Immigration Initiation Form

FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP

IMMIGRATION INITIATION FORM FOR SUNY

Sponsorship authorization for Fragomen, Del Rey, Bernsen & Loewy, LLP to commence procurement of a NONIMMIGRANT VISA (temporary work permit including H-1B, TN or O-1) or PERMANENT RESIDENCE (green card) for the following:

Foreign National Name
Foreign National Contact Information / Phone: / Fax:
E-Mail:
Job Title for Offered Position
SUNY Campus
Start Date of Employment in U.S. (if not currently working for Employer or if for new position)
Type of Visa Requested / ______H-1B ______TN ______O-1 ______Green Card
______Other (Please specify)
Premium Processing
(Petition will be adjudicated within 15 business days from receipt for an additional $1,000 filing fee paid to the USCIS) / ______YES ______NO
Authorization to prepare immigration petition for dependents / ______YES ______NO
Legal fees and disbursements for Employee / ______To be paid by SUNY
______To be paid by Employee when permitted by Federal Regulations
Legal fees and disbursements for Employee’s Dependents (if applicable) / ______To be paid by SUNY ______To be paid by Employee
HR Generalist and/or Contact Person
HR Generalist and/or Contact Person’s Contact Numbers / Phone: / Fax:
E-Mail:
Authorized By: / ______
Print Name/Title:
Date:
Upon completion of the above, kindly fax or email to Elizabeth Reichard or Adam Ketcher to commence processing of the matter.
Telephone: 212-891-7576
Fax: 212-446-0365
Email: or