3 4 5 9  Lawrenceville - Suwanee  Rd., Suite A,  Suwanee ,  Georgia

Tel: (770) 271-5244 ● Toll Free:  (888) 768-7252 ● Fax: (770) 271-5604 ● Cornel@PotraLawFirm.com ● www.potralawfirm.com

Attorneys:  Cornel Potra – Admitted: Georgia & Washington  ●  Kristina F Potra – Admitted: Georgia

This questionnaire is for the exclusive use of Potra Law Firm.  Please answer all the questions.  Do not leave any questions unanswered.  If you do not have an answer to a question, please insert “N/A”.  It is your responsibility to provide true and accurate information, as well as the evidentiary documents requested. 

This Document Is For The Attorney’s Office Use Only

 

  

QUESTIONNAIRE FOR THE I-140
 

A.  For the Petitioner -  company offering employment: 

 

1. a. Full name of the company 

    b. Type of business
2. a. Legal representative that will sign the documents
    b. Social Security Number of the legal representative

 

 

3. Address of the company:

   a. Street  number

   b. City

   c. State/Province

   d. Zip code

   e. Country

   f.  Telephone
   g. Fax

 

 
4. a. Email
    b. Web address (if any)
5. FEIN# (Federal Employment Identification Number)
6. Date of establishment month/day/year
7. Number of employees
8. Gross annual income for the last fiscal year
9. Net annual income for the last income year

 

B. For the beneficiary (alien worker) of the I-140 Petition:  

1. The last address where the applicant lived, before coming to the U.S.A.:

   a. Street  number

   b. City

   c. State/Province

   d. Zip code

   e. Country

 

 
 

2. Country of nationality
3. Email address
4. Telephone number

 

 

Information about your status

 
5. Social Security Number (if applicable)
6. Alien Number (if applicable)
7. Date of last arrival in the U.S. month/day/year

8. Current status (type of visa)

 

9. Information about your spouse

 

   a. Family Name (maiden name for females)

   b. First Name

   c. Middle Name

   d. Date of Birth month/day/year

 

   e. Country of birth

 

10.  Provide the names, date of birth and country of birth for ALL of your children

 

 

a. Family Name

b. First Name

c. Middle Name

d.Date of birth

e. Country of Birth

 month/day/year

 

 1.

 

 2.

 

 3.

 

 4.

 

 5.

 

 6.

 

 7.

 

 8.

 

 9.

 

10.

 

 

If you have more than 10 children, use the space below.

It is very important that you respect the order of the information requested.

  

 

 

 

 

 

 

 

 
 

Documents necessary to apply the I-140 with the U.S. Department of Homeland Security:

 
   
A.

For the Petitioner -  company offering employment: 

*

At this time you will need to submit copies of the federal tax return forms for the past three fiscal years.
 
   

B.

For the beneficiary (alien worker) of the I-140 Petition:

*

Copy of the passport (front page and the page that contains the visa)
*

Copy of the I-94 form (the white coupon, stapled to the passport);
*

Copy of the Birth Certificate;
*

Copy of the Social Security Card (if any);
*

Copy of the Green Card (if any);
*

Copy of the Marriage certificate (if applicable);
*

Copy of the children’s Birth certificates (if you have children);
* Copies of documents that evidence your work experience;
* Copies of documents that evidence your qualification (the school/s you graduated from, qualification courses, etc.)
 
* If you entered the States without inspection (illegally), please send us documents that prove that you were physically present in the U.S. of America before December 21st, 2000.  (for example: speeding tickets, medical documents, bills, airplane tickets, payments made to IRS, etc.)
 
 
 
   

NOTE: THIS DOCUMENT IS THE PRODUCT OF POTRA LAW FIRM. THE USE OF THIS QUESTIONNAIRE BY OTHER INDIVIDUALS OR LAW FIRMS IN ASSISTING OTHERS WITH THE COMPLETION OF DOCUMENTS, OR FOR ANY OTHER PURPOSES, IS STRICTLY PROHIBITED.   POTRA LAW FIRM MAINTAINS ITS COPYRIGHTS OVER THE TRANSLATION OF THIS DOCUMENT.  PERMISSION TO USE THIS DOCUMENT MAY BE OBTAINED ONLY FROM POTRA LAW FIRM.  COPYRIGHT © January 17, 2007.