Fillable H-1b Intake Form Work Authorization Form (Page 3 of 3) in pdf

RAVEL

LANS

Do you plan to travel outside of the United States within the next 6 months?

Yes – complete below

Travel dates:

from _____________ to: ______________ destination: _____________________________________

If you plan to travel outside the U.S. while your H-1B application is pending at U.S. Citizenship and Immigration Services (once the ISSO mails the

application), be sure to discuss this with an Immigration Specialist in the ISSO as soon as possible. If you provide this information above, a Specialist in

the ISSO may contact you to discuss this further. If you have not listed travel plans listed above and your plans change at any point up until your H-1B is

approved, it is your responsibility to contact the ISSO to discuss this change in plans and how it may affect your H application.

__________________________________________________________

________________________

Applicant’s signature

Today’s date

In addition please provide the following documentation:

•

Copy of your Education documents (if not in English, must be accompanied by a certified English

translation). Copies of all university-level and post graduate education documents .If your diploma does not

specify your field of study, also provide official university transcripts or a letter from your university’s registrar

detailing the field of your degree.

•

An Academic Equivalency Evaluation is needed if you earned your degree outside of the U.S. If you need a

recommendation for an evaluation company please let us know.

•

Up-to-date curriculum vitae (resume)

•

Current and previous visa documents (All prior H-1B Approval Notice(s) (I-797A)) (for F or J status ALL

Forms I-20 or DS-2019/IAP-66.)

•

Copy of Approved or Receipted I-140 (if applicable)

•

Copy of I-485 Receipt (if applicable)

•

Copy of EAD Card (if applicable)

•

Copy of Arrival/Departure Form I-94, front and back: This is the small white card issued upon entry to the

United States and stapled into the passport. (Be sure the stamp on the card is legible.) If you have traveled to the

U.S. since April 2013, you may have an electronic I-94 record which you should print from the following website:

•

Biographical information pages from passport (listing name, birth date, and passport validity dates)

•

Most recent Department of State issued Visa Stamp (issued by U.S. Embassy/Consulate abroad)

•

Copy of 3 most recent paychecks (from current employer)

•

If you previously held J-1 status and were subject to 212(e) please provide either:

1. A Copy of I-612 Approval Notice waiving 212(e) 2 year home residency requirement or

2. Evidence that you fulfilled the 212(e) requirement.

If you have dependent(s) in H-4 status with you in the U.S., or who will be needing H-4 status, your dependent(s)

will need to complete Form I-539 found at under the “Forms” tab. This form must be signed by your

dependent. Additionally, you must provide the following information for filing with the original signed I-539:

•

$290 USCIS filing fee, payable to “Department of Homeland Security”

•

A copy of your dependent(s) passport biographical page

•

A copy of your dependent(s) visa stamp and I-94 card

•

A copy of your marriage certificate (if your spouse is applying with you)

•

A copy of your child/ren’s birth certificate (if your children are applying with you)

H Intake Part 2 – Applicant (01/2015)

H-1b Intake Form Work Authorization Form Page 3

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