Employer Information (H-1B Visa)
The following information and documents are needed to start the process of H-1B Visa Application. The information provided will be encrypted and sent securely to our office.
Person Sponsored for the H-1B Visa
First Name
Last Name
Company Information
Business Legal Name (must match EIN number)
*
Does your business use any other name (DBA, etc.)?
*
No
Yes
DBA Business Name
*
Business Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Physical Location Address (place where employee will work) same as Mailing Address
*
Yes
No
Physical Location Address (employee will work here)
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
EIN Number (please ensure the number is correct)
*
IRS Letter assigning EIN number (optional - to ensure the number matches the legal name)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Current number of employees (you may approximate)
*
Current number of employees who are in H-1B status
*
Company's Contact person
(this person will receive emails in connection with this case)
Company Contact's Full Name
*
First Name
Middle Name
Last Name
Contact's Official Title
*
Contact's Email
*
Contact's Phone Number
*
Contact Person will also be the signatory of the immigration forms
*
Yes
No
Company's Signatory
(this person will sign immigration forms on behalf of the company)
Signatory's Full Name
*
First Name
Middle Name
Last Name
Signatory's Official Title
*
Signatory's Email
*
Signatory's Phone Number
*
Additional comments or notes:
Form Name (hidden)
Dropbox Folder Name (hidden)
Submit
Should be Empty: