Fillable I-129 Petition for Nonimmigrant Worker

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I-129 Petition for Nonimmigrant Worker

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U.S. Citizenship and Immigration Services (USCIS) is an office of the U.S. Branch of Homeland Security (DHS) that oversees the nation's naturalization and migration framework. It is a successor to the Immigration and Naturalization Service (INS), which was disintegrated by the Homeland Security Act of 2002 and supplanted by three segments inside the DHS: USCIS, Immigration and Customs Enforcement (ICE), and Customs and Border Protection (CBP).

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Form I-129 01/31/19
Page 1 of 36
For
USCIS
Use
Only
Petition for a Nonimmigrant Worker
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-129
OMB No. 1615-0009
Expires 01/31/2022
Classification Approved
Consulate/POE/PFI Notified
Extension Granted
COS/Extension Granted
Partial Approval (explain)
Action BlockReceipt
Class:
No. of Workers:
Job Code:
Validity Dates:
From:
To:
At:
Legal Name of Individual Petitioner
If you are an individual filing this petition, complete Item Number 1. If you are a company or an organization filing this petition,
complete Item Number 2.
Family Name (Last Name) Given Name (First Name) Middle Name
1.
Contact Information4.
Part 1. Petitioner Information
START HERE - Type or print in black ink.►
2. Company or Organization Name
3. Mailing Address of Individual, Company or Organization
City or Town State ZIP Code
In Care Of Name
Street Number and Name
Apt. Flr. NumberSte.
Daytime Telephone Number
U.S. Social Security Number (if any)
Email Address (if any)
Individual IRS Tax Number
Mobile Telephone Number
Federal Employer Identification Number (FEIN)
5. Other Information
►►
Postal Code CountryProvince
►
(USPS ZIP Code Lookup)
Form I-129 01/31/19
Page 2 of 36
Part 2. Information About This Petition (See instructions for fee information)
1. Requested Nonimmigrant Classification (Write classification symbol):
2. Basis for Classification
(select only one box):
New employment.
New concurrent employment.
Change of employer.
Amended petition.
Change in previously approved employment.
Continuation of previously approved employment without change with the same employer.
3. Provide the most recent petition/application receipt number for the
beneficiary. If none exists, indicate "None."
Notify the office in Part 4. so each beneficiary can obtain a visa or be admitted. (NOTE: A petition is not required for
E-1, E-2, E-3, H-1B1 Chile/Singapore, or TN visa beneficiaries.)
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 instructions for limitations). This is available only when you check "New Employment" in Item
Number 2., above.
Extend the stay of each beneficiary because the beneficiary(ies) now hold(s) this status.
Amend the stay of each beneficiary because the beneficiary(ies) now hold(s) this status.
4. Requested Action (select only one box):
Extend the status of a nonimmigrant classification based on a free trade agreement. (See Trade Agreement Supplement
to Form I-129 for TN and H-1B1.)
Change status to a nonimmigrant classification based on a free trade agreement. (See Trade Agreement Supplement to
Form I-129 for TN and H-1B1.)
5. Total number of workers included in this petition. (See instructions relating to
when more than one worker can be included.)
Part 3. Beneficiary Information (Information about the beneficiary/beneficiaries you are filing for. Complete the
blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition.)
1. If an Entertainment Group, Provide the Group Name
2. Provide Name of Beneficiary
Family Name (Last Name) Given Name (First Name) Middle Name
Middle Name Given Name (First Name)Family Name (Last Name)
Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages.
3.
4. Other Information
Date of birth Gender
Male Female
U.S. Social Security Number (if any)
(mm/dd/yyyy)
►
►
►
a.
b.
c.
d.
e.
f.
a.
b.
c.
d.
e.
f.
Form I-129 01/31/19
Page 3 of 36
Date Passport or Travel Document
Expires (mm/dd/yyyy)
Country of Citizenship or Nationality
6. Current Residential U.S. Address (if applicable) (do not list a P.O. Box)
Employment Authorization Document (EAD)
Number (if any)
Student and Exchange Visitor Information System (SEVIS)
Number (if any)
ZIP CodeStateCity or Town
Ste. NumberFlr.Apt.
Street Number and Name
Current Nonimmigrant Status Date Status Expires or D/S
(mm/dd/yyyy)
Passport or Travel Document Country
of Issuance
Date Passport or Travel Document
Issued (mm/dd/yyyy)
5. If the beneficiary is in the United States, complete the following:
Country of Birth
I-94 Arrival-Departure Record Number
►
Part 3. Beneficiary Information (Information about the beneficiary/beneficiaries you are filing for. Complete the
blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition.) (continued)
Date of Last Arrival (mm/dd/yyyy) Passport or Travel Document Number
Part 4. Processing Information
1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of
status cannot be granted, state the U.S. Consulate or inspection facility you want notified if this petition is approved.
a. Type of Office (select only one box):
b. Office Address (City) c. U.S. State or Foreign Country
Consulate Port of EntryPre-flight inspection
d. Beneficiary's Foreign Address
City or Town
Street Number and Name Apt. Flr. NumberSte.
Alien Registration Number (A-Number)
A-
Province of Birth
►
2. Does each person in this petition have a valid passport?
State
CountryPostal Code
Yes
No. If no, go to Part 9. and type or print your
explanation.
Province
Form I-129 01/31/19
Page 4 of 36
Part 4. Processing Information (continued)
5. Are you filing any applications for dependents with this petition?
Yes. If yes, proceed to Part 9. and list the beneficiary's(ies) name(s).
►Yes. If yes, how many?
Yes. If yes, answer the questions below. No. If no, proceed to Item Number 9.
4. Are you filing any applications for replacement/initial I-94, Arrival-Departure Records with this petition? Note that if the
beneficiary was 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.
9. Have you ever previously filed a nonimmigrant petition for this beneficiary?
7. Have you ever filed an immigrant petition for any beneficiary in this petition?
6. Is any beneficiary in this petition in removal proceedings?
8. Did you indicate you were filing a new petition in Part 2.?
a. Has any beneficiary in this petition ever been given the classification you are now requesting within the last seven years?
b. Has any beneficiary in this petition ever been denied the classification you are now requesting within the last seven years?
10. If you are filing for an entertainment group, has any beneficiary in this petition not been with the group for at least one year?
11.b. If you checked yes in Item Number 11.a., 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.
11.a. Has any beneficiary in this petition ever been a J-1 exchange visitor or J-2 dependent of a J-1 exchange visitor?
Part 5. Basic Information About the Proposed Employment and Employer
1. Job Title 2. LCA or ETA Case Number
►
►
No
No
No
No
No
No
No
No
No
Yes. If yes, how many?
Yes. If yes, how many?
Yes. If yes, proceed to Part 9. and type or print your explanation.
Yes. If yes, proceed to Part 9. and type or print your explanation.
Yes. If yes, proceed to Part 9. and type or print your explanation.
Yes. If yes, proceed to Part 9. and type or print your explanation.
Yes. If yes, proceed to Item Number 11.b.
Attach the Form I-129 supplement relevant to the classification of the worker(s) you are requesting.
3. Are you filing any other petitions with this one?
►Yes. If yes, how many? No
Form I-129 01/31/19
Page 5 of 36
Part 5. Basic Information About the Proposed Employment and Employer (continued)
4. Did you include an itinerary with the petition?
5. Will the beneficiary(ies) work for you off-site at another company or organization's location?
12. Type of Business 13. Year Established
14. Current Number of Employees in the United States 15. Gross Annual Income 16. Net Annual Income
10. Other Compensation (Explain)
11. Dates of intended employment
From: To:
7. Is this a full-time position?
6. Will the beneficiary(ies) work exclusively in the Commonwealth of the Northern Mariana Islands (CNMI)?
If the answer to Item Number 7. is no, how many hours per week for the position?8. ►
►
Part 6. Certification Regarding the Release of Controlled Technology or Technical Data to Foreign
Persons in the United States
(This section of the form is required only for H-1B, H-1B1 Chile/Singapore, L-1, and O-1A petitions. It is not required for any other
classifications. Please review the Form I-129 General Filing Instructions before completing this section.)
Select Item Number 1. or Item Number 2. as appropriate. DO NOT select both boxes.
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
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:
1.
2.
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.
(mm/dd/yyyy)(mm/dd/yyyy)
No
Yes
No
Yes No
Yes
No
Yes
Wages:9.
$ per (Specify hour, week, month, or year)
3. Address where the beneficiary(ies) will work if different from address in Part 1.
Ste. NumberFlr.Apt.Street Number and Name
ZIP CodeState
City or Town
Form I-129 01/31/19
Page 6 of 36
Part 7. Declaration, Signature, and Contact Information of Petitioner or Authorized Signatory (Read
the information on penalties in the instructions before completing this section.)
Signature and Date2.
1.
Signature of Authorized Signatory Date of Signature
(mm/dd/yyyy)
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.
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than
Petitioner
1.
Family Name (Last Name)
Given Name (First Name)
Preparer's Business or Organization Name (if any)
(If applicable, provide the name of your accredited organization recognized by the Board of Immigration Appeals (BIA).)
2.
Name of Preparer
Family Name (Last Name)
Name and Title of Authorized Signatory
Given Name (First Name)
Signatory's Contact Information3.
Daytime Telephone Number Email Address (if any)
Title
Provide the following information concerning the preparer:
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 U.S. Citizenship and Immigration Services (USCIS) at a later date.
I authorize the release of any information from my records, or from the petitioning organization's records that USCIS needs to
determine eligibility for the immigration benefit sought. 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 and that all of the information contained in the petition, including
all responses to specific questions, and in the supporting documents, is complete, true, and correct.
Form I-129 01/31/19
Page 7 of 36
By my signature, I certify, swear, or affirm, under penalty of perjury, that I prepared this petition on behalf of, at the request of, and
with the express consent of the petitioner or authorized signatory. The petitioner has reviewed this completed petition as prepared by
me and informed me that all of the information in the form and in the supporting documents, is complete, true, and correct.
Preparer's Declaration
5.
Signature of Preparer
Date of Signature
(mm/dd/yyyy)
Signature and Date
Part 8. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than
Petitioner (continued)
3.
City or Town State ZIP Code
Street Number and Name
Apt. Flr. NumberSte.
Preparer's Mailing Address
Province CountryPostal Code
Preparer's Contact Information4.
Fax Number Daytime Telephone Number
Email Address (if any)
Form I-129 01/31/19
Page 8 of 36
Part 9. Additional Information About Your Petition For Nonimmigrant Worker
If you require more space to provide any additional information within this petition, use the space below. If you require more space
than what is provided to complete this petition, you may make a copy of Part 9. to complete and file with this petition. In order to
assist us in reviewing your response, you must identify the Page Number, Part Number and Item Number corresponding to the
additional information.
A-Number ►
A-
2.
1.
Page Number Part Number Item Number
3.
Item NumberPart NumberPage Number
4.
Page Number
Part Number Item Number
Form I-129 01/31/19
Page 9 of 36
E-1/E-2 Classification Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-129
OMB No. 1615-0009
Expires 01/31/2022
Name of the Petitioner
2.
Are you seeking advice from USCIS to determine whether changes in the terms or conditions of E status
for one or more employees are substantive?
5.
Middle Name Given Name (First Name)Family Name (Last Name)
Name of the Beneficiary
1.
E-1/E-2 Supplement
3. Classification sought (select only one box):
E-1 Treaty Trader E-2 CNMI InvestorE-2 Treaty Investor
4. Name of country signatory to treaty with the United States
Yes No
Section 1. Information About the Employer Outside the United States (if any)
1. Employer's Name
3. Employer's Address
City or Town State ZIP Code
Street Number and Name Apt. Flr. NumberSte.
2. Total Number of Employees
Principal Product, Merchandise or Service4.
Province
CountryPostal Code
5.
Employee's Position - Title, duties and number of years employed
Form I-129 01/31/19
Page 10 of 36
Section 2. Additional Information About the U.S. Employer
1. How is the U.S. company related to the company abroad? (select only one box)
Parent Branch
Subsidiary
Affiliate
Joint Venture
Place of Incorporation or Establishment in the United States2.a.
2.b. Date of incorporation or establishment
(mm/dd/yyyy)
3. Nationality of Ownership (Individual or Corporate)
Name (First/MI/Last) Nationality Immigration Status
Percent of
Ownership
4. Assets
5. Net Worth 6. Net Annual Income
7. Staff in the United States
a. How many executive and managerial employees does the petitioner have who are nationals of the treaty
country in either E, L, or H nonimmigrant status?
c. Provide the total number of employees in executive and managerial positions in the United States.
b. How many persons with special qualifications does the petitioner employ who are in either E, L, or
H nonimmigrant status?
d. Provide the total number of positions in the United States that require persons with special qualifications.
8. If the petitioner is attempting to qualify the employee as an executive or manager, provide the total number of employees he or
she will supervise. Or, if the petitioner is attempting to qualify the employee based on special qualifications, explain why the
special qualifications are essential to the successful or efficient operation of the treaty enterprise.
Section 3. Complete If Filing for an E-1 Treaty Trader
Section 4. Complete If Filing for an E-2 Treaty Investor
1. Total Annual Gross Trade/Business
of the U.S. company
2. For Year Ending
(yyyy)
3. Percent of total gross trade between the United States and the
treaty trader country.
Total Investment: Cash Equipment Other
PremisesInventory Total
E-1/E-2 Supplement
Form I-129 01/31/19
Page 11 of 36
Trade Agreement Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-129
OMB No. 1615-0009
Expires 01/31/2022
Trade Agreement Supplement
Name of the Petitioner
2. Name of the Beneficiary
1.
3. Employer is a
(select only one box):
Foreign Employer
U.S. Employer
4. If Foreign Employer, Name the Foreign Country
Section 1. Information About Requested Extension or Change (See instructions attached to this form.)
Section 2. Petitioner's Declaration, Signature, and Contact Information (Read the information on
penalties in the instructions before completing this section.)
1. This is a request for Free Trade status based on (select only one box):
Free Trade, Canada (TN1)
Free Trade, Mexico (TN2)
Free Trade, Singapore (H-1B1)
Free Trade, Other
Free Trade, Chile (H-1B1)
A sixth consecutive request for Free Trade, Chile or
Singapore (H-1B1)
Signature and Date
Name of Petitioner
2.
Signature of Petitioner Date of Signature
(mm/dd/yyyy)
I am filing this petition on behalf of an organization and I certify that I am authorized to do so by the organization.
3.
Mobile Telephone Number Email Address (if any)Daytime Telephone Number
Petitioner's Contact Information
1.
Family Name (Last Name)
Given Name (First Name)
a. d.
e.
f.
b.
c.
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 U.S. Citizenship and Immigration Services (USCIS) at a later date.
I authorize the release of any information from my records, or from the petitioning organization's records that USCIS needs to
determine eligibility for the immigration benefit sought. 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.
I certify, under penalty of perjury, that I have reviewed this petition and that all of the information contained on the petition, including
all responses to specific questions, and in the supporting documents, is complete, true, and correct.
Form I-129 01/31/19
Page 12 of 36
3.
City or Town State ZIP Code
Street Number and Name
Apt. Flr. NumberSte.
By my signature, I certify, swear, or affirm, under penalty of perjury, that I prepared this petition on behalf of, at the request of, and
with the express consent of the petitioner or authorized signatory. The petitioner has reviewed this completed petition as prepared by
me and informed me that all of the information in the form and in the supporting documents, is complete, true, and correct.
Preparer's Declaration
5.
Signature of Preparer
Date of Signature
(mm/dd/yyyy)
Preparer's Mailing Address
Trade Agreement Supplement
4.
Email Address (if any)
Daytime Telephone Number
Preparer's
Contact Information
Signature and Date
Province Country
Preparer's Business or Organization Name (if any)2.
Provide the following information concerning the preparer:
1.
Family Name (Last Name)
Given Name (First Name)
Name of Preparer
Section 3. Declaration, Signature, and Contact Information of Person Preparing Form, If Other Than
Petitioner
(If applicable, provide the name of your accredited organization recognized by the Board of Immigration Appeals (BIA)).
Postal Code
Fax Number
Form I-129 01/31/19
Page 13 of 36
H Classification Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-129
OMB No. 1615-0009
Expires 01/31/2022
H Classification Supplement
Name of the Petitioner
Name of the Beneficiary
1.
2.a.
2.b.
Name of the beneficiary or if this petition includes multiple beneficiaries, the total number of beneficiaries
Provide the total number of beneficiaries
OR
3. List each beneficiary's prior periods of stay in H or L classification in the United States for the last six years (beneficiaries
requesting H-2A or H-2B classification need only list the last three years). Be sure to only list those periods in which each
beneficiary was actually in the United States in an H or L classification. Do not include periods in which the beneficiary was in a
dependent status, for example, H-4 or L-2 status.
NOTE: Submit photocopies of Forms I-94, I-797, and/or other USCIS issued documents noting these periods of stay in the H or
L classification. (If more space is needed, attach an additional sheet.)
Subject's Name
Period of Stay (mm/dd/yyyy)
From To
4. Classification sought (select only one box):
5. Are you filing this petition on behalf of a beneficiary subject to the Guam-CNMI cap exemption under Public Law 110-229?
6. Are you requesting a change of employer and was the beneficiary previously subject to the Guam-CNMI cap exemption under
Public Law 110-229?
H-1B1 Chile and Singapore
H-1B Specialty Occupation
H-1B2 Exceptional services relating to a cooperative research and development project administered by the U.S.
Department of Defense (DOD)
H-1B3 Fashion model of distinguished merit and ability
H-2A Agricultural worker
H-2B Non-agricultural worker
H-3 Special education exchange visitor program
H-3 Trainee
No
No
Yes
Yes
7.a. Does any beneficiary in this petition have ownership interest in the petitioning organization?
NoYes. If yes, please explain in Item Number 7.b.
a.
b.
c.
d.
e.
f.
g.
h.
Form I-129 01/31/19
Page 14 of 36
1. Describe the proposed duties.
2. Describe the beneficiary's present occupation and summary of prior work experience.
Section 1. Complete This Section If Filing for H-1B Classification
Statement for H-1B Specialty Occupations and H-1B1 Chile and Singapore
Signature of Petitioner
Date (mm/dd/yyyy)
Name of Petitioner
By filing this petition, I agree to, and will abide by, the terms of the labor condition application (LCA) for the duration of the
beneficiary's authorized period of stay for H-1B employment. I certify that I will maintain a valid employer-employee relationship
with the beneficiary at all times. If the beneficiary is assigned to a position in a new location, I will obtain and post an LCA for that
site prior to reassignment.
I further understand that I cannot charge the beneficiary the ACWIA fee, and that any other required reimbursement will be
considered an offset against wages and benefits paid relative to the LCA.
Signature of Authorized Official of Employer
Date (mm/dd/yyyy)
Name of Authorized Official of Employer
As an authorized official of the employer, I certify that the employer will be liable for the reasonable costs of return transportation of
the alien abroad if the beneficiary is dismissed from employment by the employer before the end of the period of authorized stay.
Signature of DOD Project Manager
Date (mm/dd/yyyy)
Name of DOD Project Manager
I certify that the beneficiary will be working on a cooperative research and development project or a co-production project under a
reciprocal government-to-government agreement administered by the U.S. Department of Defense.
Statement for H-1B Specialty Occupations and U.S. Department of Defense (DOD) Projects
Statement for H-1B U.S. Department of Defense Projects Only
1. Employment is: (select only one box)
2. Temporary need is: (select only one box)
a. Seasonal b. Peak load d. One-time occurrence
c. Recurrent annuallya. Unpredictable b. Periodic
Section 2. Complete This Section If Filing for H-2A or H-2B Classification
H Classification Supplement
7.b. Explanation
c. Intermittent
Form I-129 01/31/19
Page 15 of 36
H Classification Supplement
Section 2. Complete This Section If Filing for H-2A or H-2B Classification (continued)
List the countries of citizenship for the H-2A or H-2B workers you plan to hire.
a.
e.
f.
d.
c.
b.
You must provide all of the requested information for Item Numbers 5.a. - 6. for each H-2A or H-2B worker you plan to hire
who is not from a country that has been designated as a participating country in accordance with 8 CFR 214.2(h)(5)(i)(F)(1) or
214.2(h)(6)(i)(E)(1). See www.uscis.gov
for the list of participating countries. (Attach a separate sheet if additional space is
needed.)
Family Name (Last Name) Given Name (First Name) Middle Name
Middle Name Given Name (First Name)Family Name (Last Name)
Provide all other name(s) used
Date of Birth (mm/dd/yyyy)
Country of Citizenship or Nationality
Visa Classification (H-2A or H-2B):
Country of Birth
6.a. Have any of the workers listed in Item Number 5. above ever been admitted to the United States previously in H-2A/H-2B status?
NOTE: If any of the H-2A or H-2B workers you are requesting are nationals of a country that is not on the eligible countries
list, you must also provide evidence showing: (1) that workers with the required skills are not available from a country currently
on the eligible countries list*; (2) whether the beneficiaries have been admitted previously to the United States in H-2A or H-2B
status; (3) that there is no potential for abuse, fraud, or other harm to the integrity of the H-2A or H-2B visa programs through
the potential admission of the intended workers; and (4) any other factors that may serve the United States interest.
* For H-2A petitions only: You must also show that workers with the required skills are not available from among United
States workers.
NoYes. If yes, go to Part 9. of Form I-129 and write your explanation.
7.a. Did you or do you plan to use a staffing, recruiting, or similar placement service or agent to locate the H-2A/H-2B workers that
you intend to hire by filing this petition?
If yes, list the name and address of service or agent used below. Please use Part 9. of Form I-129 if you need to include the
name and address of more than one service or agent.
Name
Yes No
6.b.
5.c.
5.e.
5.d.
7.b.
Explain your temporary need for the workers' services (Attach a separate sheet if additional space is needed).3.
4.
5.a.
5.b.
Form I-129 01/31/19
Page 16 of 36
Section 2. Complete This Section If Filing for H-2A or H-2B Classification (continued)
Did any of the H-2A/H-2B workers that you are requesting pay you, or an agent, a job placement fee or other form
of compensation (either direct or indirect) as a condition of the employment, or do they have an agreement to pay
you or the service such fees at a later date? The phrase "fees or other compensation" includes, but is not limited to,
petition fees, attorney fees, recruitment costs, and any other fees that are a condition of a beneficiary's employment
that the employer is prohibited from passing to the H-2A or H-2B worker under law under U.S. Department of
Labor rules. This phrase does not include reasonable travel expenses and certain government-mandated fees (such
as passport fees) that are not prohibited from being passed to the H-2A or H-2B worker by statute, regulations, or
any laws.
8.c. If the workers paid any fee or compensation, were they reimbursed?
Yes
9. Have you made reasonable inquiries to determine that to the best of your knowledge the recruiter,
facilitator, or similar employment service that you used has not collected, and will not collect, directly or
indirectly, any fees or other compensation from the H-2 workers of this petition as a condition of the H-2
workers' employment?
Yes
No
11. Have any of the workers you are requesting experienced an interrupted stay associated with their entry as
an H-2A or H-2B? (See form instructions for more information on interrupted stays.)
Have you ever had an H-2A or H-2B petition denied or revoked because an employee paid a job placement
fee or other similar compensation as a condition of the job offer or employment?
10.b. Were the workers reimbursed for such fees and compensation? (Submit evidence of reimbursement.) If
you answered no because you were unable to locate the workers, include evidence of your efforts to locate
the workers.
No
Yes No
Yes No
Yes
No
8.d. If the workers agreed to pay a fee that they have not yet been paid, has their agreement been terminated
before the workers paid the fee? (Submit evidence of termination or reimbursement with this petition.)
If yes, list the types and amounts of fees that the worker(s) paid or will pay.
NoYes
NOTE: If USCIS determines that you knew, or should have known, that the workers requested in
connection with this petition paid any fees or other compensation at any time as a condition of
employment, your petition may be denied or revoked.
10.a.
10.a.1
10.a.2
If yes, when?
Receipt Number:
If yes, document the workers' periods of stay in the table on the first page of this supplement. Submit
evidence of each entry and each exit, with the petition, as evidence of the interrupted stays.
H Classification Supplement
Address7.c.
City or Town State ZIP Code
Street Number and Name
Apt. Flr. NumberSte.
8.b.
12.a. If you are an H-2A petitioner, are you a participant in the E-Verify program?
NoYes
Yes No
12.b. If yes, provide the E-Verify Company ID or Client Company ID.
8.a.
►
Form I-129 01/31/19
Page 17 of 36
The petitioner must execute Part A. If the petitioner is the employer's agent, the employer must execute Part B. If there are joint
employers, they must each execute Part C.
For H-2A petitioners only: The petitioner agrees to pay $10 in liquidated damages for each instance where it cannot demonstrate it is
in compliance with the notification requirement.
The H-2A/H-2B petitioner and each employer consent to allow Government access to the site where the labor is being performed for
the purpose of determining compliance with H-2A/H-2B requirements. The petitioner further agrees to notify DHS beginning on a
date and in a manner specified in a notice published in the Federal Register within 2 workdays if: an H-2A/H-2B worker fails to report
for work within 5 workdays after the employment start date stated on the petition or, applicable to H-2A petitioners only, within 5
workdays of the start date established by the petitioner, whichever is later; the agricultural labor or services for which H-2A/H-2B
workers were hired is completed more than 30 days early; or the H-2A/H-2B worker absconds from the worksite or is terminated prior
to the completion of agricultural labor or services for which he or she was hired. The petitioner agrees to retain evidence of such
notification and make it available for inspection by DHS officers for a one-year period. "Workday" means the period between the
time on any particular day when such employee commences his or her principal activity and the time on that day at which he or she
ceases such principal activity or activities.
Section 2. Complete This Section If Filing for H-2A or H-2B Classification (continued)
Part A. Petitioner
Part B. Employer who is not the petitioner
Part C. Joint Employers
Signature of Petitioner
Date (mm/dd/yyyy)
Name of Petitioner
By filing this petition, I agree to the conditions of H-2A/H-2B employment and agree to the notification requirements. For H-2A
petitioners: I also agree to the liquidated damages requirements defined in 8 CFR 214.2(h)(5)(vi)(B)(3).
Signature of Employer Date (mm/dd/yyyy)Name of Employer
I certify that I have authorized the party filing this petition to act as my agent in this regard. I assume full responsibility for all
representations made by this agent on my behalf and agree to the conditions of H-2A/H-2B eligibility.
I agree to the conditions of H-2A eligibility.
Signature of Joint Employer
Name of Joint Employer
Name of Joint Employer
Name of Joint Employer
Name of Joint Employer
Date (mm/dd/yyyy)
Date (mm/dd/yyyy)
Date (mm/dd/yyyy)
Date (mm/dd/yyyy)
Signature of Joint Employer
Signature of Joint Employer
Signature of Joint Employer
H Classification Supplement
Form I-129 01/31/19
Page 18 of 36
Section 3. Complete This Section If Filing for H-3 Classification
Is the training you intend to provide, or similar training, available in the beneficiary's country?
If you do not intend to employ the beneficiary abroad at the end of this training, explain why you wish to incur the cost of
providing this training and your expected return from this training.
Will the training benefit the beneficiary in pursuing a career abroad?
Does the training involve productive employment incidental to the training? If yes, explain the
amount of compensation employment versus the classroom in Part 9. of Form I-129.
Does the beneficiary already have skills related to the training?
Is this training an effort to overcome a labor shortage?
Do you intend to employ the beneficiary abroad at the end of this training?
If you answer yes to any of the following questions, attach a full explanation.
Yes
No
Yes
No
Yes
NoYes
No
Yes
No
Yes
No
H Classification Supplement
1.
2.
3.
4.
5.
6.
7.
Form I-129 01/31/19
Page 19 of 36
H-1B and H-1B1 Data Collection and
Filing Fee Exemption Supplement
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-129
OMB No. 1615-0009
Expires 01/31/2022
H-1B and H-1B1 Data Collection and Filing Fee Exemption Supplement
1. Name of the Petitioner
2. Name of the Beneficiary
Section 1. General Information
c.1. If yes, is it because the beneficiary's annual rate of pay is equal to at least $60,000?
a. Is the petitioner an H-1B dependent employer?
b. Has the petitioner ever been found to be a willful violator?
c. Is the beneficiary an H-1B nonimmigrant exempt from the Department of Labor attestation
requirements?
d. Does the petitioner employ 50 or more individuals in the United States?
d.1. If yes, are more than 50 percent of those employees in H-1B, L-1A, or L-1B nonimmigrant
status?
c.2. Or is it because the beneficiary has a master's degree or higher degree in a specialty related to
the employment?
1. Employer Information - (select all items that apply)
2. Beneficiary's Highest Level of Education (select only one box)
a. NO DIPLOMA
b. HIGH SCHOOL GRADUATE DIPLOMA or
the equivalent (for example: GED)
c. Some college credit, but less than 1 year
d. One or more years of college, no degree
e. Associate's degree (for example: AA, AS)
f. Bachelor's degree (for example: BA, AB, BS)
g. Master's degree (for example: MA, MS, MEng, MEd,
MSW, MBA)
h. Professional degree (for example: MD, DDS, DVM, LLB, JD)
i. Doctorate degree (for example: PhD, EdD)
No
Yes
No
Yes
No
No
Yes No
Yes
Yes
No
Yes
No
Yes
3. Major/Primary Field of Study
4. Rate of Pay Per Year 5. DOT Code 6. NAICS Code
In order for USCIS to determine if you must pay the additional $1,500 or $750 American Competitiveness and Workforce
Improvement Act (ACWIA) fee, answer all of the following questions:
Yes No
1. Are you an institution of higher education as defined in section 101(a) of the Higher
Education Act of 1965, 20 U.S.C. 1001(a)?
Section 2. Fee Exemption and/or Determination
2. Are you a nonprofit organization or entity related to or affiliated with an institution of higher education,
as defined in 8 CFR 214.2(h)(19)(iii)(B)?
NoYes
Form I-129 01/31/19
Page 20 of 36
3. Are you a nonprofit research organization or a governmental research organization, as defined in 8 CFR
214.2(h)(19)(iii)(C)?
4. Is this the second or subsequent request for an extension of stay that this petitioner has filed for this
alien?
5. Is this an amended petition that does not contain any request for extensions of stay?
8. Is the petitioner a nonprofit entity that engages in an established curriculum-related clinical training of
students registered at such an institution?
6. Are you filing this petition to correct a USCIS error?
7. Is the petitioner a primary or secondary education institution?
If you answered yes to any of the questions above, you are not required to submit the ACWIA fee for your H-1B Form I-129 petition.
If you answered no to all questions, answer Item Number 9. below.
9. Do you currently employ a total of 25 or fewer full-time equivalent employees in the United States,
including all affiliates or subsidiaries of this company/organization?
If you answered yes, to Item Number 9. above, you are required to pay an additional ACWIA fee of $750. If you answered no, then
you are required to pay an additional ACWIA fee of $1,500.
No
Yes
No
Yes
No
Yes
NoYes
No
Yes
No
Yes
No
Yes
NOTE: A petitioner seeking initial approval of H-1B nonimmigrant status for a beneficiary, or seeking approval to employ an H-1B
nonimmigrant currently working for another employer, must submit an additional $500 Fraud Prevention and Detection fee. For
petitions filed on or after December 18, 2015, an additional fee of $4,000 must be submitted if you responded yes to Item Numbers
1.d. and 1.d.1. of Section 1. of this supplement. This $4,000 fee was mandated by the provisions of Public Law 114-113.
The Fraud Prevention and Detection Fee and Public Law 114-113 fee do not apply to H-1B1 petitions. These fees, when applicable,
may not be waived. You must include payment of the fees when you submit this form. Failure to submit the fees when required will
result in rejection or denial of your submission. Each of these fees should be paid by separate checks or money orders.
Section 3. Numerical Limitation Information
1. Specify the type of H-1B petition you are filing. (select only one box):
b. CAP H-1B U.S. Master's Degree or Higher
a. CAP H-1B Bachelor's Degree
d. CAP Exempt
c. CAP H-1B1 Chile/Singapore
H-1B and H-1B1 Data Collection and Filing Fee Exemption Supplement
Section 2. Fee Exemption and/or Determination (continued)
2. If you answered Item Number 1.b. "CAP H-1B U.S. Master's Degree or Higher," provide the following information regarding
the master's or higher degree the beneficiary has earned from a U.S. institution as defined in 20 U.S.C. 1001(a):
a. Name of the United States Institution of Higher Education
c. Type of United States Degreeb. Date Degree Awarded
d. Address of the United States institution of higher education
City or Town
State ZIP Code
Street Number and Name NumberFlr.
Ste.Apt.
Form I-129 01/31/19
Page 21 of 36
Section 3. Numerical Limitation Information (continued)
3. If you answered Item Number 1.d. "CAP Exempt," you must specify the reason(s) this petition is exempt from the numerical
limitation for H-1B classification:
The petitioner is an institution of higher education as defined in section 101(a) of the Higher Education Act, of 1965,
20 U.S.C. 1001(a).
The petitioner is a nonprofit entity related to or affiliated with an institution of higher education as defined in 8 CFR
214.2(h)(8)(ii)(F)(2).
The petitioner is a nonprofit research organization or a governmental research organization as defined in 8 CFR
214.2(h)(8)(ii)(F)(3).
The beneficiary will be employed at a qualifying cap exempt institution, organization or entity pursuant to 8 CFR
214.2(h)(8)(ii)(F)(4).
The beneficiary of this petition is a J-1 nonimmigrant physician who has received a waiver based on section 214(l)
of the Act.
The petitioner is requesting an amendment to or extension of stay for the beneficiary's current H-1B classification.
The beneficiary of this petition has been counted against the cap and (1) is applying for the remaining portion of the
6 year period of admission, or (2) is seeking an extension beyond the 6-year limitation based upon sections 104(c) or
106(a) of the American Competitiveness in the Twenty-First Century Act (AC21).
