H2B Extensions Request Form

Who is Eligible?

H2B participants who are currently working in the US under a valid H2B visa may be eligible for an H2B extension. H2B extension candidates must not have been in the US under the H2B visa for more than three years without returning home.

Cost?

The cost is $600 to have your visa extended.

What Do I Do Next?

Please fill out the form below. If you are an eligible candidate than a CCI representative will contact you.

* Name (First,Middle,Last): *
* E-mail Address:
* U.S. Phone Number:	* U.S. Mobile Number:

* U.S. Street Address Line 1:
* U.S. Street Address Line 2:
* U.S. City:	* U.S. State:

* Zip/Postal Code:

* Date of Birth: (dd/mm/yyyy)
* Country of Origin:
* Gender: Male Female
* Current Employer:
* Current Position:
* Placement Preference:
* Do you have a valid driver’s license? Yes No
* First Available Date to Begin Work: (dd/mm/yyyy)
* Last Date Available to Finish Work?: (dd/mm/yyyy)
* Date your H2B visa expires: (dd/mm/yyyy)
* Date your passport was issued: (dd/mm/yyyy)
* Date your passport expires: (dd/mm/yyyy)
* Current I-94 Number (11 numbers):
* How did you hear about us?:
* If other, please explain:

* Refer a Friend?
* First Name:
* Last Name:
* Email:
* Citizenship: