Employee Questionnaire for H-1B Visa Petition

Instructions
Please provide the necessary information about your company or institution in the spaces provided below. After submitting this questionnaire, supply the following documents to The Law Offices of Brikho & Kallabat. The H-1B application will not begin until we receive this questionnaire.

Documents Required

1. Employment contract or Offer Letter;
2. Copy of your Form I-94 and Visa stamp in your passport;
3. Copy of your Form I-20 (both sides) and EAD, only if you are on a F-1 or F-2 status;
4. Copy of ALL previous H-1 Approval Notice, and current pay-stub;
5. Copies of experience letters, resume and state professional license (if applicable);
6. Copies of ALL degrees (both front and back), certificates, diploma(s) and transcripts.
   

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

1.	Family Name:
2.	Given Name (First Name):
3.	Full Middle Name:
4.	Name of H-1B Sponsoring Employer:
5.	H-1B Sponsoring Employer's Email Address:
6.	Home Phone:
7.	Work Phone:
8.	Cell Phone:
9.	Email Address:
10.	Date of Birth (Month, Date, Year):
11.	U.S. Social Security #:
12.	Alien #:
13.	Country of Birth:
14.	Province of Birth:
15.	Country of Citizenship:
16.	Date of Last Arrival in the U.S. (mm/dd/yyyy):
17.	I-94 # (Arrival/Departure Document):
18.	Current Nonimmigrant Status:
19.	Date Status Expires (mm/dd/yyyy):
20.	Passport Number:
21.	Date Passport Issued (mm/dd/yyyy):
22.	Date Passport Expires (mm/dd/yyyy):
23.	Current U.S. Address:
24.	Person’s Foreign Address (Number, Street, City, Town, State ZIP, Country):
25.	U.S. Consulate closest to Person’s foreign address:
26.	Does each person in this petition have a valid passport?
27.	Is any person in this petition in removal proceedings?
28.	Have you ever applied for a Permanent Residency Labor Certification Application?
29.	Have you ever filed an immigrant visa petition?
30.	Within the past seven years, has any person in this petition ever been given any H or L visa classification? If so, please provide the dates:
31.	Within the past seven years, has any person in this petition ever been denied any H or L visa classification?
32.	List your prior periods of stay in H classification in the United States for the last six years. Be sure to list only those periods in which you were actually physically present in the United States in an H classification. If lengthy, please indicate that you will submit this information with your documents.
33.	Spouse and Dependents Information
	If you would like to file for an H-4 visa or would like to extend the H-4 status of your spouse and/or children, please complete the H-4 questionnaire listed in our website under the Questionnaires category. If the H-4 Questionnaire is not completed, our office will not be able to process the necessary paperwork to complete that application. It is the H-4 visa holder's responsibility to ensure that they are maintaining their status in the United States at all times.