Form Wh-4 - Nonimmigrant Worker Information - U.s. Department Of Labor - Wage And Hour Division

Download a blank fillable Form Wh-4 - Nonimmigrant Worker Information - U.s. Department Of Labor - Wage And Hour Division in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Wh-4 - Nonimmigrant Worker Information - U.s. Department Of Labor - Wage And Hour Division with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

U.S. Department of Labor

Nonimmigrant Worker

Information Form

Wage and Hour Division

OMB NO: 1205-0310

Expires: xx/xx/20xx

This report is authorized by certain Immigration and Nationality Act provisions. 8 U.S.C. §§ 1182(n)(2)(A), 1182(n)(2)(G), and 1182(t)(3)(A). The information provided on this

form will assist the U.S. Department of Labor (DOL) in determining whether the named employer of H-1B, H-1B1 or E-3 nonimmigrant(s) has committed a violation of

provisions of the applicable nonimmigrant program.

Instructions: Please provide as much of the requested information as possible. Your identity will be kept confidential to the fullest extent provided by the law. 5 USC 552(b)

(7)(D). If necessary, attach additional sheets to this form if you need more space to answer. If you do not understand a term, or need assistance in the completion of

this form, please contact the U.S. Department of Labor Wage and Hour Division (WHD) at 1-866-4USWAGE (1-866-487-9243). Once you complete this form, please mail or

otherwise deliver it to the WHD office that has jurisdiction over the physical location of the employer. For WHD office locations visit

america2.htm. After you submit this form, a representative from the Wage and Hour Division may contact you if further information is necessary to initiate an investigation.

The Immigrant and Employee Rights Section of the U.S. Department of Justice, Civil Rights Division, handles complaints alleging failure to offer employment to an equally or

better qualified U.S. worker or a misrepresentation regarding such offer(s) of employment. If your allegations concern such matters, please file your complaint with the

Immigrant and Employee Rights Section at https:// You may also call the toll-free Worker Hotline at 1-800-255-7688 or 1-800-237-2515 (TTY).

1. Person Submitting Information (please print)

First Name

Middle Initial

Last Name

Mailing Address:

Number, Street, Apt., or P.O. Box No.

City

State

ZIP Code

Telephone Number (including area code)

Email Address: