F200034 Change of Visa Status from G4 Visa to a different Visa, I-566 Endorsement

Instructions:

Welcome to the World Bank Group HR Forms Instructions page.

This form filler tool is designed to assist you in electronically entering your data and printing a paper form with a unique barcode corresponding to your entered data. Once you've completed your answers and printed the form, you'll need to submit it either by email or in person, depending on the form type.  Please note that the data you enter is directly captured in the form's unique barcode, so it's important that you do not make any handwritten changes, corrections, or additions to the data or to the form after it has been printed. Doing so may result in data errors and processing delays.

In case you notice any errors after printing your form, or if you've left a field blank, we recommend starting over and completing a new form. It's also important to remember that your information is not saved by the form filler and can no longer be accessed after you print it. Therefore, please be extra careful in reviewing your answers, as it is impossible to make any corrections after the form is printed.

Each form will take approximately ten minutes to complete. Please ensure you have the needed documents such as passport to extract information that may be required in some fields. Do not close the forms until they are ready for a download. Partially filled forms cannot be saved to be completed later. If you need further assistance, please contact. Thank you!

Information on Completing the Form

Return all pages of this form to HR Operations via (Please select one transmittal format, and submit only once):

 a. Email to hroperations@worldbank.org

 b. Fax +1(202) 522-7026

Need Help? 

If you are experiencing any issues, please contact HR Operations via email: hroperations@worldbank.org  or phone 202-473-2222 or 5220+32222.

Revision 25 Apr 2023

Staff Member/Retiree Information

World Bank Group UPI*

Last Name*

MIddle Name

First Name*

Date of Birth*

Full Legal Name, as in passport (Last Name, First Name, Middle Name)

Address - Street*

Address - City, State, Postal or Zip Code*

Phone Number*

Personal email Address*

Applicant's Information 

Relationship of Applicant with Staff Member/ Retiree*

Last Name*

Middle Name

First Name*

Date of Birth*

Full Legal Name, as in passport (Last Name, First Name, Middle Name)

Address - Street*

Address - City, State, Postal or Zip Code*

Phone Number*

Personal email Address*

Visa Information

Please choose if you are on

Scenario 1: Applicant is currently in G4 Visa status, and would like to apply for a 

Visa.

Please make sure to attach with this form, two(2) copies of the form I-566 along with a copy of the most recent I-94 and visa.

In addition,

  • If applying for an F1 visa, provide a copy of the I-20.
  • If applying for an H1B visa, provide the job offer letter and 1797 USCIS notice of receipt of the petition.
  • If applying for a B1/B2 visa, provide a letter of intent to leave the U.S. describing what you and your dependent will do here, and timeframe of stay.

Scenario 2: Applicant is currently in G4 Visa status, and would like to apply for a Green Card through a third party, not the World Bank.

Please send this form to HROperations@worldbank.org and the Non-Endorsement letter will be emailed to you when your request has been processed.

Please ensure ALL information in the submission form is complete and accurate before printing the form. This will generate your form(s) as a PDF file. Review the file for accuracy and completeness. If there is an error, please start a new form.