The petitioner is an employer subject to the Guam-CNMI cap exemption pursuant to Public Law 110-229.
Section 4. Off-Site Assignment of H-1B Beneficiaries
1. The beneficiary of this petition will be assigned to work at an off-site location for all or part of the
period for which H-1B classification sought.
3. The beneficiary will be paid the higher of the prevailing or actual wage at any and all off-site locations.
2. Placement of the beneficiary off-site during the period of employment will comply with the statutory
and regulatory requirements of the H-1B nonimmigrant classification.
Yes No
Yes
NoYes
No
H-1B and H-1B1 Data Collection and Filing Fee Exemption Supplement
If no, do not complete Item Numbers 2. and 3.
a.
b.
c.
d.
e.
f.
g.
h.
Form I-129 01/31/19
Page 22 of 36
L Classification Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-129
OMB No. 1615-0009
Expires 01/31/2022
L Classification Supplement
Name of the Petitioner
Name of the Beneficiary
1.
2.
3. This petition is (select only one box):
4.a. Does the petitioner employ 50 or more individuals in the U.S.?
4.b. If yes, are more than 50 percent of those employee in H-1B, L-1A, or L-1B nonimmigrant status?
a. An individual petition
b. A blanket petition
No
Yes No
Yes
Section 1. Complete This Section If Filing For An Individual Petition
1. Classification sought (select only one box):
2. List the beneficiary's and any dependent family member's prior periods of stay in an H or L classification in the United States for
the last seven years. Be sure to list only those periods in which the beneficiary and/or family members were physically present in
the U.S. in an H or L classification. Do not include periods in which the beneficiary was in a dependent status, for example, H-4
or L-2 status. If more space is needed, go to Part 9. of Form I-129.
Subject's Name
Period of Stay (mm/dd/yyyy)
From To
a. L-1A manager or executive b. L-1B specialized knowledge
City or Town
State ZIP Code
Street Number and Name
NumberFlr.Ste.Apt.
3. Name of Employer Abroad
4. Address of Employer Abroad
CountryProvince
Postal Code
NOTE: Submit photocopies of Forms I-94, I-797, and/or other USCIS issued documents noting these periods of stay in the H or
L classification. (If more space is needed, attach an additional sheet.)
Form I-129 01/31/19
Page 23 of 36
Section 1. Complete This Section If Filing For An Individual Petition (continued)
5. Dates of beneficiary's employment with this employer. Explain any interruptions in employment.
Dates of Employment (mm/dd/yyyy)
From To
Explanation of Interruptions
6. Describe the beneficiary's duties abroad for the 3 years preceding the filing of the petition. (If the beneficiary is currently inside the
United States, describe the beneficiary's duties abroad for the 3 years preceding the beneficiary's admission to the United States.)
8. Summarize the beneficiary's education and work experience.
7. Describe the beneficiary's proposed duties in the United States.
9. How is the U.S. company related to the company abroad? (select only one box)
a. Parent
b. Branch c. Subsidiary d. Affiliate e. Joint Venture
L Classification Supplement
Form I-129 01/31/19
Page 24 of 36
10. Describe the percentage of stock ownership and managerial control of each company that has a qualifying relationship. Provide
the Federal Employer Identification Number for each U.S. company that has a qualifying relationship.
Percentage of company stock ownership and managerial control of each company
that has a qualifying relationship.
Federal Employer Identification
Number for each U.S. company
that has a qualifying relationship
Section 1. Complete This Section If Filing For An Individual Petition (continued)
11. Do the companies currently have the same qualifying relationship as they did during the one-year period of the alien's
employment with the company abroad?
12. Is the beneficiary coming to the United States to open a new office?
If you are seeking L-1B specialized knowledge status for an individual, answer the following question:
Will the beneficiary be stationed primarily offsite (at the worksite of an employer other than the petitioner or its affiliate,
subsidiary, or parent)?
If you answered yes to the preceding question, describe how and by whom the beneficiary's work will be controlled and
supervised. Include a description of the amount of time each supervisor is expected to control and supervise the work. If you
need additional space to respond to this question, proceed to Part 9. of the Form I-129, and type or print your explanation.
L Classification Supplement
13.c.
If you answered yes to the preceding question, describe the reasons why placement at another worksite outside the petitioner,
subsidiary, affiliate, or parent is needed. Include a description of how the beneficiary's duties at another worksite relate to the
need for the specialized knowledge he or she possesses. If you need additional space to respond to this question, proceed to
Part 9. of the Form I-129, and type or print your explanation.
13.b.
Yes
No. If no, provide an explanation in Part 9. of Form I-129 that the U.S. company has and will have a qualifying
relationship with another foreign entity during the full period of the requested period of stay.
Yes
Yes No
No (attach explanation)
13.a.
Form I-129 01/31/19
Page 25 of 36
Section 2. Complete This Section If Filing A Blanket Petition
List all U.S. and foreign parent, branches, subsidiaries, and affiliates included in this petition. (Attach separate sheets of paper if
additional space is needed.)
Name and Address Relationship
Section 3. Additional Fees
NOTE: A petitioner that seeks initial approval of L nonimmigrant status for a beneficiary, or seeks approval to employ an L
nonimmigrant currently working for another employer, must submit an additional $500 Fraud Prevention and Detection fee. For
petitions filed on or after December 18, 2015, you must submit an additional fee of $4,500 if you responded yes to both questions in
Item Numbers 4.a. and 4.b. on the first page of this L Classification Supplement. This $4,500 fee is mandated by the provisions of
Public Law 114-113.
These fees, when applicable, may not be waived. You must include payment of the fees with your submission of this form. Failure
to submit the fees when required will result in rejection or denial of your submission. Each of these fees should be paid by separate
checks or money orders.
L Classification Supplement
Form I-129 01/31/19
Page 26 of 36
O and P Classifications Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-129
OMB No. 1615-0009
Expires 01/31/2022
Name of the Petitioner
2.a.
2.b.
Name of the Beneficiary
1.
3. Classification sought (select only one box)
O-1A Alien of extraordinary ability in sciences, education, business or athletics (not including the arts, motion picture or
television industry)
O-1B Alien of extraordinary ability in the arts or extraordinary achievement in the motion picture or television industry
O-2 Accompanying alien who is coming to the United States to assist in the performance of the O-1
P-1 Major League Sports
P-1 Athlete or Athletic/Entertainment Group (includes minor league sports not affiliated with Major League Sports)
P-1S Essential Support Personnel for P-1
P-2 Artist or entertainer for reciprocal exchange program
P-2S Essential Support Personnel for P-2
P-3 Artist/Entertainer coming to the United States to perform, teach, or coach under a program that is culturally unique
P-3S Essential Support Personnel for P-3
Name of the Beneficiary or if this petition includes multiple beneficiaries, the total number of beneficiaries included.
