H-1B Employment Transfer Request Form

H-1B Employment Transfer Request Form
Please complete this form to request an H-1B employment transfer. All fields are required for processing your request.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current Employer Name
New Employer Name
Proposed Job Title
Work Location (City, State)
Current H-1B Visa Expiration Date
MonthDayYear
Date
Proposed Start Date with New Employer
MonthDayYear
Date
Additional Comments or Questions
Should be Empty: