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pdfPetition for a Nonimmigrant Worker: O Classifications
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-129O
OMB No. 1615-0009
Expires xx/xx/xxxx
► START HERE - Type or print in black ink.
If you are filing this petition for an O-1 classification, you may only include one beneficiary on this petition. If you are filing this
petition for O-2 classification, you may include up to 25 beneficiaries on the same petition if they will be assisting the same O-1 for
the same events or performances, during the same period of time, and in the same location.
Part 1. Petitioner Information
If you are an individual or sole proprietor filing this petition, you must complete Item Numbers 1. - 2. If you are a company or an
organization filing this petition, complete Item Number 3. All petitioners should complete Item Numbers 4. - 11., as applicable.
1.
Legal Name of Petitioning Individual or Sole Proprietor
Family Name (Last Name)
Given Name (First Name)
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2.
Date of Birth (mm/dd/yyyy)
4.
USCIS Online Account Number (if any)
►
3.
Petitioning Company or Organization Name
5.
Trade Name or “Doing Business As” Name (if applicable)
6.
Primary U.S. Office Address of Petitioner
Street Number and Name
City or Town
7.
Middle Name
(USPS ZIP Code Lookup)
Apt. Ste. Flr. Number
County
State
Is your mailing address different from your Primary U.S. Office Address?
ZIP Code
Yes
No
If you answered “Yes,” to Item Number 7., provide your mailing address below.
8.
Mailing Address
(USPS ZIP Code Lookup)
In Care Of Name (if any)
Street Number and Name
City or Town
Province
Form I-129O XX/XX/XX
Apt. Ste. Flr. Number
County
Postal Code
State
ZIP Code
Country
Page 1 of 17
Part 1. Petitioner Information (continued)
9.
Petitioner's Contact Information
U.S. Daytime Telephone Number
U.S. Mobile Telephone Number (if any)
Email Address (if any)
10.
Tax Payer Identification Numbers
Provide the following information, as applicable:
A.
C.
Employer Identification Number (EIN)
►
Individual Taxpayer Identification Number (ITIN)
►
U.S. Social Security Number (SSN) (if applicable)
►
11.
B.
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E-Verify Information
A.
Are you a participate in the E-Verify program and filing this petition as an employer?
Yes
No
If you answered “Yes,” to Item A. in Item 12., provide the information requested in Items B. - C.
B.
Employer's Name as Listed in E-Verify
C.
Employer's E-Verify Company Identification Number or an E-Verify Client Company Identification Number
►
Part 2. Information About This Petition
1.
Requested Nonimmigrant Classification (Select only one box.)
A.
O-1A Alien of extraordinary ability in sciences, education, business, or athletics (not including the arts, motion picture,
or television industry).
B.
O-1B Alien of extraordinary ability in the arts.
C.
O-1B Alien of extraordinary achievement in the motion picture or television industry.
D.
O-2 Accompanying alien who is coming to the United States to assist in the performance of an O-1 artist or athlete.
E.
O-2 Accompanying alien who is coming to the United States to assist in the performance of an O-1 alien in the motion
picture or television industry.
2.
If filing for an O-2 classification, provide the total number of beneficiaries included in this petition. (You may include up to 25
beneficiaries on a single I-129O petition in certain instances. See the Information About Form I-129O section of these
Instructions.): ►
3.
Basis for Classification (Select only one box)
A.
New Employment
B.
Continuation of Previously Approved Employment Without Change With the Same Employer
C.
Change in Previously Approved Employment (provide an explanation in Part 10. Additional Information)
D.
New Concurrent Employment
E.
Change of Employer For a Beneficiary Already in the Requested Classification
F.
Amended Petition (provide an explanation in Part 10. Additional Information)
Form I-129O XX/XX/XX
Page 2 of 17
Part 2. Information About This Petition (continued)
4.
If you selected Item F. Amended petition in Item Number 3., provide the receipt number of the petition you seek to amend.
►
5.
Requested Action (Select only one box)
A.
Notify the office in Part 4. so that the beneficiary can apply for and obtain a visa or be admitted, if eligible.
B.
Change the status and extend the stay of each beneficiary because the beneficiary(ies) is/are now in the United States in
another status (see the Instructions for limitations). This is available only when you select Item A. New Employment
in Item Number 3. above.
C.
Extend the stay of each beneficiary because the beneficiary(ies) now hold(s) this status.
D.
