H1B Employment Support Form

H1B EMPLOYMENT SUPPORT FORM

Personal Information

Full legal name:

Immigration and Passport Details

Current immigration status:

Visa type (if any): Passport number:

Passport country of issuance: Passport expiration date:

I-94 number (if applicable): I-94 expiration date:

Position Information (Offered)

Reporting manager name:

Education and Qualifications

Employment History (Most Recent)

Dates employed: From To

Employment History (Prior)

Dates employed: From To

References (Professional)

Immigration History and Eligibility

Have you previously been issued H-1B status? Yes No

Have you ever been denied an immigration benefit, removed, or deported? Yes No

Supporting Documents Checklist

Please indicate which documents you have provided or will provide to support the H-1B petition:

Passport copy
I-94 record
Prior I-797 Approval Notice(s)
Degree diplomas and transcripts
Current resume/CV
Most recent pay stubs (if applicable)
Other (specify in comments)

Legal Disclosures and Authorizations

At-Will Employment: Nothing in this form or in any accompanying statements alters the at-will nature of employment unless a written agreement signed by an authorized company representative explicitly states otherwise.

Equal Opportunity: The employer is an equal opportunity employer. All candidates will be considered without regard to race, color, religion, sex, national origin, age, disability, or other protected status as provided by applicable law.

Authorization to Verify and Release: I authorize the employer and its authorized immigration counsel to contact educational institutions, prior employers, and governmental agencies, and to obtain records and other information necessary to prepare and file an H-1B petition on my behalf. I further authorize such entities to release information to the employer and counsel for purposes of adjudicating immigration matters.

Background Checks and Investigations: I acknowledge that the employer may conduct background checks, including criminal history and employment verification, as permitted by law. I consent to such checks as part of the employment and immigration process.

Applicant Certification

I certify that all information provided in this H1B Employment Support Form is true, complete, and correct to the best of my knowledge. I understand that any material misrepresentation or omission may result in denial of immigration benefits, disciplinary action, or termination of employment. I agree to promptly provide any additional documentation requested for the preparation and filing of an H-1B petition.

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