) Page 4

Part 5. Basic Information About the Proposed Employment and Employer (Continued)
8. Dates of intended employment (mm/dd/yyyy):
From:

To:

9. Type of Petitioner - Check one:
a. Business

b. Organization

c. Other - write a brief explanation in Part 8.

10. Type of Business

11. Year Established

12. Current Number of
Employees

13. Gross Annual Income

14. Net Annual Income

DRAFT

Part 6. Signature (Read the information on penalties in the instructions before completing this section.)
I certify, under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it
is all true and correct. If filing this on behalf of an organization, I certify that I am empowered to do so by that organization. If this
petition is to extend a prior petition, I certify that the proposed employment is under the same terms and conditions as stated in the
prior approved petition. I authorize the release of any information from my records, or from the petitioning organization's records that
U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought.
Signature

Daytime Phone Number (include Area/
Country Code, no space or dashes):

Print Name

Date (mm/dd/yyyy)

NOTE: If you do not completely fill out this form and the required supplement, or fail to submit required documents listed in the
instructions, the beneficiary may not be found eligible for the requested benefit and this petition may be denied.

Form I-129CW (05/05/09) Page 5

Part 7. Signature of Person Preparing Form, If Other Than Above
I declare that I prepared this petition at the request of the above person and it is based on all information of which I have any
knowledge.
Signature

Day time Phone Number (include
Area/Country Code, no spaces or
dashes):

Print Name

Date (mm/dd/yyyy)

Firm Name and Address

DRAFT

Part 8. Explanation (Provide on the space below the Question Number with your answers.)

Form I-129CW (05/05/09) Page 6

Part 8. Explanation (Provide on the space below the Question Number with your answers.) (Continued)

DRAFT

Form I-129CW (05/05/09) Page 7

Attachment - 1
Attach to Form I-129CW when more than one person is included in the petition. (List each person separately. Do not include
the person you named on Form I-129CW.)
Family Name (Last Name)

Given Name (First Name)

Date of Birth
(mm/dd/yyyy)

Full Middle Name

U.S. Social Security Number (if any)

Address in the CNMI (Complete Address)

Foreign Address (Complete Address)

Country of Birth

Date of Arrival
(mm/dd/yyyy)

Country of Citizenship

I-94 # (Arrival-Departure
Document)

IF IN Country Where Passport Issued
THE
CNMI

A-Number (if any)

Current Nonimmigrant
Status

Date Status Expires
(mm/dd/yyyy)

Date Passport Expires
(mm/dd/yyyy)

Date Started With Group
(mm/dd/yyyy)

DRAFT

Family Name (Last Name)

Given Name (First Name)

Date of Birth
(mm/dd/yyyy)

Full Middle Name

U.S. Social Security Number (if any)

Address in the CNMI (Complete Address)

Foreign Address (Complete Address)

Country of Birth

Date of Arrival
(mm/dd/yyyy)

Country of Citizenship

I-94 # (Arrival-Departure
Document)

IF IN Country Where Passport Issued
THE
CNMI

A-Number (if any)

Current Nonimmigrant
Status

Date Status Expires
(mm/dd/yyyy)

Date Passport Expires
(mm/dd/yyyy)

Date Started With Group
(mm/dd/yyyy)

Form I-129CW Attachment - 1 (05/05/09) Page 8

Attachment - 1
Attach to Form I-129CW when more than one person is included in the petition. (List each person separately. Do not include
the person you named on Form I-129CW.)
Family Name (Last Name)

Given Name (First Name)

Date of Birth
(mm/dd/yyyy)

Full Middle Name

U.S. Social Security Number (if any)

Address in the CNMI (Complete Address)

Foreign Address (Complete Address)

Country of Birth

Date of Arrival
(mm/dd/yyyy)

Country of Citizenship

I-94 # (Arrival-Departure
Document)

IF IN Country Where Passport Issued
THE
CNMI

A-Number (if any)

Current Nonimmigrant
Status

Date Status Expires
(mm/dd/yyyy)

Date Passport Expires
(mm/dd/yyyy)

Date Started With Group
(mm/dd/yyyy)

DRAFT

Family Name (Last Name)

Given Name (First Name)

Date of Birth
(mm/dd/yyyy)

Full Middle Name

U.S. Social Security Number (if any)

Address in the CNMI (Complete Address)

Foreign Address (Complete Address)

Country of Birth

Date of Arrival
(mm/dd/yyyy)

Country of Citizenship

I-94 # (Arrival-Departure
Document)

IF IN Country Where Passport Issued
THE
CNMI

A-Number (if any)

Current Nonimmigrant
Status

Date Status Expires
(mm/dd/yyyy)

Date Passport Expires
(mm/dd/yyyy)

Date Started With Group
(mm/dd/yyyy)

Form I-129CW Attachment - 1 (05/05/09) Page 9

Attachment - 1
Attach to Form I-129CW when more than one person is included in the petition. (List each person separately. Do not include
the person you named on Form I-129CW.)
Family Name (Last Name)

Given Name (First Name)

Date of Birth
(mm/dd/yyyy)

Full Middle Name

U.S. Social Security Number (if any)

Address in the CNMI (Complete Address)

Foreign Address (Complete Address)

Country of Birth

Date of Arrival
(mm/dd/yyyy)

