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GREEN CARD APPLICATION GUIDE
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Green Card Application Guide

Table of Contents
GREEN CARD APPLICATION GUIDE
1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 2.0 2.1 2.2 2.3 3.0 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 4.0 4.1 4.2 4.3 4.4 4.5 4.6 5.0 5.1 5.2 5.3 5.4 6.0 6.1 6.2 6.3 ⎪ INTRODUCTION ............................................................................................................................ 6 WHAT IS A GREEN CARD? ............................................................................................................... 6 CONDITIONAL RESIDENT GREEN CARD ........................................................................................... 6 PERMANENT RESIDENT GREEN CARD ............................................................................................. 6 TRAVELING WITH A GREEN CARD ................................................................................................... 6 FORM I-131 “APPLY FOR A REENTRY PERMIT” FROM WITHIN THE UNITED STATES ........................ 7 APPLY FOR REENTRY PERMIT VISA FROM ABROAD ........................................................................ 8 COMMUTER STATUS FOR INDIVIDUALS WORKING IN CANADA AND MEXICO.................................. 8 GREEN CARD THROUGH ADOPTION ..................................................................................... 9 BENEFITS FOR THE ADOPTED CHILD ............................................................................................. 10 LIMITATIONS FOR THE ADOPTED CHILD ........................................................................................ 10 HOW TO APPLY ............................................................................................................................. 10 GREEN CARD THROUGH EMPLOYMENT ........................................................................... 11 EMPLOYMENT FIRST PREFERENCE ................................................................................................ 11 EMPLOYMENT SECOND PREFERENCE ............................................................................................ 12 EMPLOYMENT THIRD PREFERENCE ............................................................................................... 12 EMPLOYMENT FOURTH PREFERENCE ............................................................................................ 13 EMPLOYMENT FIFTH PREFERENCE ................................................................................................ 13 BENEFITS....................................................................................................................................... 13 DRAWBACKS ................................................................................................................................. 13 ACCOMPANYING RELATIVES ......................................................................................................... 14 INADMISSIBILITY ........................................................................................................................... 14 JOB OFFER FROM U.S. EMPLOYER ................................................................................................. 14 CORRECT BACKGROUND ............................................................................................................... 14 NO QUALIFIED AMERICANS .......................................................................................................... 14 HOW TO APPLY ............................................................................................................................. 15 GREEN CARD THROUGH INVESTEMENT ........................................................................... 16 GREEN CARD THROUGH INVESTMENT PRIVILEGES........................................................................ 16 GREEN CARD THROUGH INVESTMENT LIMITATIONS ..................................................................... 17 ACCOMPANYING RELATIVES ......................................................................................................... 17 INADMISSIBILITY ........................................................................................................................... 17 GREEN CARD WITH CONDITIONS ................................................................................................... 17 HOW TO APPLY ............................................................................................................................. 17 GREEN CARD THROUGH MARRIAGE .................................................................................. 18 MARRIAGE INSIDE THE UNITED STATES ........................................................................................ 18 MARRIAGE OUTSIDE THE UNITED STATES ..................................................................................... 18 CONDITIONAL RESIDENCE GREEN CARD THROUGH MARRIAGE .................................................... 18 HOW TO APPLY ............................................................................................................................. 19 GREEN CARD AS A SPECIAL IMMIGRANT ......................................................................... 20 ACCOMPANYING RELATIVES ......................................................................................................... 20 INADMISSIBILITY ........................................................................................................................... 20 GREEN CARD AS A SPECIAL IMMIGRANT ....................................................................................... 20 ⎪ www.usimmigrationsupport.org
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Green Card Application Guide 6.4 6.5 6.6 6.7 6.8 6.9 7.0 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 7.10 8.0 8.1 8.2 8.3 8.4 9.0 9.1 9.2 9.3 9.4 9.5 10.0 11.0 RELIGIOUS WORKERS.................................................................................................................... 20 FOREIGN MEDICAL GRADUATES ................................................................................................... 21 FORMER OVERSEAS UNITED STATES GOVERNMENT WORKERS .................................................... 21 RETIRED EMPLOYEES OF INTERNATIONAL ORGANIZATIONS ......................................................... 21 PERSON DECLARED DEPENDANT ON A JUVENILE COURT .............................................................. 22 HOW TO APPLY ............................................................................................................................. 22 GREEN CARD THROUGH A RELATIVE ................................................................................ 23 IMMEDIATE RELATIVE OF A UNITED STATES CITIZEN ................................................................... 23 PREFERENCE RELATIVE OF A GREEN CARD HOLDER OR U.S. CITIZEN ........................................... 23 ACCOMPANYING RELATIVE OF SOMEONE IN A PREFERENCE CATEGORY ...................................... 23 MARRIAGE TO A UNITED STATES CITIZEN .................................................................................... 23 DIVORCE ....................................................................................................................................... 24 CRUELTY ....................................................................................................................................... 25 DEPORTATION ............................................................................................................................... 25 WIDOWS/WIDOWERS .................................................................................................................... 25 PERSONAL PROBLEMS ................................................................................................................... 25 HOW TO APPLY ............................................................................................................................. 25 THE DV LOTTERY (GREEN CARD LOTTERY) .................................................................... 27 OVERVIEW OF THE DIVERSITY IMMIGRANT VISA PROGRAM ......................................................... 27 NUMBER OF APPLICANTS SELECTED PER COUNTRY ..................................................................... 27 DV-2007 (2005 GREEN CARD LOTTERY) ...................................................................................... 28 HOW TO APPLY ............................................................................................................................. 29 UNITED STATES CITIZENSHIP ............................................................................................... 30 OVERVIEW .................................................................................................................................... 30 UNITED STATES CITIZENSHIP TEST ............................................................................................... 30 UNITED STATES DUAL CITIZENSHIP .............................................................................................. 30 UNITED STATES PASSPORT ............................................................................................................ 31 ADVANTAGES OF U.S. CITIZENSHIP .............................................................................................. 31 FREQUENTLY ASKED QUESTIONS........................................................................................ 33 ASSEMBLING OF APPLICATION ............................................................................................ 35

APPENDIX 1 .............................................................................................................................................. 37 U.S. EMBASSIES AND CONSULATES WORLDWIDE ..................................................................................... 37 APPENDIX 2 .............................................................................................................................................. 38 USCIS APPLICATION SUPPORT CENTERS (ASC)....................................................................................... 38 APPENDIX 3 .............................................................................................................................................. 48 USCIS FIELD OFFICES .............................................................................................................................. 48 APPENDIX 4 .............................................................................................................................................. 55 INFOPASS – SPEAK TO AN IMMIGRATION OFFICER ................................................................................. 55 APPENDIX 5 .............................................................................................................................................. 56 CASE STATUS ............................................................................................................................................ 56 APPENDIX 6 .............................................................................................................................................. 58 DO I NEED AN IMMIGRATION ATTORNEY?................................................................................................. 58 APPENDIX 7 .............................................................................................................................................. 59 GLOSSARY OF TERMS ................................................................................................................................ 59 ⎪ ⎪ www.usimmigrationsupport.org
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Green Card Application Guide APPENDIX 8 .............................................................................................................................................. 69 ADOBE ACROBAT HELP ............................................................................................................................ 69

IMMIGRATION FORMS INCLUDED: • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Form DS-230 Application for Immigrant Visa and Alien Registration Form DSP-122 Supplemental Registration for the DV Immigrant Program Form ETA 9089 Application for Permanent Employment Certification Form G-325 Biographic Information Form G-325A Biographic Information Form I-130 Petition for Alien Relative Form I-131 Application for Travel Document Form I-134 Affidavit of Support Form I-140 Immigrant Petition for Alien Worker Form I-290B Notice of Appeal or Motion Form I-360 Petition for Amerasian, Widow(er), or Special Immigrant Form I-485 Application to Register Permanent Residence or to Adjust Status Form I-485A Supplement A Form I-526 Immigrant Petition by Alien Entrepreneur Form I-539 Application to Extend/Change Nonimmigrant Form I-600 Petition To Classify Orphan As an Immediate Relative Form I-600A Application for Advance Processing of Orphan Petition Form I-601 Application for Waiver of Grounds of Excludability Form I-693 Medical Examination of Alien Seeking Adjustment of Status Form I-751 Petition to Remove Conditions of Residence Form I-765 Application for Employment Authorization Form I-824 Application for Action on an Approved Application or Petition Form I-829 Petition by Entrepreneur to Remove Conditions Affidavit of Support Under Section 213A of the Act Form I-864 Form I-864P Poverty Guidelines Form I-907 Request for Premium Processing Service Form M-603 Photo Requirements Form N-470 Application to Preserve Residence for Naturalization Purposes Form N-600 Application for Certificate of Citizenship Form N-600K Application for Citizenship and Issuance of Certificate under Section 322

Important: o o You may not need to submit all of the forms listed above. Only submit the application forms that apply to your case. You may not need to print this entire PDF file. You have the option of printing only the pages that you need (such as application forms). Refer to Appendix 8 for PDF printing instructions. Some application forms have an expiration date. Usually the USCIS issues a new version of each form before the expiration date, but occasionally the USCIS does not issue a new version before the form expires. On these rare cases, the immigration form continues to be valid until the new version is issued. However, not all expired application forms are valid and can be submitted. Expired forms can only be submitted when a new version has not yet been published. ⎪ ⎪ www.usimmigrationsupport.org
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Green Card Application Guide

DISCLAIMER
U.S. Publishers, Inc. -- the publisher of this information guide -- is not affiliated with the United States government. U.S. Publishers, Inc. has made every attempt to provide the most current information available on United States immigration laws and application procedures. The user should be aware that while we try to keep the information timely and accurate, there may be a delay between the passage of new laws and regulations and their inclusions in our immigration guides or on our website. The information provided in this immigration package and in other documents, forms, website, comments, e-mails, articles, newsletters, and other communications should not be considered legal advice for any individual case or situation. No attorney/client relationship is created by the usage of this immigration guide, its contents, any immigration materials purchased or downloaded, or any information provided by our website. By using this immigration guide, you agree that its proprietors, producers, and administrators have no responsibility, directly or indirectly, for any problems that may arise from the use or misuse of this product and its content. The responses and information contained herein are intended to be general and should not be relied on for a specific situation. For specific legal advice, contact an attorney who specializes in United States immigration law. We have designed this immigration guide at a very low cost to help you fill out your application without assistance. Therefore, we will not be answering any questions pertaining to immigration issues. If you have a question regarding immigration, please contact an immigration attorney. The text information in this publication is the property of U.S. Publishers, Inc. and is protected by copyright laws. Copyright is not claimed on material extracted from public resources. FBI Warning: “The unauthorized reproduction or distribution of this copyrighted work is illegal. Criminal copyright infringement, including infringement without monetary gain, is investigated by the FBI and is punishable by up to 5 years in federal prison and a fine of $250,000." – Source: www.fbi.gov/ipr All United States immigration forms included with this information guide are provided to our clients free of charge. We do not charge for any immigration forms. You may download all immigration forms for free directly from the USCIS (formerly INS) website or you may contact us for additional forms. Refunds or exchanges will only be given if the product is returned within 30 days of the date of purchase. The maximum liability for any circumstance will not exceed the purchase price of this immigration manual. The acceptance of these terms begins with the use of this product. U.S. Publishers, Inc. 511 Avenue of the Americas # 45 New York, NY 10011 United States Website: www.usimmigrationsupport.org Email: info@usimmigrationsupport.org

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Green Card Application Guide

1.0
1.1

INTRODUCTION
What is a Green Card?

A Green Card or Permanent Resident Card is a person’s proof of lawful permanent residency in the United States. An individual with a Green Card has the right to live and work permanently in the United States. A person’s valid Green Card also means that he or she is registered in the U.S. according to United States immigration laws. The Green Card or Permanent Resident card is also called Form I-551. A Green Card should contain an expiration date on the front of the card, and it is normally valid for a period of 10 years. If the Green Card does not have an expiration date on the front, then it is very old and should be renewed. It is important to keep the card up-to-date as an expired card violates federal laws. It may be difficult to prove that an individual is a U.S. resident with an expired Green Card, and there might be problems entering the U.S. on an expired Green Card. It is important to distinguish between a Green Card with no conditions and a Green Card that has conditions. An individual with a Green Card with conditions is called a Conditional Permanent Resident, which is the situation during the first two years of obtaining a person’s first Green Card. The procedure of removing the 2-year conditions is different from simply renewing a Green Card.

1.2

Conditional Resident Green Card

A Conditional Residence Green Card is given to foreign individuals who became a Conditional U.S. Resident through marriage to a U.S. resident or through financial investments in a U.S. business. A Conditional Residence Green Card is only valid for two years. Conditional residents should apply to have the conditions removed from the Green Card by applying 90 days or less before expire date. After that time, the card is void and the person holding it is considered “Out of Status”. The conditional resident status will automatically be terminated and the USCIS will order removal proceedings against the individual. For more information about how to remove conditions on a Green Card, visit: http://www.usimmigrationsupport.org/remove_conditions.html

1.3

Permanent Resident Green Card

The Permanent Resident Green Card looks the same as the Conditional Residence Green Card, but without the conditions. The Permanent Resident Green Card is an identification card that only non-U.S. residents can have, which entitles them to live and work in the United States. The Permanent Resident Green Card has an expiry date and must be renewed every 10th year. Green card holders must carry a valid green card at all times by law and must show the card upon request to a USCIS officer. For more information about how to renew a Green Card, visit: www.usimmigrationsupport.org/greencard_renewal.html

1.4

Traveling with a Green Card

The purpose of a reentry permit is to validate that green card holders (permanent and conditional residents) intent to keep their status as U.S. residents when traveling abroad. The amount of time spent abroad determines your intention to keep your permanent resident status: ⎪ ⎪ www.usimmigrationsupport.org
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embassy or consulate A reentry permit is necessary to obtain for several reasons: • Keep your Permanent Resident Card valid to reenter the United States • Keep your U.S.org/reentry_permit.S. permanent residence valid if you travel outside the U. For more information how to apply for a Reentry Permit visit: http://www. It is not recommended to depart the United States with a Green Card that will expire abroad. Travelers staying abroad for more than one year but less than two years will disrupt their residency unless a Form N-470 is filed and approved. The problem with applying in advance and leaving the country before the permit is approved is that your application may be denied. This will lead to additional problems when you try to return to the United States.html 1. for more than one year U. However. is granted through a “Travel Document” You can only have one valid travel document at the time A travel document may not be allowed to be issued to certain countries noted in the Federal Register INA § 212 states that any immigrant who is not in possession of valid travel documents will not be admitted to the United States Permanent residents shall have the reentry permit valid for two years Conditional residents shall have the reentry permit valid for two years unless the conditions are due to be removed earlier. Before an individual can apply for U.S.org . law does not require you to have the reentry permit in your possession when you leave the United States. travelers must apply before they leave the United States.usimmigrationsupport.S. but other documents are recommend to bring upon reentry Trips longer than one year but less than two years require a travel permit in addition to other recommended documents Trips over two years may lead to individuals having to obtain a returning resident visa from a U.S.S.5 • • • • • • • • • • • • • • • • • Form I-131 “Apply for a Reentry Permit” from within the United States Only conditional or permanent residents may apply for a reentry permit The permission to return to the U.usimmigrationsupport. he or she needs to fulfill a residency requirement. attach a piece of paper with your A-number and the question in the header You may include a copy of required documentation as long as the original is not required Original documents submitted will be returned when they are no longer required You may be called for an interview or required to provide additional evidence by mail before an application can be approved ⎪ Page 7 ⎪ ⎪ www. citizenship through the naturalization process. where the removal date and the reentry expire date becomes the same date The application must be signed by all applicants over the age of 14 Applicants under the age of 14 may have a parent or legal guardian sign the application The correct fee must be included with the application or it will rejected and returned All questions must be answered Type “N/A” if an item is not applicable Write “None” if the answer is none If there is not enough space to answer a question properly.Green Card Application Guide • • • Trips shorter than one year do not normally require a travel permit. The time spent abroad does not count towards this requirement.

See the Appendix section for more information.S. For more information how to apply for a Reentry Permit visit: http://www.S.html 1. and Canada or Mexico on a daily or seasonal basis may keep their green cards even though they live abroad for over one year. criminal prosecution and deportation from the United States For more information how to apply for a Reentry Permit visit: http://www.usimmigrationsupport. residency o Did you file taxes as a U.org/reentry_permit. but it is the individual’s responsibility to inform the USCIS of the intent to remain a resident and proof that the stay on the other side of the border is for work purpose. citizenship (naturalization) • Commuters are not allowed to petition for immigration benefits on behalf of family For more information about how to obtain commuter status.S.usimmigrationsupport.7 Commuter Status for Individuals Working in Canada and Mexico Green card holders that commute between the U.S.usimmigrationsupport. resident? o Did you pay your mortgage or lease on time all the time? o Do you have a letter from a U.Green Card Application Guide • • Providing false information and documentation may lead to denial of benefits. residency status. fines. ⎪ ⎪ www. there are some issues that must be considered: • The time spent abroad does not count toward the time needed to apply U.html 1. visit the nearest USCIS office or request to talk to an immigration officer through InfoPass. employer guaranteeing a job upon reentry? o Can you provide other evidence? The results of not being able to proof your temporary stay abroad may result in you loosing your green card.S. Reasons for why your stay was extended for more than one year may be: • Family emergency • Accident abroad You may be required to show evidence for the delay. which may be: • A doctor’s notice explaining the circumstances • A U.org/reentry_permit. A lawful permanent resident may live in the Mexico or Canada but work in the United States while keep their U.6 Apply for Reentry Permit Visa from Abroad You may have to obtain a reentry permit (SB-1 Visa) as a returning resident at the local consulate or embassy in the following scenarios: • Your reentry permit has expired • You have stayed abroad for more than one year without a travel permit You will normally have to provide evidence for why your stay was extended for more than one year. ambassador providing information around the circumstances of the country and why you were not able to leave • Other evidence showing that you tried to return but were unable to Additional requirements: • Proof that your stay was intended to temporary • You never intended to abandon or give up your U.S.org Page 8 ⎪ .S. The USCIS will grant such workers “Commuter Status”. However.

the time dedication can extend two (2) years in many instances (depending on country). through an agent. This excludes many potential parents. The adoption process can be very long and deceiving. This is can also be called Second Parent Adoption. All ways have different pros and cons and should be considered before making the big decision. The process is also very costly and if adopting from abroad. the laws and regulations are many more and difficult to apply. The “normal” process time for a home study is three (3) to six (6) months. All of the U. When the parents have decided on what type and where from the adoption will take place. but can be altered depending on the situation. states and most international adoptions made from the U. where interviews are performed and background checks are made. Oklahoma. ⎪ ⎪ www. When following any of the abovementioned procedures. About half the U..S. international. It also helps children without [caring] parents to find hope for a new and bright future. There are also different kinds of adoptions.S. and many people who adopt are also stepparents and adopt their spouses’ children. lesbian and bisexual persons to petition to individually adopt a child either. Some examples of these specific regulations and requirements are: some agencies in Korea require that the weight of the adoptive parent(s) is not more then 30% above normal weight for the height. Most countries have different limits and regulations for age.S. They do not permit gay. The requirements on adoptive parents also vary with the country of choice. stepparent and foster adoption. there is a certain process to go through for a legal and successful adoption. Wisconsin. Mississippi.usimmigrationsupport. For a domestic adoption. the most common being domestic. Since international actions have to consider both the laws of the home country of the parents and the home country of the child being adopted. number of already present children in the household. Checking the current state laws in the adoption state is very important. within the 50 U. and makes the selection more specified. privately or through adoption facilitators (where legal).0 GREEN CARD THROUGH ADOPTION Adoption is an alternative that provides many families or singles the opportunity to have children. An adoption can be made in several different ways. income. where the adoptive parents have to maintain a long-term residency in Slovakia and stay during the entire adoption process (which in many instances could take up to two (2) years).S. Colorado and Utah. and/or if adopting from outside the U. Deciding to pursue an international adoption is much more costly and complicated in terms of legal time consuming matters. states except Florida. require a home study to be made to the potential adoptive parents. Another example is Slovakia. Many foreign countries also demand residency or property ownership in the chosen adoption country. and half do not permit an unmarried partner to adopt the child in the current relationship. and if the adoptive parent is single gender is also considered. states require the adoptive parents to be married. the state laws have to be followed if adopting within the U. A home study is a thorough investigation of the family/person and household that wants to adopt a child. states. and no unlawful and/or unjust aspects are involved.S.S. the federal laws and the foreign country’s own laws need to be applied. and it demands much from the couple or person seeking to adopt a child. Adoption is a way to help children in need.org Page 9 ⎪ . An example of this would be adoption by an unmarried person (individual adoption) which is currently legal in all the U.Green Card Application Guide 2. a screening takes place to determine if the requirements are met.S. and they all have some specific regulations that differ from each other.

the green card cannot be used only for work and travel purposes The adopted child’s biological parents can never benefit from the child’s adoption. a family is most likely going to receive an approval for child adoption.html ⎪ ⎪ www. The period from the approved home-study to the actual arrival of the new family member (from an international destination) is anywhere between 12-18 months. and utilizing the help of an agency is most likely a good choice if a foreign adoption is considered..Green Card Application Guide Once a home-study is completed and all the necessary requirements are met. they can never get immigration benefits such as a green card The adopted child should not remain outside of the United States for more than year at a time without a special permission.usimmigrationsupport.1 Benefits for the Adopted Child • • • • The adopted child may live anywhere in the united states The adopted child will have the right to work in the U. the child might lose the green card.3 How to Apply Generally. International adoptions include much more paper work than domestic ones. but can also vary depending on the country or origin for the child. or the choice not to work at all The adopted child will have the right to travel in and outside of the United States The adopted child can become an American citizen immediately after getting the green card 2.e. The child might lose the green card if he/she commits a crime or participates in politically subversive or other proscribed activities 2. the following forms are related to the Green Card application for an adopted child: • • • • • • • FORM DS-230 FORM I-600 FORM I-600A FORM I-864 FORM N-600 FORM N-600K FORM M-603 Application for Immigrant Visa and Alien Registration Petition To Classify Orphan As an Immediate Relative Application for Advance Processing of Orphan Petition Affidavit of Support Under Section 213A of the Act Application for Certificate of Citizenship Application for Citizenship and Issuance of Certificate under Section 322 Photo Requirements For detailed filing instructions visit www. One of the benefits from international adoption is that there are laws that specify that this type of adoption have to deal with orphans only.S.2 Limitations for the Adopted Child • • • • The adopted child must reside in the United States permanently. otherwise. which excludes the possibility of the birthmother changing her mind.org Page 10 ⎪ . 2.org/greencard_adoption. i.usimmigrationsupport.

or to a company who is a subsidiary. 3. the company must meet at least one of the following requirements: • They must be different branches of the same company. Your ability can either be in sciences. employer. • The foreign and U. based company must have been operational for at least one year. you will qualify for a green card.S. and now wish to transfer to the same company in the U. you will fall under this category and be eligible to apply for a green card. The U. 4.S. 3. 5. you do need to have an offer of employment. 2.S.S.Individual investors willing to invest $1.S. company or group of companies. athletics and your achievements must be publicly recognized.Green Card Application Guide 3.Priority workers. Multi-National Executives and Managers If you have worked as an executive manager by a company outside the U.S. persons.Religious workers and various miscellaneous categories of workers and other individuals. ⎪ ⎪ www.000 in economically depressed areas). arts.org Page 11 ⎪ . Employment First Preference . • They are a joint venture where the parent company owns half or has equal control and veto power. and that you are still at the top of your field and not retiring or in decline. business.1 Employment First Preference Persons of Extraordinary Ability Although you do not need a specific job offer from a U. companies are under the control of the same person. for at least one out of the past three years. you must prove that you intend to continue working in your field when you arrive in the U.000 in a U.usimmigrationsupport. business (or $500. The first preference category does not require a Labor Certification but the other categories do: 1.Skilled or unskilled workers without advanced degrees. Employment Fourth Preference . Employment Second Preference . Employment Fifth Preference . However. • One company must be a majority-controlled subsidiary of the other. education. Professors and Researchers If you have international recognition as a professor or researcher with three years minimum experience. Employment Third Preference . To qualify as a petitioning company for the applicant.S. The company employing you must have reached significant achievements and must also employ at least three other full time workers.Workers with advanced degrees or exceptional ability.0 GREEN CARD THROUGH EMPLOYMENT There are five different employment categories that determine how difficult it will be for you to get your green card.000.

board of directors or the stockholders of the organization. professional or managerial employees.usimmigrationsupport. he/she must meet all of the following requirements: Manager • • • • He or she manages the organization or a department or function of the organization. or business. or if none are supervised. 3. you do need a Labor Certification. He/she receives only general supervision or direction from higher-level executives. or manages an essential function of the organization. you must be coming to the U. or business and be considered as a person who has significantly accomplished more than the average person in that profession. Advance Degree Professionals To qualify as an advance degree professional. He/she supervises and controls the work of other supervisory. you do need national acclaim in your specific field of sciences. The waiting period for a green card applied for under this category is currently at least five years.2 Employment Second Preference To qualify for this category you must be a professional who has obtained a university degree or have exceptional ability in science. If your arrival and residence in the U. Under the second preference category.Green Card Application Guide For the applicant to meet managerial or supervisory classifications. you must have achieved a graduate level degree or a professional degree requiring postgraduate education. housing or cultural aspects. The exception to this is if you have a standard bachelor’s degree plus five years of professional experience in your field.000 of the current 40. Persons of Exceptional Ability To qualify as a person of exceptional ability. However. He/she has the authority to make decisions concerning the day-to-day operations of the activities or function of the organization over which he/she has authority. you do not necessarily need to have international acclaim. He/she sets the goals and policies of the organization or a part or function of the organization. He/she has extensive decision-making authority. ⎪ ⎪ www. 3. employment rate. you may not require a Labor Certification. (There are limited exceptions to this). education. arts. Under this category. Supervisor • • • • He/she directs the management of the organization or a major part or function of the organization.000 quota allocation will go to persons under this category.org Page 12 ⎪ . works at a senior level within the organization.3 Employment Third Preference Applicants falling under this category must be aware that only 10. He/she has the authority to hire and fire those persons supervised.S. There are exceptions to this rule though. will benefit the country by having a substantial positive effect on the economy. having already received an offer of employment. generally.S. arts.

7 Drawbacks Your place of actual residence must be in the U. Physicians.6 Benefits • • • • • You may live anywhere in the U. To find out how much training or experience you need for a particular job contact your local State Labor Department office or look it up in the Department of Labor ‘Dictionary of Occupational Titles’ Unskilled Workers The unskilled worker category usually includes all other jobs that do not fall into previously mentioned categories.S. ⎪ Page 13 ⎪ www. • You must pay taxes on your worldwide income because you are regarded as a U. Fashion Designers. your spouse and unmarried children under the age of 21 may also be eligible for green cards as accompanying relatives. Accountants. it is simple to prove your eligibility under this category.S.5 Employment Fifth Preference This employment category is for investors willing to invest a minimum of $ 500.Green Card Application Guide Professional Workers Professions falling under this category include: Architects. business that will create jobs. or you may choose not to work at all.S. As long as you start out working for the company through which you obtained the green card. you may later work at any job. In some cases. Commercial Airline Pilots.000 in a new U. whenever you wish. Lawyers.org • ⎪ . You may travel in and out of the U. for any company. 3. Engineers. Medical Technologists. you need specific qualifications required by the particular job. Chemists. Physical therapists. which includes ministers and religious professionals.S.S. Skilled Workers To be classified as a skilled worker you do not need a college degree. Hotel Managers. It encompasses religious workers.usimmigrationsupport. 3. You cannot use a green card just for work and travel purposes. and stay as long as you want. Teachers.000 to $ 1. For this category. The fourth preference also includes various miscellaneous categories of workers. If you have the necessary bachelor degree. but you do need at least two years of training and/or experience. Pharmacists. You may apply to become an American citizen after you have held your green card for a certain length of time.S.. resident. 3. anywhere in the U.4 Employment Fourth Preference This is the fourth category of employment-based workers. The minimum amount depends on the location of the enterprise.000. Computer Systems Analysts. 3.

To prove this. your green card can be taken away and you can be deported. 3. ⎪ ⎪ www. 3.S. 3. is college educated.org Page 14 ⎪ . lied on an immigrant application.10 Job Offer from U. You may not need a job offer before applying for a green card if you qualify as a person with extraordinary abilities. or are otherwise inadmissible. participate in politically subversive activities or engage in other prohibited activities. Your employer must be willing to wait until your green card is approved before you can work. Under most categories. honest. intends to work in a job with undesirable working hours or has special skills and/or training. It is not acceptable to simply prove that you are intelligent. Therefore. hard working and reliable. The same applies to family members. 3. or if you fall under the employment based second preference. company. or a ‘priority worker’.Green Card Application Guide • • • You cannot remain outside the U. 3.S. Their green cards will also be issued conditionally and will become permanent when your resident status becomes permanent. suffered certain physical or mental illness.8 Accompanying Relatives If you are married or have children below the age of 21 and you acquire a green card through employment. Employers can be a company. you must work full time and not be self-employed. you may be unable to receive a green card unless you can qualify for what is known as a 'waiver of inadmissibility'.12 No Qualified Americans One of the objectives of a green card through employment is that you. Employer You cannot begin the application procedure until you have found an employer willing to be an active part in your application. a single person or an agent who can prove that he/she can pay your salary.S. There are two exceptions to this rule. This is much easier to obtain if the applicant has exceptional ability. You must show you have the necessary experience and education as requested.11 Correct Background You must prove that you have the correct background for the job in terms of experience. If you commit certain crimes. or you risk losing your green card. institution. your spouse and children can get green cards as accompanying relatives by proving their relationship to you and submitting other required paperwork and documents. you and your employer must be able to prove that there are no other qualified Americans either willing or able to take the position. will be assisting a U. lied to an immigration officer.9 Inadmissibility If you have ever been arrested for a crime. the applicant. a Labor Certification is required. training and education. for more than one year at a time without special permission.usimmigrationsupport.

Green Card Application Guide 3.org Page 15 ⎪ .13 How to Apply Generally. the following forms are related to the Green Card application through employment: • • • • • • • • • • • Form ETA 9089 Form G-325 Form I-131 Form I-134 Form I-140 Form I-485 Form I-485A Form I-693 Form I-765 Form I-864 Form M-603 Application for Permanent Employment Certification Biographic Information Application for Travel Document Affidavit of Support Immigrant Petition for Alien Worker Application to Register Permanent Residence or to Adjust Status Supplement A Medical Examination of Alien Seeking Adjustment of Status Application for Employment Authorization Affidavit of Support Under Section 213A of the Act New Photo Requirements For more information about how to obtain a Green Card through employment visit http://www.org/greencard_employment.usimmigrationsupport.usimmigrationsupport.html ⎪ ⎪ www.

and if the business is still owned by the investors who got the green card. However.000 if the business is located in an urban or rural area with a high unemployment rate.usimmigrationsupport. 4. whether or not the business is still operating. However.S. ⎪ Page 16 ⎪ • ⎪ www.Green Card Application Guide 4. Petition approval normally takes from two to six months. A number of investors may join together in creating or expanding a U. The exception to this rule is that the investor can purchase an existing business if he or she increases either its net worth or the number of employees by at least 40 %. This amount can be reduced to $500. A green card for an investor is first only issued conditionally. it does not excuse the $1 million minimum investment requirement.org . loans and notes. An investor buying a troubled business is prohibited from laying off any employees. the USCIS will investigate whether or not the proposed investment has actually been made. When the two years are over. but after a few years you will be eligible to work anywhere in the U. and for any company. If the existing business purchased is in financial trouble. although the investor should be an active member of the management team.S business or expanding an existing one. and each investor must be separately responsible for the creation of ten new jobs. and the loan is adequately secured and not by the assets of the business being purchased. Borrowed funds may also be used as long as the investor is personally liable in the event of a default. Permanent residency (green card) in the United States is available to anyone who invests a minimum of $1 million in creating a new U. you may live anywhere in the United States.0 GREEN CARD THROUGH INVESTEMENT Green Cards through investment are available to all qualified applicants. Although it is expected that the investment will be well underway when the green card application is made. The investment can include cash equivalents such as certificates of deposits. the investor will have to file a request with the USCIS to remove the condition. the law does require the investment to be in a completely new commercial enterprise. you must work for your own company (the company you bought or started in order to receive the Green Card). If any of the required factors cannot be established to the satisfaction of the USCIS or the petition for removal of the condition is not filed within the final two-year period. Purchasing a troubled business releases the investor from having to increase the net worth or the number of employees. and have had an annual loss during those two years equal to at least 20% of the company's net worth. if ten full-time workers have been hired. This cannot include family members.S. When you first receive your Green Card through investment. To qualify as a troubled business. The conditional green card is granted for two years. the investor will lose his / her green card and be subject to deportation from the United States. Your spouse and unmarried children may accompany you to the U.1 Green Card through Investment Privileges • Once the Green Card through Investment application is approved. State governments will identify parts of different states that class as high unemployment areas and will notify the USCIS. the investment of each person still has to be for the minimum qualifying amount. The investor must employ at least ten full time employees.S business and each may qualify for a green card through the single company. and the application process takes one to six months. In deciding if the condition should be removed. an investment designed to save that business will qualify the investor for a green card in this category. the company must have been in operation for at least two years.

as you wish 4.usimmigrationsupport.org/remove_conditions.usimmigrationsupport.Green Card Application Guide • You and you accompanying relatives may travel in and out of the U. business will be issued a conditional Green Card. not only on the money earned in the United States. For more information about how to obtain to remove conditions on a Green Card visit http://www.html ⎪ ⎪ www. the following forms are related to the Green Card application through investment: • • • • • • • • • • • Form G-325A Form I-131 Form I-134 Form I-485 Form I-485A Form I-526 Form I-539 Form I-693 Form I-765 Form I-829 Form M-603 Biographic Information Application for Travel Document Affidavit of Support Application to Register Permanent Residence or to Adjust Status Supplement A Immigrant Petition by Alien Entrepreneur Application to Extend/Change Nonimmigrant Medical Examination of Alien Seeking Adjustment of Status Application for Employment Authorization Petition by Entrepreneur to Remove Conditions New Photo Requirements For more information about how to obtain a Green Card through investment visit http://www.usimmigrationsupport.S. and it must meet several requirements You may not remain outside the U. 4.3 Accompanying Relatives If you are married or have children below the age of 21 and you acquired a green card through investment. lied on an immigrant application.org Page 17 ⎪ .2 Green Card through Investment Limitations • • • • You must invest a large amount of money in the U.S. should use.6 How to Apply Generally. or are otherwise inadmissible.S. The application form to remove the conditions must be filed during the 90-day period before the Conditional Residence Card expires by using form I-829. 4. you may be unable to receive a green card unless you can qualify for what is known as a 'waiver of inadmissibility'.html 4. The spouse and children may also be included on the petition. 4.S. The same applies to family members. for more than 6 months at the time You will be taxed on your worldwide income.org/greencard_investment. suffered certain physical or mental illness. Their green cards will also be issued conditionally and will become permanent when yours does. lied to an immigration officer.5 Green Card with Conditions Individuals who have invested in a U.4 Inadmissibility If you have ever been arrested for a crime. The company you buy or start in order to receive the Green Card must stay in business for a certain period of time. your spouse and children can get green cards as accompanying relatives by proving their relationship to you and submitting other required paperwork and documents.

Usually.1 GREEN CARD THROUGH MARRIAGE Marriage inside the United States The U. It is important to notice that e.3 Conditional Residence Green Card through Marriage A Conditional Residence Green Card is given to foreign individuals who became a Conditional U. 5. A Conditional Residence Green Card is only valid for two years.Green Card Application Guide 5. the foreign-born spouse is interviewed and granted an immigrant visa within three to six months. Once the visa petition is approved. ⎪ ⎪ www. The State Department charges a fee for an immigrant visa.2 Marriage outside the United States The process is roughly the same except that the foreign-born spouse usually must remain in his or her country until he or she obtains a green card. in order to avoid a lengthy separation. Individuals under these circumstances have conditions on their Green Card that need to be removed. The process begins when the citizen spouse submits a visa petition to either the USCIS office. the spouses return to the United States after the marriage and proceed to file the necessary applications once they are both in the U. 5. entered into for love rather than simply for the foreign-born spouse to obtain a green card. the individual is subject to the 10-year renewal and must use Form I-90 unless the foreign fiancé applies for U. citizen must submit a visa petition to the appropriate USCIS Office to prove that the marriage is bona fide.). However. that is. police clearances. a spouse entering the United States under the Visa Waiver Program cannot change status in the United States. After that time.S.S. as an intending immigrant.S.S. etc. citizenship.S. resident or through financial investments in a U.org Page 18 ⎪ .usimmigrationsupport. The conditional resident status will automatically be terminated and the USCIS will order removal proceedings against the individual. Embassy or Consulate in the country where the foreign-born spouse resides.g.g.0 5. if the foreign-born spouse is able to enter the United States on a visa that allows him or her to change status. The process of removing the conditions on the Conditional Residence Green Card is different from renewing the Green Card. However. the USCIS will not deny his or her application for a green card. it is not uncommon for the USCIS to stop the foreign-born spouse at the border and exclude him or her from the U.S. passport.S. which has jurisdiction over his residence or directly to the U. the card is void and the person holding it is considered “Out of Status”.S. results of medical examinations.. the foreign-born spouse will receive a packet from the National Visa Center (NVC) which includes the requirements that the foreign-born spouse must meet and what documents must be presented at the immigrant visa interview abroad (e. business. Resident through marriage to a U. Once the conditions are removed. The citizen spouse must attach the same items with the visa petition which are listed in Section 1. Sometimes.

the following forms are related to the Green Card application through marriage: • • • • • • • • • • Form G-325A Form I-130 Form I-131 Form I-485 Form I-485A Form I-693 Form I-751 Form I-765 Form I-864 Form M-603 Biographic Information Petition for Alien Relative Application for Travel Document Application to Register Permanent Residence or to Adjust Status Supplement A Medical Examination of Alien Seeking Adjustment of Status Petition to Remove Conditions of Residence Application for Employment Authorization Affidavit of Support Under Section 213A New Photo Requirements For more information about how to obtain a Green Card through marriage visit http://www.usimmigrationsupport.4 How to Apply Generally.org/greencard_marriage.usimmigrationsupport.html ⎪ ⎪ www.org/remove_conditions.html 5.org Page 19 ⎪ .usimmigrationsupport.Green Card Application Guide For more information about how to obtain to remove conditions on a Green Card visit http://www.

S for a minimum of two years and have remained employed by the same religious group for the duration. You must also intend to come to the U. suffered certain physical or mental illness. commissioned officers of the salvation army. or are otherwise inadmissible.S for a certain time.S a long time.S government. practitioners and nurses of the Christian science church and ordained deacons.3 Green Card as a Special Immigrant There are several categories of “Special Immigrants”.S or at a consulate abroad.1 Accompanying Relatives If you are married or have children below the age of 21 and you acquire a green card. the U. you may be unable to receive a green card unless you can qualify for what is known as a 'waiver of inadmissibility'. The whole process can take over one year and can be carried out in the U. lied to an immigration officer. lied on an immigrant application.usimmigrationsupport. • Retired officers or employees of certain international organizations who have lived in the U. • Foreign medical graduates who have been in the U. • Foreign workers who were formerly longtime employees of the U.2 Inadmissibility If you have ever been arrested for a crime.0 GREEN CARD AS A SPECIAL IMMIGRANT Currently.4 Religious Workers Clergy and other religious workers are eligible to apply for a green card. rabbis. ⎪ ⎪ www.S or remain there legally. The same applies to family members.org ⎪ Page 20 . Special Immigrant visas are available to you if you fall under one of the following categories: • Workers for recognized religious organizations. This includes: Ministers. your spouse and children can get green cards as accompanying relatives by proving their relationship to you and submitting other required paperwork and documents. 6. The Application. 6. you must have been a member of a recognized religion in the U. Any other religious workers not considered part of the clergy may also be eligible providing he/she is authorized to perform normal religious duties. 6. salaried Buddhist monks. The procedure of applying for a green card involves two steps: Step One. for the purpose of working as a minister of that religion. The definition of clergy is a person authorized by a recognized religious denomination to conduct religious activities.S issues Green Cards to immigrants with special circumstances providing the applicants and his/her situation fits certain requirements and criteria. priests.S.Green Card Application Guide 6. The Petition and Step Two. To qualify as a special Immigrant using religion as a cause. 6. • Foreign nationals who have been declared dependant on juvenile courts in the U. Read carefully the descriptions below to find out of if you qualify.

You apply to receive a green card within six months after your retirement.S on a J-1 visa and were subject to the two year home residency requirement.S government foreign office which you were employed.S for at least half of the seven years immediately before applying for a green card.S secretary of state must approve the recommendation 6. You lived and were physically present in the U.5 Foreign Medical Graduates You qualify as a special immigrant under this circumstance if you came to the U.S and practicing medicine on January 9. 6. You lived in the U. If you came to the U.S for at least three and a half years before you apply.7 Retired Employees of International Organizations You may be eligible as a special immigrant if you are a retired employee of an international organization. former officer or former employee of an international organization or if you are the spouse of an officer or employee. ⎪ ⎪ www. if you are the unmarried child of an officer. Also.S government for at least fifteen years. 1978. You must have the recommendation of the principle officerin-charge of the U. employee. you got a waiver of the home residency requirement. They must provide proof of their family relationship to you and how long they have lived with you.6 Former Overseas United States Government Workers You and your spouse/children may apply if you have been employed abroad by the U. you are still eligible providing you lived in the U. 6. or you have a ‘no objection’ letter from your home government.S state on or before January 9. the U.S for at least fifteen years prior to your retirement on a G-4 or N visa. • You were permanently licensed to practice medicine in a U.S for at least half of the seven-year period before applying for a green card.S for fifteen years on a G-4 or an N visa before the death of your spouse and you have lived in the U.S for at least a total of seven years while you were between the ages of five and twenty-one. 1978.usimmigrationsupport. The following details the requirements for both a retired employee and unmarried child: Retired Employee • • • You have resided in the U.S and practiced medicine since January 9. on either an H or a J visa and you meet the following requirements: • You were physically in the U. Unmarried Child • • • You have a G-4 or N visa. • You have lived continuously in the U. 1978. If you were married to a qualifying officer or employee who has now died. You lived and were physically present in the U. If this is the case.S before January 10.org Page 21 ⎪ . you must also apply within six months after your spouse’s death. 1978.Green Card Application Guide Your children below the age of 21 are eligible to apply for a green card after yours has been approved.

org/greencard_specialimmigrant. 6. Widow(er). • You have been declared dependant on a juvenile court located in the U.8 Person Declared Dependant on a Juvenile Court You may apply for a green card under this circumstance if you meet the following conditions: • You are under the age of twenty-one and unmarried. the following forms are related to the Green Card application as a special immigrant: • • • • • • • Form G-325 Form I-134 Form I-360 Form I-485 Form I-485A Form I-765 Form M-603 Biographic Information Affidavit of Support Petition for Amerasian. The court has determined that it is on your best interest to remain in the United States. or Special Immigrant Application to Register Permanent Residence or to Adjust Status Supplement A Application for Employment Authorization New Photo Instructions For more information about how to obtain a Green Card as a special immigrant visit http://www. • The court has stated you are eligible for long term foster care or you have been committed to the care of a state agency.Green Card Application Guide • You apply for a Green Card before your 25th birthday.html ⎪ ⎪ www. 6.S.org Page 22 ⎪ .9 How to Apply Generally.usimmigrationsupport.usimmigrationsupport.

2 • • Preference relative of a Green Card holder or U. citizen’s death) Stepparents if marriage took place before the child’s 18th birthday Stepchildren if marriage of the parents took place before the child’s 18th birthday Parents and children related through adoption if adoption to place before the child reached the age of 16 and the child was legally in custody for 2 years prior to filing the green card petition 7. your spouse and children cannot.S. and the USCIS trust your marriage to be valid. A “close family member” is defined in the follow sub chapters. citizens where the U.3 • • Accompanying Relative of Someone in a Preference Category If you get a green card as a preference relative. citizen is at least 21 years of age • • 7. 7. you will obtain your green card by going through the application process.org .S.S. citizen’s death) Widowers (if married for at least two years and applying for a green card within two years of the U. citizen parent Family fourth preference: o Sisters and brothers of U.1 • • • • • Immediate Relative of a United States Citizen Widows (if married for at least two years and applying for a green card within two years of the U. If you qualify as an immediate relative.S. The idea is to not have the children ride on the non-U.usimmigrationsupport. then your spouse and children are entitled to green cards as accompanying relatives. ⎪ Page 23 ⎪ ⎪ www.S. citizen petition for his/her spouse and children separate. parent’s green card application.4 • Marriage to a United States Citizen If you have been married for at least two years to a U. The way around that problem is simply solved by having the U.S. citizen parent Family second preference: o Spouses and children under the age of 21 of green card holders o Unmarried sons and daughters of green card holders who are at least 21 years old Family third preference: o Married people at any age who have at least one U. and you are married or have unmarried children under the age of 21.S.0 GREEN CARD THROUGH A RELATIVE An individual qualifies for a Green Card through Relatives if he/she has close family member who are United States citizen or who are legal permanent residents of the United States (green card holders).S. 7.Green Card Application Guide 7.S. Citizen Family first preference: o These are unmarried people at any age who have at least one U. citizen.S.

Family fourth preference: o Eleven years for natives of all countries. but you have to proof one of the following: o o o o Yours spouse might have died but the marriage was entered in good faith You divorced each other.Green Card Application Guide • If you have been married to a U. but to provide you with an idea. green card holder spouse • It is recommended to schedule the second interview to get the condition on the green card removed after you have been married for two years. USCIS believes that any remarriage of a non-U. citizen to a newly gifted green card holder is based on convenience. and the USCIS trust your marriage to be valid. then you must file for a removal of the condition yourself.S. Natives of the Philippines have an estimated waiting period of twenty-two years.S.S. be aware of that your divorced American spouse must be willing to file a petition on your behalf too. it becomes permanent. It is ⎪ ⎪ www.usimmigrationsupport. see the following quotas for 2004: • Family first preference: o Three years for natives of all countries. If you do get divorced while you have a conditional green card. You might be able to keep your green card. Should you get divorced between year 1 and 5. The exceptions are natives from the Philippines who have an estimated waiting period of fourteen years.S.S. you can still apply to get the condition removed as long as the marriage was legit from the beginning. However. citizen for less than two (2) years. you cannot remarry a non-U. After the two years have past. It is important to be aware of that there are restrictions for re-marriage between year 1 and 5 after you get your permanent green card. citizen and try to get that person a green card without getting in trouble with the USCIS. There are particular quota restrictions for all four before mentioned categories. you will get a conditional green card with a validity of two years. The exceptions are natives of Mexico who have a waiting period of 7-9 years. The exceptions are natives of Mexico who have a waiting period of 9 years.html 7. Once the green card is approved after two years of marriage.usimmigrationsupport. If during the two years you have a conditional green card. citizen or U.5 Divorce Relationships do not always work out. Family third preference: o Six years for natives of all countries. but what concerns the USCIS is the intent at the time of marriage. the situation between you and your spouse has changed.org Page 24 ⎪ . For detailed information on how to apply for a green card through Marriage to U.org/greencard_marriage. citizen visit http://www. However. you can have the condition removed and your green card is changed to a permanent green card valid for ten (10) years at the time. Family second preference: o Four years for natives of all countries. and natives of Mexico who have an estimated waiting period of nine years. but the marriage was established in good faith A potential deportation can cause extreme hardship You were abused by the U. • • • Detailed Information on Green Card through Marriage: This immigration manuals focus mostly on obtaining a green card through other family members.S. and natives of the Philippines who have an estimated waiting period of fourteen years. they change from year to year.

7. green card holder must. citizens. It is strongly recommended to hire an immigration attorney in such a situation. in this situation. However. citizen.S.S.Green Card Application Guide strongly recommended to contact an immigration and divorce attorney before submitting an application to remove the conditional residence if the marriage has ended in divorce. citizens. spouse’s death. You are still entitled to apply for a green card.10 How to Apply Generally.S. It is strongly recommended to get a lawyer involved if this is your case. for more than six (6) months unlawfully. which is included in this application guide. The only way you as a non-U.8 Widows/Widowers There are particular rules that apply to widows and widowers of U. There is an upper limit of 2 years to file Form I-360 after the U. The U. green holders.S. citizen.S.S. be alive until the permanent residency application is approved.S. lied on the immigration application/to the immigration officer or suffer from physical or mental illness. 7. is if you were married for at least two (2) years before the U.9 Personal Problems You may be inadmissible for a green card if you ever have been arrested for a crime. In addition. to take advantage of this opportunity. the U.S.6 Cruelty Unfortunately in some cases.S. citizen batters and abuses the spouse or children of the non-U. but the USCIS will hold you to very strict standards of why you are marrying someone who is being deported from the United States. • In cases where you are the spouse.org Form G-325A Form I-130 Form I-131 Form I-360 ⎪ .S. he/she looses the rights to apply for a green card as a widow/widower. 7.S. You as the surviving national can file your own green card petition on Form I-360. 7. If the surviving national decides to re-marry after the death of the U. spouse died.usimmigrationsupport. you must be able to proof that: • The abuse or cruelty took place • That you have good moral character • That you lived with the spouse or parent once you entered the U. In such a situation. citizen is able to take advantage of the rules for widows/widowers. but you must be physically present in the U. It is important to understand that this rule only applies to spouses of U. green card holder who is in the process of being deported. and not U. the following forms are related to the Green Card application through a relative: • • • • ⎪ Biographic Information Petition for Alien Relative Application for Travel Document Petition for Amerasian. stayed in the U.7 Deportation In some cases you might end up marrying a U. Strong evidence must be provided and expect a very detailed marriage interview. Widow(er) or Special Immigrant ⎪ Page 25 www.S.S. you are able remarry after you get the green card without any problems. you must prove that the marriage was entered in good faith 7. and refuses to file a petition for a green card on your behalf. you are able file a petition for yourself.S.

org Page 26 ⎪ .org/greencard_relatives.html ⎪ ⎪ www.usimmigrationsupport.Green Card Application Guide • • • • • • • • Form I-485 Form I-485A Form I-693 Form I-751 Form I-765 Form I-864 Form I-907 Form M-603 Application to Register Permanent Residence or to Adjust Status Supplement A Medical Examination of Alien Seeking Adjustment of Status Petition to Remove Conditions of Residence Application for Employment Authorization Affidavit of Support Under Section 213A of the Act Request for Premium Processing Service New Photo Requirements For more information about how to obtain a Green Card through a relative visit http://www.usimmigrationsupport.

the applicant must act quickly upon receiving the notification letter (Notice of Approval).usimmigrationsupport.org Page 27 ⎪ .S. and 100. residence. This information is provided only for information purposes. The applicant does not have to sign the initial application form. Therefore. but the numbers below should provide the applicant with a general idea of how many Green Card were issued to his/her country in the last three years. The application must be submitted and approved by the deadline In order to actually be granted permanent residence in the United States. These requirements no longer apply. Selected applicants. and the foreign national receives permanent residence in the United States. However. it is important to be prepared in advance and act quickly upon receiving the Notice of Approval. Have a low DV Lottery Rank Number (1 is the best. and it displays data from the DV-2005 (the 2003 Green Card Lottery).S.000 receive a notification letter that they were selected. and the application form had to be signed by the applicant. Until the 2002.1 Overview of the Diversity Immigrant Visa Program The United States Government issues 50.Green Card Application Guide 8. Additional forms and documents must be submitted to the U. a Green Card or United States Citizenship. Just receiving the notification letter does not guarantee that the individual will receive a Green Card. Green Card Lottery (DV-2004) applications had to be submitted by mail. Applicants are selected randomly by a computer generated drawing.2 Number of Applicants Selected Per Country The following is a statistical breakdown of the numbers persons who have actually received immigrant visas after completing the application process in the last two DV Lottery Programs. The number of immigration visas (and Green Cards) issued on the next DV Lottery program will most certainly be different. ⎪ ⎪ www. 8.000 permanent resident cards (Green Cards) every year to applicants selected in the Diversity Immigrant Visa Program.S. The following also apply: 1. the DV-2006 (the 2004 Green Card Lottery) and the DV-2007 (the 2005 Green Card Lottery). The applicant still has to prove he/she meets the requirements 2. Paper applications submitted by mail are no longer accepted. government before the application is approved. Every year over 8 million applications are submitted electronically (over the internet) to the U. only 100. 8. which is now submitted online.000 is the worst) 3. It is a misconception to believe that “winning” the Green Card Lottery automatically grants the selected applicant U. This list has been compiled from official sources.0 THE DV LOTTERY (GREEN CARD LOTTERY) The Diversity Immigrant Visa Program is now being processed electronically (over the internet). Being selected in the Green Card Lottery does not automatically guarantee that the individual will receive a Green Card. their spouses and unmarried children under 21 years of age will be authorized to live and work permanently in the United States. government. commonly knows as the Green Card Lottery.

REGION 81 INDONESIA 245 IRAQ 80 ISRAEL 126 JAPAN 333 JORDAN 63 KUWAIT 42 LAOS 9 LEBANON 86 MALAYSIA 76 MALDIVES 0 MONGOLIA 113 NORTH KOREA 0 OMAN 1 QATAR 1 SAUDI ARABIA 27 SINGAPORE 46 SRI LANKA 383 SYRIA 40 TAIWAN 398 THAILAND 81 UNITED ARAB EMIRATES 19 YEMEN 43 EUROPE ALBANIA 1.usimmigrationsupport.871 GABON 42 GAMBIA.229 EQUATORIAL GUINEA 1 ERITREA 582 ETHIOPIA 6. FEDERATED STATES OF 4 NAURU 1 NEW ZEALAND 205 NIUE 0 PALAU 3 PAPUA NEW GUINEA 6 SAMOA 10 SOLOMON ISLAND 0 TONGA 171 TUVALU 7 VANUATU 0 NORTH AMERICA THE BAHAMAS 12 ASIA AFGHANISTAN 80 BAHRAIN 1 BANGLADESH 5.Green Card Application Guide 8.901 BHUTAN 2 BRUNEI 0 BURMA 651 CAMBODIA 177 HONG KONG SPECIAL ADMIN.3 DV-2007 (2005 Green Card Lottery) AFRICA ALGERIA 912 ANGOLA 13 BENIN 218 BOTSWANA 1 BURKINA FASO 95 BURUNDI 16 CAMEROON 1461 CAPE VERDE 3 CENTRAL AFRICAN REP 13 CHAD 28 COMOROS 7 CONGO 687 CONGO. THE 50 GHANA 3088 GUINEA 146 GUINEA-BISSAU 5 KENYA 2337 LESOTHO 0 LIBERIA LIBYA 37 MADAGASCAR 21 MALAWI 18 MALI 76 MAURITANIA 17 MAURITIUS 8 MOROCCO 4.849 RWANDA 41 SAO TOME AND PRINCIPE 2 SENEGAL 228 SEYCHELLES 4 SIERRA LEONE 540 SOMALIA 160 SOUTH AFRICA 287 SUDAN SWAZILAND 5 TANZANIA 148 TOGO 1.988 ANDORRA 0 ARMENIA 691 AUSTRIA 74 AZERBAIJAN 125 BELARUS 705 GREECE 41 GUADELOUPE 3 HUNGARY 138 ICELAND 13 IRELAND 160 ITALY 214 NEW CALEDONIA 3 NORTHERN IRELAND 42 NORWAY 21 PORTUGAL 29 REUNION 8 ROMANIA 1. DEMOCRATIC REPUBLIC OF THE 42 COTE D’IVOIRE 308 DJIBOUTI 11 EGYPT 7.org Page 28 ⎪ .255 ⎪ ⎪ www.922 MOZAMBIQUE 4 NAMIBIA 8 NIGER 62 NIGERIA 9.592 TUNISIA UGANDA 213 ZAMBIA 92 ZIMBABWE 73 OCEANIA AUSTRALIA 532 CHRISTMAS ISLANDS 0 COOK ISLANDS 3 FIJI 514 KIRIBATI 0 MARSHALL ISLANDS 1 MICRONESIA.

Colombia.274 SAINT KITTS AND NEVIS 4 SAINT LUCIA 4 SAINT VINCENT AND THE GRENADINES 3 SURINAME 3 TRINIDAD AND TOBAGO 85 URUGUAY 4 VENEZUELA 226 Natives of the following countries were not eligible to participate in DV-2007: Canada. South Korea.org/greencardlottery. Pakistan. FORMER YUGOSLAV REP. Dominican Republic.org Page 29 ⎪ .html ⎪ ⎪ www.205 UZBEKISTAN 1. 8. the Philippines. CENTRAL AMERICA.4 How to Apply Generally.usimmigrationsupport. Jamaica. AND THE CARIBBEAN ARGENTINA 86 BARBADOS 9 ANTIGUA AND BARBUDA 2 BELIZE 5 BOLIVIA 88 BRAZIL 488 CHILE 42 COSTA RICA 18 CUBA 427 DOMINICA 12 ECUADOR 170 GRENADA 6 GUATEMALA 43 GUYANA 17 HONDURAS 28 NICARAGUA 19 PANAMA 14 PARAGUAY 20 PERU 1. excluding Hong Kong S. China (mainland-born..Green Card Application Guide BELGIUM 57 BOSNIA & HERZEGOVINA 90 BULGARIA 1.usimmigrationsupport.A.418 TURKMENISTAN 59 UKRAINE 7. Russia.674 CROATIA 40 CYPRUS 7 CZECH REPUBLIC 85 DENMARK 50 ESTONIA 40 FINLAND 33 FRANCE 380 FRENCH POLYNESIA 10 FRENCH SOUTHERN AND ANTARCTIC LANDS 1 GEORGIA 323 GERMANY 1047 KAZAKHSTAN 177 KYRGYZSTAN 123 LATVIA 75 LIECHTENSTEIN 0 LITHUANIA 298 LUXEMBOURG 6 MACAU 8 MACEDONIA. United Kingdom (except Northern Ireland) and its dependent territories and Vietnam. Haiti.536 VATICAN CITY 0 WESTERN SAHARA 1 SOUTH AMERICA. OF 213 MALTA 4 MARTINIQUE 2 MOLDOVA 273 MONACO 1 NETHERLANDS 88 NETHERLANDS ANTILLES 8 SAN MARINO 0 SERBIA & MONTENEGRO 505 SLOVAKIA 171 SLOVENIA 7 SPAIN 97 SWEDEN 121 SWITZERLAND 104 TAJIKISTAN 84 TURKEY 1. El Salvador. and Taiwan). India. the following forms are related to the Green Card application for those that “win” the DV lottery: • • • • • • • • • • Form DS-230 Form DSP-122 Form G-325A Form I-131 Form I-485 Form I-485a Form I-601 Form I-765 Form I-824 Form I-864P Application for Immigrant Visa and Alien Registration Supplemental Registration for the DV Immigrant Program Biographic Information Application for Travel Document Application to Register Permanent Residence or to Adjust Status Supplement A (and Penalty Fee) Application for Waiver of Grounds of Excludability Application for Employment Authorization Application for Action on an Approved Application or Petition Poverty Guidelines For more information about how to apply for the Green Card Lottery visit http://www. Poland. Mexico.R.

It is written in simple English so that the content of can be understood by people whose English is not yet very fluent. You can use the information manual to study on your own or with friends. period of stay in the U. as proof of your status. An individual will not be recognized as a dual citizen if one of the countries does not recognize dual citizenship. and nationality of parents/grandparents. If you want to file for United States citizenship as an immigrant.S. For more information about the U.Green Card Application Guide 9.0 9. you need to meet the following requirements: • You have been lawfully admitted to stay permanently in the United States • You have lived in the United States as a lawful resident for at least five years before applying for a citizenship. birth.html 9. citizenship.org/citizenship_application.1 UNITED STATES CITIZENSHIP Overview If you want to be naturalized (the term describing how to obtain U.org/citizenship_test. You must have been lawfully admitted to the United States.S. citizenship) you must have been admitted to the United States legally to become a permanent resident and be at least 18 years old.S. you will not be considered living in the United States continuously unless you can prove that you did not abandon your residence during your time of absence • You have resided within a state or district for 3 months or more For more information about U. Permanent Resident Card.org Page 30 ⎪ .usimmigrationsupport. The process of determining your present citizenship status can be a difficult and lengthy process. You have not left the country for more than one year in total during that time • You have been present in the United States for at least 30 months of the past five years • If you have been absent for more than six months. The 14th Amendment to the Constitution states that.html 9. citizenship test.others do not. It can also be used as a textbook in a formal classroom that prepares students to become an American citizen.2 United States Citizenship Test In order to become a legal citizen of the United States. Some countries may take a citizenship away when an individual of the country takes upon a new citizenship. which means that you have legally obtained the privilege of living permanently in the United States as an immigrant.usimmigrationsupport. The “U.S. If you have been lawfully admitted.3 United States Dual Citizenship Dual citizenship is a concept which means that an individual is a citizen of two countries at the same time. One of them is to pass the United States Citizenship Exam. you will be provided with Form I-551.usimmigrationsupport. It is recommended to find out the circumstances around your existing citizenship to avoid problems in the future.S Citizenship Test Study Guide” will help you prepare for the United States Citizenship Exam. Some countries allow it . visit: www. The focus of dual citizenship becomes a complex matter because different countries have different rules and regulations. “All persons ⎪ ⎪ www. visit: www. Individuals can obtain a second citizenship in a different ways such as through naturalization. there is a list of things you need to complete. Every independent nation in world has its own laws regarding dual citizenship.

Depending on where the dual national lives. while green card holders must travel on their native passport. visit www. Conditional or permanent residents must first obtain U.S. Citizenship gives the holder the maximum rights available in the United States. U.5 Advantages of U. Many government contracts and jobs require the applicant to be a United States citizen.Green Card Application Guide born or naturalized in the United States. are citizens of the United States and of the State wherein they reside.S. Government recognizes that dual nationality exists. while Green Card holders may have their permanent resident status revoked.org Page 31 ⎪ .html 9. United States citizens may also find it advantageous to use a U. while citizenship once obtained does not expire or need to be renewed.org/dual_citizenship.usimmigrationsupport. passports. A United State citizen is not a green card holder or a person holding a work visa (H1-B.S. Government efforts to assist citizens abroad.” This sentence is frequently referred to as the “citizenship clause”.S. and the other country. Naturalized citizens can obtain a Certificate of Naturalization. etc).S. citizens must bring their U. etc). Green Card. No individual will be allowed to board an airplane without having a valid passport when traveling abroad. passport holders. ⎪ ⎪ www. citizenship before applying for a passport. and subject to the jurisdiction thereof.S. In order to apply for citizenship. There may be law conflicting issues between the U. Dual nationality may limit U. Several countries allow dual citizenship including the United States. E1. green card holders must have been a permanent resident for a certain number of years. • • • • • Only United States citizens can obtain a U.S.S.S. it does not encourage it as a matter of policy because of the problems it may cause.S.S.4 United States Passport A passport is necessary to have when traveling abroad. U. Citizens have much greater ability to sponsor relatives for U. For information about U. citizens are eligible to receive additional services and assistance from U.usimmigrationsupport.S. passport: www. while U.S.S.S. Visit the U. However. Citizenship United States citizenship is one step beyond permanent residency (Green Card). citizens can reside abroad for longer periods of time. Conditional or permanent residents must bring their valid national passports (and valid Green Card). passport. passport when traveling abroad.S. immigration benefits (visas.S. the local government tends to have a stronger claim to the person’s allegiance. The U. Embassies and Consulates abroad. dual citizenship. Many countries have waived visa requirements for U. Green cards must be renewed every 10 years for a fee (currently $ 370). while Green Card holders with native passports may have to apply for visas in advance. Immigration Support (an independent organization) website for more information on how to apply for a U. Having a United States passport is a privilege that only United States citizens have.usimmigrationsupport.org/passport.html 9. There are certain restrictions that green card holders must be aware of when traveling abroad for longer periods of time.

citizens have the right to vote in the United States.Green Card Application Guide • U. • • • • Finally. Most Green Card holders have decided that the United States will be the permanent home for their families.S. ⎪ ⎪ www. U. there are intangible benefits. ICE (Immigration and Customs Enforcement) has detained permanent residents who did not have their green cards with them.S.usimmigrationsupport. The right to run for public office. while green card holders must always be able to proof their legal status in the United States by carrying a valid Green Card. They find it of psychological benefit to be on equal footing with their American peers. while green card holders may be deported in certain cases.org Page 32 ⎪ . The right to sponsor relatives and family members so they can immigrate to the United States. citizens do not have to carry proof of citizenship. United States citizens cannot be deported. such as being convicted of a crime.

visit. Puerto Rico.S. but I am still an Indian citizen. the U. resident such as a letter from your employer. citizenship.0 FREQUENTLY ASKED QUESTIONS Question: Answer: I am going to Puerto Rico.org Page 33 ⎪ .S. territories include Guam.S. You may want to bring additional documentation proofing your intent to remain a U. It is recommended to obtain a reentry permit for stays abroad between 1 and 2 years. What documentation must I bring? Puerto Rico is a territory of the United States and by law you are required to carry your Green Card. for over 22 years.? This scenario includes the questions of whether the parents wants to remain U.S. Swains Island and the Commonwealth of the Northern Mariana Islands Question: Answer: I am Green Card holder and I want to go back to the Philippines for 1 month. Question: Answer: My Parents have got Green Cards though me (I am a citizen of the U.usimmigrationsupport. An approved travel permit is valid for one year. Now he is going back to Brazil later this month. embassy to clarify the situation to avoid any problems upon entry to the United States. taxes as residents or non-residents? It is strongly recommended to contact the local U.Green Card Application Guide 10.S.S. Question: Answer: I have been a legal resident of the U. Question: Answer: My friend has had a Green Card for 3 months. American Samoa. Virgin Islands.S. residents or not. It is also recommended to bring your passport.S. How long can he stay out of the country? Individuals with a Conditional Green Card is recommended to obtain a travel permit to avoid any problems with U.S. an approval of a travel document. copy of your tax returns or a copy of your mortgage or lease. What is the intent of living abroad? Are they filing U. but my Green Card has expired.S. Can I still apply? ⎪ ⎪ www. Is that possible without loosing my resident status and/or my Green Card? There are several things to be aware of in this scenario including the time spent abroad between each U. Question: I am applying for U.S.) and they are from Israel. Do they have to come once a year to keep their Green card valid? What happens if they miss or have to miss a year and can not come to the U. Other U. Now I am considering to live in India for a few years to be near my family.S. when the Green Card is due to expire and ties to the United States. immigration upon reentry. Do I need an US Visa to enter the US? You do not need a reentry permit to be away for one month as long as you have a valid Green Card (upon departure and reentry) and a valid passport.

usimmigrationsupport.S.S. citizenship before your Green Card expires.org/greencard_renewal. For more information about how to renew your Green Card. If you do not have proof of U.html Question: Answer: My Green Card is about to expire. Can I apply for U.org Page 34 ⎪ .org/greencard_renewal. For information visit: www. visit www. citizenship beforehand to avoid obtaining a new Green Card? By law you must be in legal status. You need to be in legal status before you can apply for U.usimmigrationsupport. citizenship.S. it is strongly recommended to renew it.html ⎪ ⎪ www.usimmigrationsupport.Green Card Application Guide Answer: No.

Do not enter "N/A" when "None" is appropriate. Do not submit originals unless this is specifically required. Be sure to complete all items on the petition or application. • • • • • Mark both the envelope and the cover letter as to the nature of the submission. if applicable. Try to submit the package as complete as possible so the case can be adjudicated from what you submit. • • • • • • • • • • • • • All foreign language documents must be certified by the translator including the translator’s statement that he or she is competent to translate.usimmigrationsupport. Use ACCO fasteners or similar to hold together thick or bulky applications or petitions. Example: ORIGINAL SUBMISSION – CHANGE OF ADDRESS – FORM AR-11 Use the appropriate mailing address (Ref. Create an extra copy package for yourself of all submissions you have made. If you use tabs. maiden name. Do not use heavy-duty staples. Do not use binders or folders that cannot be easily disassembled. include both. do so at the bottom of the file – not on the side.Green Card Application Guide 11.org . Always include the documents that are necessary. Do not refer to documents from previous filings even though the documents are the same. ⎪ Page 35 ⎪ ⎪ www. and any aliases. Avoid submitting oversized documentation when possible. Include copies of any prior approval notices with any new requests for extensions of stay.0 ASSEMBLING OF APPLICATION The USCIS instructs all applicants to follow these guidelines when submitting immigration forms and supplementary evidence. make sure that they are clearly separated. include a cover letter on top of the packet following by all the necessary documents. If more than one case is included in the package send to the USCIS. change of status. but rather utilize ACCO fasteners or heavy clips. If the initial application has been denied and the applicant provides supplementary information. Appendix 2) and mark both the envelope and the cover letter with the form type: AR-11 If the A-Number and receipt number are available. The order of the papers should begin with the AR-11 followed by supplementary documents. Other names to include are original filing name. or amended petitions.

the originals should be readily available in case of a request for originals.org Page 36 ⎪ . and that the above/attached document is an accurate translation of the document attached entitled______________.Green Card Application Guide • • The certification format should include the certifier's name.usimmigrationsupport. address. and date of certification. See example below: Certification by Translator I [typed name]. Signature Date Address Typed Name Ordinarily regular copies are acceptable for the initial filing. Original documents or “Certified Copies” are no longer required unless specifically requested. ⎪ ⎪ www. However. signature. certify that I am fluent (conversant) in the English and [language] languages.

Embassies and Consulates Worldwide The United States has embassies and consulates in almost every country around the world with a few exceptions. http://usembassy.org Page 37 ⎪ .gov ⎪ ⎪ www.state. For a full list of all U. visit the link below.Green Card Application Guide APPENDIX 1 U.S.usimmigrationsupport.S. embassies and consulates worldwide.

NV 89120-6283 USCIS Application Support Center 1835 South Alvernon Way Suites 217 Tucson. LA 70001 Alaska USCIS Application Support Center th 620 E. 10 Avenue – Suite 7 Anchorage. AK 99501 Arizona USCIS Application Support Center 1605 Isleta Boulevard. AZ 85016-7941 USCIS Application Support Center 3250 South 4th Avenue Suite E Yuma. NM 87105-4793 USCIS Application Support Center 2545 East Thomas Road Phoenix. Suite 300 (Third Floor) 2424 Edenborn Avenue Metairie.Green Card Application Guide APPENDIX 2 USCIS Application Support Centers (ASC) National Toll Free Telephone Number: 1-800-375-5283 Alabama USCIS Application Support Center Metairie Centre. TX 75220-4961 USCIS Application Support Center 842 Virginia Run Cove Memphis. AR 72903-6906 ⎪ ⎪ www. Arizona 85365-4051 USCIS Application Support Center 6175 South Pecos Road Las Vegas. SW Suite C Albuquerque.usimmigrationsupport.org Page 38 ⎪ . AZ 85711-5693 Arkansas USCIS Application Support Center 3701 West Northwest Highway Suite 211 Village at Bachman Lake Dallas. TN 38122-4419 USCIS Application Support Center 4977 Old Greenwood Road Fort Smith.

CA 95351 USCIS Application Support Center 2040 Telegraph Avenue Oakland. – Room B-112 Gardena. CA 91733 USCIS Application Support Center 4893 E. San Marcos Blvd # 101 – 102 San Marcos. CA 94612 USCIS Application Support Center 825 Riverside Parkway Suite 100 West Sacramento. CA 94111 USCIS Application Support Center 122 Charcot Avenue San Jose. Kings Canyon Fresno.org Page 39 ⎪ . SW Suite C Albuquerque. CA 90035 USCIS Application Support Center 901 N. CA 92104 USCIS Application Support Center 250 Broadway San Francisco. CA 95131-1101 USCIS Application Support Center 727 W. Mission Blvd. – Suite A -110 Bellflower. CO 80011 USCIS Application Support Center 1605 Isleta Boulevard. Main Street # 100 – A Santa Ana. CA 93117 USCIS Application Support Center 15715 Crenshaw Blvd. CA 91766 USCIS Application Support Center 10082 Magnolia Avenue Riverside. CA 92069 USCIS Application Support Center 1666 N. CA 93727 USCIS Application Support Center 825 Riverside Parkway Suite 100 West Sacramento. CA 91411 Colorado USCIS Application Support Center 15037 E. CA 92231 USCIS Application Support Center Golden Vista Plaza 9251 Garvey Avenue – Suite Q South El Monte. CA 95605-1502 USCIS Application Support Center Santa Rita Plaza 1954 N. CA 93036-0609 USCIS Application Support Center 16 Heffernan Avenue Calexico. NM 87105-4793 USCIS Application Support Center 2454 Highway 6 and 50 – Valley Plaza – Suite 115 Grand Junction. Colfax Avenue – Unit G Aurora. CA 95403 USCIS Application Support Center 14515 Hamlin Street – Suite 200 Van Nuys. CO 81505 USCIS Application Support Center 271 West 3rd Street Suite 1050 Wichita. Carpenter Road. CA 90249 USCIS Application Support Center 888 Wilshire Blvd. KS 67202-1203 Connecticut ⎪ ⎪ www. Main Street Salinas. CA 93309-6349 USCIS Application Support Center Bellflower Plaza 17610 Bellflower Blvd. – Suite 14 Modesto. CA 90620 USCIS Application Support Center 6831-B Hollister Avenue Goleta. CA 90017 USCIS Application Support Center 5949 W.Green Card Application Guide California USCIS Application Support Center 4701 Planz Road Suite A12 Bakersfield. CA 92701 USCIS Application Support Center 1401 Guerneville Road # 100 Santa Rosa.usimmigrationsupport. Pico Blvd Los Angeles. CA 92503 USCIS Application Support Center 2000 Outlet Center Drive Suite 200 Oxnard. CA 95605-1502 USCIS Application Support Center 435 W. CA 90706 USCIS Application Support Center 8381 La Palma Avenue – Suite A Buena Park. Suite 110 Pomona. Los Angeles. CA 93906 USCIS Application Support Center 2509 El Cajon Blvd San Diego.

org Page 40 ⎪ . Suite 130 Parkshore Center Charleston. Suite 4E Dover. CT 06103-2112 Delaware USCIS Application Support Center 655 South Bay Road. VA 22309-1586 Florida USCIS Application Support Center 11690 State Road 84 Davie. ID 83404 ⎪ ⎪ www. FL 33619 USCIS Application Support Center 2711 Exchange Court West Palm Beach.S. FL 33175 USCIS Application Support Center st 521 NE. Federal Courthouse 920 West Riverside Room 691 Spokane. DE 19901-4656 USCIS Application Support Center 2040 Shipley Drive Suite 2C Salisbury. FL 33401 Georgia USCIS Application Support Center 1255 Collier Road. Bay 11 Miami. ID 83709 USCIS Application Support Center Thomas Foley U.Green Card Application Guide USCIS Application Support Center 249 Pearl Street Hartford. FL 33325 USCIS Application Support Center Westland Promenade th 3700 West 18 Avenue #110 Hialeah. GA 30318 USCIS Application Support Center 1 Poston Road. SC 29407 Guam USCIS Application Support Center 108 Hernan Cortez Ave. FL 33012 USCIS Application Support Center 4121 Southpoint Boulevard Jacksonville. 81 Street. – Suite # 102/103 Honolulu.usimmigrationsupport. FL 32822 USCIS Application Support Center 9280 Bay Plaza Boulevard – Suite 726 Tampa. FL 33138 USCIS Application Support Center Terracotta Business Center 5449 S Semoran Blvd #18C Orlando. GU 96910 Hawaii USCIS Application Support Center 677 Ala Moana Blvd. 17TH Street – Suite 190 Idaho Falls. MD 21801-7874 USCIS Application Support Center 246 North Avenue New Rochelle. – Sirena Plaza #100 Hagatna. Suite 100 Alexandria. Suite 100 Atlanta. FL 32216 USCIS Application Support Center th 11865 SW 26 Street (Coral Way) – Suite J-6 Miami. HI 96813 Idaho USCIS Application Support Center 1185 South Vinnell Way Boise. NY 10801-6405 District of Columbia USCIS Application Support Center 8850 Richmond Highway. WA 99201-1012 USCIS Application Support Center 1820 E.

S. IN 46204-3915 USCIS Application Support Center Gene Snyder U.org Page 41 ⎪ . MO 63103-2822 USCIS Application Support Center 25 South Greenbay Road Waukegan.212 Saint Louis. IL 60085-4815 Indiana USCIS Application Support Center 550 Main Street Room 1524 Cincinnati. TN 37228-1603 ⎪ ⎪ www. IA 50309-2110 USCIS Application Support Center 1717 Avenue H E Omaha. C.usimmigrationsupport. IL 60640-3603 USCIS Application Support Center 5160 South Pulaski Road Super Mall Suite 101 Chicago. IN 46324-3362 USCIS Application Support Center 950 North Meridian Street. MO 64153-1833 USCIS Application Support Center 1717 Avenue H E Omaha. Room 400 Indianapolis. IL 60540-0962 USCIS Application Support Center 4701 North Cumberland Suites 1-3 B. IL 60706-4277 USCIS Application Support Center 1222 Spruce Street Room 1. MN 55104-4092 USCIS Application Support Center 300 East 8th Street Riverside Station Sioux Falls. WV 25302-2201 USCIS Application Support Center Gene Snyder U. Room 400 Indianapolis.S. Courthouse and Custom House 601 West Broadway Suite 22 Louisville. IN 46324-3362 USCIS Application Support Center 950 North Meridian Street. NE 68110-2752 USCIS Application Support Center 1360 University Avenue West Room 103 Saint Paul. KY 40202-2250 Iowa USCIS Application Support Center 210 Walnut Street Room 949 Des Moines. NE 68110-2752 USCIS Application Support Center 271 West 3rd Street Suite 1050 Wichita. D Norridge. OH 45202-5298 USCIS Application Support Center 7852 Interstate Plaza Drive Hammond. KY 40202-2250 USCIS Application Support Center 888 South Route 59 Suite 124 Naperville. KS 67202-1203 Kentucky USCIS Application Support Center 210 Kanawha Boulevard West Charleston.Green Card Application Guide Illinois USCIS Application Support Center 4853 North Broadway Chicago. SD 57103-7023 Kansas USCIS Application Support Center 9747 Northwest Conant Avenue Kansas City. KY 40202-2250 USCIS Application Support Center 550 Main Street Room 1524 Cincinnati. OH 45202-5298 USCIS Application Support Center 247 Venture Circle Nashville. IN 46204-3915 USCIS Application Support Center Gene Snyder U. IL 60632-4253 USCIS Application Support Center 7852 Interstate Plaza Drive Hammond.S. Courthouse and Custom House 601 West Broadway Suite 22 Louisville. Courthouse and Custom House 601 West Broadway Suite 22 Louisville.

ME 04106-6909 Maryland USCIS Application Support Center 8850 Richmond Highway. RI 02920-5560 Michigan USCIS Application Support Center 2652 East Jefferson Avenue Chene Square Mall Detroit. Suite 210 Cranston. ND 58102-4727 USCIS Application Support Center 1360 University Avenue West Room 103 Saint Paul. Suite 100 Alexandria. MN 55104-4092 USCIS Application Support Center 300 East 8th Street Riverside Station Sioux Falls.Green Card Application Guide Louisiana USCIS Application Support Center Metairie Centre. MD 21201 USCIS Application Support Center 655 South Bay Road. MI 48207-4129 USCIS Application Support Center 7852 Interstate Plaza Drive Hammond. MI 49508-5270 Minnesota USCIS Application Support Center Federal Building 515 West First Street Room 208 Duluth. MD 20906-3646 Massachusetts USCIS Application Support Center 170 Portland Street Boston.org Page 42 ⎪ . Suite C Wheaton. Suite 300 2424 Edenborn Avenue Metairie. LA 70001 USCIS Application Support Center Corum Plaza 8505 Gulf Freeway Suite D Houston. Suite 201 Baltimore. IN 46324-3362 USCIS Application Support Center Bretwood Center 4484 Breton Road Kentwood. NY 12110-1024 USCIS Application Support Center Crossroads Office Park. TX 75237-2908 Maine USCIS Application Support Center 176 Gannett Drive South Portland. Suite 4E Dover. MD 21801-7874 USCIS Application Support Center Glenmont Plaza 12331 Georgia Avenue. 105 Sockanosset Cross Road. PA 15222-3623 USCIS Application Support Center 2040 Shipley Drive Suite 2C Salisbury. VA 22309-1586 USCIS Application Support Center 00 South Charles Street. DE 19901-4656 USCIS Application Support Center 800 Penn Avenue Suite 101 Pittsburgh.usimmigrationsupport. CT 06103-2112 USCIS Application Support Center 1086 Troy-Schenectady Road Latham. TX 77017-5043 USCIS Application Support Center 7334 South Westmoreland Road Dallas. MA 02114-1706 USCIS Application Support Center 249 Pearl Street Hartford. SD 57103-7023 ⎪ ⎪ www. MN 55802-1350 USCIS Application Support Center 657 2nd Avenue North Suite 248 Fargo.

WA 99201-1012 Nebraska CIS Application Support Center 15037 East Colfax Avenue Unit G Aurora. Federal Courthouse 920 West Riverside Room 691 Spokane.S. NJ 07601 USCIS Application Support Center 120 North 8th Street Philadelphia. MS 39269-1602 USCIS Application Support Center 842 Virginia Run Cove Memphis. TN 38122-4419 USCIS Application Support Center Metairie Centre. TN 38122-4419 USCIS Application Support Center 1222 Spruce Street Room 1. LA 70001 Missouri USCIS Application Support Center 4977 Old Greenwood Road Fort Smith. NV 89120 USCIS Application Support Center 1351 Corporate Blvd. NH 03101 New Jersey USCIS Application Support Center 116 Kansas St. MO 64153-1833 USCIS Application Support Center 842 Virginia Run Cove Memphis. SD 57103-7023 Nevada USCIS Application Support Center 6175 South Pecos Road Las Vegas. PA 19107-2422 USCIS Application Support Center 24 Commerce Street Newark. NE 68110-2752 USCIS Application Support Center 300 East 8th Street Riverside Station Sioux Falls.Green Card Application Guide Mississippi USCIS Application Support Center 100 West Capitol Street McCoy Federal Building Suite 727 Jackson. CO 80011-5777 USCIS Application Support Center 150 East B Street Room 1014 Casper. SD 57702 USCIS Application Support Center Thomas Foley U. MT 59602-1230 USCIS Application Support Center 1675 Samco Road Rapid City. Suite 300 2424 Edenborn Avenue Metairie.usimmigrationsupport. MO 63103-2822 Montana USCIS Application Support Center 2800 Skyway Drive Helena.208 Saint Louis. NV 89502 New Hampshire USCIS Application Support Center 803 Canal Street Manchester. – Main Floor Hackensack.org Page 43 ⎪ . AR 72903-6906 USCIS Application Support Center 9747 Northwest Conant Avenue Kansas City. Reno. NJ 07102 ⎪ ⎪ www. WY 82601-7005 USCIS Application Support Center 1717 Avenue H E Omaha.

VA 23513 North Dakota USCIS Application Support Center Located in the Federal Building/US Post Office) 657 2nd Avenue North Suite 248 Fargo. AR 72903-6906 USCIS Application Support Center 4400 Southwest 44th Street Suite A Oklahoma City. OK 73119-2800 ⎪ ⎪ www. VT 05478-9500 USCIS Application Support Center 412 South Warren Street Syracuse. NY 10458-6907 USCIS Application Support Center 227 Livingston Street Brooklyn.org Page 44 ⎪ . NY 13202-2604 USCIS Application Support Center 63-05 Roosevelt Avenue Woodside. TX 79414-2547 New York USCIS Application Support Center 2378 Grand Concourse Bronx. NY 14202-2498 USCIS Application Support Center 100 Main Street. OH 44199 USCIS Application Support Center Leveque Towers – 50 W Broad Street – Suite 321 Columbus. TX 79935-2703 USCIS Application Support Center 3502 Slide Road Suite A-24 Lubbock. NY 11377-3641 North Carolina USCIS Application Support Center 4801 Chastain Avenue Building #10. NY 12110-1024 USCIS Application Support Center 201 Varick Street Room #1023 New York. MI 48207-4129 Oklahoma USCIS Application Support Center 4977 Old Greenwood Road Fort Smith. NM 87105-4793 USCIS Application Support Center 10500 Montwood Drive El Paso.usimmigrationsupport. 1st Floor Jamaica. OH 4520 USCIS Application Support Center th AJC Federal Building – 1240 E. NJ 07102-4005 USCIS Application Support Center 246 North Avenue New Rochelle. NY 11550-2418 USCIS Application Support Center 153-01 Jamaica Avenue. NC 28217-2231 USCIS Application Support Center 2500 Almeda Avenue Suite 114 Norfolk. NY 10801-6405 USCIS Application Support Center 64 Grice Brook Road Saint Albans. Suite B Hempstead. 9 Street – Room 1259 Cleveland.Green Card Application Guide New Mexico USCIS Application Support Center 1605 Isleta Boulevard. SW Suite C Albuquerque. Suite #175 Charlotte. NY 11432 USCIS Application Support Center 1086 Troy-Schenectady Road Latham. NY 10014-7055 USCIS Application Support Center 24 Commerce Street Suite 200 Newark. ND 58102-4727 USCIS Application Support Center 2800 Skyway Drive Helena. OH 43215 USCIS Application Support Center 2652 East Jefferson Avenue Chene Square Mall Detroit. MT 59602-1230 Ohio USCIS Application Support Center 550 Main Street – Room 1524 Cincinnati. NY 11201-5838 USCIS Application Support Center 130 Delaware Avenue Buffalo.

PA 19107-2422 USCIS Application Support Center 800 Penn Avenue Suite 101 Pittsburgh. PA 17402-9007 Puerto Rico USCIS Application Support Center 458 Ing. OR 97205-1904 USCIS Application Support Center 415 North 3rd Street Yakima. PR 00918 Rhode Island USCIS Application Support Center 105 Sockanosset Cross Rd.usimmigrationsupport. SD 57702 USCIS Application Support Center 657 2nd Avenue North Suite 248 Fargo. TN 38134 USCIS Application Support Center 247 Venture Circle Nashville. Jose Canals Street San Juan. NY 14202-2498 USCIS Application Support Center 24 Commerce Street Suite 200 Newark. SD 57104 Tennessee USCIS Application Support Center 1341 Sycamore View – Suite 100 Memphis. NC 28217-2231 South Dakota USCIS Application Support Center 1675 Samco Road Rapid City. ND 58102-4727 USCIS Application Support Center th Riverside Station – 300 East 8 Street Sioux Falls. RI 02920 South Carolina USCIS Application Support Center 1 Poston Road. WA 98901-2331 Pennsylvania USCIS Application Support Center 130 Delaware Avenue Buffalo.org Page 45 ⎪ . Suite #175 Charlotte. – Suite 210 Cranston. PA 15222-3623 USCIS Application Support Center 412 South Warren Street Syracuse. TN 37228 Texas USCIS Application Support Center USCIS Application Support Center ⎪ ⎪ www. ID 83709-1656 USCIS Application Support Center 721 Southwest 14th Avenue Portland. SC 29407 USCIS Application Support Center 4801 Chastain Avenue Building #10. NJ 07102-4005 USCIS Application Support Center 120 North 8th Street Philadelphia. NY 13202-2604 USCIS Application Support Center 3400 Concord Road York. Suite 130 Parkshore Center Charleston.Green Card Application Guide Oregon USCIS Application Support Center 1185 South Vinnell Way Boise.

TX 75220-4961 USCIS Application Support Center 7334 South Westmoreland Road Dallas. TX 75237-2908 USCIS Application Support Center 10500 Montwood Drive El Paso. TX 78041-3638. VI 00802 Virginia USCIS Application Support Center 8850 Richmond Highway. Suite 23 Brownsville. TX 78239-1975 Utah USCIS Application Support Center 1605 Isleta Boulevard.usimmigrationsupport. TX 77017-5043 USCIS Application Support Center 707 East Calton Road Suite 301 Laredo.Green Card Application Guide 943 North Expressway 77 Southwind Shopping Center. Croix. St. OK 73119-2800 USCIS Application Support Center 5121 Crestway Drive Suite 112 San Antonio. TX 79414-2547 USCIS Application Support Center 220 South Bicentennial Suite C McAllen. TX 78501-7019 USCIS Application Support Center 4400 Southwest 44th Street Suite A Oklahoma City. USCIS Application Support Center 3502 Slide Road Suite A-24 Lubbock. SW Suite C Albuquerque. VA 23513 USCIS Application Support Center 2040 Shipley Drive Suite 2C Salisbury. TX 77092-8209 USCIS Application Support Center 7086 Bissonnet Street Houston. Thomas. TX 77074-6010 Corum Plaza 8505 Gulf Freeway Suite D Houston. VI 00823 USCIS Application Support Center South Nisky Center – Suite 1A St. NM 87105-4793 USCIS Application Support Center 6175 South Pecos Road Las Vegas. TX 79935-2703 USCIS Application Support Center 4200 South Freeway Fort Worth Town Center Mall Suite # 1309 Fort Worth. WV 25302-2201 USCIS Application Support Center 2500 Almeda Avenue Suite 114 Norfolk. VT 05478-9500 Virgin Islands USCIS Application Support Center Sunny Isles Shopping Center Christiansted. TX 76115-1400 USCIS Application Support Center 10555 Northwest Freeway Suite 150 Houston. Suite 100 Alexandria. MD 21801-7874 Washington USCIS Application Support Center USCIS Application Support Center ⎪ ⎪ www. NV 89120-6283 USCIS Application Support Center 5536 South 1900 West Street Building C Taylorsville. NY 12110-1024 USCIS Application Support Center 64 Grice Brook Road Saint Albans.org Page 46 ⎪ . TX 78520-8670 USCIS Application Support Center 3701 West Northwest Highway Suite 211 Village at Bachman Lake Dallas. VA 22309-1586 USCIS Application Support Center 210 Kanawha Boulevard West Charleston. UT 84118-9007 Vermont USCIS Application Support Center 1086 Troy-Schenectady Road Latham.

OR 97205-1904 Thomas Foley U. MN 55802-1350. WA 99201-1012 USCIS Application Support Center 415 North 3rd Street Yakima. MD 20906-3646 Wisconsin USCIS Application Support Center Federal Building 515 West First Street Room 208 Duluth. Suite C Wheaton. Room 154 Milwaukee. WA 98901-2331 USCIS Application Support Center 12500 Tukwila International Boulevard Seattle.S. WY 82601-7005 USCIS Application Support Center 1820 East 17th Street Suite 190 Idaho Falls. PA 15222-3623 USCIS Application Support Center Glenmont Plaza 12331 Georgia Avenue. UT 84118-9007 ⎪ ⎪ www. WV 25302-2201 USCIS Application Support Center 800 Penn Avenue Suite 101 Pittsburgh. Federal Courthouse 920 West Riverside Room 691 Spokane.Green Card Application Guide 721 Southwest 14th Avenue Portland. MN 55104-4092 Wyoming USCIS Application Support Center 15037 East Colfax Avenue Unit G Aurora. USCIS Application Support Center 310 East Knapp Street First Floor.org Page 47 ⎪ . CO 80011-5777 USCIS Application Support Center 150 East B Street Room 1014 Casper.usimmigrationsupport. USCIS Application Support Center 5536 South 1900 West Street Building C Taylorsville. WI 53202-4504 USCIS Application Support Center 1360 University Avenue West Room 103 Saint Paul. WA 98168 West Virginia USCIS Application Support Center 210 Kanawha Boulevard West Charleston. SD 57702. ID 83404-6471 USCIS Application Support Center 1675 Samco Road Rapid City.

AR 72903 California USCIS Field Office 16 Heffernan Avenue Calexico. CA 93721-1913 USCIS Field Office 300 North Los Angeles Street Los Angeles. CA 95112 USCIS Field Office 34 Civic Center Plaza Santa Ana. CA 94111 USCIS Field Office 1887 Monterey Road San Jose. AK 99501 Arizona USCIS Field Office 2035 North Central Avenue Phoenix. Junior Federal Building 77 Forsyth Street. CA.usimmigrationsupport. CA 92701 ⎪ ⎪ www. South West Atlanta. TN 38122 USCIS Field Office 4977 Old Greenwood Road Fort Smith. AZ 85004 USCIS Field Office 6431 South Country Club Road Tucson. Suite 102 Anchorage. AZ 85706-5907 Arkansas USCIS Field Office 842 Virginia Run Cove Memphis. CA 92101-8834 USCIS Field Office 444 Washington Street San Francisco. CA 91911 USCIS Field Office 1177 Fulton Mall Fresno. CA 90012 USCIS Field Office 650 Capitol Mall Sacramento.org Page 48 ⎪ . Suite A Chula Vista. CA 95814 USCIS Field Office 655 West Rialto Avenue San Bernardino. GA 30303 Alaska USCIS Field Office Anchorage District Office 620 East 10th Avenue. USCIS Field Office 880 Front Street San Diego.Green Card Application Guide APPENDIX 3 USCIS Field Offices National Toll Free Telephone Number: 1-800-375-5283 Alabama USCIS Field Office Martin Luther King. 92231 USCIS Field Office 1261 3rd Avenue. CA 92410.

usimmigrationsupport. Fairfax Drive Arlington. GA 30303 Guam USCIS Field Office Sirena Plaza. CO 80239 Connecticut USCIS Field Office 450 Main Street. FL 33138 USCIS Field Office 9403 Tradeport Drive Orlando. CT 06103-3060 Delaware USCIS Field Office 1305 McD Drive Dover. FL 32827 USCIS Field Office 5524 West Cypress Street Tampa. 4th Floor Hartford. DE 19901 Distric of Columbia USCIS Field Office 4420 N. FL 32216 USCIS Field Office 326 Fern St West Palm Beach. FL 33607-1708 USCIS Field Office 4121 Southpoint Boulevard Jacksonville. VA 22203 Florida USCIS Field Office 7880 Biscayne Boulevard Miami. Federal Building 77 Forsyth Street SW Atlanta. FL 33401 Georgia USCIS Field Office Martin Luther King Jr.org Page 49 ⎪ .Green Card Application Guide Colorado USCIS Field Office 4730 Paris Street Denver. HI 96813 Idaho USCIS Field Office USCIS Field Office ⎪ ⎪ www. GU 96910 Hawaii USCIS Field Office 595 Ala Moana Boulevard Honolulu. Suite 100 108 Hernan Cortez Avenue Hagatna.

