HR Green Card Sponsorship Form

HR GREEN CARD SPONSORSHIP FORM

Purpose: This form documents an employee's request for employer sponsorship for U.S. permanent residence and provides HR the information necessary to evaluate and initiate immigration processing. Complete all sections fully and attach supporting documents as requested. Incomplete or inaccurate responses may delay processing. By signing, the employee certifies consent to verify immigration and employment history and authorizes release of records to authorized immigration counsel and HR.

Personal Information

Date of Birth:    Country of Birth:    Country of Citizenship:

Phone:    Email:

Immigration / Passport Information

Current Immigration Status (select all that apply): H-1B L-1 F-1 OPT TN E-3 Other

Passport Number:    Passport Expiration Date:

A-Number / USCIS Number (if any):    I-94 Number (if any):

Are you currently authorized to work in the U.S. without employer sponsorship? Yes No

Employment Information

Reporting Manager:    Employee ID:

Date of Hire:    Employment Status: Full-time Part-time

Sponsorship Request Details

Type of Permanent Residence Sponsorship Requested: EB-1 EB-2 EB-3 Other

Has labor certification (PERM) previously been filed for you by this employer? Yes No If yes, Priority Date (if known):

Previous Immigration History

Yes No

Dependents to be Included

Spouse Date of Birth:    Number of Children to be Included:

Employment History (Most Recent First)

Start Date:    End Date:

Start Date:    End Date:

Education

Major / Field of Study:    Graduation Date:

Professional References

Legal Disclosures and Consent

At-Will Employment: Nothing in this request for sponsorship constitutes a promise or contract of continued employment. Employment remains at-will and may be terminated by the employer or the employee at any time, with or without cause or notice, unless otherwise specified in a separate written agreement signed by an authorized representative of the employer.

Equal Employment Opportunity: The employer provides equal employment opportunity to all applicants and employees in accordance with applicable law. Sponsorship decisions will be made consistently with business needs, qualifications, and immigration compliance requirements.

I authorize the employer and its designated immigration counsel and agents to obtain and verify immigration, employment, education and reference information, including contacting current and former employers, educational institutions and professional references as necessary to prepare and pursue immigration benefits on my behalf. I further authorize the release of records and documents related to my immigration history for use in sponsorship processing.

Yes No

Applicant Certification

I certify under penalty of perjury that the information provided in this form is true, correct and complete to the best of my knowledge. I understand that omissions or misrepresentations may result in withdrawal of sponsorship and may affect my employment. I agree to promptly provide documentation requested by HR or immigration counsel to support the sponsorship process, including but not limited to copies of my passport, I-94, visa stamps, and prior immigration filings.

HR Use Only (Do Not Complete Unless HR)

HR Decision: Approve Deny Pending

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