Employer Questionnaire
Employer Information:
Employer Name
Address1
Address2
City
State
Zip
Federal Tax ID#
Year Established
Total Employees Working For Employer
Total Employees Currently On H-1B status
Annual Gross Income
Annual Net Income
Description Of Services Offered By Employer
Phone#
Fax#
Website Address
Name/Title of Person signing petition on behalf of Employer:
First Name
Middle Name
Last Name
Name of Employee being sponsored:
First Name
Middle Name
Last Name
Information Regarding the Position:
Job Title
Job Duties (in detail)
Employee Primary Work Location (For Example: Chicago, IL)
Annual Salary
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