IA 50309 USCIS Field Office 1717 Avenue H E Omaha.usimmigrationsupport. Room 400 Indianapolis. Room 369 Federal Building Des Moines. MO 64153.Green Card Application Guide 1185 South Vinnell Way Boise. Kennedy Federal Building . IN 46204-3915 Iowa USCIS Field Office 210 Walnut Street. NE 68110-2752 Kansas USCIS Field Office 9747 NW Conant Avenue Kansas City.S. Young Federal Building 1222 Spruce Street Saint Louis. USCIS Field Office 950 N. Illinois 60604 USCIS Field Office Robert A.S. MD 21201 Massachusetts USCIS Field Office John F. Courthouse and Customhouse . MO 63103 Indiana USCIS Field Office 101 West Congress Parkway Chicago. KS 67202-1212 Kentucky USCIS Field Office Gene Snyder U. USCIS Field Office 271 West 3rd Street North. ID 83709 U. Meridian St. WA 99201 Illinois USCIS Field Office 10 West Jackson Boulevard Chicago. Courthouse 920 West Riverside. MA 02203 ⎪ ⎪ www.org Page 50 ⎪ . Suite 300 (Third Floor) 2424 Edenborn Avenue Metairie.Room 390 601 West Broadway Louisville.. Suite 1050 Wichita.Government Center Boston. LA 70001 Maine USCIS Field Office 176 Gannett Drive South Portland. KY 40202 Louisiana USCIS Field Office Metairie Centre. Room 691 Spokane.31 Hopkins Plaza Baltimore. IL 60605. ME 04106 Maryland USCIS Field Office Fallon Federal Building .

NV 89120-2739 New Hampshire USCIS Field Office 803 Canal Street Manchester. NJ 08054 USCIS Field Office Peter Rodino Federal Building 970 Broad Street Newark. NV 89502 USCIS Field Office 3373 Pepper Lane Las Vegas. MO 64153 USCIS Field Office Robert A. MI 48207 Minnesota USCIS Field Office 2901 Metro Drive. Louis. LA 70001 Missouri USCIS Field Office 9747 Northwest Conant Avenue Kansas City. Suite 300 2424 Edenborn Avenue Metairie. Room 1. NE 68144 Nevada USCIS Field Office 1351 Corporate Boulevard Reno. NH 03101 New Jersey USCIS Field Office 530 Fellowship Road Mount Laurel. MO 63103-2815 Montana USCIS Field Office 2800 Skyway Drive Helena. MN 55425 Mississippi USCIS Field Office 842 Virginia Run Cove Memphis. TN 38122 USCIS Field Office Metairie Centre.org Page 51 ⎪ . MT 59602 Nebraska USCIS Field Office 3736 South 132nd Street Omaha. Young Federal Building 1222 Spruce Street. Suite 100 Bloomington.usimmigrationsupport.100 St. NJ 07102 New Mexico USCIS Field Office USCIS Field Office ⎪ ⎪ www.Green Card Application Guide Michigan USCIS Field Office 333 Mt. Elliot Detroit.

Room 501 Cleveland. NC 28217 North Dakota USCIS Field Office 2901 Metro Drive. 130 Delaware Avenue Buffalo.Green Card Application Guide 1545 Hawkins Boulevard El Paso. 1720 Randolph Road SE Albuquerque. NM 87106 New York USCIS Field Office 100 State Street. Room 418 Rochester. Federal Building 1240 East Ninth Street. NY 14202 North Carolina USCIS Field Office 6130 Tyvola Centre Drive Charlotte. NY 12110 USCIS Field Office Federal Center. Peck Federal Building 550 Main Street. Room 4001 Cincinnati. PA 15203 Puerto Rico USCIS Field Office ⎪ ⎪ www.usimmigrationsupport. Suite 200 Pittsburgh.Suite "A" Oklahoma City. NY 10278 USCIS Field Office 412 South Warren Street Syracuse. OH 45202 Oklahoma USCIS Field Office 4400 SW 44th Street .W.org Page 52 ⎪ . PA 19130 USCIS Field Office 3000 Sidney Street. NY 13202 USCIS Field Office 1086 Troy-Schenectady Road Latham. Suite 100 Bloomington.C. OH 43215 USCIS Field Office J. OK 73119-2800 Oregon USCIS Field Office 511 NW Broadway Portland. Suite 306 Columbus. MN 55425 Ohio USCIS Field Office A.J. TX 79925. NY 14614 USCIS Field Office 26 Federal Plaza New York City. OH 44199 USCIS Field Office Leveque Tower 50 West Broad Street. OR 97209 Pennsylvania USCIS Field Office 1600 Callowhill Street Philadelphia.

UT 84123 Vermont USCIS Field Office 64 Gricebrook Road St. Suite 1A First Floor South Charlotte Amalie. TX 78239 Utah USCIS Field Office 5272 South College Drive. Suite 100 Guaynabo. TX 75247 USCIS Field Office 1545 Hawkins Boulevard. Suite 167 El Paso. TX 79925 USCIS Field Office 1717 Zoy Street Harlingen. Thomas United States Virgin Islands 00823 USCIS Field Office Sunny Isle Shopping Center Christiansted.Green Card Application Guide San Patricio Office Center 7 Tabonuco Street.org Page 53 ⎪ . PR 00968 Rhode Island USCIS Field Office 200 Dyer Street Providence. Fifth Floor Charleston. St. SC 29401 South Dakota USCIS Field Office 2901 Metro Drive. MN 55425 Tennessee USCIS Field Office 842 Virginia Run Cove Memphis. TX 78552 USCIS Field Office 126 Northpoint Houston. Suite 100 Bloomington. TX 77060 USCIS Field Office 8940 Fourwinds Drive San Antonio. SC 29650 USCIS Field Office 170 Meeting Street.usimmigrationsupport. RI 02903 South Carolina USCIS Field Office 142-D West Phillips Road Greer. Croix United States Virgin Islands 00802 ⎪ ⎪ www. TN 38122 Texas USCIS Field Office 8101 North Stemmons Freeway Dallas. VT 05478 Virgin Islands USCIS Field Office Nisky Center. St. Suite 100 Salt Lake City. Albans.

org Page 54 ⎪ . Riverside Room 691 Spokane. WA 98134 USCIS Field Office 415 North 3rd Street Yakima.usimmigrationsupport. PA 15203 USCIS Field Office 210 Kanawha Boulevard West Charleston.Green Card Application Guide Virginia USCIS Field Office 2675 Prosperity Avenue Fairfax. Room 1014 Casper. CO 80239 ⎪ ⎪ www. VA 22031-4906 USCIS Field Office 5280 Henneman Drive Norfolk. WA 99201 West Virginia USCIS Field Office 3000 Sidney Street. USCIS Field Office 310 E. Suite 200 Pittsburgh. VA 23513 Washington USCIS Field Office 815 Airport Way South Seattle. WY 82601 USCIS Field Office 4730 Paris Street Denver. WV 25302 Wisconsin USCIS Field Office 2901 Metro Drive. Suite 100 Bloomington. WI 53202 Wyoming USCIS Field Office 150 East B Street. MN 55425. Knapp Street Milwaukee. WA 98901 USCIS Field Office 920 W.

it may be better to ask an experienced immigration officer. How does InfoPass work? Log on to: https://infopass. original documents and translations that relate to you situation Reschedule of an appointment? • • • • • Through InfoPass you can cancel or reschedule your appointment The identification numbers at the bottom of the appointment confirmation notice serve as the numbers for logging in. letters showing approval or denial. Alien Registration Card. visit this link: http://zip4. • Step 5: Fill in your name. call NCSC at 1-800-375-5283. date of birth.com/zip4/welcome.uscis. What to bring to your appointment? • • • A printout of the appointment notice confirmation. driver’s license. changing or canceling your appointment Try to avoid a no-show by canceling your appointment if you cannot go There is no fee or penalty for rescheduling If the appointment notice is lost.usimmigrationsupport. and location of your appointment. a new one can be printed by accessing InfoPass and entering the information requested ⎪ ⎪ www. For routine questions. government issued ID. green card. E-mail address is optional.Green Card Application Guide APPENDIX 4 INFOPASS – Speak to an Immigration Officer General Overview InfoPass is an internet based system allowing individuals in the United States to make an appointment to speak with an Immigration Officer. It is important that you print out this information and bring it with you to the appointment. and phone number. If you are not sure of your local zip code.org Page 55 ⎪ .usps. but for which you do not require an appointment with an Immigration Officer. It is recommended to check back several times as InfoPass is updated daily. • Step 6: Pick a date and time for your appointment. The service is free and the time and date is easy to arrange. refer to Step 7 above Personal identification (passport. there may be times when you have more generic questions.” • Step 3: Type in the zip code where you live.jsp • Step 4: Pick the type of appointment that matches best with the kind of inquiry or problem you have. In cases of complex immigration issues.gov/info_en. zip code. However. By scheduling your appointment online you can save time in comparison to showing up in person and waiting in line. or Work Authorization Card) Any forms received such as receipt notices. It may be that the time and date for when you wish to visit is already booked. date. I-94. • Step 7: Once you have found a time.php • Step 1: Select the language you want to use (12 different languages) • Step 2: Select “Make an Appointment. the information will show up on the PC screen.

Green Card Application Guide APPENDIX 5 Case Status This appendix applies only to individuals that have already submitted an application or petition and received an “A – Number”.jsp • Telephone: o 1-800-375-5283 o The following information needs to be available: Receipt number (three letters + ten numbers) In writing for applications or cases submitted to a Field Office • See Appendix 3 for mailing addresses • Include the following information: o Your current name and address (if different from the application. and in some cases the applicant’s citizenship. There are different ways of checking the status.immigration. write your name and address as it appears) o Any A-number (8 or 9 digit number following the letter "A") o Your date of birth o The date and place where the application was filed o Any other receipt number from any receipt notice o A copy of the most recent notice sent to you o Date and office where the fingerprinting took place o Date and office where the interview took place o The applicant must sign and date the request letter o Mark the envelope: ATTN: Status Inquiry Applications filed at a local USCIS Office • Telephone: o Only contact the USCIS if your application has been pending for longer than the time indicated on the receipt o Call 1-800-375-5283 (National Customer Service Center) o Have the following information available: The A-Number Any receipt number(s) Last notice received about your case • Personal visits to the local USCIS office: o Bring the following information: Any A-number assigned to your case Date application was filed Time application was filed Any receipt number received Any notice received Date and office where the fingerprinting took place Date and office where the interview took place • ⎪ In writing to the local USCIS office: ⎪ www.org Page 56 ⎪ . where and how it is submitted. but the process differs depending on the type of application.usimmigrationsupport.gov/cris/jsps/index. Electronically filed applications or cases at a Service Center • Online: o The following information needs to be available: Receipt number (three letters + ten numbers) o https://egov.

usimmigrationsupport. citizens that filed an application or petition with a Service Center must call the National Customer Service Center at 1-800-3755283 and update their address over the phone and submit form AR-11 (Change of Address) • Applications filed at a Field Office require: o Submission of Form AR-11 (Change of Address) o In writing: Include the name as spelled in the application The A-number Your previous and new address The letter must be marked: “ATTN: CHANGE OF ADDRESS” Write the address like this: USCIS ________ District Office (for example. City.S. Boston District Office) 123 Main Street.S. State. citizens that filed an application or petition with a Service Center should call the National Customer Service Center at 1-800-375-5283 and update their address over the phone Non-U. Zip ATTN: Change of Address ⎪ ⎪ www.org Page 57 ⎪ . write your name and address as it appears) Any A-number (8 or 9 digit number following the letter "A") Your date of birth The date and place where the application was filed Any other receipt number from any receipt notice A copy of the most recent notice sent to you Date and office where the fingerprinting took place Date and office where the interview took place The applicant must sign and date the request letter Mark the envelope: ATTN: Status Inquiry Change of Address: • Applicants that have changed address while their application is being processed must update their address with the USCIS • The process differs depending on where the application was filed and the citizenship of the applicant: o Applications or petitions filed at a Service Center: U.Green Card Application Guide o o o o o o o o o o Include your current name and address (if different from the application.

long distance client/attorney relationships are available. We recommend you study this application guide carefully.usimmigrationsupport. ⎪ ⎪ www. However. call the USCIS toll free number or visit your local USCIS office. With the help of the Internet. a lawyer who is not an expert in your case can make matters worse and you may have been better off on your own. Nevertheless. A good immigration attorney knows what questions to ask in order to file your application correctly. This appendix will cover some facts about immigration lawyers and why you should or should not file your application with the assistance of an attorney. but if you have questions or concerns we recommend you consult with the United States Consulate or Embassy in your country. Staying informed will help you follow the application process carefully and possibly spot mistakes that can jeopardize your application.org Page 58 ⎪ . However. If you are already in the United States. Contact information can be found in a different appendix in this information guide. The catch is that you must stay well informed in order to be sure you are not breaking any rules or submitting an incomplete application. but at least you know what is going on and what to expect in the future. There are a number of do-it-yourself immigration packages where you do all the work including this immigration package. You are able to do everything yourself. You cannot have full control over your own situation.Green Card Application Guide APPENDIX 6 Do I need an Immigration Attorney? You may wonder if an immigration attorney is necessary in order to successfully file your application. it is advisable to learn the basics yourself. One good reason for going with a lawyer is to ensure that your case is in good hands and being processed correctly. due to the number of choices available there is also more room for mistakes.

S. Remember to give this card back once your leave the U. and before October 22. The training is similar to students on an F-1 visa doing the Optional Professional Training (OPT). and have been fathered by a U. citizen for him/her to meet Acquired Citizenship Act ACWIA Adjudication Admission Adjustment of Immigrant Status Admission Number Advance parole Affidavit of Support Aggravated Felon Agricultural Worker AILA Alien Aliens Removed Previously Amerasian Act ⎪ ⎪ www. Admission in immigration terms is related to the lawful entry into the United States after inspection and authorization by an immigration officer. An alien must have been born in Cambodia. In some cases. The law and regulations must be consulted to learn the appropriate use and requirements for each. foreigner. academic training is only for J-1 visa holders.. INA Section 212(a)(9)(A). as amended. Note that admission does exclude a person who is paroled or permitted to land temporarily. However. for a temporary period of time as a nonimmigrant. the alien is considered an immigrant as of the date of the adjustment regardless if the alien may have been in the United States for a long period of time. removal. The term describing the USCIS process of reviewing and processing applications and petitions. as set forth in INA Sections 298. There are two Affidavits of Support: Form I-864 and Form I-134. or Vietnam after December 31. 1950. Public Law 97-359 (Act of 10/22/82) that permits certain Amerasian children to immigrate to the United States. 8 USC Sections 1158. 212. Abbreviation for American Immigration Lawyers Association. American Competitiveness and Workforce Improvement Act of 1998. judicial review. The term used for legal permission to leave the United States and reenter during the adjustment of the individuals status procedures. A term used to describe the inadmissibility for individuals previously removed from anywhere between 5 to 20 years. etc. the Affidavit of Support is required and needs to be included as a part of the petition process. 237 . A process that permits a number of foreigners who are already in the United States to apply for immigrant status. Act means the “Immigration and Nationality Act” (or INA). depending upon the circumstances of each case. Thailand. as defined by the Secretary of Labor. This type of training is for students on a J-1 visa. so there is a record of your U. Laos. 8 USC Section 1101. 8 USC Section 1182.242.usimmigrationsupport. The particular number is found on your I-94 card. An “A” number is issued to all aliens applying for permanent residence. 1182. An agricultural worker is a foreign worker who is coming to the United States to carry out agricultural work or services. admissibility. The affidavit of support is a sworn document provided by an individual who will provide financial support to an alien that seeks to adjust existing status or enter the United States. which will change every time you enter the Unites States. The description of an individual who has been convicted of any of numerous crimes set forth in INA Section 101(a)(43). or parolees might have their status altered to that of legal permanent resident if they are qualified to obtain an immigrant visa and one is available right away. Korea.S.S. citizen parent(s). 1982. refugees. Aggravated felon status creates numerous substantive and procedural disabilities with respect to asylum. Any person who is not a citizen or national of the United States of America.S.org Page 59 ⎪ . Foreigners who enter the United States as nonimmigrants.Green Card Application Guide APPENDIX 7 Glossary of Terms A" Number Academic Training The term used on the Alien Registration number. If the status is changed successfully. Citizenship bestowed at birth on children who are born overseas to U. entry and departure.

This category is limited to 10. A foreigner who enters the United States on a temporary basis to take part in commercial deals that do not involve lucrative work in the United States such as someone who is involved in international commerce on behalf of a foreign company. or U. change of status or citizenship. The application process of changing status from one immigration status to another immigration status. Immigrant visas are granted to Amerasians under Public Law 100-202 (Act of 12/22/87).S. The abbreviation for "Citizenship and Immigration Services". The certificate is the proof that an individual has become a U. 1962. citizen. and before January 1. or political views. The country of nationality is considered to be the country in which the foreigner most recently lived for those without any nationality.S. and parents or guardians. lawful permanent residents.org Page 60 ⎪ . Doctors trained and certified by the U.Green Card Application Guide the requirements for benefits under this law.S. Most applicants that require a background check have to be present for one at a specific Application Support Center (ASC) or Designated Law Enforcement Agency (DLEA) for fingerprinting purposes. Apprehension refers to arresting a removable foreigner by U. USCIS applications for Naturalization or to Register Permanent Residence or Adjust Status necessitate the USCIS to carry out a FBI fingerprint background check on the applicant. employers.S. The reasons for fear of persecution have to be the foreigner’s race.000 adjustments per fiscal year. Border crosser is a foreign resident who reenters the United States after being not present for less than six months in Canada or Mexico.S. Immigrant Visa and Alien Registration The procedures for applying for immigrant status through a U. Foreigners who obtain lawful immigration statuses as a result of their relationship to U. Abbreviation for INS/USCIS Application Support Center A foreigner in the United States or at a port-of-entry who is established to be incapable or reluctant to go back to his or her country of nationality. Citizenship and Immigration Service. Genuine or authentic. This law grants aliens who are born in Vietnam after January 1. consulate. citizenship in order to prove identity and U. It is a legal procedure undertaken in front of an immigration judge in order to adjust the status of a foreigner from deportable to a legal permanent resident. membership in a unique social group.S. Abbreviation for Board of Immigrant Appeals. citizen (naturalized) after immigration to the United States. Asylees are entitled to adjust to the legal permanent resident category after one year of continuous presence in the United States. The individual applying for visa. Normally citizenship describes the country that a person is born in. These are the doctors you should go to if USCIS asks you for immigration examinations. The alien may be accompanied by spouses. It is a legal document that is issued to derivative citizens and foreigners who obtained U. See BCIS or USCIS.S. An official document which is issued by the Department of Homeland Security. or to ask for the protection from that country because of persecution or a well-substantiated fear of persecution. citizenship. nationality. citizens.usimmigrationsupport.S. However. Amerasian (Vietnam) Applicant Application for Application Support Centers Apprehension ASC Asylee BCIS Beneficiaries BIA Bona Fide Border Crosser Business Nonimmigrant Cancellation of Removal Certificate of Citizenship Certificate of Naturalization Change of Status CIS Citizenship Civil Surgeons ⎪ ⎪ www. a person can change citizenship in a process called naturalization. 1976 admission to the United States provided he/she was fathered by a U. religion.S. Immigration and Customs Enforcement (ICE). BCIS stands for the Bureau of Citizenship and Immigration Services. It also refers to a nonresident alien who reenters the United States via the Canadian border for stays that are less than six months or across the Mexican border for stays that are less than 72 hours. children.

citizen parents. While an applicant can get permission to leave the U. citizenship passed on to children through the naturalization of parents or to foreign-born children adopted by U. citizens who wish to travel to the United States. Abbreviation for Department of State Dual intent is the process of nonimmigrants in E. This is the application process an alien goes through to apply for permanent residency at a U. A category of immigrants from underrepresented countries and countries unfavorably affected by the Immigration and Nationality Act Amendments of 1965. A diplomat appointed by the United States government to protect its commercial interests and help its citizens in a foreign country. When an alien is seeking U.S. An alien who serves in a capacity obligatory for typical operations and service on board of a vessel or airplane. CPT is a description for off-campus work permission granted to foreigners going to school or university in the U. DOL is an acronym for the Department of Labor of the United States. H. Immigration and Customs Enforcement officer. The description of a country that has low rates of immigration to the United States. but breached the terms of his/ her classification or status later on. where the work is a part of an internship. during the residency period. Applicants are selected randomly by a computer-generated drawing. Abbreviation for Department of Homeland Security Geographic regions into which the United States and its territories are divided for Immigration and Naturalization Services’ purposes. The physical observation of an unlawful foreigner departing the United States by a U.S. Deportation is ordered by an immigration judge without any kind of punishment. Deportation is the legal act of removing an alien from the United States after he/she has been found removable for infringing the immigration laws. Consulates deal with foreign trade and visa issues. The citizens of a diversity country can enter in the diversity visa program. Consulates are normally located in major cities.000 Green Cards every year through the Diversity Immigrant Visa Program. Consulate in his or her home country.usimmigrationsupport.S. The consequence of breaking the continuity is that the alien must begin the process all over again. The consul is also responsible for issuing visas to non-U. residency. An official term used on the spouse and children of the principal applicant. The USCIS means for following the case status of possible removable foreigners.S. an absence of more than one year will automatically lead to a break of the continuity of the alien’s residence.S.S. CPT stands for Curricular Practical Training. U. They are usually required to formally request the elimination of the set conditions before the second anniversary of the approval of his or her conditional status.Green Card Application Guide Conditional Resident Conditional residents are those foreigners who have conditional permanent resident status such as the spouse of an American citizen.S. Official United States government office located in foreign country. The United States Government issues 50. A deportable alien is anybody who entered the United States illegally or legally. Abbreviation for California Service Center The Department of State is an Executive Branch Department with jurisdiction over non-domestic issues. and L status that may Consul Consular Processing Consulate Continuity of Residence Conviction CPT Crewman CSC Department of State Departure under Safeguards Dependent Deportable Alien Deportation Derivative Citizenship DHS District Diversity Diversity Country Diversity Immigrant Visa Program Docket Control DOL DOS Dual Intent ⎪ ⎪ www. The main goal of diversity visas is to increase immigrants from such countries.S. it is generally not recommended to do so. The applicant must have an approved I-140 in addition to an immigrant number. commonly known as the Green Card Lottery. The process of a formal judgment of guilt entered by a court of competent jurisdiction.org Page 61 ⎪ . It is the government agency responsible for managing the United States foreign affairs.

S.S. the visa can be expired. The abbreviation for Foreign Affairs Manual Chapter 41. career diplomatic or consular officials. This is a document that the university or school a person is attending provides to the new student which allows he or she to enter the U. An exchange visitor is a foreigner who enters the United States as a partaker in an official program by the Secretary of State for the purpose temporarily. The term used to describe the application process of extending the stay period listed on Form I-94. Some of the activities could be teaching.S.S. The I-94 Form in the passport will be marked with the letters “F-1” and “D/S”. film. Chapter 42 covers immigrant visas. A nonimmigrant foreigner who enters the United States to finalize a valid marriage within ninety days of her/his entry with a U. studying. These officials enter the United States for a temporary period as nonimmigrants. However.Green Card Application Guide simultaneously have intent to stay in the U. consulting. citizen An USCIS field office is either a district or a sub-office of that district where foreigners’ case files are maintained and controlled. Foreigners who are accredited by a foreign government to work as diplomats. if the individual leaves the U. and their spouses and dependent children. Embassies are usually located in the capital of the country.S.S. employers who hire illegal immigrants are subject to civil fines or criminal penalties if a pattern of violations is found. radio. demonstrating special skills. or assistants.S. Near EAD Embassy Employer Sanctions Employment Authorization Letter Entry Visa Exchange Visitor Exclusion Extension of Stay F-1 Status Fiance of U. Exclusion is the official term for denying an alien entry into the United States either through an expedited removal procedure or through removal proceedings in the presence of an immigration judge.. conducting research. The visa that the U. and visa issues.S. F-1 is the visa type used by international students to enter the United States. which relates to nonimmigrant visas. Note that an expired visa does not affect an individual’s legal stay in the U. citizen or permanent resident. D/S stands for “Duration of Status”. U. An Employment Authorization Document (EAD) is a work authorization card that is issued by the USCIS. The EAD is the size and shape of driver’s license. or other foreign information media and the foreigner’s spouse and dependent children. other accredited officers. A foreigner who enters the United States temporarily as a bona fide envoy of foreign press. This term refers to Africa. The General provisions that every naturalization applicant must meet such as being 18 years of age. a valid visa is necessary to enter again. with an expired visa.S. economic. a legal permanent resident with five years of continuous residence in the United States who have been physically present in the country for half that period and who have a good character for at least that period. servants or personal employees of accredited officials. instructing or lecturing. Latin America and the Caribbean. legally through a J-1 visa. The fiscal year starts October 1 and ends in September 30. or receiving training. The letter is completed by the sponsoring employer. State Department is eligible to enter the U.S. public ministers. One cannot enter the U. East Asia.2019 General Naturalization Provisions Geographic Area of ⎪ ⎪ www. Official United States government office located in foreign country. An employment letter is needed for employees who wish to be sponsored for nonimmigrant work status or permanent resident status. As long as the I-94 card is valid.usimmigrationsupport. Any person born outside the U.S. Citizen Files Control Office Fiscal Year Foreign Affairs Manual (FAM) Foreign Alien/National Foreign Government Official Foreign Information Media Representative Foreign State of Chargeability Form DS. temporarily or permanently. Embassies deal with political. observing. for a particular purpose. who is not a U. The granting of an entry visa means that the U.org Page 62 ⎪ . State Department adds to a page in an individual’s passport. The local ambassador is in charge of the Embassy. The independent country that an immigrant under the preference scheme is credited to.S.S.

Green Card Application Guide
Chargeability East and South Asia, and the former Soviet Union and Eastern Europe. The world is divided into these areas for the preliminary admittance of refugees to the United States. A Green Card, officially known as a Permanent Resident Card (Form I-151 or Form I-551) is evidence of lawful permanent resident status in the United States. It allows a foreign national to live, work legally, travel abroad and return to the United States. Green Card holders may also apply for U.S. citizenship after a certain period of time. The classification of an individual who qualifies to perform a specialty occupation in the U.S. The current period is three years with an option to renew the H-1B visa for another 3 years after the first period is over. The calculation of the income used to determine whether a sponsor meets the minimum income requirements under Section 213A of the Immigration and Nationality Act (INA). Immediate relatives are spouses of U.S. citizens, unmarried citizens’ children under the age 21, and parents of citizens 21 years of age or older. Immediate relatives are excused from the numerical limitations imposed on immigration to the United States See Permanent Resident Alien. Public Law 101-649 that increased the numerical limitations on legal immigration to the United States: amended the reasons for exclusion and deportation, allowed provisional protected status to foreigners of some countries, amended and established new nonimmigrant entrance classes, amended and extended the Visa Waiver Pilot Program, and amended naturalization authority and requirements. A lawyer selected by the Attorney General to perform as an administrative judge within the Executive Office for Immigration Review. Immigration Judges are also in charge of removal proceedings. INA Section 240, 8 USC Section 1229a. The Act regulates the immigration, temporary admission, naturalization, and removal of aliens besides other U.S. immigration laws, treaties, and conventions. The law that discourages immigration-related marriage fraud by stipulating that foreigners who get their immigrant status based on a marriage of less than two years are conditional immigrants and should remove their conditional status by applying at an U.S. Citizenship and Immigration Services office during the 90day period before the second-year anniversary of getting the conditional status. The conditional immigrant status may be ended and the foreigners deported if they cannot demonstrate that the marriage through which the status was obtained was and is a valid one. The law which was passed to manage and discourage illegal immigration to the United States by making illegal foreigners who had been continuously unlawfully present since 1982 legal, legalizing certain agricultural workers, punishing employers who intentionally employ undocumented workers, and increasing enforcement at U.S. borders. An individual’s immigration status is noted on the I-94 card by an Immigration Inspector at the U.S. port-of-entry. During the duration of a person’s stay in the U.S., this designation is very important. A visa can for example expire if this designation is changed while you are in the United States. See Immigration and Nationality Act. This term refers to a foreigner who wants to enter the United States, but does not meet the entrance criteria set in the INA. The foreigner may be then removed or permitted to remove his or her application for admission in some cases. Abbreviation of "Immigration and Naturalization Service". The INS changed its official name on March 1, 2003 to USCIS (United States Citizenship and Immigration Services). INS was an extension of the U.S. Justice Department with responsibility for the admission and control of aliens. The terms used to describe any beneficiary of an immigrant visa petition filed

Green Card

H-1B Worker

Household Income

Immediate Relatives

Immigrant Immigration Act of 1990

Immigration Judge

Immigration and Nationality Act Immigration Marriage Fraud Amendments of 1986

Immigration Reform and Control Act (IRCA) of 1986

Immigration Status

INA Inadmissible

INS

Intending Immigrant

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under INA Section 204. An intending immigration is any individual who will accompany or follow-to-join the principal beneficiary. A nonimmigrant foreigner who enters the United States temporarily as a principal or other accredited representative of a foreign government to an international organization, an international organization officer or employee, and the foreigner’s spouse and unmarried children. A foreigner who is engaged for at least one continuous year out of the last three by an international company and who requests to come into the United States temporarily to continue his/her work for the same employer as a manager, executive, or specialized worker, and the foreigner’s spouse and unmarried children. J-1 visas are issued to individuals who take part in a wide range of exchange visitor programs sponsored by schools, businesses and a variety of organizations and institutions. The individual's Form I-94 should be marked "J-1" in addition to the letters "D/S" (Duration of Status). The duration of stay is the period of time that is noted on Form IAP-66/DS-2019. The description of a person who accepts legal responsibility for supporting an immigrant with an I-864 Affidavit of Support along with the sponsor. There are certain requirements for joint sponsors: he or she must be at least 18 years of age, an American citizen or lawful permanent resident and have a domicile in the United States. The term used to describe the level of authority to apply the law in a given territory or region. The K-1 Visa, also known as the Fiancée/Fiancé Visa, may be used by United States citizens who wish to bring their prospective husbands or wives to the United States with the intention of getting married. KCC is a U.S. Department of State facility located in Williamsburg, Kentucky. The main task of the office is to provide domestic support to the worldwide operations of the Bureau of Consular Affairs Visa Office. KCC also manages the Diversity Visa (DV) Program. Labor certification is a condition that U.S. employers should fulfill in order to hire certain skilled workers. The certification is issued by the Secretary of Labor and includes attestations by U.S. employers as to the statistics of U.S. workers available to take on the employment sought after by foreigners, and the consequence of the foreigner’s work on the wages and working conditions of U.S. workers who hold similar jobs. This is a term that is frequently found on immigration and visa forms. The country of your “Last Residence” is the country that an individual lived in before entering the United States. Any person who is not a citizen of the United States and who lives in the U.S. under lawfully recognized and legally recorded permanent residence as an immigrant. It’s also called Permanent Resident Alien, Resident Alien Permit Holder, and Green Card Holder. The process that most visitors and foreign workers go through when entering the United States via official borders. A U.S. Immigration and Naturalization Service Official inspects your documents and grants you permission to enter the United States. The spouses and children of foreigners who became legal immigrants under the stipulation of the Immigration Reform and Control Act of 1986 between 1992 and 1994. It refers to some illegal aliens who were entitled to submit an application for temporary resident status under the legalization provision of the Immigration Reform and Control Act of 1986. A child is legitimated if a natural father of a child born out of wedlock acknowledges the child through a legal procedure. A legitimated child from any country has two legal parents and cannot qualify as an orphan unless only one of the parents is living or both of the parents have deserted the child. A medical waiver allows an immigration applicant to be allowed into, or stay in

International Representative

Intracompany Transferee

J-1 Exchange Visitor Visa

Joint Sponsor

Jurisdiction K-1 Fiancée/Fiancé Visa Kentucky Consular Center (KCC)

Labor Certification

Last Residence

Lawful Permanent Resident (LPR)

Legal Entry

Legalization Dependents Legalized Aliens

Legitimated

Medical Waiver

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the United States even though he/ she have health conditions that makes them inadmissible. A migrant is an individual who departs his/her country to live in another country. Formerly the "Missouri Service Center" but now called the "National Benefits Center" or NBC. An individual who has pledged allegiance to a certain country. An immigrant visa for which can apply to outstanding aliens who are exceptional in their field. A national of the United States is a citizen of the United States, or a person who, though not a citizen of the United States, owes permanent allegiance to the United States. For more information, see INA Section 101(a)(22), 8 USC Section 1101(a)(22). The description used on an individual’s citizenship or country where the person is deemed a national. A nonimmigrant foreigner who enters the United States temporarily as a member of the armed forces or as a civilian employed by the armed forces on assignment with a foreign government signatory to NATO, and the foreigner’s spouse and unmarried children. The bestowment of citizenship upon a person when he/she is born. The form used by legal permanent residents to submit an application for U.S. citizenship. National Benefits Center. The formerly the "Missouri Service Center". A foreigner who enters the United States temporarily for a specific purpose and who must fulfill two requirements: a permanent residence overseas and actual qualification for the nonimmigrant classification. Some of the nonimmigrant classifications are students, international representatives, temporary workers and trainees, exchange visitors, intracompany transferees, NATO officials, religious workers among others. Most nonimmigrants can be accompanied or joined by spouses and unmarried minor children. A country that has high rates of immigration to the United States. Note that passport holders of non-diversity countries cannot participate in the Diversity Visa Program. Another word for non-diversity countries are occasionally called non-qualifying or excluded countries. The term used to describe an individual’s status for a set period of time. It is a limited status while in the United States. The individual is not a permanent resident of the United States while on a Nonimmigrant Status. This category was removed by the Immigration Act of 1990 and used to grant Nonpreference visas to qualified applicants who were not entitled to a visa under the preferences categories. The agreement that governs the mutual trading relationship between the United States and Canada and establishes a similar relationship with Mexico. This means that an alien is entitled to immigrant status as an immediate relative within the meaning of INA 201(b)(2)(i), or as a special immigrant within the meaning of INA 101(a)(27) (A) and (B), unless specifically subject to a limitation other than under INA 201(a), (b), or (c). A form issued by the USCIS as a proof that a petition or application is received and in process. The Notice of Action is also issued by the USCIS as a receipt for paid fees. The Notice of Action number is I-797. This is not a downloadable form, it is sent to the applicant by the USCIS. Nebraska Service Center Those foreigners granted lawful permanent resident statuses and that are usually exempt from numerical limits set by the Immigration Act of 1990. Exempt categories consist of immediate relatives of U.S. citizens, refugees, asylees, Amerasians, aliens adjusted under the legalization provisions of the Immigration Reform and Control Act of 1986, and certain parolees from the former Soviet Union and Indochina.

Migrant MSC National National Interest Waiver (NIW) National of the United States

Nationality NATO (North Atlantic Treaty Organization) Official Naturalization Naturalization Application NBC Nonimmigrant

Nondiversity Country

Nonimmigrant status

Nonpreference Category North American FreeTrade Agreement (NAFTA) Not Subject to Numerical Limitation

Notice of Action

NSC Numerical Limit, Exempt from

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Nursing Relief Act of 1989 OPT The act allows H-1 nonimmigrant registered nurses to become legal permanent residents if they had been employed as nurses for at least 3 years and who meet certain labor certification requirements. OPT stands for Optional Practical Training. OPT is an opportunity for foreign students to work a year off-campus. A new OPT can be received at different study levels. A parolee is a foreigner who appears to be inadmissible to the inspecting officer; however, he/she is permitted to enter the United States for urgent humanitarian reasons or when that foreigner’s admittance is deemed to be of an important public benefit. Parole is not an official right of entry to the United States and grants temporary status only, which require parolees to leave when the conditions supporting their parole stop to exist. A document that is issued by the government of the country of your citizenship. Passports have expiry dates, and while you travel in the U.S. your passport must remain valid throughout the entire duration of your stay. The number limits family-sponsored and employment-based preference visas that can be issued to citizens of any country in a fiscal year. Any person who is not a citizen of the United States and who lives in the U.S. under lawfully recognized and legally recorded permanent residence as an immigrant. It is also called Permanent Resident Alien, Resident Alien Permit Holder, and Green Card Holder. A generic word used to describe the forms used by the USCIS to determine eligibility for different visa categories. Any location in the United States or its territories where foreigners and U.S. citizens alike can enter the United States such as airports and border crossings. A work program designed to let foreign students work in the United States while attaining their university degree or after attaining their degree. The process of inspecting airport passengers before departing from foreign countries to the United States. However, the United States immigration does not require inspection upon arrival. The nine classes under which the family-sponsored and employment-based immigrant preference visas are granted as of 1992. It is the foreigner who submits an application for immigrant status and from whom another foreigner may get lawful status under immigration law or regulations such as spouses and children. The principal is the primary person applying as opposed to dependent. Example; TN is a principal classification, and TD is the dependent classification. This term refers to the date a petition is filed during a USCIS Immigrant visa application process. If the foreigner relative has a priority date on or before the date listed in the visa bulletin, then he or she is currently eligible for a visa. The system used to limit the number of visas available to each country for particular visa classifications. A declaration of an individual’s intention to maintain U.S. permanent residence during prolonged absence from the United States. Its official name is "Form I131, Application for Travel Document." - Note that the alien must be physically present in the United States to file an application for a reentry permit. A refugee is anybody who is incapable or reluctant to go back to his/her country of nationality while they are in another country because he/she will be persecuted or afraid of being persecuted. The reasons for persecution or fear of persecution have to be the foreigner’s race, religion, nationality, membership in a unique social group, or political views. The country of nationality is considered to be the country in which the foreigner most recently lived for those without nationality. Refugees are entitled to adjust to the legal permanent resident category after one year of continuous presence in the United States. The number of refugees that are permitted to be admitted into the United States during a fiscal year.

Parolee

Passport

Per-Country Limit Permanent Resident

Petition Port-of-entry Practical Training Pre-Inspection

Preference System (Immigration Act of 1990) Principal Alien

Priority Date

Quota system Reentry Permit

Refugee

Refugee Approvals

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Refugee Arrivals Refugee Authorized Admissions Refugee-Parolee The number of refugees that actually entered the United States during a fiscal year. The ceiling number of refugees allowable to come into the United States during a fiscal year which is decided by the President of the United States after consulting with Congress. Refugee- parolees are those individuals who eligible for provisional admittance to the United States between February 1970 and April 1980, but could not be accepted because of insufficient numbers of seventh preference visas. As a consequence, these individuals entered the United States as parolees. There are three USCIS Regional Offices that supervise the work of USCIS Districts and Border Patrol Sectors. They are located in Burlington, VT, for the Eastern Region, Dallas, TX, for the Central Region, and Laguna Nigel, CA, for the Western Region. Aliens who have continuously resided in the United States since January 1, 1972, are of good moral character, and are not inadmissible, are eligible to adjust to legal permanent resident status under the registry provision. Before the Immigration Reform and Control Act of 1986 amended the date, aliens had to have been in the country continuously since June 30, 1948 to qualify. A rule which is established under the provisions of INA 104(a). The rule is further duly published in the Federal Register. The process of removing foreigners from the United States which justified because they are found to be either inadmissible or deportable. A letter that the USCIS uses to request additional information on a pending case. Any person who is not a citizen of the United States and who lives in the U.S. under lawfully recognized and legally recorded permanent residence as an immigrant. It is also called Permanent Resident Alien, Resident Alien Permit Holder, and Green Card Holder. There are four service offices in the United States that are responsible for filing, data entry, and arbitration of some applications for immigration services and benefits. Service Centers are not staffed to receive walk-in applications or questions so all applications have to be mailed. SEVIS stands for “The Student Exchange Visitor Information System”. This particular system is used by the federal government to monitor student visas in the United States. Foreigners who worked in perishable agricultural commodities for a specified period of time and were allowed to enter the United States for short-term and then became permanent residents under a provision of the Immigration Reform and Control Act of 1986. Some classes of immigrants who were excepted from numerical restrictions before fiscal year 1992 and subject to control under the employment-based fourth preference beginning in 1992 such as persons who lost citizenship by marriage, persons who lost citizenship by serving in foreign armed forces and so forth. An immigrant on whose behalf a sponsor has executed an affidavit of support. The affidavit of support includes any spouse or child who will accompany or follow-to-join the beneficiary of an immigrant visa petition filed by a sponsor. A foreigner who comes secretly to the United States by hiding in an airplane or ship without being officially authorized to enter. Such a person will be denied admission and will be returned to the point of embarkation by the transporter. The classes of legal immigrants subject to numerical limitations under the provisions of the flexible numerical limit of 675,000 set by the Immigration Act of 1990. The largest classes are the family-sponsored preferences, employmentbased preferences, and diversity immigrants. A remedy in deportation proceedings which must be initiated before removal proceedings began under the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 [IIRAIRA] on April 1, 1997. It involves certain individuals who have been in the U.S. for 7 or 10 years and who met other

Regional Offices

Registry Date

Regulation Removal Request for Evidence (RFE) Resident Alien

Service Centers

SEVIS

Special Agricultural Workers (SAW)

Special Immigrants

Sponsored Immigrant

Stowaway

Subject to the Numerical Limit

Suspension of Deportation

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criteria as set forth in former INA Section 244(a). The TPS sets up a legislative foundation for permitting a group of people provisional refuge in the United States. The Attorney General may select nationals of a foreign country to be entitled for TPS with a finding that conditions in that country present a risk to personal safety because of continuing armed wars or a natural catastrophe. TPS is allowed for periods of 6 to 18 months in the beginning and may be extended depending on the situation. Removal procedures are generally suspended against foreigners while they are in Temporary Protected Status. Nonimmigrant temporary worker classes of admission, who come to the United States to work temporarily. A nonimmigrant foreigner coming to the United States, under the provisions of a treaty of commerce and navigation between the United States and the foreign state of such alien, to perform extensive trading or to manage the business in which he/she has invested a considerable sum of money in addition to the spouse and unmarried minor children. The agreement that governs the mutual trading relationship between the United States and Canada and establishes a similar relationship with Mexico. USCIS is abbreviated for United States Citizenship and Immigration Services. It is a bureau created under the Department of Homeland Security. The former official name was INS, but INS was replaced by USCIS on 3/1/2003. A United States visa grants the holder the right to apply for entry to the United States, but does not grant the visa holder the right to enter the United States. Entry can be refused at the port-of-entry. The Department of State (DOS) is in charge of visa administration at U.S. Embassies and Consulates outside of the U.S. The Department of Homeland Security (DHS), Bureau of Customs and Border Protection (BCBP) immigration inspectors decide admittance, duration of stay and conditions in the U.S. at a port-of-entry. DHS immigration inspectors will record the terms of your admission on your I-94 or I-94W and in your passport upon approval of entry. The program permits citizens of certain countries to enter the U.S. for business or pleasure up to 90 days. The following countries are currently in the visa waiver program: Andorra, Austria, Australia, Belgium, Brunei, Denmark, Finland, France, Germany, Iceland, Ireland, Italy, Japan, Liechtenstein, Luxembourg, Monaco, the Netherlands, New Zealand, Norway, Portugal, San Marino, Singapore, Slovenia, Spain, Sweden, Switzerland, and the United Kingdom. Vermont Service Center. Used on North America, Central America, South America, and the adjacent islands according to INA 101(b)(5). A work permit is normally used to describe an Employment Authorization Document.

Temporary Protected Status (TPS)

Temporary Worker Treaty Trader or Investor

United States-Canada Free-Trade Agreement USCIS

Visa

Visa Waiver Program

VSC Western Hemisphere Work Permit

⎪ ⎪ www.usimmigrationsupport.org

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Adobe Reader allows the viewing and printing of PDF files. If you select this option. 2.usimmigrationsupport. Not all application forms are fillable. all fillable fields will be highlighted in blue.org Page 69 ⎪ .adobe. 3.com/products/acrobat/readstep2_allversions. the “Highlight Fields” option will be displayed on Adobe Reader.adobe. Adobe Reader (formerly called Adobe Acrobat Reader) is available as a free download from Adobe's website. Open Adobe Acrobat Reader Click on “Help” on the top menu Select “Check for Updates…” Follow the instructions and download any available updates Fillable PDF Forms: “Fillable” means that you can fill in blank fields in the PDF file. However.Green Card Application Guide APPENDIX 8 Adobe Acrobat Help Adobe Acrobat is software that supports Portable Document Format (PDF) files.html Mac Users: www. You should have at least version 7. Download Adobe Reader: • • Windows Users: www.adobe. Example of PDF files with fillable fields: Adobe Reader Version 7 Adobe Reader Version 8 ⎪ ⎪ www. This is a convenient way to complete application forms. then print it.com/support How to Check for Updates: 1. 4. This is feature only available on the latest versions of Adobe Reader. It is recommended to have the latest version of Adobe Reader installed on your computer to properly view and print PDF files.html If you need assistance downloading or installing Adobe Reader visit www. preferably version 8 installed on your computer to properly view and print PDF files. if the application forms in the PDF file are fillable.com/products/acrobat/readstep2.

html ⎪ ⎪ www.com/products/acrobat/readstep2. or you may use the “Ctrl+P” keyboard shortcut. Click on “File” then “Print” (or use the “Ctrl+P” keyboard shortcut) 2. Note: This is a screenshot from the free Adobe Reader 8. In the “Print Range” section select “Pages” then enter the pages you would like to print.Green Card Application Guide Printing Instructions: Most users know how to print a Word document. Example: If you wish to print all pages between 87 and 89. The latest version of Adobe Reader can be found at www. enter 87-89.org Page 70 ⎪ .adobe. You don’t need to print the entire file if you only require the application forms for example. such as application forms at the end of a long PDF file. You may print only selected pages. 1. web page or even a PDF file. You simply click on “File” then on “Print”. Follow the instructions bellow to print selected pages of a PDF file. However. you may only need to print certain pages.usimmigrationsupport.

S.org U. Logon to www.org United States Immigration Support 511 Avenue of the Americas # 45 New York. NY 10011 Web: www.S.org www.United States Immigration Do-It-Yourself Immigration Guides Save up to 90% in legal fees United States Immigration Guides Include: • • • • • • • • • Application requirements Detailed list of benefits and drawbacks Step-by-Step instructions Consular and USCIS application procedures Document checklist Frequently asked questions Official United States application forms List of USCIS offices List of U.MigracionUSA.usimmigrationsupport. Logon to www.usimmigrationsupport. 2.S.org Email: info@usimmigrationsupport. 3.org . Drivers License and State ID Card FOIA (Freedom of Information Act) Request Request a Copy of your Birth Certificate How to Start a Business in the United States How to Get a Job in the United States How to Get a High School Diploma in the United States How to Establish a Credit History and Get a Credit Card The Newcomer’s Guide to the United States Internships in the United States TOEFL (Test of English as a Second Language) Pet and Animal Importation to the United States How to Order: 1.org Submit your order online Download eBooks instantly SAVE 10% PROMOTIONAL CODE: ENG9210 Enter code at checkout to receive a discount.usimmigrationsupport. Immigration Guides: • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • United States Passport Application and Renewal United States Citizenship United States Citizenship Test Study Guide Dual Citizenship Certificate of United States Citizenship/Naturalization Green Card through Employment Green Card through Investment Green Card through Marriage Green Card through Relatives Green Card as a Special Immigrant Green Card Renewal How to Replace a Lost or Stolen Green Card Green Card Lottery Application Guide B-1 Business Visitor Visa B-2 Tourist Visitor Visa B-1/B-2 Visa Extension of Stay C-1 Transit Visa E-1 Treaty Trader Visa E-2 Treaty Investor Visa E-3 Work Visa for Australians F-1 Student Visa H-1B Work Visa H-2B Work Visa H-3 Trainee Work Visa J-1 Exchange Visitor Visa K-1 Fiancée/Fiancé Visa L-1 Intracompany Transfer Visa R-1 Religious Worker Visa TN Nafta Work Visa for Canadians and Mexicans Visa Waiver Change of Address for Green Card and Visa Holders Asylum and Refugee Application Additional Information Guides: • • • • • • • • • • • • Social Security Card U. Immigration guides are also available in Spanish.usimmigrationsupport.S. Embassies and Consulates U. Visit: www.

Your Present Occupation Telephone number 13. Name of Spouse (Maiden or family name) Date (mm-dd-yyyy) and Place of Birth of Spouse Address of Spouse (If different from your own) Spouse's Occupation Date of Marriage (mm-dd-yyyy) 15. who will immigrate with you. Marital Status Single (Never married) Married Widowed Divorced times. Mother's Date of Birth (mm-dd-yyyy) Place of Birth Current Address If Deceased. Department of State APPLICATION FOR IMMIGRANT VISA AND ALIEN REGISTRATION OMB APPROVAL NO. Permanent address in the United States where you intend to live. regardless of age. Address in the United States where you want your Permanent Resident Card (Green Card) mailed. Please print or type your answers to all questions. Telephone number 12. Present Address (Street Address) (City or Town) (Province) (Country) Telephone Number (Home) 14. Nationality (If dual national. give maiden name) 3. Separated (Province) (Country) Including my present marriage. Attach any additional sheets to this form. 1. if known (street address including ZIP code).U. Warning: Any false statement or concealment of a material fact may result in your permanent exclusion from the United States. Place of Birth (City or town) 9. give both) 5. constitutes the complete Application for Immigrant Visa and Alien Registration. Mother's Family Name at Birth First Name Middle Name 18. Father's Date of Birth (mm-dd-yyyy) Place of Birth First Name Current Address First Name Office Middle Name Middle Name If Deceased. 11. Include the name of a person who currently lives there.BIOGRAPHIC DATA Instructions: Complete one copy of this form for yourself and each member of your family. I have been married 10. This part. Give Year of Death DS-230 Part I 05-2008 This Form May be Obtained Free at Consular Offices of the United States of America Previous Editions Obsolete Page 1 of 4 . This form (DS-230 Part I) is the first of two parts. Mark questions that are Not Applicable with "N/A". Date of Birth (mm-dd-yyyy) 7. Gender Female Male 6. Give Year of Death 17. if different from address in item #10 (include the name of a person who currently lives there).S. Age 8. together with Form DS-230 Part II. Full Name in Native Alphabet (If Roman letters not used) 4. 1405-0015 EXPIRES: 05/31/2011 ESTIMATED BURDEN: 1 HOUR* (See Page 2) PART I . If there is insufficient room on the form. Family Name First Name Middle Name 2. Other Names Used or Aliases (If married woman. answer on a separate sheet using the same numbers that appear on the form. Father's Family Name 16.

List below all places you have lived for at least six months since reaching the age of 16. 21b. providing the information required. Department of State uses the facts you provide on this form primarily to determine your classification and eligibility for a U. and. Send comments on the accuracy of this estimate of the burden and recommendations for reducing it to: U.S. Department of State (A/ISS/DIR) Washington. *Public reporting burden for this collection of information is estimated to average 1 hour per response. Individuals who fail to submit this form or who do not provide all the requested information may be denied a U.S. List dates of all previous visits to or residence in the United States. write "never") Give type of visa status.19.S.S. Person(s) named in 14 and 19 who will accompany you to the United States now. SCHOOL AND LOCATION FROM/TO (mm-yyyy) COURSE OF STUDY DEGREE OR DIPLOMA Languages spoken or read: Professional associations to which you belong: 24. immigrant visa. Dates and Places of Birth. (If never. Person(s) named in 14 and 19 who will follow you to the United States at a later date. (If known) SIGNATURE OF APPLICANT Privacy Act and Paperwork Reduction Act Statements DATE (mm-dd-yyyy) The information asked for on this form is requested pursuant to Section 222 of the Immigration and Nationality Act. the Social Security Administration will use the information to issue you a social security number and card. immigrant visa. List Names. CITY OR TOWN PROVINCE COUNTRY FROM/TO (mm-yyyy) 21a. including time required for searching existing data sources. and reviewing the final collection. gathering the necessary data. List below all educational institutions attended. 22. if you so indicate. In accordance with 5 CFR 1320 5(b). NAME DATE (mm-dd-yyyy) PLACE OF BIRTH ADDRESS (If different from your own) 20. List below all employment for the last ten years. Begin with your present residence. Give DHS "A" number if any. Previous Military Service Branch: Rank/Position: Yes No Dates (mm-dd-yyyy) of Service: Military Speciality/Occupation: 25. DS-230 Part I Page 2 of 4 . DC 20520. persons are not required to respond to the collection of this information unless this form displays a currently valid OMB control number. the Department of Homeland Security will use the information on this form to issue you a Permanent Resident Card. The U. If you are issued an immigrant visa and are subsequently admitted to the United States as an immigrant. and Addresses of ALL Children. if known. FROM/TO (mm-yyyy) LOCATION TYPE OF VISA "A" NO. EMPLOYER LOCATION JOB TITLE FROM/TO (mm-yyyy) In what occupation do you intend to work in the United States? 23. including places in your country of nationality.

Name and Address of Petitioner Telephone number: 30. providing the information required. *Public reporting burden for this collection of information is estimated to average 1 hour per response. answer on a separate sheet using the same numbers that appear on the form. or who is subject to a civil penalty under INA 274C. providing false information on this form could be grounds for your prosecution and/or deportation. son or daughter of such a trafficker who knowingly has benefited from the trafficking activities within the past five years. The answers you give will assist the consular officer to reach a decision on your eligibility to receive a visa. who. b. regardless of age. public elementary school or who attended a U. immigrant visa. Even if you are issued an immigrant visa and are subsequently admitted to the United States. who is a member of or affiliated with the Communist or other totalitarian party. EXCEPT AS OTHERWISE PROVIDED BY LAW. terrorist activities. or whom the President has identified as a person who plays a significant role in a severe form of trafficking in persons. entry into the United States. An alien who seeks to enter the United States to engage in espionage. An alien who has a communicable disease of public health significance. Other Names Used or Aliases (If married woman. who has been convicted of 2 or more offenses for which the aggregate sentences were 5 years or more. Privacy Act and Paperwork Reduction Act Statements The information asked for on this form is requested pursuant to Section 222 of the Immigration and Nationality Act. while serving as a foreign government official. or extrajudicial killings. persons are not required to respond to the collection of this information unless this form displays a currently valid OMB control number. who is or has been an illicit trafficker in any controlled substance. or by bank draft. d. who otherwise has knowingly aided. sabotage. This form (DS-230 PART II). export control violations.S. United States laws governing the issuance of visas require each applicant to state whether or not he or she is a member of any class of individuals excluded from admission into the United States.S. who is a graduate of a foreign medical school seeking to perform medical services who has not passed the NBME exam or its equivalent. Secretary of State. who has or has had a physical or mental disorder that poses or is likely to pose a threat to the safety or welfare of the alien or others.S. If you are issued an immigrant visa and are subsequently admitted to the United States as an immigrant.SWORN STATEMENT U. DO ANY OF THE FOLLOWING CLASSES APPLY TO YOU? a.S. If there is insufficient room on the form. Family Name First Name Middle Name 27. engaged or ordered genocide. assisted or colluded with such a trafficker in severe forms of trafficking in persons. The excludable classes are described below in general terms. Department of State (A/ISS/DIR) Washington. who is coming to the United States to engage in prostitution or commercialized vice or who has engaged in prostitution or procuring within the past 10 years. c. The U. ALIENS WITHIN THE FOLLOWING CLASSIFICATIONS ARE INELIGIBLE TO RECEIVE A VISA. or who is a member or representative of a terrorist organization as currently designated by the U. who knowingly assisted any other alien to enter or try to enter the United States in violation of law. An alien who is likely to become a public charge. In accordance with 5 CFR 1320 5(b). who. the Department of Homeland Security will use the information on this form to issue you a Permanent Resident Card. f. Individuals who fail to submit this form or who do not provide all the requested information may be denied a U. the overthrow of the Government of the United States or other unlawful activity. or who admits having committed. 1405-0015 EXPIRES: 05/31/2011 ESTIMATED BURDEN: 1 HOUR* INSTRUCTIONS: Complete one copy of this form for yourself and each member of your family. give maiden name) 28. abetted. or who is a drug abuser or addict. gathering the necessary data. after November 30. Please print or type your answers to all questions. Full Name in Native Alphabet (If Roman letters not used) 29. attended in student (F) visa status a U.S. and. Mark questions that are Not Applicable with "N/A". The fee should be paid in United States dollars or local currency equivalent.S. e. You should read carefully the following list and answer YES or NO to each category. who participated. Yes Yes No No Yes No Yes Yes No No Yes No DS-230 Part II PREVIOUS EDITIONS OBSOLETE Page 3 of 4 . if you so indicate. the Social Security Administration will use the information to issue you a social security number and card. or who is the spouse. or any immigration benefit by fraud or misrepresentation. who has committed a serious criminal offense in the United States and who has asserted immunity from prosecution. who will immigrate with you. An alien who seeks to enter for the purpose of performing skilled or unskilled labor who has not been certified by the Secretary of Labor. including time required for searching existing data sources. Department of State OMB APPROVAL NO. son or daughter of such a trafficker who knowingly has benefited from the trafficking activities in the past five years. a crime involving moral turpitude or violation of any law relating to a controlled substance or who is the spouse. public secondary school without reimbursing the school. constitutes the complete Application for Immigrant Visa and Alien Registration. or who is a health care worker seeking to perform such work without a certificate from the CGFNS or from an equivalent approved independent credentialing organization. An alien who failed to attend a hearing on deportation or inadmissibility within the last 5 years. together with Form DS-230 PART I. DC 20520. immigrant visa. and reviewing the final collection.APPLICATION FOR IMMIGRANT VISA AND ALIEN REGISTRATION PART II . who seeks or has sought a visa. law.S. 1996. Send comments on the accuracy of this estimate of the burden and recommendations for reducing it to: U. Attach any additional sheets to this form. Department of State uses the facts you provide on this form primarily to determine your classification and eligibility for a U.S. torture. who has failed to present documentation of having received vaccinations in accordance with U.S. An alien convicted of. 26. WARNING: Any false statement or concealment of a material fact may result in your permanent exclusion from the United States. was responsible for or directly carried out particularly severe violations of religious freedom.

friend. or AUC. who through abuse of a governmental or political position has converted for personal gain. who was previously unlawfully present in the United States for more than 180 days but less than one year who voluntarily departed within the last 3 years. if I am admitted to the United States.S. may subject me to criminal prosecution and/or deportation. ELN. or security of the United States.S. please explain) Yes No 33a. the Government of the United States. having asked for and obtained an explanation on every point which was not clear to me. public disorder.S. Signature of Applicant Subscribed and sworn to before me this day of at: Consular Officer DS-230 Part II THIS FORM MAY BE OBTAINED FREE AT CONSULAR OFFICES OF THE UNITED STATES OF AMERICA Page 4 of 4 . or in other activities subversive to the national security. WERE YOU ASSISTED IN COMPLETING THIS APPLICATION? Yes (If answer is Yes. I will not engage in activities which would be prejudical to the public interest. and that the possession of a visa does not entitle me to enter the United States if at that time I am found to be inadmissible under the immigration laws. h. including the answers to items 1 through 35 inclusive. such other U. participation in the Chemical Weapons Convention or is the spouse. give name and address of person assisting you. in any activity a purpose of which is the opposition to or the control. or is the spouse. or endanger the welfare. CONSENT TO DISCLOSURE: I authorize disclosure of information from this form to the Department of Homeland Security (DHS). violence. k. I understand that completion of this form by persons required by law to register with the Selective Service System (males 18 through 25 years of age) constitutes such registration in accordance with the Military Selective Service Act. I. I do further swear (or affirm) that. Have you ever been refused admission to the United States at a port-of-entry? (If answer is Yes. attorney. I understand that any willfully false or misleading statement or willful concealment of a material fact made by me herein may subject me to permanent exclusion from the United States and. court or intentionally assists another person to do so. An alien who is coming to the United States to practice polygamy. Yes No The applicant's response does not limit or restrict the Government's ability to obtain his or her SSN. safety. 202(b) through my Preference: Numerical limitation: (foreign state) I understand that I am required to surrender my visa to the United States Immigration Officer at the place where I apply to enter the United States. who has voted in the United States in violation of any law or regulation. i. or other unconstitutional means. in activities which would be prohibited by the laws of the United States relating to espionage. Have you ever been charged. An alien who is permanently ineligible for U. No 34. the Social Security Administration (SSA). or who renounced U. who withholds custody of a U. indicating whether relative. 31. minor child or agent of an alien who has committed such acts. if admitted into the United States. or who was unlawfully present for more than one year or an aggregate of one year within the last 10 years. I understand all the foregoing statements. minor child or agent of such a person. the undersigned applicant for a United States immigrant visa. An alien who is a former exchange visitor who has not fulfilled the 2-year foreign residence requirement.) I derive foreign state chargeability under Sec. has trafficked in such property or has been complicit in such conversion. or who has disclosed or trafficked in confidential U. Yes Yes No No Yes No Yes Yes Yes No No No l. who was previously unlawfully present and ordered removed within the last 10 years or ordered removed a second time within the last 20 years. citizenship. who has directly or indirectly assisted or supported any of the groups in Colombia known as FARC. a claim to which is owned by a national of the United States. An alien determined by the Attorney General to have knowingly made a frivolous application for asylum. carried out or materially assisted in extrajudicial and political killings and other acts of violence against the Haitian people. by force. Yes No 33b. travel agent. or other) DO NOT WRITE BELOW THE FOLLOWING LINE The consular officer will assist you in answering item 35. Private Legislation. and I authorize the SSA to share my SSN with the INS. do solemnly swear (or affirm) that all statements which appear in this application. who has been directly involved in the establishment or enforcement of population controls forcing a woman to undergo an abortion against her free choice or a man or a woman to undergo sterilization against his or her free choice. j. sabotage. have been made by me. or overthrow of. citizenship to avoid taxation. consisting of Form DS-230 Part I and Part II combined. or who departed the United States to evade military service in time of war. An alien who has ordered. Government agencies as may be required for the purpose of assigning me an SSN and issuing me a Social Security card. confiscated or expropriated property in Cuba. has committed similar acts in another country.g. Tibetan.S. Hong Kong. etc. business information obtained in connection with U. for enforcement or other purposes as authorized by law. or other information on this form. citizen child outside the United States from a person granted legal custody by a U.S. I claim to be: A Family-Sponsored Immigrant An Employment-Based Immigrant A Diversity Immigrant A Special Category (Specify) (Returning resident. Have you ever applied for a Social Security Number (SSN)? Yes Give the number No Do you want the Social Security Administration to assign you an SSN (and issue a card) or issue you a new card (if you have an SSN)? You must answer "Yes" to this question and to the "Consent To Disclosure" in order to receive an SSN and/or card. please explain) Yes No 32. DO NOT SIGN this form until instructed to do so by the consular officer 35. and that they are true and complete to the best of my knowledge and belief.S.S. An alien who was previously ordered removed within the last 5 years or ordered removed a second time within the last 20 years. who was convicted of an aggravated felony and ordered removed. arrested or convicted of any offense or crime? (If answer is Yes.

or if you do not know which is the U. KY 40769. CURRENT MAILING ADDRESS (Address at which you receive your mail. Clearly print or type all answers in the English language.S. RANK ORDER NUMBER (Case number on envelope) 3. Williamsburg. Check the highest level of education completed. In addition. this will be the country where you were born. therefore the answer to question No.) Telephone Number 4. Embassy or Consulate nearest you processes immigrant visas. 1. and universities attended (include trade and vocational schools): NAME OF EDUCATIONAL INSTITUTION FROM (mm-yyyy) High School Diploma University Degree Vocational School Advanced Degree -------- TO (mm-yyyy) DEGREE(S) OR CERTIFICATE(S) RECEIVED DSP-122 12-2003 Page 1 of 2 .S.S. Kentucky Consular Center.. colleges. Failure to follow instructions will disqualify your application. 3 must be accurate. MI) 2. please note that some U. If you are not sure whether the U. Give any change of mailing address here. NAME (Last. 1405-0098 EXPIRATION DATE: 12/31/2006 ESTIMATED BURDEN: 30 MINUTES *See Page 2 The following is a supplemental registration form for the Diversity Immigrant Visa Program under Section 203(c) of the Immigration and Nationality Act. please list the U. No Degree College. Embassy or Consulate nearest you. please list "BCIS". if you live in the United States but you intend to return abroad to be interviewed. No Degree Other b. You will be notified by mail of your appointment date. Highway 25W. Embassy or Consulate that processes immigrant visas for the area where you lived before you came to the United States. if neither of your parents lived in. 3505 N. High School.S. You may also claim the country of birth of your husband or wife. Answer all questions. please list the city and country where you live. Embassies and Consulates do not process immigrant visas. First. However.SUPPLEMENTAL REGISTRATION FOR THE DIVERSITY IMMIGRANT VISA PROGRAM INSTRUCTIONS U. you may claim the country of birth of either of your parents. the country where you were born. THE COUNTRY YOU LISTED AS YOUR NATIVE COUNTRY ON YOUR DIVERSITY VISA PROGRAM APPLICATION In most cases. immediately send this form along with Form DS-230 to: Diversity Immigrant Visa Program. Using the enclosed self-adhesive return address label. If you live in the United States and plan to adjust status with the Bureau of Citizenship and Immigration Services in the U. EDUCATION a. NAME OF UNITED STATES CONSULAR OFFICE WHERE YOU WOULD LIKE TO PROCESS YOUR APPLICATION This will usually be the consular office nearest the place you live. Department of State OMB APPROVAL NO. 6.S. or was born in. 5. S. Names and addresses of all schools.

and the dates (beginning and ending months and years) you worked for each. persons are not required to respond to the collection of this information unless this form displays a currently valid OMB control number. Signature of Applicant Date (mm-dd-yyyy) PRIVACY ACT AND PAPERWORK REDUCTION ACT STATEMENTS The information asked for on this form is requested pursuant to Section 222 of the Immigration and Nationality Act. A/RPS/DIR.S. Names and addresses of your employers during the past 5 years in the work you described above. give the job title and describe the type of work you did. gathering the necessary data. NW. c. Occupation . and.S.If you answered "yes" to question 7a. I understand that any false or misleading statement may result in the refusal of a visa or denial of entry into the United States. In accordance with 5 CFR 1320 5(b).S. *Public reporting burden for this collection of information is estimated to average 30 minutes per response. Send comments on the accuracy of this estimate of the burden and recommendations for reducing it to the U. I have worked at least 2 years in a job that requires at least 2 years of training or experience: Yes No b. Within the last 5 years. Department of State uses the facts you provide on this form primarily to determine your eligibility for a U.S. if you so indicate. If you are issued an immigrant visa and are subsequently admitted to the United States as an immigrant. the Bureau of Citizenship and Immigration Services will use the information on this form to issue you a Permanent Resident Card. Be as specific as possible.7. WORK EXPERIENCE a. providing the information required. I further certify that I have read and understand all the questions set forth above and that the answers I have furnished on this form are true and correct to the best of my knowledge and belief. Individuals who fail to submit this form or who do not provide all the requested information may be denied a U. DC 20522. immigrant visa. Washington. Department of State. immigrant visa. and reviewing the final collection. including time required for searching existing data sources.FOR OFFICIAL USE ONLY Occupation Code: DSP-122 Page 2 of 2 . The U. DO NOT WRITE IN THIS SPACE . 1800 G Street (Suite 2400). the Social Security Administration will use the information to issue you a social security number and card. NAME OF EMPLOYER ADDRESS FROM (mm-yyyy) -TO (mm-yyyy) SIGNED STATEMENT I certify that only one application was or has been submitted by me or on my behalf for this immigrant visa registration.

Privacy Statement Information In accordance with the Privacy Act of 1974. to an information source or public authority in connection with personnel. and to the DOL Office of Administrative Law Judges and Federal courts. records may be released to such agencies as the DOL Office of Inspector General. searching existing data sources. civil money penalties. Section 212(a)(5)). in connection with records management. Respondents are required to reply to these reporting requirements to obtain the benefits of permanent employment certification. Instructions for ETA Form 9089 Page 1 of 11 . to a Member of Congress or their staff in response to an inquiry of the Congressional office made at the written request of the subject of the record. or the Solicitor of Labor determines that a legitimate public interest exists in the disclosure of information. or counsels another to do so is committing a federal offense. labor condition applications. coordination. Department of Labor IMPORTANT: Please read these instructions carefully before completing ETA Form 9089 – Application for Permanent Employment Certification. 1001). to authorized parent locator persons under Pub. punishable by fine or imprisonment up to five years or both (18 U. or benefit-related matters.Instructions U. NW * Washington. grantees or their employees. records may be released to the employers that filed such applications.S. Public reporting burden for this collection of information is estimated to average 1¼ hours per response.C. (Immigration and Nationality Act. Do NOT send the completed application to this address. Department of Labor * Room C4312 * 200 Constitution Ave. procurement. Employing or continuing to employ an alien unauthorized to work in the United States is illegal and may subject the employer to criminal prosecution. who knowingly and willingly furnishes any false information in the preparation of ETA Form 9089 and any supporting documentation. abets. the Department of Homeland Security. or aids.Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011 ETA Form 9089 . Send comments regarding this burden estimate to the Division of Foreign Labor Certification * U. gathering and maintaining the data needed. the Solicitor of Labor determines the disclosure is necessary to preserve confidence in the integrity of the Department. 1621). §§ 2. to a contractor or their employees. §§ 1546. and in connection with administering and enforcing immigration laws and regulations. consultants. Employment Standards Administration.S. 552a). and the Department of State. OMB Notice Paperwork Reduction Act/Information Control Number 1205-0451 Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. Under routine uses for this system of records. and clearance activities.S. as amended (5 U. for Federal debt collection purposes. 93-647. security clearance. to named alien beneficiaries or their representatives. to the Office of Management and Budget in connection with its legislative review. These instructions contain full explanations of the questions and attestations that make up Form ETA 9089.C. Other penalties apply as well to fraud or misuse of this immigration document and to perjury with respect to this form (18 U. and completing and reviewing the collection of information.. including the time for reviewing instructions. L. Further relevant disclosures may be made in accordance with the Privacy Act and under the following circumstances: in connection with federal litigation. and to the news media and the public when a matter under investigation becomes public knowledge.S. you are hereby notified that the information provided herein is protected under the Privacy Act. unless the Solicitor of Labor determines that disclosure would constitute an unwarranted invasion of personal privacy. for law enforcement purposes. Any employer or alien. or their agent or attorney. DC * 20210. The Department of Labor (Department) maintains a System of Records titled Employer Application and Attestation File for Permanent and Temporary Alien Workers (DOL/ETA-7) that includes this record. or labor attestations may be released as follows: in connection with appeals of denials before the DOL Office of Administrative Law Judges and Federal courts. or both. case files developed in processing labor certification applications. their representatives.S.C. or volunteers who have been engaged to assist the agency in the performance of Federal activities.

Department of Labor Regulatory Information The permanent labor certification program is governed by the Immigration and Nationality Act. Otherwise. For all occupations other than Schedule A and Sheepherders.S. Withdrawal instructions can be found at http://workforcesecurity. recruitment information. Applications for Sheepherders and Schedule A occupations are granted or denied by the United States Citizenship and Immigration Service (USCIS). 2. Enter the date in mm/dd/yyyy format. and 20 CFR part 656. Instructions for ETA Form 9089 Page 2 of 11 . 8 U.C. All application information (a copy of certified Form ETA 9089.S.Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011 ETA Form 9089 .doleta. All applications for Sheepherders and Schedule A labor certifications must be mailed to the USCIS service center serving the state where the job will be located. and the employer must comply with all of the filing and recruiting requirements of the current regulation.gov/foreign/ 1. if the employer has not yet commenced the recruitment process by having a State Workforce Agency file a job order. select Yes to keep your original priority date.doleta.doleta. If this application was previously submitted under the former permanent application process (Form ETA750).asp. How/Where to File 1. Addresses can be found at: http://www.gov 3. Enter the date you filed the application under the former permanent application process (Form ETA 750). Applications can be mailed to the DOL Application Processing Center serving the state where the job will be located. re-filing information (if applicable). Section A Refiling Instructions Employers that filed applications under the previous regulations (Form ETA 750) may. 1-B. for occupations other than sports. Employers applying for labor certification must comply with all regulatory and statutory requirements. ETA Form 9089 must be submitted to the Department of Labor for processing in one of two ways: • • Online. Enter the case number assigned by the SWA or local office to the application you submitted under the former permanent application process (Form ETA 750).uscis. 1101 et seq. Addresses and a downloadable form and instructions can be found at the following web address: http://workforcesecurity.plc. on behalf of an alien must file Form ETA 9089. The employer must withdraw the case involving the identical job opportunity under the previous regulations and refile under the current regulations.doleta.gov/foreign/perm. B. How to File A. select No. refile applications under the current regulations (ETA Form 9089) without loss of the previous filing date by the following process: The application must be for the identical job opportunity filed under the previous regulations. This regulation can be found at http://workforcesecurity. Mail. Employers can complete and submit their permanent applications online at the following web address: http://www. 1-A.Instructions U.gov/foreign/. etc…) must be retained by the employer or their attorney/agent for five years from the date of filing the Application for Permanent Employment Certification. Who May File: An employer who desires to apply for a labor certification.gov.

state or province. 8. Department of Labor Section B Schedule A or Sheepherder Information 1. If the employer is a private household employing a household domestic worker. and extension (if applicable) of the employer. country and postal code of the principal place of business. this question may be skipped. Boxes are not acceptable. 2. Consult the DHS website (http://uscis. 7. enter the name used on legal documents.naics. Select Yes or No. This should be the address of the headquarters or main office. and extension (if applicable) of the employer’s point of contact. All applications in support of Schedule A or Sheepherder Occupations must be sent directly to the appropriate Department of Homeland Security (DHS) office. country. Section D Employer Contact Information This information must be different than the agent or attorney information entered in Section E. which is assigned by the Internal Revenue Service. you can search for the correct code at http://www.Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011 ETA Form 9089 . country or area code first.htm. Closely Held Corporations are corporations that have relatively few shareholders and whose shares are not generally traded in the securities market. 4. Enter the phone number. If Yes.O. 4.gov) or the blue pages in your local phone directory for the address of the DHS office that serves the area where the alien will work. Select Yes or No. Enter the full business e-mail address of the employer’s point of contact. 3. Enter the North American Industry Classification System (NAICS) code. state or province. 3. 5. Enter the city. Enter the phone number. 5. Instructions for ETA Form 9089 Page 3 of 11 . 9. if an individual. Section C Employer Information (Headquarters or Main Office) 1. This is a six-digit number. Enter the address of the employer’s principal place of business. Enter the year the employer commenced business or incorporated. and postal code of the employer’s point of contact.Instructions U. Enter the employer’s nine-digit Federal Employer Identification Number (EIN). Enter the total number of employees currently employed by the employer. 2. Enter the full legal name of the employer’s point of contact.com/search. Enter the full legal name of the business. If you do not know the NAICS code. 6. Enter the business address of the employer’s point of contact. The person listed in this section may be contacted for authentication of the application. firm. P. 1. or.S. do not send the application to the Department of Labor. Enter the city. country or area code first. or organization.

Enter the date in mm/dd/yyyy format. Section F Prevailing Wage Information Before you can complete this section of the form. Enter the occupational title associated with the SOC/O*NET(OES) code as determined by the SWA. Collective Bargaining Agreement (CBA).Instructions U. 6. 2. 6.gov/map. Enter the nine-digit Federal Employer Identification Number (EIN) assigned to the agent or attorney’s company or law firm by the IRS. Enter the prevailing wage rate for the job as assigned by the SWA in the PWD. Enter the name of the company or law firm that employs the agent or attorney. week. Instructions for ETA Form 9089 Page 4 of 11 . state or province. bi-weekly. 5. Further information concerning SOC codes can be found at: http://ows. month. 3. Employer Conducted Survey. Select whether the offered wage is in terms of hour. or Other.gov/foreign/ 3. Enter the date the prevailing wage was issued by the appropriate SWA. country or area code first. Enter the phone number. 8. A listing of SWAs and their contact information can be found at: http://workforcesecurity. Enter the city. 6-A. Enter the prevailing wage tracking number assigned by the SWA. Enter the full business e-mail address of the agent or attorney. McNamara-O’Hara Service Contract Act (SCA).Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011 ETA Form 9089 . and the extension (if applicable) of the agent or attorney.asp 1. country and postal code of the agent or attorney. Enter the expiration date of the validity period of the PWD received from the appropriate SWA. Enter the date in mm/dd/yyyy format. 4.S. Enter the skill level of the job subject to this application as determined by the SWA. you must secure a Prevailing Wage Determination (PWD) from the State Workforce Agency (SWA) responsible for the state in which the work will be performed. Enter the full legal name of the agent or attorney designated to act on behalf of the employer for this application.doleta. Enter the complete mailing address of the agent or attorney. 7. This field is optional as not all states assign a code. Identify the source of the prevailing wage from among the following: Occupational Employment Statistics (OES). 2. Davis-Bacon Act (DBA).doleta. 7. 5. Enter the Standard Occupational Classification (SOC) code (or O*NET/OES extension) specific to the occupation listed in the prevailing wage determination request. 1. 4. If Other is identified for question 6. Department of Labor Section E Agent or Attorney Information This information must be different than the employer contact information entered in Section D. or year. enter the name of the prevailing wage source as determined by the SWA.

This field of study is alternate to the major field of study indicated in question 4-B. Enter the full address of the primary site or location where the work will actually be performed. 7-A. if the requirement is bachelors + 2 years experience but the employer will accept a masters + 1 year experience.S.Instructions U. Enter the wage rate to be paid to the employee. Select Yes or No to indicate if an alternate field of study is acceptable. If the wage offer is expressed as a range. select the alternate level of education that is acceptable in combination with the number of months of experience specified in question 8-C. Select Yes or No to identify whether experience in the job offered is a requirement. enter the bottom of the wage range to be paid in the From section and enter the top of the wage range to be paid in the optional To section. 4-B. If the answer to question 6 is Yes. If Other was selected for question 4. enter the alternate level of education that is acceptable. 5-B.S. 5-A. month. 7. If the answer to question 7 is Yes. If the answer to question 8-A is Other. Identify whether the wage rate to be paid is in terms of per hour. Department of Labor Section G Wage Offer Information 1. If the answer to question 5 is Yes. 8-B. enter the number of months of training that is required. If the answer to question 8 is Yes. time required in training should not also be listed in education or experience. 5. bi-weekly. For example. If the answer to question 5 is Yes. 3. 6. If the answer to question 8 is Yes. 8. enter the number of months of experience in the job offered that is acceptable in combination with the level of education specified in question 8-A. enter the number of months experience that are required for the job. Enter the common name or payroll title of the job being offered. Select the minimum level of education required to adequately perform the duties of the job being offered. enter the field of training that is required for the job offered. Select Yes or No to identify whether or not training is required for the job. identify the education required. or year (you may only select one). 8-C. state. enter the alternate field of study that is acceptable for the job offered. Select Yes or No to indicate if there is an alternate combination of education and experience in the job offered that will be accepted in lieu of the minimum education requirement identified in question 4 of this section. week. Enter the major field of study required in reference to Question 4. Do not duplicate the time requirements. and postal code of the primary site or location where the work will actually be performed. Examples are MD and JD. For example. workers. 2. 6-A. 8-A.Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011 ETA Form 9089 . Section H Job Opportunity Information 1. Skip this question if the answer to question 4 is None or High School. Instructions for ETA Form 9089 Page 5 of 11 . Do not include restrictive requirements that are not actual business necessities for performance of the job and that would limit consideration of other qualified U. Enter the city. an alternate combination of education and experience exists. 4-A. 4.

If the answer to question 10 is Yes. 10. Professional Occupations do not include college or university teachers. 12. Domestic service workers refer to “private household workers. The employer must be prepared to document business necessity for a foreign language requirement.S. engineer-pilot. enter the alternate occupation that is acceptable for the job offered. If the answer to question 18 is Yes. 13. or hotel may constitute a private home. 10-B. Examples are shorthand and typing speeds. If the answer to question 10 is Yes. Select Yes or No to identify whether or not the application is for a college or university teacher. Select Yes or No to identify whether the application is for a live-in domestic service worker. and test results. Specify equipment used and pertinent working conditions. condominium. Select Yes or No to indicate if the position identified in this application is being offered to the alien identified in Section J. Select Yes or No. 14. If the answer to this question is Yes. specific foreign language proficiency. Section I Recruitment Information 1. you must complete questions 6 – 22 of this section. Select Yes or No to indicate if the job opportunity’s requirements as specified in questions H-4 to H-11 are normal for the occupation being offered. the employer must be prepared to provide documentation demonstrating that the job requirements are supported by business necessity. Select Yes or No to identify whether or not the job includes a combination of occupations. If the answer to this question is Yes. 11. Detail what would be performed by any worker filling the job. Describe the job duties. Select NA (not applicable) if the answer to question 18 is No. 18. Enter the job related requirements. Select Yes or No to indicate if the job requires the alien to live on the employer’s premises.” The domestic service must be performed in or about the private home of the employer whether that home is a fixed place of abode or a temporary dwelling as in the case of an individual or family traveling on vacation.Instructions U. 16. 15. 17. For example. Department of Labor Section H Continued 9. Select Yes or No to indicate if a foreign educational equivalent is acceptable. If the answer to this question is No. select whether the employer and the alien have executed an employment contract and the employer has provided a copy of the contract to the alien. A separate and distinct dwelling maintained by an individual or a family in an apartment house. 18-A. enter the number of months of experience in the alternate occupation that is required for the job offered. For the purpose of this question. 10-A. Instructions for ETA Form 9089 Page 6 of 11 . Select Yes or No to indicate if knowledge of a foreign language is required to perform the job duties. Select Yes or No to indicate if experience in an alternate occupation is acceptable. you must answer questions 2-A and 2-B. If the answer to this question is Yes.Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011 ETA Form 9089 . 2. the employer must be prepared to provide documentation demonstrating that the language requirements are supported by business necessity. Professional Occupations are defined as occupations for which the attainment of a bachelor’s or higher degree is a usual education requirement for the occupation.

Enter the name of the newspaper (of general circulation) in which the first advertisement was placed. You may add an attachment if more space is necessary. Enter the date of the first advertisement identified in question 9.2-A is Yes 3. Enter the date in mm/dd/yyyy format. In the event of an audit. 9.Instructions U. select a checkbox to indicate whether the ad ran in a Newspaper or Journal.Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011 ETA Form 9089 .18. 15. If the answer to this question is Yes. you must complete questions 6 – 22 of this section. 4. Enter the name of the newspaper or professional journal in which the second advertisement (if applicable) was placed. Enter the date in mm/dd/yyyy format. Enter the date in mm/dd/yyyy format. at least 3 of the items in this section must be completed. Enter the dates advertised with a campus placement office (if applicable). Department of Labor Section I Continued 2-A. Select Yes or No to indicate if you selected the candidate using a competitive recruitment and selection process. 12. Enter the dates advertised with an employee referral program (if applicable). 11. Enter the date in mm/dd/yyyy format.2-A is Yes. 19. 8. Enter the dates advertised on the employer’s website (if applicable). 7. Enter the dates listed with a private employment firm (if applicable).S. 20. 2-B. 16. Complete Questions 6 – 12 unless your answer to Section B/Question 1 is Yes OR your answer to Section I/Question a. If the answer to Section I/Questions a. 6. Select Yes or No to indicate if there is a Sunday edition of the newspaper in the area of intended employment. Enter the dates advertised with a trade or professional organization (if applicable). Instructions for ETA Form 9089 Page 7 of 11 . Enter the dates of on-campus recruiting (if applicable). 5. 18. Enter the dates advertised at a job fair (if applicable). Enter the name and date of the national professional journal in which the advertisement was placed. Select Yes or No to indicate if you used the basic recruitment process for professional occupations. For questions 13-22. If the answer to this question is Yes. enter the dates in mm/dd/yyyy format. 13. 10. Enter the date in mm/dd/yyyy format. 17. Enter the date of the second newspaper advertisement or date of publication of journal identified in question 11. Enter additional recruitment information. Complete Questions 3 – 5 only if the answer to Section I/Question a. Enter the date the alien was selected using the competitive recruitment and selection process. 14.1 or a.2-B is Yes. Enter the dates listed with a job search website (if applicable). Enter the start date for the State Workforce Agency job order. Also. the employer will be required to provide documentation as defined by 20 CFR 656. Enter the end date for the State Workforce Agency job order. you must complete questions 3 – 5 of this section.

or NA to indicate whether the bargaining representative for workers in the occupation in which the alien will be employed has been provided with notice of this filing at least 30 days but not more than 180 days before the date the application is filed. This is a number assigned to the alien by USCIS. 5. 9. 10. 23-A. 6. Enter the alien’s country of birth. Enter the alien registration number if the alien has one. Enter the alien’s class of admission if the alien has one. Enter the alien’s last name. or NA to indicate whether the laid off U. Select Yes. 2. 26. A related occupation is defined as any occupation that requires workers to perform a majority of the essential duties involved in the occupation for which certification is sought. No. Enter the alien’s date of birth in mm/dd/yyyy format. that a notice of this filing has been posted for 10 business days in a conspicuous location at the place of employment. H-1B. 3. No. Select Yes or No to indicate whether the employer has received payment of any kind for the submission of this application. workers were notified and considered for the job opportunity for which certification is sought.S. including intended payroll deductions from the alien’s wages.). please enter details of the payment for the submission of the application. This is a number assigned to the alien by USCIS. Enter the alien’s current address. 1. and full middle name. and postal code of the alien’s current residence. Enter the alien admission number if the alien has one. 7. ending at least 30 days before but not more than 180 days before the date the application is filed. date and purpose of the payment. or NA to indicate if there is no bargaining representative.g. 22. Select Yes. Enter the city. Enter the dates advertised with a local or ethnic newspaper (if applicable). Section J Alien Information This section must be different than the agent or attorney information in Section E. state or province. Select Yes or No to indicate if the employer had a layoff in the area of intended employment in the occupation involved in this application or in a related occupation within the six months immediately preceding the filing of this application. including the amount. If you answer Yes to question 23. Enter the dates advertised with radio or TV stations (if applicable). 8. country.S. Select Yes. etc. first name. 25. This should be the address of the alien’s current residence. No. Instructions for ETA Form 9089 Page 8 of 11 .. Department of Labor Section I Continued 21. 24. All must complete this section 23. Enter the country of current citizenship for the alien.Instructions U. Enter the phone number for the alien’s current residence.Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011 ETA Form 9089 . 4. H-2A. 26-A. This is the current visa status of the alien (e.

Instructions for ETA Form 9089 Page 9 of 11 . the system will allow employers to enter additional jobs. or NA to indicate whether the alien has the experience in an alternate occupation specified in question H. country. 20. Select Yes. If you need more space to complete this section. For electronic applications. 11-A. select Other. Enter the address of the institution indicated in question 14. Department of Labor Section J Continued 11. was obtained. Select Yes. Select Yes. Instructions for Section a – Job 1 1. Select the highest level of education received relevant to the requested occupation that has been achieved by the alien. Select Yes. 13. 21. firm. (e. country and postal code for the business address. 12. If the highest level of education achieved by the alien is not shown on the form.S. 18. MD. Enter the city. or NA to indicate whether the alien completed the training required for the requested job opportunity. state or province. identify the highest level of education relevant to the requested occupation achieved by the alien. you may use additional pages as attachments for mailed applications. or organization that employed the alien. Section K Alien Work Experience List all jobs held by the alien in the past three years whether or not the job is related to the job opportunity for which the employer is seeking certification. Enter the address of the employer. or NA to indicate whether the alien has the experience as required for the requested job opportunity indicated in question H. Enter the name of the institution where the relevant education achieved by the alien. specified in question 11. Enter the full legal name of the business. 17. 14. If Other was selected for question 11. 3. Enter the major field(s) of study for the alien in reference to the highest level of relevant education achieved. or NA to indicate whether the alien possesses the alternate combination of education and experience as indicated in question H. No.g. 16. 2.10. 22. JD). No.6. No. as indicated in question H.5. No. Select Yes or No to indicate whether the alien is currently employed by the petitioning employer.8. and postal code of the institution indicated in question 14.Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011 ETA Form 9089 . 23. Enter the city. No. or NA to indicate whether the alien gained any of the qualifying experience with the employer in a position substantially comparable to the job opportunity requested.Instructions U. Also list all other experiences that qualify the alien for the job opportunity. Select Yes or No to indicate whether the employer paid for any of the alien’s education or training necessary to satisfy any of the employer’s job requirements for this position. state or province. Enter the year the relevant education was completed by the alien. 15. Enter the year in yyyy format. 19. Select Yes. but you must list the primary jobs and experiences in these spaces.

certifications. The date of signature must be in mm/dd/yyyy format. Job descriptions should also include specific details of the work performed. 7. 6. Department of Labor Section K Continued 4. Enter the type of business of the employer. computer hardware manufacturing. Select Yes or No to indicate whether the application was completed by the employer.Instructions U. Note – The signature and date signed do not have to be filled out when electronically submitting to the Department of Labor for processing. landscaping. and middle initial of the alien signing the application.S. The signature of the alien identified by question 1 and the date of signature are required. etc. with emphasis on skills. but must be completed when submitting by mail. 5. Enter the last name. Enter the full legal name of the person who is responsible for preparation of the application. questions 2 – 5 must be completed. The signature of the preparer identified by question 2 and the date of signature are required. Include the phone number of the employer and the name of the alien’s supervisor. Enter the date the alien started to work for the employer. Section M Declaration of Preparer 1. Enter the job title held by the person who is responsible for preparation of the application. 5. 4. the certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing. first name. Instructions for ETA Form 9089 Page 10 of 11 . Enter the date the alien stopped working for the employer. 8. Instructions for Section b – Job 2 Same as instructions for Section a – Job 1. but must be completed when submitting by mail. and licenses required. 2. tools. Enter the e-mail address of the person who is responsible for preparation of the application. If you select No. food service. 3. Enter the title of the job held by the alien. and equipment used or operated. Instructions for Section c – Job 3 Same as instructions for Section a – Job 1. Section L Alien Declaration 1. and machines. The date of signature must be in mm/dd/yyyy format. If the application is submitted electronically. managerial or supervisory functions performed. Enter the number of hours per week the alien worked while employed. Note – The signature and date signed do not have to be filled out when electronically submitting to the Department of Labor for processing. materials or products handled. If the application is submitted electronically. For example. the certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing. qualifications. Enter the details of the job performed by the alien while employed. 2. 9.Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011 ETA Form 9089 .

If the application is submitted electronically. Enter the full legal name of the employer signing the application. Department of Labor Section N Employer Declaration 1. Section O U. Note – The signature and date signed do not have to be filled out when electronically submitting to the Department of Labor for processing. Instructions for ETA Form 9089 Page 11 of 11 . 2. Enter the job title held by the employer.Instructions U. the certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing. Government Agency Use Only Do not complete this section.Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011 ETA Form 9089 .S.S. but must be completed when submitting by mail. The signature of the employer identified by question 1 and the date of signature are required. 3. The date of signature must be in mm/dd/yyyy format.

NAICS code Postal code No Yes No D.foreignlaborcert. Indicate the previous SWA or local office case number OR if not available. Department of Labor Please read and review the filing instructions before completing this form.gov/pdf/9089inst. Employer’s name 2.OMB Approval: 1205-0451 Expiration Date: 06/30/2011 Application for Permanent Employment Certification ETA Form 9089 U. corporate officers. A copy of the instructions can be found at http://www. Are you seeking to utilize the filing date from a previously submitted Application for Alien Employment Certification (ETA 750)? 1-A. Employer Information (Headquarters or Main Office) 1. E-mail address State/Province Country Extension Postal code First name Middle initial ETA Form 9089 Page 1 of 10 .S. 1. C. Refiling Instructions 1. do NOT send this application to the Department of Labor. partnership. Is this application in support of a Schedule A or Sheepherder Occupation? Yes If Yes. civil money penalties. FEIN (Federal Employer Identification Number) 9. A. or both. Year commenced business 8. All applications in support of Schedule A or Sheepherder Occupations must be sent directly to the appropriate Department of Homeland Security office. Phone number 5.pdf Employing or continuing to employ an alien unauthorized to work in the United States is illegal and may subject the employer to criminal prosecution. Address 1 Address 2 3. incorporators. partners. Phone number 5. If Yes. Is the employer a closely held corporation. Address 1 Address 2 3.doleta. and the alien? State/Province Country Extension 6. City 4. City 4. This information must be different from the agent or attorney information listed in Section E). stockholders. Number of employees 7. Contact’s last name 2. Employer Contact Information (This section must be filled out. Schedule A or Sheepherder Information 1. or sole proprietorship in which the alien has an ownership interest. or is there a familial relationship between the owners. enter the previous filing date Yes No 1-B. specify state where case was originally filed: B.

specify the education required: 4-B. number of months of training required: ETA Form 9089 Page 2 of 10 . Agent or attorney’s last name 2. If Other is indicated in question 4. If Other is indicated in question 6. Primary worksite (where work is to be performed) address 1 Address 2 2. Firm EIN 5. E-mail address State/Province Country Postal code 4. If Yes. Firm name 3. Major field of study 5. Prevailing Wage Information (as provided by the State Workforce Agency) 1. Wage Offer Information 1. Address 1 Address 2 6. Department of Labor E. Prevailing wage source (Choose only one) OES CBA Employer Conducted Survey 6-A. Determination date $ 8. specify: 7.OMB Approval: 1205-0451 Expiration Date: 06/30/2011 Application for Permanent Employment Certification ETA Form 9089 U. Prevailing wage Per: (Choose only one) Bi-Weekly DBA Month SCA Year Other 2.S. Agent or Attorney Information (If applicable) 1. City 3. Is training required in the job opportunity? No Yes 5-A. City 7. Occupation Title 5. SOC/O*NET(OES) code 4. Education: minimum level required: None High School Associate’s Bachelor’s Master’s Doctorate Other State Postal code 4-A. Prevailing wage tracking number (if applicable) 3. Skill Level Week Hour 6. Expiration date G. Job title 4. Job Opportunity Information (Where work will be performed) 1. Phone number Extension First name Middle initial F. Offered wage From: To: (Optional) Per: (Choose only one) Hour Week Bi-Weekly Month Year $ $ H.

Is experience in an alternate occupation acceptable? Yes No Yes No 10-A. specify the alternate level of education required: None High School Associate’s Bachelor’s Master’s Yes No Doctorate Other 8-B. If Yes. number of months experience in alternate occupation required: 10-B. No ETA Form 9089 Page 3 of 10 . Skills description must begin in this space. Are the job opportunity’s requirements normal for the occupation? Yes If the answer to this question is No. If Yes. If Other is indicated in question 8-A. Job Opportunity Information Continued 5-B. the employer must be prepared to provide documentation demonstrating that the language requirements are supported by business necessity. the employer must be prepared to provide documentation demonstrating that the job requirements are supported by business necessity. specify the major field of study: 8. Specific skills or other requirements – If submitting by mail. indicate the alternate level of education required: 8-C. number of months experience required: 7. Is experience in the job offered required for the job? Yes No Yes No 6-A. Is knowledge of a foreign language required to perform the job duties? Yes No If the answer to this question is Yes. Indicate the field of training: 6. If applicable. Is a foreign educational equivalent acceptable? 10. 12. If Yes. Job duties – If submitting by mail. Is there an alternate combination of education and experience that is acceptable? 8-A. 14. If Yes. 13.S. Is there an alternate field of study that is acceptable? 7-A. add attachment if necessary. indicate the number of years experience acceptable in question 8: 9. Identify the job title of the acceptable alternate occupation: 11. Job duties description must begin in this space. add attachment if necessary. Department of Labor H.OMB Approval: 1205-0451 Expiration Date: 06/30/2011 Application for Permanent Employment Certification ETA Form 9089 U.

Is the position identified in this application being offered to the alien identified in Section J? 17. Date of first advertisement identified in question 9: 11. Does this application involve a job opportunity that includes a combination of occupations? 16. Department of Labor H. Is this application for a professional occupation. have the employer and the alien executed the required employment contract and has the employer provided a copy of the contract to the alien? I. Special Recruitment and Documentation Procedures for College and University Teachers – Complete only if the answer to question I.a. End date for the SWA job order Yes No 8. Job Opportunity Information Continued 15. other than a college or university teacher? Professional occupations are those for which a bachelor’s degree (or equivalent) is normally required. 6.2-A is Yes. Name of newspaper (of general circulation) in which the first advertisement was placed: 10.2-A is YES. Date alien selected: 4. Does the job require the alien to live on the employer’s premises? 18.a. Did you use the basic recruitment process for professional occupations? Yes Yes Yes No No No b. c. Add an attachment if necessary. 3. Start date for the SWA job order 7. Is this application for a college or university teacher? If Yes. Specify additional recruitment information in this space. Yes No Yes No Yes No Yes Yes Yes No No No NA 2. 2-A.1 or I. Is there a Sunday edition of the newspaper in the area of intended employment? 9. Name and date of national professional journal in which advertisement was placed: 5. Name of newspaper or professional journal (if applicable) in which second advertisement was placed: Newspaper ETA Form 9089 Journal Page 4 of 10 . 1. complete questions 2-A and 2-B below.S. Is the application for a live-in household domestic service worker? 18-A. Recruitment Information a. Did you select the candidate using a competitive recruitment and selection process? 2-B. If Yes. Occupation Type – All must complete this section.OMB Approval: 1205-0451 Expiration Date: 06/30/2011 Application for Permanent Employment Certification ETA Form 9089 U. Professional/Non-Professional Information – Complete this section unless your answer to question B.

If there is no bargaining representative. Department of Labor I. describe details of the payment including the amount. Dates listed with private employment firm From: To: From: To: 19. Dates advertised with employee referral program 20. Alien registration number (A#) 6. workers notified and considered for the job opportunity for which certification is sought? Yes Yes No No NA NA Yes Yes No No NA J. Country of birth 8. Dates advertised with local or ethnic newspaper 22. Date of second newspaper advertisement or date of publication of journal identified in question 11: d. City State/Province Country Postal code First name Full middle name 4. Dates advertised at job fair 14. Alien admission number (I-94) 11. General Information – All must complete this section.1 is YES or if the answer to I. If Yes. Complete at least 3 of the items.OMB Approval: 1205-0451 Expiration Date: 06/30/2011 Application for Permanent Employment Certification ETA Form 9089 U. 23. Phone number of current residence 5. Alien Information (This section must be filled out. Has the employer had a layoff in the area of intended employment in the occupation involved in this application or in a related occupation within the six months immediately preceding the filing of this application? 26-A. This information must be different from the agent or attorney information listed in Section E). Country of citizenship 7. date and purpose of the payment : 24.S. Dates advertised with radio or TV ads From: To: From: To: e. Alien’s date of birth 9. Dates listed with job search web site 18. 1.a. has a notice of this filing been posted for 10 business days in a conspicuous location at the place of employment. Recruitment Information Continued 12. Alien’s last name 2. were the laid off U. Has the employer received payment of any kind for the submission of this No Yes application? 23-A. Current address 1 Address 2 3.a. Dates of on-campus recruiting From: To: From: To: 15. Education: highest level achieved relevant to the requested occupation: None High School Associate’s Bachelor’s Master’s Doctorate Other ETA Form 9089 Page 5 of 10 .2-B is YES. Class of admission 10. Professional Recruitment Information – Complete if the answer to question I. Dates posted on employer web site 16. ending at least 30 days before but not more than 180 days before the date the application is filed? 26. Dates advertised with trade or professional organization From: To: From: To: 17. 13. Has the bargaining representative for workers in the occupation in which the alien will be employed been provided with notice of this filing at least 30 days but not more than 180 days before the date the application is filed? 25. Dates advertised with campus placement office From: To: From: To: 21. If Yes.S.

Did the alien complete the training required for the requested job opportunity.OMB Approval: 1205-0451 Expiration Date: 06/30/2011 Application for Permanent Employment Certification ETA Form 9089 U. Did the alien gain any of the qualifying experience with the employer in a position substantially comparable to the job opportunity requested? 22. Does the alien have the experience in an alternate occupation specified in question H. Specify major field(s) of study 13. Year relevant education completed 14. Job title 8.6? 19. Does the alien possess the alternate combination of education and experience as indicated in question H. as indicated in question H. Employer name 2.10? 21. Also list any other experience that qualifies the alien for the job opportunity for which the employer is seeking certification. Number of hours worked per week Postal code ETA Form 9089 Page 6 of 10 . Alien Information Continued 11-A. City 4. City State/Province Country Yes Postal code No NA 17. Institution where relevant education specified in question 11 was received 15. Department of Labor J.S. Did the employer pay for any of the alien’s education or training necessary to satisfy any of the employer’s job requirements for this position? 23. If Other indicated in question 11. Does the alien have the experience as required for the requested job opportunity indicated in question H. Is the alien currently employed by the petitioning employer? Yes Yes Yes No No No NA NA NA Yes Yes Yes No No No NA K. Address 1 Address 2 3. Start date 7. Job 1 1. Alien Work Experience List all jobs the alien has held during the past 3 years. a. Type of business 6.8? 20.5? 18. End date State/Province Country 5. Address 1 of conferring institution Address 2 16. specify 12.

Number of hours worked per week Postal code ETA Form 9089 Page 7 of 10 . certifications. machines. certifications. Type of business 6.S. Address 1 Address 2 3. equipment. Employer name 2. Job 3 1. End date State/Province Country 5. Job title 8. etc. Employer name 2. Type of business 6. skills. Start date 7. equipment. use of tools. licenses. skills. Address 1 Address 2 3.) b.OMB Approval: 1205-0451 Expiration Date: 06/30/2011 Application for Permanent Employment Certification ETA Form 9089 U. Include the phone number of the employer and the name of the alien’s supervisor.) c. Job details (duties performed. licenses. Department of Labor K. Number of hours worked per week Postal code 9. machines. City 4. City 4. Alien Work Experience Continued 9. use of tools. Include the phone number of the employer and the name of the alien’s supervisor. qualifications. Job title 8. End date State/Province Country 5. Job details (duties performed. etc. Job 2 1. qualifications. Start date 7.

1. imprisonment up to five years or both under 18 U. §§ 2 and 1001. Other penalties apply as well to fraud or misuse of ETA immigration documents and to perjury with respect to such documents under 18 U. §§ 1546 and 1621. machines. but must be complete when submitting by mail.C. but must be complete when submitting by mail. certifications.S. Job details (duties performed. I further declare under penalty of perjury that I intend to accept the position offered in Section H of this application if a labor certification is approved and I am granted a visa or an adjustment of status based on this application.S.C. Alien’s last name 2. any resulting certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing. E-mail address 5. Title 4. qualifications. any resulting certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing. skills. 2. Was the application completed by the employer? If No.C. equipment. I understand that to knowingly furnish false information in the preparation of this form and any supplement thereto or to aid. Preparer’s last name 3. you must complete this section.) L. I understand that to knowingly furnish false information in the preparation of this form and any supplement thereto or to aid. licenses. M. If the application is submitted electronically. abet. Other penalties apply as well to fraud or misuse of ETA immigration documents and to perjury with respect to such documents under 18 U. Department of Labor K. §§ 1546 and 1621. Yes No I hereby certify that I have prepared this application at the direct request of the employer listed in Section C and that to the best of my knowledge the information contained herein is true and correct. use of tools. §§ 2 and 1001. etc. abet. Alien Declaration I declare under penalty of perjury that Sections J and K are true and correct.S. or counsel another to do so is a federal offense punishable by a fine. Signature First name Date signed Full middle name Note – The signature and date signed do not have to be filled out when electronically submitting to the Department of Labor for processing. Include the phone number of the employer and the name of the alien’s supervisor. or counsel another to do so is a federal offense punishable by a fine or imprisonment up to five years or both under 18 U. Declaration of Preparer 1.OMB Approval: 1205-0451 Expiration Date: 06/30/2011 Application for Permanent Employment Certification ETA Form 9089 U. ETA Form 9089 Page 8 of 10 . In addition.S. Alien Work Experience Continued 9. If the application is submitted electronically.C. Signature Date signed First name Middle initial Note – The signature and date signed do not have to be filled out when electronically submitting to the Department of Labor for processing.S.

The job opportunity’s terms. 1. I understand that to knowingly furnish false information in the preparation of this form and any supplement thereto or to aid. ______________________________________________ Signature of Certifying Officer ______________________________ Date Signed ______________________________________________ Case Number ETA Form 9089 ______________________________ Filing Date Page 9 of 10 . workers available and the employment of the above will not adversely affect the wages and working conditions of workers in the U. The job opportunity does not involve unlawful discrimination by race. creed. age.C.S. If the application is submitted electronically.S. At issue in a labor dispute involving a work stoppage.OMB Approval: 1205-0451 Expiration Date: 06/30/2011 Application for Permanent Employment Certification ETA Form 9089 U.S. but must be complete when submitting by mail. 3. as amended. Signature Date signed First name Middle initial Note – The signature and date signed do not have to be filled out when electronically submitting to the Department of Labor for processing. The job opportunity has been and is clearly open to any U. 9.C. Vacant because the former occupant is on strike or is being locked out in the course of a labor dispute involving a work stoppage. state or local law. Other penalties apply as well to fraud or misuse of ETA immigration documents and to perjury with respect to such documents under 18 U. I HEREBY CERTIFY the following conditions of employment: 1.S. handicap. bonuses or other incentives. Department of Labor N.S. I will be able to place the alien on the payroll on or before the date of the alien’s proposed entrance into the United States.S.S. I hereby certify that there are not sufficient U. religion. The job opportunity is for full-time. 10. I hereby designate the agent or attorney identified in section E (if any) to represent me for the purpose of labor certification and. or monthly basis that equals or exceeds the prevailing wage. The job opportunity is not: a. similarly employed. 2. workers who applied for the job opportunity were rejected for lawful job-related reasons. or b. The wage is not based on commissions. or citizenship. conditions. Last name 2. national origin. Government Agency Use Only Pursuant to the provisions of Section 212 (a)(5)(A) of the Immigration and Nationality Act. The offered wage equals or exceeds the prevailing wage and I will pay at least the prevailing wage. 8. and occupational environment are not contrary to Federal. Employer Declaration By virtue of my signature below. §§ 1546 and 1621. U. worker.S. 6. by virtue of my signature in Block 3 below. §§ 2 and 1001. abet. I declare under penalty of perjury that I have read and reviewed this application and that to the best of my knowledge the information contained herein is true and accurate. unless I guarantees a wage paid on a weekly. permanent employment for an employer other than the alien. or counsel another to do so is a federal offense punishable by a fine or imprisonment up to five years or both under 18 U. any resulting certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing. bi-weekly. color. 5. I take full responsibility for the accuracy of any representations made by my agent or attorney. O. I have enough funds available to pay the wage or salary offered the alien. 7. The U. 4. Title 3. sex.

NW * Washington. in connection with records management. Q. the Department of Homeland Security. and the Department of State. the Solicitor of Labor determines the disclosure is necessary to preserve confidence in the integrity of the Department. or benefit-related matters. records may be released to such agencies as the DOL Office of Inspector General. to the Office of Management and Budget in connection with its legislative review. you are hereby notified that the information provided herein is protected under the Privacy Act.C. and in connection with administering and enforcing immigration laws and regulations. 93-647. The Department of Labor (Department or DOL) maintains a System of Records titled Employer Application and Attestation File for Permanent and Temporary Alien Workers (DOL/ETA-7) that includes this record. ETA Form 9089 Page 10 of 10 . Send comments regarding this burden estimate to the Division of Foreign Labor Certification * U. security clearance. and completing and reviewing the collection of information.OMB Approval: 1205-0451 Expiration Date: 06/30/2011 Application for Permanent Employment Certification P. Privacy Statement Information In accordance with the Privacy Act of 1974. or labor attestations may be released as follows: in connection with appeals of denials before the DOL Office of Administrative Law Judges and Federal courts. including the time for reviewing instructions. Section 212(a)(5)). case files developed in processing labor certification applications. and to the DOL Office of Administrative Law Judges and Federal courts. 552a). or volunteers who have been engaged to assist the agency in the performance of Federal activities. for law enforcement purposes. Under routine uses for this system of records.. procurement. to a contractor or their employees.S. for Federal debt collection purposes. records may be released to the employers that filed such applications. Further relevant disclosures may be made in accordance with the Privacy Act and under the following circumstances: in connection with federal litigation. Department of Labor Paperwork Reduction Act Information Control Number 1205-0451 Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. their representatives. Respondent’s reply to these reporting requirements is required to obtain the benefits of permanent employment certification (Immigration and Nationality Act. and to the news media and the public when a matter under investigation becomes public knowledge. L. DC * 20210. or the Solicitor of Labor determines that a legitimate public interest exists in the disclosure of information. gathering and maintaining the data needed. Do NOT send the completed application to this address. Department of Labor * Room C4312 * 200 Constitution Ave. to a Member of Congress or their staff in response to an inquiry of the Congressional office made at the written request of the subject of the record.S. to an information source or public authority in connection with personnel. consultants. unless the Solicitor of Labor determines that disclosure would constitute an unwarranted invasion of personal privacy.S. to named alien beneficiaries or their representatives. coordination. as amended (5 U. to authorized parent locator persons under Pub. grantees or their employees. searching existing data sources. Employment Standards Administration. and clearance activities. OMB Information ETA Form 9089 U. labor condition applications. Public reporting burden for this collection of information is estimated to average 1¼ hours per response.

07/14/06)Y . Family Name so state.) This form is submitted in connection with an application for: Naturalization Other (Specify): Status as Permanent Resident Signature of Applicant Date Submit all copies of this form. Exp.) (For wife. Biographic Information Male Birth Date (mm/dd/yyyy) Citizenship/Nationality File Number A Female City and Country of Birth U.S.OMB No. (Given Name) (Middle Name) (Alien Registration Number) Complete This Box (Family Name) (1) Ident. give maiden name) Birth Date (mm/dd/yyyy) Date and Place of Marriage Date and Place of Termination of Marriage Applicant's residence last five years. If your native alphabet is in other than Roman letters. (Include all information requested above. Full Name and Address of Employer Occupation (Specify) Month Show below last occupation abroad if not shown above.S. List present address first. See Instructions on Page 3 Form G-325 (Rev.) List present employment first. Street and Number City Province or State Country From Month Year From Year To Month To Month Year Present Time Year Applicant's employment last five years. write your name in your native alphabet below: Penalties: Severe penalties are provided by law for knowingly and willfully falsifying or concealing a material fact. Applicant: Be sure to put your name and Alien Registration Number in the box outlined by heavy border below. so state) First Name Family Name (For wife. (If none. Street and Number City Province or State Country Month From Year To Month Year Present Time Applicant's last address outside the United States of more than one year. 1615-0008. Citizenship and Immigration Services (Family Name) (First Name) (Middle Name) G-325. Social Security # (If any) City and Country of Residence All Other Names Used (Including names by previous marriages) Family Name Father Mother (Maiden Name) Husband or Wife (If none. 05/31/09 Department of Homeland Security U. give maiden name) First Name Date. City and Country of Birth (If known) First Name Birth Date (mm/dd/yyyy) City and Country of Birth Date of Marriage Place of Marriage Former Husbands or Wives (If none. so state.

City and Country of Birth (If known) First Name Birth Date (mm/dd/yyyy) City and Country of Birth Date of Marriage Place of Marriage Former Husbands or Wives (If none.OMB No. Street and Number City Province or State Country Month From Year To Month Year Present Time Applicant's last address outside the United States of more than one year. 05/31/09 Department of Homeland Security U. (Include all information requested above. 07/14/06)Y Page 2 . give maiden name) First Name Date.) This form is submitted in connection with an application for: Naturalization Other (Specify): Status as Permanent Resident Signature of Applicant Date Submit all copies of this form. Applicant: Be sure to put your name and Alien Registration Number in the box outlined by heavy border below. (Given Name) (Middle Name) (Alien Registration Number) Complete This Box (Family Name) (Other Agency Use) USCIS Use (Office of Origin) Office Code: Type of Case: Date: (2)Rec. so state) First Name Family Name (For wife. give maiden name) Birth Date (mm/dd/yyyy) Date and Place of Marriage Date and Place of Termination of Marriage Applicant's residence last five years.) List present employment first.S. Social Security # (If any) City and Country of Residence All Other Names Used (Including names by previous marriages) Family Name Father Mother (Maiden Name) Husband or Wife (If none. Street and Number City Province or State Country From Month Year From Year To Month To Month Year Present Time Year Applicant's employment last five years. Citizenship and Immigration Services (Family Name) (First Name) (Middle Name) G-325. Br.) (For wife. If your native alphabet is in other than Roman letters. 1615-0008. Full Name and Address of Employer Occupation (Specify) Month Show below last occupation abroad if not shown above. write your name in your native alphabet below: Penalties: Severe penalties are provided by law for knowingly and willfully falsifying or concealing a material fact. so state. (If none. Biographic Information Male Birth Date (mm/dd/yyyy) Citizenship/Nationality File Number A Female City and Country of Birth U. See Instructions on Page 3 Form G-325 (Rev. Family Name so state. List present address first.S. Exp.

write to U. We try to create forms and instructions that are accurate. Washington. Regulatory Management Division. 20529.C. A person is not required to respond to a collection of information unless it displays a currently valid OMB control number. We may provide this information to other Government agencies. If you have any comments regarding the accuracy of this estimate or suggestions for making this form simpler. Do not send your form to this Washington. D. USCIS will use the information you provide on this form to process your application or petition. We ask for the information on this form and associated evidence to determine if you have established eligibility for the immigration benefit you are seeking.W.C.S. address. Citizenship and Immigration Services (USCIS).. OMB No. 1615-0008. 07/14/06)Y Page 3 . D. Complete and submit all copies of this form with your petition or application. If you have any questions on how to complete the form. Paperwork Reduction Act Notice. Often this is difficult because some immigration laws are very complex. can be easily understood and that impose the least possible burden on you to provide us with information.Instructions What Is the Purpose of This Form? Complete this biographical information form and include it with the application or petition you are submitting to U. Citizenship and Immigration Services.S. N. complete the form and include it with the appropriate application or petition for filing purposes is 15 minutes. Privacy Act Notice. Our legal right to ask for this information is in 8 USC 1101 and 1255. Form G-325 (Rev. 111 Massachusetts Avenue. The estimated average time to gather the requested information. call our National Customer Service Center at 1-800-375-5283. Failure to provide this information may delay a final decision or result in denial of your application or petition.

List present address first. Street and Number City Province or State Country Month From Year To Month Year Present Time Applicant's last address outside the United States of more than one year. Biographic Information Male Birth Date (mm/dd/yyyy) Citizenship/Nationality File Number A Female City and Country of Birth U.OMB No. (If none. Applicant: Be sure to put your name and Alien Registration Number in the box outlined by heavy border below.S. Family Name so state. Social Security # (If any) City and Country of Residence All Other Names Used (Including names by previous marriages) Family Name Father Mother (Maiden Name) Husband or Wife (If none. 1615-0008. Citizenship and Immigration Services (Family Name) (First Name) (Middle Name) G-325A. Street and Number City Province or State Country From Month Year From Year To Month To Month Year Present Time Year Applicant's employment last five years. 07/14/06)Y . See Instructions on Page 5 Form G-325A (Rev. (Given Name) (Middle Name) (Alien Registration Number) Complete This Box (Family Name) (1) Ident. 05/31/09 Department of Homeland Security U.) List present employment first. City and Country of Birth (If known) First Name Birth Date (mm/dd/yyyy) City and Country of Birth Date of Marriage Place of Marriage Former Husbands or Wives (If none. Full Name and Address of Employer Occupation (Specify) Month Show below last occupation abroad if not shown above.S. (Include all information requested above. Exp. give maiden name) First Name Date.) (For wife. If your native alphabet is in other than Roman letters. write your name in your native alphabet below: Penalties: Severe penalties are provided by law for knowingly and willfully falsifying or concealing a material fact.) This form is submitted in connection with an application for: Naturalization Other (Specify): Status as Permanent Resident Signature of Applicant Date Submit all copies of this form. so state. so state) First Name Family Name (For wife. give maiden name) Birth Date (mm/dd/yyyy) Date and Place of Marriage Date and Place of Termination of Marriage Applicant's residence last five years.

07/14/06)Y Page 2 . (Include all information requested above. give maiden name) Birth Date (mm/dd/yyyy) Date and Place of Marriage Date and Place of Termination of Marriage Applicant's residence last five years.OMB No. Street and Number City Province or State Country Month From Year To Month Year Present Time Applicant's last address outside the United States of more than one year. See Instructions on Page 5 Form G-325A (Rev. (Given Name) (Middle Name) (Alien Registration Number) Complete This Box (Family Name) (2) Rec. List present address first. Biographic Information Male Birth Date (mm/dd/yyyy) Citizenship/Nationality File Number A Female City and Country of Birth U. Applicant: Be sure to put your name and Alien Registration Number in the box outlined by heavy border below. write your name in your native alphabet below: Penalties: Severe penalties are provided by law for knowingly and willfully falsifying or concealing a material fact. (If none. Full Name and Address of Employer Occupation (Specify) Month Show below last occupation abroad if not shown above. Br. Citizenship and Immigration Services (Family Name) (First Name) (Middle Name) G-325A. so state. Family Name so state.) This form is submitted in connection with an application for: Naturalization Other (Specify): Status as Permanent Resident Signature of Applicant Date Submit all copies of this form. 1615-0008. 05/31/09 Department of Homeland Security U. Social Security # (If any) City and Country of Residence All Other Names Used (Including names by previous marriages) Family Name Father Mother (Maiden Name) Husband or Wife (If none. so state) First Name Family Name (For wife. Street and Number City Province or State Country From Month Year From Year To Month To Month Year Present Time Year Applicant's employment last five years.S.) List present employment first. City and Country of Birth (If known) First Name Birth Date (mm/dd/yyyy) City and Country of Birth Date of Marriage Place of Marriage Former Husbands or Wives (If none.S.) (For wife. If your native alphabet is in other than Roman letters. Exp. give maiden name) First Name Date.

City and Country of Birth (If known) First Name Birth Date (mm/dd/yyyy) City and Country of Birth Date of Marriage Place of Marriage Former Husbands or Wives (If none. See Instructions on Page 5 Form G-325A (Rev.) List present employment first.S.) This form is submitted in connection with an application for: Naturalization Other (Specify): Status as Permanent Resident Signature of Applicant Date Submit all copies of this form. so state.) (For wife. If your native alphabet is in other than Roman letters. (Include all information requested above. Street and Number City Province or State Country Month From Year To Month Year Present Time Applicant's last address outside the United States of more than one year. (Given Name) (Middle Name) (Alien Registration Number) Complete This Box (Family Name) (3) C. Social Security # (If any) City and Country of Residence All Other Names Used (Including names by previous marriages) Family Name Father Mother (Maiden Name) Husband or Wife (If none. give maiden name) Birth Date (mm/dd/yyyy) Date and Place of Marriage Date and Place of Termination of Marriage Applicant's residence last five years.OMB No. Biographic Information Male Birth Date (mm/dd/yyyy) Citizenship/Nationality File Number A Female City and Country of Birth U. 05/31/09 Department of Homeland Security U. Citizenship and Immigration Services (Family Name) (First Name) (Middle Name) G-325A. write your name in your native alphabet below: Penalties: Severe penalties are provided by law for knowingly and willfully falsifying or concealing a material fact. Full Name and Address of Employer Occupation (Specify) Month Show below last occupation abroad if not shown above. 07/14/06)Y Page 3 . Family Name so state. List present address first. 1615-0008. so state) First Name Family Name (For wife. (If none. Applicant: Be sure to put your name and Alien Registration Number in the box outlined by heavy border below. give maiden name) First Name Date.S. Street and Number City Province or State Country From Month Year From Year To Month To Month Year Present Time Year Applicant's employment last five years. Exp.

OMB No. so state) First Name Family Name (For wife.) This form is submitted in connection with an application for: Naturalization Other (Specify): Status as Permanent Resident Signature of Applicant Date Submit all copies of this form. Exp. Full Name and Address of Employer Occupation (Specify) Month Show below last occupation abroad if not shown above. (Given Name) (Middle Name) (Alien Registration Number) Complete This Box (Family Name) (4) Consulate See Instructions on Page 5 Form G-325A (Rev. Street and Number City Province or State Country Month From Year To Month Year Present Time Applicant's last address outside the United States of more than one year. Biographic Information Male Birth Date (mm/dd/yyyy) Citizenship/Nationality File Number A Female City and Country of Birth U. City and Country of Birth (If known) First Name Birth Date (mm/dd/yyyy) City and Country of Birth Date of Marriage Place of Marriage Former Husbands or Wives (If none.) List present employment first. (Include all information requested above. write your name in your native alphabet below: Penalties: Severe penalties are provided by law for knowingly and willfully falsifying or concealing a material fact.S. Applicant: Be sure to put your name and Alien Registration Number in the box outlined by heavy border below. Street and Number City Province or State Country From Month Year From Year To Month To Month Year Present Time Year Applicant's employment last five years. 07/14/06)Y Page 4 . give maiden name) First Name Date. (If none. so state.) (For wife. Citizenship and Immigration Services (Family Name) (First Name) (Middle Name) G-325A. If your native alphabet is in other than Roman letters. 05/31/09 Department of Homeland Security U. give maiden name) Birth Date (mm/dd/yyyy) Date and Place of Marriage Date and Place of Termination of Marriage Applicant's residence last five years. Family Name so state. 1615-0008. List present address first. Social Security # (If any) City and Country of Residence All Other Names Used (Including names by previous marriages) Family Name Father Mother (Maiden Name) Husband or Wife (If none.S.

20529.Instructions What Is the Purpose of This Form? Complete this biographical information form and include it with the application or petition you are submitting to U. We may provide this information to other Government agencies. If you have any questions on how to complete the form. Failure to provide this information may delay a final decision or result in denial of your application or petition.C. write to U. complete the form and include it with the appropriate application or petition for filing purposes is 15 minutes.. OMB No. 111 Massachusetts Avenue. D. Paperwork Reduction Act Notice. 07/14/06)Y Page 5 .C. Citizenship and Immigration Services (USCIS). A person is not required to respond to a collection of information unless it displays a currently valid OMB control number. USCIS will use the information you provide on this form to process your application or petition. We try to create forms and instructions that are accurate. D.S. can be easily understood and that impose the least possible burden on you to provide us with information. call our National Customer Service Center at 1-800-375-5283. Form G-325A (Rev. We ask for the information on this form and associated evidence to determine if you have established eligibility for the immigration benefit you are seeking. Regulatory Management Division. Citizenship and Immigration Services. N. 1615-0008. If you have any comments regarding the accuracy of this estimate or suggestions for making this form simpler. Our legal right to ask for this information is in 8 USC 1101 and 1255. Complete and submit all copies of this form with your petition or application. Often this is difficult because some immigration laws are very complex. Washington.S.W. Do not send your form to this Washington. Privacy Act Notice. The estimated average time to gather the requested information. address.

E. What Is the Purpose of This Form? A citizen or lawful permanent resident of the United States may file this form with U.uscis. download a copy and use the online version. If the edition date on your Form I-130 matches the edition date listed for Form I-130 on the online Immigration Forms page.S. If you do not have Internet access. deportation. Form I-130 Instructions (Rev. or C. If your relative qualifies under paragraph 1(C). Improperly filed forms will be rejected. If you are filing Form I-130 more than 30 days after the latest edition date shown in the lower right-hand corner. if you gained lawful permanent resident status by virtue of a prior marriage to a U. B. any petition filed for that son or daughter will be automatically revoked. if you and your spouse were not both physically present at the marriage ceremony. Write your name and Alien Registration Number (A #).gov before you file. and that no fee or any other consideration (other than appropriate attorney fees) was given for your filing of this petition OR Your husband or wife has lived outside the United States. 6. Your unmarried child under age 21. If you do not follow the instructions. 2. or B. B. If you are a lawful permanent resident of United States. If you are a U. which may delay final action. A stepparent or stepchild. citizen. Your husband or wife. If the edition date on the online version is later. 4. at the top of each sheet of paper and indicate the part and number of the item to which the answer refers. If an unmarried son or daughter of a permanent resident marries before the permanent resident becomes a U. removal. or while a decision in any of these proceedings was before any court on judicial review. call the National Customer Service Center at 1-800-375-5283 to verify the current filing address and edition date. C. and the fee returned. for a period of at least two years. 5. 3. The filing addresses provided on this form reflect the most current information as of the date this form was last printed. You may file a Form I-130 for: A. or if the child has not been in the legal custody and living with the parent(s) for at least two years. Petition for Alien Relative Instructions Please read these instructions carefully to properly complete this form. D. There is no visa category for married children of permanent residents. The persons described in number 2 and 3 of the above NOTE will be able to apply for an immigrant visa along with your relative. An adoptive parent or adopted child. C. A husband or wife. A natural parent. You can establish by clear and convincing evidence that the prior marriage through which you gained your immigrant status was not entered into for the purpose of evading any provision of the immigration laws. and check the Immigration Forms page to confirm the correct filing address and version currently in use. Your unmarried son or daughter age 21 or older. after the marriage. if the marriage that created the relationship took place after the child's 18th birthday. or rescission proceeding regarding his or her right to be admitted into or to remain in the United States. Citizenship and Immigration Services OMB #1615-0012. Citizenship and Immigration Services (USCIS) to establish the existence of a relationship to certain alien relatives who wish to immigrate to the United States. A husband or wife. A husband or wife. Your brother(s) or sister(s) (you must be age 21 or older).S. Your husband or wife. and the marriage was not consummated. Your mother or father (you must be age 21 or older). Your married son or daughter of any age. unless: You prove by clear and convincing evidence that the marriage is legally valid where it took place. U. use a separate sheet(s) of paper.S. if the U. unless: A. you may file this form for: A. 4.S. separate petitions are not required for his or her husband or wife or unmarried children under 21 years of age. if you married your husband or wife while your husband or wife was the subject of an exclusion. please visit our website online at www. with instructions to resubmit the entire filing using the current form instructions. if the adoption took place after the child's 16th birthday. and that you and your husband or wife married in good faith and not for the purpose of procuring the admission of your husband or wife as an immigrant. citizen or lawful permanent resident. S. A period of five years has elapsed since you became a lawful permanent resident. NOTE: 1.citizen you must file a separate Form I-130 for each eligible relative. your version is current and will be accepted by USCIS. Check the edition date located in the lower right-hand corner of the form. or 1(E) above. 2.S. Expires 01/31/11 Instructions for I-130. Your prior marriage through which you gained your immigrant status was terminated by the death of your former spouse. Citizenship and Immigration Services (USCIS) may have to return your petition. If your relative qualifies under paragraph 2(B) or 2(C) above. if any. If you need more space to complete an answer. 1(D). citizen son or daughter gained permanent residence through adoption. 3. 2. 01/31/08)Y Who May File Form I-130? 1. Your unmarried son or daughter age 21 or older. Your unmarried child under age 21. separate petitions are not required for his or her unmarried children under 21 years of age. .S.Department of Homeland Security U. F. Who May Not File This Form I-130? You may not file for a person in the following categories: 1.

A copy of your marriage certificate. see instructions under Page 3. citizen with a valid passport. If you were born in the United States. Type or print legibly in black ink. or H. A copy of your naturalization certificate or certificate of citizenship issued by USCIS or the former INS. attach a continuation sheet. Documentation showing joint ownership or property. 8. his or her relationship to the petitioner of beneficiary. Form I-130 Instructions (Rev. it will be requested. A. 2. you should submit one or more of the following types of documentation that may evidence that bona fides of your marriage: E. NOTE: If you married your husband or wife while your husband or wife was the subject of an exclusion." Translations. Report of Birth Abroad of a Citizen of the United States. or rescission proceeding (including judicial review of the decision in one of these proceedings). nephew. you must file your petition with a copy of the front and back of your permanent resident card. niece. Copies. Any other relevant documentation to establish that there is an ongoing marital union. submit copies of documents showing that all prior marriages were legally terminated. taken within 30 days of the date of this petition. If extra space is needed to complete any item. State that an item is not applicable with "N/A. grandchild. The photos must have a white background and be glossy unretouched and not mounted. NOTE: In addition to the required documentation listed above. (Each affidavit must contain the full name and address. Using pencil or felt pen. the petitioner. submit a copy. removal. or in-law. Biographic Information. A copy of Form FS-240.S. USCIS may keep that original for our records. and complete information and details explaining how the person acquired his or her knowledge of your marriage). If you choose to send the original. deportation. 6. or F. if it has been legally determined that such an alien has attempted or conspired to enter into a marriage for the purpose of evading the immigration laws. If these instructions state that a copy of a document may be filed with this petition. and by the translator's certification that he or she is competent to translate the foreign language into English. Except for your name and signature you do not have to repeat on Form G-325A the information given on your Form I-130 petition. for you and a Form G-325A for your husband or wife. a copy of your birth certificate. if known) on the back of each photograph. uncle. If you do not have any of the above documents and you were born in the United States. A copy of your unexpired U. Any foreign language document must be accompanied by a full English translation that the translator has certified as complete and correct. or J. Birth certificate(s) of child(ren) born to you. date and place of birth of the person making the affidavit.S. consular officer verifying that you are a U. A passport-style color photo of yourself and a passport-style color photo of your husband or wife. 3. lightly print the name (and Alien Registration Number. What Documents Do You Need to Prove Family Relationship? You have to prove that there is a family relationship between you and your relative. A completed and signed Form G-325A. C. The dimensions of the full frontal facial image should be about 1 inch from the chin to top of the hair. If you have not yet received your card. Citizen? 1. D. if any. Fill Out Form I-130 1. or other evidence of permanent resident status issued by USCIS or the former INS.7. An original statement from a U. vital statistics office. or other civil authority. or 5. Affidavits sworn to or affirmed by third parties having personal knowledge of the bona fides of the marital relationship. aunt. cousin. Answer all questions fully and accurately." If the answer is none. A grandparent. issued by a U. A husband or wife. Embassy or consulate. submit copies of your passport biographic page and the page showing admission as a permanent resident. write "none.S. What Documents Do You Need to Show That You Are a U. or G. 2. 3. and date and sign each sheet. indicate the item number. or I. this evidence must be sufficient to establish the bona fides or your marriage by clear and convincing evidence. issued by a civil registrar. and your spouse together. If USCIS requires the original. 4.S. A husband or wife. 01/31/08)Y Page 2 . A lease showing joint tenancy of a common residence. passport. "What If a Document Is Not Available?" What Documents Do You Need to Show That You Are a Permanent Resident? If you are a permanent resident. B. Documentation showing co-mingling of financial resources. submit the following documentation: General Instructions Step 1.S. If you are filing for: 1. If either you or your spouse were previously married.

If you adopted the sibling of a child you already adopted. and complete details explaining how the person acquired knowledge of the event. mail the petition to the USCIS Lockbox Facility. Hawaii. South Dakota. Legal custody may only be granted by a court or recognized government entity and is usually granted at the time of the adoption is finalized. A father: Submit a copy of your birth certificate showing the names of both parents. dedication or comparable rite occurred within two months after birth. date and place of birth. date of the religious ceremony and the names of the child's parents. supported him or her. This may include evidence that the father lived with the child. see also 8 and 9 below. Utah. adoption decree or court order. D. The address is as follows: USCIS P. Guam. Each affidavit should contain the following information regarding the person making the affidavit: his or her full name. submit copies of the marriage certificates of the father to each mother and copies of documents showing that any prior marriages of either your father or mothers were legally terminated. A child and you are the father: Submit a copy of the child's birth certificate showing both parents' names and your marriage certificate.2. the child's date of birth or age at that time. Affidavits: Written statements sworn to or affirmed by two persons who were living at the time and who have personal knowledge of the event you are trying to prove. What If Your Name Has Changed? If either you or the person you are filing for is using a name other than shown on the relevant documents. Michigan. and names of the parents. or the age of the person listed. California. if legal custody is granted by a court or recognized government agency prior to the adoption. place of birth. Census record: State or Federal census record showing the names. However. marriage or death. Adoptive parent or adopted child: If you and the person you are filing for are related by adoption. Illinois. Oregon. Idaho. Church record: A copy of a document bearing the seal of the church. and copies of documents showing that any prior marriages of either your father or mother were legally terminated. file the I-130 form at the Lockbox according to following instructions: If you are the petitioner and you reside in Alaska. A brother or sister: Submit a copy of your birth certificate and a copy of your brother's or sister's birth certificate showing that you have at least one common parent. or if you have a common father and either of you were not legitimated before your 18th birthday. Box 804625 Chicago. If you are filing for a stepparent or adoptive parent. Wisconsin. the date and place of birth. address.S. and showing the date and place of the child's birth. also see 4. A child and you are the mother: Submit a copy of the child's birth certificate showing your name and the name of your child. copies of documents showing that any prior marriages were legally terminated and a copy of the stepchild's birth certificate. 4. you must submit a copy of the adoption decree(s) showing that the adoption took place before the child became 16 years old. For example. 7. or otherwise showed continuing parental interest in the child's welfare. citizen. C. Colorado.O. you must also submit copies of evidence that each child was in the legal custody of and resided with the parent(s) who adopted him or her for at least two years before or after adoption. Montana. If you and your brother or sister have a common father but different mothers. Missouri. showing the baptism. including: A. Minnesota. Indiana. that time may count to fulfill the two-year legal custody requirement. If you and your brother or sister are related through adoption or through a stepparent. you must file your petition with copies of the legal documents that effected the change. In either case. Ohio. IL 60680-1029 Form I-130 Instructions (Rev. 01/31/08)Y Page 3 . Nebraska. place of birth. What If a Document Is Not Available? In such situation. date of birth. School record: A letter from the authority (preferably the first school attended) showing the date of admission to the school. 3. B. Iowa. you must file your petition with copies of evidence that a bona fide parent-child relationship existed between the father and the child before the child reached 21 years. Kansas. You must also submit secondary evidence. full information concerning the event. you must submit a copy of the adoption decree(s) showing that the adoption of the sibling occurred before that child's 18th birthday. you must file your petition with a copy of the marriage certificate of the stepparent to the child's natural parent showing that the marriage occurred before the child's 18th birthday. and 9. Arizona. If you reside in the United States. 5. North Dakota. and his or her relationship to you. Nevada. if any. Stepparent/Stepchild: If your petition is based on a stepparentstepchild relationship. Washington. submit a statement from the appropriate civil authority certifying that the document or documents are not available. Also give a copy of your parents' marriage certificate establishing that your father was married to your mother before you were born. or Wyoming and you are filing only Form I-130. A child born out of wedlock and you are the father: If the child was not legitimated before reaching 18 years old. 8. 6. A mother: Submit a copy of your birth certificate showing your name and your mother's name. or if you are filing for your father and were not legitimated before your 18th birthday. 8. such as a marriage certificate. Where To File? 9. The person making the affidavit does not have to be a U.

S.3rd Floor Chicago. Florida. The visas are processed in the order in which the petitions are properly filed and accepted by USCIS. New Mexico. or available. 01/31/08)Y Page 4 . Maryland. NOTE: Please spell out U.O. a petition must be fully completed and signed. mail the petition to the USCIS Lockbox Facility. New York. Application to Register Permanent Residence or Adjust Status. Department of State at (202) 663-1541. or 3. Georgia. LaSalle . child. However. For alien relatives in preference categories. and you are petitioning for your spouse.S. South Carolina. C. What Is the Filing Fee? The filing fee for a Form is $355. For further information.S. North Carolina. Or you may complete and mail Form AR-11.S. click on "Change your address with USCIS. unless: A. and the fee must be paid. because USCIS fees change periodically. or District of Columbia and you are filing only Form I-130. If you reside elsewhere outside the United States file. Embassy or consulate having jurisdiction over the Address Changes area where you live. If you live in Guam and are filing your petition there. citizen For a monthly report on the dates when immigrant visas are residing in Canada." and check the appropriate fee. Virgin Islands and are filing your petition there. Visit our website at www. Alien's Change of Address Card. Connecticut. West Virginia.gov. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London.O. contact the nearest U. Arkansas. If you live outside the United States. a limited number of immigrant visas are issued each year. Citizenship and Immigration Services P. you may change your address online at www. IL 60680-1029 NOTE: If the Form I-130 petition is being filed concurrently with Form I-485.S. during the 90-day period immediately before the second anniversary of the date your alien spouse was granted conditional permanent resident status.S.S. Guam. make it payable to Treasurer. They do not have to wait for a visa number because immediate relatives are not subject to the immigrant visa limit. except for those in Quebec City. Embassy or consulate for instructions on the method of payment. Citizenship and Immigration Services Attn: FBASI 427 S. Virginia. Oklahoma. IL 60605-1098 How to Check If the Fees Are Correct The form fee on this form is current as of the edition date appearing in the lower right corner of this page. parent. If you live in the U. make it payable to Commissioner of Finance of the Virgin Islands. these persons are classified as immmediate relatives. currency.S. Louisiana. U. If you change your address and you have an application or Embassy or consulate. do not use the initials "USDHS" or "DHS. Make the check or money order payable to U. your relative petition at the USCIS office overseas or the U. Kentucky. Virgin Islands. Embassy or or visit: www. you may file the petition at the nearest U. Use the following guidelines when you prepare your check or money order for Form I-130: 1. wife. and 2. Rhode Island.S.gov.travel.state. your alien spouse may be granted conditional permanent resident status in the United States as of the date he or she is admitted or adjusted to conditional status by a USCIS officer. you can verify if the fees are correct by following one of the steps below: 1. If Married Less Than Two Years Pursuant to section 216 of the Immigration and Nationality Act." and follow the prompts. Department of Homeland Security. or unmarried minor child of a United States citizen. KY 40744 Notice to Persons Filing for Spouses.uscis." petition pending with USCIS. Box 804616 Chicago. The address is as follows: USCIS P. Department of Homeland Security. Box 805887 Chicago.S.gov. Tennessee. Both you and your conditional resident spouse are required to file Form I-751.S. Guam. if you called us to request the form. Maine. submit both forms concurrently to: U. to: U.S. New Hampshire. Form I-130 Instructions (Rev. 2. consulate. Mississippi. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information.S. contact the nearest U.uscis. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U. Virgin Islands. Box 7134 London. Exception: If you are a U. When Will a Visa Become Available? When a petition is approved for the husband.S. Citizenship and Immigration Services Change of Address P. Pennsylvania. Petitioners residing abroad: If you live in Canada. To be considered properly filed. file your petition at the Vermont Service Center. Vermont. Texas. Delaware. Massachusetts. call the U. select "Immigration Forms. mail to: U.If you are the petitioner and you reside in Alabama. Review the fee schedule included in your form package.O. B. KY 40742-7134 For commercial overnight or fast freight services only. Joint Petition to Remove Conditional Basis of Alien's Permanent Resident Status. IL 60680-4120 For private couriers (non USPS) deliveries: U. New Jersey.S. parent. Puerto Rico.S. or the U.

You may correct the deficiency and resubmit the petition. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment.S. and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Once the petition has been accepted. 111 Massachusetts Avenue. to: U. you can now schedule an appointment through our internet-based system. InfoPass generates an electronic appointment notice that appears on the screen. or we may request that you appear at a USCIS office for an interview. citizenship or lawful permanent residence? Did you submit other required supporting evidence? If you are filing for your husband or wife. and USCIS may deny your petition.Otherwise. To access the system. Failure to provide this information. 1255. gov. Regulatory Management Division. you will face severe penalties provided by law. may delay a final decision or result in denial of your request. Initial Processing. Checklist Did you answer each question on the Form I-130 petition? Did you sign and date the petition? Did you enclose the correct filing fee for each petition? Did you submit proof of your U. Washington. the rights. and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www. Paperwork Reduction Act An agency may not conduct or sponsor an information collection. A petition is not considered properly filed until accepted by USCIS. We will return these originals when they are no longer needed. did you include: His or her photograph? Your completed Form G-325A? His or her Form G-325A? Form I-130 Instructions (Rev. NOTE: Failure to file the Form I-751 joint petition to remove the conditional basis of the alien spouse's permanent resident status will result in the termination of his or her permanent resident status and initiation of removal proceedings. Privacy Act Notice Processing Information Acceptance.uscis. 01/31/08)Y Page 5 . it will be checked for completeness. If you do not completely fill out the form or file it without the required initial evidence. or reside permanently in the United States as an immigrant in accordance with our Nation's immigration laws. In addition. We may also request that you submit the originals of any copy. A conditional permanent resident is not limited to the right to apply for naturalization. 3rd Floor. You will be notified of the decision in writing. responsibilites. and duties that apply to all other permanent residents apply equally to a conditional permanent resident. We may request more information or evidence. Decision. you will not establish a basis for eligibility. including suggestions for reducing this burden. file petitions on behalf of qualifying relatives. including the time for reviewing instructions and completing and submitting the form. and may be subject to criminal prosecution. Suite 3008. 1615-0012. The public reporting burden for this collection of information is estimated at 90 minutes per response. However. The decision on Form I-130 involves a determination of whether you have established eligibility for the requested benefit. and any requested evidence. to determine if you have established eligibility for the immigration benefit for which you are filing. OMB No. As an alternative to waiting in line for assistance at your local USCIS office. including submission of the required initial evidence. Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with this request.S. You can also get USCIS forms and information on immigration laws. Do not mail your application to this address.C. call our toll-free number at 1-800-870-3676. Any I-130 petition that is not properly signed or accompanied by the correct fee will be rejected with a notice that the petition is deficient. Requests for More Information. visit our website. DC 20529. USCIS Forms and Information To order USCIS forms. Citizenship and Immigration Services. InfoPass. Send comments regarding this burden estimate or any other aspect of this collection of information. We may provide this information to other government agencies.. regulations. a rejected petition does not retain a filing date.S. Our legal right to ask for this information is in 8 U. privileges. and may deny any other immigration benefit. we will deny the benefit you are filing for.W. We ask for the information on this form. N. and associated evidence.

F2-1 203(a)(2)(A) Child . citizen or lawful permanent resident? Yes INITIAL RECEIPT No Removal Yes Where Exclusion/Deportation COMPLETED: Appv'd When Rescission Denied No RESUBMITTED RELOCATED: Rec'd Judicial Proceedings Ret'd Sent Form I-130 (Rev. citizen.F4-1 Action Stamp Fee Stamp Petition was filed on: Personal Interview Pet.Date and Place of Present Marriage (if married) 9.) Arrival/Departure Record (I-94) Date arrived Date authorized stay expired. Name and address of present employer (if any) Date this employment began 16. S or D . complete the following: He or she arrived as a: (visitor. No. If your relative is currently in the U. or will expire. Parents. 2. Has your relative ever been in the U. Relationship Husband/Wife You are the petitioner.S. Name (Family name in CAPS) (First) (Middle) C.) (Town or City) 3.S.F2-4 203(a)(3) Married S or D . Address (Number and Street) (Apt. Has your relative ever been under immigration proceedings? 14b. student. Marital Status Married Widowed Single Divorced 4.Address (Number and Street) (First) (Middle) 2. Social Security Number (If any) 11.F2-2 203(a)(2)(B) Unm. Petition for Alien Relative DO NOT WRITE IN THIS BLOCK . Date of Birth 5. Date and Place of Present Marriage (if married) 9. Gender Male 6. without inspection.IR-2/CR-2 201(b) Parent . Naturalization. Marital Status Married Single Widowed Divorced 7. Your relative is the beneficiary. as shown on Form I-94 or I-95 15. Give certificate number. 01/31/08)Y .F1-1 203(a)(2)(A)Spouse .? Yes No 14. Place of Birth (Town or City) (State/Country) (Zip/Postal Code) (State/Country) 4.IR-1/CR-1 201(b) Child . Date(s) Marriage(s) Ended 8.. Give certificate number and date and place of issuance.S. Citizenship and Immigration Services OMB #1615-0012. Have you obtained a certificate of citizenship in your own name? Yes. Name(s) of Prior Husband(s)/Wive(s) 10. Did you gain permanent residence through adoption? Yes No Parent 1.S.S.FOR USCIS OFFICE ONLY A# Section of Law/Visa Category 201(b) Spouse . Gender Male Female 6.Department of Homeland Security U.S. Information about you 1. Social Security Number (If any) 11. Alien Registration Number 12. stowaway. Date(s) Marriage(s) Ended 13. Other Names Used (including maiden name) Female 7.S. Expires 01/31/11 I-130.) (Apt. Name (Family name in CAPS) 2. 14. Alien Registration Number 12. No 13. U. Date of Birth 5. Name(s) of Prior Husband(s)/Wive(s) 10. Did you gain permanent resident status through marriage to a U. date and place of issuance.F3-1 203(a)(4) Brother/Sister . Are you related by adoption? Brother/Sister Child Yes No 3. U. I am filing this petition for my: B. complete the following: My citizenship was acquired through (check one): Birth in the U. If you are a lawful permanent resident alien. Other Names Used (including maiden name) 8. Ben. No. Place of Birth (Town or City) (State/Country) (Zip/Postal Code) (State/Country) (Town or City) 3. " A" File Reviewed Field Investigation 203(a)(2)(A) Resolved (priority date) Previously Forwarded I-485 Filed Simultaneously 204(g) Resolved 203(g) Resolved Remarks: A. Information about your relative 1.IR-5 203(a)(1) Unm. If you are a U.S. complete the following: Date and place of admission for or adjustment to lawful permanent residence and class of admission. S or D . etc.

province.C. province and country) Phone Number (if any) 20. give last address at which you lived together. If filing for your husband/wife. Address in the United States where your relative intends to live. write his or her name and foreign address in the native alphabet. USCIS seeks criminal prosecutions when family relationships are falsified to obtain visas. (Include street. Complete the information below if your relative is in the United States and will apply for adjustment of status. Other information 1. Furthermore. province and country): (Name) 21. that the foregoing is true and correct. if any. Citizenship and Immigration Services needs to determine eligiblity for the benefit that I am seeking. D. Signature of petitioner. for knowlingly and willfully falsifying or concealing a material fact or using any false document in submitting this petition. you may be imprisoned for not more than five years or fined $250. Print Name Address Signature G-28 ID or VOLAG Number. Yes No WARNING: USCIS investigates claimed relationships and verifies the validity of documents. and country): From: To: 22. for entering into a marriage contract for the purpose of evading any provision of the immigration laws. PENALTIES: By law. YOUR CERTIFICATION: I certify. Acceptance is at the discretion of the designated embassy or consulate. E. Your relative's address abroad. (Street Address) (Town or City) (State) 19. (Include street. Form I-130 (Rev.000 and imprisoned for up to five years. if any. place and date of filing and result. If your relative's native alphabet is other than Roman letters. or both. Address (Include street." give name. under penalty of perjury under the laws of the United States of America. (Name) (Relationship) (Date of Birth) (Country of Birth) 18. List husband/wife and all children of your relative. city.S. or both. if other than the petitioner. Have you ever before filed a petition for this or any other alien? If "Yes.000. city. I declare that I prepared this document at the request of the person above and that it is based on all information of which I have any knowledge. I authorize the release of any information from my records that the U. 2. give names of each and relationship. Date Phone Number ( ) F. he or she will apply for a visa abroad at the American consular post in: (City) (City) (Country (State) NOTE: Designation of an American embassy or consulate outside the country of your relative's last residence does not guarantee acceptance for processing by that post. Information about your alien relative (continued) 17. Your relative is in the United States and will apply for adjustment of status to that of a lawful permanent resident at the USCIS office in: If your relative is not eligible for adjustment of status. 01/31/08)Y Page 2 Date . In addition. Signature of person preparing this form. city. If separate petitions are also being submitted for other relatives. you may be fined up to $10.

A V-2.S.S. If the edition date on the online version is later.S. or V-3. upon returning to the United States. spouse. Expires 02/28/09 Department of Homeland Security U. Embassy or consulate. you do not need to apply for advance parole if both conditions described below in A and B are met: A. Advance parole cannot be used to circumvent the normal visa issuing procedures and is not a means to bypass delays in visa issuance. and are not permanent residents must have a refugee travel document to return to the United States after temporary travel abroad.A reentry permit allows a permanent resident or conditional resident to apply for admission to the United States upon returning from abroad during the permit's validity. Citizenship and Immigration Services Instructions for Form I-131. A K-3. please visit our website at www. However. A Form I-485. Who May File Form I-131? Each applicant must file a separate application for a travel document. and B. If the edition date on your Form I-131 matches the edition date listed for Form I-131 on the online Forms and Fees page. spouse or child of an H-1. download a copy and use the online version.An advance parole document is issued solely to authorize the temporary parole of a person into the United States. or 4. (See Biometric Services Requirement. Citizenship and Immigration Services (USCIS) for the following travel documents. 02/26/08)Y . Updated Filing Address Information The filing addresses provided on this form reflect the most current information as of the date this form was last printed. or 2. Application for Travel Document Instructions Please read these instructions carefully to properly complete this form. Write your name and Alien Registration Number (A #). You are in one of the following nonimmigrant categories: 1. use a separate sheet(s) of paper. call the National Customer Service Center at 1-800-375-5283 to verify the current filing address and edition date. Refugee Travel Document . child of a U. L. and check the Forms and Fees page to confirm the correct filing address and version currently in use. was filed on your behalf and is pending with USCIS. What Is the Purpose of This Form? This form may only be used to apply to U. or to a permanent resident who obtained such status as a result of being a refugee or asylee in the United States. 3. If you need more space to complete an answer. and must not be used to request release from immigration custody: 1. you must present your valid H. child of a lawful permanent resident. K. 1. citizen. or 3. Application to Register Permanent Residence or Adjust Status.S. spouse.uscis. 2. without having to obtain a returning resident visa from a U. An advance parole document is not issued to serve in place of any required passport. If you are filing Form I-131 more than 30 days after the latest edition date shown in the lower right-hand corner. An L-1.OMB No. Improperly filed forms will be rejected and the fee returned with instructions to resubmit the entire filing using the current form instructions. Re-entry Permit . An H-1. If you are in the United States as a permanent resident or conditional permanent resident. at the top of each sheet of paper and indicate the part and number of the item to which the answer refers. if any. If you do not have Internet access. or L-2. intracompany transferee. or V nonimmigrant visa and continue to remain eligible for that status. Check the edition date located in the lower right-hand corner of the form.A refugee travel document is issued to a person classified as a refugee or asylee. After filing your application for a reentry permit. 1615-0013. temporary worker.) Form I-131 Instructions (Rev. The document may be accepted by a transportation company in lieu of a visa as an authorization for the holder to travel to the United States. your version is current and will be accepted by USCIS. Persons who hold aslyee or refugee status. USCIS will inform you in writing when to go to your local Application Support Center (ASC) for your biometrics appointment. Re-entry Permit A. NOTE: If you are in the United States and wish to travel abroad. you may apply for a reentry permit. Advance Parole Document .gov before you file. Advance parole is an extraordinary measure used sparingly to bring an otherwise inadmissible alien to the United States for a temporary period of time due to a compelling emergency. or K-4. spouse or child of an L-1. or H-4.

except that a permit with a validity of two years may be issued to the following: a. a Re-entry Permit may be sent to a U. If you are in the United States in valid refugee or asylee status. See Section § 208(c)(2)(D) of the Immigration and Nationality Act. However. However. If you intend to remain outside the United States for one year or more. However. whichever date comes first. A permanent resident whose travel is on the order of the U. or 2.S. C. or you can demonstrate that it was lost. or recision order. Departure from the United States before a decision is made on an application for a Re-entry Permit usually does not affect the application. Generally. A Re-entry Permit may not be extended. 8 U. Application to Preserve Residence for Naturalization Purposes. where biometric collection is required and the applicant departs the United States before the biometrics are collected. For further information. unless the prior document has been returned to USCIS. contact your local USCIS office. Validity of Re-entry Permit 1. your asylum status may be terminated if the Government determines that you have voluntarily availed yourself of the protection of your country of claimed persecution. c. other than an exclusion. the application may be denied. the application may be denied. Refugee Travel Document A. a Re-entry Permit does not relieve you of any of the requirements of U. However. 1997. You may re-enter the United States on your Permanent Resident Card (Form I-551). you must have a Refugee Travel Document to return to the United States after temporary travel abroad. a Refugee Travel Document may be sent to a U.S. With the exception of having to obtain a returning resident visa abroad. Travel Warning Regarding Voluntary Re-availment WARNING to asylees who travel to the country of claimed persecution: If you applied for asylum on or after April 1. B. A Re-entry Permit may not be issued to you if: 1. 3. deportation.S. Departure from the United States before a decision is made on the application for a Refugee Travel Document usually does not affect the application. a Re-entry Permit issued to a permanent resident shall be valid for two years from the date of issuance. A permanent resident who is a professional athlete and regularly competes in the United States and worldwide. absences from the United States for one year or more will generally break the continuity of your required continuous residence in the United States. Embassy or consulate or Department of Homeland Security (DHS) office abroad for you to pick up. if since becoming a permanent resident you have been outside the United States for more than four of the last five years. If you stay outside the United States for less than one year. However. b. the permit will be limited to one year. Generally. You should apply for a refugee travel document before you leave the United States. you should file a Form N-470.C. USCIS will inform you in writing when to go to your local USCIS Application Support Center (ASC) for your biometrics appointment. 02/26/08)Y Page 2 . 2. After filing your application for a Refugee Travel Document. you are not required to apply for a Re-entry Permit. A notice was published in the Federal Register that precludes the issuance of such a document for travel to the area where you intend to go. it may be determined that you have abandoned your permanent or conditional resident status. if you request it when you file your application. You have already been issued such a document. or to the date the conditional resident must apply for removal of the conditions on his or her status. immigration laws. A Re-entry Permit issued to a conditional resident shall be valid for two years from the date of issuance. or if you are a permanent resident as a direct result of your refugee or asylee status in the United States. 2. If you intend to apply in the future for naturalization. Form I-131 Instructions (Rev.You must be physically present in the United States when you file the Re-entry Permit application. removal. if you request it when you file your application. where biometric collection is required and the applicant departs the United States before the biometrics are collected. and it is still valid. Government. S. you may apply for a Refugee Travel Document.S. A permanent resident employed by a public international organization of which the United States is a member by treaty or statute. NOTICE to permanent or conditional residents who remain outside the United States for more than one year: If you do not obtain a Re-entry Permit and remain outside the United States for one year or more. 1158(c)(2)(D). Embassy or consulate or DHS office abroad for you to pick up.

of. unless the prior document has been returned to USCIS. or 2. but are not limited to. A. You have already been issued such a document and it is still valid. Advance Parole Document F.S. You may apply if you are classified as a refugee or asylee and you seek to travel abroad for emergent personal or bona fide business reasons. or you are traveling to Canada to apply for a U. 3. NOTICE to permanent residents who obtain permanent residence as a result of their refugee or asylee status: If you do not obtain a Re-entry Permit and remain outside the United States for one year or more. 2. immigrant visa. he or she will not be returned to his or her refugee or asylee status. you may be inadmissible for three years from the date of departure. Temporary Protected Status (TPS). according to such conditions as prescribed. A Refugee Travel Document shall be valid for one year. These include. You may apply if you have been granted Temporary Protected Status or another another immigration status that allows you to return to that status after a brief. 2. 3. E. you may be inadmissible for ten years from the date of departure regardless of whether you left before.S. deferred enforced departure (DED). read this travel warning carefully. If you have been unlawfully present in the United States for one year or more. B.) A. If you are in the United States and seek advance parole: 1. G. if you accrued more than 180 days of unlawful presence BEFORE the date you were considered to be in a period of authorized stay. D. during or after removal proceedings. (See sections 209(c). 212(a)(9) and 244(c) of the Immigration and Nationality Act for more information on unlawful presence and the available waivers. A refugee or asylee who returns to the United States with a valid Refugee Travel Document may be admitted to the Form I-131 Instructions (Rev. your departure may trigger the three-or ten-year bar. it may be determined that you have abandoned your permanent resident status. Therefore. citizen or lawful permanent resident spouse or parent may apply for the waiver for humanitarian reasons to assure family unity or when it is otherwise in the public interest. and innocent absence (as defined in 8 CFR 244.B.1) from the United States. If you have been unlawfully present in the United States for more than 180 days but less than one year and you leave before removal proceedings are started against you. or 2. You may apply if you have an adjustment. or after the period of authorized stay has expired. A person in the United States may file this application on your behalf. A Refugee Travel Document may not be issued to you if: 1. or you can demonstrate that it was lost. casual. Generally. only those persons who can establish extreme hardship to their U. However. C. a properly filed adjustment of status application. or return to a status that requires you to establish that you are not inadmissible. Although advance parole may allow you to return to the United States. you will need to apply for and receive a waiver of inadmissibility before your adjustment application may be approved or your status continued. NOTE: If a refugee or asylee who returns to the United States with an Advance Parole Document is paroled into the United States at a port of entry upon return. Unlawful presence is defined as being in the United States without having been inspected and admitted or paroled. You may apply for an Advance Parole Document. 02/26/08)Y Page 3 Travel Warning Regarding Unlawful Presence Before you apply for an Advance Parole Document. If you are outside the United States and need to visit the United States temporarily for emergent humanitarian reasons: 1. asylum. B. A notice was published in the Federal Register that precludes the issuance of such a document for travel to the area where you intend to go. In so doing. your application must be based on the fact that you cannot obtain the necessary visa and any required waiver of inadmissibility. if you apply for adjustment of status after you return to the United States. .status application pending and you seek to travel abroad for emergent personal or bona fide business reasons. resume an adjustment application that was pending before you left. and withholding of removal. Parole under these conditions is granted on a case-by-case basis for temporary entry. C. he or she should complete Part 1 of the form with information about him or herself. A Refugee Travel Document may not be extended. certain immigration benefits and time spent in the United States while certain applications are pending may place you in a period of authorized stay. However. Validity of Refugee Travel Document 1.

passport identity page. deportation. you must attach: a. You held J-1 nonimmigrant status and are subject to the two-year foreign residence requirement as a result of that status. Type or print legibly in black ink. and b. Form I-131 Instructions (Rev. You should contact U. Permanent Resident Card. or 2. or 2. your application will be deemed abandoned if: 1. If you have not yet received your Form I-551. § 208. State that an item is not applicable with "N/A. A copy of the Form I-797. C.F. or we may request that you appear at a USCIS office for an interview or for fingerprinting. or 3. Arrival/Departure Document.R. If extra space is needed to complete any item. An explanation or other evidence showing the circumstances that warrant issuance of an advance parole document. The person seeking advance parole attempts to enter the United States before a decision is made on the application. Notice of Action. An Advance Parole document may not be issued to you if: 1.8. a copy of a USCIS receipt as evidence that you filed the adjustment application.S. it will be presumed that you abandoned your asylum application. D. or 2. or any other official identity document. indicate the item number. Permanent Resident Card. See 8 C. If you do not submit the required evidence. If you are applying for : A. Form I-551. General Requirements 1. If you travel before the advance parole document is issued. unless you can show that there were compelling reasons for your return. Answer all questions fully and accurately. and date and sign each sheet. write "none. Fill Out the Form I-131 1.United States to resume his or her refugee or asylee status. If you are an applicant for adjustment of status. You depart from the United States. A Form I-94. You are in exclusion. Initial Evidence We may request additional information or evidence. attach a continuation sheet. If you are applying for a: B. (Example: a valid government. see Pages two and three of these instructions. name and date of birth. C. Immigration and Customs Enforcement (ICE) about your request.) The copy must clearly show the photo and identity information. General Instructions Step 1. removal. WARNING: If you have a pending application for asylum.) You must file your application with all the required evidence. or recission proceedings. and you return to the country of claimed persecution. A copy of the front and back of your Form I-551." If the answer is none. is not acceptable as a photo identity document. or c. (See Biometric Services Requirement. approval notice of an application for replacement of your Permanent Resident Card or temporary evidence of permanent resident status. 3. A copy of any document issued to you by USCIS showing your present status in the United States. or other evidence that you are a permanent resident. If you are in the United States. 02/26/08)Y Page 4 . Refugee Travel Document You must attach a copy of the document issued to you by USCIS showing your refugee or asylee status and the expiration date of such status. a copy of the biographic page(s) of your passport and a copy of the visa page showing your initial admission as a permanent resident. For additional information on Refugee Travel Documents. Note: Do not use this form if you are seeking release from immigration custody and you want to remain in the United States as a parolee. it will delay the issuance of the document you are requesting." Step 2. 2. Re-entry Permit You must attach: 1. Advance Parole Document 1. All applications must include a copy of an official photo identity document showing your photo.issued driver's license.

S. If you are applying for a person who is outside the United States. including when and where attempts were made to obtain a visa. or creased. it needs to be produced from a high resolution camera.S. and a copy of any DHS decision on your waiver request. do not submit the photographs with your application. Passport-style photos must be 2" x 2. Two completed fingerprint cards (FD-258)." The photos must be in color with full face. submit the required photographs of the person to be paroled. and eye height is between 1 1/8" to 1 3/8" from bottom of photo. Your head must be bare unless you are wearing a headdress as required by a religious order of which you are a member. or U. consular appointment letter. Head height should measure 1" to 1 3/8" from top of hair to bottom of chin.S.5 mega pixels of resolution. Form I-131 Instructions (Rev. Using pencil or felt pen. if a digital photo is submitted. If you are applying for an Advance Parole Document and you are outside the United States. lightly print your name and Alien Receipt Number on the back of the photo. and be unmounted and unretouched. Failure to appear to be fingerprinted or for other biometric services may result in a denial of your application. 2. and indicating the length of time for which the parole is requested. you must attach: a. If you are filing this application for an Advance Parole Document for another person. A statement of how and by whom medical care. housing. A complete description of the emergent reasons explaining why advance parole should be authorized and including copies of any evidence you wish considered. B. A copy of any decision on an immigrant petition filed for the person. the U.S. g. (See "What is the Filing Fee" on page eight). Military Installation. NOTE: Because of the current USCIS scanning process. Photographs A. The photos must have a white to off-white background. You must indicate your Alien Registration Number (A#) on the fingerprint card and ensure that the completed cards are not bent. you must be fingerprinted as part of USCIS biometric services requirements. with evidence of the sponsor's occupation and ability to provide necessary support. transportation. After you have filed this application. USCIS may also take your photograph and signature. A statement explaining why a U. Embassy or consulate or DHS office abroad will provide you with information regarding the photograph requirements. 02/26/08)Y Page 5 .S. Prior to issuing the parole document. Embassy or consulate. If necessary. including when and where attempts were made to obtain a waiver. You must submit two identical color photographs of yourself taken within 30 days of the filing of this application. or if you are in the United States and filing for advance parole document. and d. If you are outside the United States and filing for a refugee travel document. If the person seeking advance parole is outside the United States: 1. USCIS office. All applicants for Re-entry Permit and/or Refugee Travel Documents between the ages of 14 through 79 are required to pay the additional $80 biometric fee. and evidence regarding any pending immigrant petition. A statement explaining why a waiver of inadmissibility cannot be obtained to allow issuance of a visa. An Affidavit of Support (Form I-134). and c. 3. and e. The fingerprint cards must be prepared by a U. a copy of the U. and other expenses and subsistence needs will be met.d. folded. frontal view on a white to off-white background. visa cannot be obtained. USCIS will notify you in writing of the time and location where you must go to be fingerprinted. Biometric Services Requirement If you are between age 14 through 79 and you are applying for a Refugee Travel Document or Re-entry Permit. 2. and b. and f. If you are traveling to Canada to apply for an immigrant visa. be printed on thin paper with a glossy finish. that has at least 3. 2.

2. D. file your Form I-131 using the same address you used to file Form I-485. USCIS Lockbox Addresses: For United States Postal Service (USPS) deliveries: Expedite Request Instructions. Travel Documents If you are applying for a Refugee Travel Document based on your refugee or asylum status or you are a permanent resident as a direct result of your refugee or asylee status in the United States. please notate the outside of the envelope with the word EXPEDITE. send both forms to the address you will use to file Form I-485. NE 68501-7131 . e-mail addresses.gov for a list of who is eligible to e-file this form and instructions. If the expedite request is granted and you provide prepaid. shall cease to apply or shall not apply to you as provided in Article 1C. Original documents submitted when not required will remain a part of the record. file Form I-131 with the Nebraska Service Center using the following address: USCIS Nebraska Service Center P. even if the submission was not required. It is recommended that two pre-paid. For adjustment of status applications (Form I-485) filed with USCIS Chicago Lockbox Facility: Submit Form I-131 either concurrently with Form I-485 or alone to the same address you used to file your I-485 application. IL 60680-4120 For private courier (non-USPS) deliveries: USCIS Attn: FBASI 427 S. In addition. If you are requesting advanced parole based on a pending I-485. E. which the translator has certified as complete and accurate.O. and a fax number be provided with any expedite request for the Reentry Permit or Refugee Travel Document. C.O. If you do not provide pre-paid mailers. or F of the Convention. Box 87131 Lincoln. selfaddressed express mailers. For special immigrant international employees: If you are a special immigrant international organization employee or eligible relative and you are applying for advance parole concurrently with Form I-485. file your Form I-131 with the Nebraska Service Center at the address below: USCIS Nebraska Service Center P. IL 60605-1029 B. LaSalle . file your Form I-131 with the Nebraska Service Center at the below address: USCIS Nebraska Service Center P. Please view our website at www. NE 68501-7131 3. a Refugee Travel Document will be invalid if the United Nations Convention of July 28. 1951. Box 87131 Lincoln. Box 87131 Lincoln. 02/26/08)Y Page 6 Where To File? E-Filing Form I-131 Certain Form I-131 filings may be electronically filed (e-filed) with USCIS. self-addressed express mailers. Box 805887 Chicago. Advance Parole A. 1.O. Translations. Any document containing foreign language submitted to USCIS shall be accompanied by a full English language translation. Re-entry Permits If you are a Lawful Permanent Resident or a Conditional Permanent Resident and are applying for a Re-entry Permit. the appointment notice and travel document will be sent via regular mail. use the filing address listed on Form I-485 for both forms. we will use the pre-paid mailers to send you the ASC appointment notice and travel document upon completion.Invalidation of Travel Document Any travel document obtained by making a material false representation or concealment in this application will be invalid. Unless specifically required that an original document be filed with an application or petition. and by the translator's certification that he or she is competent to translate from the foreign language into English. an ordinary legible photocopy may be submitted.O. A travel document will also be invalid if you are ordered removed or deported from the United States.) Copies.3rd Floor Chicago. When mailing in this request. (A complete list of the adjustment of status applications filed with USCIS Chicago Lockbox Facility is found on Form I-485. For battered spouses and children applying for adjustment of status: If you are filing as a battered or abused spouse or child and you are filing your I-131 concurrently with Form I-485. Expedited applications for Re-entry Permit or Refugee Travel Document. USCIS P.uscis. If you are filing a Form I-131 based on a pending Form I-485. NE 68501-7131 Form I-131 Instructions (Rev.

If you are filing a Form I-131 based on a pending Form I-485. Delaware. Florida. or Wyoming. Citizenship and Immigration Services Attn: Chief.D. (See addresses to the Nebraska and Texas Service Centers below. Box 87245 Lincoln. For individuals with Temporary Protected Status (TPS) If you have been granted Temporary Protected Status and you are applying for advance parole. Minnesota. South Carolina. Indiana. Ohio. Based on an underlying Form I-360 petition not previously mentioned. North Dakota. Box 87245 Lincoln. Mississippi. Vermont. Albans. New York. Maine. 2. Hawaii.S. Others not previously mentioned. use the filing address listed on Form I-485 for both forms. New Jersey. International Operations Division (Humanitarian Parole) 20 Massachusetts Avenue. Texas. New Hampshire. If you are filing a Form I-131 based on a pending Form I-485. South Dakota. Based on an underlying Form I-140 petition. use the filing address listed on Form I-485 for both forms. For aliens granted refugee or asylee status who have filed or will file an adjustment of status application: If you have been granted refugee or asylee status and you are applying for advance parole concurrently with Form I-485. NE 68501-7131 G. Connecticut. For other adjustment. For applicants covered under the Haitian Refugee Immigrant Fairness Act (HRIFA): If you are either the dependent spouse or child of a HRIFA principal or a HRIFA principal who has a Form I-485 pending. Arkansas. Oregon.O. Massachusetts. Iowa. you may file your Form I-131 using the following address: Nebraska Service Center USCIS P.status applications (Form I-485) filed at a USCIS Service Center including the following: 1. 1. Montana. California. or 3.S. NE 68501-7131 2. file Form I-131 with the Nebraska Service Center or Texas Service Center. Nebraska. USCIS Texas Service Center P. Oklahoma. Wisconsin. and the District of Columbia. TX 75185-1182 G. Virgin Islands. NW. Guam.) E. U. DC 20529 Form I-131 Instructions (Rev. Michigan. USCIS Nebraska Service Center P. use the filing address listed on Form I-485 for both forms. Idaho. Louisiana. Virginia. Washington. USCIS Vermont Service Center Attn: I-131 75 Lower Welden Street St. you may file your Form I-131 using the following address: USCIS Nebraska Service Center P. If you are applying for advance parole concurrently with Form I-485.O. Kentucky. Colorado. Georgia. Utah. file Form I-131 with the Service Center where your Form I-485 is pending. West Virginia. Beneficiaries outside of the United States seeking parole due to extraordinary. NE 68501-7245 For dependent spouse or dependent child covered under the Haitian Refugee Immigrant Fairness Act (HRIFA) outside the United States: If you are the spouse or child of a principal HRIFA applicant and are seeking advance parole to enter the United States to file for adjustment of status as a permanent resident. 02/26/08)Y Page 7 . Box 851182 Mesquite. TX 75185-1182 F. Nebraska Service Center filings: File your Form I-131 with the Nebraska Service Center if you live in the following states: Alaska. Puerto Rico. Texas Service Center filings: File your Form I-131 with the Texas Service Center if you live in the following states: Alabama. humanitarian circumstances should mail Form I-131 to the following address: U. Illinois. Arizona. Room 3300 Washington.of. Box 851182 Mesquite. Maryland. For Immigrant Investors: If you are an immigrant investor and you are applying for advance parole concurrently with Form I-485. regardless of where you live in the United States. Missouri. New Mexico. VT 05479-0001 H. emergent. Kansas. file Form I-131 with the Texas Service Center using the following address: USCIS Texas Service Center P.O.O. If you are filing a Form I-131 based on a pending Form I-485. depending on where you live. Rhode Island. Pennsylvania.O. Tennessee. Box 87131 Lincoln. Nevada. mail Form I-131 to the Vermont Service Center. North Carolina.

if you called us to request the form.2(e)(4)(ii)(A)).S. or 3. Alien's Change of Address Card. on or after July 30. KY 40744 Form I-131 Instructions (Rev. B.S.gov. currency. 2007. Or you may complete and mail Form AR-11. If you file Form I-131 for advance parole or a refugee travel document separately. We will destroy your original check. you authorize us to process the copy in place of your original check. Visit our website at www.uscis. and 2. How to Check If the Fees Are Correct The form fee on this form is current as of the edition date appearing in the lower right corner of this page.I. 2. because USCIS fees change periodically.S. Guam. The biometric fee is $80 for applicants ages 14 through 79 who request a Refugee Travel Document or Re-Entry Permit. 02/26/08)Y Page 8 . However. (see NOTE that follows for when this fee may not apply). receipt as evidence that you filed and paid the fee for the Form I-485 required on or after July 30. You will not receive your original check back. Persons financially unable to pay the required biometric services fee may submit a fee waiver request. call the USCIS National Customer Service Center at 1-800-375-5283 or visit our website at www. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. Department of Homeland Security. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U. but we will keep a copy of it. NOTE: Please spell out U. you may change your address online at www. Use the following guidelines when you prepare your check or money order for the Form I-131 fee: 1." and check the appropriate fee. it will be converted into an electronic funds transfer (EFT). If you send us a check. with supporting documentation. select "Immigration Forms. See 8 CFR 103. make it payable to Treasurer.S. What Is the Filing Fee? The fee for this application is $305 and may not be waived. do not use the initials "USDHS" or "DHS. we may try to make the transfer up to two times. Citizenship and Immigration Services Change of Address P. If the EFT cannot be completed because of insufficient funds. make it payable to Commissioner of Finance of the Virgin Islands. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. or you may submit the I-131 for Advance Parole or a Refugee Travel Document at a later date. click on "Change your address with USCIS. Questions Regarding Form I-131 For additional information about Form I-131. unless: A. The application fee and biometrics services fee may be paid with one $385 check.S. 2007. USCIS will inform you regarding the approval or denial of your fee waiver request. This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. NOTE: If you filed a Form I-485. Application to Register Permanent Residence or Adjust Status. Make the check or money order payable to U. you can verify if the fees are correct by following one of the steps below: 1. KY 40742-7134 For commercial overnight or fast freight services only. Virgin Islands and are filing your petition there. you must also submit a copy of your Form I-797C. Box 7134 London.7(c).O. to: U.gov. as described in 8 CFR 103.uscis. unless the applicant resides outside the United States at the time of filing their form.S. Review the Fee Schedule included in your form package. If you live in Guam and are filing your petition there. Notice to Those Making Payment by Check. You may file the I-131 for Advance Parole or for a Refugee Travel Document concurrently with your I-485. If the EFT cannot be processed for technical reasons. mail to: U.gov. Notice of Action. including how to file your application or filing locations not mentioned. If you live in the U. The debit from your account will usually take 24 hours and will be shown on your regular account statement. then no fee is required to file a request for Advance Parole or for a Refugee Travel Document on Form I-131.uscis." Address Changes If you change your address and you have an application or petition pending with USCIS. Department of Homeland Security. and you paid the I-485 application fee required." and follow the prompts.

including the time for reviewing instructions. Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-131. Once a Form I-131 has been accepted. Paperwork Reduction Act An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. What If You Claim Nonresident Alien Status on Your Federal Income Tax Return? If you are an alien who has established residence in the United States after having been admitted as an immigrant or adjusted status to that of an immigrant. Send comments regarding this burden estimate or any other aspect of this collection of information. If you file a nonresident alien tax return or fail to file a tax return. OMB No. as amended. 1615-0013. We will return these originals when they are no longer required. you will not establish a basis for eligibility and we may deny your Form I-131. As an alternative to waiting in line for assistance at your local USCIS office. call our toll-free number at 1-800870-3676. or naturalization on the basis of your original entry. Initial processing. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. We may request more information or evidence. to determine if you have established eligibility for the immigration benefit for which you are filing. An application or petition is not considered properly filed until accepted by USCIS. Suite 3008. 111 Massachusetts Avenue. You may correct the deficiency and resubmit the Form I-131. regulations. You will be notified of the decision in writing. it will be checked for completeness. including suggestions for reducing this burden. We may provide this information to other government agencies. you will face severe penalties provided by law and may be subject to criminal prosecution. Privacy Act Notice We ask for the information on this form. Do not mail your application to this address.gov. As a consequence. DC 20529. You may also be inadmissible to the United States if you seek admission as a returning resident. to: U. 3rd Floor. may delay a final decision or result in denial of your Form I-131. USCIS Forms and Information To order USCIS forms. Citizenship and Immigration Services. Decision. Requests for more information or interview.Processing Information Any Form I-131 that is not signed or accompanied by the correct fee(s) will be rejected with a notice that the Form I-131 is deficient. You can also get USCIS forms and information on immigration laws. we will deny the Form I-131 and may deny any other immigration benefit. and any requested evidence. you may be ineligible for a visa or other document for which permanent resident aliens are eligible. and completing and submitting the form. you may be regarded as having abandoned residence in the United States and as having lost your permanent resident status under the Act. or file it without required initial evidence.S. Failure to provide this information. Our legal right to ask for this information can be found in the Immigration and Nationality Act.. or we may request that you appear at a USCIS office for an interview. The public reporting burden for this collection of information is estimated at one hour and 55 minutes per response. you can now schedule an appointment through our Internet-based system. 02/26/08)Y Page 9 . InfoPass generates an electronic appointment notice that appears on the screen.uscis. If you do not completely fill out the form. To access the system. InfoPass. including submission of the required initial evidence. you should carefully review the consequences of such actions under the Immigration and Nationality Act. Form I-131 Instructions (Rev. In addition. The decision on a Form I-131 involves a determination of whether you have established eligibility for the requested benefit. Regulatory Management Division. and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www. and you may become ineligible for adjustment of status as a permanent resident. and associated evidence. N. and are considering the filing of a nonresident alien tax return or the non-filing of a tax return on the ground that you are a nonresident alien.W. Washington. visit our website. We may also request that you submit the originals of any copy.

Part 1. I am applying for an advance parole document for a person who is outside the United States. I am applying for an advance parole document to allow me to return to the United States after temporary foreign travel. Social Security # (if any. I am outside the United States and I am applying for an advance parole document. provide the following information about that person: (First) (Middle) 1. Country of Citizenship Zip/Postal Code Country 4. Class of Admission (Middle) Apt. Gender Male Female 5.Department of Homeland Security U. Date of Birth (mm/dd/yyyy) (First) 3. # State or Province 8. I now hold U. A # Information about you. mail to: Address in Part 1 American embassy/consulate at: Overseas DHS office at: Document Hand Delivered On By To be completed by Attorney/Representative. Application type (check one). Country of Birth 4. S. 02/26/08)Y . d.) Part 2.) 2. 1615-0013. (Please type or print in black ink. refugee or asylee status and I am applying for a refugee travel document. If you checked box "f". Country of Citizenship 5. a. I am a permanent resident or conditional resident of the United States and I am applying for a reentry permit. I am a permanent resident as a direct result of refugee or asylee status and I am applying for a refugee travel document. c. Address (Number and Street) City 7. Application for Travel Document FOR USCIS USE ONLY (except G-28 block below) Receipt DO NOT WRITE IN THIS BLOCK Document Issued Action Block Reentry Permit Refugee Travel Document Single Advance Parole Multiple Advance Parole Valid to: If Reentry Permit or Refugee Travel Document. Expires 02/28/09 I-131. Country of Birth 9. # Daytime Telephone # (area/country code) City State or Province Zip/Postal Code Country Form I-131 (Rev. b.S. Date of Birth (mm/dd/yyyy) 3. if any. Address (Number and Street) Apt. e. Name (Family name in capital letters) 2. Citizenship and Immigration Services OMB No. f. 1. Attorney State License # Check box if G-28 is attached. Name (Family name in capital letters) 6.

To the U. have you. skip to Part 7. Country from which you are a refugee or asylee: If you answer "Yes" to any of the following questions. you must explain on a separate sheet(s) of paper. To the address shown below: Address (Number and Street) City State or Province Apt.) two to three years three to four years more than four years Yes No Part 6. applied for and/or obtained a national passport. Date of Intended Departure (mm/dd/yyyy) 2. or any person included in this application.S. whichever is less) how much total time have you spent six months to one year outside the United States? one to two years Since you became a permanent resident of the United States. lost. Processing information. c. deportation. # Daytime Telephone # (area/country code) Zip/Postal Code Country Part 4. Have you ever before been issued a reentry permit or refugee travel? for the last document issued to you): Date Issued (mm/dd/yyyy): Yes (Name of DHS office): Yes (Give the following information No Disposition (attached. Expected Length of Trip 3. health insurance benefits)." give details on a separate sheet(s) of paper. address shown in Part 1 on the first page of this form. Part 5. Where do you want this travel document sent? (Check one) a. where should the notice to pick up the travel document be sent? To the address shown in Part 2 on the first page of this form. Do you plan to travel to the above named country? 3. b. List the countries you intend to visit. passport renewal or entry permit of that country? c. reacquired the nationality of the above named country? b. Since you were accorded refugee/asylee status. or failed to file a federal income tax return because you considered yourself to be a nonresident? (If "Yes. Purpose of trip. Are you. have you ever filed a federal income tax return as a nonresident. by any legal procedure or voluntary act: a. been granted refugee or asylee status in any other country? Yes Yes Yes Yes Yes Yes Yes No No No No No No No Form I-131 (Rev. 4. 2. have you ever: a. Complete only if applying for a reentry permit. continue on a seperate sheet(s) of paper. 1. Since you were accorded refugee/asylee status. now in No exclusion. To an American embassy or consulate at: City: To a DHS office overseas at: City: Country: Country: d. Complete only if applying for a refugee travel document. 4. Information about your proposed travel. If you checked "b" or "c". returned to the above named country? b. Since becoming a permanent resident of the United States (or during the less than six months past five years. applied for and/or received any benefit from such country (for example.Part 3.): 5. removal or recission proceedings? If you are applying for an Advance Parole Document. etc. 1. 02/26/08)Y Page 2 . acquired a new nationality? c. If you need more room.

Part 7. Complete only if applying for advance parole.
On a separate sheet(s) of paper, please explain how you qualify for an advance parole document and what circumstances warrant issuance of advance parole. Include copies of any documents you wish considered. (See instructions.) 1. For how many trips do you intend to use this document? One trip More than one trip

2. If the person intended to receive an advance parole document is outside the United States, provide the location (city and country) of the American embassy or consulate or the DHS overseas office that you want us to notify. City Country

3. If the travel document will be delivered to an overseas office, where should the notice to pick up the document be sent: To the address shown in Part 2 on the first page of this form. To the address shown below: Address (Number and Street) Apt. # Daytime Telephone # (area/country code)

City

State or Province

Zip/Postal Code

Country

Part 8. Signature. for a reentry permit or refugee travel document, you must be in the United States to file this application.
I certify, under penalty of perjury under the laws of the United States of America, that this application and the evidence submitted with it are all true and correct. I authorize the release of any information from my records that the U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking.
Signature Date (mm/dd/yyyy) Daytime Telephone Number (with area code)

Read the information on penalties in the instructions before completing this section. If you are filing

Please Note: If you do not completely fill out this form or fail to submit required documents listed in the instructions, you may not be found eligible for the requested document and this application may be denied.

Part 9. Signature of person preparing form, if other than the applicant. (Sign below.)
I declare that I prepared this application at the request of the applicant and it is based on all information of which I have knowledge.
Signature Print or Type Your Name

Firm Name and Address

Daytime Telephone Number (with area code)

Fax Number (if any.)

Date (mm/dd/yyyy)

Form I-131 (Rev. 02/26/08)Y Page 3

OMB No. 1615-0014; Exp. 04-30-07

Department of Homeland Security U.S. Citizenship and Immigration Services

I-134, Affidavit of Support
Instructions

I. Execution of Affidavit.
A separate affidavit must be submitted for each person. As the sponsor, you must sign the affidavit in your full, true and correct name and affirm or make it under oath. If you are in the United States, the affidavit may be sworn to or affirmed before an officer of U.S. Citizenship and Immigration Services (USCIS) without the payment of fee, or before a notary public or other officers authorized to administer oaths for general purposes, in which case the official seal or certificate of authority to administer oaths must be affixed. If you are outside the United States, the affidavit must be sworn to or notice affirmed before a U.S. consular or immigration officer. How you submit the form depends on whether the alien you are sponsoring is in or outside the United States and what type of application is being submitted. See the instructions provided with the corresponding application for detailed information on how to submit this affidavit of support form.

B. Statement of your employer on business stationery, revealing: 1. Date and nature of employment; 2. Salary paid; 3. Whether the position is temporary or permanent. C. If self-employed: 1. Copy of last income tax return filed; or 2. Report of commercial rating concern. D. List containing serial numbers and denominations of bonds and name of record owner(s).

III. Sponsor and Alien Liability.
Effective October 1, 1980, amendments to section 1614(f) of the Social Security Act and Part A of Title XVI of the Social Security Act establish certain requirements for determining the eligibility of aliens who apply for the first time for Supplemental Security Income (SSI) benefits. Effective October 1, 1981, amendments to section 415 of the Social Security Act established similar requirements for determining the eligibility of aliens who apply for the first time for Aid to Families with Dependent Children (AFDC), currently administered under Temporary Assistance for Needy Families (TANF). Effective December 22, 1981, amendents to the Food Stamp Act of 1977 affect the eligibility of alien participation in the Food Stamp Program. These amendments require that the income and resources of any person who, as the sponsor of an alien's entry into the United States, executes an affidavit of support or similar agreement on behalf of the alien, and the income and resources of the sponsor's spouse (if living with the sponsor) shall be deemed to be the income and resources of the alien under formulas for determining eligibility for SSI, TANF and Food Stamp benefits during the three years following the alien's entry into the United States. Documentation on Income and Resources. An alien applying for SSI must make available to the Social Security Administration documentation concerning his / her income and resources and those of the sponsor, including information that was provided in support of the corresponding application.
Form I-134 (Rev. 02/28/07)Y

II. Supporting Evidence.
As the sponsor, you must show you have sufficient income and/or financial resources to assure that the alien you are sponsoring will not become a public charge while in the United States. Evidence should consist of copies of any or all of the following documentation listed below that are applicable to your situation. Failure to provide evidence of sufficient income and/or financial resources may result in the denial of the alien's application for a visa or his or her removal from the United States. The sponsor must submit in duplicate evidence of income and resources, as appropriate: A. Statement from an officer of the bank or other financial institutions where you have deposits, identifying the following details regarding your account: 1. Date account opened; 2. Total amount deposited for the past year; 3. Present balance.

An alien applying for TANF or Food Stamps must make similar information available to the State public assistance agency.
The Secretary of Health and Human Services and the Secretary of Agriculture are authorized to obtain copies of any such documentation submitted to USCIS or the U.S. Department of State and to release such documentation to a State public assistance agency.

VI. Privacy Act Notice.
We ask for the information on this form and associated evidence to determine if you have established eligibility for the immigration benefit you are seeking. We may provide this information to other government agencies. Failure to provide this information and any requested evidence may delay a final decision or result in denial of your request. Authority for the collection of the information requested on this form is contained in 8 U.S.C. 1182(a)(4),1183(a),1184(a) and 1258. The information will be used principally by USCIS, or by any consular officer to whom it may be furnished, to support an alien's application for benefits under the Immigration and Nationality Act and specifically the assertion that he or she has adequate means of financial support and will not become a public charge. Submission of the information is voluntary. However, failure to provide the information may result in the denial of the alien's application. The information may also as a matter of routine use be disclosed to other federal, state, local and foreign law enforcement and regulatory agencies, including the Department of Health and Human Services, Department of Agriculture, Department of State, Department of Defense and any component thereof ( if the deponent has served or is serving in the armed forces of the United States), Central Intelligence Agency, and individuals and organizations during the course of any investigation to elicit further information required to carry out USCIS functions.

Joint and Several Liability Issues. Sections 1621(e) of the Social Security Act and subsection 5(i) of the Food Stamp Act also provide that an alien and his or her sponsor shall be jointly and severally liable to repay any SSI, TANF or Food Stamp benefits that are incorrectly paid because of mis-information provided by a sponsor or because of a sponsor's failure to provide information, except where the sponsor was without fault or where good cause existed. Incorrect payments that are not repaid will be withheld from any subsequent payments for which the alien or sponsor are otherwise eligible under the Social Security Act or Food Stamp Act. These provisions do not apply to SSI, TANF or Food Stamp eligibility of aliens admitted as refugees, granted asylum or Cuban/ Haitian entrants as defined in section 501(e) of P.L. 96-422, and to dependent children of the sponsor or sponsor's spouse.

IV. Information and USCIS Forms. VII. Paperwork Reduction Act Notice.
For information on immigration laws, regulations and procedures or to order USCIS forms, call our National Customer Service Center at 1-800-375-5283 or visit our website at www.uscis.gov. You are not required to respond to this form unless it displays a currently valid OMB control number. We try to create forms and instructions that are accurate, can be easily understood and impose the least possible burden on you to provide us with information. Often this is difficult because some immigration laws are very complex. The estimated average time to complete and file this notice is 15 minutes. If you have comments regarding the accuracy of this estimate, or suggestions for making this form simpler, you may write to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. Do not mail your completed affidavit of support to this address.

