I-140, Immigrant Petition for Alien Worker (United States)
This form is an immigrant petition for an alien visa to work in the United States. The form provided here is simply a sample of what the actual Form I-140 looks like.
Department of Homeland Security
U.S. Citizenship and Immigration Services
I-140, Immigrant Petition for Alien Worker
START HERE - Please type or print in black ink.
Part 1. Information about the person or organization filing this petition. If an individual is filing, use the top name line. Organizations should use the second line.
Family Name (Last Name) _______________________________
Given Name (First Name) _______________________________
Full Middle Name _______________________________
Company or Organization Name _______________________________
Address (Street Name and Number) _______________________________
Suite # ___________
Attn: _______________________________
City _______________________________
State/Province _______________________________
Country _______________________________
Zip/Postal Code _______________________________
IRS Tax # _______________________________
U.S. Social Security # (if any)_______________________________
E-Mail Address (if any) _______________________________
Part 2. Petition type.
This petition is being filed for: (Check one)
a. ____ An alien of extraordinary ability.
b. ____ An outstanding professor or researcher.
c. ____ A multinational executive or manager.
d. A member of the professions holding an advanced degree or an alien of exceptional ability (who is NOT seeking a National Interest Waiver).
e. A professional (at a minimum, possessing a bachelor's degree or a foreign degree equivalent to a U.S. bachelor's degree) or a skilled worker (requiring at least two years of specialized training or experience).
f. ____ (Reserved.)
g. ____ Any other worker (requiring less than two years of training or experience).
h. ____ Soviet Scientist.
i. ____ An alien applying for a National Interest Waiver (who IS a member of the professions holding an advanced degree or an alien of exceptional ability).
Part 3. Information about the person you are filing for.
Family Name (Last Name) _______________________________
Given Name (First Name) _______________________________
Full Middle Name _______________________________
Address (Street Name and Number) _______________________________
Apt. # _______________________________
C/O: (In Care Of) _______________________________
City _______________________________
State/Province _______________________________
Country _______________________________
Zip/Postal Code _______________________________
E-Mail Address (if any) _______________________________
Daytime Phone # (with area/country code) _______________________________
Date of Birth (mm/dd/yyyy) _______________________________
City/Town/Village of Birth _______________________________
State/Province of Birth _______________________________
Country of Birth _______________________________
Country of Nationality Citizenship _______________________________
A # (if any) _______________________________
U.S. Social Security # (if any) _______________________________
If in the U.S.
Date of Arrival (mm/dd/yyyy) _______________________________
Current Nonimmigrant Status _______________________________
I-94 # (Arrival/Departure Document) _______________________________
Date Status Expires (mm/dd/yyyy) _______________________________
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FOR USCIS USE ONLY
Returned ___________________ Date
Resubmitted ___________________ Date
Reloc Sent ___________________ Date
Reloc Rec'd ___________________ Date
Receipt ___________________
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Classification:
____ 203(b)(1)(A) Alien of Extraordinary Ability
____ 203(b)(1)(B) Outstanding Professor or Researcher
____ 203(b)(1)(C) Multi-National Executive or Manager
____ 203(b)(2) Member of Professions w/Adv. Degree or Exceptional Ability
____ 203(b)(3)(A)(i) Skilled Worker
____ 203(b)(3)(A)(ii) Professional
____ 203(b)(3)(A)(iii) Other Worker
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Certification:
____ National Interest Waiver (NIW)
____ Schedule A, Group I
____ Schedule A, Group II
Priority Date ___________________
Consulate ___________________
Concurrent Filing:
____ I-485 filed concurrently.
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Action Block
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To Be Completed by Attorney or Representative, if any
____ Fill in box if G-28 is attached to represent the applicant
ATTY State License # ___________________
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Part 4. Processing Information.
1. Please complete the following for the person named in Part 3: (Check one)
____ Alien will apply for a visa abroad at the American Embassy or Consulate at:
City ___________________
Foreign Country ___________________
____ Alien is in the United States and will apply for adjustment of status to that of lawful permanent resident.
Alien's country of current residence or, if now in the U.S., last permanent residence abroad. _______________________________
2. If you provided a U.S. address in Part 3, print the person's foreign address: _______________________________
3. If the person's native alphabet is other than Roman letters, write the person's foreign name and address in the native alphabet: _______________________________
4. Are any other petition(s) or application(s) being filed with this Form I-140? ____ No ____ Yes (check all that apply)
____ Form I-485
____ Form I-131
____ Form I-765
____ Other - attach an explanation.
5. Is the person you are filing for in removal proceedings? ____ No ____ Yes - attach an explanation.
6. Has any immigrant visa petition ever been filed by or on behalf of this person? ____ No ____ Yes - attach an explanation.
If you answered yes to any of these questions, please provide the case number, office location, date of decision and disposition of the decision on a separate sheet(s) of paper.
Part 5. Additional information about the petitioner.
1. Type of petitioner (Check one).
____ Employer ____ Self ____ Other (Explain, e.g., Permanent Resident, U.S. citizen or any other person filing on behalf of the alien.) _______________________________
2. If a company, give the following:
Type of Business _______________________________
Date Established (mm/dd/yyyy) _______________________________
Current Number of Employees _______________________________
Gross Annual Income _______________________________
Net Annual Income _______________________________
NAICS Code _______________________________
DOL/ETA Case Number _______________________________
3. If an individual, give the following:
Occupation _______________________________
Annual Income _______________________________
Part 6. Basic information about the proposed employment.
1. Job Title _______________________________
2. SOC Code _______________________________
3. Nontechnical Description of Job _______________________________
4. Address where the person will work if different from address in Part 1. _______________________________
5. Is this a full-time position? ____ Yes ____ No
6. If the answer to Number 5 is "No," how many hours per week for the position? _______________________________
7. Is this a permanent position?
____ Yes ____ No
8. Is this a new position?
____ Yes ____ No
9. Wages per week $_______________________________
Part 7. Information on spouse and all children of the person for whom you are filing.
List husband/wife and all children related to the individual for whom the petition is being filed. Provide an attachment of additional family members, if needed.
Name (First/Middle/Last) _______________________________
Relationship _______________________________
Date of Birth (mm/dd/yyyy) _______________________________
Country of Birth _______________________________
Name (First/Middle/Last) _______________________________
Relationship _______________________________
Date of Birth (mm/dd/yyyy) _______________________________
Country of Birth _______________________________
Name (First/Middle/Last) _______________________________
Relationship _______________________________
Date of Birth (mm/dd/yyyy) _______________________________
Country of Birth _______________________________
Part 8. Signature. Read the information on penalties in the instructions before completing this section. If someone helped you prepare this petition, he or she must complete Part 9.
I certify, under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it are all true and correct. I authorize U.S. Citizenship and Immigration Services to release to other government agencies any information from my USCIS (or former INS) records, if USCIS determines that such action is necessary to determine eligibility for the benefit sought.
Petitioner's Signature _______________________________
Daytime Phone Number (Area/Country Codes) _______________________________
E-Mail Address _______________________________
Print Name _______________________________
Date (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 9. Signature of person preparing form, if other than above. (Sign below.)
I declare that I prepared this petition at the request of the above person and it is based on all information of which I have knowledge.
Attorney or Representative: In the event of a Request for Evidence (RFE), may the USCIS contact you by Fax or E-mail?
Signature _______________________________
Print Name _______________________________
Date (month/day/year) _______________________________
Firm Name and Address _______________________________
Daytime Phone Number (Area/Country Codes) _______________________________
Fax Number (Area/Country Codes) _______________________________
E-Mail Address _______________________________