9.
Is the applicant named in Part 2. of this supplement
Part 6. Information About the Job Offer
currently employed by you?
Yes
No
You, the employer, must provide the information requested in
Part 6.
10.
If you answered "Yes" to Item Number 9., when did the
applicant begin employment with you (mm/dd/yyyy)?
1.
Job Title
2.
Standard Occupational Classification (SOC) Code
Part 7. Statement, Contact Information,
►
-
Certification, and Signature of the Individual
3.
Nontechnical Description of Job (If you need extra space
Employer or Authorized Signatory of the
to complete this section, use the space provided in Part 9.
Business Entity Employer
Additional Information.)
NOTE: Read the Penalties section of the Supplement J
Instructions before completing this part.
Individual Employer's or Authorized Signatory's
Statement
Select all applicable boxes.
1.
I can read and understand English, and I have read
and understand every question and instruction on this
supplement and my answer to every question.
At my request, the preparer named in Part 8.,
2.
,
prepared this supplement for me based only upon
information I provided or authorized.
Yes
No
4.
Is this a full-time position?
5.
If you answered "No" to Item Number 4., provide the
Individual Employer's or Authorized Signatory's
number of hours per week the applicant will work in this
Contact Information
position.
3.a.
Individual Employer's or Authorized Signatory's Family
Yes
No
6.
Is this a permanent position?
Name (Last Name)
7.
Wages Offered (Specify hour, week, month, or year)
$
per
3.b.
Individual Employer's or Authorized Signatory's Given
Name (First Name)
Employer's U.S. Physical Address
4.
Individual Employer's or Authorized Signatory's Title
Provide the physical address where the applicant will work if
different from the employer's mailing address in Part 5., Item
Numbers 2.a. - 2.e. or the address provided in Form I-140 on
5.
Individual Employer's or Authorized Signatory's Daytime
which the applicant's Form I-485 is based.
Telephone Number
8.a.
Street Number
and Name
8.b.
Apt.
Ste.
Flr.
6.
Individual Employer's or Authorized Signatory's Mobile
Telephone Number (if any)
8.c.
City or Town
8.d.
State
8.e.
ZIP Code
7.
Individual Employer's or Authorized Signatory's Email
Address (if any)
Form I-485 Supplement J 06/26/17 N
Page 4 of 7