Supplement J, Confirmation of Bona Fide Job Offer or Request For Job Portability Under INA Section 204 (J)

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Supplement J, Confirmation of Bona Fide Job Offer or

Request for Job Portability Under INA Section 204(j) USCIS


Form I-485
Department of Homeland Security OMB No. 1615-0023
U.S. Citizenship and Immigration Services Expires 09/30/2021

Fee Receipt Action Block

For
USCIS
Use
Only

NOTE: Use Form I-485, Supplement J, Confirmation of Bona Fide Job Offer or Request for Job Portability Under INA Section
204(j) (Supplement J), to either confirm that the job offered to you in Form I-140, Immigrant Petition for Alien Worker, that is the
basis of your Form I-485, Application to Register Permanent Residence or Adjust Status, remains available to you or to request job
portability under the Immigration and Nationality Act (INA) section 204(j).

► START HERE - Type or print in black ink.


Part 1. Reason for Filing Supplement J Other Information
This supplement is being filed to (Select only one box): 3. Alien Registration Number (A-Number) (if any)
1.a. Confirm that the job offered to you in the Form ► A-
I-140, that is the basis of your Form I-485, remains a 4. USCIS Online Account Number (if any)
bona fide job offer that you intend to accept once
your Form I-485 is approved. ►

1.b. Request job portability under INA section 204(j) to a 5. Date of Birth (mm/dd/yyyy)
new, full-time, permanent job offer that you intend to
accept once your Form I-485 is approved. 6. Country of Birth

Part 2. Information About You (Applicant)


Basic Information About Your Form I-485 and the
Your Current Legal Name (do not provide a Underlying Form I-140
nickname)
7. Form I-485 Receipt Number (if already filed with U.S.
1.a. Family Name Citizenship and Immigration Services (USCIS))
(Last Name)
1.b. Given Name
(First Name) 8. Form I-485 Filing Date (mm/dd/yyyy) (if already filed
1.c. Middle Name with USCIS)

9. Form I-140 Receipt Number


U.S. Mailing Address (USPS ZIP Code Lookup)

2.a. In Care Of Name (if any)


10. Has your Form I-140 been approved?
Yes No Unknown
2.b. Street Number
and Name
2.c. Apt. Ste. Flr.

2.d. City or Town

2.e. State 2.f. ZIP Code

Form I-485 Supplement J Edition 03/10/21 Page 1 of 7


Part 3. Applicant's Statement, Contact Applicant's Signature
Information, Certification, and Signature 6.a. Applicant's Signature (sign in ink)
NOTE: Read the Penalties section of the Supplement J
Instructions before completing this part. You must file
Supplement J while in the United States. 6.b. Date of Signature (mm/dd/yyyy)

Applicant's Statement
Part 4. Contact Information, Declaration, and
Select all applicable boxes. Signature of the Person Preparing This
1. I can read and understand English, and I have read Supplement, if Other Than the Applicant
and understand every question and instruction on this
Provide the following information about the preparer.
supplement and my answer to every question.
2. At my request, the preparer named in Part 4., Preparer's Full Name
,
1.a. Preparer's Family Name (Last Name)
prepared this supplement for me based only upon
information I provided or authorized.
1.b. Preparer's Given Name (First Name)
Applicant's Contact Information
3. Applicant's Daytime Telephone Number
2. Preparer's Business or Organization Name (if any)

4. Applicant's Mobile Telephone Number (if any)


Preparer's Mailing Address
5. Applicant's Email Address (if any) 3.a. Street Number
and Name
3.b. Apt. Ste. Flr.
Applicant's Certification 3.c. City or Town
Copies of any documents I have submitted are exact
photocopies of unaltered, original documents, and I understand 3.d. State 3.e. ZIP Code
that USCIS may require that I submit original documents to
USCIS at a later date. Furthermore, I authorize the release of 3.f. Province
any information from any of my records that USCIS may need
to determine my eligibility for the immigration benefit I seek. 3.g. Postal Code

I further authorize release of information contained in this 3.h. Country


supplement, in supporting documents, and in my USCIS records
to other entities and persons when necessary for the
administration and enforcement of U.S. immigration laws.
Preparer's Contact Information
I certify, under penalty of perjury, that I provided or authorized
all of the information in my supplement, especially in Part 1. 4. Preparer's Daytime Telephone Number
and Part 2., I understand all of the information contained in,
and submitted with my supplement, and that all of this
information is complete, true, and correct. 5. Preparer's Mobile Telephone Number (if any)
I further declare, under penalty of perjury, that I have reviewed
the job offer described in Part 6. of this supplement, and I
6. Preparer's Email Address (if any)
intend to accept the position offered in Part 6. of this
supplement upon approval of my Form I-485.

