Questionnaire for H-4 Visa Petition

The H-4 visa petition allows the Dependents of an H-1B holder to accompany/remain in the United States with the H-1B holder. The H-4 visa holders are not allowed to be employed within the United States. It is the H-4 visa holder's responsibility to extend the H-4 visa before the expiration date listed on the most recently issued I-94 card. Our office will NOT track the expiration of the H-4 visa on your behalf.

Complete the following questionnaire accurately. An * represents a required field. If you have any questions, please contact Joseph Kallabat & Associates, P.C.

Joseph Kallabat & Associates, P.C.
7031 Orchard Lake Road, Suite 302
West Bloomfield, MI 48322
Tel (248) 865-3331 - Fax (248) 865-3323


Required Documents
After completing this questionnaire, send the following documents to Joseph Kallabat & Associates, P.C.

  1. Passport Copy

  2. I-94 Copy

  3. Copies of any H-1 and H-4 Approval Notices

  4. Copy of Marriage Certificate

  5. Copy of Spouse's H-B Approval Notice and Recent Paycheck

Information About Person Filing H-1B
1.
Name of the Spouse or Parent that is filing the
H-1B Application
*
 
Name of the Spouse or Parent's New H-1B Employer *
 
Information About You
2.
Family Name *
 
Given Name *
 
Middle Initial
 

3.
Address *
 
Apt. #
 
City *
 
State *
 
Zip Code *
 

4.
Daytime Phone # *
 
Mobile Phone #
 
Email Address *
 

5.
Country of Birth *
 
Citizenship *
 
Date of Birth
(MM/DD/YYYY)
*
 

6.
Date of Last Arrival Into the U.S. *
 
I-94# *
 
Current Nonimmigrant Status *
 
Expires On (MM/DD/YYYY) *
 
Additional Information
7.
Passport Country of Issuance *
 
Valid To (MM/DD/YYYY) *
 
Foreign Address *
 
Apt. #
 
City *
 
State *
 
Country *
 
Zip Code *
 
Information Regarding Children
8.
Please complete the following fields regarding any children you have. If you have no children, leave this section blank.
Child #1
 
First Name
 
Middle Name
 
Last Name
 
Date of Birth
(MM/DD/YYYY)
 
Country of Birth
 
Citizenship
 
Social Security #
 
A #
 
Latest Date of Arrival in the USA
 
I-94 #
 
Current Non-Immigrant Status
 
Date of Expiration of Non-Immigrant Status
 
Country Where Passport Was Issued
 
Passport Expiration Date
 
Child #2
 
First Name
 
Middle Name
 
Last Name
 
Date of Birth
(MM/DD/YYYY)
 
Country of Birth
 
Citizenship
 
Social Security #
 
A #
 
Latest Date of Arrival in the USA
 
I-94 #
 
Current Non-Immigrant Status
 
Date of Expiration of Non-Immigrant Status
 
Country Where Passport Was Issued
 
Passport Expiration Date
 
Child #3
 
First Name
 
Middle Name
 
Last Name
 
Date of Birth
(MM/DD/YYYY)
 
Country of Birth
 
Citizenship
 
Social Security #
 
A #
 
Latest Date of Arrival in the USA
 
I-94 #
 
Current Non-Immigrant Status
 
Date of Expiration of Non-Immigrant Status
 
Country Where Passport Was Issued
 
Passport Expiration Date
 

 

Joseph Kallabat & Associates, P.C. does not warrant anything on this or associated pages, newsletters, documents, updates, answers, e-mail, articles or other communications. Joseph Kallabat & Associates, P.C. does not warrant the completeness, timeliness or accuracy of any of the information contained in this site. Nothing should be taken from this site as legal advice for any individual case or situation. The responses and information are intended to be general and should not be relied upon for any specific situation. In no event shall Joseph Kallabat & Associates, P.C. be liable for any damages of any kind related to the use or misuse of information provided hereby. For legal advice, consult an attorney experienced within the field of Immigration and Nationality law.