Form I-140 Form I-140 Immigrant Petition for Alien Worker

USCIS
Form I-140

Immigrant Petition for Alien Worker

OMB No. 1615-0015
Expires 01/31/2013

Department of Homeland Security
U.S. Citizenship and Immigration Services (USCIS)
Fee Stamp

For
USCIS
Use
Only

Priority Date Consulate

Classification
203(b)(1)(A) Alien of
Extraordinary Ability
203(b)(1)(B) Outstanding
Professor or Researcher
203(b)(1)(C) Multinational
Executive or Manager

203(b)(2) Member of Professions with
Advanced Degree/Exceptional Ability

Action Block

Certification
National Interest Waiver (NIW)
Schedule A, Group I

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203(b)(3)(A)(i) Skilled Worker
203(b)(3)(A)(ii) Professional

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

Schedule A, Group II

Remarks

► START HERE - Type or print in black ink.

Part 1. Information About the Person or Organization Filing This Petition (If an individual is filing,
use numbers 1.a. - 1.c. If a Company or Organization is filing, use number 2).

1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name
2.

Mailing Address

6.a. In Care of Name

Company or Organization Name

6.b. Street Number
and Name

6.c. Apt.

Other Information
3.

IRS Tax Number

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

5.

Flr.

6.d. City or Town

►
4.

Ste.

E-mail Address (if any)

6.e. State

6.f.

Zip Code

6.g. Postal Code
6.h. Province
6.i.

Country

Part 2. Petition Type
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).

1.e.

1.f.

A professional (at a minimum, possessing a
bachelor's degree or a foreign degree equivalent to a
U.S. bachelor's degree).
A skilled worker (requiring at least 2 years of
specialized training or experience).

Form I-140 04/08/11 Y

1.g.

Any other worker (requiring less than 2 years of
training or experience).

1.h.

(Reserved)

1.i.

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

Check below if this petition is being filed:
2.a.

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

2.b.

For the Schedule A, Group I or II designation.
Page 1 of 6

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

7.

State/Province of Birth

8.

Country of Birth

9.

Country of Citizenship

10.

Country of Nationality

1.c. Middle Name

Mailing Address
2.a. In Care of Name
2.b. Street Number
and Name
2.c. Apt.

Ste.

► A-

12.

2.f.

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

Alien Registration Number (A-Number)

Flr.

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

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Not for
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11.

Country

Other Information

U.S. Social Security Number (if any)

Zip Code

►

If in the United States, please provide the following:
13.

Date of Arrival (mm/dd/yyyy) ►

14.

Arrival-Departure Record Number (I-94):
►

3.

E-mail Address (if any)

4.

Daytime Phone Number

5.

Date of Birth (mm/dd/yyyy) ►

6.

City/Town/Village of Birth

(

)

-

15.

Current Nonimmigrant Status

16.

Date Status Expires:

(mm/dd/yyyy) ►

Part 4. Processing Information
Complete the following for the person named in Part 3:
(Check one)
1.a.

Alien will apply for a visa abroad at a U.S. Embassy
or consulate at:
City or Town

1.b.

Alien is in the United States and will apply for
adjustment of status to that of lawful permanent
resident.
Alien's country of current residence or, if now in the
United States, last country of permanent residence
abroad.

Country

Form I-140 04/08/11 Y

Page 2 of 6

Part 4. Processing Information (continued)
If you provided a United States address in Part 3, provide the
person's foreign address:

4.

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

Ste.

If you answered "Yes," check any applicable boxes:
Form I-485

Flr.

Form I-131

2.c. City or Town

Form I-765

2.d. Postal Code
2.e. Province
2.f.

Other-Attach an explanation

DRAFT
Not for
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5.

Country

If the person's native alphabet is other than Roman letters, write
the person's foreign name and address in the native alphabet:
3.a. Family Name
(Last Name)
3.b. Given Name
(First Name)
3.c. Middle Name

Mailing Address
3.d. Street Number
and Name
3.e. Apt.
3.f.

Ste.

City or Town

3.g. Postal Code

Are any other petition(s) or application(s) being filed with
this Form I-140?
Yes
No

6.

Is the person for whom you are filing in removal
proceedings?
Yes - Attach an explanation

Has any immigrant visa petition ever been filed by or on
behalf of this person?
Yes - Attach an explanation

7.

Flr.

No

Is the petition being filed without an original labor
certification because the original labor certification was
previously submitted in support of another Form I-140?
Yes - Attach an explanation

8.

No

No

If the petition is being filed without an original labor
certification, are you requesting that USCIS request a
duplicate labor certification from the Department of Labor?
Yes - Attach an explanation

No

If you answered "Yes" to any of questions 4 through 8,
provide the case number, office location, date of decision,
and disposition of the decision on a separate sheet of paper.

3.h. Province
3.i.

Country

Part 5. Additional Information About the Petitioner
Type of petitioner (Select only one box):

2.c. Current Number of U.S. Employees

1.a.

Employer

1.b.

Self

2.d. Gross Annual Income

1.c.

Other (Explain, e.g., Permanent Resident, U.S. citizen
or any other person filing on behalf of the alien)

2.e. Net Annual Income
2.f.

