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 Name
Last 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
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Proposed Start Date with New Employer
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Comments or Questions
Submit
Should be Empty: