I-140 Immigrant Petition for Alien Worker Template

[Petitioner (Employer) Name]
[Street Address]
[City, State, ZIP Code]
[Phone Number]
[Email Address]

[Date]

1. Petitioner (U.S. Employer) Information

1.1 Legal Name of Employer (Petitioner)
[Full Legal Name of Employer / Company]

1.2 Business Structure
☐ Corporation
☐ Limited Liability Company (LLC)
☐ Partnership
☐ Sole Proprietorship
☐ Other: [Specify]

1.3 Federal Employer Identification Number (FEIN)
[FEIN]

1.4 Principal Business Address
Street: [Street Address]
City: [City]
State: [State]
ZIP Code: [ZIP Code]
Country: [Country]

1.5 Mailing Address (if different)
[Mailing Address or “Same as above”]

1.6 Contact Person for This Petition
Contact Name: [Full Name]
Title/Position: [Title]
Phone: [Phone Number]
Email: [Email Address]

1.7 Nature of Employer’s Business
[Brief description of main products/services and industry]

1.8 Number of Employees (Approximate)
[Number of Employees]

1.9 Year Business Established
[Year]

2. Beneficiary (Foreign Worker) Information

2.1 Full Legal Name (as in Passport)
Family Name (Last Name): [Last Name]
Given Name (First Name): [First Name]
Middle Name: [Middle Name or “N/A”]

2.2 Other Names Used (if any)
[Other Names / Aliases / Maiden Name or “None”]

2.3 Date of Birth
[MM/DD/YYYY]

2.4 Country of Birth
[Country of Birth]

2.5 Country of Citizenship / Nationality
[Country of Citizenship]

2.6 A-Number (if any)
[A-Number or “None”]

2.7 Current U.S. Immigration Status (if in the United States)
☐ H-1B
☐ L-1
☐ F-1 / OPT
☐ Other: [Specify]
Status Expires On: [MM/DD/YYYY]

2.8 Current U.S. Address (if applicable)
[Street, City, State, ZIP Code]

2.9 Foreign Address (if outside the U.S. or as additional address)
[Street, City, Postal Code, Country]

2.10 Current Employer and Job Title (if any)
Employer: [Employer Name]
Job Title: [Job Title]
Start Date: [MM/YYYY]

3. Offered Position (Permanent Job Offer)

3.1 Job Title
[Proposed Permanent Job Title]

3.2 Department / Division
[Department or Team Name]

3.3 Primary Worksite Address
Street: [Street Address]
City: [City]
State: [State]
ZIP Code: [ZIP Code]

3.4 Additional Worksites (if any)
[List any additional worksites or indicate “None”]

3.5 Employment Type
☐ Full-Time (Hours per week: [Number])
☐ Part-Time (Hours per week: [Number])

3.6 Offered Wage (Proffered Wage)
Wage Amount: [Amount]
☐ Per Hour
☐ Per Week
☐ Per Month
☐ Per Year

3.7 Brief Job Summary
[Short summary of the position and its main purpose]

3.8 Detailed Job Duties
[Provide a clear, itemized list of main duties and responsibilities. Focus on tasks, tools, technologies, supervisory responsibilities, and reporting structure.]

3.9 Minimum Education Requirement
[e.g., “Bachelor’s degree in Computer Science or related field”]

3.10 Minimum Experience Requirement
[e.g., “3 years of progressively responsible experience in software development”]

3.11 Special Skills, Licenses, or Certifications Required
[List any required skills, software, languages, licenses, or certifications, or state “None”.]

4. Employment-Based Category and Basis of Classification

4.1 Requested EB Category (Check all that apply and circle primary)
☐ EB-1 – Alien of Extraordinary Ability
☐ EB-1 – Outstanding Professor or Researcher
☐ EB-1 – Multinational Manager or Executive

☐ EB-2 – Advanced Degree Professional
☐ EB-2 – Exceptional Ability
☐ EB-2 – National Interest Waiver (NIW)

☐ EB-3 – Professional
☐ EB-3 – Skilled Worker
☐ EB-3 – Other Worker

4.2 Short Explanation for EB Category Selection
[Explain briefly why the beneficiary qualifies under the chosen category (for example, advanced degree, years of experience, outstanding achievements, or national interest contributions).]

