Petition for a CNMI-Only Nonimmigrant Transitional Worker

• Legal Form Number: I-129CW
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Form I-129CW Edition 09/03/21 Page 1 of 12

Form I-129CW, Petition for a CNMI-Only

Nonimmigrant Transitional Worker

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-129CW

OMB No. 1615-0111

Expires 09/30/2024

For USCIS Use Only

Classification Approved

Consulate/POE/PFI Notified

Extension Granted

COS/Extension Granted

Partial Approval (explain)

Action BlockReceipt

Class:

# of Workers:

Job Code:

Validity Dates: From:

To:

At:

Priority Number:

Part 1. Information About the Employer Filing

This Petition

Legal Name of Individual Petitioner or Sole

Proprietor

Family Name

(Last Name)

1.a.

1.b. Given Name

(First Name)

1.c. Middle Name

Apt. Ste. Flr.

Petitioning Company or Organization Name and

Address

Name of Employer/Organization3.

In Care Of Name (if any)4.a.

If you are an individual employer or sole proprietor filing this

application, complete Item Numbers 1.a. - 2. All petitioners

should complete Item Numbers 3. - 9.c.

Date of Birth (mm/dd/yyyy)2.

4.c.

City or Town

4.e. State 4.f. ZIP Code

4.d.

Street Number

and Name

4.b.

(USPS ZIP Code Lookup)

START HERE - Type or print in black ink.►

If your place of business does not have a physical address,

provide a description of your location, (for example: “3

miles southwest of Anytown Post Office, near the water

tower”) and provide a map with your petition. If you

need more space to provide your explanation, use the

space provided in Part 10. Additional information.

4.g.

5. Trade Name or "Doing Business As" Name (if applicable)

Petitioner's Contact Information

Daytime Telephone Number6.a.

Email Address (if any)6.c.

Mobile Telephone Number (if any)6.b.