US L-1 Visa Application Form
Employer's Version

Please enter the following information if you would like www.usadiversitylottery.com to apply for a L-1 visa for your company. our immigration Attorney will contact you as soon as your information has been reviewed. You are also welcome to Contact Us and we will get back with you within 24 hours.

* = required fields
Contact Information
Contact Name*
Contact's Position
Contact Telephone
Contact e-mail*
About The US Company
Company name
Telephone
Fax
Address
Company homepage
Federal Employer/IRS Tax ID No.
About The Non-US Company
Company name
Telephone
Fax
Address
Company homepage
Federal Employer/IRS Tax ID No.
Connection Between the US and non-US Companies
Explain Connection Between the US and non-US Companies
About the Job in the US
Job Title
Job description
Minimum educational requirements
Salary (inc. benefits)
Job location (if different from above)
About the Candidate’s Current Job outside the US
Job Title
Job description
Minimum educational requirements
Salary (inc. benefits)
Job location (if different from above)
About the Candidate
First Name
Middle Name
Last (Family) Name
Gender Male Female
Email:
Contact phone #
Date of Birth
Nationality:
Qualifications
Work Experience
Have they held a previous US work permit? Yes No
If Yes, please give details
To prevent spamming, please enter the following symbols