Employment Visa Document

EMPLOYMENT VISA DOCUMENT

Personal Information

Immigration and Passport Details

Country of Citizenship:

Passport Number:    Passport Expiration Date:

Current Immigration Status: Non-immigrant Immigrant Permanent Resident Other:

Position and Sponsorship Details

Requested Visa Category: H-1B L-1 TN O-1 Other:

Compensation and Fees

Offered Annual Salary: $

Employer Costs and Reimbursement: The employer will be responsible for filing fees, attorney fees for initial petition, and required government fees unless otherwise stated below. The employee acknowledges that certain non-governmental costs (such as recruitment advertising or fraud-prevention expenditures) may be allocated to the employee only if expressly agreed in writing. Employer agrees to pay all fees required by law that cannot lawfully be borne by the employee.

Repayment Obligation: If the employee voluntarily resigns or is terminated for cause within 12 months of the date the petition is approved or the employee commences employment (whichever occurs first), the employee may be required to reimburse reasonable, documented non-governmental costs advanced by the employer for immigration processing. Any repayment obligation shall be evidenced by a separate written agreement, meeting applicable wage and labor laws, and limited to actual documented costs.

Employer Attestation and Obligations

Employer Attestation: The employer certifies that the job duties, wage rate, and location described in the petition are true and accurate, and that the employer will comply with applicable labor, wage and immigration laws related to the sponsorship process. The employer agrees to provide reasonable documentation to support the petition and to notify the employee promptly of any material changes to employment terms that could affect visa status.

Employee Obligations and Certifications

Employee Obligations: The employee agrees to provide truthful and complete information and supporting documents, to cooperate promptly with the employer and counsel, to maintain valid immigration status, and to notify the employer immediately of any change in circumstances that may affect eligibility. The employee understands that failure to maintain status or to provide requested documentation may result in withdrawal of the petition or termination.

Certification: I certify that all information provided in this document is true, complete, and accurate to the best of my knowledge. I understand that knowingly providing false information or concealing material facts may result in denial of the petition, revocation of any approval, disciplinary action, or termination of employment.

I authorize the employer and its agents to contact prior employers, educational institutions, and other references to verify information provided and to conduct relevant background checks and verifications. I authorize those third parties to release information necessary for the petition and employment evaluation.

Employment History (Most Recent)

Employment History (Prior)

Education

Graduation Date:

References (Professional)

Supporting Document Checklist

Passport copy

Resume / CV

Degree certificate(s)

Academic transcripts

Recent pay stubs / proof of employment

Prior visa approvals (if applicable)

Legal Disclosures

At-Will Employment: Unless a separate written employment agreement states otherwise, employment is at-will and may be terminated by either party at any time, with or without cause and with or without prior notice, subject to applicable law. Sponsorship of a visa does not alter the at-will nature of employment unless expressly agreed in a signed, written contract.

Equal Opportunity: The employer is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable law.

Privacy and Use of Information: The employee authorizes the employer to retain personal and immigration-related information for purposes of filing petitions and complying with immigration and employment laws. The employer will share information with counsel and governmental bodies only as required to process the petition or as otherwise required by law.

Applicant Certification and Authorization

I certify under penalty of perjury that the information I have provided on this form and in any attachments is true and correct. I authorize the release of information necessary to support the visa petition, including employment, education, and immigration records. I agree to cooperate with the employer and its counsel in preparing and processing the petition, including attending interviews and providing requested documentation.

Employer Contact for Immigration Matters

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