Petition for a Nonimmigrant Worker

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

Page 1 of 36

Form I-129 Edition 05/31/22

For

USCIS

Use

Only

Petition for a Nonimmigrant Worker

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-129

OMB No. 1615-0009

Expires 07/31/2022

Classification Approved

Consulate/POE/PFI Notified

Extension Granted

COS/Extension Granted

Partial Approval (explain)

Action BlockReceipt

Class:

No. of Workers:

Job Code:

Validity Dates:

From:

To:

At:

Legal Name of Individual Petitioner

If you are an individual filing this petition, complete Item Number 1. If you are a company or an organization filing this petition,

complete Item Number 2.

Family Name (Last Name) Given Name (First Name) Middle Name

1.

Contact Information4.

Part 1. Petitioner Information

START HERE - Type or print in black ink.►

2. Company or Organization Name

3. Mailing Address of Individual, Company or Organization

City or Town State ZIP Code

In Care Of Name

Street Number and Name Apt. Flr. NumberSte.

Daytime Telephone Number

U.S. Social Security Number (if any)

Email Address (if any)

Individual IRS Tax Number

Mobile Telephone Number

Federal Employer Identification Number (FEIN)

5. Other Information

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Postal Code CountryProvince

►

(USPS ZIP Code Lookup)

Page 2 of 36

Form I-129 Edition 05/31/22

Part 2. Information About This Petition (See instructions for fee information)

1. Requested Nonimmigrant Classification (Write classification symbol):

2. Basis for Classification (select only one box):

New employment.

New concurrent employment.

Change of employer.

Amended petition.

Change in previously approved employment.

Continuation of previously approved employment without change with the same employer.

3. Provide the most recent petition/application receipt number for the

beneficiary. If none exists, indicate "None."

Notify the office in Part 4. so each beneficiary can obtain a visa or be admitted. (NOTE: A petition is not required for

E-1, E-2, E-3, H-1B1 Chile/Singapore, or TN visa beneficiaries.)

Change the status and extend the stay of each beneficiary because the beneficiary(ies) is/are now in the United States in

another status (see instructions for limitations). This is available only when you check "New Employment" in Item

Number 2., above.

Extend the stay of each beneficiary because the beneficiary(ies) now hold(s) this status.

Amend the stay of each beneficiary because the beneficiary(ies) now hold(s) this status.

4. Requested Action (select only one box):

Extend the status of a nonimmigrant classification based on a free trade agreement. (See Trade Agreement Supplement

to Form I-129 for TN and H-1B1.)

Change status to a nonimmigrant classification based on a free trade agreement. (See Trade Agreement Supplement to

Form I-129 for TN and H-1B1.)

5. Total number of workers included in this petition. (See instructions relating to

when more than one worker can be included.)

Part 3. Beneficiary Information (Information about the beneficiary/beneficiaries you are filing for. Complete the

blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition.)

1. If an Entertainment Group, Provide the Group Name

2. Provide Name of Beneficiary

Family Name (Last Name) Given Name (First Name) Middle Name

Middle Name Given Name (First Name)Family Name (Last Name)

Provide all other names the beneficiary has used. Include nicknames, aliases, maiden name, and names from all previous marriages.

3.

4. Other Information

Date of birth (mm/dd/yyyy) Gender

Male Female

U.S. Social Security Number (if any)

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►

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a.

b.

c.

d.

e.

f.

a.

b.

c.

d.

e.

f.

Page 3 of 36

Form I-129 Edition 05/31/22

Date Passport or Travel Document

Expires (mm/dd/yyyy)

Country of Citizenship or Nationality

6. Current Residential U.S. Address (if applicable) (do not list a P.O. Box)

Employment Authorization Document (EAD)

Number (if any)

Student and Exchange Visitor Information System (SEVIS)

Number (if any)

ZIP CodeStateCity or Town

Ste. NumberFlr.Apt.

Street Number and Name

Current Nonimmigrant Status

Date Status Expires or D/S (mm/dd/yyyy)

Passport or Travel Document Country

of Issuance

Date Passport or Travel Document

Issued (mm/dd/yyyy)

5. If the beneficiary is in the United States, complete the following:

Country of Birth

I-94 Arrival-Departure Record Number

►

Part 3. Beneficiary Information (Information about the beneficiary/beneficiaries you are filing for. Complete the

blocks below. Use the Attachment-1 sheet to name each beneficiary included in this petition.) (continued)

Date of Last Arrival (mm/dd/yyyy) Passport or Travel Document Number

Part 4. Processing Information

1. If a beneficiary or beneficiaries named in Part 3. is/are outside the United States, or a requested extension of stay or change of

status cannot be granted, state the U.S. Consulate or inspection facility you want notified if this petition is approved.

a. Type of Office (select only one box):

b. Office Address (City) c. U.S. State or Foreign Country

Consulate Port of EntryPre-flight inspection

d. Beneficiary's Foreign Address

City or Town

Street Number and Name Apt. Flr. NumberSte.

Alien Registration Number (A-Number)

A-

Province of Birth

►

2. Does each person in this petition have a valid passport?

State

CountryPostal Code

Yes No. If no, go to Part 9. and type or print your

explanation.

Province