Employment Letter Request Form*

        Your full name (first, middle, last): 

Branch office to which you are assigned: 

Current Salary:

Daytime Phone:

Email Address:

Mailing address:

Date H-1/TN status expires (as noted on your most recent I-94)?:  

Date Entry Visa Expires (visa stamped within passport which has your picture on it): 

Type of letter requested:

If Traveling

Dates of travel: 

From to

Travel Destination:

Purpose of Travel (e.g., business, pleasure, marriage):

Name of spouse (if spouse is to apply for an H-4 visa):

Name(s) of children (if children are to apply for H-4 visas): 




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