Fillable Form H-1b - Employee Information Form

Form H-1b - Employee Information Form - 2012 Page 3

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H-1B EMPLOYEE CHECKLIST

Please submit the following documents (3 copies of each):

A. All applicants:

[ ] Copy of diploma/certificate AND English translation if applicable

[ ] Credentials evaluation if degree earned abroad (recommended but not required)

[ ] Current Curriculum Vitae

[ ] Copy of passport biographical page

If currently in the U.S.:

[ ] Copy of I-94 card (front and back)

[ ] Copy of visa stamp

AND

If in F-1 or F-2 status:

[ ] Copies of all I-20(s)

[ ] Copies of Employment Authorization Document (EAD), if applicable

[ ] If currently in F-2 status, submit copies of F-1’s I-94 (front and back)

If in J-1 or J-2 status:

[ ] Copies of all DS-2019(s)

[ ] Copy of waiver approval/recommendation of section 212e, if applicable

[ ] If currently in J-2 status, submit copy of J-1’s I-94 (front and back)

If in H-1B or H-4 status:

[ ] Copies of all previous I-797 Approval Notice(s)

[ ] If in H-1B status, submit confirmation of employment (paystubs from 3 previous months).

[ ] If in H-4 status, submit copies of H-1’s I-94 (front and back) and evidence of H-1’s maintenance of

status (copies of most recent pay stub.

Foreign physicians applying for positions involving patient care (i.e. residency programs)

[ ] Copies of USMLE score reports steps I, II, III

[ ] Copy of ECFMG certificate

[ ] Visa letter from the Nevada State Board of Medical Examiners confirming you have applied for the

medical license in Nevada

[ ] Copy of current medical license if applicable

C. Dependents(s) who are in the U.S. and will apply for H-4 status

[ ] I-539 form (completed and signed by the dependent)

[ ] Copies of dependents’ previous I-797 Approval Notice(s) if already in H status

[ ] Copies of dependents’ I-94(front and back), entry visa(s), passport information page(s)

[ ] Check for $290.00 payable to the Department of Homeland Security

Page 3 of 3 | 12/2012

Form H-1b - Employee Information Form - 2012 Page 3

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