Form I-485 Supplement J Edition 03/10/21 Page 2 of 7


Part 4. Contact Information, Declaration, and Employer's U.S. Mailing Address
Signature of the Person Preparing This 2.a. Street Number
Supplement, if Other Than the Applicant and Name
(continued) 2.b. Apt. Ste. Flr.

Preparer's Statement 2.c. City or Town

7.a. I am not an attorney or accredited representative but 2.d. State 2.e. ZIP Code
have prepared this supplement on behalf of the
applicant and with the applicant's consent.
Information About the Business Entity Employer
7.b. I am an attorney or accredited representative and my
representation of the applicant in this case If you, the employer, are a business entity, provide the
extends does not extend beyond the information requested in Item Numbers 3. - 10.
preparation of this supplement.
3. Business or Organization Name
NOTE: If you are an attorney or accredited
representative, you may be obliged to submit a
completed Form G-28, Notice of Entry of 4. Employer Identification Number
Appearance as Attorney or Accredited ►
Representative, with this supplement.
5. Type of Business
Preparer's Certification
By my signature, I certify, under penalty of perjury, that I 6. Date Established (mm/dd/yyyy)
prepared this supplement at the request of the applicant. The
applicant then reviewed this completed supplement and 7. Current Number of U.S. Employees
informed me that he or she understands all of the information
contained in, and submitted with, his or her supplement, 8. Gross Annual Income $
including the Applicant's Certification, and that all of this
information is complete, true, and correct. 9. Net Annual Income $

Preparer's Signature 10. NAICS Code ►

8.a. Preparer's Signature (sign in ink)


Information About the Individual Employer (if
applicable)
8.b. Date of Signature (mm/dd/yyyy)
Your Current Legal Name (do not provide a
nickname)
IMPORTANT: The employer confirming an
existing bona fide job offer or offering you a new, 11.a. Family Name
(Last Name)
permanent job must complete Parts 5., 6., and 7.
11.b. Given Name
(First Name)
11.c. Middle Name
Part 5. Information About the Employer
1. Type of employer (Select only one box): 12. Date of Birth (mm/dd/yyyy)
Business/Organization 13. U.S. Social Security Number (if any)
Self/Individual ►

14. Annual Income $

15. Occupation

Form I-485 Supplement J Edition 03/10/21 Page 3 of 7


Part 6. Information About the Job Offer 9. Is the applicant named in Part 2. of this supplement
currently employed by you? Yes No
You, the employer, must provide the information requested in
Part 6. 10. If you answered "Yes" to Item Number 9., when did the
applicant begin employment with you (mm/dd/yyyy)?
1. Job Title

2. Standard Occupational Classification (SOC) Code


► - Part 7. Statement, Contact Information,
Certification, and Signature of the Individual
3. Nontechnical Description of Job (If you need extra space Employer or Authorized Signatory of the
to complete this section, use the space provided in Part 9.
Additional Information.) Business Entity Employer
NOTE: Read the Penalties section of the Supplement J
Instructions before completing this part.

Individual Employer's or Authorized Signatory's


Statement
Select all applicable boxes.
1. I can read and understand English, and I have read
and understand every question and instruction on this
supplement and my answer to every question.
2. At my request, the preparer named in Part 8.,
,
prepared this supplement for me based only upon
4. Is this a full-time position? Yes No information I provided or authorized.

5. If you answered "No" to Item Number 4., provide the


Individual Employer's or Authorized Signatory's
number of hours per week the applicant will work in this
position. Contact Information
3.a. Individual Employer's or Authorized Signatory's Family
6. Is this a permanent position? Yes No Name (Last Name)
7. Wages Offered (Specify hour, week, month, or year)
$ per 3.b. Individual Employer's or Authorized Signatory's Given
Name (First Name)
Employer's U.S. Physical Address
Provide the physical address where the applicant will work if 4. Individual Employer's or Authorized Signatory's Title
different from the employer's mailing address in Part 5., Item
Numbers 2.a. - 2.e. or the address provided in Form I-140 on
which the applicant's Form I-485 is based. 5. Individual Employer's or Authorized Signatory's Daytime
Telephone Number
8.a. Street Number
and Name
8.b. Apt. Ste. Flr. 6. Individual Employer's or Authorized Signatory's Mobile
Telephone Number (if any)
8.c. City or Town

8.d. State 8.e. ZIP Code 7. Individual Employer's or Authorized Signatory's Email
Address (if any)

Form I-485 Supplement J Edition 03/10/21 Page 4 of 7


Part 7. Statement, Contact Information, Part 8. Contact Information, Declaration, and
Certification, and Signature of the Individual Signature of the Person Preparing This
Employer or Authorized Signatory of the Supplement, if Other Than the Individual
Business Entity Employer (continued) Employer or Authorized Signatory of the
Business Entity Employer
Individual Employer's or Authorized Signatory's
Provide the following information about the preparer.
Certification
Copies of any documents I have submitted are exact Preparer's Full Name
photocopies of unaltered, original documents, and I understand
that, as the employer, USCIS may require that I submit original 1.a. Preparer's Family Name (Last Name)
documents to USCIS at a later date.
I authorize the release of any information from any records of 1.b. Preparer's Given Name (First Name)
the employer that USCIS may need to determine eligibility for
the requested immigration benefit. I recognize the authority of
USCIS to conduct audits of this supplement using publicly 2. Preparer's Business or Organization Name (if any)
available open source information. I also recognize that USCIS
may verify any supporting evidence submitted in support of this
supplement through any means determined appropriate by
USCIS, including but not limited to, on-site compliance Preparer's Mailing Address
reviews.
3.a. Street Number
If filling this supplement on behalf of an organization, I certify and Name
that I am authorized to do so by the organization. 3.b. Apt. Ste. Flr.
I certify, under penalty of perjury, that I have reviewed this
supplement, and that all of the information contained in Part 5. 3.c. City or Town
and Part 6. of this supplement, including all responses provided
by me to specific questions and in the supporting documents 3.d. State 3.e. ZIP Code
provided by me, is complete, true, and correct.
3.f. Province
I further declare, under penalty of perjury, and attest to the
following: 3.g. Postal Code
1) I am a viable employer and I am extending a bona fide job
3.h. Country
offer to the applicant named in Part 2. of this supplement;
2) The job opportunity is for full-time, permanent
employment; and
Preparer's Contact Information
3) I intend to employ the applicant in the job offer described
in Part 6. of this supplement upon the approval of the 4. Preparer's Daytime Telephone Number
applicant's Form I-485.

5. Preparer's Mobile Telephone Number (if any)


Individual Employer's or Authorized Signatory's
Signature
6. Preparer's Email Address (if any)
8.a. Signature of Individual Employer or Authorized Signatory
(sign in ink)

8.b. Date of Signature (mm/dd/yyyy)

Form I-485 Supplement J Edition 03/10/21 Page 5 of 7


Part 8. Contact Information, Declaration, and
Signature of the Person Preparing This
Supplement, if Other Than the Individual
Employer or Authorized Signatory of the
Business Entity Employer (continued)

Preparer's Statement
7.a. I am not an attorney or accredited representative but
have prepared this supplement on behalf of the
individual employer or authorized signatory and with
the individual employer's or authorized signatory's
consent.
7.b. I am an attorney or accredited representative and my
representation of the individual employer or
authorized signatory in this case.
extends does not extend beyond the
preparation of this supplement.
NOTE: If you are an attorney or accredited
representative, you may be obliged to submit a
completed Form G-28, Notice of Entry of
Appearance as Attorney or Accredited
Representative, with this supplement.

Preparer's Certification
By my signature, I certify, under penalty of perjury, that I
prepared this supplement at the request of the individual
employer or authorized signatory. The individual employer or
authorized signatory then reviewed this completed supplement
and informed me that he or she understands all of the
information contained in, and submitted with, his or her
supplement, including the Individual Employer's or
Authorized Signatory's Certification, and that all of this
information is complete, true, and correct.

Preparer's Signature
8.a. Preparer's Signature (sign in ink)

8.b. Date of Signature (mm/dd/yyyy)

Form I-485 Supplement J Edition 03/10/21 Page 6 of 7


Part 9. Additional Information 5.a. Page Number 5.b. Part Number 5.c. Item Number

If you need extra space to provide any additional information


within this supplement, use the space below. If you need more 5.d.
space than what is provided, you may make copies of this page
to complete and file with this supplement or attach a separate
sheet of paper. Type or print your name and A-Number (if any)
at the top of each sheet; indicate the Page Number, Part
Number, and Item Number to which your answer refers, and
sign and date each sheet.
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name

2. A-Number (if any) ► A-


6.a. Page Number 6.b. Part Number 6.c. Item Number
3.a. Page Number 3.b. Part Number 3.c. Item Number

6.d.
3.d.

7.a. Page Number 7.b. Part Number 7.c. Item Number


4.a. Page Number 4.b. Part Number 4.c. Item Number

7.d.
4.d.

Form I-485 Supplement J Edition 03/10/21 Page 7 of 7

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