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Immigration Non-US Citizen Form

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IMMIGRATION NON-US CITIZEN AGREEMENT

PARTIES AND RECITALS

Client Name:     Service Provider Name:

Effective Date:

WHEREAS, the Client is a non-United States citizen seeking immigration-related advice, assistance, or representation with respect to immigration processes, consular matters, or work authorization; and

WHEREAS, the Service Provider is engaged in providing immigration consulting, advisory, or representation services and possesses relevant qualifications to assist the Client in pursuing immigration matters; and

WHEREAS, the parties desire to set forth the scope, fees, obligations, confidentiality terms, and governing law applicable to the provision of services on the terms set forth in this Agreement.

CLIENT INFORMATION

SCOPE OF WORK

The Service Provider shall perform the services described below according to the terms of this Agreement. The parties agree that the description below constitutes the full scope of services unless a separate written amendment is executed.

PAYMENT TERMS

Client agrees to pay the Service Provider the total fee set forth below in consideration for the Scope of Work. Fees do not include governmental filing fees, courier charges, translation costs, or other third-party expenses unless expressly stated.

All payments are due within thirty (30) days of invoice unless otherwise agreed in writing. Nonpayment is a material breach and may result in suspension of services and reasonable collection costs, including attorney fees.

TERM AND TERMINATION

This Agreement commences on Start Date: and continues until End Date: unless earlier terminated as provided herein.

Either party may terminate this Agreement for material breach if the breach remains uncured for the notice period above. Termination does not relieve the Client of the obligation to pay for services performed and expenses incurred through the effective date of termination.

CONFIDENTIALITY

Each party shall hold in strict confidence all non-public information disclosed by the other party that is reasonably understood to be confidential including immigration documents, identity data, case strategy, and personal records ("Confidential Information"). Confidential Information excludes information that (a) is or becomes publicly known through no fault of the receiving party; (b) is rightfully received from a third party without breach of any obligation of confidentiality; (c) is independently developed without use of Confidential Information; or (d) is compelled to be disclosed by law, provided the disclosing party is given prompt notice and an opportunity to seek protective measures.

The Service Provider may disclose Confidential Information to its employees, contractors, or counsel who have a need to know and who are bound by confidentiality obligations no less protective than those contained herein.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to choice-of-law principles. Venue for any dispute arising under this Agreement shall lie exclusively in the courts located within that state.

ENTIRE AGREEMENT

This Agreement, including any exhibits and written amendments executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior agreements, understandings, and communications, whether written or oral. Any amendment must be in writing and signed by both parties.

DOCUMENTATION AND REPRESENTATIONS

The Client represents and warrants that all information, documentation, and statements provided to the Service Provider are true, accurate, and complete to the best of the Client's knowledge. The Client shall promptly notify the Service Provider of any material changes to such information.




ATTESTATION

By signing below, the Client certifies under penalty of perjury that the information provided in this Agreement and the attachments is true, correct, and complete. The Client authorizes the Service Provider to submit and receive documents and information necessary to provide the services described herein and to communicate with governmental and other third-party entities on the Client's behalf, consistent with the scope of any separate written authorization.

Client:

By:

Date:

Service Provider:

By:

Date:

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What the Immigration Non-US Citizen Form Is and when it’s used

The Immigration Non-US Citizen Form is a standardized template used by organizations to collect identity, immigration status, and authorization details from non-U.S. citizens. It centralizes essential data such as legal name, birth date, country of citizenship, immigration classification, alien number or receipt number, and expiration dates for visas or work authorization. Agencies, employers, universities, landlords, and legal counsel use this form to document eligibility, verify records for compliance, and create an auditable record for filing or internal retention. The form is designed to be completed, signed, and stored in a manner consistent with U.S. electronic signature law and privacy requirements.

Why a consistent Immigration Non-US Citizen Form matters

Using a consistent Immigration Non-US Citizen Form reduces missing or inconsistent information, shortens review cycles, and creates an auditable record that supports electronic execution under the ESIGN Act (15 U.S.C. ch. 96) and state UETA regimes.

Why a consistent Immigration Non-US Citizen Form matters

Who commonly completes and reviews this form

Typical users collect and review this form to verify identity and eligibility before authorizing benefits or access.

  • Employers and HR teams screening work authorization and payroll eligibility for new hires.
  • Immigration attorneys and legal intake staff verifying supporting evidence and petition details.
  • Universities and exchange program administrators confirming student visa status and eligibility.

Proper role assignment and routing reduce processing errors and ensure legal accountability.

Who can sign or certify the form

Applicant

The individual named on the form must sign to attest to the accuracy of statements and to consent to electronic processing where permitted.

Authorized Representative

An attorney, accredited representative, or designated company official may sign or certify sections when a signed power of attorney or written authorization is on file.

