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Does an approved H1-B extension necessarily extends the i-94 date?

If not, is the only alternative to leave the country, get a new visa stamp(which is not possible till Dec 31, AFAIK) and reenter the country?

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If it is filed with a request for extension of status and not consular notification, then yes. The approval notice will indicate which and have an I-94 attached at the bottom if an extension. If it's filed with a request for consular notification, then you will need to leave the US and get a new H-1B visa and then reenter to activate it. I assume that when you say extension, you mean with the same employer?

Thanks!

Yes it is for the same employer. It will be with extension of status, and not consular notification, AFAIK, so that clears up my situation.

AFAIK it does extend the i-94 but you still need a visa stamp to reenter the US

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