H-1B QUESTIONNAIRE FOR EMPLOYEE

Please print this form and write or type your answers into the right column

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A1. Name of Prospective Employer  
A2. Desired Employment Start Date for H-1B  
BIOGRAPHICAL DATA REGARDING EMPLOYEE
B1. First Name  
B2. Middle Name  
B3. LAST Name  
B4. Foreign Address (Required)

  		 
B5. U.S. Address (if any)

  		 
B6. Mobile Phone Number  
B7. Work Tel Number  
B8. Home Tel Number  
B9. Email Address  
B10. Social Security Number (SSN)  
B11. Date of Birth  
IMMIGRATION HISTORY FOR THE EMPLOYEE
C1. Date of Last U.S. Entry ______/______/_______. Place of Arrival:
C2. City and Country of Birth  
C3. County of Nationality  
C4. Alien Registration # (if any)  
C5. The U.S. consulate (city and country) you would apply for your Visa through, even if you do not plan to apply for your visa at this time  
C6. Passport Number and Expiration Date  
C7. Has a Labor Certification (PERM/RIR) application ever been filed on your behalf? ______ No     ______ Yes

If Yes, please provide a copy of this application.
C8. Has an Immigrant Visa (I-140) petition ever been filed on your behalf? ______ No     ______ Yes

If Yes, please provide a copy of the I-140 receipt and/or approval.
C9. Have you ever been refused/denied a non-immigrant Visa? ______ No     ______ Yes

If Yes, please explain:



 
C10. Have you ever filed an application for permanent residency status (I-485)? ______ No     ______ Yes

If Yes, please provide a copy of the I-485 receipt and all AP/EAD approvals..
C11. Have you ever been arrested or convicted of a crime in or outside of the U.S.? ______ No     ______ Yes

If Yes, please explain:



 
C12. Do you or any family members intend to travel internationally while this petition is pending with the USCIS? ______ No     ______ Yes

If Yes, please provide tentative dates of travel for each person traveling:



 
PAST TRAVEL DETAILS FOR THE EMPLOYEE
Please provide all periods of H or L stay since your arrival in the U.S. (list exact dates)

Date Entered U.S. Date Departed U.S. Non-Immigrant Status
     
     
     
     
     
     


BIOGRAPHICAL AND IMMIGRATION DATA REGARDING EMPLOYEE'S SPOUSE (IF ANY)
(this section is required even if family members do not require H4 sponsorship)
D1. First Name  
D2. Middle Name  
D3. LAST Name  
D4. Date of Birth  
D5. City and Country of Birth  
D6. Current Non-Immigrant Status (e.g. H-4, H-1B, F-1, etc.)  
D7. Social Security Number (SSN) or Tax ID (INTD), if applicable  
D8. Alien Registration Number (if any)  
D9. Passport Number and Expiration Dates  
D10. Is H-4 required for this family member? ______ No     ______ Yes
D11. Has this family member ever been refused/denied a non-immigrant visa? ______ No     ______ Yes

If Yes, please explain



 
D12. Has this family member ever filed an application for permanent residency (I-485)? ______ No     ______ Yes

If Yes, please provide a copy of the I-485 receipt and all AP/EAD approvals.
D13. Has this family member ever been arrested or convicted of a crime in or outside of the U.S.? ______ No     ______ Yes

If Yes, please explain



 


BIOGRAPHICAL AND IMMIGRATION DATA REGARDING EMPLOYEE'S CHILD #1 (IF ANY)
(this section is required even if family members do not require H4 sponsorship)
E1. First Name  
E2. Middle Name  
E3. LAST Name  
E4. Date of Birth  
E5. City and Country of Birth  
E6. Current Non-Immigrant Status (e.g. H-4, H-1B, F-1, etc.)  
E7. Social Security Number (SSN) or Tax ID (INTD), if applicable  
E8. Alien Registration Number (if any)  
E9. Passport Number and Expiration Dates  
E10. Is H-4 required for this family member? ______ No     ______ Yes
E11. Has this family member ever been refused/denied a non-immigrant visa? ______ No     ______ Yes

If Yes, please explain



 
E12. Has this family member ever filed an application for permanent residency (I-485)? ______ No     ______ Yes

If Yes, please provide a copy of the I-485 receipt and all AP/EAD approvals.
E13. Has this family member ever been arrested or convicted of a crime in or outside of the U.S.? ______ No     ______ Yes

If Yes, please explain



 


BIOGRAPHICAL AND IMMIGRATION DATA REGARDING EMPLOYEE'S CHILD #2 (IF ANY)
(this section is required even if family members do not require H4 sponsorship)
F1. First Name  
F2. Middle Name  
F3. LAST Name  
F4. Date of Birth  
F5. City and Country of Birth  
F6. Current Non-Immigrant Status (e.g. H-4, H-1B, F-1, etc.)  
F7. Social Security Number (SSN) or Tax ID (INTD), if applicable  
F8. Alien Registration Number (if any)  
F9. Passport Number and Expiration Dates  
F10. Is H-4 required for this family member? ______ No     ______ Yes
F11. Has this family member ever been refused/denied a non-immigrant visa? ______ No     ______ Yes

If Yes, please explain



 
F12. Has this family member ever filed an application for permanent residency (I-485)? ______ No     ______ Yes

If Yes, please provide a copy of the I-485 receipt and all AP/EAD approvals.
F13. Has this family member ever been arrested or convicted of a crime in or outside of the U.S.? ______ No     ______ Yes

If Yes, please explain



 


Required Documents Checklist

Please mail or scan a copy of the following documents along with the completed questionnaire to:

Immigration Law Group LLP
3590 N. First St., Suite 310
San Jose, CA 95134
Tel (408) 432-9200
Fax (408) 432-9191
  • Academic diplomas and transcripts.
  • Foreign education evaluation (for foreign degrees), if available.
  • All letters verifying previous work experience, if available.
  • Detailed and updated resume (please note employment dates and employers, not just projects).
  • Current I-94 card, front and back, including those for all accompanying family members (even if back-side is blank).
  • Relevant passport pages (ID page and any pages with visas and entry/exit stamps), including those for accompanying family members.
  • All previously issued USCIS Approval Notices (I-797 Notice of Action).
  • All I-20s, front and back (if previously in F-1 status), and EAD (Employment Authorization Document).
  • Pay-stubs for the past 2 months, if you are in the U.S. in a work-authorized status such has H or L status.
  • AC21 portability paperwork: Labor Certification, I-140 approval notice and I-485 receipt notice and EAD/AP approvals for you and all accompanying family members.
  • Marriage certificate and birth certificates for all accompanying family members (if applicable)