In Country H2B Extension Applicants – Staffing Solution R Us

In-Country H-2B Extension Applicants

Personal & Contact Information

Full Legal Name (as shown on passport)

Date of Birth

Gender

Phone Number (WhatsApp preferred)

Email Address

Current U.S. Address (City & State)

Emergency Contact (Name)

Emergency Contact (Relationship)

Emergency Contact (Phone)

Current Visa & Employment Info

Are you currently in the U.S.?

Yes No

Current Job Title

Employer Name

Visa Expiration Date

Have you completed your current contract?

Yes No

Are you seeking a transfer or extension?

Required Uploads

Copy of Most Recent I-94 Record

Copy of Current H-2B Approval Notice (Form I-797)

2–4 Recent Pay Stubs

Letter of Good Standing from Employer (if available)

Resume/CV (if not already submitted)

Optional: Reference Letter or Past Employer Review

Upload a clear photo/scan of the passport bio page

Other

Are you willing to transfer to another employer?

Yes No

Preferred Work Location (State or Region)

Do you need company housing/transportation?

Any medical conditions or allergies?

Declaration & Consent

I certify the information above is true and authorize Staffing Solution R Us to use my records for transfer sponsorship and employment matching under the H-2B program.