Form I-129 - Petition For A Nonimmigrant Worker - Department Of Homeland Security Page 10
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26Section 2. Complete this section if filing for H-2A or H-2B classification (Continued)
4. List the country(ies) of citizenship of the H-2A/H-2B worker(s) you plan to hire.
Name of country(ies):
5. If the H-2A or H-2B workers you plan to hire are 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), you must provide all the information requested below. See
website for the list of participating countries. (Attach a separate sheet if additional space is needed)
Family Name (Last Name):
Given Name (First Name):
Full Middle Name:
Date of Birth (mm/dd/yyyy)
All Other Names Used:
Country of Birth:
Country of Citizenship:
6. a. Have any of the workers listed in Number 5 above ever been admitted to the United States
Yes
No
previously in H-2A/H-2B status ?
Visa Classification (H-2A or H-2B):
b. If you answered question 6 a. "Yes," did they comply with the terms of their status?
Yes
No
If you answered question 6 b. "Yes," attach evidence of the workers' compliance.
c. If the H-2A or H-2B worker(s) you plan to hire are from a country not on the list of eligible
countries, and you want the petition to be considered for approval, you must also provide
evidence that: (1) a worker with the required skills is not available from a country on the list
of eligible countries; (2) there is no potential for abuse, fraud, or other harm to the integrity
of the H-2A/H-2B visa program through the potential admission of these worker(s) that you
plan to hire; and (3) there are other factors that would serve the U.S. interest (if any).
7. Did you or do you plan to use a staffing, recruiting, or similar placement service or agent to
Yes
No
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 used.
Name:
Address:
8. Did any of the H-2A/H-2B workers that you have located or plan to hire pay you, the above
service, or any service or agent, any form of compensation as a condition of the employment or
Yes
No
do they have an agreement to pay you or the service at a later date? (Do not include reasonable
travel expenses, government visa fees, or other reasonable fees for which the worker is
responsible.) See 8 CFR 214.2(h)(5)(xi)(A) or 214.2(h)(6)(i)(B).
Form I-129 Supplement H (Rev. 06/12/09)Y Page 10
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