Part 8. Contact Information, Declaration, and
Part 7. Statement, Contact Information,
Signature of the Person Preparing This
Certification, and Signature of the Individual
Supplement, if Other Than the Individual
Employer or Authorized Signatory of the
Employer or Authorized Signatory of the
Business Entity Employer (continued)
Business Entity Employer
Individual Employer's or Authorized Signatory's
Provide the following information about the preparer.
Certification
Preparer's Full Name
Copies of any documents I have submitted are exact
photocopies of unaltered, original documents, and I understand
1.a.
Preparer's Family Name (Last Name)
that, as the employer, USCIS may require that I submit original
documents to USCIS at a later date.
I authorize the release of any information from any records of
1.b.
Preparer's Given Name (First Name)
the employer that USCIS may need to determine eligibility for
the requested immigration benefit. I recognize the authority of
USCIS to conduct audits of this supplement using publicly
2.
Preparer's Business or Organization Name (if any)
available open source information. I also recognize that USCIS
may verify any supporting evidence submitted in support of this
supplement through any means determined appropriate by
Preparer's Mailing Address
USCIS, including but not limited to, on-site compliance
reviews.
3.a.
Street Number
and Name
If filling this supplement on behalf of an organization, I certify
that I am authorized to do so by the organization.
3.b.
Apt.
Ste.
Flr.
I certify, under penalty of perjury, that I have reviewed this
3.c. City or Town
supplement, and that all of the information contained in Part 5.
and Part 6. of this supplement, including all responses provided
3.d. State
3.e. ZIP Code
by me to specific questions and in the supporting documents
provided by me, is complete, true, and correct.
3.f.
Province
I further declare, under penalty of perjury, and attest to the
following:
3.g.
Postal Code
1) I am a viable employer and I am extending a bona fide job
3.h. Country
offer to the applicant named in Part 2. of this supplement;
2)
The job opportunity is for full-time, permanent
employment; and
Preparer's Contact Information
3) I intend to employ the applicant in the job offer described
in Part 6. of this supplement upon the approval of the
4.
Preparer's Daytime Telephone Number
applicant's Form I-485.
5.
Preparer's Mobile Telephone Number (if any)
Individual Employer's or Authorized Signatory's
Signature
6.
Preparer's Email Address (if any)
8.a.
Signature of Individual Employer or Authorized Signatory
(sign in ink)
8.b.
Date of Signature (mm/dd/yyyy)
Form I-485 Supplement J 06/26/17 N
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Instructions For Supplement J, Confirmation Of Bona Fide Job Offer Or Request For Job Portability Under Ina Section 204(j) (form I-485)
Legal
Form I-914 - Supplement B - Declaration Of Law Enforcement Officer For Victim Of Trafficking In Persons
Legal