Provide the total number of beneficiaries:
OR
4. Explain the nature of the event.
6. If filing for an O-2 or P support classification, list dates of the beneficiary's prior work experience under the principal O-1 or P alien.
5. Describe the duties to be performed.
O and P Classifications Supplement
Section 1. Complete This Section if Filing for O or P Classification
7.a. Does any beneficiary in this petition have ownership interest in the petitioning organization?
Yes. If yes, please explain in Item Number 7.b. No.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
Form I-129 01/31/19
Page 27 of 36
O-1 Extraordinary Ability
If no, provide the following information about the organization(s) to which you have sent a duplicate of this petition.
10.a.
Physical Address
10.b.
10.c. 10.d.
Name of Recognized Peer/Peer Group or Labor Organization
City or Town
State ZIP Code
Street Number and Name
Date Sent (mm/dd/yyyy)
NumberFlr.Ste.Apt.
Daytime Telephone Number
O-1 Extraordinary achievement in motion pictures or television
11.a.
Complete Address
11.b.
11.c.
11.d.
Name of Labor Organization
City or Town State ZIP Code
Street Number and Name
Date Sent (mm/dd/yyyy)
NumberFlr.Ste.Apt.
Daytime Telephone Number
12.a.
Physical Address12.b.
12.c. 12.d.
Name of Management Organization
City or Town
State ZIP Code
Street Number and Name
Date Sent (mm/dd/yyyy)
NumberFlr.Ste.Apt.
Daytime Telephone Number
8. Does an appropriate labor organization exist for the petition?
Yes
No - copy of request attachedYes N/A
No. If no, proceed to Part 9. and type or print your explanation.
9. Is the required consultation or written advisory opinion being submitted with this petition?
Section 1. Complete This Section if Filing for O or P Classification (continued)
O and P Classifications Supplement
7.b. Explanation
Form I-129 01/31/19
Page 28 of 36
Section 1. Complete This Section if Filing for O or P Classification (continued)
O-2 or P alien
13.a.
Complete Address
13.b.
13.c.
13.d.
Name of Labor Organization
City or Town
State ZIP Code
Street Number and Name
Date Sent (mm/dd/yyyy)
NumberFlr.Ste.Apt.
Daytime Telephone Number
Section 2. Statement by the Petitioner
Middle Name Given Name (First Name)Family Name (Last Name)
1.
Name of Petitioner
I certify that I, 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.
2.
Signature of Petitioner Date of Signature
(mm/dd/yyyy)
O and P Classifications Supplement
Signature and Date
Petitioner's Contact Information3.
Daytime Telephone Number Email Address (if any)
Form I-129 01/31/19
Page 29 of 36
Q-1 Classification Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-129
OMB No. 1615-0009
Expires 01/31/2022
Q-1 Classification Supplement
Name of the Petitioner
Name of the Beneficiary
1.
2.
Section 1. Complete if you are filing for a Q-1 International Cultural Exchange Alien
Middle Name Given Name (First Name)Family Name (Last Name)
1.
Name of Petitioner
2.
Signature of Petitioner Date of Signature
(mm/dd/yyyy)
I also certify that I will offer the alien(s) the same wages and working conditions comparable to those accorded local domestic
workers similarly employed.
a. Is at least 18 years of age,
I hereby certify that the participant(s) in the international cultural exchange program:
c. Has the ability to communicate effectively about the cultural attributes of his or her country of nationality to the American
public, and
d. Has resided and been physically present outside the United States for the immediate prior year. (Applies only if the
participant was previously admitted as a Q-1).
b. Is qualified to perform the service or labor or receive the type of training stated in the petition,
Signature and Date
Petitioner's Contact Information3.
Daytime Telephone Number Email Address (if any)
Form I-129 01/31/19
Page 30 of 36
R-1 Classification Supplement to Form I-129
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-129
OMB No. 1615-0009
Expires 01/31/2022
Section 1. Complete This Section If You Are Filing For An R-1 Religious Worker
Provide the following information about the petitioner:
1.b. Number of employees working at the same location where the beneficiary will be employed?
1.a. Number of members of the petitioner's religious organization?
1.d. Number of special immigrant religious worker petition(s) (I-360) and nonimmigrant religious
worker petition(s) (I-129) filed by the petitioner within the past five years?
1.c. Number of aliens holding special immigrant or nonimmigrant religious worker status currently
employed or employed within the past five years?
2. Has the beneficiary or any of the beneficiary's dependent family members previously been admitted
to the United States for a period of stay in the R visa classification in the last five years?
NoYes
NOTE: Submit photocopies of Forms I-94 (Arrival-Departure Record), I-797 (Notice of Action), and/or other USCIS
documents identifying these periods of stay in the R visa classification(s). If more space is needed, provide the information in
Part 9. of Form I-129.
Alien or Dependent Family Member's Name
Period of Stay (mm/dd/yyyy)
From To
If yes, complete the spaces below. List the beneficiary and any dependent family member’s prior periods of stay in the R visa
classification in the United States in the last five years. Please be sure to list only those periods in which the beneficiary and/or
family members were actually in the United States in an R classification.
R-1 Classification Supplement
Employer Attestation
Name of the Petitioner
Name of the Beneficiary
1.
2.
Form I-129 01/31/19
Page 31 of 36
5.c. Description of the beneficiary's qualifications for position offered.
R-1 Classification Supplement
Section 1. Complete This Section If You Are Filing For An R-1 Religious Worker (continued)
3. Provide a summary of the type of responsibilities of those employees who work at the same location where the beneficiary will
be employed. If additional space is needed, provide the information on additional sheet(s) of paper.
Position Summary of the Type of Responsibilities for That Position
4. Describe the relationship, if any, between the religious organization in the United States and the organization abroad of which
the beneficiary is a member.
5.b. Detailed description of the beneficiary's proposed daily duties.
5.a. Title of position offered.
Provide the following information about the prospective employment:
5.d. Description of the proposed salaried compensation or non-salaried compensation. If the beneficiary will be self-supporting, the
petitioner must submit documentation establishing that the position the beneficiary will hold is part of an established program
for temporary, uncompensated missionary work, which is part of a broader international program of missionary work sponsored
by the denomination.
Form I-129 01/31/19
Page 32 of 36
Section 1. Complete This Section If You Are Filing For An R-1 Religious Worker (continued)
Yes No. If no, type or print your explanation below and if needed, go to Part 9. of Form I-129.
5.e. List of the address(es) or location(s) where the beneficiary will be working.
6. The petitioner is a bona fide non-profit religious organization or a bona fide organization that is affiliated with the religious
denomination and is tax-exempt as described in section 501(c)(3) of the Internal Revenue Code of 1986, subsequent
amendment, or equivalent sections of prior enactments of the Internal Revenue Code. If the petitioner is affiliated with the
religious denomination, complete the Religious Denomination Certification included in this supplement.
Does the petitioner attest to all of the requirements described in Item Numbers 6. - 12. below?