4.3 Is this a Self-Petition?
☐ No, employer is the petitioner.
☐ Yes, beneficiary is filing as a self-petitioner (where allowed by category).

5. Labor Certification (PERM), if Applicable

5.1 Is an Approved Labor Certification (PERM) Required for This Case?
☐ Yes, this petition is based on an approved PERM.
☐ No, PERM is not required for this petition (for example, certain EB-1 or EB-2 NIW cases).

5.2 PERM Case Details (If “Yes”)
PERM Case Number: [Case Number]
Date Certified: [MM/DD/YYYY]
Job Title on PERM: [Job Title]
Worksite on PERM: [Address]

5.3 Consistency with PERM
[Explain that the job title, duties, wage, and minimum requirements in this template match the PERM. If there are differences, describe and justify them here.]

6. Employer’s Ability to Pay the Proffered Wage

6.1 Proffered Wage (from Section 3.6)
[Wage Amount and Frequency]

6.2 Evidence of Ability to Pay That Will Be Provided
☐ Federal income tax returns
☐ Annual reports
☐ Audited financial statements
☐ Payroll records / W-2 forms
☐ Bank statements or other financial documents
☐ Other: [Specify]

6.3 Brief Summary of Financial Position (Optional)
[Short summary of revenue, net income, or other indicators supporting the employer’s ability to pay the offered wage from the priority date onward.]

7. Beneficiary’s Education and Experience

7.1 Highest Relevant Degree
Degree: [Degree Title, e.g., Bachelor’s, Master’s, Ph.D.]
Field of Study: [Field]
Institution: [Institution Name]
Country: [Country]
Date of Graduation: [MM/YYYY]

7.2 Additional Degrees or Formal Education (if any)
[List any additional degrees or programs with field, institution, and completion date.]

7.3 Relevant Professional Experience

For each relevant prior position:

Position 1
Employer: [Employer Name]
Job Title: [Job Title]
Country/City: [Location]
Dates of Employment: [From – To]
Main Duties and Responsibilities:
[Brief description focusing on duties that relate to the offered position.]

Position 2
Employer: [Employer Name]
Job Title: [Job Title]
Country/City: [Location]
Dates of Employment: [From – To]
Main Duties and Responsibilities:
[Brief description.]

[Add more positions as needed.]

7.4 Licenses, Certifications, and Professional Memberships
[List any professional licenses, registrations, certifications, or memberships relevant to the position or EB category.]

7.5 Evidence for Extraordinary or Exceptional Ability (If Applicable)
[Summarize key evidence such as awards, publications, citations, conference presentations, patents, leadership roles, media coverage, or major contributions to the field.]

8. Additional Information and Explanations

8.1 Special Circumstances (if any)
[Explain any special issues, such as corporate restructuring, successor-in-interest situations, job changes, remote work arrangements, multiple worksites, or previous immigration history that may affect the petition.]

8.2 Relationship Between Employer and Beneficiary (if any)
[Describe any family relationship, ownership interest, or other connection between the beneficiary and the petitioner, or state “None”.]

8.3 Other Relevant Notes
[Include any other information that may help explain or support this I-140 petition.]

9. Acknowledgments and Signatures (Worksheet)

9.1 Petitioner’s Acknowledgment

I, the undersigned authorized representative of [Employer / Company Name], confirm that the information provided in this I-140 worksheet is true and correct to the best of my knowledge. I understand that this document is a preparation tool only and does not replace the official USCIS Form I-140 or legal advice.

Name of Authorized Signatory: [Full Name]
Title/Position: [Title]
Date: [Date]

Signature: _______________________________

9.2 Beneficiary’s Acknowledgment (Optional)

I, [Beneficiary Full Name], confirm that the personal and professional information I have provided in this worksheet is accurate and complete to the best of my knowledge. I understand that this template is for preparation purposes only and does not replace the official USCIS form or professional legal advice.

Beneficiary Name: [Full Name]
Date: [Date]

Signature: _______________________________