Core components to include in a professional Immigration Non-US Citizen Form

A complete form combines identity data, immigration identifiers, contact details, a checklist of supporting documents, signature blocks, and clear consent language for electronic records and signatures.

Identity

Full legal name as shown on passport or government ID, previous names or aliases, and preferred name if applicable. Exact matching avoids mismatches with government records.

Immigration identifiers

Alien Registration Number (A-number), USCIS receipt number, visa classification, and passport number with country — essential for cross-referencing official filings.

Contact details

Current street address, mailing address if different, phone number, and email to enable follow-up, notices, and delivery of electronic records.

Supporting documents

Checklist of attachments such as passport biographic page, visa stamp, I-94, work authorization (EAD), or previous USCIS notices to substantiate status claims.

Signature & consent

Signature block with date and explicit consent for electronic records where used; include disclosure language for consumer-facing records required by ESIGN.

Certification statement

Attestation language where the signer affirms truthfulness and authorizes records exchange with government entities or employers as needed.

Required fields to capture on the form

Full legal name: Exact name on ID
Date of birth: MM/DD/YYYY
Country of citizenship: Full country name
Alien or receipt number: A-number or USCIS receipt
Immigration status: Visa class or asylum status
Signature date: Signed MM/DD/YYYY

Step-by-step: completing and processing the form

Follow these sequential steps to collect, verify, and store the completed Immigration Non-US Citizen Form securely.

  • 01
    Collect documents: Gather passport, visa, I-94, and any work authorization.
  • 02
    Fill fields: Enter data exactly as shown on government documents.
  • 03
    Verify identity: Cross-check A-number/receipt and expiration dates.
  • 04
    Sign and store: Obtain signature and archive with audit trail.

How to configure an online completion workflow

Configure validation and routing so each submission follows a consistent verification path.

Field | Configuration Rule | Value
Name field Required; exact match validation
A-number field Required; numeric format validation
Authentication Email + SMS code or stronger for high-risk cases
Destination Route to HR or legal inbox automatically

Where to submit the completed form and how it moves

A clear submission path reduces follow-up and complies with internal review procedures.

  • Prepare: Complete form and attach supporting files
  • Authenticate: Signer verifies identity per workflow
  • Submit: Send to designated internal reviewer or agency
  • Archive: Store signed copy with audit trail

Technical formats, integrations, and eSubmission options

Ensure the chosen platform supports ESIGN/UETA compliance, secure storage (AES-256), and retrievable audit trails for legal defensibility.

  • File formats: PDF or PDF/A preferred for archival
  • Integrations: Supports systems like Salesforce, NetSuite, Google Workspace
  • Authentication: Use SMS, email token, or KBA as needed

Typical timelines, deadlines, and filing fee examples

Processing expectations vary by agency, petition type, and whether biometrics or interviews are required.

USCIS I-129F fee:

I-129F petition filing fee: $675

USCIS I-130 fee:

I-130 family petition fee: $675

USCIS I-485 fee:

I-485 adjustment fee (including biometrics): $1,440

Biometrics & interviews:

Appointments scheduled after filing; timing varies by field office

Agency notices:

Respond to Requests for Evidence by stated deadline to avoid denial

Common mistakes to avoid when preparing the form

  • Entering names or dates that do not match passport or government ID, causing verification failures and delays.
  • Failing to attach required supporting documents such as passport biographic page, I-94, or work authorization evidence.
  • Using expired visas or documents without noting renewal status, which leads to ineligibility discussions or rejections.
  • Omitting explicit signature consent for electronic records in consumer-facing contexts, which can invalidate e-signature reliance.

Potential consequences of incorrect or incomplete forms

Processing delay: Case or onboarding delays
Denial risk: Petition may be denied
Compliance fines: Regulatory penalties possible
Employment impact: Work authorization may be affected
Record disputes: Harder to correct government records
Legal exposure: Potential for enforcement action

Supporting documents commonly attached to the form

Attach verifiable supporting documents to substantiate identity and immigration status and to speed agency or employer verification.

Passport

Include a clear copy of the passport biographic page showing name, photo, passport number, nationality, and expiration date to confirm identity.

Visa / I-94

Attach visa stamp and current I-94 arrival/departure record to verify lawful entry classification and authorized period of stay.

Work authorization

Provide EAD (Employment Authorization Document) or other proof of employment eligibility when required by the receiving organization.

USCIS receipts

Include USCIS receipt notices or approval notices to show pending or approved petitions tied to the individual’s status.

eSignature vendor comparison relevant to Immigration Non-US Citizen Form processing

Compare core pricing and compliance features for common eSignature providers used to collect and store immigration-related forms.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial, no credit card Trial available Trial available Trial available Trial available
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently asked questions about the Immigration Non-US Citizen Form

Answers to common questions about completion, e-signature validity, notarization, and recordkeeping for immigration-related forms.


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