Amend the stay of each beneficiary because the beneficiary(ies) now hold(s) this status.
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Part 3. Beneficiary Information
Provide the information requested about the beneficiary(ies) for whom you are filing. Use Attachment 1-Additional Beneficiary for
Form I-129O to provide information about each additional beneficiary included in this petition.
1.
Beneficiary's Full Name
Family Name (Last Name)
2.
Given Name (First Name)
Middle Name (if applicable)
Provide all other names the beneficiary has ever used, including aliases, maiden names, and nicknames. If you need extra space to
complete this section, use the space provided in Part 10. Additional Information.
Family Name (Last Name)
Given Name (First Name)
Middle Name
Other Information
3.
6.
Date of Birth (mm/dd/yyyy)
Gender
Male
5.
Female
U.S. Social Security Number (if any)
►
Alien Registration Number (A-Number) (if any)
► A-
7.
4.
Place of Birth
City or Town of Birth
Province of Birth
Country of Birth
8.
Country of Citizenship or Nationality
Form I-129O XX/XX/XX
Page 3 of 17
Part 3. Beneficiary Information (continued)
9.
Beneficiary's Foreign Address (if any)
Street Number and Name
Apt. Ste. Flr. Number
City or Town
Province
10.
County
State
Postal Code
ZIP Code
Country
If the beneficiary is in the United States, complete the following:
Date of Last Arrival (mm/dd/yyyy) I-94 Arrival-Departure Record Number (if any) Passport or Travel Document Number
►
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Date Passport or Travel Document Issued
(mm/dd/yyyy)
Date Passport or Travel Document Expires
(mm/dd/yyyy)
Passport or Travel Document Country of Issuance
Your Current Immigration Status or Category (for example, B-2
visitor, F-1 student, parolee, deferred action, or no status or category)
Student and Exchange Visitor Information System (SEVIS)
Number (if any)
11.
Date Status Expires or Duration of Status D/S (see Form
I-94 Arrival/Departure Document) mm/dd/yyyy
Employment Authorization Document (EAD)
Number (if any)
Does the beneficiary have a U.S. residential address?
Yes
No
If you answered “Yes” to Item Number 11., you must provide the beneficiary's U.S. residential address information in Item
Numbers 12.
12.
Beneficiary's Current Residential U.S. Address (Do not list a P.O. Box unless the beneficiary resides in the Commonwealth of
Northern Mariana Islands CNMI).)
Street Number and Name
City or Town
13.
Apt. Ste. Flr. Number
County
State
ZIP Code
Provide the most recent petition/application receipt number for the beneficiary. If none exists, indicate "None."
►
14.
Have you ever filed an immigrant petition for this beneficiary?
Yes
No
If you answered “Yes” to Item Number 14., provide the receipt number for each petition you have filed for this beneficiary in
Part 10. Additional Information.
15.
Have you ever filed an nonimmigrant petition for this beneficiary?
Yes
No
If you answered “Yes” to Item Number 15., identify the classification requested and the receipt number for each petition in
Part 10. Additional Information.
Form I-129O XX/XX/XX
Page 4 of 17
Part 4. Processing Information
1.
U.S. Consulate or Inspection Facility Notification
Indicate the U.S. Consulate or U.S. Customs and Border Protection (CPB) inspection facility you would like notified if the
petition will be approved with consular notification (for example, you requested consular notification or a requested extension of
stay or change of status cannot be granted).
A. Type of Office (Select only one box)
U.S. Consulate
CBP Pre-flight inspection Facility
B. City Where Office is Located
2.
Yes
No
Yes
No
Yes
No
►
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Are you filing any applications for replacement/initial Form I-94, Arrival-Departure Records with this
petition? (If the beneficiary(ies) was/were issued an electronic Form I-94 by CBP when he/she was
admitted to the United States at an air or sea port, he/she may be able to obtain the Form I-94 from the
CBP website at www.cbp.gov/i94 instead of filing an application for a replacement/initial I-94.)
If yes, how many?
4.
C. U.S. State or Foreign Country
Are you filing any other petitions with this one?
If yes, how many?
3.
U.S. Port of Entry
►
Has any beneficiary in this petition in removal proceedings?
If you answered "Yes" to Item Number 4., provide an explanation in Part 10. Additional Information.
5.
Has the beneficiary in this petition ever been granted the classification you are now requesting?
Yes
No
Yes
No
Yes
No
If you answered "Yes" to Item Number 5., provide explanation in Part 10. Additional Information.
6.
Has the beneficiary in this petition ever been denied the classification you are now requesting?
If you answered "Yes" to Item Number 6., provide explanation in Part 10. Additional Information.
7.
Has the beneficiary in this petition ever been a J-1 exchange visitor or J-2 dependent of a J-1 exchange
visitor?
If you answered "Yes" to Item Number 7., provide a response to Item Number 8.
8.
If you answered “Yes” to Item Number 7., provide the dates the beneficiary maintained status as a J-1 exchange
visitor or J-2 dependent. Also, provide evidence of this status by attaching a copy of either a DS-2019, Certificate of
Eligibility for Exchange Visitor (J-1) Status, a Form IAP-66, or a copy of the passport that includes the J visa stamp.
Additionally, if applicable, provide evidence that the applicant or employee fulfilled the two-year foreign residence
requirement or had such residence requirement waived.
9.
Does any beneficiary in this petition have ownership interest in the petitioning organization?
Yes
No
If you answered "Yes" to Item Number 9., provide an explanation of beneficiary's(ies) ownership interests in Item Number 10.
10.
Explanation
Form I-129O XX/XX/XX
Page 5 of 17
Part 4. Processing Information (continued)
11.
Does an appropriate labor organization exist for the petition?
Yes
No
If you answered "No" to Item Number 11., provide an explanation in Part 10. Additional Information.
12.
Is the required consultation or written advisory opinion being submitted with this petition?
Yes
No - a copy of the request is attached
Consultation not required
If you answered “No” to Item Number 12., indicate to which organizations you have sent a duplicate of this petition. In either
Item Numbers 13. - 14. or Item Numbers 15. - 17., provide the information about the organizations to which you have sent a
duplicate of this petition, as relevant to the O classification you are seeking.
If you are filing for an O-1 beneficiary, complete Item Numbers 13. and 14.
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13.
Explain the nature of the event in which the O-1 beneficiary will participate.
14.
Describe the services the O-1 beneficiary will perform.
If you are filing for one or more O-2 beneficiaries, complete Item Numbers 15. - 17.
15.
Explain the nature of the event in which the O-2 beneficiary(ies) will participate.
16.
Describe the services the O-1 beneficiary(ies) will perform.
17.
List the dates of the prior work experience under the principal O-1 alien for the O-2 beneficiary listed in Part 3. Beneficiary
Information, if any. If you need extra space to complete this section, use the space provided in Part 10. Additional
Information or attach an additional sheet of paper. If you are applying for more than one beneficiary, provide this information
for each additional beneficiary in the Attachment 1-Additional Beneficiary for Form I-129O.
Prior Work Experience
Form I-129O XX/XX/XX
Start Date (mm/dd/yyyy)
End Date (mm/dd/yyyy)
Page 6 of 17
Part 4. Processing Information (continued)
Additional Information for O Classifications
Provide the information requested below, as relevant to the type of O classification you are seeking.
O-1 Extraordinary Ability
18.
Name of Recognized Peer/Peer Group or Labor Organization
19.
Physical Address
Street Number and Name
Apt. Ste. Flr. Number
City or Town
20.
State
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Date Sent (mm/dd/yyyy)
ZIP Code
21. Daytime Telephone Number
O-1 Extraordinary Achievement in Motion Picture or Television Industry
Labor Organization
22.
Name of Labor Organization
23.
Complete Address
Street Number and Name
Apt. Ste. Flr. Number
City or Town
24.
Date Sent (mm/dd/yyyy)
State
ZIP Code
25. Daytime Telephone Number
Management Organization
26.
Name of Management Organization
27.
Physical Address
Street Number and Name
Apt. Ste. Flr. Number
City or Town
28.
Date Sent (mm/dd/yyyy)
Form I-129O XX/XX/XX
State
ZIP Code
29. Daytime Telephone Number
Page 7 of 17
Part 4. Processing Information (continued)
O-2 Accompanying an O-1 Artist or Athlete
Labor Organization
30.
Name of Labor Organization
31.
Complete Address
Street Number and Name
Apt. Ste. Flr. Number
City or Town
32.
Date Sent (mm/dd/yyyy)
State
ZIP Code
33. Daytime Telephone Number
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O-2 Accompanying an O-1 in motion picture or television industry
Labor Organization
34.
Name of Labor Organization
35.
