Form I-140 Edition 09/30/20 Page 6 of 9
Part 8. Statement, Contact Information,
Declaration, Certification, and Signature of the
Petitioner or Authorized Signatory and Signature
NOTE: Read the Penalties section of the Form I-140
Instructions before completing this part.
The interpreter named in Part 9. has read to me every
question and instruction on this petition and my answer
to every question in
NOTE: Select the box for either Item Number 1.a. or 1.b. If
applicable, select the box for Item Number 2.
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.
Petitioner's or Authorized Signatory's Statement
a language in which I am fluent. I understood all of
this information as interpreted.
At my request, the preparer named in Part 10.,
prepared this petition for me based only upon
information I provided or authorized.
Authorized Signatory's Contact Information
3.a. Authorized Signatory's Family Name (Last Name)
3.b. Authorized Signatory's Given Name (First Name)
Authorized Signatory's Title4.
Authorized Signatory's Email Address (if any)
Authorized Signatory's Mobile Telephone Number (if any)6.
Authorized Signatory's Daytime Telephone Number5.
I authorize the release of any information from my records, or
from the petitioning organization's 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, under penalty of perjury, that I have reviewed this
petition, I understand all of the information contained in, and
submitted with, my petition, and all of this information is
complete, true, and correct.
8.b. Date of Signature (mm/dd/yyyy)
Petitioner's or Authorized Signatory's Signature
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 delay a decision on or deny your petition.
Part 9. Interpreter's Contact Information,
Certification, and Signature
Interpreter's Full Name
1.a. Interpreter's Family Name (Last Name)
1.b. Interpreter's Given Name (First Name)
Interpreter's Business or Organization Name (if any)2.
Provide the following information about the interpreter.
Petitioner's or Authorized Signatory's Declaration
Copies of any documents submitted are exact photocopies of
unaltered, original documents, and I understand that, as the
petitioner, I may be required to submit original documents to
USCIS at a later date.