V. Use InfoPass for Appointments.
As an alternative to waiting in line for assistance at your local USCIS office, you can now schedule an appointment through our internet-based system, InfoPass. To access the system, visit our website at www.uscis.gov. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. InfoPass generates an electronic appointment notice that appears on the screen. Print the notice and take it with you to your appointment. The notice gives the time and date of your appointment, along with the address of the USCIS office.

Form I-134 (Rev. 02/28/07)Y Page 2

Department of Homeland Security U.S. Citizenship and Immigration Services

OMB No. 1615-0014; Exp. 04-30-07

I-134, Affidavit of Support
(Answer all items. Type or print in black ink.)

I,
(Name)

residing at
(Street and Number) (State) (Zip Code if in U.S.) (Country)

(City)

Being duly sworn depose and say:
1. I was born on

at
(Country)

(Date-mm/dd/yyyy) (City) If you are not a native born U.S. citizen, answer the following as appropriate: a. If a U.S.citizen through naturalization, give certificate of naturalization number b. If a U.S. citizen through parent(s) or marriage, give citizenship certificate number c. If U.S. citizenship was derived by some other method, attach a statement of explanation. d. If a lawfully admitted permanent resident of the United States, give "A" number 2. I am years of age and have resided in the United States since (date)

3. This affidavit is executed on behalf of the following person: Name (Family Name) (First Name) Marital Status (City) (Middle Name) Gender Age

Citizen of (Country) Presently resides at (Street and Number)

Relationship to Sponsor (State) (Country)

Name of spouse and children accompanying or following to join person:
Spouse Child Child Gender Gender Gender Age Age Age Child Child Child Gender Gender Gender Age Age Age

4. This affidavit is made by me for the purpose of assuring the U.S. Government that the person(s) named in item (3) will not become a public charge in the United States. 5. I am willing and able to receive, maintain and support the person(s) named in item 3. That I am ready and willing to deposit a bond, if necessary, to guarantee that such person(s) will not become a public charge during his or her stay in the United States, or to guarantee that the above named person(s) will maintain his or her nonimmigrant status, if admitted temporarily and will depart prior to the expiration of his or her authorized stay in the United States. 6. I understand this affidavit will be binding upon me for a period of three (3) years after entry of the person(s) named in item (3) and that the information and documentation provided by me may be made available to the Secretary of Health and Human Services and the Secretary of Agriculture, who may make it available to a public assistance agency. 7. I am employed as or engaged in the business of
(Type of Business)

with
(Name of Concern)

at
(Street and Number) (City)

(State)

(Zip Code)

I derive an annual income of: (If self-employed, I have attached a copy of my last income tax return or report of commercial rating concern which I certify to be true and correct to the best of my knowledge and belief. See instructions for nature of evidence of net worth to be submitted.) I have on deposit in savings banks in the United States: I have other personal property, the reasonable value of which is:

$ $ $
Form I-134 (Rev. 02/28/07) Y

I have stocks and bonds with the following market value, as indicated on the attached list, which I certify to be true and correct to the best of my knowledge and belief: I have life insurance in the sum of: With a cash surrender value of: I own real estate valued at: With mortgage(s) or other encumbrance(s) thereon amounting to: $ Which is located at: (Street and Number) (City)

$ $ $ $

(State)

(Zip Code)

8. The following persons are dependent upon me for support: (Place an "x" in the appropriate column to indicate whether the person named is wholly or partially dependent upon you for support.)

Name of Person

Wholly Dependent

Partially Dependent

Age

Relationship to Me

9. I have previously submitted affidavit(s) of support for the following person(s). If none, state none. Name Date submitted

10. I have submitted a visa petition(s) to U.S. Citizenship and Immigration Services (USCIS) on behalf of the following person(s). If none, state none. Relationship Name

Date submitted

11. I intend do not intend to make specific contributions to the support of the person(s) named in item 3. (If you check "intend," indicate the exact nature and duration of the contributions. For example, if you intend to furnish room and board, state for how long and, if money, state the amount in U.S. dollars and state whether it is to be given in a lump sum, weekly or monthly, and for how long.

Oath or Affirmation of Sponsor.
I acknowledge that I have read Part lll of the Instructions, Sponsor and Alien Liability, and am aware of my responsibilities as a sponsor under the Social Security Act, as amended, and the Food Stamp Act, as amended. I swear (affirm) that I know the contents of this affidavit signed by me and that the statements are true and correct. Signature of sponsor Subscribed and sworn to (affirmed) before me this at Signature of Officer Administering Oath day of . My commission expires on Title ,

If the affidavit is prepared by someone other than the sponsor, please complete the following: I declare that this document was prepared by me at the request of the sponsor and is based on all information of which I have knowledge.

(Signature)

(Address)

(Date)
Form I-134 (Rev. 02/28/07)YPage 2

OMB No. 1615-0015; Exp. 10/31/08 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for I-140, Immigrant Petition for Alien Worker
Instructions

Please read these instructions carefully to properly complete this form. If you need more space to complete an answer, use a separate sheet(s) of paper. Write your name and Alien Registration Number (A #), if any, at the top of each sheet of paper and indicate the part and number of the item to which the answer refers.

What Is the Purpose of This Form?
This form is used to petition U.S. Citizenship and Immigration Services (USCIS) for an immigrant visa based on employment.

6. An unskilled worker (requiring less than two years of specialized training or experience) to perform labor for which qualified workers are not available in the United States. In addition, a person may file this petition on his or her own behalf if he or she: 1. Has extraordinary ability in the sciences, arts, education, business, or athletics demonstrated by sustained national or international acclaim, whose achievements have been recognized in the field; or 2. Is a member of the profession holding an advanced degree or is claiming exceptional ability in the sciences, arts, or business, and is seeking an exemption of the requirement of a job offer in the national interest (NIW).

Who May File Form I-140?
A U.S. employer may file this petition for: 1. An outstanding professor or researcher, with at least three years of experience in teaching or research in the academic area, who is recognized internationally as outstanding: A. In a tenured or tenure-track position at a university or institution of higher education to teach in the academic area, or B. In a comparable position at a university or institution of higher education to conduct research in the area, or C. In a comparable position to conduct research for a private employer that employs at least three persons in full-time research activities and which achieved documented accomplishments in an academic field. 2. An alien who, in the three years preceding the filing of this petition, has been employed for at least one year by a firm or corporation or other legal entity and who seeks to enter the United States to continue to render services to the same employer, or to a subsidiary or affiliate, in a capacity that is managerial or executive. 3. A member of the professions holding an advanced degree or an alien with exceptional ability in the sciences, arts, or business who will substantially benefit the national economy, cultural or educational interests, or welfare of the United States. 4. A skilled worker (requiring at least two years of specialized training or experience in the skill) to perform labor for which qualified workers are not available in the United States. 5. A member of the professions with a baccalaureate degree.

General Instructions
Step 1. Fill Out Form I-140
1. Type or print legibly in black ink. 2. If extra space is needed to complete any item, attach a continuation sheet, indicate the item number, and date and sign each sheet. 3. Answer all questions fully and accurately. State that an item is not applicable with "N/A." If the answer is none, write "none."

Step 2. General Requirements Initial Evidence
1. If you are filing for an alien of extraordinary ability in the sciences, arts, education, business, or athletics: You must file your petition with evidence that the alien has sustained national or international acclaim and that the achievements have been recognized in the field of expertise. A. Evidence of a one-time achievement (i.e., a major, internationally recognized award); or
Form I-140 Instructions (Rev. 05/16/08) Y

or 6. Authorship of scholarly articles in the field in professional or major trade publications or other major media. Receipt of major prizes or awards for outstanding achievement in the academic field. if the worker is already employed in the United States. Published material about the alien in professional or major trade publications or other major media. or a statement from the alien detailing plans on how he or she intends to continue work in the United States.S. Published material in professional publications written by others about the alien's work in the academic field. Evidence that the alien has commanded a high salary or other high remuneration for services. and C. compact disk. employer filing for a multinational executive or manager must file the petition with a statement which demonstrates that: A. you may submit comparable evidence to establish the alien's eligibility. Such evidence may include letter(s) from prospective employer(s). If you are a university or other institution of higher education. 05/16/08) Y Page 2 . 3. as shown by box office receipts or record. A U. he or she has been employed outside the United States for at least one year in the past three years in an executive or managerial capacity by the petitioner or by its parent. 2. Form I-140 Instructions (Rev. or video sales. Authorship of scholarly books or articles in scholarly journals with international circulation in the academic field. Membership in associations in the academic field that require outstanding achievements of their members. 5. If you are a private employer. Original scientific. or affiliate. a letter indicating that you intend to employ the beneficiary in a tenured or tenure-track position as a teacher or in a permanent position as a researcher in the academic field. branch. Evidence that the alien has performed in a leading or critical role for organizations or establishments that have distinguished reputations. 2. he or she was employed outside the United States for at least one year in the three years preceding admission as a nonimmigrant in an executive or managerial capacity by the petitioner or by its parent. 9. If the above standards do not readily apply to the alien's occupation. 3. or affiliate. branch. 6. or business-related contributions of major significance in the field. Evidence the beneficiary has at least three years of experience in teaching and/or research in the academic field. and evidence that you employ at least three full-time researchers and have achieved documented accomplishments in the field. or individually. Such evidence shall consist of at least two of the following: 1. 7. subsidiary. or D. 8.B. as the judge of the work of others in the same or an allied academic field. employer filing for an outstanding professor or researcher must file the petition with: A. or. If the worker is now employed outside the United States. 10. At least three of the following: 1. casette.S. Evidence of commercial successes in the performing arts. Membership in associations in the field which require outstanding achievements as judged by recognized national or international experts. evidence of prearranged commitments such as contracts. Participation on a panel. a letter indicating that you intend to employ the beneficiary in a permanent research position in the academic field. subsidiary. A U. 4. athletic. Evidence that the alien is coming to the United States to continue work in the area of expertise. Receipt of lesser nationally or internationally recognized prizes or awards for excellence in the field of endeavor. Display of the alien's work at artistic exhibitions or showcases. and D. Participation on a panel or individually as a judge of the work of others in the field or an allied field. scholarly. 4. 2. Evidence that the professor or researcher is recognized internationally as outstanding in the academic field specified in the petition. C. B. artistic. 3. 5. Original scientific or scholarly research contributions to the academic field.

d. governmental entities. or other remuneration for services that demonstrates exceptional ability. At least three of the following: a. 3.S. or professional or business organizations. Labor certification Petitions for certain classifications must be filed with an original individual labor certification from the U. with documentation provided to show that the beneficiary's presence in the United States would be in the national interest. 6. B. employer filing for a member of the professions with an advanced degree or a person with exceptional ability in the sciences. or 2. A U. A U. A labor certification (see General Evidence).S. Evidence that the alien meets the educational. The prospective employer in the United States is the same employer or a subsidiary or affiliate of the firm or corporation or other legal entity by which the alien was employed abroad. Evidence that the beneficiary meets any education. Evidence that the alien has commanded a salary. employer filing for an unskilled worker must file the petition with: A. employer filing for a professional must file the petition with: A. 7. e. or f. c. and C.B. A labor certification (see General Evidence). you may submit comparable evidence to establish the alien's eligibility.S. training. If the above standards do not readily apply to the alien's occupation. arts. or a request for a waiver of a job offer because the employment is deemed to be in the national interest. An official academic record showing that the alien has a degree. A U. Evidence of membership in professional associations. 5. advanced degree or an equivalent foreign degree. or experience requirements required in the labor certification. training. An official academic record showing that the alien has a U. Department of Labor (DOL) or with documentation to establish that the alien qualifies for one of the shortage occupations designated in Group I or II of the DOL's Schedule A.S.S. Evidence of recognition for achievements and significant contributions to the industry or field by peers. employer filing for a skilled worker must file the petition with: A.S. and D. The alien is to be employed in the United States in a managerial or executive capacity. baccalaureate degree or equivalent foreign degree. diploma. Letters from current or former employers showing that the alien has at least ten years of full-time experience in the occupation for which he or she is being sought. or an official academic record showing that the alien has a U. C.S. A U. and B. A description of the duties to be performed should be included. Evidence that a baccalaureate degree is required for entry into the occupation. 05/16/08) Y Page 3 . General Evidence 1. then the original individual labor certification must be submitted with the petition. Evidence that the alien holds a U.S. certificate. unless the original labor certification has already been provided to USCIS in support of a different petition. 4. and either: 1. baccalaureate degree or an equivalent foreign degree and letters from current or former employers showing that the alien has at least five years of progressive post baccalaureate experience in the specialty. The prospective United States employer has been doing business for at least one year. or experience and any other requirements of the labor certification (the minimum requirement is two years of training or experience). or business must file the petition with: A. and B. or similar award from an institution of learning relating to the area of exceptional ability. If an individual labor certification is required. A labor certification (see General Evidence). b. Form I-140 Instructions (Rev. A labor certification (see General Evidence). A license to practice the profession or certification for a particular profession or occupation.

Such evidence shall be in the form of copies of annual reports.uscis. federal tax returns. qualified. for further information about obtaining an individual labor certification or about Schedule A. call Customer Service at 1-800-375-5283 to verify the current filing address and edition date.gov to determine whether you may request Premium Processing for the requested classification. Group I or II shortage occupations. NOTE: Before you file the I-907/I-140 package. 05/16/08) Y Page 4 . a link to which can be found on the “Services & Benefits” page. If you are filing Form I-140 more than 30 days after the latest edition date shown in the lower right-hand corner. you must also file Form I-907. employer employs 100 or more workers. and available to fill the position being offered to the alien at the time and place where the alien is to be employed. Translations. Where to File E-Filing Form I-140 Certain Form I-140 filings may be electronically filed (efiled) with USCIS. a statement from a financial officer of the organization which establishes ability to pay the wage may be submitted. Ability to pay wage Petitions which require job offers must be accompanied by evidence that the prospective U. then you may file a fully completed. such as profit/loss statements. Send the Forms I-140 and I-907 together to the address listed in the Form I-907 filing instructions. Request for Premium Processing Service. Any document containing foreign language submitted to USCIS shall be accompanied by a full English language translation that the translator has certified as complete and accurate. In a case where the prospective U. workers who are able. willing. Form I-140 Instructions (Rev. Labor certification applications filed before March 28. or audited financial statements.S. Improperly filed forms will be rejected. NOTE: Individual labor certifications issued by the Department of Labor must be submitted in the original. or personnel records. Application for labor certification is currently made on Form ETA-9089. unless the original labor certification has already been provided to USCIS in support of a different petition.uscis. Check the edition date located in the lower right-hand corner of the form. In appropriate cases. See 20 CFR 656 or the DOL website. and the fee returned with instructions to resubmit the entire filing using the current form instructions. on the USCIS website at www. Please view our website at www.uscis. and that the employment of the alien. If the edition date on the online version is later.doleta. download a copy and use the online version. workers. may be submitted. Premium Processing If you are requesting Premium Processing Services for Form I-140. additional evidence. an ordinary legible photocopy may be submitted. unless the original labor certification has already been provided to USCIS in support of a different petition.gov for a list of who is eligible to e-file this form and instructions. http://www. and by the translator's certification that he or she is competent to translate from the foreign language into English. If you do not have Internet access. 2005 were filed on Form ETA-750. foreignlaborcert.A labor certification establishes that there are insufficient U.S. please visit us online at www. Original documents submitted when not required will remain a part of the record.S. your version is current and will be accepted by USCIS. NOTE: Individual labor certifications issued by the Department of Labor must be submitted in the original. If the edition date on your Form I-140 matches the edition date listed for Form I-140 on the online Forms and Fees page.S.gov before you file. and check the Forms and Fees page to confirm the correct filing address and version currently in use. 2. please check the Premium Processing Service page. even if the submission was not required. Where To File? Updated Filing Address Information The filing addresses provided on this form reflect the most current information as of the date this form was last printed. employer has the ability to pay the proffered wage. Unless specifically required that an original document be filed with an application or petition. bank account records. Group I or II shortage occupation. uncertified Form ETA-9089 in duplicate with your petition for determination by USCIS that the alien belongs to the shortage occupation.gov. Copies. If the alien is to be employed in a Schedule A. will not adversely affect the wages and working conditions of similarly employed U. if qualified.

including submission of supporting documents. or Wyoming. Form I-907 will be rejected. Maine. file Form I-907 with the Service Center where your Form I-140 is pending. Montana. South Carolina. Box 852135 Mesquite. make it payable to Commissioner of Finance of the Virgin Islands. Application to Register Permanent Residence or Adjust Status.O. Pennsylvania. B.Premium Processing Service for a Form I-140 that Is Pending If you have already filed Form I-140 and you wish to request Premium Processing Service. . Nebraska. Puerto Rico. NE 68501-7485 What Is the Filing Fee? The filing fee for a Form I-140 is $475. Use the following guidelines when you prepare your check or money order for the Form I-140 fee: 1. Mississippi. All further communication. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U. Maryland. If this information is not provided. note the different filing addresses. Indiana. Massachusetts. Iowa. California. U. Notice of Action. To ensure that Form I-907 is matched up with the pending Form I-140. mail the form to: USCIS Nebraska Service Center P. NE 68501-7140 For Form I-140 filed concurrently with Form I-485. Kentucky. Texas. Failure to follow these instructions may result in your application or petition being rejected. South Dakota. Vermont. Arizona. or West Virginia. This location may not necessarily be the same center shown in the filing addresses listed above. Delaware. Connecticut. it will be converted into an electronic funds transfer (EFT). New Mexico. it is very important to review your filing receipt and make specific note of the receiving location. If you send us a check.S.O. 05/16/08) Y Page 5 Texas Service Center Filings File Form I-140 with the Texas Service Center if the beneficiary will be employed permanently in: Alabama. Guam. make it payable to Treasurer.S. Minnesota. Oregon. and you will receive a receipt indicating the location to which it was routed. Department of Homeland Security. Box 87140 Lincoln. currency. North Carolina. Arkansas. Hawaii. Application to Register Permanent Residence or Adjust Status. mail your forms package to: USCIS Nebraska Service Center P. unless: A. Tennessee. This means we will copy your check and use the Form I-140 Instructions (Rev. Virgin Islands. Washington." Notice to Those Making Payment by Check. showing the location of the relating petition. Make the check or money order payable to U.S. Michigan. Wisconsin. Note on E-Filing If you are e-filing this application. Box 87485 Lincoln.S. mail your forms package to: USCIS Texas Service Center P.O. should be directed to the receiving location indicated on your e-filing receipt. Before you file. or denied. and 2. For Form I-140 filed alone. For e-filed applications. the District of Columbia. Virginia. Nebraska Service Center Filings File Form I-140 with the Nebraska Service Center if the beneficiary will be employed permanently in: Alaska. Ohio. it will automatically be routed to the appropriate Service Center. Illinois. Idaho. Nevada.S. Department of Homeland Security. Utah. Florida. you must fully answer questions 1 through 5 in Part 2 of Form I-907. Virgin Islands and are filing your petition there. For Form I-140 filed alone. Rhode Island. New Hampshire. TX 75185 Processing Form I-140 All I-140 forms are filed either at the Nebraska Service Center or the Texas Service Center. Colorado. depending on the location of the beneficiary's permanent employment. Missouri. Guam. do not use the initials "USDHS" or "DHS. Include a copy of Form I-797. Georgia. if applicable. Oklahoma. Louisiana. or concurrently with Form I-485. North Dakota. New York. or a copy of the transfer notice. See Form I-907 for further instructions. If you live in Guam and are filing your petition there. If you live in the U. NOTE: Please spell out U. New Jersey. Kansas. delayed.

Citizenship and Immigration Services Change of Address P. Form I-140 Instructions (Rev. Census Bureau at (www. it will be checked for completeness. or file it without required initial evidence. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. you will not establish a basis for eligibility." and check the appropriate fee. You will be notified of the decision in writing. if you called us to request the form. we may try to make the transfer up to two times. Review the Fee Schedule included in your form package. including submission of the required initial evidence. You will not receive your original check back. because USCIS fees change periodically. you can verify if the fees are correct by following one of the steps below: 1. you authorize us to process the copy in place of your original check.O. Approval of a petition means you have established that the person you are filling for is eligible for the requested classification. KY 40744 Instructions for Industry and Occupation Codes NAICS Code. We will return these originals when they are no longer required. 05/16/08) Y Page 6 . Department of Commerce. Processing Information Any Form I-140 that is not signed or accompanied by the correct fee will be rejected with a notice that the Form I-140 is deficient. Alien's Change of Address Card. The debit from your account will usually take 24 hours. click on "Change your address with USCIS.html). Decision." and follow the prompts. or you may complete and mail Form AR-11. Visit our website at www. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London.gov. mail to: U. to: U.uscis. However. select "Immigration Forms. We may also request that you submit the originals of any copy. The North American Industry Classification System (NAICS) code can be obtained from the U. Box 7134 London.uscis. 2. enter the code left to right and then add zeros in the remaining unoccupied boxes. If you use a code that is less than six digits.S. Address Changes If you change your address and you have an application or petition pending with USCIS. We may request more information or evidence.S. If the EFT cannot be completed because of insufficient funds. or we may request that you appear at a USCIS office for an interview. The decision on a Form I-140 involves a determination of whether you have established eligibility for the requested benefit. or 3.gov. How to Check If the Fees Are Correct The form fee on this form is current as of the edition date appearing in the lower right corner of this page. Initial Processing. Meaning of Petition Approval. If you do not completely fill out the form.gov/epcd/www/naics. This is the first step towards permanent residence. and we may deny your Form I-140. this does not in itself grant permanent residence or employment authorization. If the EFT cannot be processed for technical reasons. KY 40742-7134 For commercial overnight or fast freight services only. but we will keep a copy of it.account information on it to electronically debit your account for the amount of the check. Once a Form I-140 has been accepted. you may change your address online at www. one digit in each of the six boxes. Enter the code from left to right. and will be shown on your regular account statement.S.S. Requests for More Information or Interview. U. An application or petition is not considered properly filed until accepted by USCIS. However. You may correct the deficiency and resubmit the Form I-140. census. You will be given information about the requirements for the person to receive an immigrant visa or to adjust status after your petition is approved. We will destroy your original check.

as amended. 111 Massachusetts Avenue. to determine if you have established eligibility for the immigration benefit for which you are filing. Send comments regarding this burden estimate or any other aspect of this collection of information.S. including suggestions for reducing this burden. you can now schedule an appointment through our internet-based system. Enter the code from left to right. and associated evidence. The public reporting burden for this collection of information is estimated at 60 minutes per response.htm).gov/soc/ socguide. Regulatory Management Division. Washington. Form I-140 Instructions (Rev. In addition. 05/16/08) Y Page 7 . Department of Labor. Bureau of Labor Statistics (http://stats. regulations. 1615-0015.gov. InfoPass generates an electronic appointment notice that appears on the screen. visit our website. and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www. To access the system. N.S. OMB No. you will face severe penalties provided by law and may be subject to criminal prosecution. An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. As an alternative to waiting in line for assistance at your local USCIS office. If you use a code which is less than six digits. You can also get USCIS forms and information on immigration laws. The code sequence 19-1021 would be entered as: Privacy Act Notice We ask for the information on this form. we will deny the Form I-140 and may deny any other immigration benefit. Our legal right to ask for this information can be found in the Immigration and Nationality Act. Do not mail your application to this address. InfoPass. 3 3 4 6 6 0 The code sequence 5133 would be entered as: 5 1 3 3 0 0 SOC Code. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. may delay a final decision or result in denial of your Form I-140. and any requested evidence.W. Failure to provide this information. enter the code left to right and then add zeros in the remaining unoccupied boxes.bls.The code sequence 33466 would be entered as: Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-140. DC 20529. to: U..uscis. call our toll-free number at 1-800870-3676. including the time for reviewing instructions and completing and submitting the form. one digit in each of the six boxes. 3rd Floor. Suite 3008. Citizenship and Immigration Services. We may provide this information to other Government agencies. 1 9 1 0 2 1 The code sequence 15-100 would be entered as: 1 5 1 0 0 0 Paperwork Reduction Act USCIS Forms and Information To order USCIS forms. The Standard Occupational Classification (SOC) System codes can be obtained from the U.

Social Security # (if any) E-Mail Address (if any) Part 1. 1615-0015. City Country Zip/Postal Code State/Province E-Mail Address (if any) Date of Birth (mm/dd/yyyy) Country of Birth U. A member of the professions holding an advanced degree or an alien of exceptional ability (who is NOT seeking a National Interest Waiver). b. A multinational executive or manager. i. Soviet Scientist. 10/31/08 Department of Homeland Security U.S. To Be Completed by Attorney or Representative. A professional (at a minimum.) Any other worker (requiring less than two years of training or experience). An outstanding professor or researcher. Information about the person or organization filing this petition.S. (Reserved. Certification: National Interest Waiver (NIW) Schedule A. Exp. If Receipt Date Date Reloc Sent Date Date Reloc Rec'd Date Date Classification: 203(b)(1)(A) Alien of Extraordinary Ability 203(b)(1)(B) Outstanding Professor or Researcher 203(b)(1)(C) Multi-National Executive or Manager 203(b)(2) Member of Professions w/Adv. This petition is being filed for: (Check one. if any. e. an individual is filing. h.Please type or print in black ink. g. An alien of extraordinary ability. d.S. bachelor's degree) or a skilled worker (requiring at least two years of specialized training or experience). Petition type. Group I Schedule A. Social Security # (if any) I-94 # (Arrival/Departure Document) Date Status Expires (mm/dd/yyyy) Remarks Daytime Phone # (with area/country codes) City/Town/Village of Birth Action Block State/Province of Birth A # (if any) Country of Nationality/Citizenship Date of Arrival (mm/dd/yyyy) Current Nonimmigrant Status If in the U. Information about the person you are filing for. Fill in box if G-28 is attached to represent the applicant. c. possessing a bachelor's degree or a foreign degree equivalent to a U.S. Immigrant Petition for Alien Worker For USCIS Use Only Returned Date Date Resubmitted Suite # START HERE . ATTY State License # Form I-140 (Rev.) a. An alien applying for a National Interest Waiver (who IS a member of the professions holding an advanced degree or an alien of exceptional ability). Group II Part 3. f. # Priority Date Concurrent Filing: Consulate I-485 filed concurrently. Family Name (Last Name) Address: (Street Number and Name) C/O: (In Care Of) Given Name (First Name) Full Middle Name Apt.OMB No. Organizations should use the second line. 05/16/08) Y .S. use the top name line. Citizenship and Immigration Services Form I-140. Family Name (Last Name) Given Name (First Name) Full Middle Name Company or Organization Name Address: (Street Number and Name) Attn: City Country IRS Tax # State/Province Zip/Postal Code U. Degree or Exceptional Ability 203(b)(3)(A)(i) Skilled Worker 203(b)(3)(A)(ii) Professional 203(b)(3)(A)(iii) Other Worker Part 2.

. If an individual. If you provided a U. U. please provide the case number. If the person's native alphabet is other than Roman letters.Part 4. Processing Information. if now in the U. last permanent residence abroad.S. Type of petitioner (Check one. Wages per week $ Form I-140 (Rev. office location.. 1. Are any other petition(s) or application(s) being filed with this Form I-140? No Yes-(check all that apply) Form I-485 Form I-131 No No Form I-765 Other . print the person's foreign address: 3. 1. Is the person you are filing for in removal proceedings? 6. date of decision and disposition of the decision on a separate sheet(s) of paper. 5. Job Title 2.Attach an explanation. Permanent Resident." how many hours per week for the position? 7. Is this a new position? Yes No 9. SOC Code 3. Is this a permanent position? Yes No 8. Please complete the following for the person named in Part 3: (Check one) Alien will apply for a visa abroad at the American Embassy or Consulate at: City Foreign Country Alien is in the United States and will apply for adjustment of status to that of lawful permanent resident. Nontechnical Description of Job 4. give the following: Occupation Annual Income Part 6. Alien's country of current residence or. 2. e. Has any immigrant visa petition ever been filed by or on behalf of this person? If you answered yes to any of these questions.) Employer Self Other (Explain.g.S.) 2. give the following: Type of Business Gross Annual Income Date Established (mm/dd/yyyy) Net Annual Income Current Number of Employees NAICS Code DOL/ETA Case Number 3. address in Part 3. 1. write the person's foreign name and address in the native alphabet: 4. Part 5. If the answer to Number 5 is "No.S. If a company. Basic information about the proposed employment. 05/16/08) Y Page 2 . Address where the person will work if different from address in Part 1. 5. Yes-Attach an explanation. Yes-Attach an explanation. Additional information about the petitioner. Is this a full-time position? Yes No 6. citizen or any other person filing on behalf of the alien.

may the USCIS contact you by Fax or E-mail? Signature Print Name Date (mm/dd/yyyy) Yes No Firm Name and Address Daytime Phone Number (Area/Country Codes) Fax Number (Area/Country Codes) E-Mail Address Form I-140 (Rev. Attorney or Representative: In the event of a Request for Evidence (RFE). if USCIS determines that such action is necessary to determine eligibility for the benefit sought. Name (First/Middle/Last) Relationship Date of Birth (mm/dd/yyyy) Country of Birth Part 8. Petitioner's Signature Daytime Phone Number (Area/Country Codes) E-Mail Address Print Name Date (mm/dd/yyyy) NOTE: If you do not fully complete this form or fail to submit the required documents listed in the instructions. if needed.Part 7. If someone helped you prepare this petition. Read the information on penalties in the instructions before completing this section. Provide an attachment of additional family members. Signature. Citizenship and Immigration Services to release to other government agencies any information from my USCIS (or former INS) records. Part 9.S. Signature of person preparing form. under penalty of perjury under the laws of the United States of America. that this petition and the evidence submitted with it are all true and correct. (Sign below.05/16/08) Y Page 3 . he or she must complete Part 9. List husband/wife and all children related to the individual for whom the petition is being filed. I certify. if other than above. Information on spouse and all children of the person for whom you are filing.) I declare that I prepared this petition at the request of the above person and it is based on all information of which I have knowledge. I authorize U. a final decision on your petition may be delayed or the petition may be denied.

Write your name and Alien Registration Number (A-Number).Give your legal name. an authorized official of a petitioning employer. Name of Business or Organization . use a separate sheet(s) of paper.check the box provided and complete the rest of Part 1 as follows: 1. E-mail Address . State that an item is not applicable with "N/A. without abbreviations.Give a phone number with area code where you can be reached during the day. Mailing Address . If you are acting as an attorney or representative . Type or print legibly in black ink. 2.Give your legal name. Late filed appeals and motions will be rejected. To file an appeal with the Administrative Appeals Office (AAO). Daytime Phone Number . indicate the item number.) General Instructions Step 1. if appropriate. Information About You (Individual/Business/ Organization filing appeal or motion. 4. 18 days if the decision was mailed. 03/04/08) N . 2.OMB No. If you need more space to complete an answer. When a decision on a petition is appealed or a request for a motion is made. the appeal must be filed within 15 calendar days after service of the decision. or the petitioner's attorney or representative must sign this form. If the decision is mailed. The date of service is normally the date of the decision. Answer all questions fully and accurately." This form is divided into Parts 1 through 4. Fill Out Form I-290B 1. Part 1.R.S. Family Name (Last name) . at the top of each sheet of paper and indicate the part and number of the item to which the answer refers. Notice of Appeal or Motion Instructions Please read these instructions carefully to properly complete this form.If you have an E-mail address please provide it. include both and use a hyphen (-) between the names. 1615-0095. write "none. The appeal or motion must be filed with USCIS in accordance with the regulations at 8 C. attach a continuation sheet. (In the case of selfpetitioners and applicants for certain waivers. If extra space is needed to complete any item." If the answer is none.3 and § 103. you may not file an appeal or motion. and date and sign each sheet. 5. or 3. Citizenship and Immigration Services Form I-290B. If the appeal relates to a revocation of an immigrant petition approval.Give a fax number with area code.F. Fax Number . if appropriate. Form I-290B (Rev. When Should I Use Form I-290B? Form I-290B is used to file an appeal or motion on any decision under the immigration laws in any type of proceeding over which the Board of Immigration Appeals (BIA) does not have appellate jurisdiction.Give the complete name. To file a motion to reconsider a decision of USCIS (either the AAO or a field office). Family Name (Last name) . Expires 10/31/08 Department of Homeland Security U. include both and use a hyphen (-) between the names. If you have two last names. The form must be filed within 30 calendar days after service of the decision. 3. 3.Give your complete mailing address. or 2.5. Who May Not File Form I-290B? If you are the beneficiary of a visa petition or the beneficiary's attorney or representative. the form must be filed within 33 days. 6. the selfpetitioner or waiver applicant must sign the form. § 103. If you have two last names. The following information should help you fill out the form. if any. The form may be used in the following circumstances: 1.) 1. the petitioner. To file a motion to reopen a decision of USCIS (either the AAO or a field office).

Basis for the Appeal or Motion Your appeal or motion will be dismissed if you do not complete this part. What Is the Filing Fee? The filing fee for a Form I-290B is $585. Notice of Entry of Appearance as Attorney or Representative. The AAO may grant more time only for good cause.5.e. Your signed and completed Form I-290B NOTE: If you wish. It begins with an "A" and can be found on a Permanent Resident Card or on correspondence that has been received from the Department of Homeland Security (DHS) or USCIS. must be attached if signed by a legal representative. Government does not furnish interpreters for oral argument. A # . Business/Organization/School Name . If your request is granted. no such provision applies to motions. If they do not have an A #. Any additional evidence must be submitted concurrent with the motion. The fee will not be refunded. Translations. Your attorney or representative must submit a Form G-28. leave this blank. N. 03/04/08) N Page 2 .S. in a separate letter attached to this form. Any document containing foreign language submitted to the Service shall be accompanied by a full English language translation which the translator has certified as complete and accurate.S. NOTE: The fee will be the same when an appeal or motion is taken from the denial of a petition with one or multiple beneficiaries. if the party for whom you are filing is other than an individual. it will be dismissed or rejected. with the appeal or motion. The letter must explain specifically why an oral argument is necessary. Government by an attorney or other duly authorized representative. Part 4 . without abbreviations. You may also submit additional evidence. General requirements Your appeal or motion must include the following items.Signature of Person Filing the Appeal/Motion or His or Her Authorized Representative You or your legal representative must sign and submit the Form I-290B. Step 2. Motions Although a petitioner may be permitted additional time to submit a brief and/or evidence to support an appeal. Notice of Entry of Appearance as Attorney or Representative. Appeals 1. and by the translator's certification that he or she is competent to translate from the foreign language into English.2. you may be represented at no expense to the U. Citizenship and Immigration Services 20 Massachusetts Avenue.W. Form I-290B (Rev. regardless of the action taken in your case. The requirements for motions to reopen and motions to reconsider are located at 8 C. attach a separate sheet(s) of paper. The U. The adverse decision will indicate whether you may file an appeal or a motion. Brief You do not need to submit a brief in support of your appeal. you must explain why in a separate letter attached to this form. provided that they are all covered by the same petition. If additional space is needed. Oral Argument: You may request oral argument before the AAO in Washington.C. the same decision. Part 3 . You must send any materials you submit after filing the appeal to: USCIS Administrative Appeals Office U. Or you may send these materials to the AAO within 30 days of the date you sign this form. but you may submit one if you so choose. If the appeal or motion is filed by an attorney or representative without a properly executed Form G-28.S.Give the complete name.. A Form G-28. Room 3000 Washington. the AAO will contact you about setting the date and time.F.Information About the Appeal or Motion You must clearly indicate if you are filing an appeal or a motion.R. § 103.This is your client's USCIS (INS) file number. 3. and therefore. Part 2 . why your argument cannot be adequately addressed in writing. You may submit a brief and evidence with this form.. D. i. 2. DC 20529 If you need more than 30 days.

select "Immigration Forms" check the appropriate fee. If the EFT cannot be processed for technical reasons.S. you must file the appeal within 15 days of the revocation decision (18 days if the decision was mailed. the appeal or motion will be dismissed or rejected without further review. it will be reviewed. make it payable to Treasurer.S. Virgin Islands and are filing your petition there. or 3. it will be converted into an electronic funds transfer (EFT). you authorize us to process the copy in place of your original check.) The date of service is normally the date of the decision.Use the following guidelines when you prepare your check or money order for the Form I-290B fee: 1. do not use the initials "USDHS" or "DHS. if you called us to request the form. Where to File? You must file your appeal or motion with the USCIS office that made the unfavorable decision within 30 calendar days after service of the decision (33 days if your decision was mailed). Guam." Notice to Those Making Payment by Check. N. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information.S. Guam. This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. We will destroy your original check. Additional copies are not required.. consulate or embassy for instructions on the method of payment. unless: A. If you do not have any standing to file the appeal or motion. or the decision is not appealable or filed timely.uscis. currency.W. where you send your notice depends on where your motion is pending. If your motion has been forwarded to the AAO. you can verify if the fees are correct by following one of the steps below: 1.S.S. If your motion has remained with the office where you submitted it. However. Do not send your appeal directly to the Administrative Appeals Office (AAO). The form fee on this form is current as of the edition date appearing in the lower right corner of this page. B. Citizenship and Immigration Services 20 Massachusetts Avenue. Include the type of case that was denied and any available tracking number (receipt number and/or A-number). The debit from your account will usually take 24 hours. If you are appealing the revocation of an immigrant petition approval. Form I-290B (Rev. if you change your address. Submit an original appeal or motion only. but we will keep a copy of it. you may correct the deficiency and resubmit the appeal. If you live outside the United States. Address Changes While your appeal is pending. DC 20529 If you change your address after you file a motion. If you send us a check. make it payable to Commissioner of Finance of the Virgin Islands. or the U. send the notice to that office. NOTE: Please spell out U. Review the Fee Schedule included in your form package. However. 03/04/08) N Page 3 . The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U.gov. and will be shown on your regular account statement. Room 3000 Washington. How to Check If the Fees Are Correct.S. Department of Homeland Security. Processing Information An appeal or motion that is not signed or is not accompanied by the proper fee will be dismissed or rejected with a notice that the appeal is deficient. Department of Homeland Security. an appeal or motion is not considered properly filed until it is accepted by USCIS. 2. contact the nearest U. If completed timely. If you live in the U. Include the type of case that was denied and any available tracking number (receipt number and/or A-number). Make the check or money order payable to U. send a written notice of your change of address to the above address. Mail the notice to: USCIS Administrative Appeals Office U. You will not receive your original check back. because USCIS fees change periodically. Virgin Islands. Visit our website at www. we may try to make the transfer up to two times. Once the appeal or motion is accepted. If the EFT cannot be completed because of insufficient funds. send a written notice of your change of address to the Administrative Appeals Office (AAO).S. and 2. C. If you live in Guam and are filing your petition there.

In addition. may delay a final decision or result in denial of your Form I-290B. call our toll-free number at 1-800870-3676. Privacy Act Notice We ask for the information on this form. 111 Massachusetts Avenue.Decision. Failure to provide this information. N. As an altenative to waiting in line for assistance at your local USCIS office.uscis. including the time for reviewing instructions and completing and submitting the form. DC 20529. you can now schedule an appointment through our internet-based system. 3rd Floor. You can also get USCIS forms and information on immigration laws. and associated evidence. Do not mail your application to this address. The public reporting burden for this collection of information is estimated at 90 minutes per response. we will deny the Form I-290B and may deny any other immigration benefit.S. 03/04/08) N Page 4 . Send comments regarding this burden estimate or any other aspect of this collection of information. to: U. Suite 3008. To access the system. InfoPass. including suggestions for reducing this burden. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. 1615-0009. InfoPass generates an electronic appointment notice that appears on the screen. and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www. We may provide this information to other government agencies. regulations. Citizenship and Immigration Services. Regulatory Management Division. Form I-290B (Rev. You will be notified in writing of any action taken on your appeal or motion. Paperwork Reduction Act An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Our legal right to ask for this information can be found in the Immigration and Nationality Act. as amended. USCIS Forms and Information To order USCIS forms. visit our website. OMB No.gov. to determine if you have established eligibility for the immigration benefit for which you are filing..W. you will face severe penalties provided by law and may be subject to criminal prosecution. Washington. Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-290B. and any requested evidence.

S. E. I am filing an appeal. D.Please Type or Print (Use black ink) Part 1. Notice of Appeal or Motion File Number: A For USCIS Use Only Returned Date Date Resubmitted Apt. No supplemental brief and/or additional evidence will be submitted. 1615-0095. My brief and/or additional evidence is attached. you must provide the following information about the person or organization for whom you are appearing.) Family Name Given Name Middle Name Complete Name of Business/Organization/School (if applicable) A # (if any) Fax # (Area/Country Code) ( ) Daytime Phone # (Area/Country Code) ( ) E-mail Address (if any) Part 2. Form I-290B (Rev.) A. I am filing an appeal. Expires 10/31/08 Department of Homeland Security U. I am filing a motion to reopen a decision. My brief and/or additional evidence is attached. 03/04/08) N . (Check one box. My brief and/or additional evidence is attached. C. Citizenship and Immigration Services Form I-290B. (NOTE: You must attach a Form G-28. I am filing an appeal. My brief and/or additional evidence will be submitted to the AAO within 30 days. B. I am filing a motion to reopen and a motion to reconsider a decision. Notice of Entry of Appearance as Attorney or Representative. # Date Date Reloc Sent Receipt In the Matter of: START HERE .OMB No. Check the box below that best describes your request. Information About the Appeal or Motion. I am filing a motion to reconsider a decision. Information About You (Individual/Business/Organization filing appeal or motion) Family Name Given Name Middle Name Name of Business/Organization (if applicable) Mailing Address . If you check this box.Street Number and Name C/O (in care of): City Country Fax # (Area/Country Code) ( ) State or Province Zip/Postal Code Date Date Reloc Rec'd Date Date Remarks Daytime Phone # (Area/Country Code) ( ) E-Mail Address (if any) I am an attorney or representative. My brief is attached. F.

03/04/08) N Page 2 . Part 4. Appeal: Provide a statement explaining any erroneous conclusion of law or fact in the decision being appealed. Signature of Person Filing the Appeal/Motion or His or Her Authorized Representative Signature Signer's Printed Name Date (mm/dd/yyyy) Make sure your appeal or motion is complete before filing. Basis for the Appeal or Motion Motion to Reopen: The motion must state new facts and must be supported by affidavits and/or documentary evidence. Application/Petition Form # Receipt # (Continued) Date of Denial (mm/dd/yyyy) USCIS Office Where Decision Issued Part 3. Information About the Appeal or Motion Information on the relating application/petition.In the Matter of: File Number: A - Part 2. Form I-290B (Rev. regulations or precedent decisions. Motion to Reconsider: The motion must be supported by citations to appropriate statutes.

Check the edition date located in the lower right-hand corner of the form. call the National Customer Service Center at 1-800-375-5283 to verify the current filing address and edition date. 1950. A Battered or Abused Spouse or Child of a U. including the alien. . A Widow or Widower. or Thailand after December 31. photographs of the father (especially with the child). absent other documents. please visit our website at www. An Amerasian. not filing them with the petition will add to the overall processing time. or an affidavit explaining why it is not available. Write your name and Alien Registration Number (A #). If the edition date on your Form I-360 matches the edition date listed for Form I-360 on the online Immigration Forms page. Religious Worker. Copies of evidence showing that the sponsor is at least 21 years old and is a U.OMB No. Kampuchea. 1982. Widow(er). or. and check the Immigration Forms page to confirm the correct filing address and version currently in use. 2. or a U.S. affidavits from knowledgeable witnesses that detail the parentage of the child and how they know such facts. or 4. An Affidavit of Financial Support executed by the sponsor with the evidence of financial ability required by that form.S. Canal Zone Government Employee. 3.S. If you are filing Form I-360 more than 30 days after the latest edition date shown in the lower right-hand corner. you must also submit a copy of his or her Vietnamese identification card. Government in the Canal Zone Employee. If you do not have Internet access. Who May File This Form I-360? Amerasian Any person who is 18 or older. C. 2. citizen or permanent resident. if any. The petition must be filed with: 1. Juvenile Court Dependent. F. Citizenship and Immigration Services Instructions for Form I-360. Copies of evidence establishing the parentage of the person. citizen. citizen. Afghanistan or Iraq national who supported the U. Form I-360 Instructions (Rev. and proof of the termination of any prior marriages. with instructions to resubmit the entire filing using the current form instructions. your version is current and will be accepted by USCIS. You may file these documents with the petition or wait until USCIS reviews the petition and requests them. 10/15/07)Y What Is the Purpose of This Form? This petition is used to classify an alien as: 1. and the fee returned. Improperly filed forms will be rejected. local civil records. Fingerprints of the sponsor taken by USCIS as part of the required biometric services. A. If the edition date on the online version is later.gov before you file. and that the biological father was a U. or Special Immigrant Instructions Please read these instructions carefully to properly complete this form. However. corporation may file this petition for a beneficiary who was born in Korea. and before October 22. and was fathered by a U. download a copy and use the online version. 1615-0020. B. If he or she was born in Vietnam. U. Citizen or Lawful Permanent Resident. 4. Vietnam. Examples of documents that may be submitted are: birth or baptismal records or other religious documents. or evidence of financial support from the father. Please note that the original sponsor remains financially responsible for the Amerasian if any subsequent sponsor fails in this area. A photograph of the person.S. Expires 10/31/08 Department of Homeland Security U. 2. D. If you need more space to complete an answer. Petition for Amerasian. The sponsorship documents noted below are also required. use a separate sheet(s) of paper.S.S. an affidavit. 1.S. Armed Forces Member. Panama Canal Company Employee. 3. International Organization Employee or Family Member. correspondence. submit a copy of the marriage certificate. Physician. Copies of evidence showing that the person who is subject of this petition was born in one of the above countries between those dates. The filing addresses provided on this form reflect the most current information as of the date this form was last printed.S.uscis. 3. E. If the person is married. Laos. A special immigrant is defined as one of the following. Armed Forces as a translator. at the top of each sheet of paper and indicate the part and number of the item to which the answer refers. or G.

S. the person's religious work and all employment during the past two years and the proposed employment.S. other than ministers. including the alien. passport which was valid at the time of the citizen's death. may file this petition for an alien who for the past two years has been a member of a religious denomination which has a bona fide nonprofit. citizen spouse. and seeks to enter the United States to work solely: 1. Government in the Canal Zone Any person may file this petition for an alien who. A letter from the authorized official of the religious organization attesting to the alien's membership in the religious denomination and explaining. and who has been carrying on the vocation. Evidence establishing that the religious organization. 2. citizen and proof of termination of any prior marriages of either of you. A copy of the juvenile's birth certificate or other evidence of his or her age.S. such as a birth certificate if born in the United States. is a bona fide nonprofit religious organization in the United States that is exempt from taxation under section 501(c)(3) of the Internal Revenue Code of 1986. 10/15/07)Y Page 2 . immigrating to the United States as special immigrant religious workers must immigrate (i. Has been declared dependent upon a juvenile court in the United States. enter the United States) or adjust status to permanent residence (i. or other work described below. In a religious vocation or occupation for the organization or its nonprofit affiliate. or in a professional capacity in a religious vocation or occupation for that organization. The petition must be filed with: 1. professional work.. in detail. and 3.e. citizen. Special immigrant based on employment with the Panama Canal Company. Is unmarried and less than 21 years old. have their Form I-360 and Form I-485 approved) before October 1. at the time the Panama Canal Treaty of 1977 entered into force. Your citizen spouse's death was less than two years ago. As a minister of that denomination. Naturalization Certificate or Certificate of Citizenship issued by USCIS. Copies of the court or administrative document(s) upon which the claim to eligibility is based. or placed under the custody of an agency or department of a State. You were not legally separated from your citizen spouse at the time of death. Special Immigrant Religious Worker Any person. The petition must be filed with: 1. including the alien.S. and 3. and any affiliate which will employ the person. 3. A copy of your marriage certificate to the U. Special Immigrant Juvenile Any person. Citizen You may file this petition for yourself if: 1. and 3. Report of Birth Abroad of a Citizen of the United States.e.S. Government employment in the Canal Zone with a total of 15 or more years of faithful service. The petition must be filed with: 1.S. citizen at the time of death. Canal Zone Government or U. citizen who is now deceased and who was a U. or Form I-360 Instructions (Rev. or 2. his or her parent(s) may not receive any immigration benefit based on the relationship to the juvenile.Widow/Widower of a U. 2. You were married for at least two years to a U. religious organization in the United States. Was resident in the Canal Zone and had been employed by the Panama Canal Company. 2. NOTE: After a special immigrant juvenile becomes a permanent resident. and who has been found eligible for long-term foster care. Was a Panamanian national and either honorably retired from U. Form FS-240. Has been the subject of administrative or judicial proceedings in which it was determined that it would not be in the juvenile's best interests to be returned to the juvenile's or his or her parent's country of nationality or last habitual residence. NOTE: All special immigrant religious workers.S. A copy of the death certificate of your U. 2008. You have not remarried. A letter from the authorized official of the religious organization establishing that the proposed services and alien qualify as above.S. either: 1. and 4. may file this petition for an alien who: 1. or who such a court has legally committed to. or Canal Zone Government for at least one year. 2.. Copies of evidence that your spouse was a U. 2. continuously for the past two years. or a U.S. or 2.

Graduated from a medical school or qualified to practice medicine in a foreign state. are now on active duty. and Form I-360 Instructions (Rev. The petition must be filed with: 1. or B. 3. or the personal safety of his or her spouse or child. may be eligible to apply for classification as a Special Immigrant. Has been continuously present in the United States and continuously engaged in the practice or study of medicine since the date of such entry. The petition must be filed with: 1. for a period or periods aggregating: A. and whose personal safety. Copies of evidence to establish any claim of danger to personal safety. Entered the United States as an "H" or "J" nonimmigrant before January 9. 10/15/07)Y Page 3 . Letters from the person's employers. detailing his or her employment since January 8. Government agency employing the person in the Canal Zone. Armed Forces as a Translator You may file this petition for yourself if: 1. 1978. You are a national of Afghanistan or Iraq. Armed Forces after October 15. Special Immigrant International Organization Employee or family member Certain long-term "G" and "N" nonimmigrant employees of a qualifying international organization entitled to enjoy privileges. and 2. You worked directly with the U. 2. You are a national of an independent state which maintains a treaty or agreement allowing nationals of that state to enlist in the U.S. 1978. A letter from the Panama Canal Company. indicating the length and circumstances of employment and any retirement or termination. Copies of evidence documenting the relationship between the person this petition is for and the employee.S. is in danger as a direct result of the special nature of his or her employment and as a direct result of the Treaty. Afghanistan or Iraq National Supporting U. The executive department under which you have served or are serving has recommended you for this special immigrant status. 3. Your birth certificate. Copies of relevant documents that demonstrate that the person filed for meets all the above criteria.S.S. The petition must be filed with: 1. Was fully and permanently licensed to practice medicine in a State of the United States on January 9.S. had performed faithful service for five years or more as an employee. including the current employment. and 2. or was an employee of the Panama Canal Company or Canal Zone Government. and certain relatives of such an employee. 1978. Armed Forces Member You may file this petition for yourself if: 1. 1991. Armed Forces each year. You originally lawfully enlisted outside the United States under a treaty or agreement in effect on October 1. 2. The petition must be filed with: 1. You have served honorably on active duty in the U. and was practicing medicine in a State on that date. contact the qualifying international organization or your local USCIS office. Armed Forces as a translator for a period of at least 12 months. A letter from the international organization demonstrating that it is a qualifying organization and explaining the circumstances of qualifying employment and the immigration status held by the person the petition is for. Twelve years.3. You have obtained a favorable written recommendation from a general or flag officer in the chain of command of the U. 1978. and 4. Armed Forces unit that you supported. Canal Zone Government. or U. and immunities under the International Organizations Immunities Act. Was employed for 15 years and since honorably retired. and 4. and 2. and were never separated from such service except under honorable conditions.S. and 2. To determine eligibility. and have reenlisted to incur a total active duty service obligation of at least 12 years. 3. Certified proof issued by the authorizing official of the executive department in which you are serving or have served which certifies that you have the required honorable active duty service and/or commitment. Six years. exemptions. Special Immigrant Physician Any person may file this petition for an alien who: 1. 2.

such as the documents listed above.S. Armed Forces unit that you supported. or similar report from each locality or state in the United States or abroad in which you have resided for six or more months during the three-year period immediately preceding the filing of your self-petition. A properly signed Form I-360 in Part 9. Have been battered by or have been the subject of extreme cruelty perpetrated by: A. Citizen or Lawful Permanent Resident You may self-petition for immediate relative or familysponsored immigrant classification if you: 1. you must also submit a copy of the front and back of your Form I-94. or to your child if you are a spouse. Are eligible for immigrant classification based on that relationship. hospital or medical records. citizen or lawful permanent resident spouse during the marriage.S. your self-petition will be denied or the approval revoked. judges. Signature. or other evidence of your legal relationship to the abuser. utility receipts. and other court officials. Evidence of having cleared a background check and screening by the U. If you are physically present in the United States. as determined by a general or flag officer in the chain of command of the U. 3. birth certificates of children. such as reports and affidavits from police. 2. 4. your affidavit of good moral character accompanied by a local police clearance. Armed Forces for a period of at least 12 months. Documentation establishing that you have worked as a translator directly for the U. however.S. social workers. insurance policies.4. or affidavits. B. 6. Your self-petition may be filed with any credible relevant evidence of eligibility. state-issued criminal background check. The determination of what evidence is credible and the weight to be given that evidence is within the sole discretion of USCIS. school records. 2. Evidence of the abuse. If you are more than 14 years of age. you should submit copies of those court documents. and other social service agency personnel.S. citizenship or lawful permanent resident status. 7. The petition must be filed with: 1. Armed Forces unit that you supported. If you remarry before you become a lawful permanent resident. One or more documents showing that you and the abuser have resided together in the United States in the past. A copy of your passport or birth certificate. Are a spouse who entered into the marriage to the citizen or lawful permanent resident abuser in good faith. Your citizen or lawful permanent resident parent while residing with that parent. Affidavits. clergy. Are now the spouse or child of an abusive U. 2. citizen or lawful permanent resident abuser in the past. 10/15/07)Y Page 4 Self-Petitioning Battered or Abused Spouse or Child of a U. showing that you are a national of Afghanistan or Iraq. and other relevant credible evidence of the extreme hardship that would result if you were to be removed or deported. mortgages. A favorable written recommendation from a general or flag officer in the chain of command of the U. by the petitioner. birth certificates of children. 5. 4. . This can be in the form of a written letter attesting to the clearance signed by a member of the U. and if you 7. you were cleared by a background check and screening. school officials.S. Are now residing in the United States or have resided in the United States with the U.S. medical reports. 6. therefore. 5. rental records. Before filing this petition. and 5. Arrival/Departure Document. 4. you are encouraged to provide the following documentation: 1. If you have an order of protection. Are a person of good moral character. One or more documents showing that you are now residing in the United States.S. or have taken other legal steps to end the abuse.S. NOTE: Divorce or other legal termination of the marriage to the abuser after the self-petition is properly filed with USCIS will not be the sole basis for denial or revocation of an approved self-petition.S. Armed Forces unit that you supported. and Form I-360 Instructions (Rev. This is the document you received upon arrival in the United States. or are the parent of a child who has been battered by or has been the subject of extreme cruelty perpetrated by your abusive citizen or lawful permanent resident spouse during your marriage. 3.S. medical personnel. Marriage and divorce decrees. citizen or lawful permanent resident. such as employment records. birth certificates. 3. Armed Forces. Are a person whose removal or deportation would result in extreme hardship to yourself. Evidence of the abuser's U. Your U.

It cannot be filed concurrently with Form I-485. wedding ceremony. seven (7) days a week. crisis intervention. and accompanied by the proper fee. Fill Out Form I-360 1. General Instructions Step 1. Every petition must be properly signed. NOTE: A self-petitioning battered or abused spouse or child of a U. Form I-360 may be filed at the USCIS office overseas or at the U. Special Immigrant Juvenile Court Dependent Form I-360 may be filed alone or concurrently with Form I-485 at the USCIS Lockbox. Original documents submitted when not required will remain a part of the record. toll-free from anywhere in the United States. Unless specifically required that an original document be filed with an application or petition. to victims of domestic violence or anyone calling on their behalf at 1-800-799-7233 or TDD at 1-800-787-3244 TTD. go to "Mailing Addresses" at the end of this section. Puerto Rico. Amerasian 1. citizen or lawful permanent resident may submit any relevant credible evidence in place of the suggested evidence. indicate the item number. shared residence. Any document containing foreign language submitted to USCIS shall be accompanied by a full English language translation which the translator has certified as complete and accurate. Step 2. If you are filing only Form I-360. Answer all questions fully and accurately. Virgin Islands.S. and referrals to local service providers. regardless of where you live or work.S. income tax forms. even if the submission was not required. Form I-360 may also be filed at the USCIS office having jurisdiction over the beneficiary's intended place of residence in the United States by submitting this petition to the USCIS Lockbox. Concurrent Form I-360/I-485 widow/widower filings must be filed with the USCIS Lockbox.S. Religious Worker or Minister Form I-360 must be filed at the California Service Center. including legal assistance organizations. The staff and volunteers speak both English and Spanish and have access to translators in 139 languages. 3. you may file Form I-360 at the USCIS office or U. If extra space is needed to complete any item." 4. If you live outside the United States. 10/15/07)Y Page 5 . write "none. and testimony or other evidence regarding your courtship. 2. property leases. an ordinary legible photocopy may be submitted. proof that one spouse has been listed as the other's spouse on insurance policies. Embassy or consulate having jurisdiction over the beneficiary's current place of residence. General requirements Translations. For Service Center and Lockbox mailing addresses. Where To File? Where the Form I-360 is submitted depends on where you live and/or the catagory you are filing under. and experiences showing that your marriage was entered in good faith. State that an item is not applicable with "N/A. Copies. or bank accounts.8. Widow or Widower 1. Embassy or consulate that has jurisdiction over the area where you live. See the following instructions to determine where to file the petition. Public Service Information The National Domestic Violence Hotline provides information. Form I-360 may also be filed concurrently with Form I-485. 2. Form I-360 Instructions (Rev. 3. If you are under 14 years of age. If you are a spouse. it must be filed at the Vermont Service Center. If the beneficiary lives outside the United States.S. attach a continuation sheet. your parent or guardian may sign the petition. 2. The hotline services are available 24 hours a day." If the answer is none. and by the translator's certification that he or she is competent to translate from the foreign language into English. or the U. Type or print legibly in black ink. and date and sign each sheet.

Idaho. Texas. Puerto Rico. regardless of where you live. Connecticut. It cannot be filed concurrently with Form I-485. NOTE: Form I-485 may be filed concurrently with Form I-360 if the abusive spouse or parent is a U. Massachusetts. If you live in Alaska. Government in Canal Zone Employment. South Carolina. Florida. NE 68501-7360 Vermont Service Center Afghan and Iraqi Translators Form I-360 must be filed at the Nebraska Service Center. or West Virginia. New Jersey. citizen. Montana. 10/15/07)Y Page 6 USCIS P. Mailing Addresses Service Center Addresses: California Service Center: USCIS California Service Center P. Virgin Islands. New York. Iowa. International Broadcasters Form I-360 must be filed at the Vermont Service Center. Pennsylvania. file this petition with the Vermont Service Center. USCIS Vermont Service Center 75 Lower Welden Street St. It cannot be filed concurrently with Form I-485. Louisiana. Form I-360 Instructions (Rev. 3. Minnesota.S. or Wyoming. Maryland. 2. Albans. regardless of where you live. Box 87360 Lincoln. Colorado. U. U. Guam. Box 10360 Laguna Niguel. Wisconsin. North Carolina. an immigrant visa number must be immediately available to file the I-485 concurrently. South Dakota. Oklahoma.O. or 4. file this petition with the California Service Center. File Form I-360 with the California Service Center or the Vermont Service Center. Ohio. Washington. Indiana. Panama Canal Company Employment.Special Immigrant International Organization Employee or Family Member Form I-360 must be filed with the Nebraska Service Center. Hawaii. Virginia.O. If you live in the United States. North Dakota. Utah. IL 60680-4120 . Arkansas. 2. or you may file it concurrently with Form I-485 at the USCIS Lockbox. If you live outside the United States. Missouri. file Form I-360 with the Vermont or California Service Center depending on the place where you live. Canal Zone Government Employment. VT 05479-0001 For other categories including: USCIS Lockbox Addresses 1. Tennessee. Embassy or consulate abroad that has jurisdiction over the area where you live.S. In some cases it may be filed concurrently with Form I-485 (see note below). file Form I-360 at the USCIS office or U. Mississippi. California. Self-Petitioning Battered or Abused Spouse or Child Form I-360 must be filed at the Vermont Service Center. Maine.S. depending on where you live: If you live in Alabama. Otherwise. Nevada. Rhode Island. Arizona. regardless of where you live or work. New Hampshire. Vermont. New Mexico. It may be filed alone or concurrently with Form I-485. the District of Columbia.O. Special Immigrant Physician. Georgia. Armed Forces Member 1.S. Delaware. Illinois. Box 805887 Chicago. Nebraska. Kansas. CA 92607-0360 Nebraska Service Center USCIS Nebraska Service Center P. regardless of where you live. Michigan. Oregon. Kentucky.

and the biometric service fee if applicable: 1. However. After you submit Form I-360. Department of Homeland Security.S.O. If the EFT cannot be completed because of insufficient funds. The debit from your account will usually take 24 hours and will be shown on your regular account statement. We will destroy your original check.gov. photograph. select "Immigration Forms. but we will keep a copy of it. NOTE: Please spell out U.S. If you send us a check.S." Notice to Those Making Payment by Check. Department of Homeland Security. This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. because USCIS fees change periodically. you can verify if the fees are correct by following one of the steps below: 1. An application or petition is not considered properly filed until accepted by USCIS. 10/15/07)Y Page 7 .S. except there is no fee if filing for an Amerasian.uscis. Or you may complete and mail Form AR-11. Virgin Islands and are filing your petition there. you authorize us to process the copy in place of your original check. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. You will not receive your original check back. How to Check If the Fees Are Correct The form and biometric fees on this form are current as of the edition date appearing in the lower right corner of this page. or 3. make it payable to Treasurer." and check the appropriate fee.S. we may try to make the transfer up to two times.S. a Special Immigrant Juvenile or as a self-petitioning battered or abused spouse. If you live in the U. unless: A." and follow the prompts. You may submit one check or money order for both the application and biometric fees. NOTE: If your Form I-360 requires payment of a biometric service fee for USCIS to take your fingerprints. Citizenship and Immigration Services Change of Address P. or signature. Visit our website at www. Alien's Change of Address Card. and 2. for a total of $455. You may correct the deficiency and resubmit the Form I-360. currency. KY 40742-7134 For commercial overnight or fast freight services only. Make the check or money order payable to U. or lawful permanent resident. do not use the initials "USDHS" or "DHS. Guam. and must be payable in U. mail to: U. citizen. B. KY 40744 Processing Information Any Form I-360 that is not signed or accompanied by the correct fee will be rejected with a notice that Form I-360 is deficient. USCIS will notify you about when and where you will need to go for biometric services.S. you can use the same procedure to obtain the correct biometric fee. or child of a U. click on "Change your address with USCIS. Address Changes If you change your address and you have an application or petition pending with USCIS.What Is the Filing Fee? The filing fee for Form I-360 is $375. parent. it will be converted into an electronic funds transfer (EFT). Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. If the EFT cannot be processed for technical reasons.gov.uscis. Review the Fee Schedule included in your form package. make it payable to Commissioner of Finance of the Virgin Islands. If you live in Guam and are filing your petition there. The check or money order must be drawn on a bank or other financial institution located in the United States. Form I-360 Instructions (Rev. Box 7134 London. 2. you may change your address online at www. Use the following guidelines when you prepare your check or money order for Form I-360. to: U. An additional biometric fee of $80 is required when filing this Form I-360 on behalf of an Amerasian. if you called us to request the form.

The public reporting burden for this collection of information is estimated at 2 hours per response. Regulatory Management Division. Paperwork Reduction Act An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.S.W. OMB No. N. unless he or she is in the United States and appears eligible and intends to apply for adjustment to permanent resident status while here. including suggestions for reducing this burden. including the time for reviewing instructions. Citizenship and Immigration Services. Send comments regarding this burden estimate or any other aspect of this collection of information. USCIS Forms and Information To order USCIS forms. you can now schedule an appointment through our Internet-based system. Privacy Act Notice We ask for the information on this form. As an altenative to waiting in line for assistance at a USCIS office. We will send it to the U. To access the system. Our legal right to ask for this information can be found in the Immigration and Nationality Act. We may request more information or evidence. gov. Once a Form I-360 has been accepted.uscis. completing and submitting the form. and associated evidence. 1615-0020. Suite 3008. If you do not establish eligibility. to: U. 3rd Floor. we will deny Form I-360 and may deny any other immigration benefit.. We may provide this information to other government agencies. and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www. InfoPass generates an electronic appointment notice that appears on the screen. Do not mail your application to this address. Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-360. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. 111 Massachusetts Avenue.S. we will deny the petition. Form I-360 Instructions (Rev. including submission of the required initial evidence. visit our website. In addition. Decision. We will return these originals when they are no longer required. or we may request that you appear at a USCIS office for an interview. it will be checked for completeness. 10/15/07)Y Page 8 . call our toll-free number at 1-800-870-3676.Initial processing. Failure to provide this information. You can also get USCIS forms and information on immigration laws. If you establish that the person this petition is for is eligible for the requested classification. you will face severe penalties provided by law and may be subject to criminal prosecution. We may also request that you submit the originals of any copy. you will not establish a basis for eligibility. Embassy or consulate for visa issuance. If you do not completely fill out the form. We will notify you in writing of our decision. regulations. Washington. and we may deny your petition. DC 20529. and any requested evidence. may delay a final decision or result in denial of your Form I-360. to determine if you have established eligibility for the immigration benefit for which you are filing. as amended. or file it without required initial evidence. we will approve the petition. Requests for more information or interview.

b. # State or Province Zip/Postal Code IRS Tax # (if any) Reloc Rec'd Part 2. k.S. i.S.S. Canal Zone Government or U.S. Citizen or Lawful Permanent Resident Other. if any Fill in box if G-28 is attached to represent the applicant Widowed VOLAG# ATTY State License # Apt. f. Classification Requested (check one): Amerasian Widow(er) of a U.S. or Special Immigrant For USCIS Use Only Returned Receipt START HERE .C/O Street Number and Name City Country Date of Birth Country of Birth (mm/dd/yyyy) U. Social A# (if any) Security # Marital Status: Single Married Divorced Complete the items below if this person is in the United States: Date of Arrival I-94# (mm/dd/yyyy) Current Nonimmigrant Expires on (mm/dd/yyyy) Status State or Province Zip/Postal Code To Be Completed by Attorney or Representative. Social Security # a. # Given Name Middle Name Action Block Form I-360 (Rev.Please type or print in black ink Part 1. Government in the Canal Zone Special Immigrant Physician Special Immigrant International Organization Employee or family member Special Immigrant Armed Forces Member Self-Petitioning Spouse of Abusive U. e. you may show an alternate mailing address here. Widow(er).OMB No. explain: Petitioner/ Applicant Interviewed Beneficiary Interviewed I-485 Filed Concurrently Bene "A" File Reviewed Classification Consulate Priority Date Remarks: Part 3. (Individuals should use the top name line. Citizen or Lawful Permanent Resident Self-Petitioning Child of Abusive U. c. Citizenship and Immigration Services I-360. Given Name Middle Name Resubmitted Family Name Company or Organization Name Address . Information about the person this petition is for Family Name Address . Petition for Amerasian. 1615-0020.S. If you are filing for yourself and do not want to use an alternate mailing address.S. skip to Part 2. j. Expires 10/31/08 Department of Homeland Security U. 10/15/07)Y . d.) If you are a self-petitioning spouse or child and do not want USCIS to send notices about this petition to your home. g. h. citizen who died within the past two (2) years Special Immigrant Juvenile Special Immigrant Religious Worker Special Immigrant based on employment with the Panama Canal Company. A# Reloc Sent Apt.C/O Street Number and Name City Country U. Information about person or organization filing this petition. organizations should use the second line.

" explain on a separate sheet of paper. Explain on separate paper any question you cannot fully answer in the space provided on this form. without permission? Is an application for adjustment of status attached to this petition? Male No No No No Female Yes (How many? ) Yes (Explain on a separate sheet of paper) Yes (Explain on a separate sheet of paper) Yes Part 5.S. print the person's foreign address below.) Part 6. print his or her name and foreign address in the native alphabet. If you answer "No. Complete only if filing for an Amerasian Section A. Information about the Juvenile List any other names used. If his or her native alphabet does not use Roman letters. Processing Information Below give information on U. consulate you want notified if this petition is approved and if any requested adjustment of status cannot be granted. Name Address Gender of the person this petition is for Are you filing any other petitions or applications with this one? Is the person this petition is for in deportation or removal proceedings? Has the person this petition is for ever worked in the U. Information about the father of the Amerasian: If possible.Part 4. (Attach a full explanation of the circumstances. 10/15/07)Y Page 2 . The father was not in the military. American Consulate: City Country If you gave a United States address in Part 3. Answer the following questions regarding the person this petition is for. Complete only if filing for a Special Immigrant Juvenile Court Dependent Section A. Family Name Date of Birth (mm/dd/yyyy) Living? No (Give date of death ) Given Name Country of Birth Yes (complete address line below) Unknown (attach a full explanation) Middle Name No (Give date of death ) Given Name Yes (complete address line below) Middle Name Unknown (attach a full explanation) Home Address Home Phone # Work Phone # ( ) ( ) At the time the Amerasian was conceived: The father was in the military (indicate branch of service below and give service number here): Army Air Force Navy Marine Corps Coast Guard The father was a civilian employed abroad. Attach a list of names and addresses of organizations which employed him at that time. Information about the mother of the Amerasian Family Name Living? Address Section B. attach a notarized statement from the father regarding parentage.S. Is he or she still dependent upon the juvenile court or still legally committed to or under the custody of an agency or department of a state? No Yes Does he or she continue to be eligible for long-term foster care? No Yes Form I-360 (Rev. and was not a civilian employed abroad.

U.S. or was at time of death a (check one): U. Family Name Country of Birth B. (If you are a self-petitioning child. Information about the spouse and children of the person this petition is for A widow/widower or a self-petitioning spouse of an abusive citizen or lawful permanent resident should also list the children of the deceased spouse or of the abuser.S. and show the last date that you lived together with that person at that address: If you are filing as a self-petitioning spouse. Family Name Country of Birth D. (attach explanation). When did you live with the person named in Section A? From (Month/Year) If you are filing as a widow/widower. or as a Self-petitioning Child of an Abuser Section A. citizen through naturalization (Show A #) U. citizen husband or wife who died or about the U.S.S. Family Name Country of Birth C. explain Middle Name He or she is now. citizen born in the United States. How many times have you been married? How many times was the person in Section A married? Give the date and place where you and the person in Section A were married. were you legally separated at the time of the U. 10/15/07)Y Page 3 Middle Name Spouse Child Middle Name Date of Birth (mm/dd/yyyy) A# Date of Birth (mm/dd/yyyy) A# Middle Name Date of Birth (mm/dd/yyyy) A# Middle Name Date of Birth (mm/dd/yyyy) A# Middle Name Date of Birth (mm/dd/yyyy) A# . lawful permanent resident (Show A #) Other. citizen born abroad to U. citizen parents.S. Family Name Country of Birth E. A.S. Section B. have any of your children filed separate self-petitions? No Yes (show child(ren)'s full names): Part 8. write: "N/A") until (Month/Year) No Yes.S.S citizens's death? Give the last address at which you lived together with the person named in Section A. citizen or lawful permanent resident abuser Family Name Date of Birth (mm/dd/yyyy) Country of Birth Given Name Date of Death (mm/dd/yyyy) U. Additional Information about you. a Self-petitioning Spouse of an Abuser. Information about the U. Complete only if filing as a Widow/Widower. Family Name Country of Birth Given Name Relationship Given Name Relationship Child Given Name Relationship Child Given Name Relationship Child Given Name Relationship Child Form I-360 (Rev.Part 7.

if outside the United States. I swear or affirm. that U. I authorize the release of any information from my records. that this petition and the evidence submitted with it is all true and correct. If you are going to file it at a U. or from the petitioning organization's records.S. sign below. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought.Part 8. under penalty of perjury under the laws of the United States of America. Family Name Country of Birth Given Name Relationship Child Middle Name Date of Birth (mm/dd/yyyy) A# Middle Name Date of Birth (mm/dd/yyyy) A# Middle Name Date of Birth (mm/dd/yyyy) A# Part 9. If filing this on behalf at an organization. Information about the spouse and children of the person this petition is for (Continued) F. sign in front of a USCIS or consular official. Signature Signature of USCIS or Consular Official Print Name Date Date NOTE: If you do not completely fill out this petition or fail to submit required documents listed in the instructions. I certify that I am empowered to do so by that organization. Family Name Country of Birth G. Signature Read the information on penalties in the instructions before completing this part. Part 10. the person(s) filed for may not be found eligible for a requested benefit and the petition may be denied. Family Name Country of Birth Given Name Relationship Child Given Name Relationship Child H. If you are going to file this petition at a USCIS office in the United States. Signature Firm Name and Address Print Your Name Date Form I-360 (Rev. or. I certify. consulate or USCIS office overseas. 10/15/07)Y Page 4 . Signature of person preparing form.S. if other than above (Sign below) I declare that I prepared this application at the request of the above person and it is based on all information of which I have knowledge.

if approved. You may apply to adjust status if: A. Based on Cuban citizenship or nationality.S. the individual derivatives may file their Form I-485 adjustment-of-status applications concurrently with the Form I-485 for the principal applicant.uscis. special immigrant juvenile petition. Expires 09/30/08 Department of Homeland Security U. 2. if a visa number is available. Check the edition date located at the lower right-hand corner of the form. This form may also be used by certain Cuban nationals to request a change in the date that their permanent residence began. your version is current and will be accepted by USCIS. Based on refugee status. Improperly filed forms will be rejected. If the edition date on the online version is later.S. citizen and subsequent marriage to that citizen. were admitted or paroled into the United States after January 1. call the National Customer Service Center at 1-800-375-5283 to verify the current filing address and edition date. A. and thereafter have been physically present in the United States for at least one year. Who May File This Form I-485? 1. If you were admitted as the K-2 child of such a fiancé(e). Based on an immigrant petition. or special immigrant military petition which. You may apply to adjust your status if: A. Application to Register Permanent Residence or Adjust Status Updated filing Address Information The filing addresses provided on this form reflect the most current information as of the date this form was last printed. What Is the Purpose of This Form? This form is used by a person who is in the United States to apply to U. or Form I-485 Instructions (Rev. An immigrant visa number is immediately available to you based on an approved immigrant petition. and check the Forms and Fees page to confirm the correct filing address and version currently in use. or B. You are filing this application with a completed relative petition. Based on asylum status.S. or file the Form I-485 at anytime after the principal is approved. concurrently with the principal's adjustment of status application to allow the derivatives to immigrate to the United States without delay if the principal's adjustment-ofstatus application is approved. Citizenship and Immigration Services (USCIS) to adjust to permanent resident status or register for permanent residence. citizen and you married that citizen within 90 days of your entry. The fee submitted with the Form I-824 will not be refunded if the principal's adjustment is not granted. 05/27/08)Y . Based on being the spouse or child (derivative) at the time another adjustment applicant (principal) files to adjust status or at the time a person is granted permanent resident status in an immigrant category that allows derivative status for spouses and children. 4.gov before you file. 3. If you do not have Internet access. 5. If you are filing Form I-485 more than 30 days after the latest edition date shown in the lower right-hand corner. would make an immigrant visa number immediately available to you. A. you may apply to adjust status based on your parent's adjustment application. You may apply to adjust status if you were admitted to the United States as the K-1 fiancé(e) of a U. download a copy and use the online version. B. Citizenship and Immigration Services Instructions for I-485. provided that your status has not been terminated. please visit our website at www. provided you still qualify as an asylee or as the spouse or child of a refugee.S. You may apply to adjust status after you have been admitted as a refugee and have been physically present in the United States for one year following your admission. 1959. and the fee returned with instructions to resubmit the entire filing using the current form instructions. If the spouse or child is residing abroad. Application for Action on an Approved Application or Petition. You may apply to adjust status after you have been granted asylum in the United States if you have been physically present in the United States for one year after the grant of asylum. If the spouse or child is in the United States. Based on admission as the fiancé(e) of a U. B. 1615-0023. 6. You are a native or citizen of Cuba. If the edition date on your Form I-485 matches the edition date listed for Form I-485 on the online Forms and Fees page.OMB No. the person adjusting status in the United States should file the Form I-824.

citizen (parent. or their derivative family members). privileges. write "none. citizen who filed the petition for you. if you are an A or G nonimmigrant." 3. and are a native or citizen of Cuba." 9. unless you are applying because you are: 1. or 12. You were admitted to Guam as a visitor under the Guam visa waiver program. petitioner within 90 days of admission. unless you submit a completed Form I-566. citizen (parent. widow. General Instructions Fill Out Form I-485 1. or special immigrant military personnel adjustment). You entered the United States as a nonimmigrant crewman. You have A. 2. 05/27/08)Y Page 2 . If you are not included in the above categories. You entered the United States in transit without a visa. or you were admitted as the K-2 child of a fiancé(e) and your parent did not marry the U. You may apply for permanent residence if you have continuously resided in the United States since before January 1. or you are the spouse or unmarried child of such an individual. 1972. but believe you may be eligible for adjustment or creation of record of permanent residence. spouse. 1972. or G nonimmigrant status or have an occupation that would allow you to have this status. You must file your application with the required Initial Evidence described below. 1966." If the answer is none. 8. An immediate relative of a U.S. Unless you are applying for creation of record based on continuous residence since before January 1. C. You were not admitted or paroled following inspection by an immigration officer. You were admitted as a K-1 fiancé(e). you were admitted or paroled after January 1. 3. or unmarried child under 21 years old). and date and sign each sheet. If you are under 14 years of age. Answer all questions fully and accurately. spouse. Your authorized stay expired before you filed this application. Type or print legibly in black ink. You are or were a J-1 or J-2 exchange visitor and are subject to the two-year foreign residence requirement and you have not complied with or been granted a waiver of the requirement. your parent or guardian may sign your application. asylum adjustment. Applying to change the date on which your permanent residence began. B. This is known as "Registry. unless you complete Form I-508 (I-508F for French nationals) to waive diplomatic rights. Other basis of eligibility. 10. widower. 4. 10. other than through no fault of your own or for technical reasons. 11. or unmarried child under 21 years old). 8. State that an item is not applicable with "N/A. 9. special immigrant juvenile adjustment. widow.S. You are already a conditional permanent resident. Who Is Not Eligible to Adjust Status. Form I-485 Instructions (Rev. international organization employees. citizen who filed the petition.S. you are not eligible for adjustment of status if any of the following apply to you: A. contact our National Customer Service Center at 1-800-375-5283 for information on how to use the Internet to make an application at your local USCIS office. 2. 1972. A K-1 fiancé(e) or a K-2 fiancé(e) dependent who married the U. or adjustment of status under a category in which special rules apply (such as 245(i) adjustment. You were admitted to the United States as a visitor under the Visa Waiver Program. attach a continuation sheet. If extra space is needed to complete any item. F. 1959. E. or An H or I nonimmigrant or special immigrant (foreign medical graduates. indicate the item number. but did not marry the U. 7. D. You are the spouse or unmarried child of a Cuban described above and regardless of your nationality. You failed to maintain your nonimmigrant status. Based on continuous residence since before January 1. 7. and thereafter have been physically present in the United States for at least one year.B. Cuban adjustment. If you were granted permanent residence in the United States prior to November 6.S. Your application must be properly signed and filed with the correct fee. unless you are applying because you are an immediate relative of a U. You were employed in the United States without USCIS authorization prior to filing this application. widower. E. 1964. you may ask to change the date your lawful permanent residence began to your date of arrival in the United States or May 2. and immunities and. whichever is later.S.

g. If you have ever been arrested or detained by any law enforcement officer for any reason.Translations. submit: 1. After you have filed this application. submit: An original or court-certified copy of the complete arrest record and/or disposition for each incident (e. Initial Evidence. 6. you must be fingerprinted as part of the USCIS biometric services requirement. Birth certificate. or if charges were filed against you without an arrest. Copies. or otherwise removed from your record. 5. frontal view on a white to offwhite background. Head height should measure 1" to 1 3/8" from top of hair to bottom of chin. even if the submission was not required. Your head must be bare unless you are wearing a headdress as required by a religious order of which you are a member. conviction record. Evidence that you completed your sentence. If you have ever been arrested or detained by any law enforcement officer for any reason.. Police clearances. If you are filing for adjustment of status as a member of a special class described in an I-485 supplement form. An original or certified copy of your probation or parole record. expunging. and eye height is between 1 1/8" to 1 3/8" from bottom of photo. Passport-style photos must be 2" x 2. If you are between the ages of 14 and 79. sealed. b. You must file your application with the following evidence: 3. If you have obtained a nonimmigrant visa(s) from a U. and by the translator's certification that he or she is competent to translate from the foreign language into English. submit: 1. and 2. 05/27/08)Y Page 3 . B. you do not need to submit documentation for traffic fines and incidents that did not involve an actual arrest if the only penalty was a fine of less than $500 and/or points on your driver's license. 2. 1. If necessary. Biometric services. If you have ever been convicted or placed in an alternative sentencing program or rehabilitative program (such as a drug treatment or community service program). and be unmounted and unretouched. NOTE that unless a traffic incident was alcohol or drug-related. lightly print your name and Alien Receipt Number on the back of the photo. in addition to the required fingerprints. Original documents submitted when not required will remain a part of the record. An original or court-certified copy of the sentencing record for each incident. Evidence that you completed an alternative sentencing program or rehabilitative program." The photos must be in color with full face. or otherwise removing the arrest or conviction. Using pencil or felt pen. specifically: a. setting aside. and no charges were filed. or acquittal order). You must submit two identical color photographs of yourself taken within 30 days of the filing of this application. with your application. 103. Code of Federal Regulations (CFR). If you have ever had any arrest or conviction vacated. or 4.2(b)(2). USCIS may also take your photograph and signature. expunged. Photos. and charges were filed. or An original statement from the court that no record exists of your arrest or conviction. dismissal order. C. please read the instructions on the supplement form to see if you need to obtain and submit police clearances. set aside. Criminal history. The photos must have a white to off-white background. An original or court-certified copy of the court order vacating. submit a photocopy(ies) of the page(s) of your passport containing the visa(s). Failure to appear to be fingerprinted or for other biometric services may result in a denial of your application. 2. Any document containing foreign language submitted to USCIS shall be accompanied by a full English language translation which the translator has certified as complete and accurate. submit: An original official statement by the arresting agency or applicable court order confirming that no charges were filed. Embassy or consulate abroad within the last year. D. be printed on thin paper with a glossy finish. Form I-485 Instructions (Rev. Submit a copy of your foreign birth certificate or other record of your birth that meets the provisions of secondary evidence found in Title 8. USCIS will notify you in writing of the time and location where you must go to be fingerprinted. Copy of passport page with nonimmigrant visa. A. sealing. an ordinary legible photocopy may be submitted.S. Unless specifically required that an original document be filed with an application or petition.

File your application with the application of the other applicant. Based on derivative status as the spouse or child of another adjustment applicant or person granted permanent residence based on issuance of an immigrant visa. citizen and subsequent marriage to that citizen. 13. 15. asylum or refugee adjustment. 16. 14. or a Cuban citizen or a spouse or unmarried child of a Cuban citzen who was admitted after January 1. special immigrant juvenile.7. birth certificate. or with evidence that the application is pending with USCIS or was approved. B. 1972. Biographic Information Sheet. include your medical examination report with the application. Medical examination. you must submit a letter on the letterhead of the petitioning employer which confirms that the job on which the visa petition is based is still available to you. not the entire medical report. B. or submit a complete relative. such as a copy of your passport. A. or travel document. you only need to submit a vaccination supplement. will make a visa number immediately available to you. Form G-325A. unless there were medical grounds of inadmissibility that arose during the initial examination that you had overseas. Based on asylum status. 1959. Based on an immigrant petition. 1972. Submit an Affidavit of Support (Form I-864) if your adjustment-of-status application is based on your entry as a fiancé(e). unless you are a refugee. and: Form I-485 Instructions (Rev. A. Refugees: If you are applying for adjustment of status one year after you were admitted as a refugee. Employment Letter. NOTE: The affidavit of support and/or employment letter are not required if you are applying for creation of a record based on continuous residence since before January 1. Attach a copy of the approval notice for an immigrant petition that makes a visa number immediately available to you. you only need to submit a vaccination supplement with your adjustment-of-status application. You may include the vaccination supplement with your adjustment-of-status application. include your medical examination report with the application. 05/27/08)Y Page 4 . If you are filing your adjustment-of-status application with a local USCIS office. D. Attach copies of evidence that shows continuous residence since before January 1. Individuals applying for adjustment of status through a USCIS Service Center. Individuals applying for adjustment of status through a local USCIS office. Attach a copy of the letter or Form 1-94 that shows the date you were granted asylum. If you are a K-1 fiancé(e) or K-2 dependent who had a medical examination within the past year as required for the nonimmigrant fiancé(e) visa. S. 17. The letter must also state the salary that will be paid. Affidavit of Support/Employment Letter. Based on Cuban citizenship or nationality. 2. 1972 (registry applicant). if approved. If your adjustment-of-status application is related to an employment-based visa petition (Form I-140). a relative visa petition (Form I-130) filed by your relative. a copy of your marriage certificate. submit a medical examination report on the form you have obtained from USCIS. Affidavit of Support. 1972. Attach evidence of your citizenship or nationality. Persons not required to have a medical examination. Fiancé(e)s. A. The medical report is not required if you are applying for creation of a record for admission as a lawful permanent resident under section 249 of the INA as someone who has continuously resided in the United States since January 1. and your Form 1-94. 8. not the entire medical report. 1. General: If you are filing your adjustment-of-status application with a USCIS Service Center. or with evidence that your spouse or parent was granted permanent residence based on an immigrant visa. C. or an employment-based visa petition (Form I-140) related to a business that is five percent or more owned by your family. Based on continuous residence in the United States since before January 1. Evidence of eligibility. When required. You must submit a completed Form G-325A if you are between 14 and 79 years of age. Based on admission as the K-1 fiancé(e) of a U. B. or special immigrant military petition that. Attach a copy of the fiancé(e) petition approval notice. 9.

also attach a copy of your marriage certificate and copies of documents showing the legal termination of all other marriages by you and your spouse.S. 7. Public Interest Parolees from certain former Soviet and Southeast Asian countries filing Form I-485 under Public Law 101-167 (the "Lautenberg Amendment"). Widow(er). 14. Where Should You File Form I-485? Form I-485 USCIS Lockbox Filing Address for Local Office Filings: If you are applying for adjustment of status under one of the eligibility categories listed below. if the other person is not your parent. 1965. depending on where the applicant lives. If you are applying as the child of that person. Spouse.S. Form I-485 Instructions (Rev. citizen with an approved or concurrently filed Form I-360. Applicants who are beneficiaries of Private Bills: 18. 3.S. 1972. since before January 1. If Form I-140 is pending. Application to Register Permanent Residence or Adjust Status.3rd Floor Chicago. attach also a copy of your birth certificate and. Applicants eligible under the Cuban Adjustment Act of November 2. 05/27/08)Y Page 5 . submit copies of the Form I-140 receipt notice and the page of the DOL labor certification showing the priority date (if labor certification is required) or just a copy of the Form I-140 receipt notice (but only if a labor certification is not required). IL 60603-5517 2. IL 60680-4120 For courier/express deliveries: USCIS Attn: FBAS 131 South Dearborn . 5. an immigrant visa number must be immediately available at the time of filing. Form I-485 is Based on an Underlying Form I-140. Special Immigrant juvenile with a pending or concurrently filed Form I-360. file your Form I-485. Armed Forces with an approved or concurrently filed Form I-360. parent. NOTE: To facilitate acceptance and processing of Form I-485 when Form I-140 has already been approved. Diversity lottery winner eligible to file Form I-485. pending. Postal Service (USPS) deliveries: USCIS P. USCIS Lockbox Addresses: For U. Immigrant Petition for Alien Worker: Adjustment-of-status applications filed based on a concurrently filed. 9. Attach copies of documents proving that you are eligible for the classification. If you wish to concurrently file your Form I-485 and Form I-140. or Special Immigrant. Form I-485 Service Center Filing Addresses: 1. submit copies of evidence (such as a marriage certificate and documents showing the legal termination of all other marriages and an adoption decree) to demonstrate that you qualify as his or her child. or approved Form I-140 must be filed with the Nebraska Service Center or the Texas Service Center. Registry applicant filing Form I-485 based on continuous residence in the U. 4. as a battered spouse or child. unmarried son/daughter under age 21 of a U. Special Immigrant Military filing Form I-485 based on honorable active duty service in the U. 10. Former diplomat filing Form I-485 under Section 13 of the Immigration and Nationality Act. Beneficiary of an approved Form I-130 filed by a qualifying relative. K-1 Fiancé(e) (and K-2 dependents) whose Form I-485 is based on an approved Form I-129F. with the USCIS Lockbox Facility. Other basis for eligibility. 6.S. Qualifying derivative. Applicants who are beneficiaries of an approved Form I-360. 13. submit a copy of the I-140 approval notice.If you are applying as the spouse of that person. 15.S. 11. citizen with an approved or concurrently filed Form I-130. Petition for Amerasian. 1. or 16. family-based beneficiary. 8. 12. Amerasians with an approved or concurrently filed Form I-360. Registry applicant filing Form I-485 based on birth in the United States to a foreign diplomatic officer. Widow/widower of a U. Box 805887 Chicago.O.

Virgin Islands. Arkansas. Wisconsin. International Broadcasters. or approved Form I-360 for International Organization Employee or eligible family member must be filed with the Nebraska Service Center (see address below). Petition for Amerasian. Ohio. North Carolina. Illinois. or Special Immigrant: A. Mississippi. Kentucky. NE 68501-7485 If you live in the following states: Alabama. Montana. Colorado. South Dakota. depending on where the applicant lives. New Mexico. Minnesota. Indiana. South Dakota. New York. Tennessee. O. Immigrant Petition by Alien Entrepreneur: If you are an immigrant investor with an approved Form I-526. Vermont. Nevada. Virginia. Massachusetts.If you live in the following states: Alaska. the mailing address you should use is: USCIS Nebraska Service Center P. Hawaii. North Dakota. Vermont. Hawaii. Special Immigrant Physician. Religious Worker or Minister. West Virginia. Connecticut. you must file Form I-485 with the Texas Service Center. Georgia. Form I-485 is Based on an Underlying Form I-360. Washington. Nebraska. Kentucky. Nebraska. Iowa. Michigan. If you are Form I-485 Instructions (Rev. Rhode Island. DC. Oklahoma. pending. Maryland. Box 87485 Lincoln.O. Government in Canal Zone Employment. Filing Address for Asylee Adjustment-of-Status Applicants: All asylee adjustment of status applications must be filed with the Nebraska Service Center or the Texas Service Center. or Wyoming. Virginia. Maine. send your application to the Nebraska Service Center: USCIS Nebraska Service Center P. New York. or Washington. Utah. Idaho. C. North Dakota. Nevada. Kansas. Arizona. Box 851804 Mesquite. Puerto Rico.O. New Jersey. Missouri. 4. Kansas. You cannot concurrently file Forms I-360 and I-485 for this classification. Pennsylvania. Maine. Box 87485 Lincoln.S. Box 851804 Mesquite. Oklahoma. Pennsylvania. regardless of where the business enterprise is located. Filing Address for Other I-360 Categories: Other adjustment-of-status applications filed based on an approved Form I-360 for the following classifications must be filed with the Nebraska Service Center or the Texas Service Center. 05/27/08)Y Page 6 . Guam. Oregon. 2. DC. Texas. Michigan. TX 75185-1804 2. Filing Address for International Organization Employee or Family Member: Adjustment-of-status applications filed based on a concurrently filed. Washington. B. Minnesota. Puerto Rico. Illinois. Tennessee. or Wyoming. West Virginia. 3. Idaho. Missouri. NOTE: You cannot concurrently file forms I-526 and I-485. U. Colorado. Panama Canal Company Employment. Iowa. Florida. California. Form I-485 is Based on an Underlying Form I-526. Indiana. TX 75185-1804 3. South Carolina. depending on where the applicant lives. New Hampshire. Louisianna. New Mexico. U. USCIS Texas Service Center P. Wisconsin. Mississippi. Rhode Island. Guam. Montana. Texas. Louisianna. Arizona. Filing Address for Afghan and Iraqi Translators: Adjustment-of-status applications filed based on an approved Form I-360 for Afghan and Iraqi Translators must be filed with the Nebraska Service Center (see address below).S. Box 851804 Mesquite. New Jersey. the mailing address you should use is: USCIS Texas Service Center P. U. or Washington. TX 75185-1804 4. Utah. Florida. Massachusetts. Widow(er). Arkansas. send your application to the Texas Service Center: USCIS Texas Service Center P. Ohio. Connecticut. O. NE 68501-7485 If you live in the following states: Alabama. South Carolina. Georgia. California. or 5. If you live in the following states: Alaska. Maryland. New Hampshire. Virgin Islands.S. North Carolina. Oregon.O. NOTE: You cannot concurrently file forms I-360 and I-485 for the following classifications: 1.

