Fill and Sign the Requirements for Immigrant and Nonimmigrant Visasus Form

11A.06 Form: Foreign Employee Status Worksheet and Document Checklist The following worksheet is a useful tool for gathering information about the current status of individual immigrant and nonimmigrant employees that the acquiring company hopes to retain following the business transaction. A. General Information Relating to Immigrant and Nonimmigrant Employees1. Name: _________________________________________________ 2. Date of Birth: ________________________________________ 3. U.S. Address: _________________________________________ 4. Address Abroad: _______________________________________ 5. Citizenship: __________________________________________ 6. Country of Birth: ______________________________________7. Date of Arrival in U.S.: ______________________________ 8. Current Immigration Status: ____________________________ 9. I-94 No. and Expiration Date: __________________________ 10. Passport, Country, Number, and Expiration Date: _______ _____________________________________________________________ B. Employment Information 1. Current Job Title: ____________________________________ 2. Current Job Location: __________________________________ 3. Employee Job Description (describe with detail duties and responsibilities, note the need for specialized skills or education): _____________________________________________________________ ______________________________________________________________ 4. Any Proposed Changes to Job Description or Location: ____________________________________________________________ 5. Proposed Corporate Changes and Effect on Employee's Status: ______________________________________________ C. Relevant Notes on Continuing Individual Employee Status (include all necessary considerations, procedures, and possible paperwork to be filed with appropriate agencies) 1. _________________________________________________________ 2. _________________________________________________________ D. Document Checklist (check off when a complete copy of each relevant document has been made) * Employee Passport * Admission/Departure Card (Form I-94) * All Nonimmigrant Visa Applications * Applications for Extension or Change of Status * Application for Labor Certification * I-140 Petition for Immigrant Employee * I-485 Petition for Adjusted Status * Completed and Maintained I-9 Form Notes on Missing or Incomplete Documents: ____________________________________________________________