LABOR CONDITION APPLICATION WORKSHEET

(FOR H-1B VISA PETITIONS)

Information About Employer
1. Legal name_____________________________________________________________
1a. Year founded ________________________________________________________
2. Federal tax ID number____________________________________________________
3. Telephone number(s)_____________________________________________________
4. Physical address (not box number)___________________________________________

5. Address where beneficiary will work, if different from 4._________________________

6. Name and title of person who will sign application and petition.___________________
7. Description of your business, generally and particularly, as it relates to the position to
be filled.

8. Total number of employees ________________________________________________

9. Gross annual income or revenues____________________________________________
Information About Position To Be Filled
1. Job title________________________________________________________________
2. Number of identical positions in company, if any_______________________________
3. Actual salary to be paid to beneficiary _______________________________________
3a. Range of pay (lowest salary and highest salary) for this position_________________
4. Number of persons employed in your company in this position earning a higher salary
than will be offered to beneficiary.___________________________________________
5. Number of persons employed in your company in this position earning a lower salary
than will be offered to alien.________________________________________________
6. Minimum education and experience required for position. (Include formal HR
description.)
Education:_____________________________________________________________
Experience: ____________________________________________________________

7. Two to three-sentence description of job duties._______________________________

8. Number of employees alien will supervise_____________________________________

9. Name of alien who will fill position__________________________________________

Information about Employee

1. Foreign address___________________________________________________________
_________________________________________________________________________
2. U.S. address, if in U.S._____________________________________________________
_________________________________________________________________________
3. Name and address of present employer (unless employed by your company now on a
student practical training visa)_________________________________________________
4. Social Security Number, if in U.S.____________________________________________
Employee Prior Immigration History
1. For F-1 Students Only:
2. SEVIS No (if any) ____________________________
3. Employment Authorization Card Details (EAD) (if any) __________________
4. Major/Primary Field of Study & Name of the Institution
_________________________________
__________________________________
Employee past H1-B/L1 Visa History in the last 6 yrs to ascertain CAP-exempt filing
______________________________________________________________________
______________________________________________________________________
________________________________________________________________
Any H-4 Dependent Request
1. Name of the Dependent _______________________
Relationship ______________________________
Date of Birth___________________________
City, Place & Country of Birth _______________

2. Name of the Dependent _______________________

Relationship ______________________________
Date of Birth___________________________
City, Place & Country of Birth _______________
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Copies of documents pertaining to employee (if applicable)
Rsum
University diploma(s) and transcripts (with translation, if not in English)
Passport pages showing identity, expiration date, and U.S. visa stamps
I-94 Entry Card
Previous Approval notice(s) from USCIS
USCIS F-1 OPT Documents, if any including I-20
Other _______________________________________________________________________
___________________________________________________________________

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