Complete Address
Street Number and Name
Apt. Ste. Flr. Number
City or Town
36.
Date Sent (mm/dd/yyyy)
State
ZIP Code
37. Daytime Telephone Number
Management Organization
38.
Name of Management Organization
39.
Physical Address
Street Number and Name
Apt. Ste. Flr. Number
City or Town
40.
Date Sent (mm/dd/yyyy)
Form I-129O XX/XX/XX
State
ZIP Code
41. Daytime Telephone Number
Page 8 of 17
Part 5. Basic Information About the Proposed Employment and Employer
1.
Job Title/Title
2.
Address where the beneficiary(ies) will work if different from the address in Part 1. (If beneficiary(ies) will work at more than
one different address, include the additional addresses in the itinerary information submitted with the petition.)
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
ZIP Code
3.
Did you include an itinerary with the petition?
Yes
No
4.
Will the beneficiary(ies) work for you off-site at another company or organization's location?
Yes
No
5.
Will the beneficiary(ies) work exclusively in the (CNMI)?
Yes
No
6.
Is this a full-time position?
Yes
No
7.
If you answered "No" to Item Number 6., how many hours per week for the position?
8.
Wages (in U.S. dollars): $
9.
Other Compensation (Explain)
10.
Dates of Intended Employment
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From (mm/dd/yyyy)
per (Specify hour, week, month, or year) ►
To (mm/dd/yyyy)
11.
Type of Business
13.
Current Number of Employees in the United States ►
14.
Gross Annual Income
$
Form I-129O XX/XX/XX
►
15.
12. Year Established
Net Annual Income
$
Page 9 of 17
Part 6. Certification Regarding the Release of Controlled Technology or Technical Data to Foreign
Persons in the United States
If you are seeking an O-1A classification, you must complete Part 6. Please review the Form I-129O Instructions before
completing this section. If you are petitioning for any other O classifications, you do not need to complete Part 6.
Select Item Number 1. or Item Number 2., as appropriate. Select only one option.
1.
With respect to the technology or technical data the petitioner will release or otherwise provide access to the beneficiary, the
petitioner certifies that it has reviewed the Export Administration Regulations (EAR) and the International Traffic in Arms
Regulations (ITAR) and has determined that either:
A.
A license is not required from either the U.S. Department of Commerce or the U.S. Department of State to release such
technology or technical data to the foreign person; or
B.
A license is required from the U.S. Department of Commerce and/or the U.S. Department of State to release such
technology or technical data to the beneficiary and the petitioner will prevent access to the controlled technology or
technical data by the beneficiary until and unless the petitioner has received the required license or other authorization
to release it to the beneficiary.
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Part 7. Statement, Contact Information, Certification, and Signature of the Petitioner or Authorized
Signatory
NOTE: Read the Penalties section of the Form I-129O Instructions before completing this section.
Petitioner's or Authorized Signatory's Statement
NOTE: Select the box for either Item A. or B. in Item Number 1. If applicable, select the box for Item Number 2.
1.
Petioner's or Authorized Signatory's Statement Regarding the Interpreter
A.
I can read and understand English, and I have read and understand every question and instruction on this petition and
my answer to every question.
B.
The interpreter named in Part 8. has read to me every question and instruction on this petiton and my answer to
every question in
, a language in which I am fluent, and I
understood all of this information as interpreted.
2.
Petitioner's or Authorized Signatory's Statement Regarding the Preparer
At my request, the preparer named in Part 9.,
,
prepared this petition for me based only upon information I provided or authorized.
Petitioner's or Authorized Signatory's Certification
Copies of any documents submitted are exact photocopies of unaltered, original documents, and I understand that, as the petitioner or
authorized signatory, I may be required to submit original documents to USCIS at a later date.
I authorize the release of any information contained in this petition, in supporting documents, in my USCIS records, and in the
petitioning organization's USCIS records, to USCIS or other entities and persons where necessary to determine eligibility for the
immigration benefit sought or where authorized by law. I recognize the authority of USCIS to conduct audits of this petition using
publicly available open source information. I also recognize that any supporting evidence submitted in support of this petition may be
verified by USCIS through any means determined appropriate by USCIS, including but not limited to, on-site compliance reviews.
If filing this petition on behalf of an organization, I certify that I am authorized to do so by the organization.
