First name
Second name - - Only if included on your Social Seurity Card
Surname
Your SSN - - type from Social Seurity Number Card
Date of birth
Phone number
E-mail
State/Region
City
Street name
Building number/Flat number
Post Code
Rabate Code
Add first employer
Your possition
Your wages - Box 1 in W2 or Box 7 in 1099-MISC
Federal tax deducted - Box 2 in W2
State tax deducted - Box 17 in W2
State you worked —Proszę wybrać opcję—AlabamaAlaskaArizonaArkansasConnecticutSouth DakotaNorth DakotaDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaCaliforniaKansasSouth CarolinaNorth CarolinaKentuckyColoradoLouisianaMaineMarylandMassachusettsMichiganMinnesotaMissisipiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew YorkNew MexicoOhioOklahomaOregonPennsylvaniaRhode IslandTexasTennesseeUtahVermontWashingtonVirginiaWest VirginiaWisconsinWyoming
Add next employer
Date you entered USA
Date you departured USA
Wiza type —Proszę wybrać opcję—J1H2B
Have you worked in USA before 2023? —Proszę wybrać opcję—NieTak
If yes, provide the year
How many days you were working In USA In 2022
How many days you were working In USA In 2021
Who organized your work In USA?
Way return —Proszę wybrać opcję—CheckDirect deposit to account in USA
Routing number
Account number
Additional informations