S. Oregon. Oklahoma. Tennessee. Idaho. Massachusetts. and 2. Virgin Islands and are filing your petition there. Utah. you must also submit a copy of your I-797C. Box 87485 Lincoln. Notice of Action. After you submit Form I-485. NE 68501-7209 USCIS Nebraska Service Center P. Kansas. U. The relating Form I-131 for a Refugee Travel document is filed with the Nebraska Service Center. Form I-485 Instructions (Rev. or Washington. An additional biometric fee of $80 is required when filing this Form I-485. Rhode Island.O. 2007. You may submit one check or money order for both the application and biometric fees. if you file Form I-485 to adjust your status as a permanent resident. you should indicate that you are requesting a refugee travel document.O. West Virginia. Iowa. NE 68501-7485 If you live in the following states: Alabama. NE 68501-7245 Questions Regarding Form I-485 For additional information about Form I-485. Nebraska. currency. New Mexico. All HRIFA applications for dependents must be filed at the Nebraska Service Center. If you live in the following states: Alaska. Delaware. unless: A. Georgia. Illinois. What Is the Filing Fee? The filing fee for a Form I-485 is $930. If you live in Guam and are filing your petition there.gov. The fee for a child under the age fourteen years will be $600 when submitted concurrently for adjudication with the application of a parent under sections 201(b)(A)(i). Texas. including how to file your application or filing locations not mentioned. Arkansas. Box 87245 Lincoln. Virgin Islands. Wisconsin-or Wyoming. Arizona. no additional fee is required to also file an application for employment authorization on Form I-765 and/or advance parole on Form I-131. TX 75185-2211 5.O. the mailing address you should use is: USCIS Nebraska Service Center P.O. receipt as evidence of the filing of an I-485. B. Mississippi. Maine. Make the check or money order payable to U. If you choose to file the I-765 and/or I-131 separately after the effective date. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U. Ohio.filing Form I-131. Virginia. regardless of the Form I-485 filing location. Washington. The fee is $930 only (no biometrics fee required) for applicants under 14 years who submits Form I-485 independent from other family members. Florida. Vermont. 05/27/08)Y Page 7 . Puerto Rico.S. California. Hawaii. Filing Address for Refugee Adjustment of Status Applicants: All refugee adjustment of status applications must be filed with the Nebraska Service Center: USCIS Nebraska Service Center P. You may file these forms concurrently.S. North Dakota. Colorado. South Carolina. Maryland. DC. Filing Address for HRIFA Dependents: Only the dependents spouse and children of the principal granted legal status under HRIFA are eligible to apply for benefits under HRIFA. New York. to enable you to travel outside the United States while your adjustment-of-status application is pending. Minnesota. Box 87209 Lincoln. The filing period for principal HRIFA applicants has closed. and 203(d) of the INA. New Hampshire. Michigan. Connecticut. for a total of $1010. 6. Montana. New Jersey. Missouri.uscis. 203(a)(2) (A). Department of Homeland Security. North Carolina. If you live in the U. South Dakota. Guam. Use the following guidelines when you prepare your check or money order for the Form I-485 and the biometric service fee: 1. Application for Travel Document. send your application to the Texas Service Center: USCIS Texas Service Center P. call the USCIS National Customer Service Center at 1-800-375-5283 or visit our website at www. Nevada. Kentucky. Pennsylvania. Louisiana.S. make it payable to Treasurer of Guam. Box 852211 Mesquite. Indiana. make it payable to Commissioner of Finance of the Virgin Islands. USCIS will notify you about when and where to go for biometric services. NOTE: Effective July 30.

you may change your address on line at www. Department of Homeland Security. to: U. Citizenship and Immigration Services Change of Address P. Review the Fee Schedule included in your form package. If the EFT cannot be completed because of insufficient funds. An application is not considered properly filed until accepted by USCIS. If you have already registered. Once an application has been accepted.gov. We may also request that you submit the originals of any copy. 05/27/08)Y Page 8 . if still so required." and follow the prompts or by completing and mailing Form AR-11. because USCIS fees change periodically.S. the Selective Service System will check its records to avoid any duplication. we will transmit to the Selective Service System your name. we may try to make the transfer up to two times. We will destroy your original check. If you send us a check.S. Initial processing. NOTE: If your Form I-485 requires payment of a biometric service fee for USCIS to take your fingerprints. How to Check If the Fees Are Correct The form and biometric fees on this form are current as of the edition date appearing in the lower right corner of this page. Social Security number. mail to: U. you are responsible to register with the Selective Service System by using other means." and check the appropriate fee. Processing Information Any application that is not signed or is not accompanied by the correct application fee will be rejected with a notice that the application is deficient. you can use the same procedure to obtain the correct biometric fee. After you file your application. You will not receive your original check back. You will be required to answer these questions under oath or affirmation. Interview. current address. you authorize us to process the copy in place of your original check. Requests for more information or interview. do not use the initials "USDHS" or "DHS. you can verify if the fees are correct by following one of the steps below: 1. it will be converted into an electronic funds transfer (EFT). you will not establish a basis for eligibility. it will be checked for completeness. date of birth. provided you are under 26 years of age. This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. This action will enable the Selective Service System to record your registration as of the filing date of your application. photograph. When your signed application is filed and accepted by USCIS. USCIS will help you register. Selective Service Registration. If the EFT cannot be processed for technical reasons. if you called us to request the form or 3." Notice to Those Making Payment by Check.O. or we may request that you appear at a USCIS office for an interview. You may correct the deficiency and resubmit the application. KY 40744 Form I-485 Instructions (Rev. You must bring your Arrival-Departure Record (Form I-94) and any passport or official travel document you have to the interview.gov. If USCIS does not accept your application and. you may be notified to appear at a USCIS office to answer questions about the application. We may request more information or evidence. You will be notified in writing of the decision on your application. 2. Address Changes If you change your address and you have an application or petition pending with USCIS. click on "Change your address with USCIS.uscis. The debit from your account will usually take 24 hours and will be shown on your regular account statement. KY 40742-7134 For commercial overnight or fast freight services only.S. but we will keep a copy of it. or signature. and required according to the Military Selective Service Act to register with the Selective Service System. and we may deny your application. However. Alien's Change of Address Card. We will return these originals when they are no longer required. Decision. select "Immigration Forms. If you are a male at least 18 years old. If you do not completely fill out the form or file it without required initial evidence. and the date you filed the application.NOTE: Please spell out U. including submission of the required initial evidence.uscis. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. Visit our website at www. but not yet 26 years old. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. Box 7134 London.

Suite 3008.) Form I-485 Instructions (Rev. you may travel outside the United States on your valid refugee travel document.. including the time for reviewing instructions.. to determine if you have established eligibility for the immigration benefit for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act. B.'' To request advance parole. This ground of inadmissibility is triggered if you were unlawfully present in the United States (i. or K3/K4 nonimmigrant who continues to maintain his or her status. This waiver. you may travel on a valid H.S. Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-485.gov). and Registry applicants under section 249 of the Act. counts towards the three and ten year bar under section 212(a)(9)(B)(i) of the Act. Paperwork Reduction Act An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. V. but not registry applicants. L. the waiver may be granted for humanitarian reasons to assure family unity or if it is otherwise in the public interest. 1615-0023. citizen or lawful permanent resident spouse or parent. Exceptions. Privacy Act Notice We ask for the information on this form.V. OMB No. you will need a waiver of inadmissibility under section 212(a)(9)(B)(v) of the Act before your adjustment-ofstatus application can be approved. 1. Do not mail your application to this address. as amended. H.W. 111 Massachusetts Avenue. and completing and submitting the form. NOTE: Only unlawful presence that was accrued on or after April 1. unless you are granted permission to depart and you are inspected upon your return to the United States. without the need to obtain advance parole. is granted on a case-by-case basis and in the exercise of discretion. you must file Form I-131. 1997. Such permission to travel is called ''advance parole. L. Refugees and Asylees: If you are applying for adjustment of status one year after you were admitted as a refugee or one year after you were granted asylum. 2.e. The public reporting burden for this collection of information is estimated at 5 hours and 15 minutes per response.S. however. It requires a showing of extreme hardship to your U. or job training benefits should register directly with the Selective Service System or such benefits may be denied. 05/27/08)Y Page 9 . In addition. For refugees and asylees. 3rd Floor. Citizenship and Immigration Services. Send comments regarding this burden estimate or any other aspect of this collection of information. government employment. Your departure from the United States (including brief visits to Canada or Mexico) constitutes an abandonment of your adjustment-of-status application. may delay a final decision or result in denial of your Form I-485. Travel outside the United States for adjustment-ofstatus applicants under sections 209 and 245 of the Act. N. A. you remained in the United States beyond the period of authorized stay) for more than 180 days before you applied for adjustment of status and you travel outside of the United States while your adjustment of status application is pending. Warning: Travel outside of the United States may trigger the three and ten year bar to admission under section 212(a)(9)(B)(i) of the Act for adjustment applicants. if you have one. V or K3/K4 visa without obtaining advance parole. and associated evidence. or K3/K4 nonimmigrants: If you are an H.(NOTE: Men 18 through 25 years old who are applying for student financial aid. to: U. We may provide this information to other government agencies.sss. Men can register at a local post office or on the internet at http://www. If you become inadmissible under section 212(a)(9)(B)(i) of the Act while your adjustment-of-status application is pending. Failure to provide this information. Regulatory Management Division. DC 20529. Washington. L. Application for Travel Document. including suggestions for reducing this burden. unless you are a refugee or asylee. with the appropriate fee at the USCIS office where you applied for adjustment of status. you will face severe penalties provided by law and may be subject to criminal prosecution. we will deny the Form I-485 and may deny any other immigration benefit. and any requested evidence.

or minor unmarried child of a Cuban and meet the description in (f) above. INA Sec. and I have been physically present in the United States for one year after admission). 249. h. Section of Law Sec. 2 Act of 11/2/66 Other b. e. Country Chargeable d. 1972. Social Security # Date of Last Arrival (mm/dd/yyyy) Current USCIS Status A # (if any) I-94 # Expires on (mm/dd/yyyy) Applicant Interviewed Apt. I am the husband.S. 1 Act of 11/2/66 Sec. VOLAG # ATTY State License # Form I-485 (Rev. (Attach a copy of the approval notice. Application Type.) i. I am a native or citizen of Cuba and meet the description in (e) above. To be Completed by Attorney or Representative.) My spouse or parent applied for adjustment of status or was granted lawful permanent residence in an immigrant visa category that allows derivative status for spouses and children. j.S.) I am applying for an adjustment to permanent resident status because: An immigrant petition giving me an immediately available immigrant visa number has been approved. # Zip Code Reloc Rec'd Part 2. If additional space is needed. wife. I was admitted as a refugee. 05/27/08) Y .C/O Given Name Resubmitted Street Number and Name City Reloc Sent State Date of Birth (mm/dd/yyyy) Country of Birth: Country of Citizenship/Nationality: U. I am a native or citizen of Cuba admitted or paroled into the United States after January 1. 245 Approved Visa Petition Dependent of Principal Alien Special Immigrant Other Preference Action Block g.Please type or print in black ink. I entered as a K-1 fiancé(e) of a U. Information about you. c. I have continuously resided in the United States since before January 1. I am the husband. and thereafter have been physically present in the United States for at least one year. Other basis of eligibility. or minor unmarried child of a Cuban described above in (e). Expires 09/30/08 Department of Homeland Security U. if approved. and thereafter have been physically present in the United States for at least one year. 1959. Family Name Address. use a separate piece of paper. INA Sec. wife. and: (Check one. Act of 9/11/57 Sec. f. Application to Register Permanent Residence or Adjust Status For USCIS Use Only Returned Middle Name Receipt START HERE . 1959. and I am residing with that person. Explain (for example. or special immigrant military visa petition filed with this application that will give you an immediately available visa number.S. I am already a permanent resident and am applying to have the date I was granted permanent residence adjusted to the date I originally arrived in the United States as a nonimmigrant or parolee. 245. 209(b). Citizenship and Immigration Services I-485. if any Fill in box if G-28 is attached to represent the applicant. 13. citizen whom I married within 90 days of entry. my status has not been terminated. Part 1. or as of May 2.OMB No. 1615-0023. and was admitted or paroled into the United States after January 1. (Check one. 1964. whichever date is later. I was granted asylum or derivative asylum status as the spouse or child of a person granted asylum and am eligible for adjustment. special immigrant juvenile. INA Sec. a. or a relative. Eligibility Under Sec. or I am the K-2 child of such a fiancé(e). (Attach a copy of the fiancé(e) petition approval notice and the marriage certificate).

" If additional space is needed. List your present and past membership in or affiliation with every organization." give date and place of filing and final disposition. If you checked "Yes. Family Name Given Name Middle Initial Date of Birth (mm/dd/yyyy) Country of Birth Family Name Country of Birth Family Name Country of Birth Family Name Country of Birth Family Name Country of Birth Relationship Given Name Relationship Given Name Relationship Given Name Relationship Given Name Relationship A # Middle Initial A # Middle Initial A # Middle Initial A # Middle Initial A # Applying with you? Yes No Date of Birth (mm/dd/yyyy) Applying with you? Yes No Date of Birth (mm/dd/yyyy) Applying with you? Yes No Date of Birth (mm/dd/yyyy) Applying with you? Yes No Date of Birth (mm/dd/yyyy) Applying with you? Yes No C. student. Form I-485 (Rev. use a separate piece of paper. If additional space is needed. write "none. temporary worker. association.S. write "none. society. foundation. without inspection. If none.? Yes. etc. List your present husband/wife. City/Town/Village of Birth Your Mother's First Name Current Occupation Your Father's First Name Give your name exactly as it appears on your Arrival/Departure Record (Form I-94) Place of Last Entry Into the United States (City/State) In what status did you last enter? (Visitor. party. and the nature of the organization(s). A.Part 3. 05/27/08) Y Page 2 .) Yes No Consulate Where Visa Was Issued Marital Status: No Were you inspected by a U. Include any foreign military service in this part. Immigration Officer? Nonimmigrant Visa Number Date Visa Was Issued (mm/dd/yyyy) Gender: Male Female Married Single Divorced Widowed Have you ever before applied for permanent resident status in the U. all of your sons and daughters (If you have none. B. exchange alien. crewman. club.S. use separate paper). location(s). Processing Information. or similar group in the United States or in other places since your 16th birthday. dates of membership from and to." Include the name(s) of organization(s). fund.

S.Government or any State. ever sought to procure. or in any way affiliated with. Do you plan to practice polygamy in the United States? Yes Yes No No Yes No Yes Yes Yes Yes No No No No Form I-485 (Rev. Have you received public assistance in the United States from any source. or imprisoned for breaking or violating any law or ordinance. Did you. by force. Knowingly encouraged. Have you ever been deported from the United States. Are you now withholding custody of a U. or otherwise participate in the persecution of any person because of race. kidnapping. assist. assisted. Have you ever been a member of. or municipality (other than emergency medical treatment). cited. Been arrested. or political opinion? 8. amnesty. abetted. political assassination. Knowingly committed any crime of moral turpitude or a drug-related offense for which you have not been arrested? Yes Yes Yes Yes Yes No No No No No b. a visa. in association with either the Nazi Government of Germany or any organization or government associated or allied with the Nazi Government of Germany. conspired to engage in. (Continued) Please answer the following questions. or similar action? d. Any activity a purpose of which is opposition to. or removed from the United States at government expense. or are you now in exclusion. during the period from March 23. or political opinion? 9. or are you likely to receive public assistance in the future? 3. religion. violence. Illicitly trafficked in any controlled substance. or have you ever solicited membership or funds for. Have you ever: a. or recission proceedings? 10. Do you intend to engage in the United States in: a. Answering "Yes" does not necessarily mean that you are not entitled to adjust status or register for permanent residence. Any activity to violate or evade any law prohibiting the export from the United States of goods. or any other form of terrorist activity? 5. Engaged in any unlawful commercialized vice. assisted. charged.Part 3. or the control or overthrow of. or other unlawful means? c.) 1. induced. including the U. Have you ever left the United States to avoid being drafted into the U. religion. deportation. entry into the United States or any immigration benefit? 11. incited. Have you ever engaged in. the Government of the United States. by fraud or willful misrepresentation of a material fact. the Communist Party or any other totalitarian party? 7. city. Have you ever been a J nonimmigrant exchange visitor who was subject to the two-year foreign residence requirement and have not yet complied with that requirement or obtained a waiver? 13. or have you through any means ever assisted or provided any type of material support to any person or organization that has ever engaged or conspired to engage in sabotage. or procured. county. Armed Forces? 12. (If your answer is "Yes" on any one of these questions. excluded within the past year. or aided any alien to try to enter the United States illegally? d. or otherwise ordered. or knowingly assisted. hijacking. citizen child outside the United States from a person granted custody of the child? 14. Within the past ten years been a prostitute or procured anyone for prostitution. illegal gambling? c. excluding traffic violations? c. rehabilitation decree. or do you intend to engage in. Are you under a final order of civil penalty for violating section 274C of the Immigration and Nationality Act for use of fraudulent documents or have you. 1945. Have you ever engaged in genocide. including.S. incite. Exercised diplomatic immunity to avoid prosecution for a criminal offense in the United States? 2. or sensitive information? 6. Have you ever. ever order. in or outside the United States: a. or intend to engage in such activities in the future? Yes Yes Yes Yes No No No No b. nationality. explain on a separate piece of paper and refer to "What Are the General Filing Instructions? Initial Evidence" to determine what documentation to include with your application. 1933. national origin. Espionage? Yes No Yes Yes Yes Yes Yes No No No No No b. or colluded in the illicit trafficking of any controlled substance? 4. but not limited to. technology. indicted. removal. other act of clemency. abetted. ethnic origin. Processing Information. 05/27/08) Y Page 3 . fined. other documentation. to May 8. Been the beneficiary of a pardon.S. or otherwise participated in the killing of any person because of race.

you may not be found eligible for the requested document and this application may be denied." Applicant's Certification I certify. Part 5. I am responsible for registering with the Selective Service by other means. but not yet 26 years old. under penalty of perjury under the laws of the United States of America. Citizenship and Immigration Services. provided I have not yet reached age 26. The following applies to you if you are a male at least 18 years old. and the date I filed the application for the purpose of recording my Selective Service registration as of the filing date. (Read the information on penalties in the instructions before completing this section. including the service of a Notice to Appear should it be necessary for USCIS to initiate removal proceedings against me. if other than above. I understand and acknowledge that. Upon USCIS acceptance of my application.S. Signature Print Your Full Name Date Phone Number (Include Area Code) ( Firm Name and Address E-Mail Address (if any) ) Form I-485 (Rev. Social Security Number. I authorize USCIS to transmit to the Selective Service System my name. arrested.S. current address. Citizenship and Immigration Services. date of birth. I am required to provide USCIS with my current address and written notice of any change of address within ten days of the change. if removal proceedings are initiated against me and I fail to attend any hearing. 05/27/08) Y Page 4 . and it is based on all information of which I have knowledge. under section 265 of the Act. I understand and acknowledge that if I change my address without providing written notice to USCIS. for all purposes.Part 4. Signature Print Your Name Date Daytime Phone Number ( ) NOTE: If you do not completely fill out this form or fail to submit required documents listed in the instructions. and removed from the United States. If. however. (sign below) I declare that I prepared this application at the request of the above person. I am required to register with U. as an alien who has been or will be in the United States for more than 30 days. if so required. Citizenship and Immigration Services (USCIS) needs to determine eligibility for the benefit I am seeking.S. including an initial hearing based on service of the Notice to Appear at the most recent address that I provided to USCIS or as otherwise provided by law. "I understand and acknowledge that. who is required to register with the Selective Service System: "I understand that my filing this adjustment-of-status application with U. You must file this application while in the United States. I will be held responsible for any communications sent to me at the most recent address that I provided to USCIS.) Your registration with U. I further understand that. Signature of person preparing form. I further understand and acknowledge that. USCIS does not accept my application. Citizenship and Immigration Services authorizes USCIS to provide certain registration information to the Selective Service System in accordance with the Military Selective Service Act. I may be ordered removed in my absence.S. I understand and acknowledge that USCIS will use the most recent address that I provide to USCIS. I authorize the release of any information from my records that U. Signature." Selective Service Registration. on any form containing these acknowledgements. that this application and the evidence submitted with it is all true and correct. under section 262 of the Immigration and Nationality Act (Act).

Aliens in unlawful immigrant status. Who May Use Supplement A to Adjust Status to That of LPR Under Section 245(i)? 1. while the alien remains in the United States. citizen or the parent of a U. Pay a $1. citizen child at least 21 years of age. or an application for labor certification filed on or before April 30. have an immigrant visa immediately available and. You may apply for adjustment of status to that of LPR under section 245(i) if you: A. even though some of the conditions required by section 245(a) and (c) of the Act are not met. Citizenship and Immigration Services (USCIS) to adjust status to that of a lawful permanent resident under section 245(i) of the Immigration and Nationality Act. remained in the United States past the period of admission. Section 245(i) of the Act allows certain aliens to file for adjustment of status upon payment of a penalty fee of $1. Expires 09/30/08 Department of Homeland Security U. and B. be eligible for an immigrant visa and admissible for permanent residence. D.S.OMB No. What Is the Purpose of This Form? Section 245 of the Immigration and Nationality Act (the Act) allows the Attorney General in his or her discretion to adjust the status of an alien to that of a lawful permanent resident (LPR). Form I-485 Supplement A Instructions (Rev. Application to Register Permanent Residence or Adjust Status. and D.S. in lieu of consular visa processing. and C. If you meet all of these requirements. Alien crewmen. Have an immigrant visa number immediately available. In addition.000 penalty fee (unless exempted). Are physically present in the United States when the application is submitted. Are the beneficiary of an approvable-when-filed visa petition. 1615-0023.S. and if you were inspected and lawfully admitted to the United States other than in C-1 or S nonimmigrant status. and E.000. Aliens in the United States who have an immigrant visa immediately available. or are otherwise ineligible for adjustment of status under section 245(c) of the Act must submit this form along with Form I-485. Citizenship and Immigration Services Instructions for Supplement A to Form I-485. with some exceptions. Aliens who work without authorization. Aliens who fail to continuously maintain a lawful status since entry into the United States. Are admissible to the United States for permanent residence. but who entered the United States without inspection. 2001. NOTE: If you are applying to adjust as the spouse or unmarried minor child of a U. The alien must also not have engaged in unauthorized employment and must not be ineligible to adjust status under section 245(c) of the Act. Aliens who were admitted in transit without visa. 2.S. 05/27/08)Y . In order to be eligible. the alien must have been inspected and admitted or paroled. you must fall within one of the categories noted below: A. Adjustment of Status Under Section 245(i) Instructions NOTE: Use this form only if you are applying to U. worked unlawfully. have maintained lawful nonimmigrant status. you do not need to file this form. B. E. you do not have to submit this form when applying for adjustment of status to that of LPR. C.

should submit documentation along with this form that demonstrates physical presence in the United States on December 21. and on or before April 30. citizen child at least 21 years of age. or E. Have an approved Form I-360. 2000. What Documentation Demonstrates Your Physical Presence on December 21. they should be accompanied by supporting documentation.S. Armed Forces. however. you should submit documentation establishing your physical presence in the United States prior to and after December 21. You do not have to submit Supplement A to Form I-485 if you: A. C. What Documentation Must You Include If You Are Submitting This Form With Form I-485? You do not need to submit documentation in addition to the documentation required by the instructions on Form I-485 unless you are the beneficiary of a visa petition or application for labor certification properly filed on your behalf after January 14. G. 2001. 1972. Petition for Amerasian. State. 05/27/08)Y Page 2 . Are already an LPR. or Entered as a K-1 fiancé(e) of a U. In most cases. 2000. 1998. Aliens admitted as a nonimmigrant described in section 101(a)(15)(S) of the Act. citizen. 1998. If you submit affidavits. Are a special immigrant physician. Who Does Not Need to Use Supplement A to Form I-485? 1. a single document may suffice to establish the applicant's physical presence on December 21. and you were inspected and lawfully admitted to the United States other than in C-1 or S nonimigrant status. or Special Immigrant. or H. In addition. In some cases. the alien may need to submit several documents because most applicants may not possess documentation that contains the exact date of December 21. Are applying to adjust status as the spouse or unmarried minor child of a U. or as a battered or abused spouse or child. Aliens using section 245(i) because they are beneficiaries of a visa petition or application for labor certification filed after January 14. can consist of Federal. In such instances. or B. or as a special immigrant who has served in the U. B. or Form I-485 Supplement A Instructions (Rev. Aliens seeking employment-based adjustment of status who are not in lawful nonimmigrant status. 2000. or Have continuously maintained lawful immigration status in the United States since November 5.S. Have continuously resided in the United States since January 1. or local government-issued documents or other documents establishing your physical presence on that date. Battered or Abused Spouse or Child. Were granted asylum in the United States. 1986. you do not have to submit Supplement A to Form I-485 if you are filing for an immigration benefit other than adjustment of status to that of LPR or if you are applying for adjustment of status to that of LPR because you: A. 2000. Are a special immigrant retired international organization employee or family member. or D. citizen or the parent of a U. the applicant should submit sufficient documentation establishing the applicant's physical presence in the United States prior to and after December 21. or F. 2000. Widow(er). or C.F.S. 2001. 2000? Documentation of your physical presence in the United States on December 21. and on or before April 30. If one document does not establish your physical presence. Aliens admitted as nonimmigrant visitors under section 212(l) of the Act or under the Visa Waiver Program. 2000. 2. USCIS will evaluate all documentation on a case-by-case basis.S. and are applying for adjustment as a special immigrant juvenile court dependent.

Guam. An additional biometric fee of $80 is required when filing this Form I-485 Supplement A. USCIS will notify you about when and where to go for biometric services.000 fee associated with Supplement A to Form I-485: A.S. C. or H.010. currency. NOTE: Please spell out U. If you send us a check. and 2. Are eligible under the Immigration Nursing Relief Act.S. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U. 4. Laos.G. Vietnam. and B. Applicants who are an unmarried son or daughter of a legalized alien and less than 21 years of age. Use the following guidelines when you prepare your check or money order for the Form I-485 Supplement A and the biometric service fee: 1. Make the check or money order payable to U." Notice to Those Making Payment by Check. for a total of $2. A $1. If you live in Guam and are filing your petition there. and are from the former Soviet Union. This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check.S. B. Embassy or consulate for instructions on the method of payment. Where To File? You must file this form at the same USCIS office or location where you must submit the related Form I-485. You may submit one check or money order for both the application and biometric fees. attach a copy of your filing receipt and pay only the additional sum of $1. 3. or the spouse of a legalized alien. Applicants younger than 14 years or older than 79 do not have to pay the biometric services fee. 05/27/08)Y Page 3 . If you filed Form I-485 separately.000. contact the nearest U. There are two categories of applicants who do not need to pay the $1. The debit from your account will usually take 24 hours and will be shown on your regular account statement. A filing fee of $930 is required with Form I-485 for applicants over the age of 14 years and $600 for applicants under 14. or Cambodia (a "Lautenberg Parolee" under Public Law 101-167).S. Department of Homeland Security. Are a public interest parolee.000 penalty fee is required with the Supplement A Form. Application for Family Unity Benefits. Virgin Islands. Form I-485 Supplement A Instructions (Rev. and have attached a copy of a USCIS receipt or approval notice for a properly filed Form I-817. or the U. Virgin Islands and are filing your petition there. 2. Applicants under the age of 17 years. What Are the Filing Fees for Form I-485 and Supplement A to Form I-485? The fees for this form when filed along with Form I-485 are: 1. If you live outside the United States. it will be converted into an electronic funds transfer (EFT). If you live in the U. Department of Homeland Security. make it payable to Commissioner of Finance of the Virgin Islands. unless: A. Guam. do not use the initials "USDHS" or "DHS. who was denied refugee status.S. make it payable to Treasurer. After you submit Form I-485 Supplement A.S.

An application or petition is not considered properly filed until accepted by USCIS. 2.S.uscis.gov. We will return these originals when they are no longer required. you can verify if the fees are correct by following one of the steps below: 1. The decision on a Form I-485 Supplement A involves a determination of whether you have established eligiblity for the requested benefit.O. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. Citizenship and Immigration Services Change of Address P. Form I-485 Supplement A Instructions (Rev. or signature. or 3. Alien's Change of Address Card. click on "Change your address with USCIS. Once a Form I-485 Supplement A has been accepted." and follow the prompts. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. NOTE: If your Form I-485 Supplement A requires payment of a biometric service fee for USCIS to take your fingerprints. you authorize us to process the copy in place of your original check. KY 40742-7134 For commercial overnight or fast freight services only. mail to: U. Decision. including submission of the required initial evidence. Initial processing. 05/27/08)Y Page 4 . Visit our website at www. photograph. because USCIS fees change periodically. KY 40744 Processing Information Any Form I-485 Supplement A that is not signed or accompanied by the correct fee will be rejected with a notice that the Form I-485 Supplement A is deficient.S. but we will keep a copy of it. Requests for more information or interview. You will be notified of the decision in writing. If the EFT cannot be processed for technical reasons. We may request more information or evidence. Address Changes If you change your address and you have an application or petition pending with USCIS. or file it without required initial evidence. However. Or you may complete and mail Form AR-11.uscis. Review the Fee Schedule included in your form package." and check the appropriate fee. Box 7134 London. or we may request that you appear at a USCIS office for an interview. We will destroy your original check. we may try to make the transfer up to two times. We may also request that you submit the originals of any copy. if you called us to request the form.gov. you can use the same procedure to obtain the correct biometric fee. select "Immigration Forms. you may change your address online at www. you will not establish a basis for eligibility and we may deny your Form I-485 Supplement A. How to Check If the Fees Are Correct The form and biometric fees on this form are current as of the edition date appearing in the lower right corner of this page. If you do not completely fill out the form. You may correct the deficiency and resubmit the Form I-485 Supplement A. it will be checked for completeness. If the EFT cannot be completed because of insufficient funds. to: U.You will not receive your original check back.

you will face severe penalties provided by law and may be subject to criminal prosecution.uscis. Failure to provide this information. InfoPass generates an electronic appointment notice that appears on the screen. Part B. OMB No.gov. Paperwork Reduction Act An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. To access the system. Washington. As an altenative to waiting in line for assistance at your local USCIS office. Suite 3008.. Regulatory Management Division. Do not mail your application to this address. we will deny the Form I-485 Supplement A and may deny any other immigration benefit. 3rd Floor. Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-485 Supplement A. Form I-485 Supplement A Instructions (Rev. regulations. The public reporting burden for this collection of information is estimated at 13 minutes per response. Our legal right to ask for this information can be found in the Immigration and Nationality Act. call our toll-free number at 1-800-870-3676. 2000. to determine if you have established eligibility for the immigration benefit for which you are filing. you can now schedule an appointment through our Internet-based system. including suggestions for reducing this burden. We may provide this information to other government agencies. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. You can also get USCIS forms and information on immigration laws. I signed the form at Part D. as amended. Privacy Act Notice We ask for the information on this form. In addition. and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www. to: U. InfoPass. N. 05/27/08)Y Page 5 . Send comments regarding this burden estimate or any other aspect of this collection of information. 1615-0023. visit our website. may delay a final decision or result in denial of your Form I-485 Supplement A.S.USCIS Forms and Information To order USCIS forms. DC 20529. and any requested evidence. including the time for reviewing instructions.W. 111 Massachusetts Avenue. Citizenship and Immigration Services. If I checked box b or d in Question 1. I included the appropriate fees (if any). and associated evidence. Checklist. and completing and submitting the form. I included evidence of my physical presence in the United States on December 21.

Eligibility. Battered or Abused Spouse or Child. b. 1972. And I fall into one or more of these categories: (Check all that apply to you. You are a special immigrant physician. First Name Middle Name For USCIS Use Only Action Block Last Name Address: In Care Of Street Number and Name City State Apt. You entered as a K-1 fiancé(e) of a U. I was admitted to the United States as a nonimmigrant in the S classification. 1998. You have continuously resided in the United States since January 1. g. I was admitted as a nonimmigrant visitor without a visa. 2. you must submit evidence demonstrating that you were physically present in the United States on December 21. 1998. I am the beneficiary of an application for a labor certification filed on or after January 15. and on or before April 30.S. armed forces. Petition for Amerasian. You are a special immigrant retired international organization employee or family member. Part A. I am in unlawful immigration status because I entered the United States without inspection or I remained in the United States past the expiration of the period of my lawful admission. 2000. You were granted asylum in the United States. f. (Check the correct response. Form I-485 Supplement A (Rev.) 1. 1615-0023. or h. I entered the United States as an alien crewman. I am filing Supplement A to Form I-485 because: a. Information about you. You have an approved Form I-360. c. 1. If you checked box b or d in Question 1. or a battered or abused spouse or child. lawful status.) a. g. if any Alien Registration Number (A #) if any Country of Birth Telephone Number ( ) Part B. 2001. Widow(er). continuously. b.S. # Zip Code Date of Birth (mm/dd/yyyy) Country of Citizenship/Nationality E-Mail Address. 05/27/08)Y . I am the beneficiary of a visa petition filed on or before January 14. Adjustment of Status Under Section 245(i) NOTE: Use this form only if you are applying to adjust status to that of a lawful permanent resident under section 245(i) of the Immigration and Nationality Act. and on or before April 30. d. I am the beneficiary of an application for a labor certification filed on or before January 14.S. b. I am seeking employment-based adjustment of status and am not in lawful nonimmigrant status. c. 1998. citizen. 1998. c. I have failed (except through no fault of my own or for technical reasons) to maintain. Expires 09/30/08 Department of Homeland Security U. or the spouse or child of such alien. e. or Special Immigrant. Part C. I have accepted employment without authorization. 2001. e. I was admitted to the United States in transit without a visa. I am the beneficiary of a visa petition filed on or after January 15. who was not lawfully inspected or admitted to the United States.OMB No. Are you applying to adjust status based on any of the below reasons? a. d. Citizenship Immigration and Service Supplement A to Form I-485. f. Additional eligibility information. d. You are a native or citizen of Cuba. and are applying for adjustment as a special immigrant juvenile court dependent or a special immigrant who has served in the U.

Additional eligibility information. citizen or the parent of a U.Part C. under penalty of perjury under the laws of the United States of America. Signature." do not file this form. You are eligible under the Immigration Nursing Relief Act. You are a public interest parolee. that I prepared this form at the request of the above person and that to the best of my knowledge the contents of this application are all true and correct. No. b. You have continuously maintained lawful immigration status in the United States since November 5. Signature of person preparing form. You are already a lawful permanent resident of the United States. 1986. I authorize the release of any information from my records that the U. or i. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought. I am not applying for adjustment of status for any of these reasons.) 2. No.) Yes. and are from the former Soviet Union. Part D. If you answered "Yes. under penalty of perjury under the laws of the United States of America. c. None of these conditions describe me. I certify. if other than above.S. Signature Print Name Date Firm Name and Address Daytime Phone Number (Area Code and Number) ( ) E-Mail Address. Signature.S." do not file this form. citizen child at least 21 years of age. and you were inspected and lawfully admitted to the United States. that this application and the evidence submitted with it is all true and correct. (Go to Part D. You are applying to adjust status as the spouse or unmarried minor child of a U. Read the information on penalties in the instructions before completing this section. I am applying for adjustment of status for any one of these reasons. Vietnam. Signature Print Name Date Part E. Laos or Cambodia (a "Lautenberg Parolee" under Public Law 101-167).S. (If you answered "Yes.) h. I certify. Do any of the following conditions describe you? a. Read the information on penalties in the instructions before completing this section. who was denied refugee status. 05/27/08Y)Y Page 2 . if any Form I-485 Supplement A (Rev. (Go to next question.) Yes. (Continued.

or.S. number of employees. and 2. certificate of limited partnership. payroll records or other similar instruments. If extra space is needed to complete any item.OMB No. You may obtain additional information from our website at www. or evidence that the required amount of capital was transferred to an existing business resulting in a substantial increase in the net worth or number of employees. so that a substantial change (at least 40 percent) in either the net worth. In which you have invested or are actively in the process of investing the amount required for the area in which the enterprise is located. The purchase of an existing business with simultaneous or subsequent restructuring or reorganization resulting in a new commercial enterprise. Citizenship and Immigration Services (USCIS) for status as an immigrant to the United States pursuant to section 203(b)(5) of the Immigration and Nationality Act. or both. Unless adjusted downward for targeted areas or upward for areas of high employment. 3. use a separate sheet(s) of paper." Who May File Form I-526? You may file this petition for yourself if you have established a new commercial enterprise: 1. Which will benefit the U. Write your name and Alien Registration Number (A #). 07/30/07)Y .S. and date and sign each sheet. or other immigrants authorized to be employed. economy. Evidence that you have invested or are actively in the process of investing the amount required for the area in which the business is located. Form I-526 (Rev. The following evidence must be filed with your petition: 1. Such evidence shall consist of copies of articles of incorporation. indicate the item number." If the answer is none. That section of the law pertains to immigrant visas for an investor in a new commercial enterprise.S. Citizenship and Immigration Services Instructions for I-526. the number of employees.gov.000 (one million dollars). The amount of investment required in a particular area is set by regulation. In which you will engage in a managerial or policymaking capacity. Answer all questions fully and accurately. 2. a certificate evidencing authority to do business in a state or municipality. certified financial reports. your sons or daughters. business trust agreement. Which will create full-time employment in the United States for at least ten U.000. as amended. agreements or documents evidencing the investment and the resulting substantial change. Fill Out the Form I-526 1. Evidence. This evidence must be in the form of stock purchase agreements. Exp. or any nonimmigrant aliens. 3. citizens. certificate of merger or consolidation. or both. at the top of each sheet of paper and indicate the section and number of the item to which the answer refers. joint venture agreement. 2. 2. or 3. State that an item is not applicable with "N/A. or other similar organizational document. or both. if applicable. The expansion of an existing business through investment of the amount required. evidence that your investment has caused a substantial (at least 40 percent) increase in the net worth of the business. Initial Evidence Requirements. if you have made an investment in an existing business. A targeted employment area is defined as a rural area or an area which has experienced high unemployment of at least 150 percent of the national average rate. the amount of investment shall be $1. If you need more space to complete an answer. Evidence that you have established a lawful business entity under the laws of the jurisdiction in the United States in which it is located. The establishment of a new commercial enterprise may include: 1. uscis. attach a continuation sheet. or if such is not required. other than yourself. and 3. write "none. Creation of a new business. partnership agreement. What Is The Purpose of This Form I-526? This form is for use by an entrepreneur to petition the U. Type or print legibly in black ink. and 4. permanent residents. investment agreements. if any. results. 1615-0026. 09/30/08 Department of Homeland Security U. a statement to that effect. A rural area is an area not within a metropolitan statistical area or not within the outer boundary of any city or town having a population of 20.S.000 or more. Immigrant Petition by Alien Entrepreneur Instructions Please read these instructions carefully to properly complete this form. your spouse. that your enterprise has been established in a targeted employment area. or an American embassy or consulate abroad. General Instructions.

the U. mail the petition to: USCIS California Service Center P. Tennessee. 4. Guam. or will principally be doing business in: Alabama. Arizona. select "Immigration Forms" and check the appropriate fee. Vermont. or the U. Forms I-9. Evidence that you are or will be engaged in the management of the enterprise.O. or certified copies of any judgment. District of Columbia. permanent residents. If you live in Guam and are filing your petition there. Make the check or money order payable to U. Georgia. Minnesota. New Jersey.S. copies of bank statements. Washington. California.Such evidence may include. Such evidence may include a statement of your position title and a complete description of your duties. or other similar documents. Where To File? If the new commercial enterprise is located. Kansas. because USCIS fees change periodically. Nevada. Guam. do not use the initials "USDHS" or "DHS. 6. If you live outside the United States. New Mexico. Massachusetts.gov. Visit our website at www.S.S. but need not be limited to.S. Arkansas. Idaho. C.S. security agreement. evidence of monies transferred or committed to be transferred to the new commercial enterprise in exchange for shares of stock. you can verify if the fees are correct by following one of the steps below: 1. or daughters. NOTE: Please spell out U. unless: A. Department of Homeland Security. evidence of property transferred from abroad for use in the enterprise. Wisconsin or Wyoming. CA 92607-0526 What Is the Filing Fee? The filing fee for the Form I-526 is $1. However. Illinois. Such evidence may consist of copies of relevant tax records. your spouse. promissory note. The form fee on this form is current as of the edition date appearing in the lower right corner of this page. South Carolina. Oklahoma. an ordinary legible photocopy may be submitted.O. Unless specifically required that an original document be filed with an application or petition. make it payable to Commissioner of Finance of the Virgin Islands. or private civil actions against the petitioner from any court in or outside the United States within the past 15 years. New York. Use the following guidelines when you prepare your check or money order for the Form I-526: 1. evidence that you are a corporate officer or hold a seat on the board of directors. B. Evidence that the enterprise will create at least ten fulltime positions for U.00. Virgin Islands. either through the exercise of day-to-day managerial control or through policy formulation. Translations. South Dakota. Department of Homeland Security.S. currency. Rhode Island. 5.435. if the employees have already been hired. Colorado. Indiana. Iowa. Guam. consulate or embassy for instructions on the method of payment. Louisiana. Hawaii. Kentucky. mail the petition to: USCIS Texas Service Center P. even if the submission was not required. Pennsylvania.uscis. If you live in the U.S.S. Nebraska. 07/30/07)Y Page 2 . Missouri. contact the nearest U. Virginia or West Virginia. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U. and 2. Montana. evidence of other sources of capital. Connecticut. Virgin Islands. Box 852135 Mesquite. citizens. if the new enterprise is a partnership. or will principally be doing business in: Alaska. North Carolina. Maryland. as applicable. or other evidence of borrowing that is secured by assets of the petitioner. Form I-526 (Rev. by: foreign business registration records. and any nonimmigrant aliens). Oregon. TX 75185-2135 If the new commercial enterprise is located. Copies. Original documents submitted when not required will remain a part of the record. evidence of assets that have been purchased for use in the enterprise. or. Michigan. The petition must be accompanied. pending governmental civil or criminal actions. Utah. Any document containing foreign language submitted to the Service shall be accompanied by a full English language translation which the translator has certified as complete and accurate. any loan or mortgage. North Dakota. New Hampshire. Virgin Islands and are filing your petition there. Box 10140 Laguna Niguel. or Texas. sons. and by the translator's certification that he or she is competent to translate from the foreign language into English. Mississippi. Evidence that capital is obtained through lawful means. or a business plan showing when such employees will be hired within the next two years. evidence that you are engaged in either direct management or policy-making activities. make it payable to Treasurer. Puerto Rico. Florida. Delaware. tax returns of any kind filed within the last five years in or outside the United States. Maine." How to Check If the Fees Are Correct. Ohio. or aliens lawfully authorized to be employed (except yourself.

visit our website.S. Approval of a petition shows only that you have established that you have made a qualifying investment. the petition will be denied. you can now schedule an appointment through our internet-based system. or 3. call our toll-free number at 1-800-870-3676. you will not establish a basis for eligibility and we may deny your Form I-526. The decision on the Form I-526 involves a determination of whether you have established eligibility for the requested benefit. and may be subject to criminal prosecution. Two years after entry. As an altenative to waiting in line for assistance at your local USCIS office. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. If you have established that you qualify for investor status. the petition will be approved. You will be notified of the decision in writing. KY 40742-7134 For commercial overnight or fast freight services only. If you do not completely fill out the form or file it without required initial evidence. It does not guarantee that the American embassy or consulate will issue the immigrant visa. we will deny the benefit you are filing for. You may correct the deficiency and resubmit the petition. click on "Change your address with USCIS" and follow the prompts or by completing and mailing Form AR-11. regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www. To order USCIS forms. gov. Penalties. a petition is not considered properly filed until accepted by USCIS. We may also request that you submit the originals of any copy. Requests for more information or interview. If you have requested that the petition be forwarded to an American embassy or consulate abroad. To access the system. You will be notified in writing of the approval of the petition and where it has been sent. if you called us to request the form. Any petition that is not signed or accompanied by the correct fee will be rejected with a notice that it is deficient. you may change your address on-line at www.gov. In addition. and may deny any other immigration benefit. the conditional investor will have to apply for the removal of conditions based on the ongoing nature of the investment. InfoPass generates an electronic appointment notice that appears on the screen.uscis. Initial processing. USCIS Forms and Information. There are other requirements that must be met before a visa can be issued. Immigrant status granted based on this petition will be conditional. InfoPass. If you are in the United States and state that you will apply for adjustment of status. . Alien's Change of Address Card. Box 7134 London. Once the Form I-526 has been accepted. You will be notified in writing of the reasons for the denial. KY 40744 Approval. Address Changes. Citizenship and Immigration Services Change of Address P. if applicable. Denial. to: U.S. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. You can also get USCIS forms and information on immigration laws. We will return these originals when they are no longer required. If you change your address and you have an application or petition pending with USCIS. and the evidence indicates you are not eligible for adjustment. and the reason for sending it to a place other than the one requested. However. mail to: U. If you knowingly and willfully falsify or conceal a material fact or submit a false document with this request. The American embassy or consulate will notify you of those requirements. the petition will be sent to an American embassy or consulate abroad. If you have not established that you qualify for the benefit sought. Acceptance. including submission of the required initial evidence. Review the Fee Schedule included in your form package. Meaning of petition approval.uscis. 07/30/07)Y Page 3 Decision. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. We may request more information or evidence or we may request that you appear at a USCIS office for an interview. the petition will be sent there unless that consulate does not issue immigrant visas. you will face severe penalties provided by law. it will be checked for completeness.O.2. Processing Information. Form I-526 (Rev.

. 111 Massachusetts Avenue. We may provide this information to other government agencies.S. including suggestions for reducing this burden. may delay a final decision or result in denial of your Form I-526.Privacy Act Notice. Citizenship and Immigration Services. to determine if you have established eligibility for the immigration benefit for which you are filing. including the time for reviewing instructions. N. as amended. An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Paperwork Reduction Act. Failure to provide this information.W. The public reporting burden for this collection of information is estimated at 1 hour and 15 minutes per response. We ask for the information on this form. Do not mail your application to this address. Suite 3008. and associated evidence. Regulatory Management Division. to: U. OMB No. Form I-526 (Rev. 1615-0026. 3rd Floor. 07/30/07)Y Page 4 . Send comments regarding this burden estimate or any other aspect of this collection of information. completing and submitting the form. DC 20529. Washington. Our legal right to ask for this information can be found in the Immigration and Nationality Act. and any requested evidence.

Exp. furniture manufacturer) Business organized as (corporation. provide the following information: Current Nonimmigrant Status Part 2. Citizenship and Immigration Services I-526. 07/30/07)Y . Immigrant Petition by Alien Entrepreneur Classification Do Not Write in This Block . # State or Province Country of Birth Date of Arrival (mm/dd/yyyy) Date Current Status Expires (mm/dd/yyyy) Country Social Security # (if any) Zip/Postal Code A# (if any) I-94 # Daytime Phone # with Area Code If you are in the United States. etc. partnership. b.S. (Check one) This petition is based on an investment in a commercial enterprise in a targeted employment area for which the required amount of capital invested has been adjusted downward. if any G-28 is attached Attorney's State License No. This petition is based on an investment in a commercial enterprise that is not in either a targeted area or in an upward adjustment area.For USCIS Use Only (Except G-28 Block Below) Fee Receipt Action Block Priority Date To be completed by Attorney or Representative. Application type. This petition is based on an investment in a commercial enterprise in an area for which the required amount of capital invested has been adjusted upward. Information about your investment. 1615-0026.g. Family Name Address: In care of Information about you. Remarks: START HERE . Part 1.Type or print in black ink. c. Name of commercial enterprise in which funds are invested Street Address Phone # with Area Code Kind of business (e. a.OMB No. 09/30/08 Department of Homeland Security U. Given Name Middle Name Number and Street City Date of Birth (mm/dd/yyyy) Apt.) Date established (mm/dd/yyyy) IRS Tax # RECEIVED: ________________ RESUBMITTED: ____________ RELOCATED: SENT ________________ REC'D ____________ Form I-526 (Rev. Part 3.

.................................................. (Continued....... investment group................ New commercial enterprise resulting from the purchase of an existing business.......................... Type of Enterprise (check one): New commercial enterprise resulting from the creation of a new business............. percentage of ownership and whether or not the person is seeking classification under section 203(b)(5)........... $ $ $ $ $ $ $ Total Income: When you made the investment............................. 07/30/07)Y Page 2 ............ Gross Gross $ $ Net Net $ $ Net worth: When you made investment..... name the county and state: State Part 4............... Other (explain on separate paper)......... Include the name................) Amount of your initial investment $ Percentage of the enterprise you own $ Date of your initial investment (mm/dd/yyyy) Your total capital investment in the enterprise to date If you are not the sole investor in the new commercial enterprise. Additional information about the enterprise................. Total value of all assets purchased for use in the enterprise.............................................. Total of all debt financing.......... NOTE: A "natural" party would be an individual person and a "non-natural" party would be an entity such as a corporation.... etc.. consortium................................... bank account .............................................. If you indicated in Part 2 that the enterprise is in a targeted employment area County or in an upward adjustment area.............. Information about your investment.......Part 3........................... Total value of all property transferred from abroad to the new enterprise...... partnership......... Now............ list on separate paper the names of all other parties (natural and nonnatural) who hold a percentage share of ownership of the new enterprise and indicate whether any of these parties is seeking classification as an alien entrepreneur.................................. Gross $ Now $ Form I-526 (Rev.............. Composition of the Petitioner's Investment: Total amount in U.. Total stock purchases................... New commercial enterprise resulting from a capital investment in an existing business....................S.....................

Part 8. Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking. that this petition and the evidence submitted with it is all true and correct. Signature Date NOTE: If you do not completely fill out this form or fail to the submit the required documents listed in the instructions. 07/30/07)Y Page 3 I declare that I prepared this application at the request of the above person and it is based on all information of which I have knowledge. complete the following for that person: Country of nationality: Country of current residence or. if now in the United States. activities and responsibilities. last permanent residence abroad: If you provided a United States address in Part 1. attached to this petition? Are you in deportation or removal proceedings? Have you ever worked in the United States without permission? Yes Yes (Explain on separate paper) Yes (Explain on separate paper) No No No Part 7. office or title with the new commercial enterprise? Briefly describe your duties. (excluding you. The person named in Part 1 is now in the United States and an application to adjust status to permanent resident will be filed if this petition is approved. Read the information on penalties in the instructions before completing this section. Signature Firm Name Date Address . under penalty of perjury under the laws of the United States of America. write the foreign address in the native alphabet: Is a Form I-485. Signature. What is your salary? $ What is the cost of your benefits? $ Part 6. I certify. you may not be found eligible for the immigration benefit you are seeking and this petition may be denied. sons and daughters) When you made your initial investment? How many of these new jobs were created by your investment? How many additional new jobs will be created by your additional investment? What is your position. If the petition is approved and the person named in Part 1 wishes to apply for an immigrant visa abroad. if other than above. I authorize the release of any information from my records that the U. Now Difference Number of full-time employees in the enterprise in U. Signature of person preparing form. Processing information.Part 5. print the person's foreign address: Check One: If the person's native alphabet is other than Roman letters. Application for Adjustment of Status.S. (Sign below) Print Your Name Daytime phone # with area code Form I-526 (Rev.S. your spouse. Employment creation information.

and 5. Department of State to indicate your accredited status. you may use this form to apply for an initial nonimmigrant status. Public Minister. You are still a bona fide nonimmigrant. Write your name and Alien Registration Number (A #). Application to Extend/Change Nonimmigrant Status Instructions Please read these instructions carefully to properly complete this form. and arrangements you have made to depart from the United States. NOTE: You have the option of submitting this paper version of Form I-539 according to form's instructions or you may file the application electronically.S. or from. or Requesting A. except as noted in these instructions under the heading.uscis. An original letter from your employer describing your duties and stating that he or she intends to personally employ you. 2. B. 2. Whether you submit this paper form or e-file. Attendant or Servant of an A Nonimmigrant and the A-3's immediate family members You must submit a copy.OMB No. Citizenship and Immigration Services Instructions for Form I-539. if you are all now in the same status or they are all in derivative status. visit our Internet website at www.S. You may also use this form if you are a nonimmigrant F-1. Citizenship and Immigration Services (USCIS) for an extension of stay. or a change to another nonimmigrant status. The delay was due to extraordinary circumstances beyond your control. Failure to file before the expiration date may be excused if you demonstrate when you file the application that: 1. Interagency Record of Individual Requesting Change. 3. If you need more space to complete an answer. NOTE: An A-1 or A-2 nonimmigrant is not required to pay a fee with the Form I-539 application. Adjustment to. or change of status before your current authorized stay expires. front and back. U. or M-1 student applying for reinstatement. G or NATO Dependent Employment Authorization.gov and follow the instructions on e-filing. if any. 12/31/07) Y Who May File This Form I-539? Extension of Stay or Change of Status Nonimmigrants in the United States may apply for an extension of stay or a change of status on this form. What Is the Purpose of This Form? You should use this form if you are one of the nonimmigrants listed below and wish to apply to U. An A.S. To file electronically. Citizenship and Immigration Services (USCIS) recommends that you retain a copy of your application and supporting documents for your records. In certain situations. of the Form I-94 of each person included in the application and a Form I-566." . You are not in removal proceedings. A to G Status. Expires 12/31/08 Department of Homeland Security U. 1615-0003. You have not otherwise violated your status. The application must be filed with: A. front and back. at the top of each sheet of paper and indicate the part and number of the item to which the answer refers. Nonimmigrant Categories This form may be used by the following nonimmigrants listed in alphabetical order: When Should I Use Form I-539? You must submit an application for extension of stay. certified by the U. Ambassador. and Form I-539 Instructions (Rev. The length of the delay was reasonable. or Career Diplomatic or Consular Officer and their immediate family members You must submit a copy.S. of Form I-94 of each person included in the application. Multiple Applicants You may include your spouse and your unmarried children under age 21 years as co-applicants in your application for the same extension or change of status. or as soon as you determine your need to change status. We suggest you file at least 45 days before your stay expires. use a separate sheet(s) of paper. 4. "Who May Not File This Form I-539. 1. An A-3. A copy of your employer's Form I-94 or approval notice demonstrating A status.

Department of State to indicate your accredited status. contact your designated school official at your institution. Why your extended stay would be temporary.1. B-1C. An original letter from your employer describing your duties and stating that he or she intends to personally employ you and arrangements you have made to depart from the United States. 4. Department of State. Visitor for Business or B-2. Designated Principal Resident Representative of a Foreign Government and his or her immediate family members You must submit a copy. of Form I-94 for each person included in the application. B-1D. non-immigrant who is the personal or domestic servant of a nonimmigrant employer. A G. Any effect the extended stay may have on your foreign employment or residency. front and back. In addition. certified by the U. indicating your employer's continuing accredited status. E. If you are applying for an extension/change of B-1.C. and support yourself while you are in the United States. The reasons for your request. certified by the U. citizen. and C. and C. F-1 Extensions Do not use this form to request an extension.b of Form I-539: A. C. 6. or the investor. B. The application must also be filed with: A. as well as the original Form I-94 of each person included in the application.S. Petition for Alien Worker. That the violation of status was due solely to circumstances beyond your control or that failure to reinstate you would result in extreme hardship. you must submit documentation that demonstrates your ability to pay for your studies. Your application must include your original Form I-20 (Certificate of Eligibility for Nonimmigrant Student) issued by the school where you will study. NOTE: A G-1 through G-4 nonimmigrant is not required to pay a fee with the I-539 application. Evidence of relationship (example: birth or marriage certificate). D. Visitor for pleasure. 3. filed for that E or a copy of the filing receipt noting that the petition is pending with USCIS. C. B-1A. B. A copy of the E's Form I-94 or approval notice showing that he or she has already been granted status to the period requested on your application. this application must be submitted with: A. B. Visitor for Pleasure If you are filing for an extension/change. NOTE: An employer or investor should file Form I-129 to request an extension/change to E status for an employee. B. you must submit your original Form I-94. You are pursuing or will pursue a full course of study.S. You are not in removal proceedings. nonimmigrant domestic servant of a U. prospective employee. or Australian Specialty Occupation Worker If you are filing for an extension/change of status as the dependent of an E. Academic Student To request a change to F-1 status or to apply for reinstatement as an F-1 student. To request either a change or reinstatement. including what arrangements you have made to depart from the United States. Treaty Trader or Investor. not Form I-129. and a Form I-566. B-1.S. You have not been employed without authorization. A B-1. B. Dependents of E employees should file for an extension/change of status on this form. all other visa classifications not designated above. you must file your application with the original Form I-94 of each person included in your application. you must designate your desired status using the following classification in Part 2. For information concerning extensions. you must submit a written statement explaining in detail: A. non-immigrant who is a missionary. and Form I-539 Instructions (Rev. Dependents of an E. and D. non-immigrant who is employed by a foreign airline. 12/31/07) Y Page 2 . B-1B. F-1 Reinstatement You will only be considered for reinstatement as an F-1 student if you establish: A. An F-1. 5. A copy of your employer's Form I-94 or approval notice demonstrating G status. Form I-129. An original Form I-566.

Evidence of relationship (example: birth or marriage certificate). NOTE: An employer should file Form I-129 to request an extension/change to H status for an employee or prospective employee. and who has not received the appropriate waiver. this application must be submitted with: A. If the J-1 exchange visitor obtains a waiver of the foreign residence requirement. A former J nonimmigrant (either a J-1 principal or a J-2 dependant) subject to the foreign residence requirement. not on Form I-129. Notice to J Nonimmigrants A J-1 exchange visitor whose status is for the purpose of receiving graduate medical education or training. NOTE: An employer should file Form I-129 to request an extension/change to L status for an employee or prospective employee. the former J nonimmigrant is ineligible for a change of status until he or she fulfills the foreign residence requirement or obtains the appropriate waiver. A copy of the employee's Form I-94 or approval notice showing that he or she has already been granted status to the period requested on your application. B. such as a copy of Form DS-2019. or a copy of your passport that includes the J visa stamp. The Form I-129 filed for that employee. G.S. T. Exchange Visitor If you are requesting a change of status to J-1 nonimmigrant classification. is only eligible for a change of status to a nonimmigrant A. Form I-539 Instructions (Rev. you must provide information about this status. Dependents of an L. Willful failure to disclose this information (or other relevant information) can result in your application being denied. If you are a current or former J nonimmigrant. Certificate of Eligibility for Exchange Visitor Status. who is currently maintaining another nonimmigrant visa status. J-1 Extensions If you are a J-1 exchange visitor seeking an extension of nonimmigrant status. In addition. the J-2 dependant is also subject as a derivative to this requirement. your application must be filed with an original DS-2019. this application must be submitted with: A. including the dates you maintained status as a J-1 exchange visitor or a J-2 dependant. Under certain limited circumstances. contact the responsible officer of your program for information about this procedure. If a J-1 exchange visitor is subject to the foreign residence requirement. Dependents of such employees should file for an extension/change of status on this form. Form I-129 filed for that employee or a copy of the filing receipt noting that the petition is pending with USCIS. continues to be subject to the foreign residence requirement. you may need to apply to the U. as well as the original Form I-94 for each person included in the application.7. Temporary Worker If you are filing for an extension/change of status as the dependent of an employee who is an H temporary worker. Dependents of an H. Evidence of relationship (example: birth or marriage certificate). 8. Intracompany Transferee If you are filing for an extension/change of status as the dependent of an employee who is an L intracompany transferee. A J-1. Please provide proof of this status along with your application. a J-1 exchange visitor who is subject to the foreign residence requirement. and who has not received a waiver of that requirement. or a copy of the filing receipt noting that the petition is pending with USCIS. B. J-1 Reinstatement If you are a J-1 exchange visitor seeking reinstatement. or U visa. A copy of the employee's Form I-94 or approval notice showing that he or she has already been granted status to the period requested on your application. 12/31/07) Y Page 3 . is ineligible for change of status except to a nonimmigrant T or U visa. Department of State's Office of Education and Cultural Affairs for such approval. not on Form I-129. a J-2 dependant may be independently eligible for a waiver of the foreign residence requirement. Certificate of Eligibility for Exchange Visitor Status. and C. As noted above. You must also submit your original Form I-94. Contract the responsible officer at your sponsoring program for information on the restatement filing procedure. and C. 9. the J-2 dependant is also exempt from the requirement. Dependents of such employees should file for an extension/change of status on this form.

TD Dependents of TN Nonimmigrants TN nonimmigrants are citizens of Canada or Mexico who are coming as business persons to the United States to engage in business activities at a professional level pursuant to the North American Free Trade Agreement (NAFTA). 13. you may not be granted a change to M-1 status for training to qualify for H status. M-1 Reinstatement A. B. Evidence of relationship (example: birth or marriage certificate). The dependents (spouse or unmarried minor children) of a TN nonimmigrant are designated as TD nonimmigrants. An M-1. B. NOTE: An employer should file Form I-129 to request an extension/change to P status for an employee or prospective employee. not on Form I-129. this application must be submitted with: A. Artists. or to request an extension of your current V nonimmigrant status. Evidence of relationship (example: birth or marriage certificate). you are not eligible for a change to F-1 status. TD nonimmigrants may not work in the United States. Dependents of a P. this application must be submitted with: A. 11. as well as the original Form I-94 of each person included in the application. or apply for reinstatement as an M-1 student. Athletes and Entertainers If you are filing for an extension/change of status as the dependent of an employee who is classified as a P nonimmigrant. You are pursuing or will pursue a full course of study. 14. A copy of the employee's Form I-94 or approval notice showing that he or she has already been granted status to the period requested on your application. The supplement contains additional information and the location where V applicants must file their applications. You are not in removal proceedings. Form I-129 filed for that employee or a copy of the filing receipt noting that the petition is pending with USCIS. and you are not eligible for a change to any H status if the training you received as an M-1 helps you qualify for the H status. Dependents of such employees should file for an extension/change of status on this form. The Form I-129 filed for that employee or a copy of the filing receipt noting that the petition is pending with USCIS. 12/31/07) Y Page 4 . you must submit your original Form I-94. B. and C. Filing Instructions for V Nonimmigrants. If you are filing for an extension/change of status as the dependent of an employee who is classified as a TN nonimmigrant. Evidence of relationship (example: birth or marriage certificate). C. Form I-539 Instructions (Rev. You have not been employed without authorization. The Form I-129 filed for that employee or a copy of the filing receipt noting that the petition is pending with USCIS. Also. and C. A TD nonimmigrant may accompany or follow to join the TN professional. NOTE: If you are an M-1 student. A V. Applicants should follow the instructions on this form and the attached instructions to Supplement A to Form I-539. this application must be submitted with: A. and D. A copy of the employee's Form I-94 or approval notice showing that he or she has already been granted status to the period requested on your application. B. and C. Spouse or Child of a Lawful Permanent Resident Use this Form I-539 if you are physically present in the United States and wish to request initial status or change status to a V nonimmigrant. A copy of the employee's Form I-94 or approval notice showing that he or she has already been granted status to the period requested on your application. Form I-539 shall be used by a TD nonimmigrant to request an extension of stay or by an applicant to request a change of nonimmigrant status to TD classification. 12. The violation of status was due solely to circumstances beyond your control or that failure to reinstate you would result in extreme hardship.10. Religious Worker If you are filing for an extension/change of status as the dependent of an employee who is classified as an R nonimmigrant. Vocational or Non-Academic Student To request a change to or extension of M-1 status. Dependents of an R.

Any document containing foreign language submitted to USCIS shall be accompanied by a full English language translation which the translator has certified as complete and accurate. Answer all questions fully and accurately. accorded such status pursuant to the LIFE Act. signed into law on December 21. Who May Not File This Form I-539? You may not be granted an extension or change of status if you were admitted under the Visa Waiver Program or if your current status is: Translations. A crewman (D).NOTE: In addition to the $300 application fee required to file Form I-539. Valid Passport. Additional Evidence. USCIS may also take the V applicant's photograph and signature as part of the biometric services. of Form I-94 of each person included in your application. Form I-539 Instructions (Rev. A spouse (K-3) of a U. EXCEPTION: A K-3 and K-4 are eligible to apply for an extension of status. 2. Notice to V Nonimmigrants The Legal Immigration Family Equity Act (LIFE). and C. write "none. 3. If a required passport is not valid when you file Form I-539 application. created a new V visa. must have been filed for you by your permanent resident spouse on or before December 21. You may be required to submit additional evidence noted in these instructions. A Form I-130. Fill Out Form I-539 1. They should file for an extension during the processing of Form I-130 filed on their behalf and up to completion of their adjustment of status application. Application for Replacement/Initial Nonimmigrant Arrival/ Departure Document." If the answer is none. with the required fee. State that an item is not applicable with "N/A. submit an explanation with your form. Type or print legibly in black ink. 2000. and date and sign each sheet. If you were required to have a passport to be admitted into the United States. 12/31/07) Y Page 5 . Their departure may prevent them from adjusting status as a permanent resident. An alien in transit (C) or in transit without a visa (TWOV).S. You are required to submit with your Form I-539 application the original or copy. or 3. NOTE: Any nonimmigrant (A to V) may not change their status to K-3 or K-4. WARNING: Be advised that persons in V status who have been in the United States illegally for more than 180 days may trigger the grounds of inadmissibility regarding unlawful presence (for the applicable 3-year or 10-year bar to admission) if they leave the United States. B. If the original Form I-94 or required copy cannot be submitted with this application. citizen and their children (K-4). While they are waiting. General requirements Required Documentation . V applicants are required to pay a $80 biometric services fee for USCIS to take their fingerprints. may not change to another nonimmigrant status. attach a continuation sheet. V visa holders may be authorized to work following their submission and USCIS approval of their Form I-765. If necessary. indicate the item number. General Instructions Step 1. V visa holders will be eligible to adjust to lawful permanent resident status once an immigrant visa becomes available to them. This nonimmigrant status allows certain persons to reside legally in the United States and to travel to and from the United States while they wait to obtain lawful permanent residence. In order to be eligible for a V visa. all of the following conditions must be met: A. 1. 2000.Form I-94. Nonimmigrant Arrival/ Departure Record. You must be the spouse or the unmarried child of a lawful permanent resident. include a Form I-102. You must have been waiting for at least three years after Form I-130 was filed for you. Petition for Alien Relative. If extra space is needed to complete any item. Or you must be the unmarried child (under 21 years of age) of a person who meets the three requirements listed above. 2. you must maintain the validity of your passport during your nonimmigrant stay. front and back. Application for Employment Authorization." Step 2. A fiance'(e) or dependent of a fiance'(e) (K)(1) or (K)(2). and by the translator's certification that he or she is competent to translate from the foreign language into English.

Nebraska. South Dakota. New Hampshire. as the dependent spouse or child. even if the submission was not required. 12/31/07) Y Page 6 . The address for Vermont Service Center filings is: USCIS Vermont Service Center ATTN: I-539 75 Lower Welden Street St. Illinois. Guam. depending on the State where the principal is or will be employed temporarily. Nevada. California. E-3. Oregon. Ohio. Wisconsin. H-4. Minnesota. Form I-539 is generally filed with the California Service Center or the Vermont Service Center. F-1 and M-1 students applying for F-1 and M-1 reinstatement: File Form I-539 with the California Service Center or the Vermont Service Center. Kansas. South Carolina. The mailing address is: USCIS California Service Center P. CA 92607-1053 Vermont Service Center filings cover the following states: Alabama. H-1 C Nurses dependents: File Form I-539 with the California Service Center.S. Pennsylvania. Indiana. Puerto Rico.O. Utah. Iowa. Tennessee. Idaho. P-4. Kentucky. Exceptions A. (which includes a request for change of status or extension of stay). Georgia. Mississippi.Copies. Missouri. H-4 dependents of H-1B1 principals (Free Trade-Singapore and Chile). Vermont. Arizona. depending on the State in which the educational institution you attend or plan to attend is located. R-2 Religious Worker Dependents: File Form I-539 with the California Service Center. regardless of where the principal is/will be employed. Dependents of Major League Sports Athletes or Support Personnel: Form I-539 Instructions (Rev. Filing Form I-539 at the same time as the principal: If your Form I-539 for change of status or extension of stay is filed at the same time as the principal's Form I-129. and E-3 dependents of E-3 principals (Free TradeAustralia): File Form I-539 with the Vermont Service Center. E. L-2. send the entire Form I-129/I-539 package to the Vermont Service Center or the California Service Center. or TD extension. Include a copy of the Form I-129 approval notice to show the approved Form I-129 location. D. California Service Center fillings cover the following states: Alaska. New Mexico. Colorado. Where To File? 1. U. Maine. North Carolina. C. Filing Form I-539 separately from the principal and the principal's case is pending: If the principal's Form I-129 (which includes a request for change of status or extension of stay) is pending. regardless of where the principal is/will be employed. Original documents submitted when not required will remain a part of the record. Applicants for change of status to E-1. B. Texas. depending on the State where you live. Box 10539 Laguna Niguel. Virgin Islands. West Virginia. file Form I-539 with the same Service Center where the principal's Form I-129 is pending. Include a copy of Form I-129 filing receipt (or transfer notice) to show the pending Form I-129 location. Hawaii. Massachusetts. Maryland. 3. and the District of Columbia. or Wyoming. Oklahoma. Delaware. A. O-3. B. Connecticut. Louisiana. D. E-2. Florida. New York. New Jersey. file Form I-539 with the Service Center which approved the principal's I-129 petition. With some exceptions. Petition for Nonimmigrant Worker. an ordinary legible photocopy may be submitted. H-4. Rhode Island. TD dependents of TN principals (Free TradeCanada and Mexico). Filing Form I-539 separately from the principal and the principal's case is approved: If the principal's Form I-129 (which included a request for change of status or extension of stay) has already been approved. C. VT 05479 2. E-2. Albans. Virginia. L-2. Washington. All other applicants for change of status or extension of stay (not listed above or in the exceptions): File Form I-539 with the California Service Center or the Vermont Service Center. or P-4 as the dependent spouse or child or for an E-1. Arkansas. regardless of where the principal is/will be employed. Unless specifically required that an original document be filed with an application or petition. E-3. O-3. Michigan. North Dakota. Montana.

and football. Note on E-Filing If you are e-filing this application.S. please submit Form I-539 to your embassy for proper filing through official diplomatic channels. USCIS will notify you about when and where to go for biometric services. If you are filing Form I-539 more than 30 days after the latest edition date shown in the lower right-hand corner. Support personnel includes: coaches. call Customer Service at 1-800-375-5283 to verify the current filing address and edition date. Department of State Visa Office. download a copy and use the online version. NY 10017. F. G and NATO: 1. Department of State. G. or NATO Dependent Employment Authorization or Change/Adjustment to Extend/Change Nonimmigrant Status). N. and check the Immigration Forms page to confirm the correct filing address and version currently in use. VA 23551. visit us online at www. What Is the Filing Fee? The filing fee for a Form I-539 is $300 except for certain A and G nonimmigrants who are not required to pay a fee. or NATO classification for employment with an embassy. for a total of $380. This covers major league athletes. and you will receive a receipt indicating the location to which it was routed. hockey. and interpreters. or NATO to: U. Suite 100. 3. If the edition date on your Form I-539 matches the edition date listed for Form I-539 on the online forms page. or NATO-7 nonimmigrants.uscis. A. you may submit one check or money order for both the application and biometric fees. 4. linesmen.W.S. Washington. basketball. referees. including submission of supporting documents. You must submit with Form I-539 an endorsement by the U. trainers. 5.. it is very important to review your filing receipt and make specific note of the receiving location. soccer. file Form I-539 with USCIS Service Center designated to handle the new nonimmigrant classification sought. mail Form I-539 to: NATO/HQ SACT Legal Affairs. G.File with the Vermont Service Center. 799 United Nations Plaza. Norfolk. E. For extensions of stay for A-3. This location may not necessarily be the same center shown in the filing addresses listed above.S. should be directed to the receiving location indicated on your e-filing receipt. After you submit Form I-539. For e-filed applications. An additional biometric fee of $80 is required when filing this Form I-539 for V nonimmigrant status. or NATO command for proper filing through official diplomatic channels. All further communication. G. or NATO classifications to another nonimmigrant classification. 7857 Blandy Road. Suite 242. umpires. 3507 International Place. or NATO. If you do not have Internet access. Form I-539 Instructions (Rev. 12/31/07) Y Page 7 . Supplement A. For a dependent spouse or child requesting a change of status to a NATO classification based on the principal's classification as a NATO nonimmigrant. your version is current and will be accepted by USCIS. international organization. V Nonimmigrants Follow the filing instructions on Form I-539. 2. If you or the principal or the principal NATO nonimmigrant through whom you derive your status are posted at a national component or as an exchange officer. Office of Protocol. For a change of status from A. and any affiliates associated with the major leagues in baseball. Check the edition date located in the lower right-hand corner of the form. DC 20008. or a USUN official at Part 7 on the Form I-566 (interagency Record of Request-A.gov before you file. G. If biometric services are required. as noted in these instructions. For change of status requests to G classification for employment with a foreign government's mission to the United Nations or with the United Nations Secretariat. Updated Filing Address Information The filing addresses provided on this form reflect the most current information as of the date this form was last printed. New York. If the edition date on the online version is later. mail Form I-539 through the foreign government's mission or the UN Secretariat to: U. G-5. minor league sports. international organization. it will automatically be routed to the appropriate Service Center. broadcasters. submit your application through your embassy or international organization. mail Form I-539 through your embassy. For change of status requests to A. Filing Instructions for V Nonimmigrants. H. Mission to the United Nations.

If the EFT cannot be completed because of insufficient funds. How to Check If the Fees Are Correct The form and biometric fees on this form are current as of the edition date appearing in the lower right corner of this page. make it payable to Treasurer. do not use the initials "USDHS" or "DHS.uscis. If the EFT cannot be processed for technical reasons. You may correct the deficiency and resubmit the Form I-539. If you do not completely fill out the form. Alien's Change of Address Card. The debit from your account will usually take 24 hours. If you live in Guam and are filing your petition there. Initial processing. if applicable: 1. and we may deny your Form I-539.S. You will be notified of the decision in writing. You will not receive your original check back.gov. An application or petition is not considered properly filed until accepted by USCIS.S. and 2.S. unless: A. We may also request that you submit the originals of any copy.O. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. you will not establish a basis for eligibility.Use the following guidelines when you prepare your check or money order for the Form I-539 and the biometric service fee. If you live in the U. you may change your address online at www.uscis. KY 40744 Processing Information Any Form I-539 that is not signed or accompanied by the correct fee will be rejected with a notice that the Form I-539 is deficient. Form I-539 Instructions (Rev. NOTE: Please spell out U. and will be shown on your regular account statement." Notice to Those Making Payment by Check. we may try to make the transfer up to two times. Requests for more information or interview. mail to: U.uscis. Make the check or money order payable to U. and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www. This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. Address Changes If you change your address and you have an application or petition pending with USCIS. We may request more information or evidence. We will return these originals when they are no longer required. Review the Fee Schedule included in your form package. photograph. select "Immigration Forms. to: U. Or you may complete and mail Form AR-11. or we may request that you appear at a USCIS office for an interview.S. you can verify if the fees are correct by following one of the steps below: 1.S. Visit our website at www. it will be checked for completeness. If you send us a check. Decision. make it payable to Commissioner of Finance of the Virgin Islands. including submission of the required initial evidence. Box 7134 London.gov. regulations. The decision on a Form I-539 involves a determination of whether you have established eligiblity for the requested benefit. Guam. click on "Change your address with USCIS" and follow the prompts." and check the appropriate fee. currency. call our toll-free number at 1-800-870-3676. 12/31/07) Y Page 8 . Virgin Islands and are filing your petition there. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U. NOTE: If your Form I-539 requires payment of a biometric service fee for USCIS to take your fingerprints. it will be converted into an electronic funds transfer (EFT). We will destroy your original check. However. 2. or 3. you authorize us to process the copy in place of your original check. You can also get USCIS forms and information on immigration laws. if you called us to request the form. Once a Form I-539 has been accepted. or signature. Department of Homeland Security. USCIS Forms and Information To order USCIS forms. but we will keep a copy of it. Department of Homeland Security. KY 40742-7134 For commercial overnight or fast freight services only.S. gov. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. you can use the same procedure to obtain the correct biometric fee. or file it without required initial evidence. Citizenship and Immigration Services Change of Address P. because USCIS fees change periodically. B.

we will deny Form I-539 and may deny any other immigration benefit. 3rd Floor. completing and submitting the form. Citizenship and Immigration Services. Send comments regarding this burden estimate or any other aspect of this collection of information. DC 20529. you can now schedule an appointment through our Internet-based system. you will face severe penalties provided by law and may be subject to criminal prosecution. 111 Massachusetts Avenue. To access the system. and any requested evidence. visit our website. InfoPass. to: U.W. InfoPass generates an electronic appointment notice that appears on the screen. and associated evidence. Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-539.As an alternative to waiting in line for assistance at your local USCIS office. 1615-0003. The public reporting burden for this collection of information is estimated at 45 minutes per response. OMB No. Failure to provide this information. In addition. N. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. to determine if you have established eligibility for the immigration benefit for which you are filing.. Paperwork Reduction Act An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. including the time for reviewing instructions. Suite 3008. We may provide this information to other government agencies.S. including suggestions for reducing this burden. Privacy Act Notice We ask for the information on this form. Regulatory Management Division. may delay a final decision or result in denial of your Form I-539. as amended. 12/31/07) Y Page 9 . Our legal right to ask for this information can be found in the Immigration and Nationality Act. Form I-539 Instructions (Rev. Do not mail your application to this address. Washington.

Current Nonimmigrant Status Part 2. or parent an extension or change of status? No Yes. Foreign Address: Street Number and Name City or Town Country Valid to: (mm/dd/yyyy) Apt. USCIS Receipt # 3. For applicant #1. I am applying for: (Check one. Part 1.) a.) 1. Reinstatement to student status 2.Please type or print in black ink. Application to Extend/ Change Nonimmigrant Status For USCIS Use Only Returned START HERE . give the name of the petitioner or applicant: If the petition or application is pending with USCIS. Members of my family are filing this application with me. I am the only applicant. Expires 12/31/08 Department of Homeland Security U. Application type (See instructions for fee. Citizenship and Immigration Services I-539.) Part 3. # Date State Zip Code Daytime Phone # Reloc Sent Country of Citizenship U. S. or parent? No Yes. Is this application based on an extension or change of status already granted to your spouse. if any Fill in box if G-28 is attached to represent the applicant. ATTY State License # Form I-539 (Rev. child. Number of people included in this application: (Check one. b. Yes. b. If you answered "Yes" to Question 3. The new status I am requesting is: c. I/We request that my/our current or requested status be extended until (mm/dd/yyyy): 2. # State or Province Zip/Postal Code To Be Completed by Attorney or Representative. Social Security # (if any) I-94 # Expires on (mm/dd/yyyy) A # (if any) Date Reloc Rec'd Date Applicant Interviewed on Date Extension Granted to (Date): Date of Last Arrival Into the U. 12/31/07)Y . A change of status. An extension of stay in my current status. The total number of people (including me) in the application is: (Complete the supplement for each co-applicant.) a. Additional information 1. also give the following data: Office filed at Filed on (mm/dd/yyyy) Change of Status/Extension Granted New Class: From (Date): To (Date): If Denied: Still within period of stay S/D to: Place under docket control Remarks: Action Block Part 4. provide passport information: Country of Issuance 2.S. Processing information 1.OMB No. Is this application based on a separate petition or application to give your spouse. child. Receipt #: 4. 1615-0003. Information about you Given Name Middle Name Receipt Family Name Address In care of Street Number and Name City Country of Birth Date of Birth (mm/dd/yyyy) Date Resubmitted Apt. filed previously and pending with USCIS.S. filed with this I-539.

" Include the source. or any other person included in this application. Answer the following questions. Additional information. Have you EVER: (a) Served in. Form I-539 (Rev. or participated in any group. or weapons training? e. rebel group. 3. name and address of the employer. jail. and whether the employment was specifically authorized by USCIS. incited. or any other person included in this application. Additional information." Include the name of the person employed. Additional information. Have you EVER received any type of military. or any other person included in this application. amount. fully describe how you are supporting yourself on the attached page entitled "Part 4. commited. assisted in. give the following information concerning the removal proceedings on the attached page entitled "Part 4. Have you EVER assisted or participated in selling or providing weapons to any person who to your knowledge used them against another person. date proceedings began. 12/31/07)Y Page 2 . ever been arrested or convicted of any criminal offense since last entering the United States? d. and basis for any income. please describe the circumstances in detail and explain on a separate sheet(s) of paper. assisted. self-defense unit. or otherwise participated in any of the following: (a) Acts involving torture or genocide? (b) Killing any person? (c) Intentionally and severely injuring any person? (d) Engaging in any kind of sexual contact or relations with any person who was being forced or threatened? (e) Limiting or denying any person's ability to exercise religious beliefs? d. Application to Register Permanent Residence or Adjust Status. If you answered "Yes" to Question 3f. police unit. Page for answers to 3f and 3g. been employed in the United States since last admitted or granted an extension or change of status? 1. 5. ever been filed by you or by any other person included in this application? d. or participated in any military unit. helped with. or organization of any kind in which you or other persons used any type of weapon against any person or threatened to do so? d. done anything that violated the terms of the nonimmigrant status you now hold? Are you. 2. and status of proceedings. Page for answers to 3f and 3g. detention facility. an applicant for an immigrant visa? Has an immigrant petition ever been filed for you or for any other person included in this application? Has a Form I-485. 1. b. If you answered "Yes" to Question 3g. guerrilla group. Have you. vigilante unit. c. 4. If you answer "Yes" to any question. labor camp. g. paramilitary. now in removal proceedings? Have you. Have you or any other person. 3. No Are you. or insurgent organization? (b) Served in any prison. If you answered "No" to Question 3g. prison camp.3. included in this application. or any other situation that involved detaining persons? d. Have you EVER ordered. paramilitary unit. militia. or in transporting weapons to any person who to your knowledge used them against another person? d. 6. f. Have you EVER been a member of. fully describe the employment on the attached page entitled "Part 4. assisted in." Include the name of the person in removal proceedings and information on jurisdiction. been a member of. 2. called for. or any other person included on the application. Yes a. Page for answers to 3f and 3g. weekly income. unit.

Part 6. and the applicant has understood each and every instruction and question on the form. Signature Daytime Telephone Number Print your Name E-Mail Address Date NOTE: If you do not completely fill out this form or fail to submit required documents listed in the instructions. as well as my answer to each question. Part 5. Each and every question and instruction on this form. No Are you currently or have you ever been a J-1 exchange visitor or a J-2 dependent of a J-1 exchange visitor? If yes. Also. a language in which I am fluent. has been read to me by the person named below in . 12/31/07)Y Page 3 . as well as my answer to each question. Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking. Signature Firm Name (If Applicable) Address Print Your Name Daytime Telephone Number (Area Code and Number) Date Fax Number (Area Code and Number) E-Mail Address Form I-539 (Rev. Applicant's Statement (Check One): I can read and understand English. Applicant's Signature I certify. as well as the answer to each question. or a copy of your passport that includes the J visa stamp. you must provide the dates you maintained status as a J-1 exchange visitor or J-2 dependent. Interpreter's Statement Language used: I certify that I am fluent in English and the above-mentioned language. under penalty of perjury under the laws of the United States of America. I understand each and every question and instruction on this form. as well as the answer to each question. Certificate of Eligibility for Exchange Visitor Status. and have read and understand each and every question and instruction on this form. as well as my answer to each question. I authorize the release of any information from my records that U.Yes h. that this application and the evidence submitted with it is all true and correct. Applicant's Statement and Signature (Read the information on penalties in the instructions before completing this section. such as a copy of Form DS-2019. you may not be found eligible for the requested benefit and this application may be denied. Willful failure to disclose this information (or other relevant information) can result in your application being denied. to this applicant in the above-mentioned language. please provide proof of your J-1 or J-2 status. I further certify that I have read each and every question and instruction on this form. You must file this application while in the United States).S.

date proceedings began. fully describe how you are supporting yourself. if Other than Above (Sign Below) Signature Firm Name (If Applicable) Address Print Your Name Daytime Telephone Number (Area Code and Number) Date Fax Number (Area Code and Number) E-Mail Address I declare that I prepared this application at the request of the above person and it is based on all information of which I have knowledge. If you answered "No" to Question 3g in Part 4 on Page 3 of this form. Signature of Person Preparing Form. If you answered "Yes" to Question 3f in Part 4 on Page 3 of this form. (Continued) Additional information. Part 4. and status of proceedings. If you answered "Yes" to Question 3g in Part 4 on Page 3 of this form.Part 7. weekly income. Include the name of the person in removal proceedings and information on jurisdiction. Include the name of the person employed. 12/31/07)Y Page 4 . name and address of the employer. Form I-539 (Rev. Page for answers to 3f and 3g. Include the source. fully describe the employment. amount and basis for any income. give the following information concerning the removal proceedings. and whether the employment was specifically authorized by USCIS.

S.S. form number. (List each person separately. Form I-539 (Rev.) Family Name Country of Birth Date of Arrival (mm/dd/yyyy) Current Nonimmigrant Status: Country Where Passport Issued Family Name Country of Birth Date of Arrival (mm/dd/yyyy) Current Nonimmigrant Status: Country Where Passport Issued Family Name Country of Birth Date of Arrival (mm/dd/yyyy) Current Nonimmigrant Status: Country Where Passport Issued Family Name Country of Birth Date of Arrival (mm/dd/yyyy) Current Nonimmigrant Status: Country Where Passport Issued Family Name Country of Birth Date of Arrival (mm/dd/yyyy) Current Nonimmigrant Status: Country Where Passport Issued Given Name Country of Citizenship Given Name Country of Citizenship Given Name Country of Citizenship Given Name Country of Citizenship Given Name Country of Citizenship Middle Name Date of Birth (mm/dd/yyyy) A # (if any) U. Social Security # (if any) I-94 # Expires on (mm/dd/yyyy) Expiration Date (mm/dd/yyyy) Middle Name Date of Birth (mm/dd/yyyy) A # (if any) U. 12/31/07)Y Page 5 . if any. Social Security # (if any) I-94 # Expires on (mm/dd/yyyy) Expiration Date (mm/dd/yyyy) Middle Name Date of Birth (mm/dd/yyyy) A # (if any) U. Social Security # (if any) I-94 # Expires on (mm/dd/yyyy) Expiration Date (mm/dd/yyyy) Middle Name Date of Birth (mm/dd/yyyy) A # (if any) U. attach a separate sheet(s) of paper. and application date at the top of the sheet(s) of paper. Place your name.S.Supplement -1 Attach to Form I-539 when more than one person is included in the petition or application.S. Social Security # (if any) I-94 # Expires on (mm/dd/yyyy) Expiration Date (mm/dd/yyyy) Middle Name Date of Birth (mm/dd/yyyy) A # (if any) U. Do not include the person named in the Form I-539.S. A #. Social Security # (if any) I-94 # Expires on (mm/dd/yyyy) Expiration Date (mm/dd/yyyy) If you need additional space. date of birth.

Expires 08/31/08 Department of Homeland Security U. The spouse does not need to be a U. of that State must be submitted. citizen. citizen to allow the child to enter the U. at the top of each sheet of paper and indicate the part and number of the item to which the answer refers.S. Church records bearing the seal of the church showing the baptism. dedication or comparable rite Form I-600 Instructions (Rev. The petition may be filed by a married U. an orphan is an alien child who has no parents because of the death or disappearance of abandonment or desertion by.S. if any.S. if married) must submit a statement indicating the petitioner's (and. submit a statement from the appropriate civil authority certifying that a birth certificate is not available. E. the spouse's) willingness and intent to readopt the child in the United States. but must be in lawful immigration status.S. citizen as an immediate relative of the U. The adoption decree must show that a married petitioner and spouse adopted the child jointly or that an unmarried petitioner was at least 25 years of age at the time of the adoption. vital statistics office or other civil authority. Eligibility. The petition must be accompanied by the following: A. citizen by birth in the United States. An orphan is also an alien child who has only one parent who is not capable of taking care of the orphan and who has in writing irrevocably released the alien for emigration and adoption. D. Preadoption requirements. If requested by USCIS. Who May File This Form I-600? 1. 07/30/07) Y . C. the petitioner must submit a statement by an official of the State in which the child will reside that readoption is permissible in that State In addition. use a separate sheet(s) of paper. if any. Adoption abroad. A petition to classify an alien as an orphan may not be filed on behalf of a child in the United States. citizen who is adopting the child. A. citizen at least 25 years of age. The child will be adopted in the United States by the petitioner and spouse jointly or by the unmarried petitioner. citizenship of the petitioner. Write your name and Alien Registration Number (A #). B. it must be established that both the married petitioner and spouse or the unmarried petitioner personally saw and observed the child prior to or during the adoption proceedings. If the petitioner is married. adopted by a U. unless that child is in parole status and has not been adopted in the United States. Proxy adoption abroad. Under immigration law. Citizenship and Immigration Services Instructions for I-600. submit a copy of the birth certificate. Proof of U. 2.S. the petitioner and spouse or the unmarried petitioner must establish that: 1. citizen and spouse or unmarried U. If the orphan has not been adopted abroad. If a U.S. including: 1. Petition to Classify Orphan as an Immediate Relative Instructions Please read these instructions carefully to properly complete this form. If the orphan was adopted abroad. In such a situation. Filing Petition for Known Child. The petition is filed by the U. Parent(s). if married. of the State of the orphan's proposed residence have been met.S. and that 2. Child.OMB No. the petitioner (and spouse. secondary evidence must be submitted. evidence of compliance with the preadoption requirements. or will be.S. An orphan petition for a child who has been identified must be submitted on a completed Form I-600 with the certification of the petitioner executed and required fee. If a birth certificate is not available.S. The petition must be filed before the child's 16th birthday. issued by the civil registrar. The preadoption requirements. What Is the Purpose of This Form? To classify an alien orphan who either is. If you need more space to complete an answer. 1615-0028. or separation or loss from both parents. the Form I-600 must also be signed by the petitioner's spouse. if any.S. If both the petitioner and spouse or the unmarried petitioner did not personally see and observe the child prior to or during the adoption proceedings abroad.

proof of the spouse's lawful immigration status. Permanent Resident Card.S. or a copy of the biographic pages of the spouse's passport and the nonimmigrant visa pages showing an admission stamp may be submitted. Copies of the death certificate(s) of the child's parent (s) if applicable. or 4. submit proof of termination of all prior marriages. date of the religious ceremony and the names of the parents.S. full information concerning event and complete details of how the affiant acquired the information. Each affidavit must contain the affiant's full name. Citizenship. 2. Evidence that the preadoption requirements. H. If the spouse is not a U. C. An unexpired U. Citizenship and Immigration Services (USCIS) or former Immigration and Naturalization Service (INS). submit a copy of one of the following: 1. 2. E. the petitioner's birth date or age at the time. In the case of an unmarried petitioner who was previously married. date of birth or age of the petitioner listed. An unexpired U. date and place of birth. Form I-600 Instructions (Rev. Evidence that the orphan has been unconditionally abandoned to an orphanage. consular officer verifying the applicant's U.S. The married petitioner must submit a copy of the certificate of marriage and proof of termination of all prior marriages of himself or herself and spouse. F. if the orphan has been placed in an orphanage by his or her parent or parents. issued by an American embassy. place of birth. Certificate of Naturalization or Certificate of Citizenship issued by the U. if the child is to be adopted in the United States. must be submitted. if applicable.S. NOTE: If any change occurs in the petitioner's marital status while the case is pending. if the orphan has only one parent. If a required document cannot be obtained. Proof of marriage of petitioner and spouse.occurred within two months after birth and showing the date and place of the petitioner's birth. The affidavit must also explain the affiant's relationship to you. Proof of age of orphan. D. If the petitioner was born outside the United States. The petitioner should submit a copy of the orphan's birth certificate if obtainable. address. ArrivalDeparture Record. citizen. if the orphan has been lawfully adopted abroad. immediately notify the USCIS office where the petition was filed. School records issued by the authority (preferably the first school attended) showing the date of admission to the school. 3. initially issued for ten years may also be submitted as proof of U.S. 5. citizenship with a valid passport. Evidence that the sole or surviving parent is incapable of providing for the orphan's care and has in writing irrevocably released the orphan for immigration and adoption.S. Report of Birth Abroad of a Citizen of the United States. if any of the state of the orphan's proposed residence have been met. Census records (state or federal) showing the name. verifying that the record does not exist or a citation to the Department of State Foreign Affairs Manual indicating that such records are generally not available. Form FS-240.S. 07/30/07) Y Page 2 . G. Affidavits. 3. the place of birth and the names of the parents. and signature. NOTE: Proof of the lawful immigration status of the petitioner's spouse. Only then may you submit written affidavits sworn to or affirmed by two persons who were living at the time and who have personal knowledge of the event. An original statement from a U. if not obtainable. A certified copy of adoption decree together with certified translation. B. 4. such as Form I-551. Form I-94. passport initially issued for ten years. passport. submit an explanation together with the best available evidence of birth. you must submit either an original written statement from the governmental agency that should have the record.

if applicable. the recommendation must state that it is licensed. The evidence outlined in Instructions 2A and 2B (Proof of U. and by the translator's certification that he or she is competent to translate from the foreign language into English. An assessment of the financial ability of the petitioner and petitioner's spouse. if any. if known. Home Study. However. the petition will be considered abandoned and the fee will not be refunded. If the necessary evidence relating to the child or the home study is not submitted within one year from the date of submission of the petition. The home study must be prepared by an entity (individual or organization) licensed or otherwise authorized under the law of the State of the orphan's proposed residence to conduct research and preparation for a home study. prison terms.If is not possible to submit this evidence upon initial filing of the petition under the laws of the State of proposed residence. must be submitted. failure to disclose such information may result in denial of this application and/or any subsequent petition for an orphan. The home study must include a statement or attachment recommending or approving the adoption or proposed adoption and be signed by an official of the responsible State agency in the State of the proposed residence or of an agency authorized by that State. including the interview and the preparation of the home study. In the case of a child adopted abroad. A detailed description of the living accommodations where the petitioner and petitioner's spouse currently reside(s). Filing Petition for Known Child Without Full Documentation on Child or Home Study. however. citizenship of the petitioner and Documentation of marriage of petitioner and spouse). its license number. charges. the statement or attachment must be signed by an official of an appropriate public or private adoption agency that is licensed in the United States. An explanation regarding any history of abuse or violence or any complaints. an orphan petition may be filed without that evidence or home study. citations. mental and emotional capabilities of the petitioner and petitioner's spouse in relation to rearing and educating the child. 07/30/07) Y Page 3 . 3. When a child has been identified but the documentary evidence relating to the child or the home study is not yet available. NOTE: Having committed any crime of moral turpitude or a drug-related offense does not necessarily mean that a petitioner or petitioner's spouse will be found ineligible to adopt an orphan. and the period of validity of the license. 4. Any document containing foreign language submitted to the Service shall be accompanied by a full English language translation which the translator has certified as complete and accurate. including the required personal interviews. Translations. An assessment of the physical. where it is licensed.S. arrests. However. will not be approved without it. Form I-600 Instructions (Rev. a description of the living accommodations where the child will reside in the United States with the petitioner and petitioner's spouse. A responsible State agency or licensed agency may accept a home study made by an unlicensed or foreign agency and use that home study as a basis for a favorable recommendation. 5. the research. pardons rehabilitation decrees for breaking or violating any law or ordinance by the petitioner(s) or any additional adult member of the household over age 18. however. The home study must provide an assessment of the capabilities of the prospective adoptive parent(s) to properly parent the orphan and must include a discussion of the following areas: 1. convictions. may be done by an individual or group in the United States or abroad that is satisfactory to the recommending entity. 2. If the petitioner and petitioner's spouse are residing abroad at the time of the home study. Any further proceeding will require the filing of a new petition. I. The petition. it may be submitted later. If the recommending entity is licensed.

Where To File? A petitioner residing in the United States should send the completed petition to the USCIS office having jurisdiction over his or her place of residence. currency at a financial institution in the United States. a separate filing fee must be submitted for each additional Form I-600 petition. Petitioners residing abroad. if a petition is filed by a married people residing in the United States with one additional adult member in their household. 2. bend. Type or print legibly in black ink. If the check is not honored. attach a continuation sheet.00 for biometric services for fingerprinting the three adults). Make the check or money order payable to the Department of Homeland Security. If necessary. whether the petition is approved or not. Pay by check or money order in the exact amount. Form I-600 Instructions (Rev. As part of the USCIS biometric services requirements. After filing this petition. Do not. Do not mail cash. consular office or military installation. Original documents submitted when not required will remain a part of the record. The fee will not be refunded. or foreign. USCIS will charge you $30. USCIS may also take a photograph and signature of those named above as part of the biometric services. a fee is not required for this petition if you filed an advance processing application (Form I-600A) within the previous 18 months and it was approved or is still pending. If the orphans are not siblings. write your name on the face of the check. 18 years of age or older. they may have to pay the fingerprinting fee charged by the U. fold or crease completed fingerprint cards. Petitioners residing in the United States. Biometrics Services. Completed fingerprint cards (Forms FD-258) must be submitted with the petition. unless re-fingerprinting is ordered. if applicable. even if the submission was not required. Unless specifically required that an original document be filed with an application or petition.00 must be submitted for filing this petition. A petitioner residing outside the United States should consult the nearest American embassy or consulate designated to act on the petition. Guam" or . must be payable in U.S.00 for the petition and $240. USCIS will notify each person in writing of the time and location where they must go to be fingerprinted. and date and sign each sheet. For example. You live in Guam.S. embassy or consulate.S. Fingerprint cards must be prepared by a U. Failure to appear to be fingerprinted or for other biometric services may result in denial of the petition. Virgin Islands. NOTE: If the prospective adoptive parents and any other adult members of the household reside abroad at the time of filing. only one Form I-600 petition and fee for biometric services is required. What Is the Filing Fee? A fee of $670. unless: A. and 2. there is a $80. 07/30/07) Y Page 4 . they are exempt from paying the USCIS biometric services fee. When more than one petition is submitted by the same petitioner on behalf of orphans who are siblings. B.S. NOTE: Submit a copy of the birth certificate of each household member over 18. USCIS office or military installation. Each additional adult member the petitioner's household. an ordinary legible photocopy may be submitted.00. In addition to the fee for the application.00 ($670. You live in the U. When a check is drawn on the account of a person other than yourself. However. the total fee that must be submitted would be $910." General Instructions. If extra space is needed to complete any item.S. make your check or money order payable to the "Commissioner of Finance of the Virgin Islands. indicate the item number. However. whether U. the following persons must be fingerprinted in connection with this petition: 1. The petitioner and petitioner's spouse. make the check or money order payable to the "Treasurer.00 biometric services fee for fingerprinting every adult person living in the household in the United States where the child will reside.Copies. 1. All checks or money orders.

and accompanied by the evidence requested on that form. you may change your address on-line at www. the Philippines. Submitting Advance Processing Application for Orphan Child Not Yet Identified. Box 7134 London. Germany. Citizenship and Immigration Services Change of Address P. The form and biometric fees on this form are current as of the edition date appearing in the lower right corner of this page. However. The request must be on Form I-600A. must be filed for each child. Mexico. Address Changes. Great Britain. select "Immigration Forms" and check the appropriate fee. KY 40742-7134 For commercial overnight or fast freight services only. provided the form is filed while the advance processing application (Form I-600A) application is pending or within 18 months of the approval of the advance processing application. Jamaica. because USCIS fees change periodically. Greece. A prospective petitioner may request advance processing when the child has not been identified or when the prospective petitioner and/or spouse is or are going abroad to locate or adopt a child. Review the Fee Schedule included in your form package. Cuba. mail to: U. An application or petition I-600 is not considered properly filed until accepted by USCIS. El Salvador. the Dominican Republic. Generally. When Child/Children Are Located and/or Identified. Ghana. 2. South Africa. Once a Form I-600 has been accepted. Form I-600 should be submitted at the USCIS office where the advance processing application was filed. Guatemala. Thailand and Vietnam. click on "Change your address with USCIS" and follow the prompts or by completing and mailing Form AR-11. KY 40744 Processing Information. provided that he or she will be at least 25 at the time of the adoption and the completed petition on behalf of a child is filed. unless the case is retained at the stateside office. photograph or signature. Application for Advance Processing of Orphan Petition. Visit our website at www.S. a separate Form I-600 must be filed for each child. the prospective petitioner must be at least 24 years of age. If only one Form I-600 is filed.gov. Panama. USCIS has offices in the following countries: Austria. Petition to Classify Orphan as an Immediate Relative. Initial processing. 07/30/07) Y Page 5 . will be rejected with a notice that the Form I-600 is deficient. You may correct the deficiency and resubmit the Form I-600. China.uscis. you can use the same procedure to obtain the correct biometric fee. Haiti Honduras. if you called us to request the form. he or she should file Form I-600 at the USCIS office having jurisdiction over the place where the child is residing or will be located. including submission of the required initial evidence.S. Russia.uscis. Form I-600 Instructions (Rev. Peru.O. If unmarried. A separate Form I-600. If you do not completely fill out the form.gov. unless the case is retained at the Stateside office. NOTE: If your Form I-600 requires payment of a biometric service fee for USCIS to take your fingerprints. Italy. you will not establish a basis for eligibility and we may deny your Form I-600. Pakistan. If you change your address and you have an application or petition pending with USCIS. Alien's Change of Address Card. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. it will be checked for completness. or 3. If a prospective petitioner goes abroad to adopt or locate a child in one of the countries noted below. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. you can verify if the fees are correct by following one of the steps below: 1. to: U. a new fee is not required. India. If a prospective petitioner goes abroad to any country not listed above to adopt or locate a child he or she should file Form I-600 at the American embassy or consulate having jurisdiction over the place where the child is residing or will be located. Kenya. After a child or children are located and/or identified. Any Form I-600 that is not signed or accompanied by the correct fee. or file it without required initial evidence. Korea.How to Check If the Fees Are Correct.

Send comments regarding this burden estimate or any other aspect of this collection of information. We may also request that you submit the originals of any copy. to determine if you have established eligibility for the immigration benefit for which you are filing. The decision on a Form I-600 involves a determination of whether you have established eligiblity for the requested benefit. to: U. An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.S. 3rd Floor. including the time for reviewing instructions. including suggestions for reducing this burden. We may request more information or evidence. OMB No. Form I-600 Instructions (Rev. you will face severe penalties provided by law and may be subject to criminal prosecution. Failure to provide this information. we will deny the Form I-600 and may deny any other immigration benefit. You will be notified of the decision in writing. DC 20529. The public reporting burden for this collection of information is estimated at 30 minutes per response. We will return these originals when they are no longer required.. Citizenship and Immigration Services. completing and submitting the form. Regulatory Management Division. Privacy Act Notice. Suite 3008. N. We ask for the information on this form. 07/30/07) Y Page 6 . 1615-0028. Do not mail your application to this address. Paperwork Reduction Act. Penalties. If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-600. and any requested evidence. We may provide this information to other government agencies. or we may request that you appear at a USCIS office for an interview. Washington. Our legal right to ask for this information can be found in the Immigration and Nationality Act. 111 Massachusetts Avenue. In addition. may delay a final decision or result in denial of your Form I-600.W.Requests for more information or interview. and associated evidence. Decision. as amended.

citizenship? No Yes (If Yes. 1. In Ret'd Trans. and Street) 5. Expires 08/31/08 Department of Homeland Security U. have you obtained a certificate in your own name based on that acquisition? No Yes Have you or any person through whom you claimed citizenship ever lost U. Preadoption requirements have been met.S. 1615-0028. I reside in the U. Completed If not. No.) (Country) 4. give name under which naturalized. No. My marital status is: Married Widowed Divorced Single I have never been married.) (No. No. give the following information: Date and place of present marriage (mm/dd/yyyy) Name of present spouse (include maiden name of wife) (Apt. If you are now married. I have been previously married Received Trans. If acquired through parentage. Out time(s). for adoption. File number Remarks: DATE OF ACTION DD DISTRICT Type or print legibly in black ink. Petition to Classify Orphan as an Immediate Relative (For USCIS Use Only. and date and place of naturalization: 6. I am a citizen of the United States through: Birth Parents Naturalization If acquired through naturalization. Other names used (including maiden name if appropriate): 3.) Date of birth of spouse (mm/dd/yyyy) Place of birth of spouse Number of prior marriages of spouse My spouse resides With me (City) Apart from me (provide address below) (State) (Country) 2.S. My telephone number is: (Include Area Code) 7. Petition is being made to classify the named orphan as an immediate relative Block I . Address Abroad (if any): (Number and Street) (Town or city) (Province) (Apt. number of naturalization certificate. 07/30/07)Y . My name is: (Last) (First) (Middle) 8. See Instruction 2.a(2). Complete a separate petition for each child. TO THE SECRETARY OF STATE: The petition was filed by: Married petitioner Unmarried petitioner The petition is approved for orphan: Adopted abroad Coming to U.S. submit evidence of citizenship.) Form I-600 (Rev. attach detailed explanation.) Fee Stamp Do not write in this block.OMB No. Citizenship and Immigration Services I-600. at: (Number and Street) (C/O if appropriate) (Town or City) (State) (Zip Code) (Apt. I was born on: (mm/dd/yyyy) In: (Town or City) (State or Province) (Country) 9.S.Information about petitioner.

Block II - Information about orphan beneficiary.
10. Name at Birth (First) (Middle) (Middle) (Last) (Last) 20. To petitioner's knowledge, does the orphan have any physical or mental affliction? Yes No If "Yes," name the affliction. 21. Who has legal custody of the child? 22. Name of child welfare agency, if any, assisting in this case: 23. Name of attorney abroad, if any, representing petitioner in this case. Address of above. 24. Address in the United States where orphan will reside. 25. Present address of orphan. 25. If orphan is residing in an institution, give full name of institution. 26. If orphan is not residing in an institution, give full name of person with with whom residing. 27. Give any additional information necessary to locate orphan, such as name of district, section, zone or locality in which orphan resides.

11. Name at Present (First)

12. Any other names by which orphan is or was known. 13. Gender Male Female 14. Date of birth (mm/dd/yyyy) (State or Province) (Country)

15. Place of Birth (City)

16. The beneficiary is an orphan because (check one): He or she has no parents. He or she has only one parent who is the sole or surviving parent. 17. If the orphan has only one parent, answer the following: a. State what has become of the other parent: b. Is the remaining parent capable of providing for the orphan's support? Yes No c. Has the remaining parent in writing irrevocably released the orphan for emigration and adoption? Yes No 18. Has the orphan been adopted abroad by the petitioner and spouse jointly or the unmarried petitioner? Yes No If yes, did the petitioner and spouse or unmarried petitioner personally see and observe the child prior to or during the adoption proceedings? Yes No Date of adoption (mm/dd/yyyy) Place of adoption 19. If either answer in Question 18 is "No," answer the following: a. Do petitioner and spouse jointly or does the unmarried petitioner intend to adopt the orphan in the United States? Yes No b. c. Have the preadoption requirements, if any, of the orphan's proposed State of residence been met? Yes No If b is answered "No," will they be met later? Yes No

28. Location of American embassy or consulate where application for visa will be made. (City in Foreign Country) (Foreign Country)

Certification of petitioner.
I certify, under penalty of perjury under the laws of the United States of America, that the foregoing is true and correct and that I will care for an orphan or orphans properly if admitted to the United States. (Signature of Petitioner) Executed on (Date)

Certification of married prospective petitioner's spouse.
I certify, under penalty of perjury under the laws of the United States of America, that the foregoing is true and correct and that my spouse and I will care for an orphan or orphans properly if admitted to the United States. (Signature of Petitioner) Executed on (Date)

Signature of person preparing form, if other than petitioner.
I declare that this document was prepared by me at the request of the petitioner and is based entirely on information of which I have knowledge. (Signature) Street Address and Room or Suite No./City/State/Zip Code Executed on (Date)

Form I-600 (Rev. 07/30/07)Y Page 2

OMB No. 1615-0028; Expires 08/31/08 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for I-600A, Application for Advance Processing of Orphan Petition
Instructions

Please read these instructions carefully to properly complete this form. If you need more space to complete an answer, use a separate sheet(s) of paper. Write your name and Alien Registration Number (A #), if any, at the top of each sheet of paper and indicate the part and number of the item to which the answer refers. An orphan is also a child who has only one parent who is not capable of taking care of the orphan and who has, in writing, irrevocably released the orphan for emigration and adoption. A petition to classify an alien as an orphan (Form I-600) may not be filed on behalf of a child who is present in the United States, unless that child is in parole status and has not been adopted in the United States. The petition must be filed before the child's 16th birthday. B. Adoption abroad. If the orphan was adopted abroad, it must be established that both the married applicant and spouse or the unmarried applicant personally saw and observed the child prior to or during the adoption proceedings. The adoption decree must show that a married prospective adoptive parent and spouse adopted the child jointly or that an unmarried prospective parent was at least 25 years of age at the time of the adoption and filing of Form I-600. C. Proxy adoption abroad. If both the applicant and spouse or the unmarried applicant did not personally see and observe the child prior to or during the adoption proceedings abroad the applicant (and spouse, if married) must submit a statement indicating the applicant's (and, if married the spouse's) willingness and intent to readopt the child in the United States. If requested, the applicant must submit a statement by an official of the state in which the child will reside that readoption is permissible in that State. In addition, evidence must be submitted to show compliance with the preadoption requirements, if any, of that State. D. Preadoption requirements. If the orphan has not been adopted abroad, the applicant and spouse or the unmarried applicant must establish that the child will be adopted in the United States by the prospective applicant and spouse jointly or by the unmarried prospective applicant, and that the preadoption requirements, if any, of the State of the orphan's proposed residence have been met.
Form I-600A Instructions (Rev. 07/30/07)Y

What Is the Purpose of This Form?
This form is used by a U.S. citizen who plans to adopt a foreign-born orphan but does not have a specific child in mind. "Advance Processing" enables USCIS to first adjudicate the application that relates to the qualifications of the applicant(s) as a prospective adoptive parent(s). Additionally, this form may be used in cases where the child is known and the prospective adoptive parent(s) are traveling to the country where the child is located. However, it is important that prospective adoptive parent(s) be aware that the child must remain in the foreign country where he or she is located until the processing is completed. NOTE: This Form I-600A application is not a petition to classify an orphan as an immediate relative. Form I-600, Petition to Classify Orphan as an Immediate Relative, is used for that purpose.

What Are the Eligibility Requirements?
1. Eligibility for advance processing application (Form I-600A). An application for advance processing may be filed by a married U.S. citizen and spouse. The spouse of the applicant does not need to be a U.S. citizen; however, he or she must be in a lawful immigration status. An application for advance processing may also be filed by an unmarried U.S citizen who is at least 24 years of age provided that he or she will be at least 25 at the time of adoption and the filing of an orphan petition on behalf of a child. 2. Eligibility for orphan petition (Form I-600). In addition to the requirements concerning the citizenship and age of the applicant described in the above paragraph noted by Number 1 when a child is located and identified the following eligibility requirements will apply: A. Child. Under U.S. immigration law, an orphan is an alien child who has no parents because of the death or disappearance of, abandonment or desertion by, or separation or loss from both parents.

General Instructions.
Step 1. Fill Out the Form I-600A
1. Type or print legibly in black ink. 2. If extra space is needed to complete any item, attach a continuation sheet, indicate the item number, and date and sign each sheet. 3. Answer all questions fully and accurately. State that an item is not applicable with "N/A." If the answer is none, write "none."

5. An unexpired U.S. passport, initially issued for ten years, may also be submitted as proof of U.S citizenship. B. If the prospective adoptive parent was born outside the United States, submit a copy of one of the following: 1. Certificate of Naturalization or Certificate of Citizenship issued the by U.S. Citizenship and Immigration Services (USCIS) or the former Immigration and Naturalization Service (INS); 2. Form FS-240, Report of Birth Abroad of a Citizen of the United States, issued by an American embassy; 3. An unexpired U.S. passport initially issued for ten years; or 4. An original statement from a U.S. consular officer verifying the applicant's U.S. citizenship with a valid passport. NOTE: Proof of the lawful immigration status of the applicant's spouse, if applicable, must be submitted. If the spouse is not a U.S. citizen, proof of her or his lawful immigration status, such as Form I-551, Permanent Resident Card; Form I-94, ArrivalDeparture Record; or a copy of the biographic pages of the spouse's passport and the nonimmigrant visa pages showing an admission stamp may be submitted. 2. Proof of marriage of applicant and spouse. The married applicant must submit a copy of the certificate of marriage and proof of termination of all prior marriages of himself or herself and spouse. In the case of an unmarried applicant who was previously married, submit proof of termination of all prior marriages. NOTE: If any change occurs in the applicant'(s) marital status while the application is pending, immediately notify the USCIS office where the application was filed. 3. Home Study. You must submit a home study prepared according to the requirements specified in 8 CFR 204.3(e) by a person who is authorized under 8 CFR 204.3(b) to prepare the home study. If you do not submit the home study with your Form I-600A, it must be submitted not more than one year after you file the Form I-600A. The home study must have been completed, or updated, not more than 6 months before the date it is submitted to USCIS.

Step 2. General requirements
Initial Evidence 1. Proof of U. S. citizenship of the prospective adoptive parent(s). A. If a U.S. citizen by birth in the United States, submit a copy of the birth certificate issued by the civil registrar, vital statistics office or other civil authority. If a birth certificate is not available, submit a statement from the appropriate civil authority certifying that a birth certificate is not available. In such a situation secondary evidence must be submitted, including: 1. Church records bearing the seal of the church showing the baptism, dedication or comparable rite occurred within two months after birth and showing the date and place of the prospective adoptive parent's birth, date of the religious ceremony and the names of the parents; 2. School Records issued by the authority (preferably the first school attended) showing the date of admission to the school, prospective adoptive parent's date of birth or age at the time, the place of birth and the names of the parents; 3. Census records (state or federal) showing the name place of birth, date of birth or age of the prospective adoptive parent listed; 4. Affidavits sworn to or affirmed by two persons who were living at the time and who have personal knowledge of the date and place of birth in the United States of the prospective adoptive parent. Each affidavit should contain the following information regarding the person making the affidavit: his or her full name, address, date and place of birth and relationship to the prospective adoptive parent, if any and full information concerning the event and complete details of how the affiant acquired knowledge of the birth; or

Form I-600A Instructions (Rev. 07/30/07)Y Page 2

In order to prepare a home study, the person must be licensed or otherwise authorized under the law of the State of the child's proposed residence to prepare home studies for adoptions. The home study preparer may be a public agency with authority under State law for adoption matters, or a public or private adoption agency licensed in the State of the child's proposed residence. The home study preparer may also be in individual, if the person is, as an individual, licensed or otherwise authorized to prepare home studies for adoption under the law of the State of the child's proposed residence. If you live abroad and will adopt the child abroad, the home study may be prepared by an agency or individual who is licensed or authorized to prepare home studies under the law of the country in which you reside, or under the law of any State in the United States. In addition to having a home study preparer that meets this requirement, the home study must, before it is submitted to USCIS, be reviewed and favorably recommended by a public adoption agency in any State in the United States or by a private agency licensed or otherwise authorized in any State to place children for adoption. NOTE: USCIS does not enforce foreign licensing laws. So if your home study is prepared abroad by a home study preparer licensed in the United States, and is reviewed and favorably recommended by a public or private adoption agency licensed in theUnited States, you may submit it to USCIS and USCIS will accept it. The country in which you reside, however, may have its own laws concerning who may conduct adoption home studies in that country. You may want to verify whether a person licensed to conduct home studies in a State in the United States is permitted, under the law of the country in which you reside, to conduct home studies in that country. The home study must provide an assessment of the capabilities of the prospective adoptive parent(s) to provide proper parental care to an adopted orphan in light of the requirements stated in 8 CFR 204.3(e). The home study must include a discussion of the following elements: 1. Personal interview(s) and home visit(s). 2. Assessment of the capabilities of the prospective adoptive parents to properly parent the orphan, including: A. Assessment of the physical, mental, and emotional capabilities of the prospective adoptive parents to properly parent the orphan. B. Assessment of the finances of the prospective doptive parents C. History of abuse and/or violence. D. Previous rejection for adoption or prior unfavorable home study.

E. Criminal history. 3. Living accommodations. 4. Handicapped or special needs orphan. 5. Summary of the counseling given and plans for postplacement counseling. 6. Specific approval of the prospective adoptive parents for adoption. 7. Home study preparer's certification and statement of authority to conduct home studies. 8. Review of home study by the appropriate State agency, if required, and by a private or public adoption agency licensed in theUnited States, if you live abroad and will adopt abroad.
NOTE: You must include all information concerning any criminal history, even if an arrest, indictment, other criminal charge, or conviction has been expunged, sealed, pardoned, or ameliorated in any other way. Having committed any crime of moral turpitude or a drug-related offense does not necessarily mean that the prospective adoptive parent(s) will be found not qualified to adopt an orphan. However, failure to disclose such information may result in denial of this application and/or any subsequent petition for an orphan.

Translations. Any document containing foreign language submitted to the Service shall be accompanied by a full English language translation which the translator has certified as complete and accurate, and by the translator's certification that he or she is competent to translate from the foreign language into English. Copies. Unless specifically required that an original document be filed with an application or petition, an ordinary legible photocopy may be submitted. Original documents submitted when not required will remain a part of the record, even if the submission was not required.

Where To File?
A prospective adoptive parent residing in the United States should send the completed application to the USCIS office having jurisdiction over his or her place of residence. A prospective adoptive parent residing outside the United States should consult the nearest American consulate for the overseas or stateside USCIS office designated to act on the application.

What Is the Filing Fee?
The filing fee for a Form I-600A is $670.00. In addition to the fee for the application, there is a $80.00 biometric services fee for fingerprinting every adult person living in the household in the United States where the child will reside.

Form I-600A Instructions (Rev. 07/30/07)Y Page 3

For example, if an application is filed by a married couple residing in the United States with one additional adult member in their household, the total fees that must be submitted would be $910.00 ($670.00 for the petition and $240.00 for the biometric services fees for fingerprinting the three adults). USCIS will allow for a one time re-fingerprinting at nocharge to the prospective adoptive parents and household members, who are at least 18 years of age upon expiration of the fingerprint validity period of 15 months. Also, if the prospective adoptive parents have not yet filed a Form I-600, and make a written to extend the approval period of a Form I-600A, it is not necessary for them to pay the biometrics fee again to be fingerprinted in connection with the extension request. Biometric services. As part of the USCIS biometric services requirement, the following persons must be fingerprinted in connection with this application: 1. The married prospective adoptive parent and spouse, if applicable, and 2. Each additional adult member 18 years of age or older, of the prospective adoptive parent(s)' household. NOTE: Submit a copy of the birth certificate of each qualifying household member over 18. If necessary, USCIS may also take each person's photograph and signature as part of the biometric services. Petitioners residing in the United States. After filing this petition, USCIS will notify each person in writing of the time and location where they must go to be fingerprinted. Failure to appear to be fingerprinted or for other biometric services may result in denial of this application. Petitioners residing abroad. Completed fingerprint cards (Forms FD-258) must be submitted with this application. Do not bend, fold or crease the completed fingerprint cards. The fingerprint cards must be prepared by a U.S. embassy or consulate, USCIS office or U.S. military installation. NOTE: If the prospective adoptive parent(s) and any other adult members of the household are residing abroad at the time of filing, they are exempt from paying the biometric services fee for fingerprinting. However, they may have to pay fingerprinting fees charged by the U.S. Department of State or military installation. You may submit one check or money order for both the application and biometric fees. Use the following guidelines when you prepare your check or money order for the Form I-600A and the biometric service fee:

1. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U.S. currency; and 2. Make the check or money order payable to U.S. Department of Homeland Security, unless: A. If you live in Guam and are filing your petition there, make it payable to Treasurer, Guam. B. If you live in the U.S. Virgin Islands and are filing your petition there, make it payable to Commissioner of Finance of the Virgin Islands. NOTE: Please spell out U.S. Department of Homeland Security; do not use the initials "USDHS" or "DHS." Notice to Those Making Payment by Check. If you send us a check, it will be converted into an electronic funds transfer (EFT). This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. The debit from your account will usually take 24 hours, and will be shown on your regular account statement. You will not receive your original check back. We will destroy your original check, but we will keep a copy of it. If the EFT cannot be processed for technical reasons, you authorize us to process the copy in place of your original check. If the EFT cannot be completed because of insufficient funds, we may try to make the transfer up to two times. How to Check If the Fees Are Correct. The form and biometric fees on this form are current as the the edition date appearing in the lower right corner of this page. However, because USCIS fees change periodically, you can verify if the fees are correct by following one of the steps below: 1. Visit our website at www.uscis.gov, select "Immigration Forms" check the appropriate fee; 2. Review the Fee Schedule included in your form package, if you called us to request the form or 3. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. NOTE: If your Form I-600A requires payment of a biometric service fee for USCIS to take your fingerprints, photograph or signature, you can use the same procedure to obtain the correct biometric fee.

Form I-600A Instructions (Rev. 07/30/07)Y Page 4

Address Changes.
If you change your address and you have an application or petition pending with USCIS, you may change your address on-line at www.uscis.gov, click on "Change your address with USCIS" and follow the prompts or by completing and mailing Form AR-11, Alien's Change of Address Card, to: U.S. Citizenship and Immigration Services Change of Address P.O. Box 7134 London, KY 40742-7134 For commercial overnight or fast freight services only, mail to: U.S. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London, KY 40744

Generally, Form I-600 should be submitted at the USCIS office where the advance processing application, Form I-600A, was filed. Prospective adoptive parent(s) going abroad to adopt or locate a child may file Form I-600 with either the USCIS office or American consulate or embassy having jurisdiction over the place where the child is residing or will be located, unless the case is being retained at the USCIS office stateside. Certification. The "Certification of Prospective Adoptive Parent" block of Form I-600A must be executed by the prospective adoptive parent. The spouse, if applicable, must execute the "Certification of Married Prospective Adoptive Parent Spouse" block on Page 2 of the form. Failure to do so will result in the rejection of the Form I-600A. Any Form I-600A that is not signed or accompanied by the correct fee, will be rejected with a notice that the Form I-600A is deficient. You may correct the deficiency and resubmit the Form I-600A. An application or petition is not considered properly filed until accepted by USCIS.

Initial processing. Once a Form I-600A has been accepted,

Processing Information.
What Should You Do After Locating and/or Identifying a Child or Children?
Form I-600, Petition to Classify Orphan as an Immediate Relative, is filed when a child has been located and/or identified for the prospective adoptive parent(s). A new fee is not required if Form I-600 is filed within 18 months from the approval date of the Form I-600A application. If approved in the home study for more than one orphan, the prospective adoptive parent(s) may file a petition for each of the additional children to the maximum number approved. If the orphans are siblings, no additional filing fee is required. However, if the orphans are not siblings, an additional filing fee is required for each orphan beyond the first orphan. A fee of $670.00 must be submitted for filing this petition. However, a fee is not required for this petition if you filed an advance processing application (Form I-600A) within the previous 18 months and it was approved or is still pending. NOTE: Approval of an advance processing application does not guarantee that the orphan petition(s) will be approved. Form I-600 must be accompanied by all the evidence required by the instructions of that form, except where provided previously with Form I-600A.

it will be checked for completeness, including submission of the required initial evidence. If you do not completely fill out the form, or file it without required initial evidence, you will not establish a basis for eligibility and we may deny your Form I-600A.

Requests for more information or interview. We may
request more information or evidence, or we may request that you appear at a USCIS office for an interview. We may also request that you submit the originals of any copy. We will return these originals when they are no longer required.

Decision. The decision on a Form I-600A involves a determination of whether you have established eligiblity for the requested benefit. You will be notified of the decision in writing. Extension of the Form I-600A approval period. If
USCIS has approved your Form I-600A, and you have not yet filed a Form I-600 based on that approval, you may make one request, without fee, to have USCIS extend the approval period for your Form I-600A. You must submit a written request to the USCIS office that adjudicated the initial I-600A. The request must be received no earlier than 90 days prior to the expiration of the Form I-600A approval, but before the Form I-600A approval notice expires. For instance, if your Form I-600A approval notice is valid until December 31, you may not file the request before October 3, but must file it no later than December 31.

Form I-600A Instructions (Rev. 07/30/07)Y Page 5

including suggestions for reducing this burden. You should also submit an updated or amended home study that addresses the change in country and whether the home study preparer recommends approval of the change. To access the system.uscis. Our legal right to ask for this information can be found in the Immigration and Nationality Act. may delay a final decision or result in denial of your Form I-600A. completing and submitting the form. The home study must also address any changes to the I-600A answers and must say whether approval is still recommended. and any requested evidence.W. An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.. N. If you have received one free change of country.The written request must explicitly request a one-time. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. with the fee specified in 8 CFR 103.gov. nocharge extension to the current I-600A approval. DC 20529. and that also addresses any other changes since your Form I-600A was approved.7(b). The public reporting burden for this collection of information is estimated at 30 minutes per response. USCIS Forms and Information. Citizenship and Immigration Services. You must submit a written request to the USCIS office that adjudicated the initial I-600A. but now wish to adopt a child from a different country. Send comments regarding this burden estimate or any other aspect of this collection of information. Failure to provide this information. 1615-0028. Washington. 111 Massachusetts Avenue. If you had USCIS send the approval notice for your Form I-600A to the Department of State office in a particular country. To order USCIS forms. Suite 3008. InfoPass. As an altenative to waiting in line for assistance at your local USCIS office. Privacy Act Notice.S. Application for Action on Approved Petitioner or Application. and associated evidence. you may make one request. to determine if you have established eligibility for the immigration benefit for which you are filing. Regulatory Management Division. We ask for the information on this form. Penalties. to obtain any additional change of country Paperwork Reduction Act. OMB No. 3rd Floor. If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-600A. Do not mail your application to this address. Requesting a change of country. then you must submit a properly completed Form I-824. we will deny the Form I-600A and may deny any other immigration benefit. to: U. We may provide this information to other government agencies. The home study amendment/update must address each issue under 204. visit our website.3(e) and indicate whether anything has changed on any item. to have a new approval notice sent to the Department of State office in the new country. including the time for reviewing instructions. 07/30/07)Y Page 6 . You must submit an amended/updated home study and any other supporting documentation of any changes in the household. Form I-600A Instructions (Rev. regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www. without fee. InfoPass generates an electronic appointment notice that appears on the screen. as amended. call our toll-free number at 1-800870-3676. you will face severe penalties provided by law and may be subject to criminal prosecution. You can also get USCIS forms and information on immigration laws. you can now schedule an appointment through our internet-based system. In addition.

) (Country) (Number and Street) (Province) (No. I reside in the U. Received Trans. 6. 07-30-07) Y . Please type or print legibly in black ink. No. have you obtained a certificate in your own name based on that acquisition? Yes No Have you or any person through whom you claimed citizenship ever lost United States citizenship? No Yes (If Yes.: have been met. 8. No. No. if any. There: are are not preadoptive requirements in the State of the child's proposed residence. See Instruction 2. Citizenship and Immigration Services I-600A.) Form I-600A (Rev. submit evidence of citizenship. give name under which naturalized. and date and place of naturalization. I was born on: (mm/dd/yyyy) In: (Town or City) (State or Province) (Include Area Code) (Country) 9. In Ret'd Trans. Out Completed If not. BLOCK I . Address abroad (If any): (Town or City) (C/O if appropriate) (Town or City) (State) (Apt.) (Zip Code) (Apt. of the State of the child's proposed residence: DATE OF FAVORABLE DETERMINATION DD DISTRICT The preadoption requirements. number of naturalization certificate.S. It has been determined that the: Married prospective adoptive parent will furnish proper care to a beneficiary orphan if admitted to the United States. My marital status is: Married Widowed Divorced Single I have never been married. I have been previously married ___________ time(s). at: (Number and Street) 4. My name is: (Last) (First) (Middle) Date and place of present marriage (mm/dd/yyyy) Name of present spouse (include maiden name of wife) Date of birth of spouse (mm/dd/yyyy) Place of birth of spouse Number of prior marriages of spouse My spouse resides (Apt.Information about the prospective adoptive parent. if any. If you are now married.OMB No. 1615-0028. File number of applicant. The following is a description of the preadoption requirements. have not been met. This application is made by the named prospective adoptive parent for advance processing of an orphan petition. My telephone number is: 7.a(2). Expires 08/31/08 Department of Homeland Security U. Other names used (including maiden name if appropriate): 3. Unmarried Fee Stamp Do not write in this block. Application for Advance Processing of Orphan Petition For USCIS Use Only.S. If acquired through parentage. attach detailed explanation.) With me Apart from me (provide address below) (City) (State) (Country) 2. if applicable. I am a citizen of the United States through: Birth Parents Naturalization If acquired through naturalization. give the following information: 1. and Street) 5.

if other than petitioner. if any. plan to travel abroad to locate or adopt a child? Yes No 13. Do you plan to adopt more than one child? No Yes If "Yes. under penalty of perjury under the laws of the United States of America. 07/30/07)Y Page 2 . of the State of proposed residence? No Yes 15. province 14. Will the child come to the United States for adoption after compliance with the preadoption requirements. (Signature) Street Address and Room or Suite No." give the following information: a. Your spouse's date of intended departure c." will the child be adopted abroad after having been personally seen and observed by you and your spouse. Where do you wish to file your orphan petition? The USCIS office located at The American Embassy or Consulate at 17. (Signature of Prospective Adoptive Parent) Executed on (Date) (Signature of Prospective Adoptive Parent Spouse) Executed on (Date) Signature of person preparing form. Name and address of organization or individual assisting you in locating or identifying an orphan (Name) (Address) 11. Does your spouse. Do you plan to travel abroad to locate or adopt a child? Yes No 12. if married? Yes No 16.General information. 10. If the answer to Question 11 or 12 is "Yes. if any.BLOCK II . If the answer to Question 14 is "No. that the foregoing is true and correct and that I will care for an orphan/orphans properly if admitted to the United States. Your date of intended departure b." how many children do you plan to adopt? Certification of prospective adoptive parent. I certify. under penalty of perjury under the laws of the United States of America. I declare that this document was prepared by me at the request of the petitioner and is based entirely on information of which I have knowledge./City/State/Zip Code Executed on (Date) Form I-600A (Rev. that the foregoing is true and correct and that my spouse and I will care for an orphan/orphans properly if admitted to the United States. I certify. City. Certification of married prospective adoptive parent spouse.

that individual must sign and date the application and provide the information requested.S. Pursuant to 8 CFR 103. 4. Immigration fraud or misrepresentation (INA section 212(a)(6)(C)) except that a waiver under INA section 212(i) is not available. F. 2. and a duly appointed legal guardian may sign for an adult who is incompetent to sign the application. Form I-601 Instructions (Rev. The Three-year or Ten-year bar (INA section 212(a)(9)(B)). Smugglers (INA section 212(a)(6)(E)) and Being Subject of Civil Penalty (INA section 212(a)(6)(F)). Preparer's Signature. if any. citizen (INA section 212(a)(6)(C)(ii)). 5. Any applicant for adjustment of status. Fill Out Form I-601 1. 02/28/08)Y . G. the waiver will become effective again." 4. or adjustment of status. 3. C. If you need more space to complete an answer. 5.S. 3. Who May File This Form? 1. 6. General Instructions Step 1. If the answer is not applicable write "N/A. K-4. 1615-0029. immigrant admission.313(g)(1)(ii) for convention adoption cases. Write your name and Alien Registration Number (A #). Citizenship and Immigration Services Instructions for I-601. Code of Federal Regulations (CFR). D. indicate the item number. If an individual. An immigrant visa applicant. Health-related grounds (INA section 212(a)(1)).2(a)(2). Applicants With Communicable Diseases. If the application is filed to waive a communicable disease of public health significance. 1996. if filed by an applicant for TPS. attach a continuation sheet. A Temporary Protected Status (TPS) applicant. and date and sign each sheet. use a separate sheet(s) of paper. a waiver granted in relation to a TPS application is only valid for the TPS application. and the applicant is incompetent to file. I. or V nonimmigrant visa applicant. and if you made your false claim on or after September 30. Applicant's Signature. A Nicaraguan Adjustment and Central American Relief Act (NACARA) applicant. A parent or legal guardian may also sign the application for someone under the age of 14. Answer all questions fully and accurately. Certain criminal grounds (INA section 212(a)(2)). A K-3. other than the applicant. Certain ground of inadmissibility. if you seek a waiver of grounds of inadmissibility in connection with your application for an immigrant visa or adjustment of status and the waiver is granted. A K-1 or K-2 nonimmigrant visa applicant (see Special Instructions).OMB No. 8. no separate notification of termination of the waiver is needed. H. 2. if filed by a NACARA or HRIFA adjustment applicant. must file this form to seek a waiver of certain grounds of inadmissibility. type or print legibly in black ink. 7. E. If you obtained the waiver in connection with an application for lawful permanent residence on a conditional basis pursuant to section 216 of the Act. if you are inadmissible based on a false claim to be a U. and the termination of the waiver cannot be appealed. 1. the waiver is valid indefinitely even if you do not obtain your immigrant visa. When filling out the form." may file the waiver application on the applicant's behalf. However. INA section 212(a)(9)(A)(Aliens Previously Removed) and (9)(C)(Unlawfully Present After Previous Immigration Violations). B." If the answer is none. a qualified family member listed in "Specific Filing Instructions. at the top of each sheet of paper and indicate the section and number of the item to which the answer refers. Also. A Haitian Refugee Immigrant Fairness Act (HRIFA) applicant. the validity of the waiver automatically ceases with the termination of such residence. you or the qualified family member filing the application on your behalf must sign this application personally. Immigrant Membership in Totalitarian Party (INA section 212(a)(3)(D)). Application for Waiver of Grounds of Inadmissibility Instructions Please read these instructions carefully to properly complete this form. Expires 02/28/09 Department of Homeland Security U. If extra space is needed to complete any item. and certain nonimmigrant applicants who are inadmissible. Note: Except as provided in Title 8. or if you otherwise lose your legal permanent resident status. write "none. A Violence Against Women Act (VAWA) self-petitioner who is inadmissible to the United States pursuant to the Immigration Nationality Act (INA) section 212 and who seeks a waiver of the following grounds of inadmissibility: A. INA section 212(a)(9)(C)(Unlawfully Present After Previous Immigration Violations) for a VAWA selfpetitioner. or a qualified family member prepared the application. part 204. What Is the Purpose of This Form? An alien who is ineligible to be admitted to the United States as an immigrant or to adjust status in the United States. if the immigration judge determines that you are not removable based on the termination of your conditional resident status.

Applicants With Communicable Diseases If you have a communicable disease that has been determined to be of public health significance. and B. Despite the conditional approval. B. Gonorrhea. and . citizen who filed the K visa petition and if you (or your parent) do not seek and receive permanent residence on the basis of that marriage. incidents. Form I-601 Instructions (Rev. Applicants Seeking a Waiver of Health-Related Grounds of Inadmissibility 1. The application has to be signed by the applicant and submitted with the required fee. The condition imposed on the approval is that you (or your parent) and the U. and that he or she is competent to translate from the foreign language into English. Secretary of Health and Human Services and as defined at 42 CFR 34. citizen. and B.1.3. Please see "Specific Instructions" for additional reasons why the application may be rejected.3. infectious.Indicate "Prospective Step-child" in item B. or the minor unmarried lawfully adopted child of a U.S. citizen who filed a fiancé(e) petition on your behalf. it is important that you disclose all grounds of inadmissibility for which you seek a waiver. D. or of an alien who has been issued an immigrant visa. upon review of your application.1. the unmarried son or daughter. Communicable diseases of public health significance are defined in 42 CFR 34. USCIS may ultimately deny Form I-601 if you (or your parent) do not marry the U. F. You are the spouse. citizen and will be less than 18 years old when your parent marries such person: . Leprosy. B.S.S. H. Any documentation submitted to the U. and will be at least 18 years but less than 21 years old when your parent marries such person: .2.4 (Relationship to Applicant). B. B. you must enter one of the following in Block B: If you are a fiancé(e) of a U. 7.5 with information regarding the U.S. The application may be approved if: A.Complete items B.S.S. I. Chancroid. you must complete the application and provide the information as requested in the form.S.5 with information regarding the U. B. citizen or the fiancé(e)'s child. the application will be returned as incomplete. infectious stage.S. Any other communicable disease as determined by the U. 02/28/08)Y Page 2 Specific Instructions Note: If this form is approved.5 (Immigration Status). events.2. If you are the child of a fiancé(e) of a U. and .S. Department of Health and Human Services (HHS) regulations. E. citizen who filed a fiancé(e) petition on your parent's behalf.4 (Relationship to Applicant) If you are the child of a fiancé(e) of a U.S.S. citizen: .3 with information regarding your parent who will marry the U. If the application is not properly signed and submitted with the required fee.Complete items B. and . or if you are the fiancé(e) of a U. and . Class A Tuberculosis condition. Special Note to K-1 and K-2 Nonimmigrant Visa Applicants Because you do not yet have the requisite relationship to a citizen or lawful permanent resident of the United States to qualify for a waiver. G. parent. C. the waiver that is granted will apply ONLY for those grounds of inadmissibility and those crimes. Human Immunodeficiency Virus (HIV) Infection. or conditions that you have included in your application. USCIS will conditionally approve the waiver application.Complete items B. Syphilis. citizen or of an alien lawfully admitted for permanent residence. The translator must furthermore certify that the translation is complete and accurate. Citizenship and Immigration Services (USCIS) that is in a foreign language or which contains foreign language must be accompanied by a full and complete English translation. and B. .6. If.4 (Relationship to Applicant).1.Indicate "Child" in item B. citizen who filed the K visa petition. Granuloma inguinale. B.S.2. The translator must certify that he or she is fluent in English and the language contained in the document.2(b) and include but are not limited to: A.Indicate "Prospective Spouse" in item B.2(b). You are a VAWA self-petitioner.S. Lymphogranuloma venerum. or B.S. citizen who filed the K visa petition celebrate a bona fide marriage within the statutory time frame of three (3) months from the day of your (or your parent's) admission. citizen who filed a fiancé(e) petition on your parent's behalf.Indicate "Prospective LPR" in item B. USCIS determines that you will be eligible for a immigrant waiver from inadmissibility once you have (or your parent has) celebrated a bona fide marriage to the U. as per U. For this reason.

based on a reasonable degree of medical certainty. 02/28/08)Y Page 3 . safety. The objection is based on religious belief or moral conviction. In addition. and a waiver may be granted pursuant to INA section 212(g)(3). and the behavior associated with the disorder that poses. and D. You should also submit this form if you have a history of such a physical or mental disorder and a history of behavior associated with the disorder that has posed a threat to your property. or welfare of others. The report should also provide details of any hospitalization. B. Findings regarding your current physical condition. or welfare of you or others.S. you should file this form. Applicants Seeking to Waive the Vaccination Requirement If you seek an exemption from the vaccination requirement because the vaccination would be against your religious beliefs or moral convictions. you may seek a waiver of inadmissibility for the following: A. for which the aggregate sentences to confinement were five (5) years or more. the application will be returned to you without further action. or welfare of you or other individuals. Applicants With Class A Tuberculosis Condition as Per HHS Regulations If you have been diagnosed with a Class A Tuberculosis condition as per HHS regulations. If page three (3) of the application is not completed. B. you must submit a complete medical history and a report that addresses the following: A. and C. The medical report will be referred to the U. institutional care. the possibility that the harmful behavior is likely to recur or that other harmful behavior associated with the disorder is likely to occur. You are opposed to vaccinations in any form. you must establish that no government agency will incur any cost for your treatment without that agency's prior consent. C. or HIV. A crime involving moral turpitude (other than a purely political offense). Form I-601 Instructions (Rev. if found acceptable. if you are 15 years of age or older. Findings regarding the current mental or physical condition. posed. 3. has posed. Applicants With Physical or Mental Disorder and Associated Harmful Behavior (INA section 212(a)(1)(A) (iii)) If you have a physical or mental disorder and behavior associated with the disorder that may pose. and C. and other pertinent diagnostic tests. 5. or may pose in the future a threat to the property. you should file this form. or welfare or the property. A controlled substance violation according to the laws and regulations of any country insofar as it relates to a single offense of simple possession of 30 grams or less of marijuana. The information provided in page four (4) must establish that the danger to the public health of the United States and the possibility of the spread of infection created by your admission to the United States is minimal. 2. Public Health Service may deem necessary in your particular case. Applicants With HIV Infection If you have an HIV infection. or any other treatment you may have received in relation to this physical or mental disorder. page four (4) of this form must be completed. A recommendation concerning treatment that is reasonably available in the United States and that can reasonably be expected to significantly reduce the likelihood that the physical or mental disorder will result in harmful behavior in the future. The belief or conviction is sincere. or will pose a threat to the property. reports of chest X-rays and a serologic test. and if the behavior is likely to recur or to lead to other harmful behavior. If page four (4) of the application is not completed. Public Health Service for review and. Applicants Seeking a Waiver of Certain Criminal Grounds of Inadmissibility and Immigration Fraud or Misrepresentation Pursuant to INA Sections 212(h) and (i) 1. Two (2) or more convictions other than purely political ones. safety. safety. the application will be returned to you without further action. you will be required to submit such additional assurances as the U. if applicable. page three (3) of this form must be completed. safety. including a detailed prognosis that should specify. 4. You should establish with evidence that: A. Your physical or mental disorder. In addition to this form. Criminal Grounds If you are found to be inadmissible based on criminal grounds. B.For specific information pertaining to applicants with a Class A Tuberculosis condition as per HHS regulations. please see number two (2) or three (3) below. including.S.

assisted. or daughter (and no other individual) to enter the United States in violation of the law. citizen or lawful permanent resident parent or child may experience extreme hardship if you were denied admission. if you are not a threat to the security of the United States.S. if you have encouraged. to assure family unity. citizen or legal permanent resident relative (spouse. brother. parent). son. please see "What Evidence Should Be Submitted With the Application?" (Page six (6)). or when it is otherwise in the public interest. you may apply for a waiver pursuant to INA section 212(d)(11) that may be granted for humanitarian purposes. See 8 CFR 212. you will have to establish that: A. to assure family unity. The waiver may be granted for humanitarian purposes. 02/28/08)Y Page 4 .S. OR C. including having procured others for prostitution or having received the proceeds of prostitution. Applicants Seeking a Waiver for Smuggling under INA section 212(a)(6)(E) and Being Subject of Civil Penalty (INA section 212(a)(6)(F)) If you are inadmissible for having engaged in alien smuggling (INA section 212(a)(6)(E)(i). or if the denial of your admission would result in exceptional and extremely unusual hardship. or if you are the fiancé(e) of a U. citizen or legal permanent resident relative (spouse.S. Prostitution. son. OR B. For information about how you can establish extreme hardship. You are inadmissible only because of your participation in prostitution. and Form I-601 Instructions (Rev. Certain aliens involved in serious criminal activity. if no previous civil money penalty was imposed against you under INA section 247C. 1. Immigration Fraud or Misrepresentation If you are inadmissible because you have sought to procure an immigration benefit by fraud or misrepresenting a material fact (INA section 212(a)(6)(C)(i)). daughter. and that you. This waiver may be approved if you can establish that: A. such as one involving national security or foreign policy consideration. and. induced. safety. or aided only an individual who at the time of such action was your spouse. parent. please see "What Evidence Should Be Submitted With the Application?" (Page six (6)). who have asserted immunity from prosecution. Your qualifying U. 2. if you are the parent.S. spouse. the waiver may not be approved unless there is an extraordinary circumstance. son. your U. OR B. and F. or sister of a citizen of the United States or a spouse. second or third preference.7(d). You are a VAWA self-petitioner. Unlawful commercialized vice whether or not related to prostitution. Your qualifying U. OR D. or daughter of an alien lawfully admitted for permanent residence. parent). son. Even if that standard is met. or support your spouse or child (and not another individual). but not the fourth preference) or as the fiancé(e) (or his or her child(ren) of a U. you may apply for a waiver pursuant to INA section 212(a)(3)(D)(iv). citizen.D. Note: If you are convicted of a violent or dangerous crime. or K visa petitioner would experience extreme hardship if you were denied admission. or security of the United States. At least 15 years have passed since the activity or event that makes you inadmissible. If you are inadmissible because you have been the subject of a final order for violation of INA section 247C. or security of the United States. daughter. your waiver may still be denied. or when it is otherwise in the public interest. and the offense was committed solely to assist. but that you have been rehabilitated and your admission to the United States will not be contrary to the national welfare. you may seek a waiver by filing this form. If you are an alien lawfully admitted for permanent residence who temporarily proceeded abroad voluntarily and not under an order of removal and who is otherwise admissible to the United States as a returning resident under INA section 211(b). that you have been rehabilitated. Applicants Seeking a Waiver for Immigrant Membership in a Totalitarian Party (INA section 212(a)(3)(D)(i)) If you are inadmissible for having been a member of or affiliated with the Communist or any other totalitarian party (or subdivision or affiliate thereof) whether domestic or foreign. or the K visa petitioner would experience extreme hardship if you were denied admission. For information about how you can establish extreme hardship. aid. or 2.S. safety. If you are seeking admission or adjustment of status as an immediate relative as an immigrant under INA section 203(a)(Preference allocation for familysponsored immigrants based on the first. E. you may apply for a waiver pursuant to INA section 212(d)(12) that may be granted for humanitarian purposes or to assure family unity. and that your admission to the United States or the issuance of the immigrant visa will not be contrary to the national welfare. With the application. citizen. You are an approved VAWA self-petitioner. abetted.

citizen or legal permanent resident relative (spouse. and the degree of that hardship.S. Your family ties to U. You seek this waiver by filing Form I-601. rather than Form I-212 that is used to obtain "Consent to Reapply" under INA section 212(a)(9)(A)(iii) or (C)(ii). E. The waiver may be granted if: A. If you are seeking admission or adjustment of status under INA section 201(b)(2)(A) as an immediate relative. F. or (E).S. I. you may need to apply for an additional waiver at that time. citizen or an alien who is living lawfully in the United States. For information about how you can establish hardship. H. Your employment history in the United States and the continued need for your services. your waiver may be granted for humanitarian purposes to assure family unity or when it is otherwise in the public interest. (B) or (C) (except for a single offense of simple possession of 30 grams or less of marijuana). you may seek a waiver by filing this form. and any documentary evidence that may be available to support your factual claims. Your qualifying U. citizens or to aliens living lawfully in the United States. who is inadmissible under INA section 212(a)(9)(A) or INA section 212(a)(9)(C) of the Act. but are not limited to: A. this factor can play a significant role in establishing why USCIS should grant your application. B. (C). or 2. Note: A waiver that is granted in relation to an application for TPS is valid only for purposes of your application for TPS. please see "What Evidence Should Be Submitted With the Application?" (Page six (6)). In addition to this form. OR B. If you seek an immigrant visa or adjustment of status. is not specifically required by statute. The length of time you have lived in the United States. USCIS will consider the same factors that would be considered if you were seeking "Consent to Reapply. citizen. as an immigrant under INA section 203(a) (Preference allocation for family-sponsored immigrants) or as the fiancé(e) (or his or her child(ren) of a U. you may apply for a waiver of these grounds of inadmissibility while present in the United States. Although hardship to a relative who is a U. TPS Applicants Seeking a Waiver of Grounds of Inadmissibility Pursuant to INA Section 244 If you are a TPS applicant applying for a waiver of any grounds of inadmissibility listed in INA section 212. Form I-601 Instructions (Rev. Applicants Seeking a Waiver of Inadmissibility Based on the Three-Year or Ten-Year Bar Pursuant to INA Section 212(a)(9)(B)(v) If you are inadmissible because you have been unlawfully present in the United States in excess of either 180 days (three (3)-year bar) or one (1) year (10-year bar). For TPS applicants and VAWA self-petitioners. Whether you are a person of good moral character. If you are an alien lawfully admitted for permanent residence who temporarily proceeded abroad voluntarily and not under an order of deportation or removal and who is otherwise admissible to the United States as a returning resident under INA section 211(b). G. When adjudicating your waiver application. For information about how you can establish extreme hardship. you should submit a brief statement indicating why USCIS should grant your waiver application. see special instructions below.S. please see "What Evidence Should Be Submitted With the Application?" (Page six (6)). whether lawfully or unlawfully. D. Your immigration history in the United States.S. Whether granting your waiver application is likely to result in your ability to immigrate lawfully. or the K visa petitioner would experience extreme hardship if you were denied admission. Whether you have any criminal records. Whether the denial of your application will impose hardship on you or on these relatives. Any other factor that you believe USCIS should consider in deciding your case. No waiver of inadmissibility is available to TPS applicants for the following grounds of inadmissibility: A. INA Section 212(a)(3)(A). (B). C. NACARA and HRIFA Applicants Seeking a Waiver From Inadmissibility Based on Prior Removal (INA Section 212(a)(9)(A)) or Unlawful Presence After Previous Immigration Violations (INA Section 212(a)(9)(C)) If you are a NACARA or HRIFA applicant for adjustment of status pursuant to section 202 of NACARA or section 902 of HRIFA." Factors that may be considered include. INA Section 212(a)(2)(A). 02/28/08)Y Page 5 . parent).1.

B. While the relationships appear to be similar. complete Form I-601 and attach evidence that shows the connection between the battery or extreme cruelty that is the basis for your VAWA claim. If you are applying for a waiver because you are the spouse. citizen. If you are inadmissible under INA section 212(a)(9)(C)(i): INA section 212(a)(9)(C)(i) makes inadmissible an alien who is unlawfully present for more than one (1) year. In order to claim any of these exceptions. you do not need to file this form. parent. and entered on or before April 1. in the aggregate. the approved VAWA self-petitioner. the unlawful presence and departure. citizen fiancé(e). and subsequently enters or attempts to reenter without being admitted. If applicable.S. 02/28/08)Y Page 6 . and if you are inadmissible under INA section 212(a)(6)(A)(i) (Presence in the United States without admission or parole.S. you have to attach evidence that demonstrates your denial of admission would result in extreme hardship to the U. Medical reports. if you are inadmissible under INA sections 212(a)(6)(A)(i) or 212(a) (9)(B)(i). the unlawful presence and your departure. or daughter of a U. and your unlawful entry or attempted reentry into the United States. or the removal. If you seek such a waiver. because INA section 212(a)(6)(A)(i) inadmissibility ends when you depart the United States. section 212(a)(9)(B)(i). Note: You do not need to file Form I-601 if you are an approved VAWA self-petitioner and his or her child(ren) seeking adjustment of status. Complete court records regarding any conviction or charge from any country. Such evidence can include but is not limited to: Form I-601 Instructions (Rev. you should submit evidence of the "substantial connection" with your Form I-485. evidence of rehabilitation. G. citizen or an alien lawfully admitted for permanent residence. you should provide evidence that establishes why you may qualify for a waiver of inadmissibility. can establish a "substantial connection" between the battery or extreme cruelty that is the basis for your VAWA claim and the violation of your prior nonimmigrant admission. can establish a "substantial connection" between the battery or extreme cruelty that is the basis for your VAWA claim and your unlawful arrival in the United States. B. and his or her child(ren). A.Approved I-360 VAWA Self-Petitioner and His or Her Child(ren) Seeking a Waiver of Inadmissibility Pursuant to Section 212(a)(9)(C)(iii) The INA provides special forms of relief for an approved VAWA self-petitioner and his or her child(ren) who are applying for adjustment of status or an immigrant visa but who are inadmissible under certain provisions of INA section 212(a)(6)(A)(i). or who has been ordered removed. Also. 1997. or your removal from the United States. son. the various waiver provisions contain different qualifying family relationships. citizen or legal permanent resident spouse." Also. If you are inadmissible under INA section 212(a)(6)(A)(i). Police reports from any country you lived in. Depending on the type of waiver. or the fiancé(e) of a U. E. or your U. son. C. this information and evidence may include but is not limited to: A. You should only file this Form I-601 to seek a waiver of inadmissibility pursuant to INA section 212(a)(9)(C)(i). daughter or parent. you do not need to provide evidence of the "substantial connection. as explained in the "Note" below. F. an approved VAWA self-petitioner and his or her child(ren) can claim exceptions from these grounds of inadmissibility. or your immigrant visa application. You may be exempt from inadmissibility under INA section 212(a)(6)(A)(i) if you. Any evidence you may wish to submit to establish that your admission to the United States would not be against national welfare or national security.S. or arrival in the United States other than at an open port of entry) or INA section 212(a)(9)(B) (Three-year bar or Ten-year bar to admissibility because of prior unlawful presence). Application to Register Permanent Residence or Adjust Status. Under INA section 212(a)(6)(A)(ii) or INA section 212(a)(9)(B)(iii) (IV). You may be exempt from inadmissibility under INA section 212(a)(9)(B)(i) if you. you do not have to submit evidence of a "substantial connection" with an immigrant visa application. Affidavits from you or other individuals in support of your application. the approved VAWA self-petitioner. D. please pay close attention to the requirements that need to be established to have a particular ground of inadmissibility waived. What Evidence Should Be Submitted With the Application? Please pay close attention to the qualifying family relationship that you have to establish if you apply for a hardship waiver.S. and his or her subsequent unlawful entry or attempted reentry into the United States. or section 212(a)(9)(C)(i). if the VAWA self-petitioner can establish a "connection" between the battery or extreme cruelty that is the basis for the VAWA claim." In support of your application. USCIS has discretion to waive this ground of inadmissibility under INA section 212(a)(9)(C)(iii) for an approved VAWA self-petitioner. as listed in the "Specific Instructions.

Evidence establishing the family relationship (birth certificate. you may need to file an additional Form I-601 and pay an additional fee to request any additional waiver(s). 02/28/08)Y Page 7 . 2. If you do not include all applicable events or grounds of inadmissibility in your application. Make the check or money order payable to U. you should file the I-601 with the USCIS office or Service Center where your I-485 is CURRENTLY pending. Country conditions in the country you would have to relocate and the qualifying relative's family ties to that country. You may file just one application. 5. 4. and your unlawful return or attempted unlawful return. Mere assertions will not suffice. All other applications must be accompanied by a fee of $545. You should specify on this Form I-601 every ground of inadmissibility for which you seek a waiver. Guam. Note: Your application should be supported by documentary evidence. the approval of a Form I-601 waives only those events and the resulting grounds of inadmissibility that you have specifically identified in the application. If you are in removal proceedings. H. Medical assertions should be supported by a professional's statement. if you request more than one type of waiver or a waiver for more than one event or condition that makes you inadmissible. etc. you should file this application with the office of the Executive Office for Immigration Review (EOIR) with jurisdiction over your case. or you should have a detailed explanation why such evidence cannot be obtained.S. The financial impact of departure from the United States. What Is the Filing Fee? No fee is required. currency. etc. please visit EOIR's website at www. Use the following guidelines when you prepare your check or money order for the Form I-601 fee: 1. If you are in the United States and your I-485 is currently pending. Where To File? The application and supporting documents should be taken or mailed to the following locations: 1.gov/eoir. 6. citizen family ties to the United States. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U. submit any evidence that you believe establishes a connection between the battery or extreme cruelty that is the basis for the VAWA claim. 3. regardless of the action taken on the application. If you are in the United States and filing Form I-601 together with Form I-485. what type of treatment and suitable medical care is available in that country. and 2. 4. Other conditions that impact the relocation. marriage certificate. Class A Tuberculosis condition. The impact of separation. such as economic and social conditions impacting quality of life. Do not mail cash. Significant health conditions. 3. technical skills. 7. Please see I-485 filing instructions. you should submit Form I-601 to the U.usdoj. unless: A. 8. Form I-601 Instructions (Rev. you should file the I-485/I-601 at the filing location specified on the I-485. All fees must be submitted in the exact amount.S. if you are filing this application to have waived the following grounds of inadmissibility: 1.S.). Presence of legal permanent resident or U. Department of Homeland Security. The qualifying relative's family ties outside the United States. A physical or mental disorder with associated harmful behavior or a history of such a disorder that is likely to recur. If you live in Guam and are filing your petition there. or 2.1. If you are a VAWA self-petitioner and you seek a waiver under INA section 212(a)(9)(C)(iii). For information about EOIR. and pay just one filing fee. or your removal. and if appropriate. The fee cannot be refunded. and according to the instructions that are provided to you in court.S. make it payable to Treasurer. Note: As stated on page 2 of these instructions. Embassy or consulate where you are applying for a visa. as per HHS regulations. Application To Register Permanent Residence or Adjust Status. 2. If you are outside the United States. your unlawful presence and your departure.

To access the system.B. If you do not completely fill out the form." and follow the prompts. If the EFT cannot be completed because of insufficient funds. How to Check If the Fees Are Correct. InfoPass generates an electronic appointment notice that appears on the screen.S. We may also request that you submit the originals of any copy. Department of Homeland Security. If the EFT cannot be processed for technical reasons. We may request more information or evidence. regulations. if you called us to request the form. Visit our website at www. The form fee on this form is current as of the edition date appearing in the lower right corner of this page. it will be converted into an electronic funds transfer (EFT). Once a Form I-601 has been accepted. but we will keep a copy of it.S. make it payable to Commissioner of Finance of the Virgin Islands. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. Virgin Islands and are filing your petition there. If you live in the U. you can verify if the fees are correct by following one of the steps below: 1. click on "Change your address with USCIS.uscis. As an altenative to waiting in line for assistance at your local USCIS office. This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. KY 40742-7134 Form I-601 Instructions (Rev. or file it without required initial evidence.O. 02/28/08)Y Page 8 . Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. select "Immigration Forms" and check the appropriate fee. you will not establish a basis for eligibility. However. C.uscis. and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www. visit our website. KY 40744 Processing Information Any Form I-601 that is not signed or accompanied by the correct fee will be rejected with a notice that the Form I-601 is deficient. we may try to make the transfer up to two times. Guam. For commercial overnight or fast freight services only. do not use the initials "USDHS" or "DHS. mail to: U. or we may request that you appear at a USCIS office for an interview. USCIS Forms and Information To order USCIS forms. call our toll-free number at 1-800-870-3676. Or you may complete and mail Form AR-11.gov.S. or 3. If you live outside the United States. and we may deny your Form I-601.S. you may change your address on-line at www. Note: Please spell out U. If you send us a check.uscis. or the U. Virgin Islands. contact the nearest U. 2. You may correct the deficiency and resubmit the Form I-601. it will be checked for completeness. because USCIS fees change periodically. gov. We will destroy your original check. We will return these originals when they are no longer required. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment.gov. Requests for more information or interview. You will be notified of the decision in writing. Citizenship and Immigration Services Change of Address P. You can also get USCIS forms and information on immigration laws. Alien's Change of Address Card. including submission of the required initial evidence. InfoPass." Notice to Those Making Payment by Check. The debit from your account will usually take 24 hours and will be shown on your regular account statement. Decision. you authorize us to process the copy in place of your original check.S. An application or petition is not considered properly filed until accepted by USCIS. Address Changes If you change your address and you have an application or petition pending with USCIS. Embassy or consulate for instructions on the method of payment. Initial processing.S. Review the Fee Schedule included in your form package. Box 7134 London. you can now schedule an appointment through our Internet-based system. You will not receive your original check back. to: U. The decision on a Form I-601 involves a determination of whether you have established eligibility for the requested benefit.

N. and associated evidence. to: U. you will face severe penalties provided by law and may be subject to criminal prosecution. Regulatory Management Division. as amended. Do not mail your application to this address. In addition. 02/28/08)Y Page 9 . 1615-0029. Washington. completing and submitting the form. including suggestions for reducing this burden. Privacy Act Notice We ask for the information on this form.Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-601. We may provide this information to other government agencies. Form I-601 Instructions (Rev. including the time for reviewing instructions. and any requested evidence. The public reporting burden for this collection of information is estimated at 90 minutes per response. Citizenship and Immigration Services. 111 Massachusetts Avenue. Paperwork Reduction Act An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. may delay a final decision or result in denial of your Form I-601. Failure to provide this information. Our legal right to ask for this information can be found in the Immigration and Nationality Act..W.S. we will deny the Form I-601 and may deny any other immigration benefit. Send comments regarding this burden estimate or any other aspect of this collection of information. 3rd Floor. to determine if you have established eligibility for the immigration benefit for which you are filing. Suite 3008. OMB No. DC 20529.

Family Name (Surname In CAPS) 2. Applicant was previously in the United States. and medical conditions that make you inadmissible. USCIS File Number A- 6. Initial receipt Resubmitted Relocated Received Sent Completed Approved Denied Returned Copy Form I-601 (Rev. Expires 02/28/09 Department of Homeland Security U. you must complete page 3 of this form. Applicants with physical or mental disorders must attach the information requested in the instructions. Date of Birth (mm/dd/yyyy) 5. Relationship to Applicant 5. City/Province-State of Birth 7a. as follows: (First) (Middle) City and State From (Date) To (Date) Immigration Status Fee Stamp A.S. Immigration Status FOR USCIS USE ONLY. Information about applicant 1. (Town or City) (State) (Zip/Postal Code) Telephone Number E-Mail Address 4. Reason for Inadmissibility: (Please include a statement explaining the acts. DO NOT WRITE IN THIS AREA. Social Security Number (if any) 10. 212 (a) (1) 212 (a) (2) 212 (a) (3) TPS Applicant: 212 (a) (6) 212 (a) (9) (specify ground(s)) 11. through whom applicant claims eligibility for a waiver 1. Family Name (Surname in CAPS) (First) (Middle) 2. 02/28/08)Y . Application for Waiver of Grounds of Inadmissibility Do not write in this block. Country of Birth 7b. Date of Visa Application 9. Address (Number and Street) (Apartment Number) 3. you must complete page 4 of this form. Information about relative. Citizenship and Immigration Services I-601. If you seek a waiver because you have a HIV infection.) B. Address (Number and Street) (Apartment Number) 3. 1615-0029. For Government use only. convictions. (Town or City) (State/Country) (Zip/Postal Code) Telephone Number E-Mail Address 4. If you seek a waiver of inadmissibility because you have a Class A Tuberculosis condition (as per HHS regulations).S. Visa Applied for at: 12. Country of Citizenship/Nationality 8.OMB No. Applicant's U.

I authorize the release of any information from my records that the U. (Town or City) (State) (Zip/Postal Code) 4. Relationship to Applicant 5. Preparer's Signature Date Copy Form I-601 (Rev. Address (Number and Street) (Apartment Number) 3. Information about applicant's other relatives in the United States (List only U. Date I declare that this document was prepared by me at the request of the applicant or qualified relative/legal guardian of the applicant. (Town or City) (State) (Zip/Postal Code) 4. citizens and permanent residents) 1. Immigration Status 1. Immigration Status 1. Citizenship and Immigration Services (USCIS) needs to determine my eligibility for this waiver. 02/28/08)Y Page 2 . and it is based on all information of which I have knowledge and/or was provided to me by the above named person in response to the exact questions contained on this form. Family Name (Surname in CAPS) (First) (Middle) Preparer's Address Date 2. Family Name (Surname in CAPS) (First) (Middle) 2. Relationship to Applicant 5. Relationship to Applicant 5. I have not knowingly withheld any information. Family Name (Surname in CAPS) (First) (Middle) 2. (Town or City) (State) (Zip/Postal Code) 4. Immigration Status Applicant's Signature and Certification.S.C.S. Signature of Applicant or Qualified Relative / Legal Guardian Preparer's Signature and Certification. Address (Number and Street) (Apartment Number) 3. I certify under penalty of perjury under the laws of the United States that this application and the evidence submitted with it are all true and correct to the best of my knowledge and abilities. Address (Number and Street) (Apartment Number) 3.

in Section B." to the health officer named in Section D: 1. Remain under the prescribed treatment or observation. and plans for future care of the alien. to establish that the alien is not likely to become a public charge. 3. Form I-601 (Rev. as required by consul. Endorsement of Local or State Health Officer Endorsement signifies recognition of the physician or facility for the purpose of providing care for tuberculosis. or military hospital. Official Name of Department Address (Number and Street) City.To Be Completed for Applicants With Class A Tuberculosis Condition (As Per HHS Regulations).18.18. if the alien has not reported.) I agree to supply any treatment or observation necessary for the proper management of the alien's tuberculosis condition. Go directly to the physician or health facility named in Section B. "Report on Alien with Tuberculosis Waiver. conditions. Address in the United States where the alien plans to reside: B. in Section B. State and Zip Code (Room/Suite Number) Name of Facility (Please type or print in black ink) Address (Number and Street) City. If medical care will be provided by a physician who checked Box 2 or 3. whether on inpatient or outpatient basis. Signature of Applicant Address (Number and Street) Date City. forward this form directly to the military facility at the address provided in Section B. isolation. Statement by Applicant Upon admission to the United States I will: 1.) I represent (enter an "X" in the appropriate box and give the complete name and address of the facility below. 4.) 1. Submit to such examinations. (This statement does not relieve the alien from submitting evidence. If the facility or physician who signed his or her name in Section B is not in your health jurisdiction and not familiar to you. State and Zip Code Signature of Physician Date (Room/Suite Number) NOTE: If further assistance is needed. Local Health Department Other Public or Private Facility Private Practice Military Hospital D. 2. Endorsed by: Signature of Health Officer Date Enter below the name and address of the Local Health Department where the "Notice of Arrival of Alien with Tuberculosis Waiver" should be sent when the alien arrives in the United States. Satisfactory financial arrangements have been made. Statement by Physician or Health Facility (May be executed by a private physician. and 4. If medical care will be provided by a physician who checked Box 4. 3. health department or other public or private health facility. until discharged. and controls that were imposed. treatment. State and Zip Code (Apt #) C. or 2. I agree to submit Form CDC 75. A. you may be subject to removal under Immigration and Nationality Act (INA) section 237(a). 30 days after receiving Form CDC 75. 2. residence of the applicant. 02/28/08)Y Page 3 .S. Present all X-rays used in the visa medical examination to substantiate diagnosis. test results. indicating presumptive diagnosis. If you are approved for a waiver and after admission to the United States you fail to comply with the terms. you may want to contact the health officer responsible for the jurisdiction of the facility or physician prior to endorsing. Within 30 days of the alien's reporting for care. have Section D completed by the local or State Health Officer who has jurisdiction in the United States area where the applicant plans to reside. and medical regimen as may be required. contact the USCIS office with jurisdiction over the intended place of U. Applicant's Sponsor in the United States Arrange for medical care of the applicant and have the physician complete Section B.

State. Other Public or Private Facility 3. Endorsed by: Signature of Health Officer Date Enter below the name and address of the Local Health Department to which the "Notice of Arrival of Alien with HIV infection Waiver" should be sent when the alien arrives in the United States. until discharged. & Zip Code D. Military Hospital Name of Physician or Facility (Please type or print) Address (Number & Street) City. whether on inpatient or outpatient basis. If the facility or physician who signed in Section B is not in your health jurisdiction and is not familiar to you. Within 30 days of the alien's reporting for care. or 2. & Zip Code Please read instructions with care. have Section D completed by the local or State Health Officer who has jurisdiction in the area where the applicant plans to reside in the United States. residence of the applicant. and controls that were imposed. I agree to submit a copy of my evaluation of the alien's condition to the health officer named in Section D and to the Division of Quarantine (E03). Centers for Disease Control and Prevention (CDC). you may be subject to removal under Immigration and Nationality Act (INA) section 237(a). and 4. Applicant's Sponsor in the United States Arrange for medical care of the applicant and have the physician of facility complete Section B. Present copies of diagnostic tests used in the visa examination to substantiate diagnosis. State. Local Health Department 2. contact the USCIS office with jurisdiction over the intended place of U. CDC.) I represent (enter an "x" in the appropriate box and give the complete name and address of the facility below:) 1. Address where the alien plans to reside in the United States: Signature of Applicant Date B. Statement About Applicant Upon admission to the United States I will: 1. as required by consul. or military hospital. Form I-601 (Rev. 3. Private Practice 4. City. A report that the alien has not reported within 30 days after receiving a notice from the Division of Quarantine. Go directly to the physician or health facility named in Section B.) I agree to supply counseling and any treatment or observation necessary for the proper management of the alien's HIV infection condition. Satisfactory financial arrangements have been made. indicating plans for future care of the alien. If medical care will be provided by a physician who checked box 2 or 3 in Section B. State. and medical regimen as may be required. NOTE: If further assistance is needed. 2. Endorsement of Local or State Health Officer Endorsement signifies recognition of the physician or facility for the purpose of providing care for HIV infection. If you are approved for a waiver and after admission to the United States you fail to comply with the terms. If medical care will be provided by a physician who checked box 4 in Section B. 02/28/08)Y Page 4 Date . Submit to counseling and such examinations. (This statement does not relieve the alien from submitting evidence. you may wish to contact the health officer responsible for the jurisdiction of the facility or physician prior to endorsing. health department. & Zip Code Signature of Physician Address (Number & Street) APT No. treatment. or other public or private facility.S. conditions. forward this form directly to the military facility at the address provided in Section B. City.To Be Completed for Applicants With Human Immunodeficiency Virus (HIV) Infection A. Statement by Physician or Health Facility (May be executed by a private physician. Official Name of Department Address (Number & Street) APT No. Atlanta Georgia 30333: 1. to establish that the alien is not likely to become a public charge. C. Remain under prescribed treatment or observation.

Date of Visa Application 9. If you seek a waiver because you have a HIV infection. 212 (a) (1) 212 (a) (2) 212 (a) (3) TPS Applicant: 212 (a) (6) 212 (a) (9) (specify ground(s)) 11. Applicant was previously in the United States. convictions. Address (Number and Street) (Apartment Number) 3. Initial Receipt Resubmitted Relocated Received Sent Completed Approved Denied Returned AGENCY COPY Form I-601 (Rev. Applicant's U. Address (Number and Street) (Apartment Number) 3. you must complete page 3 of this form.S. you must complete page 4 of this form.) B. Date of Birth (mm/dd/yyyy) 5. 02/28/08)Y Page 5 .S. Country of Citizenship/Nationality 8. Country of Birth 7b. Immigration Status FOR USCIS USE ONLY. City/Province-State of Birth 7a. Information about applicant 1. Family Name (Surname In CAPS) 2. as follows: (First) (Middle) City and State From (Date) To (Date) Immigration Status Fee Stamp A. Applicants with physical or mental disorders must attach the information requested in the instructions. (Town or City) (State/Country) (Zip/Postal Code) Telephone Number E-Mail Address 4. DO NOT WRITE IN THIS AREA. 1615-0029.OMB No. and medical conditions that make you inadmissible. (Town or City) (State) (Zip/Postal Code) Telephone Number E-Mail Address 4. Reason for Inadmissibility: (Please include a statement explaining the acts. through whom applicant claims eligibility for a waiver 1. Social Security Number (if any) 10. Family Name (Surname in CAPS) (First) (Middle) 2. For Government use only. USCIS File Number A- 6. Relationship to Applicant 5. Information about relative. Citizenship and Immigration Services I-601. Application for Waiver of Grounds of Inadmissibility Do not write in this block. Expires 02/28/09 Department of Homeland Security U. Visa Applied for at: 12. If you seek a waiver of inadmissibility because you have a Class A Tuberculosis condition (as per HHS regulations).

Address (Number and Street) (Apartment Number) 3. Family Name (Surname in CAPS) (First) (Middle) 2. citizens and permanent residents) 1. (Town or City) (State) (Zip/Postal Code) 4.C. (Town or City) (State) (Zip/Postal Code) 4. Address (Number and Street) (Apartment Number) 3. Relationship to Applicant 5. Family Name (Surname in CAPS) (First) (Middle) 2.S. Relationship to Applicant 5. Relationship to Applicant 5. (Town or City) (State) (Zip/Postal Code) 4. Family Name (Surname in CAPS) (First) (Middle) 2. Immigration Status USCIS Use Only: Additional Information and Instructions Signature and Title of Requesting Officer Address Date AGENCY COPY Form I-601 (Rev. 02/28/08)Y Page 6 . Immigration Status 1. Address (Number and Street) (Apartment Number) 3. Immigration Status 1. Information about applicant's other relatives in the United States (List only U.

S. Citizenship and Immigration Services I-693. Application to Register Permanent Residence or Adjust Status. A list of those health grounds can be found in section 212(a)(1) of the Immigration and Nationality Act. Step 3 . If you have two last names. if you have one. Type or print clearly. Form I-693 is used to report results of a medical examination to U. Frequently Asked Questions. You should fill out only Part 1. Section I.Fill this part out before your medical exam appointment.Use your legal name. 06/05/08)N .Carefully read all these instructions. if necessary) or affidavits. at the top of each sheet and indicate the number of the item that refers to your answer.) For applicants under 14 years. before proceeding any further. The civil surgeon and any other doctors. Acceptable documents include birth certificates (with translations. and any other identifying information about the applicant. How Do I File Form I-693? A separate Form I-693 is required for each applicant. Report of Medical Examination and Vaccination Record Instructions Please read these instructions carefully to properly complete this form. clinics. Use black ink only. The list is also available in Question 7 of Section III. date and place of birth. Take a government-issued photo identification to your appointment. all applicants filing for adjustment of status to that of a permanent resident must submit a Form I-693 completed by a designated civil surgeon. Also take any vaccination records you may have to the appointment. 2. Step 5 . see Questions 1-3 in Section III. (Example: your valid unexpired passport or driver's license. as may be required. A.Information about you . include both and use a hyphen (-) between the names. Part 1 . B. Write your name and Alien Registration Number (A #). A list of the designated civil surgeons in your area can also be generated by going to the civil surgeon page from the USCIS website at www.Attend your medical exam appointment and all follow-up exams. Follow these steps: Step 1 . the civil surgeon may share your results with public health authorities. There is no filing fee for this form. Sign Form I-693 in front of the civil surgeon. Step 4 . USCIS will return the form to you and/or request another Form I-693 if it is not in an envelope or if the envelope has been opened or altered. write "N/A" unless the specific instruction states otherwise. The examination is required to establish that you are not inadmissible to the United States on public health grounds.Submit Form I-693 in the sealed envelope to USCIS according to the instructions on Form I-485. If an item does not apply to you. or health departments receiving a referral are required to complete Parts 2 through 6. including Section III. Frequently Asked Questions. Step 2 . When required to do so by law. NOTE: If you are applying for adjustment of status at least one year after your first admission to the United States as a refugee or as a "K" or "V" nonimmigrant visa holder.Call a designated physician (also known as a civil surgeon) to make an appointment. How Do I Find a Designated Civil Surgeon in the Area Where I Live? To find a designated civil surgeon in your area.OMB No.gov and clicking on the Civil Surgeon Locator link. Frequently Asked Questions. Form I-693 (Rev.S. How Do I Fill Out My Portion of Form I-693? 1. Family name (Last Name) . Expires 08/31/09 Department of Homeland Security U.uscis. Citizenship and Immigration Services (USCIS). use a separate sheet(s) of paper. NOTE: The civil surgeon will ask you to verify your identity. The results of your medical examination are confidential and are used for immigration purposes only. If you need more space to complete an answer. Applicant's Instructions What Is the Purpose of Form I-693? Generally. Do not sign the form. parents' full names. you can call the USCIS National Customer Service Center (NCSC) at 1-800-375-5283 and follow the instructions in the automated menu. USCIS will accept other proof of identity that shows name. Service is available in English and Spanish.Fill out Part 1 of the form. 1615-0033. if appropriate.

How Do I Submit Form I-693 to USCIS? 1. Social Security Number. you must take reasonable steps to ensure that the person appearing for the medical exam is the same person applying for the requested immigration benefit. Look for a number that begins with a letter "A" and is followed by 8 or 9 numbers (example: A 000 000 000). Give Pre-Test and Post-Test Counseling for HIV/ AIDS. E. This must include a street number and name or a rural route number.htm. F.cdc. should be written 05/01/1979). 2.cdc. the ways the applicant can protect others from HIV transmission. the ways the applicant can protect himself or herself from opportunistic infections. Country of birth . 06/05/08)N Page 2 .S. but the applicant has a tuberculin skin test reaction of >10 mm. According to CDC's Technical Instructions.Use eight numbers to show your date of birth (example: May 1. You will find specific instructions about these pre-test and post-test requirements in CDC's Technical Instructions. Do not put a post office box (P. Department of Health and Human Services' regulations. look at any letters or notices you have received from the Department of Homeland Security (DHS).gov/ncidod/dq/ updates. Truthfully and Accurately Report the Results. Georgia. submit Form I-693 according to the instructions on Form I-485. USCIS will return the form to you if it is not in an envelope or if the envelope has been opened or altered. 3. Follow HHS Guidelines. 3. Social Security # . published by the Centers for Disease Control and Prevention (CDC) in Atlanta. Application to Register for Permanent Residence or Adjust Status.This is your alien registration file number. 2. Refer the applicant to the local health department if the chest X-ray suggests TB or other circumstances are present as described in CDC's Technical Instructions. Home address . and referrals for counseling and early medical intervention. In this regard. You must provide information to the applicant about the test results.O. These regulations include the specific guidelines found in the Technical Instructions for the Medical Examination of Aliens in the United States (Technical Instructions). U. you are required to: A.Give the name of the country where you were born. The Technical Instructions are available on the CDC's website at http://www. You are responsible for reporting the results of the medical exam and all laboratory reports on Form I-693 where indicated. A-number . H. Make Referrals and File Case Reports. 1979. as Required.If you do not have a U. leave this blank. The civil surgeon is required to give you the completed Form I-693 in a sealed envelope. Civil surgeons must also provide post-test counseling to all applicants who test HIV positive. Certification . the prognosis. The pre-test counseling must include an explanation of the purpose of the test and basic information about HIV. Section II. 4.S. D.htm. USCIS has designated you as a civil surgeon with the understanding that you will perform the medical exam according to U. and for signing the civil surgeon's certification provided on the form. G.C.Do not sign here until the civil surgeon tells you to do so. Do not accept the form from the civil surgeon if it is not in a sealed envelope. The law imposes severe penalties for knowingly and willfully falsifying or concealing a material fact or using any false documents in connection with this medical exam. Other applicants: Follow the instructions on or included with the application form or the instructions given to you by the office requesting the medical exam.Give your physical street address. Date of birth .gov/ncidod/dq/ civil. leave this space blank. in order to evaluate the possible need for preventive therapy. All civil surgeons must give pre-test counseling to any applicant who is tested for HIV. NOTE: CDC also recommends referral to the local health department when the chest X-ray is normal or not suggestive of TB. If you do not have one or if you cannot remember what it is. Adjustment of status applicants: If you are applying for adjustment of status.S. CDC also posts periodic updates to the Technical Instructions at http://www. All applicants must present a valid government-issued photo identification. I. Civil Surgeon's Instructions What Are My Responsibilities as a Designated Civil Surgeon? 1. Box) number here. If you are not sure if you have one. Form I-693 (Rev.Give the name of the city/town/ village where you were born. Place of birth .

Return all supporting medical documents to the applicant and give them a copy of the vaccination record. including chest X-rays (if obtained).) Form I-693 (Rev.You must fill out this part and provide the results of each component of the medical exam relating to: communicable disease of public health significance. All signatures on the form must be originals (no stamps or facsimiles). Part 2 . Part 3 . address. the health care professional receiving the referral must fill out and sign Part 4. write your initials across the line where the flap of the envelope and the envelope meet. employment. with clear cellophane tape. but do not sign or date. Do not sign and date this part until the referral/follow-up evaluation (if required) has been completed and the applicant has been medically cleared. you must also include the results of any lab work or other studies required to determine whether the applicant is inadmissible on health grounds. Complete the identifying information in this part before referring an applicant for further tests or evaluation. (Example: school.Referral to Health Department or Other Doctor/Facility. and telephone number of the onward physician or public health service facility that will conduct further evaluation or provide treatment. USCIS will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way. 06/05/08)N Page 3 2. The applicant should sign the certification in Part 1 and you should sign the civil surgeon's certification in Part 5. are responsible for ensuring the remaining parts are completed and signed. physical or mental disorder with associated harmful behavior. You must instruct applicants who have had a tuberculin skin test (TST) to return to your office within 48-72 hours to have the TST read. as follows. File a case report with the appropriate public health authorities if: (1) the applicant tests positive for HIV infection. you must complete this part. gonorrhea.Health Department Identifying Information. You. Part 4 . If you refer the applicant to a local health department or to another physician or clinic. Ensure that testing and therapy are given for diagnoses of chancroid. E. granuloma inguinale. directly to the applicant. you should keep a copy of the I-693 for your records. and substance or drug abuse/substance or drug addiction. Also." On the back of the envelope.Medical examination . etc. Part 5 . You must sign the certification after the initial medical exam and all referrals/follow-up examinations (if required) have been completed. D. 5. Also see Part 5. 3. How Do I Complete Form I-693 If I Need to Make a Referral? Advise the applicant that the appropriate follow-up must be obtained before medical clearance can be granted. vaccinations. include the name. On the front of the envelope write in capital letters: "DO NOT OPEN.Civil Surgeon's Certification. Do not sign the form or have the applicant sign the form until the applicant has met all health follow-up requirements. Give the completed Form I-693 to the applicant in a sealed envelope. day care. 4. Ensure that any applicant diagnosed with syphilis is treated with the standard treatment regimen described in CDC's Technical Instructions. Specify the type of examination and additional tests or treatment the applicant should receive. Return all supporting medical documents. give the applicant a copy of the completed vaccination record in Part 2. In Part 2.Physician or Health Department Receiving the Referral. Refer the applicant to a Hansen's disease specialist for evaluation to confirm a suspected diagnosis of Hansen's disease (leprosy). place the tape with half on the flap of the envelope and half on the envelope across the envelope's entire width (and across your initials). write the results in Part 2 of the Form I-693 as they relate to the specific component of the medical exam. If you are a State or local health department that is completing the vaccination record on behalf of a refugee. After the medical exam (and any follow-up if required) is complete. or lymphogranuloma venereum. . Make a copy of the Form I-693 for your records and give the original form to the applicant in a sealed envelope. In addition. This will serve as the applicant's official vaccination record and may be retained by the applicant for future use in establishing compliance with vaccination requirements. and (2) a case report is required by local laws or regulations. the civil surgeon. FOR USCIS USE ONLY.B. If you refer the applicant for further tests or evaluation. C. You must also advise the applicant that a case report is being filed. What Do I Do After the Medical Exam and Follow-Up (If Required) Are Completed? You and the applicant should sign your respective certifications. you must also fill out Part 3. Complete the identifying information in Part 5. Then. Give the results to the applicant. Part 6 . In Part 3. 1. How Do I Fill Out My Portion of This Form? The applicant fills out Part 1 of Form I-693 before the medical exam appointment.

A designated civil surgeon must complete the vaccination section and Part 5. and the vaccination section of Part 2. however. Information about you.uscis. How do I know whether a doctor is a designated civil surgeon? You can obtain a list of the designated civil surgeons by calling the USCIS National Customer Service Center at 1-800-375-5283. You will. Application to Register Permanent Residence or Adjust Status. This means you only need to complete Part 1. not Form I-693. however. and C. 5. V-2 child of a V-1 spouse of a permanent resident. If a complete medical exam is not required. Frequently Asked Questions 1. 06/05/08)N Page 4 . Information about you. b. You are not required to have another medical examination as long as your Form I-485. be required to complete Part 1. Who pays for the medical exam? The applicant is responsible for paying all costs of the medical exam. What if I am a V nonimmigrant visa holder and already had a medical exam overseas? If you were admitted to the United States or obtained status while in the United States as a: A. Application to Register Permanent Residence or Adjust Status. visiting the civil surgeon page from the USCIS website at www. 2. You received a medical examination prior to admission or obtaining V status. is filed within one year of your overseas medical examination. you do not need to repeat the entire medical exam you had overseas. Payments are made directly to the civil surgeon or other health care facility. Form I-693 (Rev. the Civil Surgeon's Certification.gov and clicking on the Civil Surgeon Locator link. and submit the vaccination section of Part 2 with your adjustment of status application. or as a 6. Contact your State or local refugee health coordinator to find out whether it may be possible for you to have the vaccination portion of Form I-693 completed by a State or local health department. uscis. or as a B. NOTE: If you choose to visit your local USCIS office. or as a C. visit the USCIS website at www. K-1 fiancé(e) or a K-2 child of a K-1 fiancé(e). including the cost of any follow-up tests or treatment that may be required. unless a Class A medical condition was found during that exam. Information about you. 4. You are not required to have another medical examination as long as your Form I-485. A designated civil surgeon must complete the vaccination section and Part 5. you only need to comply with the vaccination requirements. You will. citizen. you must first get an InfoPass appointment. b. and D. V-3 child of a V-2 unmarried son or daughter of a V-1 spouse of a permanent resident.S. V-1 spouse of a permanent resident or awaiting a V-1 visa. or by visiting your local USCIS office. B. and submit the vaccination section of Part 2 with your adjustment of status application. For information on InfoPass. USCIS will not accept a Form I-693 completed by a doctor who is not a currently designated civil surgeon. be required to Part 1. K-3 spouse of a U. What if I am a K nonimmigrant visa holder and already had a medical exam overseas? If you were admitted as a: A. is filed within one year of your overseas medical examination. What if I am a refugee and already had a medical exam overseas? If you were admitted to the United States as a refugee and are now applying for adjustment of status one year following your first admission. The State or local health department must also complete Part 6 of the Form.gov. thena.S. 3. You received a medical examination prior to admission. May any doctor perform the required medical exam? Only a doctor who has been specially designated by USCIS as a civil surgeon may perform the medical exam. thena.Section III. the Civil Surgeon's Certification. citizen or a K-4 child of a K-3 spouse of a U.

human papillomavirus. NOTE: Please do not attempt to meet the requirements before you are evaluated by the civil surgeon. Syphilis HIV Form I-693 (Rev. The civil surgeon will explain the medical requirements to you in more detail. The civil surgeon is required to perform a general physical exam and specific evaluations. All applicants age 15 or older must have a blood test for HIV. generally you will not need any further tests for TB. Civil surgeons are required to provide pre-test counseling to all applicants who take the HIV test. USCIS will advise you if this is necessary. The civil surgeon will review your vaccination history with you to determine whether you have all the required vaccinations. The medical exam also indicates an evaluation for other sexually transmitted diseases and Hansen's Disease (leprosy). in case it is not medically appropriate for you to have one or more of the required vaccines. pertussis. haemophilus influenzae type B. By law. Civil surgeons are also required to provide posttest counseling to any applicant who tests positive for HIV. and human immunodeficiency virus (HIV) infection. Civil surgeons can require applicants under age 15 to be tested for HIV if there is reason to suspect the possibility of infection. syphilis. the civil surgeon can administer them to you. Make sure you take your vaccination records with you to your appointment with the civil surgeon. lack of required vaccinations. After evaluation by the civil surgeon. pregnancy. (b) there is a medical reason why it would not be safe to have the vaccine (for example.) After the skin test. and any other vaccinations recommended by the Advisory Committee for Immunization Practices (ACIP). or (c) you are unable to complete the entire series of a required vaccine within a reasonable amount of time. immigration laws are divided into four categories communicable diseases of public health significance. A chest X-ray is required when the reaction to the TST is five millimeters or more.gov. pneumococcal. you also have the option of asking your family doctor to administer those vaccines to you and showing the records to the civil surgeon to note on Form I-693. or if the civil surgeon certifies that it is not medically appropriate for you to have one or more of the missing vaccine(s). hypersensitivity to prior vaccines. allergies to eggs and yeast. rotavirus. visit the USCIS website at www. influenza. the civil surgeon will advise you how to obtain any necessary treatment.S.7. or other medical reasons). All applicants age 15 and older must have a blood test for syphilis. 06/05/08)N Page 5 . Civil surgeons may require applicants under age 15 to be tested if there is reason to suspect the possibility of infection. the applicant will need to return to the civil surgeon within 48 to 72 hours to have the results read. HHS has determined that a vaccine is "not medically appropriate" if : (a) the vaccine is not recommended for your specific age group. (Civil surgeons may require an applicant younger than two years to undergo a TST if there is evidence of contact with a person known to have tuberculosis or other reason to suspect tuberculosis. tetanus and diphtheria toxoids. To obtain more information about this waiver. Communicable Diseases of Public Health Significance The civil surgeon is required to perform specific tests for TB. polio.uscis. If you are found to have a communicable disease of public health significance. To test for: Tuberculosis (TB) Then: All applicants two years of age and older are required to have a tuberculin skin test (TST) given by the Mantoux technique. measles. If you never received or are unable to prove you received certain vaccines. zoster. Vaccination Requirements All applicants for adjustment of status must present documents showing they have been vaccinated against a broad range of vaccine-preventable diseases. varicella. meningococcal. physical or mental disorders with harmful behavior. rubella. hepatitis A. the required vaccines include: mumps. hepatitis B. USCIS may grant you a waiver based on the civil surgeon's certification on the vaccination supplement. as described below. and drug abuse/drug addiction. It also may be necessary for you to apply for a waiver of inadmissibility. If you have a reaction of four millimeters or less. If you initially did not have documents proving you received all the required vaccines but later submit those documents. What are the medical grounds of inadmissibility? The medical grounds of inadmissibility under U.

