Escolar Documentos
Profissional Documentos
Cultura Documentos
1 First complete the attached "H-1B Employee Information Sheet" and I-129 Supplement you
may FAX or scan it to my office without delay. Our fax number is 732-409-1321.
Your passport (complete copies on full page 8 1/2 by 11, do not cut to passport size)
Your I-94, front & back (make sure arrival date stamp can be read easily)
All degrees and transcripts
Credentials evaluation (if you have ever had your degrees evaluated)
All other H-1B approval notices (if any)
If you are currently in H-1B status, copies of your three most recent pay stubs
If you are currently in H-4 status, copies of your spouses H-1 approval notice
All I-20 forms (if ever in the U.S. on student visa)
Work Authorization Card(s) (if any) (expiration date must be clear)
If married and/or have children, 2 copies of passport(s), I-94(s), marriage certificate, & birth
certificates for children.
Be sure to only send copies. Never send originals. Since copies must be the
clearest possible, DO NOT FAX
4 If you need to call regarding any aspect of your case, please call our information line (732)
308-9623 ext 14. or email Patricia at pat@aheckler.com
LAW OFFICES OF
ALAN E. HECKLER, P.C.
222 Schanck Rd., Ste. 201
Freehold, NJ 07728
TEL (732)308-9623
FAX (732)409-1321
H-1B Employee Information Sheet
Please complete the following and FAX TO US AS SOON AS POSSIBLE.
1. Your complete name (first, middle, last): ______________________________________e_mail
address__________________
2. Current address in US:
___________________________________________________________________________________
3. Home telephone number: (_______)_________________________ Work number:
(________)_______________________
4. Date, City & Country of BIRTH AND CITIZENSHIP: ________________________________________ 5.
Social Security #: ________________
6. Date of First arrival in the US and in what status_________________Date of last arrival in the
U.S.: _________________ 7. I-94 #: _____________________________________________
8. Current immigration status (B-1, F-1, H-1, etc.)____________________ 9. Date status expires:
_____________________
10. If currently on H-1B, last date of employment with that company? _________ Did you
resign or were you laid off?
11. Descriptive Job Title, other than consultant, for this new H-1B (Programmer Analyst,
Systems Analyst, Software Engineer, Database Administrator or, etc.):
_________________________________________________________
12. Salary Offered: $____________________
13. Enter name, address, city and state of client to which you will be assigned:
_____________________________________________
14. Attach a separate sheet with a description of the job duties you will be performing.
15. Job title of your immediate supervisor (at the site) for this position:
___________________________________________
16. Name and e-mail of person to contact at new company: ______________________________________
17. List ALL of your degrees and major fields of study after secondary school:
_______________________________________
18. If the requested extension of stay or change of status cannot be granted (because you
are out of status), give the U.S. Consulate you want notified when this petition is approved:
________________________________________________________
****** HAS AN IMMIGRANT PETITION BEEN FILED FOR YOU (I-140) YES____ ARE YOU IN
ADJUSTMENT OF STATUS YES_____ NO_____
If married and/or have children who are currently in the US, kindly provide the following
information:
20. Name of spouse: ______________________________________________________________________________
21. Address of spouse:
______________________________________________________________________________________
22. Date & Country of Birth and Citizenship: ______________________________________ 23. Social
Security #: _____________________
24. Date of last arrival into the U.S.: _________________ 25. I-94 #:
_____________________________________________
26. Spouse's current immigration status ____________________ 27. Date status expires:
_____________________________
28. Spouse's foreign address (in home country):
________________________________________________________________
___________________________________________________________________________________________________________
28. Spouse's passport information: Country of issuance: _______________________ Valid to:
______________________
29. Name, date, & country of birth and citizenship of child #1:
__________________________________________________________________________________________________________
30. Date of child's last arrival into the U.S.: _________________ 31. I-94 #:
______________________________________
32. Child's current immigration status: ____________________ 33. Date status expires:
_____________________________
34. Child's passport information: Country of issuance: _______________________ Valid to:
______________________
35. Attach sheet with same information for any additional children.
(tekintr1) 12/97
Address
(State & Country
Only)
Title of
Position Held
(Analyst,
Student,
etc.)
If in the U.S.
Enter
Immigration
Status (H-1, F-1
Practical
Training, etc.)
Hours
Per
Week
1.
_____/_____ to
Present
2.
_____/_____ to ____/____
3.
_____/_____ to ____/____
4.
_____/_____ to ____/____
5.
_____/_____ to ____/____
6.
_____/_____ to ____/____
7.
_____/_____ to ____/____
8.
Date: ________________________
Dates
Month/Year To
Month/Year
_____/_____ to ____/____
__________________________________________________
Signature
__________________________________________________
Print Name