If a company, give the following:
2.a. Type of Business

NAICS Code

►

2.g. Labor Certification DOL/ETA Case Number

2.b. Date Established (mm/dd/yyyy) ►

Form I-140 04/08/11 Y

Page 3 of 6

Part 5. Additional Information About the Petitioner (continued)
2.h. Labor Certification DOL/ETA Filing Date

If an individual, give following:
3.a. Occupation

(mm/dd/yyyy) ►
2.i.

Labor Certification Expiration Date
3.b. Annual Income

(mm/dd/yyyy) ►

Part 6. Basic Information About the Proposed Employment
1.

Job Title

2.

SOC Code

3.

Nontechnical Description of Job

7.

Is this a new position?

8.

Wages: $

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Not for
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►

-

Yes

No

per

(Specify hour, week, month, or year)

Address where the person will work if different from address in
Part 1.
9.a. Street Number
and Name

9.b. Apt.

4.

Is this a full-time position?

5.

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

6.

Is this a permanent position?

Yes

Yes

No

No

Ste.

Flr.

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

9.e. Zip Code

Postal Code

9.g. Province
9.h. Country

Part 7. Information on Spouse and All Children of the Person for Whom You Are Filing
List husband/wife and all children related to the individual for whom the petition is being filed. Also, note if the individual will be
applying for a visa abroad or for adjustment of status as the dependent of the individual for whom the petition is filed. Provide an
attachment of additional family members, if needed.

Person 1

Person 2

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

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

1.c. Middle Name

2.c. Middle Name

1.d. Date of Birth

2.d. Date of Birth

(mm/dd/yyyy) ►

(mm/dd/yyyy) ►

1.e. Country of Birth

2.e. Country of Birth

1.f.

2.f.

Relationship

Relationship

1.g. Applying for Adjustment of Status?

Yes

No

2.g. Applying for Adjustment of Status?

Yes

No

1.h. Applying for Visa Abroad?

Yes

No

2.h. Applying for Visa Abroad?

Yes

No

Form I-140 04/08/11 Y

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

Person 5

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

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

3.c. Middle Name

5.c. Middle Name

3.d. Date of Birth

3.e. Country of Birth

3.f.

5.d. Date of Birth

(mm/dd/yyyy) ►

5.e. Country of Birth

DRAFT
Not for
Production
5.f.

Relationship

(mm/dd/yyyy) ►

Relationship

3.g. Applying for Adjustment of Status?

Yes

No

5.g. Applying for Adjustment of Status?

Yes

No

3.h. Applying for Visa Abroad?

Yes

No

5.h. Applying for Visa Abroad?

Yes

No

Person 4

Person 6

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

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

4.c. Middle Name
4.d. Date of Birth

6.c. Middle Name

4.e. Country of Birth

4.f.

6.d. Date of Birth

(mm/dd/yyyy) ►

Relationship

(mm/dd/yyyy) ►

6.e. Country of Birth

6.f.

Relationship

4.g. Applying for Adjustment of Status?

Yes

No

6.g. Applying for Adjustment of Status?

Yes

No

4.h. Applying for Visa Abroad?

Yes

No

6.h. Applying for Visa Abroad?

Yes

No

Part 8. Signature of Petitioner
I certify, under penalty of perjury under the laws of the United States
of America, that this petition and the evidence submitted with it are all
true and correct. I authorize U.S. Citizenship and Immigration Services
(USCIS) to release to other government agencies any information from
my USCIS records, if USCIS determines that such action is necessary
to determine eligibility for the benefit sought.
1.a. Signature of Petitioner

1.b. Date of Signature (mm/dd/yyyy) ►

Form I-140 04/08/11 Y

(

)

2.

Daytime Phone Number

3.

E-mail Address (if any)

4.

Job Title of Position with Petitioning Employer, If the
Petition Is Being Filed by an Employer

-

NOTE: If you do not fully complete this form or fail to submit
the required documents listed in the instructions, a final decision
on your petition may be delayed or the petition may be denied.

Page 5 of 6

Part 9. Signature of Person Preparing This Petition, If Other Than the Petitioner
1.

Attorney or Representative: In the event of a Request for
Evidence (RFE), may USCIS contact you by e-mail?
Yes

No

Preparer's Mailing Address
6.a. Street Number
and Name

Preparer's Full Name

6.b. Apt.

Provide the following information concerning the preparer:

6.c. City or Town

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

Ste.

6.d. State
6.f.

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

Flr.

6.e. Zip Code

Postal Code

DRAFT
Not for
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6.g. Province

3.

Preparer's Business or Organization Name

6.h. Country

Declaration

Preparer's Contact Information
4.

Preparer's Daytime Phone Number

(
5.

)

-

Preparer's E-mail Address (if any)

Extension

To be completed by all preparers, including attorneys and
authorized representatives: I declare that I prepared this petition
at the request of the petitioner, that it is based on all the
information of which I have knowledge, and that the information
is true to the best of my knowledge.
7.a. Signature
of Preparer

7.b. Date of Signature (mm/dd/yyyy) ►

Form I-140 04/08/11 Y

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