9/25/2020 Ed.
- The latest Form 1095-B, Health Coverage; Form 1095-C, Employer-Provided Health Insurance
Offer and Coverage (if available) with evidence of renewal of coverage for the current year.
- Premium Tax Credit or Advanced Tax Credit If you received a Premium Tax Credit or
Advanced Tax Credit we must provide a transcript copy of the IRS Form 8963 Report of Health
Insurance Provider Information, Form 8962 Premium Tax Credit (PTC), and a copy of Form
1095A, Health Insurance Marketplace Statement.
Future health insurance coverage. If you do not yet have health insurance coverage, but have
already enrolled or plan to enroll in the future, please review this item. We will need to provide
a letter or other evidence from the insurance company showing that you have enrolled in or
have a future enrollment date for a health insurance plan. The letter or other evidence must
include the terms, the type of coverage, that you are the individual covered, and the date when
the coverage begins.
EDUCATIONAL HISTORY:
This section on education is NOT REQUIRED if you have an APPROVED I-140 Petition.
- High School
o Name:
o Date Started: Date Finished:
- University or College
o Name:
o Date Started: Date Finished:
- Graduate or Professional Degree
o Name:
o Date Started: Date Finished:
- Diploma and transcript for each of your educational programs at the high school level
and higher. The transcript should be certified by the educational institution. If you cannot
obtain these documents, please request a letter from the institution explaining why they are
unavailable.
o If you do not have access to your high school diploma and transcript but you
have obtained a Bachelor’s degree or higher then please just provide us with
the name of your high school, location, and date of graduation.
- Equivalency certification – foreign education. For any foreign educational program, we
must provide an independent certification that demonstrates how the program correlates to
a U.S. equivalent. For a list of organizations that provide equivalency evaluation, see the
National Association of Credential Evaluation Services (NACES), at
http://www.naces.org/members.htm. If you prefer, your attorney can obtain an equivalency
certification on your behalf but you will be responsible for the expenses.
OCCUPATIONAL CERTIFICATES AND LICENSES:
- Documentation will vary by field but should include when the certificates or licenses were
obtained, who issued the certification or license, license numbers, and expiration/renewal
date.