Work Authorization Renewal Checklist
Please complete this checklist to ensure your work authorization renewal application is accurate and complete.
Full Name
*
First Name
Last Name
Employee ID
*
Job Title
*
Department
*
Work Authorization Type
*
Please Select
H-1B
F-1 (OPT/CPT)
L-1
E-3
TN
Other
Current Work Authorization Expiration Date
*
-
Month
-
Day
Year
Date
Are you requesting a renewal or extension?
*
Renewal
Extension
List of Documents Provided (check all that apply)
*
Copy of current work authorization document
Copy of passport identification page
Copy of most recent I-94
Proof of employment (e.g., offer letter, pay stubs)
Other supporting documents
Upload All Required Supporting Documents
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Contact Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Notes or Comments
Signature
*
Submit Checklist
Submit Checklist
Should be Empty: