Semiannual Report for CW-1 Employers

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

Form I-129CWR Edition 09/03/21 Page 1 of 7

Semiannual Report for CW-1 Employers

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-129CWR

OMB No. 1615-0111

Expires 09/30/2024

Part 1. Information about the Employer

Legal Name of Individual Employer or Sole

Proprietor

Family Name

(Last Name)

1.a.

1.b. Given Name

(First Name)

1.c. Middle Name

Employing Company or Organization Name

Name of Employer/Organization3.

If you are an individual employer or sole proprietor filing this

form, you must complete Item Numbers 1.a. - 2. If you are a

company or an organization filing this petition, complete Item

Number 3. All petitioners should fill out Item Numbers 5. -

14.

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

Employer Address

4.c.

City or Town

4.e. State 4.f. ZIP Code

4.d.

Street Number

and Name

4.b.

Apt. Ste. Flr.

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

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.

(USPS ZIP Code Lookup)

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

START HERE - Type or print in black ink.►

Employer's Contact Information

Daytime Telephone Number6.

Email Address (if any)8.

Mobile Telephone Number (if any)7.

9. Employer Identification Number (EIN)

USCIS Online Account Number (if any)12.

►

10. Individual Taxpayer Identification Number(ITIN)

U.S. Social Security Number (if any)11.

►

Taxpayer Identification Numbers

Provide the following information as applicable:

E-Verify Information

13. Employer's Name as Listed in E-Verify

14. Employer's E-Verify Company Identification Number or a

Valid E-Verify Client Company Identification Number

Part 2. Reporting Information

Reporting Period

1.a. Date From (mm/dd/yyyy)

1.b. Date To (mm/dd/yyyy)

Receipt Number of Approved Form I-129CW Petition2.

►

3. Employment and Training Administration (ETA) Case

Number For Temporary Labor Certification (TLC)