Petitioner Attestations
No. If no, type or print your explanation below and if needed, go to Part 9. of Form I-129.Yes
7. The petitioner is willing and able to provide salaried or non-salaried compensation to the beneficiary. If the beneficiary will be
self-supporting, the petitioner must submit documentation establishing that the position the beneficiary will hold is part of an
established program for temporary, uncompensated missionary work, which is part of a broader international program of
missionary work sponsored by the denomination.
Yes No. If no, type or print your explanation below and if needed, go to Part 9. of Form I-129.
8. If the beneficiary worked in the United States in an R-1 status during the 2 years immediately before the petition was filed, the
beneficiary received verifiable salaried or non-salaried compensation, or provided uncompensated self-support.
R-1 Classification Supplement
Yes No. If no, type or print your explanation below and if needed, go to Part 9. of Form I-129.
9. If the position is not a religious vocation, the beneficiary will not engage in secular employment, and the petitioner will provide
salaried or non-salaried compensation. If the position is a traditionally uncompensated and not a religious vocation, the
beneficiary will not engage in secular employment, and the beneficiary will provide self-support.
Form I-129 01/31/19
Page 33 of 36
Section 1. Complete This Section If You Are Filing For An R-1 Religious Worker (continued)
Yes No. If no, type or print your explanation below and if needed, go to Part 9. of Form I-129.
10. The offered position requires at least 20 hours of work per week. If the offered position at the petitioning organization requires
fewer than 20 hours per week, the compensated service for another religious organization and the compensated service at the
petitioning organization will total 20 hours per week. If the beneficiary will be self-supporting, the petitioner must submit
documentation establishing that the position the beneficiary will hold is part of an established program for temporary,
uncompensated missionary work, which is part of a broader international program of missionary work sponsored by the
denomination.
Yes No. If no, type or print your explanation below and if needed, go to Part 9. of Form I-129.
11. The beneficiary has been a member of the petitioner's denomination for at least two years immediately before Form I-129 was
filed and is otherwise qualified to perform the duties of the offered position.
Yes No. If no, type or print your explanation below and if needed, go to Part 9. of Form I-129.
12. The petitioner will notify USCIS within 14 days if an R-1 alien is working less than the required number of hours or has been
released from or has otherwise terminated employment before the expiration of a period of authorized R-1 stay.
R-1 Classification Supplement
I certify, under penalty of perjury, that the contents of this attestation and the evidence submitted with it are true and correct.
Attestation
Date (mm/dd/yyyy)Signature of Petitioner
Name of Petitioner
Title
Employer or Organization Name
Form I-129 01/31/19
Page 34 of 36
Section 1. Complete This Section If You Are Filing For An R-1 Religious Worker (continued)
Daytime Telephone Number
City or Town
State ZIP Code
Street Number and Name
Employer or Organization Address (do not use a post office or private mail box)
Employer or Organization's Contact Information
NumberFlr.Ste.Apt.
Email Address (if any)Fax Number
Section 2. This Section Is Required For Petitioners Affiliated With The Religious Denomination
Religious Denomination Certification
I certify, under penalty of perjury, that:
Name of Employing Organization
is affiliated with:
Name of Religious Denomination
and that the attesting organization within the religious denomination is tax-exempt as described in section 501(c)(3) of the Internal
Revenue Code of 1986 (codified at 26 U.S.C. 501(c)(3)), any subsequent amendment(s), subsequent amendment, or equivalent
sections of prior enactments of the Internal Revenue Code. The contents of this certification are true and correct to the best of my
knowledge.
Date (mm/dd/yyyy)
Signature of Authorized Representative of Attesting Organization
R-1 Classification Supplement
City or Town State ZIP Code
Street Number and Name
Attesting Organization Name and Address (do not use a post office or private mail box)
NumberFlr.Ste.Apt.
Attesting Organization Name
Attesting Organization's Contact Information
Daytime Telephone Number Email Address (if any)Fax Number
Name of Authorized Representative of Attesting Organization
Title
Form I-129 01/31/19
Page 35 of 36
Attachment-1
Foreign Address (Complete Address)
Address in the United States Where You Intend to Live (Complete Address)
Middle Name Given Name (First Name)Family Name (Last Name)
Gender
Male Female
U.S. Social Security Number (if any) A-Number (if any)
Date of birth (mm/dd/yyyy)
A-
Middle Name Given Name (First Name)Family Name (Last Name)
All Other Names Used (include aliases, maiden name and names from previous marriages)
City or Town State ZIP Code
Street Number and Name NumberFlr.Ste.Apt.
City or Town State ZIP Code
Street Number and Name Apt. Flr. NumberSte.
Country of Birth Country of Citizenship or Nationality
Province CountryPostal Code
IF IN THE UNITED STATES:
Date Passport or Travel Document
Expires (mm/dd/yyyy)
I-94 Arrival-Departure Record
Number
Current Nonimmigrant Status Date Status Expires or D/S
Country of Issuance for Passport
or Travel Document
Date Passport or Travel Document
Issued (mm/dd/yyyy)
Date of Last Arrival
(mm/dd/yyyy)
Employment Authorization Document (EAD) Number
(if any)
Student and Exchange Visitor Information System (SEVIS) Number
(if any)
Passport or Travel Document
Number
(mm/dd/yyyy)
►
Attachment-1
Attach to Form I-129 when more than one person is included in the petition. (List each person separately. Do not
include the person you named on the Form I-129.)
Form I-129 01/31/19
Page 36 of 36Attachment-1
Foreign Address (Complete Address)
Address in the United States Where You Intend to Live (Complete Address)
Middle Name Given Name (First Name)Family Name (Last Name)
Gender
Male Female
U.S. Social Security Number (if any) A-Number (if any)
Date of birth (mm/dd/yyyy)
A-
Middle Name Given Name (First Name)Family Name (Last Name)
All Other Names Used (include aliases, maiden name and names from previous Marriages)
City or Town State ZIP Code
Street Number and Name NumberFlr.Ste.Apt.
City or Town State ZIP Code
Street Number and Name Apt. Flr. NumberSte.
Country of Birth Country of Citizenship or Nationality
Province CountryPostal Code
IF IN THE UNITED STATES:
Date Passport or Travel Document
Expires (mm/dd/yyyy)
I-94 Arrival-Departure Record
Number
Current Nonimmigrant Status Date Status Expires or D/S
Country of Issuance for Passport
or Travel Document
Date Passport or Travel Document
Issued (mm/dd/yyyy)
Date of Last Arrival
(mm/dd/yyyy)
Employment Authorization Document (EAD) Number
(if any)
Student and Exchange Visitor Information System (SEVIS) Number
(if any)
Passport or Travel Document
Number
(mm/dd/yyyy)
►
Attachment-1
Attach to Form I-129 when more than one person is included in the petition. (List each person separately. Do not
include the person you named on the Form I-129.)
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I-129 Petition for Nonimmigrant Worker

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Completed 6 November 2019

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