H-1B QUESTIONNAIRE FOR EMPLOYER

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

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A1. FULL LEGAL NAME of Employer
A2. FULL LEGAL NAME of Employee
JOB INFORMATION
B1. Job title:
B2. Annual Salary:
B3. Name and Title of Supervisor/Manager:
B4. Number of hours per week the employee will work, if part time:
B5. Address where employee will work:
B6. Detailed Job Description (5-6 sentences of what the employee will be doing for your company):
B7. With the exception of occasional business meetings, will this employee ever be placed at a third-party worksite (e.g. consulting work at client sites)?	______ No     ______ Yes If YES, please also complete the “Third-Party Worksite Questionnaire”.

WORK CONDITIONS (REQUIRED INFORMATION FOR THE LCA)
C1. Are there similarly employed workers who are paid more than the H-1B Employee?	______ No     ______ Yes If Yes, provide job related explanation (e.g. education, experience, or other job related factors):
C2. Total Number of H-1B Employees:
C3. Is this Job Unionized?	______ No     ______ Yes

EMPLOYER INFORMATION (DISREGARD IF PREVIOUSLY PROVIDED WITHIN LAST 12 MONTHS)
D1. Address of Employers Principal Place of Business:
D2. Address where Public Inspection File will be Kept:
D3. Employer’s Telephone Number (General Number):
D4. Employers Federal ID Number (IRS Tax Number):
D5. Business Organization (corporation, partnership, etc.):
D6. Date the Business was Formed:
D7. Nature of the Employers Business:
D8. Number of U.S. Employees:
D9. Number of Worldwide Employees:
D10. Gross Annual Income:
D11. Net Annual Income:
D12. If the company is not profitable, explain how the company will pay the H-1B employee’s salary:
D13. Name and Title of Company Official who will Sign Forms:
D14. Name of Employer’s Contact Person:
D15. Telephone Number of Employer’s Contact Person:
D16. Email Address of Employer’s Contact Person:
D17. Fax Number of Employer’s Contact Person:

EVIDENCE OF EMPLOYER - EMPLOYEE RELATIONSHIP
E1. Please explain the employer’s current employee performance review process (i.e., when are reviews scheduled for, the main skills being evaluated, etc.). Provide copies of forms used, if any.
E2. Does anyone other than the employer have the right to assign additional duties?	______ No     ______ Yes If Yes, please explain:
E3. Does anyone other than the employer have discretion over when the beneficiary will work?	______ No     ______ Yes If Yes, please explain:
E4. Does anyone other than the employer dictate methods of paying the beneficiary?	______ No     ______ Yes If Yes, please explain:
E5. Does anyone other than the employer have a role in hiring support to assist the beneficiary?	______ No     ______ Yes If Yes, please explain:
E6. Does anyone other than the employer provide benefits to the beneficiary?	______ No     ______ Yes If Yes, please explain:
E7. Does anyone other than the employer treat the beneficiary as an employee for tax purposes?	______ No     ______ Yes If Yes, please explain:

Required Documents - please mail 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 Annual report or other public relations materials about company. Financial statements of company (e.g., income statement, balance sheet, and etc.). Copy of company’s recent bank statement. Company letterheads (at least 3) for printing company support letters. Signed employment agreement and/or offer letter between the H1B petitioner and beneficiary detailing the terms of employment including employee benefits, duties to be performed, etc. H1B petitioner's organizational chart, demonstrating the beneficiary's supervisory chain, including who (i.e., someone employed by the H1B employer) supervises the beneficiary.