Country of Citizenship

I-94 # (Arrival-Departure
Document)

IF IN Country Where Passport Issued
THE
CNMI

A-Number (if any)

Current Nonimmigrant
Status

Date Status Expires
(mm/dd/yyyy)

Date Passport Expires
(mm/dd/yyyy)

Date Started With Group
(mm/dd/yyyy)

DRAFT

Family Name (Last Name)

Given Name (First Name)

Date of Birth
(mm/dd/yyyy)

Full Middle Name

U.S. Social Security Number (if any)

Address in the CNMI (Complete Address)

Foreign Address (Complete Address)

Country of Birth

Date of Arrival
(mm/dd/yyyy)

Country of Citizenship

I-94 # (Arrival-Departure
Document)

IF IN Country Where Passport Issued
THE
CNMI

A-Number (if any)

Current Nonimmigrant
Status

Date Status Expires
(mm/dd/yyyy)

Date Passport Expires
(mm/dd/yyyy)

Date Started With Group
(mm/dd/yyyy)

Form I-129CW Attachment - 1 (05/05/09) Page 10

Attachment - 1
Attach to Form I-129CW when more than one person is included in the petition. (List each person separately. Do not include
the person you named on Form I-129CW.)
Family Name (Last Name)

Given Name (First Name)

Date of Birth
(mm/dd/yyyy)

Full Middle Name

U.S. Social Security Number (if any)

Address in the CNMI (Complete Address)

Foreign Address (Complete Address)

Country of Birth

Date of Arrival
(mm/dd/yyyy)

Country of Citizenship

I-94 # (Arrival-Departure
Document)

IF IN Country Where Passport Issued
THE
CNMI

A-Number (if any)

Current Nonimmigrant
Status

Date Status Expires
(mm/dd/yyyy)

Date Passport Expires
(mm/dd/yyyy)

Date Started With Group
(mm/dd/yyyy)

DRAFT

Family Name (Last Name)

Given Name (First Name)

Date of Birth
(mm/dd/yyyy)

Full Middle Name

U.S. Social Security Number (if any)

Address in the CNMI (Complete Address)

Foreign Address (Complete Address)

Country of Birth

Date of Arrival
(mm/dd/yyyy)

Country of Citizenship

I-94 # (Arrival-Departure
Document)

IF IN Country Where Passport Issued
THE
CNMI

A-Number (if any)

Current Nonimmigrant
Status

Date Status Expires
(mm/dd/yyyy)

Date Passport Expires
(mm/dd/yyyy)

Date Started With Group
(mm/dd/yyyy)

Form I-129CW Attachment - 1 (05/05/09) Page 11

OMB No. 1615-XXXX; Expires 00/00/0000

CW Classification
Supplement to Form I-129CW

Department of Homeland Security
U.S. Citizenship and Immigration Services

1. Name of employer or organization filing petition:

2. Name of person for whom you are filing:

3. Is the petitioning employer requesting an accommodation to the benefit process on behalf of the
beneficiary because of a disability or impairment? (See instructions for examples of accommodations.)

Yes

No

If you answered "Yes," check the box below that applies:
a. The beneficiary is deaf or hard of hearing and request the following accommodation
(if requesting a sign-language interpreter, indicate for what language (e.g. American Sign Language):
.
b. The beneficiary is blind or sight impaired and request the following accommodation:
.
c. The beneficiary has another type of disability (describe the nature of the disability and accommodation
you are requesting):

.

DRAFT
Employer Attestation

1. There are no qualified U.S. workers available to fill the position offered by the above named petitioning employer.
2. The above named petitioning employer is doing business as defined in the regulations at 8 CFR 214.2(w)(1)(i).
3. The above named petitioning employer is a legitimate business as defined in the regulations at 8 CFR 214.2(w)(1)(v).
4. The beneficiary meets the qualifications for the position.
5. The beneficiary, if present in the CNMI, is lawfully present in the CNMI.
6. The position is not temporary or seasonal employment, and the above named petitioning employer does not reasonably believe the
position to qualify for any other nonimmigrant worker classification.
7. The position falls within the list of occupational categories designated by the Secretary at 8 CFR 214.2(w)(1)(viii).
Check one:
a. Professional, technical, or management occupations
b. Clerical and sales occupations
c. Service occupations
d. Agricultural, fisheries, forestry, and related occupations
e. Processing occupations
f. Machine trade occupations
g. Benchwork occupations
h. Structural occupations
i. Miscellaneous occupations
Form I-129CW Classification Supplement (05/05/09) Page 12

Employer Attestation
I certify under penalty of perjury, under the laws of the United States of America, that the contents of this attestation and the evidence
submitted with it are true and correct to the best of my knowledge. If filing on behalf of an organization, I certify that I am
empowered to do so by the organization. If this petition is to extend a prior petition, I certify that the proposed employment is under
the same terms and conditions as stated in the prior approved petition. I authorize the release of any information from my records, or
from the petitioning organization's record that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit
sought.
Signature

Date (mm/dd/yyyy)

Printed Name

Title

Employer/Organization Name

DRAFT

Employer/Organization Street Address (do not use a post office box)

City

Daytime Phone Number (with area code)

Suite Number

Zip Code

State

Fax Number (if any)

E-Mail Address (if any)

Form I-129CW Classification Supplement (05/05/09) Page 13