I certify that the petitioner and the employer whose offer of employment formed the basis of status (if different from the petitioner)
will be jointly and severally liable for the reasonable costs of return transportation of the beneficiary abroad if the beneficiary is
dismissed from employment by the employer before the end of the period of authorized stay.
I certify, under penalty of perjury, that I provided or authorized all of the information contained in, and submitted with, my petition,
and that all of this information is complete, true, and correct.
Form I-129O XX/XX/XX
Page 10 of 17
Part 7. Statement, Contact Information, Certification, and Signature of Petitioner or Authorized
Signatory (continued)
Petitioner's or Authorized Signatory's Signature
3.
Petitioner's or Authorized Signatory's Signature
Date of Signature (mm/dd/yyyy)
Name and Title of Authorized Signatory
If Part 7. is being completed by an Authorized Signatory, provide the following information.
4.
Family Name (Last Name)
5.
Title
Given Name (First Name)
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Authorized Signatory's Contact Information
6.
U.S. Daytime Telephone Number
8.
Email Address (if any)
7.
U.S. Mobile Telephone Number (if any)
NOTE TO ALL PETITIONERS AND AUTHORIZED SIGNATORIES: If you do not completely fill out this petition or fail to
submit required documents listed in the Instructions, USCIS may deny your petition.
Part 8. Interpreter's Contact Information, Certification, and Signature
Provide the following information about the interpreter.
Interpreter's Full Name
1.
Interpreter's Family Name (Last Name)
Interpreter's Given Name (First Name)
2.
Interpreter's Business or Organization Name (if any)
Interpreter's Mailing Address
3.
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
Province
Form I-129O XX/XX/XX
Postal Code
ZIP Code
Country
Page 11 of 17
Part 8. Interpreter's Contact Information, Certification, and Signature (continued)
Interpreter's Contact Information
4.
Interpreter's Daytime Telephone Number
6.
Interpreter's Email Address (if any)
5.
Interpreter's Mobile Telephone Number (if any)
Interpreter's Certification
I certify, under penalty of perjury, that:
, which is the same language specified in Part 7.,
I am fluent in English and
Item B., in Item Number 1., and I have read to this petitioner or the authorized signatory in the identified language every question
and instruction on this petition and his or her answer to every question. The petitioner or authorized signatory informed me that he or
she understands every instruction, question, and answer on the petition, including the Petitioner's or Authorized Signatory's
Certification, and has verified the accuracy of every answer.
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Interpreter's Signature
7.
Interpreter's Signature
Date of Signature (mm/dd/yyyy)
Part 9. Contact Information, Declaration, and Signature of the Person Preparing this Petition, if Other
Than the Petitioner or Authorized Signatory
Provide the following information about the preparer.
Preparer's Full Name
1.
Preparer's Family Name (Last Name)
Preparer's Given Name (First Name)
2.
Preparer's Business or Organization Name (if any)
Preparer's Mailing Address
3.
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
Province
Form I-129O XX/XX/XX
Postal Code
ZIP Code
Country
Page 12 of 17
Part 9. Contact Information, Declaration, and Signature of the Person Preparing this Petition, if Other
Than the Petitioner or Authorized Signatory (continued)
Preparer's Contact Information
4.
Preparer's Daytime Telephone Number
6.
Preparer's Email Address (if any)
5.
Preparer's Mobile Telephone Number (if any)
Preparer's Statement
7.
A.
I am not an attorney or accredited representative but have prepared this petition on behalf of the petitioner and with the
petioner's or authorized signatory's consent.
B.
I am an attorney or accredited representative and my representation of the petitioner or authorized signatory in this case
extends
does not extend beyond the preparation of this petition.
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NOTE: If you are an attorney or accredited representative, you may need to submit a completed Form G-28, Notice of Entry of
Appearance as Attorney or Accredited Representative, with this petition.
Preparer's Certification
By my signature, I certify, under penalty of perjury, that I prepared this petition at the request of the petitioner or authorized signatory.
The petitioner or authorized signatory has reviewed this completed petition, including the Petitioner's or Authorized Signatory's
Certification, and informed me that all of the information in the petition and in the supporting documents is complete, true, and
correct.
Preparer's Signature
8.
Preparer's Signature
Form I-129O XX/XX/XX
Date of Signature (mm/dd/yyyy)
Page 13 of 17
Part 10. Additional Information About Your I-129O Petition for Nonimmigrant Worker
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 the individual petitioner's legal name or the company or organization name 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.
Individual Petitioner or Company Name (same as in Part 1.)
Family Name Name (Last Name)
2.
Petitioning Company or Organization Name
3.
A. Page Number
D.
4.
5.
A. Page Number
D.
6.
Middle Name
C. Item Number
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A. Page Number
D.
B. Part Number
Given Name (First Name)
A. Page Number
B. Part Number
C. Item Number
B. Part Number
C. Item Number
B. Part Number
C. Item Number
D.
Form I-129O XX/XX/XX
Page 14 of 17
Attachment 1-Additonal Beneficiary for
Form I-129O
USCIS
Form I-129H2B
Department of Homeland Security
U.S. Citizenship and Immigration Services
OMB No. 1615-xxxx
Expires xx/xx/20xx
Complete a separate copy of this attachment for each additional beneficiary included in this petition. (Do not complete a copy
of Attachment 1 for the beneficiary you already named in Part 3. of Form I-12O.)
Petitioner's Information
Provide the same petitioner name information that was provided in Part 1. of Form I-129O.
1.
Legal Name of Petitioning Individual Petitoner
Family Name (Last Name)
Given Name (First Name)
2.
Petitioning Company or Organization Name
3.
Name of Beneficiary
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Family Name (Last Name)
4.
Middle Name (if applicable)
Given Name (First Name)
Middle Name
Provide all other names the beneficiary has ever used, including aliases, maiden name, and nicknames. If you need extra space
to complete this section, use the space provided in Part 10. Additional Information.
Family Name (Last Name)
Given Name (First Name)
Middle Name
Other Information
5.
Date of birth (mm/dd/yyyy)
6.
Gender
7.
Male
8.
Alien Registration Number (A-Number) (if any)
►
10.
A-
Female
9.
U.S. Social Security Number (if any)
►
USCIS Online Account Number (if any)
►
Place of Birth
Province of Birth
11.
Country of Citizenship or Nationality
12.
Beneficiary's Foreign Address (if any)
Country of Birth
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
Province
Form I-129O XX/XX/XX
Postal Code
ZIP Code
Country
Page 15 of 17
Other Information (continued)
13.
If the beneficiary is in the United States, complete the following:
Date of Last Arrival (mm/dd/yyyy)
Form I-94 Arrival-Departure Record Number (if any)
►
Passport or Travel Document
Number
Date Passport or Travel Document
Expires (mm/dd/yyyy)
Date Passport or Travel
Document Issued (mm/dd/yyyy)
Passport or Travel Document Country
of Issuance
Your current Immigration Status or Category (for example, B-2 visitor, F-1 student, parolee, deferred action, or
no status or category
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Date Status Expires (mm/dd/yyyy) or Duration of Status (D/S) (see Form I-94 Arrival/Departure Document)
Student and Exchange Visitor Information System
(SEVIS) Number (if any)
14.
Employment Authorization Document (EAD)
Number (if any)
Does the beneficiary have a U.S. residential address?
Yes
No
If you answered “Yes” to Item Number 14., you must provide the beneficiary's U.S. residential address information in Item
Number 15.
15.
16.
Beneficiary's Current U.S. Residential Address (Do not list a P.O. Box unless the beneficiary resides in the (CNMI).)
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
Provide the most recent petition/application receipt number for the beneficiary. If none exists, indicate "None."
►
17.
ZIP Code
Have you ever filed an immigrant petition for this beneficiary?
Yes
No
Yes
No
If you answered “Yes” to Item Number 17., provide the receipt number for each petition you have
filed for this beneficiary in Part 10. Additional Information.
18.
Have you ever filed a nonimmigrant petition for this beneficiary?
If you answered “Yes” to Item Number 18., identify the classification requested and the receipt
numbers for each petition in Part 10. Additional Information.
Form I-129O XX/XX/XX
Page 16 of 17
Other Information (continued)
19.
List the dates of the beneficiary's(ies') prior work experience under the principal O-1 alien, if any. If you need extra
space to complete this section, use the space provided in Part 10. Additional Information.
Prior Work Experience
Start Date (mm/dd/yyyy)
End Date (mm/dd/yyyy)
DRAFT
Not for
Production
10/04/2019
Form I-129O XX/XX/XX
Page 17 of 17
| File Type | application/pdf |
| File Title | Petition for Nonimmigrant Worker |
| Author | USCIS |
| File Modified | 2019-10-04 |
| File Created | 2019-10-04 |