H1B Employer Intake

Company Information

Your Company Name:*

Your E-mail Address:*

example@example.com

{petitioner} Total Employees*

This includes H1B, L, TN, Green Card, Citizens, etc

Company's Total H-1B & L-1 Visa Employee Count*

Beneficiary Information

Beneficiary's First Name*

Beneficiary's Last Name*

Beneficiary's E-mail Address*

Please note upon submitting this form, the Beneficiary will receive necessary intake forms automatically. If you wish to send the intake forms at a later time, please put your e-mail address in the field and forward to the beneficiary when appropriate. Please contact Beneficiary to ensure the intake forms have not gone into their spam folder.

{beneficiaryfirstname}'s Education*

Include all details

Does {beneficiaryfirstname} currently have a valid H1B?*

YesNo

When does {beneficiaryfirstname}'s current H1 status expire?*

Date

Does {beneficiaryfirstname} have at least 3 years of work experience in a relevant field? If yes, please attach experience letters*

YesNo

Case Information

What kind of H1B case is this?*

Start Date*

Date

Full Time or Part Time?*

Job Title*

SOC Occupation*

Job Duties*

Salary*

Does {beneficiaryfirstname} supervise any other employees?*

Yes (This will likely increase the salary requirement)No

Work Location 1*

Enter Full Work location address, e.g. 123 Weesing Lane, Hoboken, NJ 07030

Work Location 2

Enter Full Work location address, e.g. 123 Weesing Lane, Hoboken, NJ 07030

Work Location 3

Enter Full Work location address, e.g. 123 Weesing Lane, Hoboken, NJ 07030

Will beneficiary be working on an in-house project for you at your office?*

Will beneficiary be placed at or servicing a third party client?*

Which of the work locations is the end client location?*

Third Party Staffing Information

If there are multiple layers - one or more mid-vendors between you and the ultimate end-client, please list all layers carefully and in the correct order/structure (including full names of companies). WARNING: Failure to list all layers carefully and in the correct order/structure may lead to incorrect information in the H-1B petition which may not be changeable after the petition is filed, and may lead to a denial of the H-1B.

Your Client Name/Mid-Vendor-1 (vendor who has a direct contract with {petitioner})

Mid-Vendor-2

Mid-Vendor-3

End Client

Please upload any necessary documents, e.g. previous LCA, cover letter, etc.

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