Box 7134 London. To obtain more information about these waivers. to others.S. This means that the civil surgeon must determine that there is behavior associated with the disorder that is harmful either to you. instead of the physical or mental disorder itself. KY 40744 You may also complete Form AR-11. and procedures by calling our National Customer Service Center at 1-800-375-5283 or visiting the USCIS Internet website at www. you must fill out and give us a Form AR-11.uscis. You may also obtain USCIS forms and information about immigration laws and regulations.S. there must be associated harmful behavior that is likely to recur in order for you to be considered inadmissible. Drug Addiction/Drug Abuse What are the guidelines for determining whether someone is a drug abuser/drug addict? The civil surgeon will review your medical history during the medical exam and ask you questions necessary to determine whether you are currently using or have used in the past any drugs or other psychoactive substances. but are later found by the civil surgeon to be in remission from the drug abuse or drug addiction (as determined by HHS). Section IV. you may apply for a waiver of these requirements.gov. or to property. mail to: U. and controls determined necessary by USCIS in consultation with HHS. If you hold these objections. Alien's Change of Address Card. call our toll-free forms line at 1-800-870-3676. if eligible. visit the USCIS website at www. on the USCIS Internet website at www. you may apply for a waiver according to the terms. you must first have an appointment. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. the civil surgeon may find it necessary to refer you to a specialist for further testing. Address Changes. If you are ineligible to apply for a waiver.If you object to receiving the recommended vaccinations because of your sincerely held religious beliefs or moral convictions. If the civil surgeon determines you have a medical condition of drug addiction/abuse.gov. you may proceed with your adjustment of status application. visit the USCIS website at www. you may be ineligible for the immigration benefit that you are seeking. log onto the Internet website at www. or you are applying for adjustment of status one year after you were granted asylum. Citizenship and Immigration Services Change of Address P. 06/05/08)N Page 6 . If you have had a history of a physical or a mental disorder. Depending on the outcome of the initial exam. KY 40742-7134 For commercial overnight or fast freight services only. inform the civil surgeon that you will apply for a waiver. If you change your address. Physical or Mental Disorders Are all physical or mental disorders considered health-related grounds of inadmissibility? No. The emphasis is more on the behavior associated with the physical or mental disorder. Form I-693 (Rev.uscis.uscis.gov. The medical guidelines for determining drug abuse and drug addiction are determined by HHS. Alien's Change of Address Card. InfoPass is an Internet-based system that allows you to make an appointment to talk to an Immigration Information Officer in person. conditions. To obtain more information about these waivers. The civil surgeon will ask you general questions during the medical exam to determine whether you have such a condition.gov. To visit a USCIS office in person. If the waiver application is denied. Mail the completed form to: U. you are not eligible to apply for a waiver unless you are applying for adjustment of status one year after you were admitted as a refugee.uscis. Visiting a USCIS Office in Person . policy.uscis. USCIS Information How Do I Get USCIS Forms and Related Information? To request USCIS forms.O.gov. If the civil surgeon finds that you have a physical or mental disorder with associated harmful behavior. To access InfoPass.InfoPass.

OMB No. 06/05/08)N Page 7 . Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-693. it will be checked for completeness. You will be notified of the decision in writing. We may request more information or evidence. an ordinary legible photocopy (standard 8 1/2 x 11 letter size) may be submitted. Privacy Act Notice We ask for the information on this form. In addition. Form I-693 (Rev. Regulatory Management Division. We may provide this information to other government agencies. to determine if you have established eligibility for the immigration benefit for which you are filing.S. may delay a final decision or result in denial of your Form I-693. completing and submitting the form. Original documents submitted when not required will remain a part of the record. Do not mail your application to this address. as amended. N. Paperwork Reduction Act An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Suite 3008. Once the application has been accepted. Requests for More Information. The decision on the Form I-693 involves a determination of whether you have established eligibility for the requested benefit. The public reporting burden for this collection of information is estimated at 2 hours.W. Decision. Citizenship and Immigration Services. 30 minutes per response. Send comments regarding this burden estimate or any other aspect of this collection of information. Failure to provide this information. you will face severe penalties provided by law and may be subject to criminal prosecution. including the time for reviewing instructions. you will not establish a basis for eligibility and we may deny your application. including suggestions for reducing this burden. Washington. Unless specifically required that an original document be filed with an application or petition. Our legal right to ask for this information can be found in the Immigration and Nationality Act. DC 20529. including submission of the required initial evidence. to: U. and any requested evidence. and associated evidence. 111 Massachusetts Avenue. we will deny the Form I-693 and may deny any other immigration benefit.Processing Information Initial Processing. or we may request that you appear at a USCIS office for an interview.. 3rd Floor. If you do not completely fill out the form or file it without the required initial evidence. 1615-0033.

Number Phone # ( Include Area Code) no dashes or () Date of Birth (mm/dd/yyyy) Place of Birth (City/Town/Village) Country of Birth A-number (if any) U. and that the information in Part 1 of this form is true to the best of my knowledge. Citizenship and Immigration Services START HERE . Latent TB Infection Class B. and that I may be subject to civil or criminal penalties. see pp. and therapy given. Signature . If it is determined that I willfully misrepresented a material fact or provided false/altered information or documents with regard to my medical exam. Report of Medical Examination and Vaccination Record Part 1. and I authorize the required tests and procedures to be completed. Other Chest Condition (non-TB) Remarks: (Include any signs or symptoms of TB. Medical examination (The civil surgeon completes this part) 1. 11-12 of Technical Instructions at http://www. Social Security # (if any) Applicant's Certification I certify under penalty of perjury under United States law that I am the person who is identified in Part 1 of this Form I-693. Information about you (The person requesting a medical examination or vaccinations must complete this part) Family Name (Last Name) Given Name (First Name) Full Middle Name Gender: Male City State Zip Code Female Home Address: Street Number and Name Apt.Required ONLY for TST reactions of > 5mm or if specific TST exception criteria met.Do not sign or date this form until instructed to do so by the civil surgeon Date (mm/dd/yyyy) Part 2. 1615-0033. with stop and start dates and any changes.cdc. Expires 08/31/09 Department of Homeland Security U.S. I understand the purpose of this medical exam.g. I understand that any immigration benefit I derived from this medical exam may be revoked. that I may be removed from the United States. Communicable Diseases of Public Health Significance A. 06/05/08)N . or for an applicant with TB symptoms or immunosuppression (e. Attach copy of X-Ray Report.) Date TST Applied Date TST Read Size of Reaction (mm) Chest X-Ray . Tuberculosis (TB) Tuberculin Skin Test (TST) (Required for applicants 2 years of age and older: for children under 2 years of age.htm.) Findings: No Class A or Class B TB Class A Pulmonary TB Disease Class B1 Pulmonary TB Class B1 Extra Pulmonary TB Class B2 Pulmonary TB Class B. Date Chest X-Ray Taken Date Chest X-Ray Read Results Normal Abnormal (Describe results in remarks.) Form I-693 (Rev.gov/ncidod/dq/civil.. Examination Date of First Examination Date(s) of Follow-up Examination(s) if Required: Date of Exam Date of Exam Date of Exam Summary of Overall Findings: No Class A or Class B Condition Class A Conditions (see 2 through 5 below) Class B Conditions (see 2 through 6 below) 2. Report of Medical Examination and Vaccination Record. additional tests.Please type or print in CAPITAL letters (Use black ink) I-693. HIV).OMB No.S.

Class A Lymphogranuloma Venereum. Medical Examination B. Titer 1: If Reactive. Infectious). or referrals. But With Associated Harmful Behavior. Class B Remarks: (Include any therapy given. Class A Hansen's Disease (Leprosy. Not Listed in Section 202 of Controlled Substance Act. Class B Remarks: (Include any therapy given and any counseling. With Associated Harmful Behavior.) Form I-693 (Rev. Class A Prior Substance (Drug) Use in Remission. Class A Hansen's Disease (Leprosy. or referrals. therapy given. Class A (untreated) Syphilis.) 4. Date Confirmation Run Confirmation Nonreactive Confirmation Reactive Findings: No Class A or Class B Syphilis Syphilis. Class A Substance (Drug) Use. Noninfectious). or referrals.) 3. Drug Abuse/Drug Addiction Substance (Drug) Use. counseling. Syphilis (Continued) Serologic Test for Syphilis (Required for applicants 15 years and older) Date Screening Run Screening Nonreactive Screening Reactive. and any counseling.) D. with likelihood of harmful behavior to recur. HIV/AIDS Serologic Test for HIV Antibody (Required for applicants 15 years and older) Date Screening Run Screening Negative Screening Positive Findings: No Class A HIV Screening Indeterminate HIV.) C. or referrals. therapy given. Date Confirmation Run Confirmation Negative Confirmation Positive Remarks: (Include any signs or symptoms of HIV infection. Class A If Positive or Indeterminate. Physical or Mental Disorders With Associated Harmful Behavior Physical/Mental Disorder. rehabilitation. treated in the past year) Remarks: (Include any therapy given with doses and dates. Class A Physical/Mental Disorder. 06/05/08)N Page 2 . Class B (with residual deficit. Listed in Section 202 of Controlled Substance Act. Class B Remarks: (Include diagnosis. Class A Gonorrhea. Without Associated Harmful Behavior. and any counseling. Class A Granuloma Inguinale.Part 2. Other Class A/Class B Conditions for Communicable Diseases of Public Health Significance Findings: Chancroid.

06/05/08)N Page 3 . Applicant will request an individual waiver based on religious or moral convictions.) Vaccine History Transferred From a Written Record Vaccine Given Completed Series Date Given by Civil Surgeon mm/dd/yyyy Waiver(s) to Be Requested From USCIS Vaccine Date Received mm/dd/yyyy Date Date Received Received mm/dd/yyyy mm/dd/yyyy Mark an X if Blanket completed.Part 2. Name (Type or print your name) Vaccine history complete for each vaccine.gov/ncidod/dq/civil. Vaccinations (See Technical Instructions at http://www. Form I-693 (Rev. write Not Medically Appropriate date of lab test if immune or "VH" Not Age ContraInsufficient if varicella history Appropriate indication Time Interval Not Flu Season Specify Vaccine: DT DTP DTaP Specify Vaccine: Specify Vaccine: Td Tdap OPV IPV MMR (Measles Mumps-Rubella) or if monovalent or other combination of the vaccines are given. Applicant does not meet immunization requirements.cdc. Medical examination (Continued) 5.htm for list of required vaccines. all requirements met. specify vaccine(s): Hib Hepatitis B Varicella Pneumococcal Influenza Rotavirus Hepatitis A Meningococcal Human Papillomavirus Zoster Give Copy to Applicant A-number (if any) Results: Applicant may be eligible for blanket waiver(s) as indicated above.

To Be Completed by Physician or Health Department Performing Referral Evaluation The applicant identified on this form was referred to me by the civil surgeon named in Part 5 of this form. I have provided appropriate evaluation/treatment.g. if needed. State and Zip Code) Daytime Phone # (Include Area Code) no dashes or ( ) Remarks: (Include name of medical condition and reasons for referral. Medical examination (Continued) 6. Class B other (e. if referral was made) Type or Print Name of Doctor or Health Department Date of Referral (mm/dd/yyyy) Address: (Street Number and Name. 06/05/08)N Page 4 . hypertension.) Form I-693 (Rev. diabetes) Part 3. City. Type or Print Full Name of Evaluating Physician or Health Department Signature Address: (Street Number and Name. List other medical conditions.Part 2. City. Referral to health department or other doctor/facility (To be completed by Civil Surgeon. State and Zip Code) Date (mm/dd/yyyy) Name of Medical Practice or Health Department Daytime Phone # (Include Area Code) no dashes or ( ) Remarks: (Attach a separate sheet of paper.) Part 4.

Civil Surgeon's Certification (Do not sign form or have the applicant sign in Part 1 until all health follow-up requirements have been met. I have a currently valid and unrestricted license to practice medicine in the state where I am performing medical examinations. City. Last) Signature Address (Street Number and Name. Type or Print Full Name (First. I performed this examination of the person identified in Part 1 of this Form I-693. and belief. Middle.) Signature Date (mm/dd/yyyy) Daytime Phone # (Include Area Code) no dashes or ( ) Form I-693 (Rev. and all supplemental information or updates provided to me. after having made every reasonable effort to verify that person whom I examined is the person identified in Part 1. State and Zip Code) Date (mm/dd/yyyy) Name of Medical Practice or Health Department Daytime Phone # (Include Area Code) no dashes or ( ) E-Mail Address Part 6.Part 5. knowledge. that I performed the examination in accordance with the Centers for Disease Control and Prevention's Technical Instructions. place a stamp or seal where indicated. and that all information provided by me on this form is true and correct to the best of my information.) Type or Print Name (Place State or local health department stamp/seal below. Health department identifying information. 06/05/08)N Page 5 .) I certify under penalty of perjury under United States law that: I am a civil surgeon in current status designated to examine applicants seeking certain immigration benefits in the United States. (If completed by State or local health department on behalf of a refugee.

If extra space is needed to complete any item. you may apply for a waiver of this joint filing requirement if: 1. Who May File Form I-751? If you were granted conditional resident status through marriage to a U. indicate the item number. must submit the following items with Form I-751: 1. Submit copies of both front and back sides of the card. even if the submission was not required. use this form to petition for the removal of those conditions. Answer all questions fully and accurately. if any. . Citizenship and Immigration Services (USCIS) to remove the conditions on his or her residence. you may file your petition late with a written explanation and request that USCIS excuse the late filing. Fill Out Form I-751 1. If you are filing this petition jointly with your spouse. 08/25/08) N When Should I File Form I-751? 1. write "NONE. Citizenship and Immigration Services Instructions for I-751. use a separate sheet(s) of paper. 3. Copies. State that an item is not applicable with "N/A. Expires 10/31/09 Department of Homeland Security U. If you need more space to complete an answer. and date and sign each sheet. but your spouse subsequently died." Translations. and by the translator's certification that he or she is competent to translate from the foreign language into English. You entered the marriage in good faith and have remained married. You will then become removable from the United States. Type or print legibly in black ink.S. You entered the marriage in good faith. Form I-751 Instructions (Rev. Write your name and Alien Registration Number (A #). including conditional resident dependents residing overseas and listed under Part 5 of the form. You may file this petition at any time after you are granted conditional resident status and before you are removed. Conditional Resident Children In Part 5 of the form. attach a continuation sheet. citizen or permanent resident spouse. Failure to file before the expiration date may be excused if you demonstrate when you submit the application that the delay was due to extraordinary circumstances beyond your control and that the length of the delay was reasonable. 1615-0038. or 4. citizen or permanent resident. Please remember to provide their A-number. Effect of not filing.S. please make sure to include any conditional resident children applying with you in order to have their conditional basis removed. 2. However. 3. but have been battered or subjected to extreme cruelty by your U. regardless of age.OMB No. the petition should be filed jointly by you and the spouse through whom you obtained conditional status. Two passport-style photos for applicants and dependents. What Initial Evidence Is Required? Permanent Resident Card You must file your petition with a copy of your Permanent Resident Card or Alien Registration Card. This is the date your conditional residence expires. and a copy of the Permanent Resident or Alien Registration cards of any of your conditional resident children you are including in your petition. an ordinary legible photocopy may be submitted. Original documents submitted when not required will remain a part of the record.S. Petition to Remove Conditions on Residence Instructions Please read these instructions carefully to properly complete this form. 3. Any document containing a foreign language submitted to the Service shall be accompanied by a full English language translation which the translator has certified as complete and accurate. Filing with a request that the joint filing requirement be waived. General Instructions Step 1. or they may file separately. but the marriage was later terminated due to divorce or annulment. If your failure to file was through no fault of your own. Unless specifically required that an original document be filed with an application or petition. 2. You entered the marriage in good faith." If the answer is none. If you are still married. 2. Filing jointly.S. you must file it during the 90 days immediately before the second anniversary of the date you were accorded conditional resident status. you will automatically lose your permanent resident status as of the second anniversary of the date on which you were granted conditional status. If this petition is not filed. at the top of each sheet of paper and indicate the section and number of the item to which the answer refers. What Is the Purpose of This Form? This form is for a conditional resident who obtained such status through marriage to petition to U. The termination of your status and removal would result in extreme hardship. Exception Those who reside overseas pursuant to military or government orders.

the following examples: 1. such as joint savings and checking accounts. consulate. and/or ownership of your communal residence. insurance policies that show the other spouse as the beneficiary. or creased. Evidence of the abuse.S. medical personnel. such as copies of reports or official records issued by police. USCIS Office.2. Form I-751 Instructions (Rev. In order for USCIS to identify filings based on military or government orders. Birth certificate(s) of child(ren) born to the marriage. clergy. The fingerprint cards must be prepared by a U. If you are filing for a waiver of the joint filing requirement because the termination of your status and removal would result in ''extreme hardship. but not limited to. relationship to you or your spouse. school officials. If you are filing to waive the joint filing requirement due to the death of your spouse. "ACTIVE MILITARY" or "GOVERNMENT ORDERS" and submit a copy of their current military or government orders.S. courts. if any. as well as photographs evidencing your injuries. Two completed fingerprint cards (Form FD-258) for applicants and dependents between the ages of 14 and 79. along with copies of any supporting documentation. or acquittal order). The documents should cover. You may also submit evidence that you sought safe haven in a battered women's shelter or similar refuge. joint utility bills. immigration laws. and to demonstrate any circumstances surrounding the end of the relationship. medical personnel. date and place of birth. also submit your petition with a full explanation as to why you are filing separately. 4. You may also submit any legal documents relating to an order of protection against the abuser or relating to any legal steps you may have taken to end the abuse. (Such persons may be required to testify before an immigration officer as to the information contained in the affidavit. or U. 08/25/08) N Page 2 . and no charges were filed. judges. submit: 1. An original or court-certified copy of the complete arrest record and/or disposition for each incident. Submit copies of as many documents as you wish to establish this fact and to demonstrate the circumstances of the relationship from the date of the marriage to the present date. and charges were filed. folded. Evidence of the physical abuse. if your marriage was terminated by divorce on grounds of physical abuse or extreme cruelty. or if charges were filed against you without an arrest. C. if it has ended. 5. The evidence must relate only to those factors that arose since you became a conditional resident. You must indicate your Alien Registration Number (A#) on the fingerprint card and ensure that the completed cards are not bent. If you are filing to waive the joint filing requirement because you and/or your conditional resident child were battered or subjected to extreme cruelty. conviction record. Embassy or U. g. Other documents you consider relevant to establish that your marriage was not entered into in order to evade the U. Military installation. Affidavits must be supported by other types of evidence listed above.) The original affidavit must be submitted and also contain the following information regarding the person making the affidavit: his or her full name and address. social workers and other social service agency personnel.S.S. joint federal and state tax returns. Affidavits sworn to or affirmed by at least two people who have known both of you since your conditional residence was granted and have personal knowledge of your marriage and relationship. If you have ever been arrested or detained by any law enforcement officer for any reason. Evidence of the Relationship Submit copies of documents indicating that the marriage upon which you were granted conditional status was entered in ''good faith'' and was not for the purpose of circumventing immigration laws. submit: 2. 3. also file your petition with the following: A. A copy of your divorce decree. (e. Lease or mortgage contracts showing joint occupancy If you are filing to waive the joint filing requirement because your marriage has been terminated. applicants are required to indicate on top of Form I-751. or B. An original official statement by the arresting agency or applicable court order confirming that no charges were filed. joint installments or other loans. also submit a copy of the divorce decree or other document terminating or annulling the marriage with your petition. 2. Financial records showing joint ownership of assets and joint responsibility for liabilities. school officials and representatives of social service agencies." you must submit with your petition evidence that your removal would result in hardship significantly greater than the hardship encountered by other aliens who are removed from this country after extended stays. If you are a child filing separately from your parent. and original affidavits as described under Evidence of the Relationship. dismissal order. such as copies of reports or official records issued by police. and full information and complete details explaining how the person acquired his or her knowledge. also submit a copy of the death certificate with your petition. Criminal History If you have ever been arrested or detained by any law enforcement officer for any reason.

The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U.S. Vermont. Iowa.O. North Carolina. Minnesota. Make the check or money order payable to U.S. Embassy or consulate for instructions on the method of payment." How to Check If the Fees Are Correct? The form and biometric fees on this form are current as of the edition date appearing in the lower right corner of this page. New York.00.uscis. New Jersey.gov. or Form I-751 Instructions (Rev. New Mexico. If you live in the U.S. New Hampshire. An additional biometric fee of $80 is required when filing Form I-751. Virgin Islands. An original or court-certified copy of the court order vacating. Utah. Arkansas. Hawaii. Tennessee.S. eligible to be included on the principal applicant's Form I-751 and listed under Part 5 of Form I-751. Maryland. American Samoa. Evidence that you completed an alternative sentencing program. Indiana. sealed. However. An original or certified copy of your probation or parole record. is required to submit an additional biometric services fee of $80. Government orders assigning you and your spouse abroad. After you submit Form I-751. Box 200 St. Texas. B. USCIS will notify you about when and where to go for biometric services. Louisiana. Kentucky. Pennsylvania. mail your petition to the California Service Center: USCIS California Service Center P. Department of Homeland Security. make it payable to Commissioner of Finance of the Virgin Islands.O. Mississippi. Guam.C.00. and evidence that you completed your sentence. make it payable to Treasurer. If you live outside the United States. or West Virginia.If you have ever been convicted or placed in an alternative sentencing program or rehabilitative program (such as a drug treatment or community service program).S. or otherwise removing the arrest or conviction. Rhode Island.S. California. U. 2. A. Virginia. If you live in Guam. or rehabilitative program set aside. CA 92607-1075 If you live in Alabama. Guam. Michigan.S. Albans. C. or otherwise removed from your record. Missouri. submit: 1. submit: 2. An original or court-certified copy of your sentencing record for each incident. D. Ohio. P. Guam. South Carolina. An original statement from the court that no record exists of your arrest or conviction. or the U. Illinois. NOTE: Each conditional resident dependent. specifically.. and 2. Department of Homeland Security. or 3. mail your petition to the Vermont Service Center: USCIS Vermont Service Center 75 Lower Welden St. Include a copy of the U. you can verify if the fees are correct by following one of the steps below: 1. do not use the initials "USDHS" or "DHS. Florida. You may submit one check or money order for both the application and biometric fees. Connecticut. regardless of age. or Wyoming. unless: A. South Dakota. VT 05479-0001 .S. Nevada. setting aside. or B. What Is the Filing Fee? The filing fee for a Form is $465. NOTE: Unless a traffic incident was alcohol or drug related. sealing. if you called us to request the form.S. Washington. because USCIS fees change periodically. expunged. Review the Fee Schedule included in your form package. Colorado. Visit our website at www. Idaho. either in a civilian or military capacity and assigned outside the United States. mail your petition to the USCIS Service Center having jurisdiction over your residence of record in the United States.00 and or points on your driver's license. Massachusetts. Wisconsin. North Dakota. Use the following guidelines when you prepare your check or money order for the Form I-751 and the biometric service fee: 1. 08/25/08) N Page 3 you do not need to submit documentation for traffic fines and incidents that did not involve an actual arrest if the only penalty was a fine of less than $500. NOTE: If you or your spouse are currently serving with or employed by the U. Box 10751 Laguna Niguel. Virgin Islands. Delaware. for a total of $545. expunging. Puerto Rico. Government. contact the nearest U. Montana. Nebraska. Maine. including dependents residing overseas pursuant to military or government orders. Oklahoma. Oregon. Georgia. Arizona. NOTE: Please spell out U. currency. Where to File? If you live in Alaska. Washington. select "Immigration Forms" and check the appropriate fee. Kansas. Virgin Islands.

W. To access the system. may delay a final decision or result in denial of your Form I-751. Our legal right to ask for this information can be found in the Immigration and Nationality Act.S. you may change your address on-line at www. DC 20529. If you do not completely fill out the form or file it without the required initial evidence. KY 40744 Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-751. you will face severe penalties provided by law and may be subject to criminal prosecution. Washington. as amended.3. you can use the same procedure to obtain the correct biometric fee. However. 111 Massachusetts Avenue. and completing and submitting the form. you will not establish a basis for eligibility and we may deny your application. You can also get USCIS forms and information on immigration laws. InfoPass. to: U. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. Form I-751 Instructions (Rev. Send comments regarding this burden estimate or any other aspect of this collection of information. OMB No. including the time for reviewing instructions. Alien's Change of Address Card. an application is not considered properly filed until accepted by USCIS. 08/25/08) N Page 4 .. photograph or signature. we will deny your Form I-751 and may deny any other immigration benefit. Box 7134 London. Initial Processing. N. you can now schedule an appointment through our internet-based system. Privacy Act Notice We ask for the information on this form. As an altenative to waiting in line for assistance at your local USCIS office. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. gov. Any application that is not signed or accompanied by the correct fee will be rejected with a notice that the application is deficient. including submission of the required initial evidence. 3rd Floor. Citizenship and Immigration Services.gov.uscis. You will be notified of the decision in writing. USCIS Forms and Information To order USCIS forms. visit our website. The public reporting burden for this collection of information is estimated at 3 hours and 20 minutes per response. click on "Change your address with USCIS" and follow the prompts or by completing and mailing Form AR-11. and associated evidence.uscis. Do not mail your application to this address. Citizenship and Immigration Services Change of Address P. Suite 3008. including suggestions for reducing this burden. mail to: U. regulations. Address Changes If you change your address and you have an application or petition pending with USCIS. In addition. You may correct the deficiency and resubmit the application.S. We will return these originals when they are no longer needed. KY 40742-7134 For commercial overnight or fast freight services only. and any requested evidence. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. NOTE: If your Form I-751 requires payment of a biometric service fee for USCIS to take your fingerprints. and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www. to determine if you have established eligibility for the immigration benefit for which you are filing. InfoPass generates an electronic appointment notice that appears on the screen. Processing Information Acceptance. call our toll-free number at 1-800-870-3676. We may also request that you submit the originals of any copy.S. Once the application has been accepted. Regulatory Management Division. Paperwork Reduction Act An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. We may provide this information to other government agencies. Requests for More Information. We may request more information or evidence. Decision. Failure to provide this information.O. to: U. or we may request that you appear at a USCIS office for an interview. The decision on Form I-751 involves a determination of whether you have established eligibility for the requested benefit. it will be checked for completeness. 1615-0038.

Petition to Remove Conditions on Residence For USCIS Use Only Returned Full Middle Name START HERE .OMB No.S. Basis for Petition (Check one) a.S. 1615-0038. 08/25/08)N .Please type or print in black ink. d.S. Form I-751 (Rev. To Be Completed by Attorney or Representative. and we are filing this petition together. citizen or permanent resident. Information About You Family Name (Last Name) Given Name (First Name) Receipt Date Date Resubmitted Date Date Reloc Sent Date Date Reloc Rec'd Date Address: (Street number and name) Apt. if different than above (Street number and name): Apt. I am a conditional resident spouse who entered a marriage in good faith. Expires 10/31/09 Department of Homeland Security U. The termination of my status and removal from the United States would result in an extreme hardship. citizen or conditional resident parent(s). I entered into the marriage in good faith but the marriage was terminated through divorce or annulment. but I am unable to file a joint petition and I request a waiver because: (Check one) c. ATTY State License # f. My conditional residence is based on my marriage to a U. Part 1. I am a child who entered as a conditional permanent resident and I am unable to be included in a joint Petition to Remove the Conditions on Residence (Form 1-751) filed by my parent(s). g. My spouse is deceased. I am a conditional resident child who was battered by or subjected to extreme cruelty by my U. b. # C/O: (In care of) Date City State/Province Petitioner Interviewed on Remarks Country Zip/Postal Code Date of Birth (mm/dd/yyyy) Country of Birth Country of Citizenship Alien Registration Number (#A) Social Security # (If any) Conditional Residence Expires on (mm/dd/yyyy) Daytime Phone # (Area/Country codes) Part 2. e. # C/O: (In care of) City State/Province Country Zip/Postal Code Mailing Address.S. if any.S. and during the marriage I was battered by or was the subject of extreme cruelty by my U. Fill in box if G-28 is attached to represent the applicant. Citizenship and Immigration Services I-751. Action Block OR My conditional residence is based on my marriage to a U. citizen or permanent resident. citizen or permanent resident spouse or parent.

Other Names Used (including maiden name): 2. Signature. your spouse must also sign below. indicted.S. government and serving outside the United States? Yes Yes No No Yes Yes Yes Yes No No No No If you answered "Yes" to any of the above. If Other than Above I declare that I prepared this petition at the request of the above person and it is based on all information of which I have knowledge. Have you ever been arrested. Date of Marriage (mm/dd/yyyy) 3. Have you resided at any other address since you became a permanent resident? (If yes. Place your name and Alien Registration Number (A#) at the top of each sheet and give the number of the item that refers to your response. you may not be found eligible for the requested benefit and this petition may be denied. Are you in removal. If your spouse is deceased. If you are married. attach a list of all addresses and dates. detained. Signature Date (mm/dd/yyyy) Print Name Firm Name and Address Daytime Phone Number (Area/Country codes) E-Mail Address (If any) Form I-751 (Rev. give the date of death (mm/dd/yyyy) 5. Signature of Person Preparing Form. Is your spouse currently serving with or employed by the U. or committed any crime which you were not arrested in the United States or abroad? 8.S. Signature Print Name Date (mm/dd/yyyy) Signature of Spouse Print Name Date (mm/dd/yyyy) NOTE: If you do not completely fill out this form or fail to submit any required documents listed in the instructions.08/25/08) N Page 2 . or rescission proceedings? 6. Read the information on penalties in the instructions before completing this section. Citizenship and Immigration Services needs to determine eligibility for the benefit sought. Information About Your Children-List all your children (Attach other sheet(s) if necessary) Name (First/Middle/Last) Date of Birth (mm/dd/yyyy) A # (If any) If in U. If you checked block I certify.) 10.Part 3. Additional Information About You 1. I also authorize the release of any information from my records that the U. give address/immigration status Living with you? Yes Yes Yes Yes Yes No No No No No Part 6.. Was a fee paid to anyone other than an attorney in connection with this petition? 7. Information About the Spouse or Parent Through Whom You Gained Your Conditional Residence Family Name Address Date of Birth (mm/dd/yyyy) Social Security # (if any) A# (if any) First Name Middle Name Part 5. deportation.S. Part 7. If conditional residence was based on a marriage. fined. that this petition and the evidence submitted with it is all true and correct. I further certify that the marriage was entered in accordance with the laws of the place where the marriage took place and was not for the purpose of procuring an immigration benefit. provide a detailed explanation on a separate sheet(s) of paper and refer to "What Initial Evidence Is Required?" to determine what criminal history documentation to include with your petition. under penalty of perjury of the laws of the United States of America. "a" in Part 2. Part 4. charged. Place of Marriage 4. or imprisoned for breaking or violating any law or ordianance (excluding traffic regulations). is this a different marriage than the one through which conditional residence status was obtained? 9.

a Conditional Resident. 05/27/08) N . In order to determine your eligibility. Check the edition date located in the lower right-hand corner of the form. If you need more space to complete an answer. Citizenship and Immigration Services Instructions for I-765. or a nonimmigrant authorized to be employed with a specific employer under 8 CFR 274a. you should write "(a)(3)" at Question 16. with instructions to resubmit the entire filing using the current form instructions. the categories are subdivided as follows: Definitions Employment Authorization Document (EAD): Form I-688. Index Page No. stolen. please do not use this form. you must identify the category in which you are eligible and fill in that category in Question 16 on the Form I-765. 1995. For example. The interim EAD will be granted for a period not to exceed 240 days and is subject to the conditions noted on the document. What Is the Purpose of This Form? Certain aliens who are temporarily in the United States may file a Form I-765.gov before you file.12(b). What Is the Purpose of This Form Who May File This Form I-765 Required Documentation What Is the Filing Fee Where to File Processing Information 1 1 6 7 8 12 Renewal EAD: An EAD issued to an eligible applicant at or after the expiration of a previous EAD issued under the same category. Please review Eligibility Categories to determine whether you should use this form. Improperly filed forms will be rejected and the fee returned.S. mutilated. at the top of each sheet of paper and indicate the part and number of the item to which the answer refers. Form I-688B.OMB No. 1615-0040. Page No. Asylee/Refugee and their Spouses and children Nationality Categories Foreign Students 2 2 3 Form I-765 Instructions (Rev. If the edition date on the online version is later. or contains erroneous information. please visit our website at www. your version is current and will be accepted by USCIS.uscis. if you are a refugee applying for an EAD. Form I-688A. Interim EAD: An EAD issued to an eligible applicant when USCIS has failed to adjudicate an application within 90 days of receipt of a properly filed EAD application or within 30 days of a properly filed initial EAD application based on an asylum application filed on or after January 4. Who May File This Form I-765? USCIS adjudicates a request for employment authorization by determining whether an applicant has submitted the required information and documentation. If you are filing Form I-765 more than 30 days after the latest edition date shown in the lower right-hand corner. Application for Employment Authorization. download a copy and use the online version. Other aliens who are authorized to work in the United States without restrictions should also use this form to apply to USCIS for a document evidencing such authorization. call the National Customer Service Center at 1-800-375-5283 to verify the current filing address and edition date. Replacement EAD: An EAD issued to an eligible applicant when the previously issued EAD has been lost. If you are a Lawful Permanent Resident. use a separate sheet(s) of paper. or any successor document issued by USCIS as evidence that the holder is authorized to work in the United States. Expires 08/31/08 Department of Homeland Security U. For easier reference. The filing addresses provided on this form reflect the most current information as of the date this form was last printed. and whether the applicant is eligible. If the edition date on your Form I-765 matches the edition date listed for Form I-765 on the online Forms and Fees page. and check the Forms and Fees page to confirm the correct filing address and version currently in use. Write your name and Alien Registration Number (A #). Application for Employment Authorization Instructions Please read these instructions carefully to properly complete this form. Form I-766. to request an Employment Authorization Document (EAD). if any. such as a misspelled name. Enter only one of the following category numbers on the application form. If you do not have Internet access.

If you are filing for an initial EAD based on your TPS status. Extension of TPS status: Include a copy (front and back) of your last available TPS document: EAD. 3. 2. If you are eligible. It is not necessary to apply for an EAD as an asylee until 90 days before the expiration of your current EAD. C. to determine if you are eligible to apply for NACARA 203 relief with USCIS. 2. or NATO Employment-Based Nonimmigrants Family-Based Nonimmigrants Adjustment-of-Status Categories Other Categories D. Application for Suspension of Deportation or Special Rule Cancellation of Removal. Your response to Question 16 on the Form I-765 should be "(c)(10). B. D. or Palau. follow the instructions below and submit your Form I-765 at the same time you file your Form I-881 application with USCIS: 1. Citizen of Micronesia." Submit the required fee and the EAD application to the Service Center designated in "Where to File" of these instructions. pursuant to agreements between the United States and the former trust territories. Form I-94 or approval notice. include evidence of identity and nationality as required by the Form I-821 instructions. and a letter indicating that this form is for registration purposes only. approval notice. If you have already filed your I-881 application at the Service Center specified on Form I-881. File your EAD application with a copy of the USCIS letter. the Marshall Islands or Palau--(a)(8). 1. approval letter or a copy of a Form I-730. File your EAD application if you were admitted to the United States as a citizen of the Federated States of Micronesia (CFA/FSM). Temporary Treatment Benefits--(c)(19). Registration for Classification as Refugee. Your response to Question 16 on Form I-765 should be "(c)(10). Asylee/Refugee Categories A. file your EAD application at the same time and at the same filing location. F. Paroled as a Refugee--(a)(4).) 1.5. File your EAD application with either a copy of your Form I-590. International Organization. No fee is required for the Form I-765 filed as part of TPS registration. Form I-765 Instructions (Rev. Asylee (Granted Asylum)--(a)(5). File your EAD application with a copy of your Form I-94. If you are filing a Form I-881 with USCIS. Deferred Enforced Departure (DED) / Extended Voluntary Departure--(a)(11). See the instructions to Form I-881. your response to Question 16 on Form I-765 should be "(c)(10). Application for Temporary Protected Status." You should file your EAD application at the Service Center designated in "Where to File" of these instructions. Nationality Categories A. Form I-821.Eligible Dependents of Employees of Diplomatic Missions. File your EAD application with evidence of your identity and nationality. File your EAD application with Form I-821. (Form I-821 has separate fee requirements. Temporary Protected Status (TPS)--(a)(12). 05/27/08) N Page 2 . you may renew your EAD. E. C. and now wish to apply for employment authorization. Refugee--(a)(3). granting you asylum. B. File your EAD application with the required certification from the American Institute in Taiwan if you are the spouse or unmarried dependent son or daughter of an E-1 employee of the Taipei Economic and Cultural Representative Office. (For specific instructions for applicants with pending asylum claims. the Marshall Islands (CFA/MIS). Include evidence of nationality and identity as required by the Form I-821 instructions. and the application is still pending. Asylum Applicant (With a Pending Asylum Application)Who Filed for Asylum on or After January 4. NACARA Section 203 Applicants Who Are Eligible to Apply for NACARA Relief With USCIS--(c)(10). Refugee/Asylee Relative Petition. Dependent of TECRO E-1 Nonimmigrant--(c). If you are a NACARA Section 203 applicant who previously filed a Form I-881 with USCIS. For an 3 3 4 4 5 EAD based on 8 CFR 244. Arrival and Departure Record. or judge's decision. 1995--(c)(8)." 2. Registration for TPS only without employment authorization: File Form I-765. see Page 5).

or NATO Dependent Employment Authorization. F-1 Student Seeking Off-Campus Employment Due to Severe Economic Hardship--(c)(3)(iii). J. E. C. G. B. Dependent of NATO-1 Through NATO-6--(c) (7).3.For Academic and Language Students (Form I-20 A-B/ -20 ID) endorsed by the Designated School Official within the past 30 days.Pre-completion Optional Practical Training. Inter-Agency Record of Individual Requesting Change/Adjustment to or from A or G Status. This information must be provided in Item #17 of the application form. or NATO Dependent Employment Authorization. H. or NATO A. File your EAD application with Form I-20 A-B/I-20 ID. Dependent of A-1 or A-2 Foreign Government Officials--(c)(1). (c)(3)(C) 17-month extension for STEM Students (Students with a degree in Science. (c)(3)(B) . F-1 Student Seeking Optional Practical Training in an Occupation Directly Related to Studies: (c)(3)(A) . Inter-Agency Record of Individual Requesting Change/ Adjustment to or from A or G Status. Submit your EAD application with a Form I-566. Employment-Based Nonimmigrant Categories A. and a Certificate of Eligibility of Nonimmigrant (F-1) Student Status -. Eligible Dependents of Employees of Diplomatic Missions. G-3 or G-4 Nonimmigrant-(c)(4). B. L. If you are a STEM student requesting a 17-month extension under the eligibility code (c)(3)(C). 4. VA 23551-2490. I. or Mathematics). you must also submit a copy of your degree. M-1 Student Seeking Practical Training After Completing Studies--(c)(6). such as affidavits. File your EAD application with the international organization's letter of certification that the proposed employment is within the scope of its sponsorship. Submit your EAD application with Form I-566. or Requesting A. C. C-027. or Requesting A. Dependent of G-1. The DOS will forward all favorably endorsed applications directly to the Nebraska Service Center for adjudication. R.For Academic and Language Students. Certificate of Eligibility for Nonimmigrant (M-1) Student Status -. Submit your EAD application with Form I-566. Technology. and evidence you have tried to find offcampus employment with an employer who has filed a labor and wage attestation. that detail the unforeseen economic circumstances that cause your request. along with the E-Verify Company Identification Number.For Vocational Students endorsed by the Designated School Official within the past 30 days. International Organizations. Inter-Agency Record of Individual Requesting Change/Adjustment to or from A or G Status. Norfolk. or a valid E-Verify Client Company Identification Number. Certificate of Eligibility of Nonimmigrant (F-1) Student Status -. Foreign Students A. to NATO SACLANT. Suite 100. F-1 Student Offered Off-Campus Employment Under the Sponsorship of a Qualifying International Organization--(c)(3)(ii). B-1 Nonimmigrant Who Is the Personal or Domestic Servant of a Nonimmigrant Employer--(c)(17)(i). or Requesting A. F. .] The DOS or USUN will forward all favorably endorsed applications directly to the Nebraska Service Center for adjudication. through your diplomatic mission to the Department of State (DOS). Engineering. Form I-20 MN. P. File your EAD application with a copy of your J-1's (principal alien's) Certificate of Eligibility for Exchange Visitor (J-1) Status (Form IAP-66). File the EAD application with: 1.Post-completion Optional Practical Training. or TN nonimmigrant and you were employed for at least one year by the employer before the employer entered the United States or your employer regularly employs personal and domestic servants and has done so for a period of years before coming to the United States. [In New York City. O. 5. and Form I-765 Instructions (Rev. and any evidence you wish to submit. NATO/SACLANT will forward all favorably endorsed applications directly to the Nebraska Service Center for adjudication. File your EAD application with a Certificate of Eligibility of Nonimmigrant (F-1) Student Status (Form I-20 A-B /I-20 ID) endorsed by a Designated School Official within the past 30 days. E. J-2 Spouse or Minor Child of an Exchange Visitor--(c)(5). Application to Change/Extend Nonimmigrant Status. G. through your international organization to the Department of State (DOS). or NATO Dependent Employment Authorization. File your EAD application with a completed Form I-539. G. 7857 Blandy Road. the employer name as listed in E-Verify. the United Nations (UN) and UN missions should submit such applications to the United States Mission to the UN (USUN). Evidence from your employer that he or she is a B. for the employer with whom you are seeking the 17-month OPT extension. You must submit a written statement with any supporting evidence showing that your employment is not necessary to support the J-1 but is for other purposes. 05/27/08) N Page 3 D. M.

C. If you are applying for initial employment authorization under Family Unity provisions of section 1504 of the LIFE Act Amendments. File your EAD application with evidence of your lawful status and evidence you are a spouse of a principal E-1/E-2. Spouse of an E-1/E-2 Treaty Trader or Investor--(a)(17).) Form I-765 Instructions (Rev. 6. V-2. Evidence that he or she has employed you as a domestic servant abroad for at least six months prior to your admission to the United States. Citizen--(c)(17)ii). or an extension of such authorization. file your EAD application with the required evidence listed in the "Required Document" section of these instructions. Citizen or K-4 Dependent--(a)(9). no I-765 application is necessary. If you are in the United States but you have not yet filed an application for V status. to request a replacement. E. Family-Based Nonimmigrant Categories A.S. Application for Voluntary Departure Under the Family Unity Program. Family Unity Program--(a)(13). File your EAD application if you are filing within 90 days from the date of entry.) E. Evidence establishing that you have a residence abroad which you have no intention of abandoning. file an I-765 application with proper fee(s). Evidence from your employer that he or she is a U. Please obtain and complete a Form I-817. File your EAD application with a letter from the airline fully describing your duties and indicating that your position would entitle you to E nonimmigrant status except for the fact that you are not a national of the same country as the airline or because there is no treaty of commerce and navigation in effect between the United States and that country. B-1 Nonimmigrant Domestic Servant of a U. This EAD cannot be renewed. along with a copy of your approval notice for Family Unity benefits. (Other relatives or dependents of E-1/E-2 aliens who are in E status are not eligible for employment authorization and may not file under this category. Evidence that your employer has a permanent home abroad or is stationed outside the United States and is temporarily visiting the United States or the citizen's current assignment in the United States will not be longer than four years. If you have been granted V status while in the United States. and K visa. you should not be using this form. K-3 Nonimmigrant Spouse of U. B. File your EAD application with evidence of your lawful status and evidence you are a spouse of a principal L-1. or V-3 Nonimmigrant--(a)(15).2.S. passport. file this application along with evidence of your V status. File your EAD application with: 1. such as your I-94. citizen. C. Spouse of an L-1 Intracompany Transferee-(a)(18). B.S. file this application along with evidence of your admission. D. 05/27/08) N Page 4 . such as your Form I-94. Any EAD application other than for a replacement must be based on your pending application for adjustment under (c)(9). passport. (Other relatives or dependents of L-1 aliens who are in L status are not eligible for employment authorization and may not file under this category. Citizen or K-2 Dependent--(a)(6). and 2. If you are filing for initial or extension Family Unity benefits complete and submit Form I-817. If your non-expired Family Unity EAD is lost or stolen. or evidence that you have at least one year's experience as a personal or domestic servant. V-1.S. An Employment Authorization Document (EAD) will be issued if your I-817 is approved. If you have been inspected and admitted to the United States with a valid V visa. Application for Family Unity Benefits. B-1 Nonimmigrant Employed by a Foreign Airline--(c)(17)(iii). such as copies of your Form I-94. D. such as an approval notice. LIFE Family Unity--(a)(14). USCIS will adjudicate this application after adjudicating your application for V status. and K visa. and 3. K-1 Nonimmigrant Fiance(e) of U. If you are applying for a replacement EAD that was issued under LIFE Act Amendments Family Unity provisions. and 3. File your EAD application along with evidence of your admission such as copies of your Form I-94. you may file this application at the same time as you file your application for V status. Evidence that you have either worked for this employer as a personal or domestic servant for at least one year.

C. or Zambrano class member applicant before October 1. or document placing you in deferred action and evidence establishing economic necessity for an EAD. D. file this application along with evidence of your T status. you may file Form I-765 at a later date with evidence that you were a CSS. Such evidence includes documentation of employment in any period during the previous 12 months (e. G. 3. T-1 Nonimmigrant--(a)(16). Form I-765 Instructions (Rev. 8. LULAC. File this form with a copy of your T-1's (principal alien's) approval notice and proof of your relationship to the T-1 principal. and with a copy of the receipt notice or other evidence that your Form I-485 is pending. It is not necessary to apply for a new EAD until 90 days before the expiration of your current EAD. EAD Applicants Who Have Filed for Adjustment of Status A. Final Order of Deportation--(c)(18). B. file this form only if you did not request an employment authorization document when you applied for T nonimmigrant status. N-8 or N-9 Nonimmigrant--(a)(7). Paroled in the Public Interest--(c)(11). Application to Register Permanent Residence or Adjust Status. Application for Permanent Residence. File your EAD application with the required evidence listed in the "Required Document" section of these instructions. If you did not work as a national interest waiver physician during any period of the previous 12 months. Existence of economic necessity to be employed. but not limited to the following: 1. T-2. Anticipated length of time before you can be removed from the United States. a copy of your receipt notice. File your EAD application with evidence that your Form I-881. Existence of a dependent spouse and/or children in the United States who rely on you for support. Application for Suspension of Deportation. 05/27/08) N Page 5 . H. and 2. We encourage you to file your EAD application together with your Form I-485. 2000. If you have been granted T status and this is a request for a renewal or replacement of an employment authorization document. C. Application for Permanent Residence or Adjust Status. Other Categories A. Adjustment Applicant Based on Continuous Residence Since January 1. B. you must explain and provide a statement of future intent to work in the national interest waiver employment. File your EAD application with your Form I-485. is pending. File your EAD application with a copy of the order. However. File your EAD application with a copy of the receipt notice or other evidence that your Form I-485. or other evidence that the Form I-485 is pending. Adjustment Applicant--(c)(9). F. to facilitate processing. LIFE Legalization Applicant--(c)(24). such as an approval notice.7. Renewal EAD for National Interest Waiver Physicians: If you are filing for a renewal EAD based on your pending adjustment status and an approved National Interest Waiver Physician petition. notice. or EOIR-40. T-3. If you are applying for initial employment authorization as a T-1 nonimmigrant. copies of W-2 forms).g. Applicant for Suspension of Deportation--(c) (10). E. I. File your EAD application with a copy of the Immigration Judge's order. File your EAD application with a copy of the order of supervision and a request for employment authorization which may be based on. You may file Form I-765 together with your Form I-485. Granted Withholding of Deportation or Removal (a)(10). 1972--(c)(16). Deferred Action--(c)(14).. File your EAD application if you were paroled into the United States for emergent reasons or reasons strictly in the public interest. is pending. or T-4 Nonimmigrant--(c)(25). you must also include evidence of your meaningful progress toward completing the national interest waiver obligation.

A copy of the USCIS acknowledgement mailer. Asylum applicant (with a pending asylum application) who filed an initial request for asylum prior to January 4. C. file your EAD application with: 1. 2. You must submit two identical color photographs of yourself taken within 30 days of the filing of this application. Evidence that your asylum application remains under administrative or judicial review. Evidence that your asylum application remains under administrative or judicial review. or 6. If no prior EAD has been issued. 1995. and is NOT in exclusion or deportation proceedings. If you are mailing your application to USCIS. 1995. The photos must have a white to off-white background. and IS IN exclusion or deportation proceedings. A copy of the USCIS acknowledgement mailer. you must also submit: A. A date-stamped copy of your previously filed Form I-589. A copy of your last EAD (front and back). Asylum applicant (with a pending asylum application) who filed for asylum and for withholding of deportation prior to January 4. Using pencil or felt pen. however. If you are required to show economic necessity for your category. or 3. it will be denied. 05/27/08) N Page 6 . if required. submit a list of your assets. If you are filing an I-765 under the (c) (9) category. a visa issued by a foreign consulate. The identity document photocopy must clearly show the facial features of the applicant and the biographical information. Head height should measure 1” to 1 3/8” from top to bottom of chin. File your EAD application with: 1. and be unmounted and unretouched. See "What Is the Filing Fee" for details. A complete copy of your previously filed Form I-589. 1995. A copy of the USCIS acknowledgement mailer which was mailed to you. it will only be granted if USCIS finds that your asylum application is not frivolous. be printed on thin paper with a glossy finish. If you filed your Request for Asylum and Withholding of Deportation (Form I-589) prior to January 4. Your application with the filing fee.Required Documentation All applications must be filed with the documents required below. Evidence that your Form I-589 was filed with EOIR. lightly print your name and Alien Receipt Number on the back of the photo. or Form I-765 Instructions (Rev. Special Filing Instructions for Those With Pending Asylum Applications ((c)(8)) Asylum Applicant (with a pending asylum application) who filed for asylum on or after January 4. Please assemble the documents in the following order: 1. Evidence that your Form I-589 was filed with an Immigration Judge at the Executive Office for Immigration Review (EOIR). and you ARE IN exclusion or deportation proceedings. income. name. The photos must be in color with full face. Your head must be bare unless you are wearing a headdress as required by a religious order of which you are a member. an I-94 record need not submitted. in addition to the particular evidence required for the category listed in "Who May File This Form I-765" with fee. you must submit a copy of a Federal Government issued identity document. A copy of Form I-94 Departure Record (front and back). or a national ID document with photo and/or fingerprint. File your EAD application with: 1. or 5. and date of birth. or 2. a birth certificate with photo ID. A copy of your USCIS receipt notice. and eye height is between 1 1/8” to 1 3/8” from bottom of photo. AND 2. or 3. B. frontal view on a white to off-white background. The passport-style photos must be 2” by 2”. or 4. and expenses. if available. or 4. such as a passport showing your picture. If you file your EAD application early. You must wait at least 150 days following the filing of your asylum claim before you are eligible to apply for an EAD. You may file your EAD application at any time. Other evidence that your Form I-589 was filed with USCIS. 1995.

2007. your request may be denied if USCIS finds that your asylum application is frivolous. you may qualify for a fee waiver under 8 CFR 103. Mark your application as follows: 1. (2) you have a complete pending asylum application on file. or Palau. 3. however. (a)(8) Citizen of Micronesia. 6. You are entitled to an EAD without regard to the merits of your asylum claim. (a)(11) Deferred Enforced Departure. or NATO personnel. Renewal EAD: If this is a renewal application and you are applying under one of the following categories. (a)(16) Victim of Severe Form of Trafficking (T-1).7(c). or NATO personnel. 9. 3. international organization. or (c)(7) Dependent of certain foreign government. a filing fee is not required: 1. a filing fee is not required: Form I-765 Instructions (Rev. no biometrics fee is required. Asylum application under the ABC Settlement Agreement--(c)(8). Marshall Islands.2.7(c). 8. Your application for an EAD will be decided within 60 days if: (1) you pay the filing fee. Write "(c)(8)" in Section 16 of the application. (a)(3) Refugee. or 4. you must pay the filing fee. a filing fee is not required: 1. if the error was not caused by USCIS. please submit evidence that you have previously filed an asylum application when you submit your EAD application. (c)(l). (a)(4) Paroled as Refugee. or (c)(7) Dependent of certain foreign government. 2007. Notice to Applicant for Admission Detained for Hearing Before Immigration Judge. Write "ABC" in the top right corner of your EAD application. (a)(10) Granted Withholding of Deportation. Therefore.D. international organization. A date-stamped copy of a petition for judicial review or for habeas corpus issued to the asylum applicant. However. Cal. (c)(4). A copy of EOIR-26. If you are renewing or replacing your EAD. (a)(11) Deferred Enforced Departure. 4. and (3) write "ABC" in the top right corner of your EAD application. or 5. You must identify yourself as an ABC class member if you are applying for an EAD under the ABC settlement agreement. 1991). You must have an asylum application (Form I-589) on file either with USCIS or with an Immigration Judge in order to receive work authorization. but it will help USCIS process your request efficiently. 2. 2. American Baptist Churches v. or 3. If you do not pay the filing fee for an initial EAD request. both application and biometrics fees are required. A copy of Form I-221. (c)(8) Applicant for asylum (an applicant filing under the special ABC procedures must pay the fee). (a)(8) Citizen of Micronesia. or 10. 976 (N. However. (a)(5) Asylee. NOTE: If you are requesting a replacement EAD under the (c)(9) or (c)(16) Applicant for Adjustment of Status filed under the fee structure implemented July 30. (a)(7) N-8 or N-9 nonimmigrant. please follow the instructions contained in this section when filing your Form I-765. Notice of Appeal. 5. (c)(1). or 4. You may be eligible for a fee waiver under 8 CFR 103. Replacement EAD: If this is your replacement application and you are applying under one of the following categories. What is the Filing Fee? The filing fee for Form I-765 is $340. then the full filing fee will be required. if you cannot pay the filing fee for an EAD. 7. 5. (c)(9) or (c)(16) adjustment applicant who filed for adjustment under the fee structure implemented July 30. You are not required to submit this evidence when you apply. (c)(4). 2. or (c)(7) Dependent of certain foreign government. (c)(4). Exceptions: Initial EAD: If this is your initial application and you are applying under one of the following categories. 05/27/08) N Page 7 . Incorrect Card: No fee is required if you are filing only because the card issued to you was incorrect due to a USCIS administrative error. If you are a Salvadoran or Guatemalan national eligible for benefits under the ABC settlement agreement. or Palau. Marshall Islands. (c)(l). or Form I-122. Order to Show Cause and Notice of Hearing. 760 F. Thornburgh . (a)(10) Granted Withholding of Deportation. Other evidence that you filed an asylum application with EOIR. 1. Supp. international organization. or NATO personnel. date stamped by the Office of the Immigration Judge.

Box 87765 Lincoln. Department of Homeland Security. admitted as citizen of the Federated States of Micronesia or of the Marshall Islands mail your application to: USCIS Nebraska Service Center P. Virgin Islands and are filing your petition there. (a)(5). NE 68501-7765 For courier/express deliveries: NOTE: Please spell out U. admitted as a refugee.S. or 3. Please view our website at www.gov for a list of who is eligible to e-file this form and instructions. 2007. and 2. because USCIS fees change periodically. Application to Register Permanent Residence or Adjust Status. 2007. If the EFT cannot be processed for technical reasons." and check the appropriate fee. but not as a conclusive standard. asylum granted. we may try to make the transfer up to two times.uscis. Department of Homeland Security. Street Lincoln. If your response to Question 16 is (a)(3). you can verify if the fees are correct by following one of the steps below: 1. Make the check or money order payable to U.S. as of July 30. 2. or reasons deemed strictly in the public interest. The debit from your account will usually take 24 hours and will be shown on your regular account statement. it will be converted into an electronic funds transfer (EFT). unless: A.S.gov." Notice to Those Making Payment by Check. The Poverty Guidelines will be used as a guide. If you file Form I-765 separately.USCIS will use the Poverty Guidelines published annually by the U. Use the following guidelines when you prepare your check or money order for the Form I-765 fee: 1. you must also submit a copy of your Form I-797C. if you called us to request the form. receipt as evidence of the filing of an I-485 as of July 30. Form I-765 Instructions (Rev. B. If you live in the U. NE 68508-1225 If your response to Question 16 is: 1. How to Check If the Fees Are Correct The form fee on this form is current as of the edition date appearing in the lower right corner of this page. or you may submit the I-765 at a later date.S. in adjudicating fee waiver requests for employment authorization applications requiring a fee. paroled as a refugee.O. NOTE: If you filed a Form I-485. make it payable to Treasurer. We will destroy your original check.uscis. 05/27/08) N Page 8 . Review the Fee Schedule included in your form package. (a)(10). However. If you live in Guam and are filing your petition there. an alien granted withholding of deportation or removal. (c)(11). no fee is required to also file a request for employment authorization on Form I-765. You will not receive your original check back. This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. or (a)(8). If you send us a check. Where to File? E-Filing Form I-765: Certain Form I-765 filings may be electronically filed (e-filed) with USCIS. (a)(7). make it payable to Commissioner of Finance of the Virgin Islands. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. You may file the I-765 concurrently with your I-485. but we will keep a copy of it. you authorize us to process the copy in place of your original check. currency.S. USCIS Nebraska Service Center 850 S. 2. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U. If the EFT cannot be completed because of insufficient funds. (a)(4). do not use the initials "USDHS" or "DHS. Guam. N-8 or N-9 nonimmigrant. an alien paroled into the United States temporarily for emergency reasons. select "Immigration Forms. Department of Health and Human Services as the basic criteria in determining the applicant's eligibility when economic necessity is identified as a factor. Notice of Action. Visit our website at www.

any alien in V nonimmigrant status. you must file Form I-765 at the Nebraska Service Center or the Texas Service Center. an alien who has filed for adjustment under section 1104 of the LIFE Act. St. IL 60680-4120 If your response to Question 16 is (c)(14). or (c)(7). mail your application to the following address: USCIS P.S. send your application to (this address may be used for both U. (c)(16). Box 805887 Chicago. S. mail your application according to the instructions in the Federal Register notice for your particular country's TPS designation. (Exception: If the grant of deferred action was based on an approved Form I-360 petition filed for a battered or abused spouse or child.3. Form I-765 Instructions (Rev. for all other (c)(8) filings. IL 60680-7216 If your response to Question 16 is (a)(12). Postal Service and private courier deliveries): USCIS Vermont Service Center Attn: TPS 75 Lower Welden St. dependent of a NATO 1 through NATO 7. If your response to Question 16 is (c)(8) under the special ABC filing instructions. IL 60603-5517 Otherwise. an alien granted family unity benefits under Section 1504 of the LIFE Act. an alien who has been granted deferred action based on an approved Form I-360 petition filed for a battered or abused spouse or child. or (c)(24). Box 805887 Chicago. G-3 or G-4 non-immigrant. 4. or (c)(4). stolen. Albans. IL 60680-4120 For courier/express deliveries: USCIS Attn: FBAS 131 South Dearborn .O.). If your response to Question 16 is (c)(9) and you filed your I-485 application with the USCIS Chicago Lockbox Facility. an alien who has been granted deferred action. 05/27/08) N Page 9 . alien granted Temporary Protected Status. file your Form I-765 with the following address (if you filed your Form I-485 with a USCIS Service Center. Box 7216 Chicago. and you are filing your Form I-589 Application for Asylum and this application together. mail your applications to the office where you will file your asylum application. VT 05479-0001 If your response to Question 16 is (c)(1). immediate family member of a T-1 victim of severe form of trafficking in persons. send your application to (this address may be used for both U. see additional instructions below.O.O. Albans. file your Form I-765 with the Vermont Service Center at the address below. VT 05479-0001 If your response to Question 16 is (a)(14). or mutilated Temporary Protected Status EAD.S. mail your application to: USCIS P. victim of trafficking. mail your application to: USCIS P.3rd Floor Chicago. (c)(14). USUN. IL 60680-7219 If your response to Question 16 is (a)(15). Your application will be reviewed and forwarded by DOS. son or daughter of a foreign government official. (c)(18). see instructions below): USCIS Lockbox Addresses: For U. Otherwise. an alien who has filed an application for creation of record of lawful admission for permanent residence. (a)(16). St. or (c)(25). eligible dependent of a G-1. Postal Service (USPS) deliveries: USCIS P. depending on where you live (see the following addresses). or NATO/ SACLANT to the Nebraska Service Center following certification of your eligibility for an EAD. Box 7219 Chicago. If you need to replace a valid lost. an alien against whom a final order of deportation or removal exists and who is released on an order of supervision. alien who has a pending application for TPS. submit your application through your principal's sponsoring organization. alien spouse or unmarried dependent child. or (c)(19). or 5. if you filed your I-485 adjustment application with a USCIS Service Center. Postal Service and private courier deliveries): USCIS Vermont Service Center Attn: I-765 75 Lower Welden St.O.

10. NE 68501-7765 If you are filing Form I-765 concurrently with Form I-485. (c)(3)(ii). NE 68508-1225 If your response to Question 16 is: 1. 12. 9. mail your Form I-765 package to: USCIS Texas Service Center P. or (c)(3)(C). or Washington. Utah. (c)(17)(iii). 6. citizen employer who has a permanent home or is stationed in a foreign country. F-1 student offered employment under the sponsorship of an international organization. F-1 student seeking optional practical training. 4. (a)(11). Form I-765 Instructions (Rev. New York. an alien who has filed an application for asylum or withholding of deportation or removal.Nebraska Service Center Filings File Form I-765 alone or concurrently with Form I-485 with the Nebraska Service Center if you live in: Alaska. investor. Louisiana. Texas.O. F-1 student seeking employment because of severe economic hardship. Kansas. Illinois. (c)(6).S. Indiana. alien admitted as a nonimmigrant fiancé(e) pursuant to section 101(a)(15) (K)(i). Wisconsin. 05/27/08) N Page 10 Texas Service Center Filings File Form I-765 with the Texas Service Center if you live in: Alabama. Box 851041 Mesquite. Arkansas. or Wyoming. New Jersey. If you are filing Form I-765 alone. Street Lincoln. Maryland. South Carolina. If you are filing Form I-765 concurrently with Form I-485. 7. (c)(8). California. TX 75227 . Montana. Augustine Road Dallas. New Mexico. Kentucky. Virgin Islands. Oklahoma. mail your Form I-765 to the address you will use to file Form I-485. NE 68501-7485 For private courier (non-USPS) deliveries: USCIS Nebraska Service Center 850 S. Ohio. Connecticut. Michigan. Colorado. 3. Pennsylvania. spouse or minor child of an exchange visitor (J-2). or 15. (a)(6). New Hampshire. citizen accompanying or following to join his or her U.S. alien granted extended voluntary departure by the Secretary as a member of a nationality group pursuant to a request by the Secretary of State. Arizona. a visitor for business (B-1) who is the personal or domestic servant who is accompanying or following to join an employer. Mississippi. Rhode Island. M-1 student seeking employment for practical training. (c)(3)(A). (a)(18). Virginia. mail to: USCIS Nebraska Service Center P. 13. an employee of a foreign airline engaged in international transportation of passengers freight: mail your application to the appropriate Service Center depending on where you live (see chart on the following page). Nevada. U. (c)(17)(i). Box 87485 Lincoln. (c)(3)(iii). mail your Form I-765 package to: USCIS Nebraska Service Center P. Nebraska. South Dakota. 5. a domestic servant of a U. (a)(13). (c)(5).O. Puerto Rico. 14. alien granted voluntary departure under the Family Unity Program. Florida. (c)(17)(ii). Idaho. 11. Box 87765 Lincoln. (c)(3)(B). (c)(2). North Carolina. Missouri. 8. Georgia. Vermont. TX 75185-1041 For private courier (non-USPS) deliveries: USCIS Texas Service Center 4141 North St. Guam. Oregon. Massachusetts. spouse of an intracompany transferee. (a)(17). North Dakota.O. Iowa. Washington. alien spouse or unmarried dependent son or daughter of an employee of the Coordination Council for North American Affairs. Maine. Tennessee. Hawaii. West Virginia. 2.S. Minnesota. DC. spouse of a treaty trader. If you are filing Form I-765 alone.

New Hampshire. Texas. Montana. (a)(9). Michigan.O. CA 92607-1076 For courier/express deliveries: USCIS California Service Center 24000 Avila Road 2nd Floor. Illinois. Augustine Rd Dallas. Arkansas. the Commonwealth of Guam. Ohio. Room 2312 Laguna Niguel. the U. Maryland. Idaho. Oklahoma. NE 68508-1225 Form I-765 Instructions (Rev. South Carolina. (c)(10).S. Box 87765 Lincoln. Postal Service and private courier deliveries): USCIS Vermont Service Center Attn: I-765 75 Lower Welden St. Do not combine your check or money order with the fee for Form I-881. Tennessee.O. Street Lincoln. or 2. Indiana. Albans. Missouri. TX 75185-1041 For courier/express deliveries: USCIS Texas Service Center 4141 N St.V. Pennsylvania.If you live in: Connecticut D.I. Arizona Guam Nevada California Hawaii USCIS California Service Center P. Maine. Delaware.S. Kentucky. Washington.O. St. Box 10765 Laguna Niguel.S. Mississippi.O.C. Mail your application to: For both U. Albans. Minnesota. Iowa. New Mexico. Utah.S. Puerto Rico. or if your I-881 application is still pending with USCIS and you wish to renew your EAD: Mail your EAD application with the required fee to the appropriate USCIS service center below: If you live in Alabama. or Wisconsin. CA 92677 NOTE: You should submit the fee for the EAD application on a separate check or money order. NE 68501-7765 For courier/express deliveries: USCIS Nebraska Service Center 850 S. Rhode Island. Louisiana. Box 851041 Mesquite. California. CA 92607-1076 For courier/express deliveries: USCIS California Service Center 24000 Avila Road 2nd Floor. or Wyoming. TX 75227 Alaska Idaho Indiana Kansas Minnesota Montana North Dakota Oregon Utah Wisconsin Colorado Illinois Iowa Michigan Missouri Nebraska Ohio South Dakota Washington Wyoming US Postal Service deliveries: USCIS Service Center Nebraska Service Center P. and you are a NACARA 203 applicant eligible to apply for relief with USCIS. Postal Service deliveries: If your response to Question 16 is: 1. Virginia.S. North Dakota. New Jersey. Virgin Islands. mail your application to: USCIS California Service Center P. the District of Columbia. Massachusetts. CA 92677 Alabama Florida Kentucky Mississippi North Carolina South Carolina Texas Arkansas Georgia Louisiana New Mexico Oklahoma Tennessee U. send your application to (this address may be used for both U. Postal Service deliveries: USCIS Service Center Texas Service Center P. West Virginia. Connecticut. Nebraska. VT 05479-0001 U. Florida. North Carolina. Kansas. Oregon. Room 2312 Laguna Niguel. Arizona.S. Nevada. Postal Service and private courier deliveries: USCIS Vermont Service Center ATTN: I-765 75 Lower Welden Street St. Box 10765 Laguna Niguel. South Dakota. Maryland New Hampshire New York Puerto Rico Vermont West Virginia Delaware Maine Massachusetts New Jersey Pennsylvania Rhode Island Virginia U. New York. VT 05479-0001 If you live in Alaska. Hawaii. Georgia. Vermont. Colorado. admitted as a K-3 spouse or K-4 dependant. 05/27/08) N Page 11 .

uscis. InfoPass generates an electronic appointment notice that appears on the screen. to: U.If your response to Question 16 is (c)(10) and you are not eligible to apply for NACARA 203 relief with USCIS. N. visit our website. Washington. An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. 05/27/08) N Page 12 Requests for more information or interview.gov. Box 805887 Chicago. regulations. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. We may also request that you submit the originals of any copy. Interim EAD. You must bring proof of identity and any notices that you have received from USCIS in connection with your application for employment authorization. you will receive a written notice explaining the basis of your denial. your EAD will either be mailed to you or you may be required to appear at your local USCIS office to pick it up. The public reporting burden for this collection of information is estimated at 3 hours and 25 minutes per response. The information you provide may also be disclosed to other Federal. Failure to provide all information as requested may result in the denial or rejection of this application. or we may request that you appear at a USCIS office for an interview. . call the USCIS National Customer Service Center at 1-800-375-5283 or visit our website at www. Application for Employment Authorization. Form I-765 Instructions (Rev. Do not mail your application to this address. Information you provide on your Form I-765 is used to determine whether you are eligible for employment authorization and for the preparation of your Employment Authorization Document if you are found eligible. mail your application to the following address: USCIS P. Questions Regarding Form I-765 For additional information about Form I-765. and we may deny your Form I-765. IL 60680-4120 Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-765. USCIS Forms and Information To order USCIS forms. If you have not received a decision within 90 days of receipt by USCIS of a properly filed EAD application or within 30 days of a properly filed initial EAD application based on an asylum application filed on or after January 4. Regulatory Management Division. Once a Form I-765 has been accepted. Denial.W. State. An application or petition is not considered properly filed until accepted by USCIS. Suite 3008. we will deny the Form I-765 and may deny any other immigration benefit. local. We may request more information or evidence. As an altenative to waiting in line for assistance at your local USCIS office. including submission of the required initial evidence. Processing Information Any Form I-765 that is not signed or accompanied by the correct fee will be rejected with a notice that the Form I-765 is deficient. 1615-0040. and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www. InfoPass. you may obtain interim work authorization by appearing in person at your local USCIS District Office.S. In addition.gov. 111 Massachusetts Avenue. including the time for reviewing instructions and completing and submitting the form. but you are eligible for other deportation or removal relief. it will be checked for completeness. To access the system. If your application cannot be granted. If approved. including how to file your application or filing locations not mentioned. 1995. Send comments regarding this burden estimate or any other aspect of this collection of information. If you do not completely fill out the form.O. Initial processing. You may correct the deficiency and resubmit the Form I-765.uscis. you can now schedule an appointment through our Internet-based system. Approval. OMB No. call our toll-free number at 1-800870-3676. Citizenship and Immigration Services. Paperwork Reduction Act Authority for Collecting This Information. including suggestions for reducing this burden. 3rd Floor. We will return these originals when they are no longer required. and foreign law enforcement and regulatory agencies during the course of the USCIS investigations. you will not establish a basis for eligibility. or file it without required initial evidence. You can also get USCIS forms and information on immigration laws. when applying for employment authorization is found at sections 103(a) and 274A(h)(3) of the Immigration and Nationality Act. The authority to require you to file Form I-765. DC 20529. you will face severe penalties provided by law and may be subject to criminal prosecution..

) 15. I have read the Instructions in Part 2 and have identified the appropriate eligibility category in Block 16. Place of Last Entry into the U. etc. in item 16 above.12 (a) or (c). (a)(8). and your employer's EVerify Company Identification Number or a valid E-Verify Client Company Identification Number in the space below. Failed to establish eligibility under 8 CFR 274a. Have you ever before applied for employment authorization from USCIS? 17. (18) and 8 CFR 214. Name (Family Name in CAPS) (First) 2. Student. Place of Birth (Town or City) (State/Province) 7. If you entered the Eligibility Category. I authorize the release of any information that U. Go to Part 2 of the Instructions. etc. (mm/dd/yyyy) 4. Social Security Number (Include all numbers you have ever used) (if any) Eligibility under 8 CFR 274a. 1615-0040. Furthermore. (Date). Address in the United States (Number and Street) (Town or City) (State/Country) (Apt. Number) (ZIP Code) Results (Granted or Denied . In the space below. Date of Last Entry into the U. if other than above: I declare that this document was prepared by me at the request of the applicant and is based on all information of which I have any knowledge. Student. Subject to the following conditions: Application Denied. Failed to establish economic necessity as required in 8 CFR 274a. Marital Status Female (Country) 6. Remarks A# Applicant is filing under §274a.S. Application For Employment Authorization Action Block Fee Stamp Do not write in this block. list your degree. Eligibility Categories. Replacement (of lost employment authorization document) Renewal of my permission to accept employment (attach previous employment authorization document). that the foregoing is true and correct. your employer's name as listed in E-Verfy. Citizenship and Immigration Services I-765. Employment Authorized / Extended (Circle One) until (Date).OMB No. 14. Alien Registration Number (A-Number) or I-94 Number (if any) 11.12(c)(14). under penalty of perjury under the laws of the United States of America. Other Names Used (Include Maiden Name) 3. (c)(17)(iii). complete below) No Certification Your Certification: I certify.S. 05/27/08) N . Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking.S. Manner of Last Entry (Visitor. Expires 08/31/08 Department of Homeland Security U.attach all documentation) 12. Country of Citizenship/Nationality 5. (c)(3)(C). Print Name Remarks Address Signature Date Initial Receipt Resubmitted Relocated Rec'd Sent Approved Completed Denied Returned Form I-765 (Rev.2(f) I am applying for: Permission to accept employment.). place the letter and number of the category you selected from the instructions (For example.12 Application Approved. Degree: Employer's Name as listed in E-Verify: Employer's E-Verify Company Identification Number or a valid E-Verify Client Company Identification Number Yes (If yes. etc.12 ( ) ( ) ( ) 10. (Middle) Which USCIS Office? Date(s) 1. Gender Male 8.) 16. Date of Birth (mm/dd/yyyy) Single Married Widowed Divorced 9. 13. Signature Telephone Number Date Signature of person preparing form. Current Immigration Status (Visitor.S.

If you are requesting: A. Department of State's National Visa Center that your status has been adjusted to permanent resident based on an approved Form I-485 application.S. Citizenship and Immigration Services Instructions for Form I-824. Check the box in Part 2 of Form I-824 that applies to your request. You may direct your inquiry by sending an e-mail to NVCInquiry@state.S. at the top of each sheet of paper and indicate the part and number of the item to which the answer refers. USCIS will send information regarding the approval of your nonimmigrant visa petition to a new U. NOTE: USCIS will not process Form I-824 if your petition or application has been denied or has not yet been approved.S. use a separate sheet(s) of paper. A request for replacement of employment authorization card may be filed on Form I-765. Reason for Filing Form I-824 The reasons why you may request further action are listed in the next column. Embassy or consulate and have been admitted to the United States as a lawful permanent resident.Reason for Filing Form I-824 Step 2 . 1615-0044. 1. NOTE: This notification is not available for E or R visa approval notification. C. A request for replacement of permanent resident card may be filed on Form I-90. Form I-824 Instructions (Rev.S. 32 Rochester Avenue. or any other USCIS authorization document will not accompany the duplicate approval notice. permanent resident card. NOTE: The duplicate approval notice will contain only the information listed on the original Form I-797. This form must not be used to verify the status of a pending petition or application.Fill Out Form I-824 Step 1.S.S.S. If you need more space to complete an answer.S. Refer to the respective form instructions for further information. If approved. General Instructions You may file this form at any time while the application or petition is valid. Check Box C. A replacement employment authorization card. 08/25/08) Y When Must I Use Form I-824? You must use Form I-824 to request U. Notice of Action. Refugee/Asylee Relative Petition. A separate Form I-824 must be filed for each action being requested. Department of State's National Visa Center (NVC) or Kentucky Consular Center (KCC) concerning the approval of a nonimmigrant visa petition or to notify a new Port-of-Entry concerning the approval of a waiver application. so that your spouse and/or child(ren) may apply for an immigrant visa. Please refer to the instructions on Form I-730. for specific information on following-to-join benefits for your spouse or unmarried child(ren) under 21 years of age. A duplicate approval notice. Consulate through the NVC or the KCC. USCIS to notify a U. Check Box A. Check Box B.OMB No. if any. NOTE: This notification is not available if you have been issued an immigrant visa at a U. A request for replacement of Form I-94 may be filed on Form I-102. B. Expires 08/31/09 Department of Homeland Security U.S. You may contact the NVC for information on how to request following-tojoin benefits for your dependent(s). This is to request USCIS to notify a U. Follow the steps below to complete your application: Step 1 . Consulate through the U. Consulate through the U.gov or by writing to the National Visa Center. Consulate through the NVC that your status has been adjusted to that of a lawful permanent resident based on an approved Form I-485 application. or the approval of your waiver application to a new Port-of-Entry different from that originally requested. This notification is also not available if you have been admitted to the United States as a refugee or were granted status in the United States as an asylee. Citizenship and Immigration Services (USCIS) to provide further action on a previously approved petition or application. Form I-94. Portsmouth. . Application for Action on an Approved Application or Petition Instructions Please read these instructions carefully to properly complete this form. ATTN: WC. Write your name and Alien Registration Number (A #). USCIS to notify a new U. NH 03801-2909. What Is the Purpose of This Form? Use Form I-824 to request further action on an approved petition or application.

2. If you have two last names. USCIS to notify the U. leave this blank. 4. Social Security number. Information About You (Person filing this application) A. the application must be completed and signed by the petitioner or the applicant of the underlying petition or the application. 08/25/08) Y Page 2 . Date of Birth . USCIS to notify the U. give the Internal Revenue Service Tax Number of the business or organization. B. without fee. 6. Department of State that you have become a U. E. If you do not have an A number or do not know it. 3. USCIS to send your approved immigrant visa petition to the U. A # . 9. USCIS to send information to the U. Country of Birth . Do not put a post office box (P. If you are requesting category D or E in Part 2. Country of Citizenship . Form I-824 Instructions (Rev. ATTN: WC. 32 Rochester Avenue.S. Part 1. Department of State through the NVC. Step 2. Answer all questions fully and accurately. If you are requesting category C in Part 2. If extra space is needed to complete any item. Family Name (Last name) . 8. A duplicate approval notice for an application or petition that is pending or has been denied. citizen by submitting a copy of your naturalization certificate. Mailing Address . Application for Advanced Processing of Orphan Petition.S. 10. include both and use a hyphen (-) between the names.Give your physical street address.S. Petition to Classify Orphan as an Immediate Relative. If you are requesting category A or B in Part 2. IRS Tax # . if different from your home or business address. Application for Determination of Suitability to Adopt a Child from a Convention Country. State that an item is not applicable with "N/A. This must include a street number and name or a rural route number. NH 03801-2909.S. attach a continuation sheet.Give the name of the country of which you are a citizen. B. as well as the approval of Form I-800.S.D. 5." This form is divided into Parts 1 through 5. citizen through naturalization. Check Box E. indicate the item number. 2. leave this blank. the application must be completed and signed by the petitioner of the underlying immigrant visa petition. This is to request USCIS to send your approved immigrant visa petition to the U.Give the entity's complete name if the petitioner or applicant is a company or organization. NOTE: You may also notify the U. Department of State regarding the approval of your expired nonimmigrant application or petition. to the National Visa Center. A duplicate approval notice naming a spouse or children accompanying or following-to-join the principal beneficiary on an approved immigrant petition. Department of State regarding an employment based application or petition if your employment for the original petitioner has ended. Portsmouth. Check Box D. 3.S. This is to request USCIS to notify the U.S.Give the name of the country where you were born. Department of State's National Visa Center (NVC). U.If you are filing this application on behalf of a business or organization. or E. citizenship status.S.If you do not have a U. 1. D. and/or Form I-800A. Social Security # ." If the answer is none. and date and sign each sheet. Box number here).This is your Alien Registration Number (immigration file number). C. Company or Organization Name . 7.Give a complete number with area/country codes where you can be reached during the day.Give your legal name.S.O.S.S. 1979. the application must be completed and signed by the principal applicant who filed Form I-485. Type or print legibly in black ink. The following information should help you fill out the form. Department of State of the approval of Form I-600A. and/or Form I-600. Fill Out Form I-824 1. Department of State of your U. write "None. USCIS to send information to the U. 2.Use eight numbers to show your date of birth (example: May 1.S.S.Give your mailing address. Daytime Telephone Number . C. Home or Business Address . You may not file this form to request: A. Department of State of your status as a U. should be written 05/01/1979). if appropriate. Petition to Classify Convention Adoptee as an Immediate Relative. 11.

Copies Unless specifically required that an original document be filed with an application or petition. However.gov. make it payable to Commissioner of Finance of the Virgin Islands. Part 5 . unless: A.Part 2 . The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U.S.Signature As the applicant.Signature of Person Preparing Form. If the EFT cannot be completed because of insufficient funds.S. Department of Homeland Security. make it payable to Treasurer. and will be shown on your regular account statement. Part 4 . select "Immigration Forms" check the appropriate fee. but we will keep a copy of it. the application will be returned as incomplete. did not fill out Form I-824. date. and by the translator's certification that he or she is competent to translate from the foreign language into English. Part 3 . do not use the initials "USDHS" or "DHS. you can verify if the fees are correct by following one of the steps below: 1. If you do not sign the form. Make the check or money order payable to U. If the EFT cannot be processed for technical reasons. if available. Notice of Action.S. This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. If you live in the U. we may try to make the transfer up to two times. for the original petition or application. Step 3. 2.Additional Information Provide the requested information regarding the original application or petition. Department of Homeland Security. Use the following guidelines when you prepare your check or money order for the Form I-824 fee: 1. We will destroy your original check. even if the submission was not required. and 2. You will not receive your original check back. 08/25/08) Y Page 3 . This could be either a USCIS Service Center or local USCIS office. Virgin Islands and are filing your petition there. If you live in Guam and are filing your petition there. showing the front and back of the following documents. 3.S. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. B. the preparer must also sign. Form I-824 Instructions (Rev. The debit from your account will usually take 24 hours. A copy of Form N-550. it will be converted into an electronic funds transfer (EFT). you must sign and date your Form I-824. and give his or her address. A copy of the original petition or application. 2. NOTE: Please spell out U. an ordinary legible photocopy may be submitted.Reason for Request Check one box that applies to your particular request. Review the Fee Schedule included in your form package. if Other than Applicant If you. because USCIS fees change periodically. General Requirements Attach copies. Certificate of Naturalization. Guam. if you called us to request the form. 1. A copy of Form I-797. currency. Translations Any document containing a foreign language submitted to USCIS shall be accompanied by a full English language translation which the translator has certified as complete and accurate. What Is the Filing Fee? The filing fee for Form I-824 is $340." Notice to Those Making Payment by Check If you send us a check. How to Check If the Fees Are Correct The fee on this form is current as the edition date appearing in the lower right corner of this page.uscis. the applicant. or 3. Original documents submitted when not required will remain a part of the record. Visit our website at www. you authorize us to process the copy in place of your original check. Where to File? You should submit this form and any related evidence to the USCIS office that approved the original petition or application.

uscis. Do not mail your application to this address. 3rd Floor. may delay a final decision or result in denial of your Form I-824.W. you can now schedule an appointment through our internet-based system.S. 1615-0044. as amended.gov. 111 Massachusetts Avenue. We may provide this information to other government agencies. Paperwork Reduction Act An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. including suggestions for reducing this burden. and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www. mail to: U.. Failure to provide this information. If you do not completely fill out the form. or file it without required initial evidence. You can also get USCIS forms and information on immigration laws. You will be notified of the decision in writing. Citizenship and Immigration Services Change of Address P. you may change your address on-line at www. We will return these originals when they are no longer required. will be rejected with a notice that Form I-824 is deficient. call our toll-free number at 1-800-870-3676. and completing and submitting the form. Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-824. The public reporting burden for this collection of information is estimated at 25 minutes per response. Form I-824 Instructions (Rev. We may also request that you submit the originals of any copy. DC 20529. you will not establish a basis for eligibility and we may deny your Form I-824. to determine if you have established eligibility for the immigration benefit for which you are filing.S. Send comments regarding this burden estimate or any other aspect of this collection of information. to: U. In addition. to: U. it will be checked for completeness.Address Changes If you change your address and you have an application or petition pending with USCIS.uscis. Citizenship and Immigration Services. we will deny your Form I-824 and may deny any other immigration benefit. InfoPass generates an electronic appointment notice that appears on the screen. including submission of the required initial evidence. 08/25/08) Y Page 4 Decision The decision on Form I-824 involves a determination of whether you have established eligibility for the requested benefit.O.S. Box 7134 London. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. Requests for More Information or Interview We may request more information or evidence. An application or petition is not considered properly filed until accepted by USCIS. including the time for reviewing instructions. or we may request that you appear at a USCIS office for an interview. gov. you will face severe penalties provided by law and may be subject to criminal prosecution. You may correct the deficiency and resubmit Form I-824. and associated evidence. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. InfoPass. Regulatory Management Division. Processing Information Any Form I-824 that is not signed or accompanied by the correct fee. regulations. Alien's Change of Address Card. and any requested evidence. Washington. click on "Change your address with USCIS" and follow the prompts or by completing and mailing Form AR-11. N. Privacy Act Notice We ask for the information on this form. Initial Processing Once Form I-824 has been accepted. To access the system. As an alternative to waiting in line for assistance at your local USCIS office. KY 40742-7134 For commercial overnight or fast freight services only. visit our website. OMB No. . Our legal right to ask for this information can be found in the Immigration and Nationality Act. KY 40744 USCIS Forms and Information To order USCIS forms. Suite 3008.

S. about the approval of a waiver application.Street Number and Name City Zip/Postal Code Mailing Address .S. Social Security # (If any) State or Province Country Remarks Part 2. Please notify the U. Please notify the U. Citizenship and Immigration Services I-824. Consulate or Port-of-Entry at: C.Please type or print in black ink Part 1./Suite # Date Date Reloc Sent Date Date Reloc Rec'd Date For USCIS Use Only Receipt START HERE . USCIS to notify a U. different from that originally requested. Fill in box if G-28 is attached to represent the applicant. Reason for Request I am requesting (Check one box): A./Suite # Given Name (First name) Middle Name C/O (In care of): Date City Zip/Postal Code Daytime Phone # (Area/country codes) Country of Birth Date of Birth (mm/dd/yyyy) A # (If any) Country of Citizenship IRS Tax # (If any) Action Block U. Department of State of my U.Street Number and Name State or Province Country Apt.S. Consulate. 08/25/08) Y . Citizenship status To Be Completed by Attorney or Representative. B.S.S. Application for Action on an Approved Application or Petition Returned Date Date Resubmitted Apt.OMB No. Department of State's National Visa Center or Kentucky Consular Center about the approval of a nonimmigrant visa petition or to notify a new Port-of-Entry.S.S. 1615-0044: Expires 08/31/09 Department of Homeland Security U. Consulate through the National Visa Center that my status has been adjusted to permanent resident based on an approved I-485 application. A duplicate approval notice USCIS to notify a new U. Form I-824 (Rev.S. through the U. E.S. Consulate at: USCIS to send my approved immigrant visa petition to the National Visa Center (NVC) USCIS to notify the U. Information About You (Person filing this application) Family Name (Last name) Company or Organization Name Home or Business Address . ATTY State License # D. different from that originally requested. if any.

(If different from home address) Street Number and Name/P. Give the following information about the original petition or application.Street Number and Name City State or Province Zip/Postal Code Country Country of Birth A # (If any) Apt. attach a separate sheet(s) of paper. Family Name (Last name) Given Name (First name) Middle Name Relationship to the Principal Alien Foreign Address Foreign Telephone Number Form I-824 (Rev. Type of Petition or Application (Form number) Receipt Number (On Form I-797. # Mailing Address . Give the following information about the principal beneficiary of the original petition or application.O. give the following information about the dependents(s) for whom you are requesting following-to-join. Current/Most Recent Immigration Status Naturalization/Citizenship Certificate Number 3. Additional Information 1. Notice of Action) Filing Date of Petition or Application (mm/dd/yyyy) Approval Date (mm/dd/yyyy) 2. Box Number City State or Province Zip/Postal Code C/O (In care of) Country Daytime Phone (Area/country code and number) 4. Middle Name Family Name (Last name) Given Name (First name) Date of Birth (mm/dd/yyyy) Home Address .Part 3. If you have checked box C in Part 2. Give the following information about the petitioner or applicant for the original petition or application. If you need additional space. 08/25/08) Y Page 2 .

08/25/08) Y Page 3 . Print or Type Your Name Signature Firm Name and Address Date (mm/dd/yyyy) E-Mail Address (If any) Daytime Phone Number (With area code) Form I-824 (Rev. Part 5. you may not be found eligible for the requested benefit and this application may be denied.) I certify. Signature Daytime Phone Number (With area code) Date (mm/dd/yyyy) NOTE: If you do not completely fill out this form or fail to submit required documents listed in the instructions. under penalty of perjury under the laws of the United States of America.Part 4.S. Signature of Person Preparing Form. I authorize the release of any information from my records that the U. that this information and the evidence submitted with it is all true and correct. Signature (Read the information on penalties in the instructions before completing this part. if Other than Above (Sign below) I declare that I prepared this at the request of the applicant and it is based on all information of which I have knowledge. Citizenship and Immigration Services needs to determine eligibility for the benefit sought.

and date and sign each sheet. federal tax returns. you will become removable from the United States. A copy of the Permenent Resident Card of your conditional permanent resident spouse and each of your conditional permanent resident children included in your petition. Evidence that you invested or were actively in the process of investing the amount of capital required for the location of your enterprise. or they may file separately subsequent to your petition. You will receive a filing receipt that you should carry with your Permanent Resident Card. If you travel outside the United States during this period. Evidence of the Commercial Enterprise. 1615-0045. an audited financial statement. If you obtained conditional permanent resident status through your entrepreneur spouse or parent and your spouse or parent has died. if any. Effect of Filing. You may use this form to petition for removal of the conditions. If filing subsequently. 2. indicate the item number. 07/30/07) Y . Citizenship and Immigration Services (USCIS) to remove the conditions on his or her residence. if applicable. use this form to petition for the removal of those conditions. If this petition is not filed. attach a continuation sheet. and Effect of Not Filing.S.OMB No. General requirements You must file your petition with: 1. B. Such evidence includes." If the answer is none. Fill Out the Form I-829 You must file this petition during the 90 days immediately before the second anniversary of the date that you obtained conditional permanent resident status. Permanent Resident Card (Form I-551). Submit the following types of evidence with your petition: (Please label each type of evidence. If extra space is needed to complete any item. Form I-829 Instructions (Rev. B. Filing this petition extends your conditional permanent residence for six months.S. If your failure to file was for good cause and due to extenuating circumstances. When Should I Use Form I-829? Step 1. A copy of your Permanent Resident Card and. Evidence that you established a commercial enterprise. relating to the principal's petition. What Is the Purpose of This Form? This form is for a conditional permanent resident who obtained such status through entrepreneurship to petition to the U. but is not limited to.) A. A. Answer all questions fully and accurately. General Instructions. 2. Expires 05/31/09 Department of Homeland Security U. you may present your Permanent Resident Card and the filing receipt in order to be readmitted." Step 2. you may file your petition late with a written explanation and request that USCIS excuse the late filing. 3. Who May File This I-829? If you were granted conditional permanent resident status through entrepreneurship. but is not limited to. use a separate sheet(s) of paper. Type or print legibly in black ink. at the top of each sheet of paper and indicate the part and number of the item to which the answer refers. Write your name and Alien Registration Number (A #). Citizenship and Immigration Services Instructions for I-829. If you need more space to complete an answer. you may use this form for removal of the conditions. 1. As a result. Petition by Entrepreneur to Remove Conditions Instructions Please read these instructions carefully to properly complete this form. Such evidence includes. You may include your conditional permanent resident spouse and children in your petition. you will automatically lose your permanent resident status as of the second anniversary of the date that you were granted conditional status. attach a copy of the Form I-797. This is the date your conditional permanent residence expires. write "none. State that an item is not applicable with "N/A. Notice of Action.

Evidence of the number of full-time employees at the beginning of the investment and at present. or rehabilitative program.. Form I-829 Instructions (Rev. If you are filing as a spouse or child whose entrepreneur spouse or parent has died. An original or certified copy of your probation or parole record. time. and C. 2. 5. submit: A. and B. An original statement from the court that no record exists of your arrest or conviction. Business licenses. Criminal History.00 and or points on your drivers license. 4. and signature taken by USCIS. and 3. Evidence that you completed an alternative sentencing program. 3. Evidence that the conditions set forth above in "Evidence of the Commercial Enterprise" have been met. expunged or otherwise removed from your record. sealing. or B. Your spouse's death certificate. submit: A. dismissal order. B. USCIS will notify you in writing of the date. specifically: 1. and charges were filed. Federal or state income tax returns or quarterly tax statements. 4. Contracts. and location where you must go for the required biometric services. Invoices and receipts. An original official statement by the arresting agency or applicable court order confirming that no charges were filed. If you have ever been arrested or detained by any law enforcement officer for any reason. NOTE: Unless a traffic incident was alcohol or drug related. or if charges were filed against you without an arrest. If you have ever had any arrest or conviction vacated. and 5. setting aside.) If you have ever been convicted or placed in an alternative sentencing program or rehabilitative program (such as a drug treatment or community service program). you do not need to submit documentation for traffic fines and incidents that did not involve an actual arrest if the only penalty was a fine of less than $500. and/or disposition for each incident (e. submit: A. An original or court-certified copy of the complete arrest record. Evidence that you sustained your enterprise and your investment in that business throughout your period of conditional permanent residence. expunging or otherwise removing the arrest or conviction.g. submit: A. Evidence that you completed your sentence. Examples of such evidence include: 1.C. 2. An original or court-certified copy of the court order vacating. Such evidence includes but is not limited to: 1. Your spouse's permanent resident card. Payroll records. If you have ever been arrested or detained by any law enforcement officer for any reason. When you file Form I-829. fingerprint. 07/30/07) Y Page 2 . conviction record or acquittal order. or 2. Failure to appear for the biometric services may result in a denial of your application. you no longer need to submit two passportstyle photos. set aside. submit the following with your petition: A. sealed. Relevant tax documents. Bank statements. D. and no charges were filed. NOTE: Because USCIS is now taking photographs of applicants. Biometric Services. An original or court-certified copy of the sentencing record for each incident. Applicants will have their photograph. 3. Forms I-9.

Oklahoma. North Carolina. Florida.930. Arkansas. New Hampshire. Use the following guidelines when you prepare your check or money order for the Form I-829 fee: 1. Delaware.Where To File? If the new commercial enterprise is located or will be doing business principally in Alabama. Colorado.gov.S. California. you can verify if the fees are correct by following one of the steps below: 1. Puerto Rico. but we will keep a copy of it. Washington. Department of Homeland Security. and will be shown on your regular account statement. CA 92607-0526 2.O. New Jersey.S. if you called us to request the form or 3.S. Texas. District of Columbia. it will be converted into an electronic funds transfer (EFT). What Is the Filing Fee? The filing fee for a Form I-829 is $2. If you live in Guam and are filing your petition there. Guam. is required to submit an additional biometric services fee of $80. New York. we may try to make the transfer up to two times. Kansas. The form fee on this form is current as the the edition date appearing in the lower right corner of this page. and Form I-829 Instructions (Rev. 07/30/07) YPage 3 . Review the Fee Schedule included in your form package. NOTE: Please spell out U. We will destroy your original check. TX 75185-2135 If the new commercial enterprise is located or will be doing business principally in Alaska. eligible to be included on the principal applicant's Form I-829 and listed under Part 3 or Part 4 of Form I-829. Ohio.O. Rhode Island. mail the petition to: USCIS California Service Center P. South Dakota. Arizona. Georgia.850. Minnesota. If you send us a check. make it payable to Treasurer. Oregon. mail the petition to: USCIS Texas Service Center P. Visit our website at www. Box 852135 Mesquite. Iowa. Vermont.uscis. you authorize us to process the copy in place of your original check. Connecticut. Utah. The debit from your account will usually take 24 hours. Make the check or money order payable to U. Pennsylvania. Wisconsin or Wyoming. Virginia or West Virginia. unless: A. B. This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. because USCIS fees change periodically. Hawaii. New Mexico.00. do not use the initials "USDHS" or "DHS.00. Guam. Virgin Islands. Louisiana. Maryland. Virgin Islands and are filing your petition there. How to Check If the Fees Are Correct. select "Immigration Forms" check the appropriate fee. Box 10526 Laguna Niguel. Nebraska. Tennessee. 2. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. The fees must be submitted in the exact amount. make it payable to Commissioner of Finance of the Virgin Islands. Montana. North Dakota. Mississippi. If you live in the U. You will not receive your original check back. NOTE: Each conditional resident dependent. However. Illinois. Kentucky. Maine. Missouri. South Carolina. If the EFT cannot be completed because of insufficient funds. U. If the EFT cannot be processed for technical reasons. It cannot be refunded.S. Massachusetts. Indiana. currency. Michigan. Nevada." Notice to Those Making Payment by Check. Idaho. Do not mail cash.00 You may submit one check or money order for both the petition and biometric services. for a total of $2.S.00 The fee for biometric services is $80. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U. Department of Homeland Security.

Washington. or we may request that you appear at a USCIS office for an interview.gov. To access the system. DC 20529. mail to: U. You will be notified of the decision in writing. An application or petition is not considered properly filed until accepted by USCIS. N. Citizenship and Immigration Services Change of Address P. may delay a final decision or result in denial of your Form I-829. As an altenative to waiting in line for assistance at your local USCIS office. We may provide this information to other government agencies. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. Send comments regarding this burden estimate or any other aspect of this collection of information. we will deny the Form I-829 and may deny any other immigration benefit. . you will not establish a basis for eligibility and we may deny your Form I-829.Address Changes. 3rd Floor. You can also get USCIS forms and information on immigration laws. or file it without required initial evidence. 111 Massachusetts Avenue. Citizenship and Immigration Services.uscis. 5 minutes per response. 1615-0045. to: U. Privacy Act Notice. and associated evidence. Initial processing. click on "Change your address with USCIS" and follow the prompts or by completing and mailing Form AR-11. Penalties.S. Do not mail your application to this address. Box 7134 London. If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-829. Alien's Change of Address Card. OMB No. visit our website. will be rejected with a notice that the Form I-829 is deficient.uscis. If you change your address and you have an application or petition pending with USCIS. In addition. call our toll-free number at 1-800870-3676. To order USCIS forms. The public reporting burden for this collection of information is estimated at 1 hour. We will return these originals when they are no longer required. You may correct the deficiency and resubmit the Form I-829. including suggestions for reducing this burden. The decision on a Form I-829 involves a determination of whether you have established eligiblity for the requested benefit. Requests for more information or interview. it will be checked for completness. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment.S. Suite 3008. regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www. to: U. Form I-829 Instructions (Rev. 07/30/07) Y Page 4 Decision. InfoPass. Paperwork Reduction Act. to determine if you have established eligibility for the immigration benefit for which you are filing. Processing Information. you will face severe penalties provided by law and may be subject to criminal prosecution.W. If you do not completely fill out the form.gov. Once a Form I-829 has been accepted. KY 40744 USCIS Forms and Information. An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Any Form I-829 that is not signed or accompanied by the correct fee. including submission of the required initial evidence. you may change your address on-line at www.O. completing and submitting the form. Failure to provide this information. as amended. KY 40742-7134 For commercial overnight or fast freight services only. you can now schedule an appointment through our internet-based system. We may request more information or evidence. Regulatory Management Division.. and any requested evidence. InfoPass generates an electronic appointment notice that appears on the screen. We ask for the information on this form. including the time for reviewing instructions. We may also request that you submit the originals of any copy.S. Our legal right to ask for this information can be found in the Immigration and Nationality Act.

d.) Part 2. Information about your husband or wife. 1615-0045. Reserved. fined or imprisoned for breaking or violating any law or ordinance (excluding traffic regulations). (Check one) a. c. or committed any crime for which you were not arrested? Yes No (If yes. b. if any G-28 is attached Attorney's State License No. I am a conditional permanent resident spouse or child of an entrepreneur. e. have you ever been arrested. Reserved. Form I-526 Receipt Number Given Name Middle Name Apt. Given Name Male Female Date of Birth (mm/dd/yyyy) Middle Name Date of Marriage (mm/dd/yyyy) Part 3. # State or Province Zip/Postal Code Country of Birth Daytime Phone # U. Basis for petition. and I am unable to be included in a Petition by Entrepreneur to Remove Conditions (Form I-829) filed by my conditional resident spouse or parent. My conditional permanent residence is based on an investment in a commercial enterprise. cited. explain on separate sheet(s) of paper. Citizenship and Immigration Services I-829.S. Social Security # (if any) Since becoming a conditional permanent resident. 07/30/07)Y . Petition by Entrepreneur to Remove Conditions Fee Receipt Do not write in this block . Expires 05/31/09 Department of Homeland Security U. indicted. Family Name Gender Other names used (including maiden name or aliases) A# (If any) Current Immigration Status Is your current immigration status based on the petitioner's current status? Yes No RECEIVED: ________________ RESUBMITTED:__________________________ RELOCATED: SENT _____________________REC'D ____________________ Form I-829 (Rev. A # (if any) Family Name Address: In care of Number and Street City Country Date of Birth (mm/dd/yyyy) Information about you.For USCIS use only (Except G-28 Block Below) Applicant Interviewed Action Block To be completed by Attorney or Representative. Part 1.OMB No. charged. including disposition.S.Type or print in black ink. if any. I am a conditional permanent resident spouse or child of an entrepreneur who is deceased. Remarks: START HERE . convicted.

New commercial enterprise resulting from the reorganization of an existing business. Kind of Business (Be as specific as possible): Date Business Established (mm/dd/yyyy) Date of Initial Investment (mm/dd/yyyy) Amount of Initial Investment % of Enterprise You Own Number of full-time employees in enterprise in United States (excluding you.) Given Name Current Immigration Status Given Name Current Immigration Status Given Name Current Immigration Status Given Name Current Immigration Status Given Name Current Immigration Status Given Name Current Immigration Status Date of Birth (mm/dd/yyyy) Date of Birth (mm/dd/yyyy) Date of Birth (mm/dd/yyyy) Date of Birth (mm/dd/yyyy) Date of Birth (mm/dd/yyyy) Date of Birth (mm/dd/yyyy) Middle Name Living with you? Middle Name Living with you? Middle Name Living with you? Middle Name Living with you? Middle Name Living with you? Middle Name Living with you? Yes No Yes No Yes No Yes No Yes No Yes No Part 5. 07/30/07)Y Page 2 Presently: Difference: . New commercial enterprise resulting from a capital investment in an existing business. Attach another sheet(s) of paper. Family Name A# (if any) Family Name A# (if any) Family Name A# (if any) Family Name A# (if any) Family Name A# (if any) Family Name A# (if any) (List all your children. Type of Enterprise (Check one): New commercial enterprise resulting from the creation of a new business. sons and daughters): At the time of your initial investment: How many of these new jobs were created by your investment? Form I-829 (Rev. your spouse. if necessary. Children.Part 4. Information about your commercial enterprise.

(Read the information on penalties in the instructions before completing this section. (Continued. Signature of Applicant Print Name Date NOTE: If you do not completely fill out this form or fail to submit any required documents listed in the instructions. ceased business operations. Signature. if other than above. Signature Print Name Date Firm Name and Address (Include Telephone Number with Area Code and E-Mail Address. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought.) Form I-829 (Rev. you may not be found eligible for the requested benefit and this petition may be denied. under penalty of perjury under the laws of the United States of America.) I certify. I also authorize the release of any information from my records that the U. Part 7.S. that this petition and the evidence submitted with it is all true and correct. Signature of person preparing form. 07/30/07)Y Page 3 . or have any changes in its business organization No or ownership occurred since the date of your initial investment? Yes (Explain on separate sheet) Has your commercial enterprise sold any corporate assets.) Subsequent Investment in the Enterprise: Date of Investment Amount of Investment Type of Investment Provide the gross and net incomes generated annually by the commercial enterprise since your initial investment.Part 5. I declare that I prepared this petition at the request of the above person and it is based on all information of which I have knowledge. Information about your commercial enterprise . Year Gross Income Net Income Has your commercial enterprise filed for bankruptcy. or had any capital withdrawn since the date of your initial investment? Yes (Explain on separate sheet) No Part 6. shares. Include all income generated up to date during the present year. I further certify that the investment was made in accordance with the laws of the United States and was not for the purpose of evading United States immigration laws. property.

You must show on this form that you have enough income and/or assets to maintain the intending immigrant(s) and the rest of your household at 125 percent of the Federal Poverty Guidelines. or Your local USCIS office by using Infopass.Attach a separate sheet of paper (or more sheets if necessary). Form I-360. -.uscis. See the SSA website at www. Use black or blue ink. Completing and signing this form makes you the sponsor.gov). unmarried children under age 21. you are agreeing to use your resources to support the intending immigrant(s) named in this form. Affidavit of Support Under Section 213A of the Act Instructions How Should I Complete This Form? Print clearly or type your answers using CAPITAL letters. The submission of this form may make the sponsored immigrant ineligible for certain Federal.Write the number and subject of each question for which you are providing additional information. Citizenship and Immigration Services I-864.OMB No.S.S. spouses and unmarried sons and daughters of permanent resident aliens. If you need extra space to answer any item: -. See Form I-864P. Social Security number and the words "Form I-864" on the top right corner of the sheet. acquire U. citizens age 21 and older). or to obtain related forms please contact: The USCIS website (www.ssa. and Employment-based preference immigrants in cases only when a U. intending immigrants may be able to secure credit for work performed by a spouse during marriage and by their parent(s) while the immigrants were under 18 years of age. upon admission.S. citizen or lawful permanent resident relative filed the immigrant visa petition or such relative has a significant ownership interest (five percent or more) in the entity that filed the petition. Poverty Guidelines.S. U. if it becomes necessary. or local meanstested public benefits. What Is the Purpose of This Form? This form is required for most family-based immigrants and some employment-based immigrants to show that they have adequate means of financial support and that they are not likely to become a public charge. 1615-0075. citizens.gov/mystatement/credits for more information. because an agency that provides meanstested public benefits will consider your resources and assets as available to the sponsored immigrant in determining his or her eligibility for the program. Who Needs This Form? The following immigrants are required by law to submit Form I-864 completed by the petitioner to obtain an immigrant visa overseas or to adjust status to that of a lawful permanent resident in the United States: All immediate relatives of U. If the immigrant sponsored in this affidavit does receive one of the designated Federal. married sons and daughters of U. Government. citizens (spouses. The Social Security Administration (SSA) can provide information on how to count quarters of work earned or credited and how to provide evidence of such. for more information on which benefits may be covered by this definition. as amended by the Child Citizenship Act of 2000 (CCA).S. or the contract on Page 6 of this form for a list of benefits explicitly not considered means-tested public benefits.S. State. Expires 10/31/10 Department of Homeland Security U. Are There Exceptions to Who Needs This Form? The following types of intending immigrants do not need to file this form: Any intending immigrant who has earned or can be credited with 40 qualifying quarters (credits) of work in the United States. and How Is This Form Used? This form is a contract between a sponsor and the U. citizens age 21 and older). That agency can sue you if the cost of the benefits provided is not repaid. citizenship under section 320 of the Immigration and Nationality Act. and parents of U. Widow(er).S. Any intending immigrant who will. For more information about Form I-864.S. The National Customer Service Center (NCSC) telephone line at 1-800-375-5283 TTY: (1-800-767-1833). the agency providing the benefit may request that you repay the cost of those benefits. By signing Form I-864. citizens.Write your name. Self-petitioning widow/ers who have an approved Petition for Amerasian. or Special Immigrant. In addition to their own work. and -.S. Not all benefits are considered to be means-tested public benefits. 10/18/07)Y . and brothers and sisters of U. Form I-864 Instructions (Rev. State or local means-tested public benefits. All family-based preference immigrants (unmarried sons and daughters of U.S.

First. all persons being sponsored in this affidavit of support. you may include additional relatives (adult children. What Are the Income Requirements? To qualify as a sponsor. unless the requirement can be met using any combination of the following: Income from any relatives or dependents living in your household or dependents listed on your most recent Federal tax return who signed a Form I-864A. or (2) is related to the intending immigrant as a spouse. If necessary to meet the income requirements to be a sponsor. the intending immigrant will be ineligible for an immigrant visa or adjustment of status. his or her income can be included if it will continue from the same source after he or she obtains lawful permanent resident status. or sibling. the assets of any household member who has signed a Form I-864A. If you have any unrelated dependents listed on your income tax return you may include their income regardless of where they reside. Navy. and if the intending immigrant is currently living in your residence. daughter. or Form I-600 or I-600A for an orphan. even if a joint sponsor also submits an I-864 to meet the income requirement.S. there are two requirements. Form I-360. but it must continue from the same source after he or she becomes a lawful permanent resident. son. Can the Intending Immigrant Help Me Meet the Income Requirements? If certain conditions are met. if that income will continue from the same source after immigration. The petitioning sponsor must sign and complete Form I-864. parents. Contract Between Sponsor and Household Member. citizen or lawful permanent resident who filed a Form I-130 for a family member. instead of Form I-864. Income from the intending immigrant. A joint sponsor whose income and/or assets equal at least 125 percent of the Poverty Guidelines. The list below identifies who must become sponsors by completing and signing a Form I-864. A sponsor is required to be at least 18 years old and domiciled in the United States. the intending immigrant must currently live with you in your residence. Armed Forces. Air Force. The Federal poverty line. This provision does not apply to joint or substitute sponsors. If the intending immigrant is your spouse. If the intending immigrant is your spouse. NOTE: If you qualify for one of the exemptions listed above. Marines or Coast Guard. the intending immigrant's income can help you meet the income requirement. Evidence must be provided to support both requirements. or sibling who: (1) has a significant ownership interest (five percent or more) in the business which filed the employment-based immigrant visa petition. Form I-864 Instructions (Rev. the income must be continuing from the same source after he or she obtains lawful permanent resident status. or its territories or possessions (see Step-bystep Instructions for more information on domicile). 10/18/07)Y Page 2 . or Special Immigrant. parent. and if they are at least 18 years of age when they sign the form. parent. his or her income can be counted regardless of current residence. See question below for more information on joint sponsors. no matter where they live: any spouse. The U. The U. and second.Self-petitioning battered spouses and children who have an approved Petition for Amerasian. Who Completes and Signs Form I-864? A sponsor completes and signs Form I-864. Widow(er). any dependent children under the age of 21. How Do I Count Household Size? Your household size includes yourself and the following individuals. any other dependents listed on your most recent Federal income tax return. citizen or permanent resident alien who filed an employment-based immigrant visa petition (Form I-140) for a spouse. you only need to have an income of 100 percent of the Federal poverty line for your household size. submit Form I-864W. or the assets of the intending immigrant. or siblings) as part of your household size as long as they have the same principle residence as you and promise to use their income and resources in support of the intending immigrant(s). The value of your assets. What If I Cannot Meet the Income Requirements? If your income alone is not sufficient to meet the requirement for your household size. for purposes of this form. If the intending immigrant is another relative. son.S. If you are on active duty in the U. Intending Immigrant's I-864 Exemption. and you are sponsoring your spouse or minor child. How Can My Relatives and Dependents Help Me Meet the Income Requirements? You may use the income of your spouse and/or any other relatives living in your residence if they are willing to be jointly responsible with you for the intending immigrant(s) you are sponsoring. and any immigrants previously sponsored with a Form I-864 or Form I-864 EZ affidavit of support whom you are still obligated to support. is updated annually and can be found on Form I-864P. Poverty Guidelines. including the Army.S. daughter. The income of such household members and dependents can be used to help you meet the income requirements if they complete and sign Form I-864A. you must demonstrate that your income is at least 125 percent of the current Federal poverty guideline for your household size. Form I-129F for a fiance(e).

meanstested public benefits cannot be accepted as income for the purposes of meeting the income requirement. There may be no more than two joint sponsors. the contract relates to support for the spouse and/or children.S.S. 10/18/07)Y Page 3 . unless the intending immigrant has a spouse and/or children immigrating with him or her. father-in-law. You may not include an automobile unless you show that you own at least one working automobile that you have not included. What Is a Joint Sponsor? If the person who is seeking the immigration of one or more of his or her relatives cannot meet the income requirements. citizen. The Social Security Administration can provide information on how to count qualifying quarters (credits) of work. The substitute sponsor must also be a U. each will need an original affidavit of support and accompanying documentation since you were required to submit separate Form I-130 visa petitions for each parent. However. sibling. The obligation also ends if you or the sponsored immigrant dies or if the sponsored immigrant ceases to be a lawful permanent resident and departs the United States. son. parent. Form I-864 Instructions (Rev. You may submit photocopies if you are sponsoring more than one intending immigrant listed on the same affidavit of support. the petitioning sponsor remains legally accountable for the financial support of the sponsored alien along with the joint sponsor(s). A joint sponsor does not have to be related to the petitioning sponsor or the intending immigrant. you must indicate that that you are related to the intending immigrant in one of the ways listed above and include evidence proving that relationship. The substitute sponsor must be related to the intending immigrant in one of the following ways: spouse. What Is a Substitute Sponsor? A substitute sponsor is a sponsor who is completing a Form I-864 on behalf of an intending immigrant whose original I-130 petitioner has died after the Form I-130 was approved. Do I Need to Submit a Separate Affidavit for Each Family Member? You must submit a Form I-864 affidavit of support for each intending immigrant you are sponsoring.S. sister-in-law. Separate affidavits of support are required for intending immigrants for whom different Form I-130 family-based petitions were filed. or can be credited with 40 qualifying quarters of work in the United States. Divorce does not end the sponsorship obligation. The beneficiary must also include a copy of the Form I-130 approval notice. domiciled in the United States. or lawful permanent resident who is at least 18 years old. Does Receipt of Means-Tested Public Benefits Disqualify me From being a Sponsor? No. Any dependents applying for an immigrant visa or adjustment of status more than six months after immigration of the intending immigrants must be sponsored by the petitioner but may be sponsored by an original joint sponsor or a different joint sponsor. Receipt of means-tested public benefits does not disqualify anyone from being a sponsor. if you are sponsoring both parents. If you are a substitute sponsor. A joint sponsor can be any U. Although 40 qualifying quarters of work (credits) generally equate to ten years of work. In this instance. If the first joint sponsor completes Form I-864 for some rather than all the family members. Even if one or more I-864s are submitted for an intending immigrant. national. grandparent. in certain cases the work of a spouse or parent adds qualifying quarters. a second qualifying joint sponsor will be required to sponsor the remaining family members. daughter.S. child (at least 18 years of age).However. an intending immigrant whose income is being used to meet the income requirement does not need to complete Form I-864A. Contract Between Sponsor and Household Member. grandchild or legal guardian. citizen or lawful permanent resident. son-in-law. citizen. How Long Does My Obligation as a Sponsor Continue? Your obligation to support the immigrant(s) you are sponsoring in this affidavit of support will continue until the sponsored immigrant becomes a U. U. daughter-in-law. brother-inlaw. having been revoked following the petitioner's death. or its territories or possessions. but before the intending immigrant obtained permanent residence. and willing to be held jointly liable with the petitioner for the support of the intending immigrant. How Can I Use Assets to Qualify? Assets may supplement income if the consular or immigration officer is convinced that the monetary value of the asset could reasonably be made available to support the sponsored immigrant and converted to cash within one year without undue harm to the sponsor or his or her family members. a "joint sponsor" who can meet the requirements may submit a Form I-864 to sponsor all or some of the family members. mother-in-law. For instance. A joint sponsor must be able to meet the income requirements for all the persons he or she is sponsoring without combining resources with the petitioning sponsor or a second joint sponsor. The beneficiary must also file this form along with a written statement explaining the reasons why the Form I-130 visa petition should be reinstated.

S. Embassy or Consulate overseas: Complete Form I-864 when it is mailed to you from the National Visa Center (NVC). 10/18/07)YPage 4 . If the intending immigrant will adjust status in the United States: Complete Form I-864 when the intending immigrant is ready to submit his or her Form Application to Register Permanent Residence or Adjust Status. This requirement does not relieve a sponsor who is a lawful permanent resident from submitting Form AR-11 within ten days of a change of address. When Do I Complete Form I-864 and Where Do I Send It? If the intending immigrant will apply for an immigrant visa at a U. Do not complete Form I-865 at the same time that you complete the I-864. Different instructions apply to some cases so follow the instructions provided by the National Visa Center for your particular case.Often a spouse or minor children obtain visas or adjust status as dependents of a relative. You do not need to provide copies of the supporting documents for each of the photocopied Forms I-864." You may be requested to submit updated information if there is a significant delay in processing. You should complete and submit Form I-865 to USCIS only when the address you indicated on the original I-864 Affidavit of Support has changed. For privacy. based on the same visa petition. Sponsor's Change of Address. you may enclose these documents in a sealed envelope marked "Form I-864: To Be Opened Only by a U. Form I-864 Instructions (Rev. The instructions on when and where to submit Form I-864 are included in the information packet that is mailed to you with Form I-864. as long as these dependents are immigrating at the same time as the principal immigrant or within six months of the time he or she immigrates to the United States. Then give the completed Form I-864 along with any Forms I-864A and all supporting documentation to the intending immigrant to submit with his or her application for adjustment of status. Form I-864 and all accompanying documentation must be submitted to the government within one year of when you sign Form I-864. If you are sponsoring such dependents. Form I-864 and all supporting documentation must be submitted within one year of when you sign Form I-864. to the Service Center having jurisdiction over your new address. Do I Have to Report My Change of Address If I Move? Federal law requires that every sponsor report every change of address to the USCIS within 30 days of the change. Government Official. send a completed Form I-865. To do this. Please see Form I-865 for further directions on filing the Sponsor's Change of Address. you only need to provide a photocopy of the original Form I-864. To be valid.S.

you should list the names and other requested information on the lines provided. If you are not currently living in the United States. If the spouse and/or children will be traveling with the immigrant.Step-by-Step Instructions Form I-864 is divided into nine parts. Persons with A-numbers can locate the number on their INS or USCIS-issued documentation. If the intending immigrants you are sponsoring have not previously been in the United States or have only been in the United States as tourists. Application for Advance Processing of Orphan Petition. If any dependents are not immigrating. adult son or daughter. or Form I-600A. and may not be a corporation. sibling. brother-in-law. daughter. or sister. The substitute sponsor must be related to the intending immigrant in one of the following ways: spouse. Check "No" only if you are sponsoring only intended immigrants listed in 9 (a through e) and not the principal immigrant listed in item 2. but your country of domicile is the United States. father-in-law. Part 2. but before the intending immigrant obtained permanent residence. The principal immigrant is the intending immigrant who is the primary beneficiary of the visa petition. daughter-in-law. grandparent. A separate Form I-864 will be required for them when they apply for their immigrant visas. 8. Country of Domicile. they probably do not have A-numbers. Part 1. father. Indicate whether you are the only joint sponsor or one of two joint sponsors. This question is asking you to indicate the country where you maintain your principal residence and where you plan to reside for the foreseeable future. Accompanying Family Members You are Sponsoring . Part 3. brother.S. If you are the petitioner. This only applies to cases with two joint sponsors. If your mailing address and/or place of residence is not in the United States. you must sponsor each intending immigrant. wife. Information on the Sponsor. you must sponsor each intending immigrant. The substitute sponsor must also be a U. you must attach a written explanation and documentary evidence indicating how you meet the domicile requirement. son-in-law. Check box "d" if you are the only joint sponsor or box "e" if you are either of two joint sponsors. mother. A substitute sponsor is a sponsor who is completing a Form I-864 on behalf of an intending immigrant whose original Form I-130 petitioner has died after the Form I-130 was approved. or sister. brother. The immigrant you are sponsoring may be bringing a spouse and/or children to the United States. Part 4. If you are a substitute sponsor. do not list their names here. 10/18/07)Y Page 5 . wife. Petition to Classify Orphan as an Immediate Relative. mother-in-law. Check box "c" if you have an ownership interest of at least five percent in a business. son. citizen or lawful permanent resident. or within six months of the immigrant's entry to the United States and you are sponsoring them. organization. child. An "A-number" is an Alien Registration Number assigned by the former Immigration and Naturalization Service (INS) or U. adult son or daughter. Alien Registration Number. Check box "f" if you are the substitute sponsor. Basis for Filing Affidavit of Support. sister-in-law. child (at least 18 years of age). A joint sponsor does not have to be related to the intending immigrant. will be immigrating more than 6 months after the sponsored alien arrives in the United States. or other entity. Indicate whether you are sponsoring the principal immigrant listed in item 2 in this Form I-864. Check with the petitioning sponsor or the intending immigrant if you are not certain. Check box "a" if you are the petitioner who is filing or who has already filed Form I-130. Petition for Alien Relative. for your husband. grandchild or legal guardian. 9. Citizenship and Immigration Services (USCIS). corporation or other entity that filed or is filing a Form I-140 for your husband. Check box "b" if you are filing or have filed Form I-140. you may meet the domicile requirement if you can submit evidence to establish that any of the following conditions apply: Form I-864 Instructions (Rev.S. A joint sponsor must be a person. mother. 6. 15. parent. Immigrant Petition for Alien Worker. child. or you are not sponsoring them. Information on the Principal Immigrant. father. Information on Immigrants You Are Sponsoring. The information below will help you fill out the form. Form I-600.

S. This provision does not apply to joint and substitute sponsors. 20. or a copy of the biographic data page of your U. Other proof could be evidence that you are a student studying abroad or that a foreign government has authorized a temporary stay. certificate of citizenship. Proof of U. -. Form I-864 Instructions (Rev. or a photocopy of an unexpired temporary I-551 stamp in either a foreign passport or a DHS Form I-94.A. Sponsor's Household Size. You intend in good faith to reestablish your domicile in the United States no later than the date of the intending immigrant's admission or adjustment of status. or -. Air Force. or proof of having a permanent mailing address in the United States. For example. Alien Registration Receipt Card/Permanent Resident Card. (See Form I-864P for information on the poverty levels. instead of at 125 percent of the poverty level. Part 5. 19. -. Navy." Form I-551. Form I-129F.S. You can show this by providing proof of your voting record in the United States. 10/18/07)YPage 6 . certificate of naturalization.A U. Some individuals employed overseas are automatically considered to be domiciled in the United States because of the nature of their employment.S.The U. The qualifying types of employment include employment by: -. do not include him or her again on line 21f. your spouse (whom you would enter on line 21c) might also be a lawful permanent resident whom you have already sponsored using Form I-864 (line 21f). you will need to demonstrate income at only 100 percent of the poverty level for your household size.S. Marines. since in some cases the same person could fit into two categories. Petitioning relatives who have already filed proof of their citizenship or immigration status with Forms I-130. Arrival/Departure Document. -. Check "yes" if you are the petitioning sponsor and on active duty in the U.A religious denomination or interdenominational missionary organization having a bona fide organization in the United States. You must submit proof that you have taken concrete steps to establish you will be domiciled in the United States at a time no later than the date of the intending immigrant's admission or adjustment of status. national. or registering children in U. proof of paying U. You are living abroad temporarily.S. You are employed by a certain organization. citizen or national status includes a copy of your birth certificate. C.An American institution of research recognized by the Secretary of Homeland Security (The list of qualifying institutions may be found at 8 CFR 316. passport. signing a lease or purchasing a residence in the United States. U. schools. if the person is engaged solely as a missionary. if the employment abroad involves the person's performance of priestly or ministerial functions on behalf of the denomination. government. consular report of birth abroad to citizen parents.S. If you are not currently living in the United States. military. you must show that your trip abroad is temporary and that you have maintained your domicile in the United States. Proof of U.A religious denomination having a bona fide organization in the United States. proof of having property in the United States. or a subsidiary of such a firm or corporation. Some of these persons may not be residing with you. -. 18.S.20). I-600 and I-600A do not need to submit proof of their status with this form. Please attach proof of the steps you have taken to establish domicile as described above. other than for training. Military Service. State or local taxes. Every sponsor's Social Security number is required by law. If you do not currently have a Social Security number you must obtain one before submitting this Form I-864. If you provide evidence that you are currently on active duty in the military and you are petitioning for your spouse or minor child.S. Make sure you do not count any individual more than once. Concrete steps might include accepting a job in the United States. Citizenship/Residency.or Coast Guard. If you included your spouse on line 21c.S. B.) Check "no" if you are not on active duty in the U.S.A public international organization in which the United States participates by treaty or statute. citizen. Proof of permanent resident status includes a photocopy of both sides of the "green card. proof of maintaining bank or investment accounts in the United States. This section asks you to add together the number of persons for whom you are financially responsible. Social Security Number. or permanent resident status is required for joint and substitute sponsors and for relatives of employment-based immigrants who file this form. firm or corporation engaged in whole or in part in the development of foreign trade and commerce with the United States. Army.

You must include each and every person whom you have claimed as a dependent on your most recent Federal income tax return. 10/18/07)Y Page 7 . He or she does not need to complete Form I-864A. You may also provide pay stub(s) showing your income for the previous six months. citizenship. To be considered.This question gives you the option of including certain other non-dependent relatives who are living in your residence as part of your household size.Enter the number of unmarried children you have who are under age 21. You are not required to submit this evidence. 22. even if you do not have legal custody of these children. For example. each one of these individuals must be over 18 years of age and must complete Form I-864A. You may exclude any unmarried children under 21. Current Individual Annual Income. Even if you are not legally obligated to support that person. See Form I-864P for reference on the Poverty Guidelines. Such relatives may include your mother.S.Enter the number of any other dependents. evidence that his/her income will continue from the current source after obtaining lawful permanent resident status must be provided. or joint sponsor. 21e . or of Form I-864EZ as a petitioning sponsor. if these children have reached majority under the law of their place of domicile and you do not claim them as dependents on your income tax returns. To determine the filing requirements for your relatives included in item 24b. unless specifically instructed to do so by a Government official. However. Annual Household Income. child support. evidence that his or her income will continue from the current source after obtaining lawful permanent resident status must be provided and the intending immigrant must provide evidence that he/she is living in your residence. acquisition of 40 quarters of earned or credited work in the United States. or any other relative listed in 21g.21d . If you included the income of the intending immigrant who is not your spouse. If you included the income of the intending immigrant who is your spouse (he or she would be counted on line 21a). or any dependent listed in 21e. 21f . Check the box (a through d) that applies to you. you may also include evidence of that income. death. 21g . if they are living in your residence. you must include the person if in fact you did support that person and claimed the person as a dependent. You may include evidence supporting your claim about your expected income for the current year if you believe that submitting this evidence will help you establish ability to maintain sufficient income. even if that person is not related to you. substitute.Enter the number of lawful permanent residents whom you are currently obligated to support based on your previous submission of Form I-864 as a petitioning. and indicating your annual salary. 23. He/she does not need to complete Form I-864A unless he/she has accompanying children. dividend or interest income. or obtaining a new grant of adjustment of status while in removal proceedings based on a new affidavit of support. however. unless he or she has an accompanying spouse or children. showing your employer's address and telephone number. This section is used to determine the sponsor's household income. Enter your current individual earned or retirement annual income that you are using to meet the requirements of this form and indicate the total on this line. or income from any other source. you may include a recent letter from your employer. 24. brother or adult children. military and sponsoring your spouse or child) of the Federal Poverty Guidelines for your household size from line 21h. Take your annual individual income from line 23 and enter it on line 24a. Part 6. Form I-864 Instructions (Rev. or any child listed in 21d. if one is required. Job Classification.S. If your claimed income includes alimony. father. any relative indicated in this category must sign and submit Form I-864A. (he or she would be counted on line 21a). Include only those persons who have already immigrated to the United States. the only reason to include these family members in your household size is if you need to include their income when you calculate your household income for purposes of meeting the income requirement for this form. If this amount is greater than 125 percent (or 100 percent if you are on active duty in the U. follow these instructions: If you included the income of your spouse listed in 21c. Contract Between Sponsor and Household Member. Do not include anyone for whom your obligation to support has ended through the sponsored immigrant's acquisition of U. Sponsor's Income and Employment. you do not need to include any household member's income. abandonment of lawful permanent residence in the United States. sister.

The value of assets of all of these persons may be combined in order to meet the necessary requirement. If your Total Household Income (indicated on Line 24c) is equal to or more than needed to meet the income requirement as shown by the current Poverty Guidelines (Form I-864P) for your household size (indicated on Line 21h). 10/18/07)Y Page 8 . the sponsored immigrant's assets. Do not submit any tax returns that you filed with any foreign government unless you claim that you were not required to file a Federal tax return with the United States government and you wish to rely on the foreign return solely to establish the amount of your income that is not subject to tax in the United States. that you filed with your Federal tax return. a recent appraisal by a licensed appraiser. Schedule D (Capital Gains). and at least one automobile is not included as an asset. attach a written explanation. and the basis for the owner's claim of its net cash value. for the support of the intending immigrant(s). you must include a copy of each and every FormW-2 and Form 1099 that relates to your return(s). Schedule E (Supplemental Income or Loss) or Schedule F (Profit or Loss from Farming). If your total household income does not meet the requirement. Form I-864 Instructions (Rev. You are not required to have the IRS certify the transcript or photocopy unless specifically instructed to do so by a Government official. You may include the net value of your home as an asset. this. the line for gross (total) income on IRS Forms 1040 and 1040A will be considered when determining income. Follow all instructions for completing and filing Form 4506-T with the IRS. and evidence of the amount of any and all loans secured by a mortgage. you should have completed one of the following forms with your Federal income tax return: Schedule C (Profit or Loss from Business). Telefile tax records are not acceptable proof of filing. Use of Assets to Supplement Income. The net value of the home is the appraised value of the home. you do not need to complete this Part. you may submit transcripts or photocopies of your Federal individual income tax returns for the three most recent years.25. you must include documentation demonstrating that you own it. For persons filing IRS Form 1040 EZ. Part 7. if necessary. You must provide either an IRS transcript or a photocopy from your own records of your Federal individual income tax return for the most recent tax year. trust deed. The owner of the asset must include a description of the asset. attach a written explanation including evidence of the exemption and how you are subject to it. Residence outside of the United States does not exempt U. you must file any and all late returns with IRS and attach an IRSgenerated tax return transcript documenting your late filing before submitting the I-864 Affidavit of Support. and/or assets of a household member that can be used. if any. If you provide a photocopy of your tax return(s). Obtaining Tax Transcripts. You must include each and every Form 1040 Schedule. the line for adjusted gross income will be considered. See "Filing Requirements" in the IRS Form 1040 Filing Instructions to determine whether you were required to file. If you checked box 22(b) (self-employed). If you believe additional returns may help you to establish your ability to maintain sufficient income. Complete IRS Form 4506-T with the ending date for each of your three most recent tax years listed on line 9. If you wish to include the net value of your home. a plain transcript or photocopy is acceptable. Only complete this Part if you need to use the value of assets to meet the income requirements. tax law for any other reason. proof of ownership. or other lien on the home. If you were required to file a Federal income tax return during any of the previous three tax years but did not do so.S. You may not include the net value an automobile unless you show that you have more than one automobile. If you were not required to file a Federal income tax return under U. Only assets that can be converted into cash within one year and without considerable hardship or financial loss to the owner may be included.S. minus the sum of any and all loans secured by a mortgage. Do not include copies of these Forms if you provide an IRS transcript of your return(s) rather than a photocopy. If you were not required to file a Federal income tax return under U. Federal income tax return.S.S. You may use Internal Revenue Service (IRS) Form 4506-T to request tax transcripts from the IRS. Federal Income Tax Information. you may submit evidence of the value of your assets. For purposes of this affidavit. tax law because your income was too low. Do not submit copies of your State income tax returns. or other lien on the home. trust deed. citizens or lawful permanent residents from filing a U.

000.000. plus any available assets of the sponsored immigant. acquire citizenship under section 320 of the Act.C. Contract Between Sponsor and Household Member. Form I-864 Instructions (Rev. the relative must reside with you and have completed a Form I-864A. and value of any real estate holding.S. If you include in this affidavit of support any information that you know to be false. and who will.C. USCIS or a Consular Officer to support an alien's application for benefits under the Immigration and Nationality Act and specifically the assertion that he or she has adequate means of financial support and will not become a public charge. 1183a(d) (2). 1184(a). the intending immigrant you are sponsoring cannot be issued a visa or be granted adjustment of status. citizen and you are sponsoring your spouse or minor child. and 1258. If you do not print your name on line 30 and sign and date the form on line 31. The information will be used principally by an immigration judge. or local means-tested public benefits. However. Household Member's Assets. 29. Sponsor's Contact. plus the assets of any household member who is signing Form I-864A. parent or sibling). the total value of your assets must only be equal to at least three times the difference. financial or other institutions. You may use the assets of more than one relative who resides with you so long as you submit a complete Form I-864A with evidence of assets for each such relative. income. If the intending immigrant is an alien orphan who will be adopted in the United States after the alien orphan acquires permanent residence.26.062. The amount of the civil penalty will depend on whether you failed to give this notice because you were aware that the immigrant(s) you sponsored had received Federal. Other Information. If the failure to report your change of address occurs with knowledge that the sponsored immigrant received meanstested public benefits (other than benefits described in section 401(b). the Internal Revenue Service. Authority for the collection of the information requested on this form is contained in 8 U. with accompanying evidence of assets.000. In order for assets to help you qualify. as a result. which are summarized in the contract in Part 8) such failure may result in a fine of not less than $2. or the Social Security Administration. 1182a(4).S. as required by 8 U. 1183a.000). print your name. Form I-864A is not required to document the intending immigrant's assets. Read the contract carefully. Assets of the Intending Immigrant. The Form I-864A and accompanying evidence of assets is submitted with Form I-864. State. Privacy Act Notice. To use your own assets. ownership. The intending immigrant must provide evidence of such assets with this form. The Government may pursue verification of any information provided on or in support of this form. date of acquisition. You may use the assets of the intending immigrant regardless of where he or she resides. Failure to provide the information will result in denial of the application for an immigrant visa or adjustment of status. you must complete lines 26a through 26d and submit corresponding evidence with this form. Otherwise. If you fail to give notice of your change of address. the total value of your assets must equal at least five times the difference between your total household income and the current poverty guidelines for your household size. Supporting evidence must be attached to establish location.3. adult son or daughter. the failure to report your change of address may result in a fine not less than $250 or more than $2. including employment. or 4ll(b) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. 403(c)(2). 27. In order to qualify based on the value of your assets. and then sign and date the form. Penalties.C. the total value of your assets need only equal the difference.S. To use the assets of a relative (spouse. the combination of your assets. Example of How to Use Assets: If you are petitioning for a parent and the poverty line for your household size is $22. 28. In this case. Total Value of Assets. or assets with the employer.000. Assets. you would meet the income requirements if the net value of the assets equaled at least $20. would have to equal five times this difference (5 x $4. 10/18/07)Y Page 9 . Submission of the information is voluntary.000 or more than $5. if you are a U. 1183a(d) and 8 CFR 213a. you may be liable for the civil penalty established by 8 U. the difference between your current income and the poverty line is $4. you may be liable for criminal prosecution under the laws of the United States.S.062 and your current income is $18. Part 8.

and foreign law enforcement and regulatory agencies to enable these entities to carry out their law enforcement responsibilities. 111 Massachusetts Avenue N.uscis. and which impose the least burden on you to provide us with information. you can now schedule an appointment through our internet-based system.uscis. as a matter of routine use..S. To order USCIS forms. can be easily understood. local. It may also be disclosed as a matter of routine use to other Federal. write to U. 10/18/07)Y Page 10 . InfoPass generates an electronic appointment notice that appears on the screen. The notice gives the time and date of your appointment. USCIS Forms and Information. Print the notice and take it with you to your appointment.C. As an alternative to waiting in line for assistance at your local USCIS office. Citizenship and Immigration Services. To access the system. State. Form I-864 Instructions (Rev. Use InfoPass for Appointments. Washington. You can also obtain forms and information on immigration laws. Attn: OMB No.gov. regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www. If you have comments regarding the accuracy of this estimate. Social Security numbers may be verified with the Social Security Administration consistant with the consent signed as part of the contract in Part 8 of the Form I-864. Do not mail your completed affidavit of support to this address. D. Regulatory Management Division. A person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment.gov. 1615-0075. Often this is difficult because some immigration laws are very complex. or suggestions for making this form simpler. The estimated average time to complete and file this form is as follows: (1) 75 minutes to learn about the law and form. visit our website at www. Reporting Burden. call our toll-free forms line at 1-800-870-3676. State and local agencies providing means-tested public benefits for use in civil action against the sponsor for breach of contract.The information may also. (2) 90 minutes to complete the form. along with the address of the USCIS office. and (3) 3 hour and 15 minutes to assemble and file the form. be disclosed to other Federal. InfoPass. We try to create forms and instructions that are accurate. 20529.W. for a total estimated average of 6 hours per form.

___ A separate Form I-864A for each person whose income you will use. a copy of your Schedule C. pay stub(s) from the most recent six months. and/or a letter from your employer if you believe any of these items will help you qualify. and any other evidence of reported income.S. ___ Proof that the intending immigrant's current employment will continue from the same source if his or her income is being used. ___ For lawful permanent residents. passport. ___ A separate Form I-864A for each household member using assets other than for the intending immigrant. Permanent Resident Card. You may submit this information for the most recent three tax years . or certificate of naturalization or citizenship.S. ___ Documentation of assets establishing location. Evidence of any liens or liabilities against these assets. including W-2s and 1099s. ___ If you use your assets or the assets of a household member to qualify. You may submit this information for the most recent three years if you believe it will help you qualify. Copies of supporting documentation are not required for these family members. E or F from your most recent Federal Tax Return which establishes your income from your business. For SOME sponsors: ___ If you are currently self-employed. substitute sponsor. proof of your active military status. ___ For U. D. ___ If you are a joint sponsor. ___ If you are sponsoring more than one intending immigrant listed on the same affidavit of support. proof of your citizenship status. or the relative of an employment-based immigrant requiring an affidavit of support. Also include a copy of each and every Form 1099. or a statement and/or evidence describing why you were not required to file. date of acquisition and value. an intending immigrant whose income is being used needs to complete Form I-864A only if his or her spouse and/or children are immigrating with him or her. national status or lawful permanent resident status. or evidence that they were not required to file. citizens or nationals. photocopies of the original affidavit of support may be submitted for any additional intending immigrants listed. U. including W-2s for the most recent tax year. Schedule. Armed Forces and are sponsoring your spouse or child using 100 percent of governing poverty guideline.S.Check List The following items must be submitted with Form I-864: For ALL sponsors: ___ A copy of your individual Federal income tax return. ___ If you are the petitioning sponsor and on active duty in the U. However. ___ If you are using the income of persons in your household or dependents to qualify. ownership. 10/18/07)Y Page 11 . Form I-864 Instructions (Rev. for the most recent tax year. ___ Proof of their residency in your household and relationship to you if they are not the intending immigrants or are not listed as dependents on your Federal income tax return for the most recent tax year. a copy of both sides of your Form I-551. a copy of your birth certificate. ___ A copy of their individual Federal income tax return.

I am the first second of two joint sponsors. b. c. e. Form I-864 (Rev. Alien Registration Number (if any) A- 7. I am the petitioner.S. I filed or am filing for the immigration of my relative. who is related to me as my I have an ownership interest of at least 5 percent in . am the sponsor submitting this affidavit of support because (Check only one box): a. which filed an alien worker petition on behalf of the intending immigrant. 1615-0075. Last Name First Name Middle Name Reviewer 3. 1. 8. Information on the immigrant(s) you are sponsoring. d.Social Security Number (if any) a. I am the intending immigrant's . I filed an alien worker petition on behalf of the intending immigrant. b. who is related to me as my I am the only joint sponsor. Mailing Address Street Number and Name (Include Apartment Number) Location City 4. c.S. Country of Citizenship State/Province Zip/Postal Code Country 5.OMB No. Part 2. Basis for filing Affidavit of Support. 2. Citizenship and Immigration Services I-864. No (Applicable only in cases with two joint sponsors) I am sponsoring the following family members immigrating at the same time or within six months of the principal immigrant named in Part 2 above. U. Do not include any relative listed on a separate visa petition. does not meet the requirements of section 213A. Enter the total number of immigrants you are sponsoring on this form from Part 3. 10/18/07)Y . Information on the principal immigrant. (Check appropriate box. This I-864: The original petitioner is deceased. Social Security Number (if any) Part 3. I am the substitute sponsor. Items 8 and 9. f.) . I am sponsoring the principal immigrant named in Part 2 above. I. Affidavit of Support Under Section 213A of the Act For Government Use Only Part 1.S. This I-864 is from: the Petitioner a Joint Sponsor # ______________ the Substitute Sponsor 5% Owner d. 10. e. Yes 9. Expires 10/31/10 Department of Homeland Security U. Date of Birth (mm/dd/yyyy) Date (mm/dd/yyyy) Number of Affidavits of Support in file: 1 2 6. meets the requirements of section 213A. Name Relationship to Sponsored Immigrant Date of Birth (mm/dd/yyyy) A-Number (if any) U.

(e) or (f) in line 1 on Page 1. national. (c).S. Telephone Number (Include Area Code or Country and City Codes) 15. Place of Birth (City) 18.) I am currently on active duty in the U.S.S. Information on the Sponsor. 11. Mailing Address Street Number and Name (Include Apartment Number) City State or Province Country Zip/Postal Code 13. Country of Domicile 16. armed services. Name Last Name For Government Use Only Middle Name First Name 12. Yes No State or Province Country Form I-864 (Rev. national (for joint sponsors only). I am a U. My alien registration number is AIf you checked box (b). or permanent resident status. 10/18/07)Y Page 2 . (d). you must include proof of your citizen. citizen. Social Security Number (Required) 19. Military Service (To be completed by petitioner sponsors only. 20. U. Place of Residence Street Number and Name (Include Apartment Number) (if different from mailing address) City State or Province Country Zip/Postal Code 14. I am a lawful permanent resident. Date of Birth (mm/dd/yyyy) 17.S. Citizenship/Residency I am a U.Part 4.

Household Size: Part 6. c. Your Household Size . 21. g. or adult children with the same principal residence who are combining their income with yours by submitting Form I-864A. OPTIONAL: If you have siblings. . Persons NOT sponsored in this affidavit: b. Enter the number you entered on line 10. 10/18/07)Y Page 3 . enter the number here. Unemployed since (Date) . since (Date) . f. If you have sponsored any other persons on an I-864 or I-864 EZ who are now lawful permanent residents. If you have any other dependents. parents. e. Yourself. Sponsor's household size. . enter "1" for your spouse. 1 h. 22.Part 5. enter the number here. . c. If you are currently married. If you have dependent children. enter the number here. My current individual annual income is: $ (See Step-by-Step Instructions) Form I-864 (Rev. d. Self-employed as a/an Retired from (Company Name) . I am currently: a. Employed as a/an Name of Employer #1 (if applicable) Name of Employer #2 (if applicable) b.DO NOT COUNT ANYONE TWICE For Government Use Only Persons you are sponsoring in this affidavit: a. 23. d. Sponsor's income and employment. enter the number here. Add together lines and enter the number here.

(Name) e. Name Relationship Current Income $ $ $ $ $ Household Size = Poverty line for year _______________ is: c. The persons listed above have completed Form I-864A. Form I-864 (Rev. I have filed a Federal tax return for each of the three most recent tax years. the intending immigrant. My current annual household income: a. Total Household Income: $ (Total all lines from 24a and 24b. (See step-by-step instructions. I am filing along with this form all necessary Forms I-864A completed by these persons. does not need to complete Form I-864A because he/she is the intending immigrant and has no accompanying dependents. Will be Compared to Poverty Guidelines -. List your income from line 23 of this form. including. The person listed above. in certain conditions.) d. Income you are using from any other person who was counted in your household size. relationship and income.See Form I-864P. 25.) Please indicate name. I have attached the required photocopy or transcript of my Federal tax return for only the most recent tax year. Federal income tax return information.24. My total income (adjusted gross income on IRS Form 1040EZ) as reported on my Federal tax returns for the most recent three years was: Tax Year (most recent) $ Total Income (2nd most recent) $ (3rd most recent) $ (Optional) I have attached photocopies or transcripts of my Federal tax returns for my second and third most recent tax years. 10/18/07)Y Page 4 . $ For Government Use Only b.

27 and 28d and enter the number here. Enter the net cash value of all stocks. (Net means investment value minus mortgage debt. 29. line 29. 26. Assets of the principal sponsored immigrant. Enter the balance of all savings and checking accounts. d. Enter the net cash value of all the sponsored immigrant's real estate holdings. d. Use of assets to supplement income. and c. and other assets not included on line a or b.) c. Add together lines 28a. bonds. TOTAL: $ $ $ $ The total value of all assests. Total value of assets. and enter the number here. (Optional) The principal sponsored immigrant is the person listed in line 2. Add together lines 26 a. bonds. b and c and enter the number here.Part 7. 10/18/07)Y Page 5 . Enter the balance of the sponsored immigrant's savings and checking accounts. b. Enter the current cash value of the sponsored immigrant's stocks. or 1 time for orphans to be formally adopted in the U. must equal 5 times (3 times for spouses and children of USCs. and any other assets not already included in lines 26 (a) or (b). Your assets (Optional) a. Skip to Part 8. $ Form I-864 (Rev. or the total income for you and your household. (Net means current assessed value minus mortgage debt. (Optional) Assets from Form I-864A. line 12d for $ (Name of Relative) 28. YOU ARE NOT REQUIRED to complete this Part. certificates of deposit. $ For Government Use Only Household Size = Poverty line for year _______________ is: $ $ $ TOTAL: $ 27.) c. from line 24c exceeds the Federal Poverty Guidelines for your household size. b. Add together lines 26d.S. certificates of deposit. b. (Optional) If your income.) the difference between the poverty guidelines and the sponsor's household income. Enter the net cash value of real-estate holdings. line 24c. a. Your household member's assets from Form I-864A.

What is the Legal Effect of My Signing a Form I-864? If you sign a Form I-864 on behalf of any person (called the "intending immigrant") who is applying for an immigrant visa or for adjustment of status to a permanent resident. and means-tested programs under the Elementary and Secondary Education Act. emergency Medicaid. unmarried child under 21 years old. by filing Form I-865. services provided under the National School Lunch and Child Nutrition Acts. immunizations and testing and treatment for communicable diseases. Form I-864 (Rev. then. Government with his or her application for an immigrant visa or adjustment of status.Notify USCIS of any change in your address. Under this contract.S. Government can consider your income and assets to be available for the support of the intending immigrant. The intending immigrant's becoming a permanent resident is the "consideration" for the contract. you agree to assume certain specific obligations under the Immigration and Nationality Act and other Federal laws. your income and assets may be considered ("deemed") to be available to that person. Armed Forces and the person is your husband. But if you do not sign the Form I-864. Contract continued on following page. This provision does not apply to public benefits specified in section 403(c) of the Welfare Reform Act such as. Please note that. in deciding whether the intending immigrant can establish that he or she is not inadmissible to the United States as an alien likely to become a public charge. but not limited to. if the State or local government's rules provide for consideration ("deeming”) of your income and assets as available to the person.Part 8. non-cash emergency relief. within 30 days of the change. in determining whether he or she is eligible for certain Federal means-tested public benefits and also for State or local means-tested public benefits. What Does Signing the Form I-864 Require Me to do? If an intending immigrant becomes a permanent resident in the United States based on a Form I-864 that you have signed. then until your obligations under the Form I-864 terminate. Sponsor's Contract. the intending immigrant may not be able to become a permanent resident in the United States. S. until your obligations under the Form I-864 terminate.S. under section 213A of the Immigration and Nationality Act these actions create a contract between you and the U. wife. What Other Consequences Are There? If an intending immigrant becomes a permanent resident in the United States based on a Form I-864 that you have signed. Please read the following information carefully before you sign the Form I-864. short-term. by signing this Form I-864. If you do not understand the obligations. you may wish to consult an attorney or accredited representative.) -. 10/18/07)Y Page 6 .Provide the intending immigrant any support necessary to maintain him or her at an income that is at least 125 percent of the Federal Poverty Guidelines for his or her household size (100 percent if you are the petitioning sponsor and are on active duty in the U.S. you must: -. and that intending immigrant submits the Form I-864 to the U. The following paragraphs describe those obligations. the U. Government. What If I choose Not to Sign a Form I-864? You cannot be made to sign a Form 1-864 if you do not want to do so. you agree that.

or can be credited with. but applies for and obtains in removal proceedings a new grant of adjustment of status. be responsible for any support that you owed before you died. Your obligations under a Form I-864 also end if you die. that person may sue you for this support. I agree to submit to the personal jurisdiction of any Federal or State court that has subject matter jurisdiction of a lawsuit against me to enforce my obligations under this Form I-864. Each of the Federal income tax returns submitted in support of this affidavit are true copies. including attorney fees. All the factual statements in this affidavit of support are true and correct. When Will These Obligations End? Your obligations under a Form I-864 will end if the person who becomes a permanent resident based on a Form I-864 that you signed: Becomes a U. State or local agency. the agency may sue you for the amount that the agency believes you owe. (Print Sponsor's Name) . Has worked. b. or are unaltered tax transcripts. 10/18/07)Y Page 7 . I know the contents of this affidavit of support that I signed. If you are sued. to accept each of those obligations in order to make it possible for the immigrants indicated in Part 3 to become permanent residents of the United States.S. Internal Revenue Service. and Sign on following page. You may also be required to pay the costs of collection. and the court enters a judgment against you. however. I have read and I understand each of the obligations described in Part 8. the agency may ask you to reimburse them for the amount of the benefits they provided. and I agree. Your Estate may.S. I. or Dies. If you do not make the reimbursement. citizen. 40 quarters of coverage under the Social Security Act. If you do not file a properly completed Form I-865 within 30 days of any change of address. if one is required. and has departed the United States. USCIS may impose a civil fine for your failing to do so. If a Federal. c. if you die. d. your Estate will not be required to take responsibility for the person's support after your death. Therefore. certify under penalty of perjury under the laws of the United States that: a. freely and without any mental reservation or purpose of evasion. Note that divorce does not terminate your obligations under this Form I-864. of the tax returns I filed with the U. or a private agency provides any covered means-tested public benefit to the person who becomes a permanent resident based on the Form I-864 that you signed. Becomes subject to removal. Form I-864 (Rev. 30. e.What If I Do Not Fulfill My Obligations? If you do not provide sufficient support to the person who becomes a permanent resident based on the Form I-864 that you signed. based on a new affidavit of support. No longer has lawful permanent resident status. the person or agency that sued you may use any legally permitted procedures for enforcing or collecting the judgment.

mm/dd/yyyy) Part 9. Any and all other evidence submitted is true and correct.f. Information on Preparer. if prepared by someone other than the sponsor.S. Citizenship and Immigration Services. I authorize the Social Security Administration to release information about me in its records to the Department of State and U. g. (Sponsor's Signature) (Date-. 10/18/07)Y Page 8 . 31. I certify under penalty of perjury under the laws of the United States that I prepared this affidavit of support at the sponsor's request and that this affidavit of support is based on all information of which I have knowledge. Signature: Printed Name: Firm Name: Address: Telephone Number: E-Mail Address : Business State ID # (if any) Date: (mm/dd/yyyy) Form I-864 (Rev.

2008 until new poverty guidelines go into effect in the spring of 2009. Programs Not Included: The following Federal and State programs are not included as means-tested benefits: emergency Medicaid.000 17.875 27.400 32.600 21. Each State will determine which.S. $21. Affidavit of Support.800 40.200 24.500 33. and Job Training Partnership Act programs.500 for each additional person for sponsor on active duty in Armed Forces.375 50.175 Add $5.000 26. For Alaska: Sponsor's Household Size 100% of Poverty Line For sponsors on active duty in the U.625 Add $5. from March 1.500 for each additional person.650 40. services provided under the National School Lunch and Child Nutrition Acts.600 Add $3.500 40. $17.500 31. 03/01/08)N . the U.125 25. of its public benefits are means-tested.500 22. Poverty Guidelines 2008 Poverty Guidelines* Minimum Income Requirement for Use in Completing Form I-864. Virgin Islands and Guam: Sponsor's Household Size 100% of Poverty Guidelines* For sponsors on active duty in the U.100 20.Department of Homeland Security U.500 40.000 44.000 35. * These poverty guidelines remain in effect for use with Form I-864. immunizations and testing and treatment for communicable diseases.000 55. the District of Columbia. non-cash emergency relief. Head Start Programs.500 Add $4.500 22.000 51. Check with the State public assistance office to determine which. Means -Tested Public Benefits. Puerto Rico. 125% of Poverty Line For all other sponsors 2 3 4 5 6 7 8 $14. If a State determines that it has programs which meet this definition.300 30. certain forms of foster-care or adoption assistance under the Social Security Act. State assistance programs have been determined to be State means-tested public benefits.125 38. Armed Forces who are petitioning for their spouse or child $16. Federal agencies administering benefit programs have determined that Federal means-tested public benefits include Food Stamps. 125% of Poverty Line For all other sponsors 2 3 4 5 6 7 8 $17. if any. Medicaid.750 44. short-term. Federal Means-Tested Public Benefits.660 36.000 44.S. it is encouraged to provide notice to the public on which programs are included. means-tested programs under the Elementary and Secondary Education Act.500 Add $4. Armed Forces who are petitioning for their spouse or child 125% of Poverty Line For all other sponsors For Hawaii: 100% of Poverty Line For sponsors on active duty in the U.S.000 26. Temporary Assistance for Needy Families (TANF) and the State Child Health Insurance Program (SCHIP). State Means-Tested Public Benefits.000 35. To date. For the 48 Contiguous States.475 35.175 for each additional person. Armed Forces who are petitioning for their spouse or child. Form I-864P (Rev.240 24.825 46.625for each additional person. student assistance under the Higher Education Act and the Public Health Service Act.S.380 28.S.500 31. Supplemental Security Income (SSI).800 28. if any.000 35.940 Add $4.600 for each additional person.520 32. $20.Citizenship and Immigration Services I-864P.140 for each additional person.

even if the attorney or accredited representative has already filed a Form G-28 in the case. Request for Premium Processing Service Instructions NOTE: You may file Form I-907 electronically. Form I-129). at the top of each sheet of paper and indicate the section and number of the item to which the answer refers.S. If you are requesting an upgrade of the pending underlying form to Premium Processing Service. USCIS must have this information in order to match the Form I-907 with the underlying form for which you are requesting Premium Processing Service. Once a response is received to the notice of intent to deny or request for evidence. Part 2 . Step 1. Use black ink only." This form is divided into Parts 1 through 4. Premium Processing Service guarantees 15 calendar day processing of certain employment-based petitions or applications. you must complete blocks 1. you will not know the receipt number of the underlying form at the time you file). 1615-0048 . we may ask for more evidence. 07/30/07) Y . if any. Part 1 . The following information should help you fill out the form. the processing time has been met." If the answer is none. Go to our internet website at www.OMB No. Give the requested information about the related petition or application for which you are requesting Premium Processing Service.S. USCIS will guarantee 15 calendar day processing from the date the response was received.uscis. issues a notice of intent to deny. General Instructions.Information about you. may request Premium Processing Service. You may file your request for Premium Processing Service with the eligible petition or application.Submit Your Request NOTE: USCIS wants to make sure that you receive the requested immigration benefit. a properly completed Notice of Appearance (Form G-28) must accompany the request.g. use a separate sheet(s) of paper. Follow the steps below to complete your request process: Step 1 .gov and follow the detailed instructions on e-filing. as long as the eligible petition or application is still pending. Form I-907 Instructions (Rev. If the attorney or accredited representative makes the request.uscis. write "NONE. Citizenship and Immigration Services (USCIS) will refund the Premium Processing Service fee but continue to process the case unless within 15 calendar days of receipt of a properly filed Form I-907. a request for evidence or opens an investigation for suspected fraud or misrepresentation on the related petition or application. USCIS issues an approval notice or. where appropriate. or the attorney or accredited representative of the petitioner or applicant. Visit our web site at www.gov for details about which petitions or applications are eligible for this service. (You don't have to complete block 2 because if you are concurrently filing Form I-907 with the underlying form. Please read these instructions carefully to properly complete this form. If an item does not apply to you. What Is the Purpose of This Form? Use Form I-907 to request Premium Processing Service on certain petitions or applications designated as eligible for this service. Only the petitioner or applicant who filed the corresponding petition or application (e. U. If you are concurrently filing the Form I-907 with the underlying form for which you are requesting Premium Processing Service.Give the full name of the company or business. If an intent to deny or request for evidence is issued within 15 calendar days of receipt or if the case is referred for investigation of suspected fraud or misrepresentation. Citizenship and Immigration Services Instructions for I-907. Fill Out the Form I-907. Write your name and Alien Registration Number (A #).Information about request. you must complete all blocks (1 through 5) in Part 2 of the Form I-907 or your Form I-907 will be rejected and the filing fee returned. You may also file the request for Premium Processing Service after you file the eligible petition or application. 3. When Should I Use Form I-907? You should use Form I-907 to request Premium Processing Service for certain petitions or applications designated as eligible for Premium Processing Service. and/or conduct an investigation. interview you.Fill Out the Form I-907 Step 2 . To do this. Type or print clearly using CAPITAL letters. If you need more space to complete an answer. Expires 07/31/09 Department of Homeland Security U. How Do I File Form I-907? You must fill out a separate Form I-907 for each petition or application submitted. write "N/A. Company or Business Name . 4 and 5 in Part 2 or your Form I-907 will be rejected and the fee returned.

submit the Form I-907 to the Service Center where the underlying form is pending.Original signature. Petition for Nonimmigrant Worker. if applicable. Include a copy of the filing receipt or a copy of the transfer notice. Premium Processing Service for Form I-129 Upgrades for Pending Cases If you have already filed Form I-129. The Form I-907 may be filed at the same time as the relating petition or application.gov) Part 4 . NOTE: Only the petitioner (including the selfpetitioner) or the applicant of the relating petition may sign the Form I-907 to seek Premium Processing Service on the related petition or application. Send the entire Forms I-129/I-907 package to the address listed in the I-129 filing instructions.. Failure to follow these instructions may result in your application or petition being rejected. date and give his or her address and daytime phone number. showing the location of the relating petition. Submit Your Request.uscis. you must completely answer Questions 1 through 5 in Part 2 of Form I-907. Form I-129 or Form I-140) and wish to request Premium Processing Service. if applicable. If you have already filed the underlying form (i. applicant. or it may be filed at a later date. and send the entire Form I-907/I-140 package to the correct filing location listed below.e. If the Form I-907 does not contain an original signature (stamped signatures or photocopies are not acceptable) the request for Premium Processing Service (along with the $1.uscis. If you are requesting Premium Processing Service on Form I-140 for a preference category that is Premium Processing eligible. If this information is not provided. Premium Processing Service for Form I-140 Initial Filings All Forms I-140 are filed either at the Nebraska Service Centeror the Texas Service Center. Notice of Entry of Appearance as Attorney or Representative. Include a copy of Form I-797. depending on the location of the beneficiary's permanent employment. 1.gov and click on "Immigration Forms. is attached to this request. attorney. Before you file. the Form I-907 will be rejected. Notice of Action. delayed. Your signed and completed petition or application unless the petition or application was previously filed and is still pending. Where To File? Submit the request. or accredited representative must sign and date the request. The filing address for the Form I-907 depends on whether you are requesting Premium Processing Service for Form I-129 or for Form I-140. you must include Form I-907. Premium Processing Service for Form I-129 Initial Filings If you are requesting Premium Processing Services on Form I-129. or denied.Original signature of attorney or accredited representative who submitted Form G-28. request for Premium Processing Services. refer to the USCIS website at www. Form I-907 Instructions (Rev. NOTE: Before you file the Forms I-129/I-907 package. If this is the case. if applicable.gov) Step 2. or a copy of the transfer notice. If the preparer is a business or organization. 2." The filing location for the Form I-907 depends on the filing location of the underlying petition or application for which you are requesting Premium Processing Service as described later in this form. 07/30/07) Y Page 2 . The Premium Processing addresses for each service center that handles Form I-129 is listed in the Form I-129 filing chart. you must submit a copy of the filing receipt or a copy of the transfer notice.000 Premium Processing Service fee) will be returned to the requester. If you plan to file the Form I-907 electronically.Part 3 . (Premium Processing website link: http://www. The petitioner. check the Premium Processing website to make sure the requested classification is Premium Processing Service eligible. If a Form G-28. 2. you must also file Form I-907. and you wish to request Premium Processing Service. NOTE: Form I-129 filing chart internet address: http://www. To ensure that Form I-907 is matched up with the pending Form I-129. You must include the following items with your request. note the different filing addresses. 1. file Form I-907 with the Service Center where Form I-129 is pending. the attorney or accredited representative listed on the Form G-28 must sign. Your signed and completed Form I-907.uscis. its name must be included on the form.

Box 279030 Dallas. Virgin Islands. Puerto Rico. North Dakota. California Service Center Form I-140 Mailing Address: I-140 Premium Processing USCIS California Service Center P. New York. If your Form I-140 is pending with the Nebraska Service Center or the Texas Service Center. California. Idaho.gov Premium Processing USCIS Nebraska Service Center P. Michigan. showing the location of the relating petition. Box 10140 Laguna Niguel.Upgrades for Pending Cases If you have already filed Form I-140. Oklahoma. Box 87103 Lincoln. Form I-140 Premium Processing Mailing Address: Premium Processing USCIS Texas Service Center P.O. Georgia. you must completely answer Questions 1 through 5 in Part 2 of Form I-907. Iowa. Oregon. if applicable. Illinois. Lincoln. Include a copy of Form I-797. and you wish to request Premium Processing Service. the District of Columbia. Indiana. Connecticut. To ensure that Form I-907 is matched up with the pending Form I-140.gov Texas Service Center Filings File Form I-907/I-140 package with the Texas Service Center if the beneficiary will be employed permanently in: Alabama. Notice of Action. Missouri. Florida. Nebraska. Arkansas. 07/30/07) Y Page 3 .S. file Form I-907 with theServiceCenterwhere Form I-140 is pending.CA 92607-0140 Form I-907 Instructions (Rev. South Dakota. Delaware. South Carolina.The mailing address you should use is: Nebraska Service Center Filings File Form I-907/I-140 package with the Nebraska Service Center if the beneficiary will be employed permanently in: Alaska. TX 75227 Form I-140 Premium Processing Courier Address: Premium Processing USCIS Nebraska Service Center 850 S St. Texas. Massachusetts. NE 68508 Form I-140 Premium Processing E-mail Address: NSC-Premium. Nevada. U. Montana. Augustine Road Dallas. Colorado.140@dhs. Rhode Island. send Form I-907 to that center at the previously noted address. or a copy of the transfer notice. Minnesota. Virginia. If your Form I-140 is pending at either the California or Vermont Service Centeryou may use the corresponding address listed below to file an I-907. TX 75227-9030 Form I-140 Premium Processing Courier Address: Premium Processing USCIS Texas Service Center 4141 North St. Vermont. The mailing address you should use is: Form I-140 Premium Processing E-mail Address: Form I-140 Premium Processing Mailing Address: TSC-Premium. New Hampshire. Pennsylvania. Mississippi. Arizona. If this information is not provided. North Carolina.O. Louisiana. Ohio. Guam. Tennessee. the Form I-907 will be rejected. New Mexico.140@dhs. Washington. New Jersey.O. Hawaii. or West Virginia. Kansas. Maryland. Utah. NE 68501-7103 Premium Processing Service for Form I-140 . Maine. Kentucky. Wisconsin or Wyoming.

because USCIS fees change periodically. according to the instructions on the form. Department of Homeland Security. or 3.Form I-140 Courier Address: Premium Processing USCIS California Service Center 24000 Avila Road 2nd Floor.gov. photograph or signature.gov.gov Vermont Service Center Form I-140 Courier and Mailing Address: Premium Processing USCIS Vermont Service Center 63 Lower Welden Street St. Please spell out U. currency. However.000 Premium Processing fee is in addition to all other applicable filing fees. KY 40742-7134 For commercial overnight or fast freight services only. We may deny your request if you do not give us the requested information or do not go to a scheduled interview. Our goal at USCIS is to process all petitions and applications fairly. Do not mail cash.140@dhs. Make the check or money order payable to the Department of Homeland Security. We may reject an incomplete request.CA 92677 Form I-140 E-mail Address: CSC-Premium. Do not use the initials "USDHS" or "DHS. select "Immigration Forms" and check the appropriate fee. The petitioner. Box 7134 London. 2.gov.uscis. click on "Change your address with USCIS" and follow the prompts or by completing and mailing Form AR-11.S.000. You must pay for Premium Processing Service with a separate check or money order. If it is not. depending on the specific circumstances of each case. to: U. VT 05479-8001 Form I-140 E-mail Address: VSC-Premium.000 fee but the beneficiary cannot sign the Form I-907. Address Changes. Albans. 2. How to Check If the Fees Are Correct? The form and biometric fees on this form are current as of the edition date appearing in the lower right corner of this page. you can use the same procedure to obtain the correct biometric fee. you may change your address on-line at www." Your check or money order must be honored by the bank or financial institution. The $1. Service Processing Information. You may also get USCIS forms and information about immigration laws and regulations by calling our National Customer Service Center at 1-800-375-5283 or visting the USCIS internet website at www.S.S. Form I-907 Instructions (Rev. Room 2312 Laguna Niguel. Review the Fee Schedule included in your form package. Visit our website at www. if you called us to request the form.140@dhs. To request USCIS forms.S. The processing time will vary. call our toll-free forms line at 1-800-870-3676. Citizenship and Immigration Services Change of Address P. If you change your address. (Example: One check or money order attached to the relating petition or application. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. mail to: U. you must complete Form AR-11. you can verify if the fees are correct by following one of the steps below: 1. attorney or beneficiary may pay the $1. If you change your address and you have an application or petition pending with USCIS. we will charge you a fee for a returned/bounced check and your request for Premium Processing Service will be terminated.gov Use the following guidelines when you prepare your check or money order: 1. 07/30/07) Y Page 4 . NOTE: If your Form I-907 requires payment of a biometric service fee for USCIS to take your fingerprints.uscis. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. Alien's Change of Address Card. KY 40744 What Is the Filing Fee? The filing fee for the Form I-907 is $1. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U. and one check or money order attached to the Form I-907).uscis.O. Alien's Change of Address Card.

Form I-907 Check List.USCIS Forms and Information. Did you completely fill out and sign the form? Did you attach a check or money order for $1. regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www. including the time for reviewing instructions. N. visit our website..) NOTE: If you wish to have the notice mailed to you rather than wait for the batch-printed notice. we will deny the Form I-907 and may deny any other immigration benefit. Do not mail your application to this address. call our toll-free number at 1-800-870-3676. Our legal right to ask for this information can be found in the Immigration and Nationality Act. In addition. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. including suggestions for reducing this burden. 1615-0048. InfoPass generates an electronic appointment notice that appears on the screen.gov. may delay a final decision or result in denial of your Form I-907. and any requested evidence. Failure to provide this information. Privacy Act Notice. Penalties. To order USCIS forms. Regulatory Management Division. and associated evidence. You can also get USCIS forms and information on immigration laws. To access the system. Washington. you should keep copies of your request packet. As an altenative to waiting in line for assistance at your local USCIS office.W. as amended. Form I-907 Instructions (Rev. you will face severe penalties provided by law and may be subject to criminal prosecution. Suite 3008. you can now schedule an appointment through our internet-based system. Paperwork Reduction Act. We ask for the information on this form. to: U.000 plus a check for the relating petition or application if applicable? (See Step 2 of these instructions for fee information. Citizenship and Immigration Services. 3rd Floor. DC 20529. For your records. Send comments regarding this burden estimate or any other aspect of this collection of information.S. completing and submitting the form. to determine if you have established eligibility for the immigration benefit for which you are filing. 111 Massachusetts Avenue. InfoPass. OMB No. If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-907. The public reporting burden for this collection of information is estimated at 30 minutes per response. We may provide this information to other government agencies. submit a pre-paid express mail label and envelope for mailing. An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. 07/30/07) Y Page 5 . uscis.

Part 3. under penalty of perjury under the laws of the United States of America. if any.S.OMB No. (Person filing this petition.) Date (mm/dd/yyyy) Signature Print Your Name Firm Name and Address Daytime Phone Number (Area Code and Number) Form I-907 (Rev. Citizenship and Immigration Services (USCIS) does not issue an approval notice. (Note if attorney is signing above in Part 3. I authorize the release of any information from my records that USCIS needs to determine eligibility for the benefit being sought. Request for Premium Processing Service Request Physically Received by USCIS Date START HERE . 1615-0048. Are the attorney/accredited representative for the petitioner who is filing or has filed a petition eligible for Premium Processing.S. Original signature of attorney or accredited representative. (This is the same person authorized to sign the petition or application.Please Type or Print (Use black ink. Information about you.) I declare that I prepared this application at the request of the above person and it is based on all information of which I have knowledge.) Phone Number (Area/Country Code) Fax Number (Area/Country Code) To Be Completed by Attorney or Representative. Are the attorney/accredited representative for the applicant who is filing or has filed an application eligible for Premium Processing.) Part 1. Title (if applicable) Signature Print Your Name Date (mm/dd/yyyy) Part 4.) It is understood that if U. that the information provided with this request is all true and correct. Beneficiary in the relating case.O. 1. notice of intent to deny. Form number of related petition/application. I certify. provide all the requested information below and a submit a Form G-28. Fill in box if G-28 is attached to represent the applicant. Citizenship and Immigration Services I-907.) Are the applicant who is filing or has filed an application eligible for Premium Processing. Classification/Eligibility Requested. a refund of the Premium Processing fee will be given to the addressee shown in Part 1 of this request. Petitioner/Applicant in the relating case. Original signature. 3. 4.) Full Middle Name For USCIS Use Only Receipt Individual Named in the Related Case: Family Name (Last Name) Given Name (First Name) If filed on behalf of a company: Company or Business Named in the Related Case Date Mailing Address . Information about request. request for evidence. (Complete and submit Form G-28.Street Number and Name / P. (If this box is checked. Box Number Company Contact Information: Name of Company Contact City IRS Tax # (if any) Date You (the person submitting this request): Are the petitioner who is filing or has filed a petition eligible for Premium Processing. 5. 2. Receipt number of related petition/application. ATTY State License # State/Province Returned Date Title/Position Zip/Postal Code Date Date Resubmitted E-Mail Address (If Any) Part 2. (Complete and submit Form G-28. 07/30/07) Y . Same individual as signing above in Part 3. or refer for investigation of suspected fraud or misrepresentation within 15-calendar days after this request has been physically received at the appropriate USCIS office. Expires 07/31/09 Department of Homeland Security U.

state. after which only full-frontal color will be accepted. U.USCIS Is Making Photos Simpler Washington. visit the Department of State website at http://www. All photos must meet the specifications for full-frontal/passport photos. ✔ New Passport Style Photo Photos Must Be in Color All photos must be of just the person.gov/passport/pptphotos/index. List of forms that require photos is on the back M-603 (07/04) . Old Three-Quarter Style Photo USCIS will accept both three-quarter and full-frontal color photographs until September 1. DC — In accordance with language specified in the Border Security Act of 2003. Citizenship and Immigration Services (USCIS) announced a change in the photo requirements for all applicants from a three-quarter face position to a standard. all photos of the person must be identical. For more information on photo standards. The application process of customers who have already submitted materials that include color photos with the three-quarter standard will not be affected by this change. or contact the USCIS National Customer Service Center at 1 800 375 5283. Where more than one photo is required. full-frontal face position to take effect August 2. 2004.html. 2004.travel.S.

Where more than one photo is required. and the Number Required 2 photos are required for the following forms: I-90 – Renew or replace your Permanent Resident Card (green card) I-131 – Re-entry permit. II that you are including in your application I-730 – Relative petition filed by a person granted Asylum or Refugee status — file with 1 photo of the family member for whom you are filing the I-730 I-914 – ‘T’ nonimmigrant status — file with 3 photos of you + 3 photos of each immediate family member for which you file an I-914A supplement All photos must be of just the person.S.uscis. All photos must meet the specifications for full-frontal/passport photos. citizenship for foreign-born child residing abroad with U. citizen parent 4 photos are required for the following forms: I-817 – To apply for Family Unity Benefits I-881 – NACARA — suspension of deportation or special rule cancellation File the following with your photos and of others as shown below: I-129F – Fiancé(e) Petition — file with 1 photo of you + 1 photo of fiancé(e) I-130 – Relative petition — if filing for your husband or wife.S. refugee travel document. citizenship) N-400 – Naturalization (to become a U. For more information. citizen) N-565 – Replace Naturalization/Citizenship Certificate 3 photos are required for the following forms: I-698 – Temporary Resident’s application under the 1987 Legalization Program for permanent resident status — file 1 photo for your application.S.S.gov. or advance parole I-485 – Adjust status and become a permanent resident while in the U.Applications and Petitions That Require Photos.S. I-765 – Employment Authorization/Employment Authorization Document (EAD) I-777 – Replace Northern Mariana Card I-821 – Temporary Protected Status (TPS) Program N-300 – Declaration of Intent (to apply for U. or call our customer service at 1 800 375 5283. . and bring the other 2 with you to your interview N-600K – To apply for U. visit our website at www. file with 1 photo of you + 1 photo of your husband or wife I-589 – Asylum — file with 1 photo of you + 1 photo of each family member listed in Part A. all photos of the person must be identical.

In certain limited situations. Citizenship and Immigration Services Instructions for N-470. Thus the time spent abroad may be counted toward the residency requirement. When Should I Use Form N-470? Generally. or after return to the United States. armed forces. Write your name and Alien Registration Number (A #). use a separate sheet(s) of paper.S. Expires 10/31/09 Department of Homeland Security U. Another exception to the residency requirement is made for alien members of the U. nor does it relieve the applicant from the naturalization law's physical presence requirement. Religious workers may apply before or after departure. call our National Customer Service Center at 1-800-375-5283 or visit our internet website at www. previously accumulated for naturalization purposes. naturalization applicants are required to have been physically present in the United States for at least 30 months of those five years (18 months if eligible under the citizen-spouse exemption).S. corporation or as a member of the U. For additional information regarding qualifying employment and eligibility. citizen spouse is employed outside the United States as a missionary. For additional information. An applicant qualifying for the residency preservation may extend the benefit to his or her spouse and dependent children who are all members of the same household and have lived with the principal applicant while abroad.S. However. you may be eligible for expeditious processing if your U. even though he or she may be residing outside the United States for longer than one year. Application to Preserve Residence for Naturalization Purposes Instructions Please read these instructions carefully to properly complete this form. Form N-470 (Rev. Filing a Form N-470 does not relieve a permanent resident from obtaining a reentry permit. unless they are the beneficiaries of an approved Form N-470. military. without any absences whatsoever. Additionally. If you need more space to complete an answer. a person may be able to preserve residency. in advance of trips outside the United States for a year or more. Please note that in most cases you must have been physically present and residing in the United States for an uninterrupted period. if any. 07/30/07) Y . You should use Form N-470 if you are a lawful permanent resident (permanent resident) who will be absent from the United States for more than one year due to qualifying employment and you want to preserve your residence for naturalization purposes. was or will be solely as a clergyman or clergywoman. see Step 1 of these instructions. They are not required to have lived in the United States for a specific period of time prior to filing Form N-470.gov.uscis.S. NOTE: As a naturalization applicant. In addition. The regulations are different for religious workers proceeding abroad to perform religious duties. 1615-0056. or by a U. To obtain approval to preserve residency. you may file this application before or after an absence of one year or more.S. if your absence from the United States is. applicants for naturalization must reside in the United States for five years (three years if qualifying under the citizen-spouse exemption) immediately preceding the date of filing an application for naturalization. for at least one year after your admission as a lawful permanent resident before you can file a Form N-470. nun or sister of a religious denomination or interdenominational mission organization having a bona fide organization within the United States.OMB No. What Is the Purpose of This Form? Use Form N-470 to preserve your lawful permanent resident status for naturalization purposes. He or she does not need to obtain a reentry permit. government abroad who has filed a Form N-470 is considered physically present in the United States during such employment abroad.S. A permanent resident employee of the U. Permanent residents who remain outside the United States for more than one uninterrupted year will disrupt their naturalization residence requirement. you must submit the Form N-470 to USCIS before you have been absent from the United States for a continuous period of one year. such permanent residents must file a Form N-470 application before departing from the United States. These cases involve persons employed in specific jobs in the United States government and private sector as well as religious organizations. at the top of each sheet of paper and indicate the section and number of the item to which the answer refers. missionary. brother.

Check Box D if you are employed to perform such services. write "N/A. Home Address . 1." This form is divided into Parts 1 through 5. Check the box in Part 2 of Form N-470 that applies to your request.Give a telephone number with area code where you can be reached during the day.Check Box C if you are employed by a qualifying firm or corporation. For the purpose of carrying on scientific research on behalf of an American institution of research . B. leave this blank. write "NONE.Give your physical street address. C.Give the name of the country where you were born.Check Box E if you are employed by a qualifying organization. Armed Services. 1979.Give your legal name. S. Permanent Resident Card." If the answer is none. Solely because of my capacity as a clergyman or clergywoman. or are under contract with the U. 4. 6. nun or sister of a denomination or mission. 3. 8.S. Type or print clearly using capital letters. A For the purpose of carrying on scientific research on behalf of an American institution of research. My absence from the United States is: 1. Necessary for the protection of property rights outside the United States of an American firm or corporation engaged in the development of foreign trade and commerce of the United States. 2. Daytime Telephone Number . 3.This is your Alien Registration File Number.Give the name of the country of which you are a citizen. For the purpose of engaging in the development of foreign trade and commerce of the United States on behalf of an American firm or corporation or a subsidiary thereof. Step 1. 4. You may include in your application a qualifying spouse and dependent unmarried children. Box) number here. missionary. On behalf of a public international organization of which the United States is a member. Soley because of your capacity as a clergyman or clergywoman.If you do not have a U. Part 1. or will be employed by. but you must file it before you have been absent for a continuous period of one year.General Instructions. sons and daughters. Family Name (Last name) . Reason for Filing Form N-470. 1.Reason for Filing Form N-470 Step 2 . Fill Out the Form N-470. Country of Citizenship . Necessary to the protection of property rights outside the United States of an American firm or corporation engaged in the development of foreign trade and commerce of the United States .Check Box F if you are to serve in such capacity for a qualifying mission or organization.Check Box A if you are. Follow the steps below to complete your application: Step 1 . These family members must be permanent residents and are or will be residing outside of the United States as members of your household. Government . It can be found on your Form I-551. 6. Social Security # .O. On behalf of the U.Check Box B if you are employed by a qualifying organization. members of a qualifying religious or interdenominational mission organization may file Form N-470 before or after an absence of one year or more. if appropriate. On behalf of a public international organization of which the United States is a member. 9. include both and use a hyphen (-) between the names. Government. 07/30/07) Y Page 2 . However. Government.Give your mailing address. How Do I File Form N-470? You do not have to be in the United States to file Form N-470. Part 2 . This includes members of the U. If you have two last names. missionary. 5. Form N-470 (Rev. Use black ink. 7. Note that your absence from the United States is: On behalf of the U. If an item does not apply to you. Do not put a post office box (P.Use eight numbers to show your date of birth (example: May 1. having a bona fide organization in the United States. D.Submit Your Application Step 2. A # . should be written 05/01/1979).Reason for request.S. For the purpose of engaging in the development of foreign trade and commerce of the United States on behalf of an American firm or corporation or a subsidiary thereof . or sister of a denomination or mission having a bona fide organization in the United States . brother.S. S.Fill Out the Form N-470 Step 3 .S. if different from your address. Social Security number. 5. F. This must include a street number and name or a rural route number. 2. U. Mailing Address . The following information should help you fill out the form. Date of Birth . Check one box that applies to your particular request. nun. Information about you. Country of Birth . NOTE: Your employment cannot have started until after your admission as a permanent resident.

Your check or money order must be honored by the bank or financial institution on which it is drawn. Number 1 .Signature of person preparing form. 2.uscis. The form fee on this form is current as the the edition date appearing in the lower right corner of this page. if available. to: U. If you live in Guam and are filing your application there.Part 3 . or 3. no matter how short. KY 40742-7134 For commercial overnight or fast freight services only. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London.Give all the requested information. American research institution. Number 3 . you must show each departure from and return to the United States. unless: A. American firm or corporation.gov.. What is the Filing Fee? The filing fee for Form N-470 is $305. Evidence. Attach copies. 1. Do not use the initials "USDHS" or "DHS. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information.S. If you. select "Immigration Forms" check the appropriate fee. Number 2 .00.O. or religious denomination or interdenomination mission organization. the application will be returned as incomplete. showing the front and back of the following documents. If you do not sign the form. NOTE: Please spell out Department of Homeland Security. Citizenship and Immigration Services Change of Address P.S. If you live in the U. 4. Address Changes. if other than the applicant. Box 7134 London. Do not send original documents unless instructed to do so.S. the applicant. we will charge you a fee and your application and any document issued to you will not be valid. B. make it payable to the Treasurer.S. KY 40744 Where to File? You should submit your application at the USCIS office having jurisdiction over your place of residence in the United States. did not fill out Form N-470. the preparer must also sign. click on "Change your address with USCIS" and follow the prompts or by completing and mailing Form AR-11. Government. the letters or affidavits should include the following documentation: Form N-470 (Rev. Part 5 . date and give his or her address.e. currency. Make the check or money order payable to the Department of Homeland Security. C. Mexico). 1.uscis. Use the following guidelines when you prepare your check or money order for the application fee. If you change your address and you have an application or petition pending with USCIS. 3.Signature." How to Check If the Fees Are Correct. If it is not. Canada. you can verify if the fees are correct by following one of the steps below: 1. 07/30/07) Y Page 3 . make it payable to the Commissioner of Finance of the Virgin Islands. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U. including absences in foreign contiguous countries (i.When furnishing information regarding absences.Mark the appropriate box. Part 4 .gov. Alien's Change of Address Card. Numbers 4 through 7 . As evidence of your eligibility. you must sign and date the Form N-470.Give the date you entered the United States as a lawful permanent resident or the date you adjusted status to that of a lawful permanent resident. Depending on the circumstances why you are applying to preserve your residence. Virgin Islands and are filing your application there. As the applicant. submit letters or affidavits from the appropriate officer or the department or agency of the U. you may change your address on-line at www. if you called us to request the form. Review the Fee Schedule included in your form package. However. public international organization.S. Guam. Visit our website at www. mail to: U. because USCIS fees change periodically. and 2.Additional information. 2.

A complete copy of all passports in your possession. or the public international organization. The facts of your employment. you must submit the following evidence. including the nature of the services performed by you during the period or periods of absence to be considered. an ordinary legible photocopy may be submitted.1. 07/30/07) Y Page 4 . 7. If it is a corporation. The title of the official making the affidavit. If you have claimed nonresident alien status. the affidavit should be: A. Translations. When an affidavit is made with respect to employment by such firm. you may be or become ineligible for naturalization or for preservation of residence. 6. Whether the employing organization is an American firm or corporation engaged in the development of foreign trade and commerce of the United States. If it is a subsidiary (whether American or foreign) of an American firm or corporation engaged in the development of foreign trade and commerce of the United States. if you claim or claimed nonresident alien status under the income tax laws. issued to you since your admission as a permanent resident to the United States. the name of the firm or corporation in which he or she holds office and whether he or she has access to records of the same. Permanent Resident Card. Consequently. 2. Copies. Original documents submitted when not required will remain a part of the record. This should be written on a separate sheet(s) of paper. religious denomination or interdenominational mission organization. Should state the exact percentage of stock owned by the parent organization. expired or unexpired. brother. or by the appropriate administrative official of the American firm or corporation. Unless specifically required that an original document be filed with an application or petition. Any document containing foreign language submitted to the Service shall be accompanied by a full English language translation which the translator has certified as complete and accurate. Should state the facts of ownership and/or control of the subsidiary. 1. 2. or subsidiary thereof. or 9. and by the translator's certification that he or she is competent to translate from the foreign language into English. 5. the name of the State under laws of which it was organized. and C. 4. church. and 10. you may be regarded as having abandoned your residence in the United States and as having lost permanent resident status under the immigration and nationality laws. submit a full explanation. it should state: 1. In addition. the date when and place where you were first employed. Government. or 8. 3. even if the submission was not required. nun or sister. Your absence from the United States was or will be necessary for the protection of the property rights abroad of the employing firm or corporation or subsidiary during the period or periods of absence to be considered. An official communication from the appropriate office of the department or agency of the U. and B. Copies of legal evidence of a name change or date of birth (See Part 3 of the form). or What is the effect of claiming nonresident alien status? After having been admitted to the United States as a permanent resident. 2. Whether you will be engaged in the development of foreign trade and commerce of the United States. The nature of the business conducted by the employing organization. the date of incorporation and that it is existent. or subsidiary thereof by whom you are or will be employed. or Affidavit or affidavits executed by the appropriate administrative official of the American institution or religious denomination or interdenominational mission for whom you are. Solely in the capacity of a regularly ordained clergyman or clergywoman. Whether you will be engaged in the development of foreign trade and commerce of the United States. were or will be employed or with whom you entered into a contract. missionary. Executed by an appropriate administrative official of the parent organization.S. corporation or subsidiary. Attach a copy showing the front and back of your I-551. 3. Form N-470 (Rev. In the case where employment is for a public international organization.

S. We may also request that you submit the originals of any copy. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. an application is not considered properly filed until accepted by USCIS. 111 Massachusetts Avenue. and associated evidence. it will be checked for completeness. you will face severe penalties provided by law and may be subject to criminal prosecution. We may request more information or evidence.What is the effect on employment changes or on a valid document for reentry? Approval of this application will be only for the employment and conditions stated. You will be notified of the decision in writing. Once the application has been accepted. The public reporting burden for this collection of information is estimated at 35 minutes per response. including suggestions for reducing this burden. Our legal right to ask for this information can be found in the Immigration and Nationality Act. Regulatory Management Division. Check List Did you completely fill out and sign the form? Did you attach all required evidence? Did you attach a check or money order for the application fee? You should keep copies of your application and documents for your records. Privacy Act Notice. Any application that is not signed or accompanied by the correct fee will be rejected with a notice that the application is deficient. may delay a final decision or result in denial of your Form N-470. regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www.uscis. including submission of the required initial evidence. InfoPass.. you can now schedule an appointment through our internet-based system. If you do not completely fill out the form or file it without the required initial evidence. We ask for the information on this form. Form N-470 (Rev. USCIS Forms and Information. 1615-0056. The decision on the Form N-300 involves a determination of whether you have established eligibility for the requested benefit. as amended. To access the system. Requests for More Information. you will not establish a basis for eligibility and we may deny your application. to determine if you have established eligibility for the immigration benefit for which you are filing. We will return these originals when they are no longer needed. 3rd Floor. completing and submitting the form. You can also get USCIS forms and information on immigration laws. An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. We may provide this information to other government agencies. In addition. Paperwork Reduction Act. OMB No. DC 20529. To order USCIS forms. Approval of this application will not relieve you of the requirement to present a valid document for reentry into the United States. As an altenative to waiting in line for assistance at your local USCIS office. Decision. N. or we may request that you appear at a USCIS office for an interview. visit our website. including the time for reviewing instructions. Any changes of employment must be approved by a new application. to: U. InfoPass generates an electronic appointment notice that appears on the screen. Processing Information. Acceptance. Do not mail your application to this address. gov. Suite 3008. If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form N-470. Washington. Citizenship and Immigration Services. 07/30/07) Y Page 5 . Send comments regarding this burden estimate or any other aspect of this collection of information. and any requested evidence. Penalties. You may correct the deficiency and resubmit the application. Failure to provide this information. call our toll-free number at 1-800-870-3676. Initial Processing. However. we will deny the FormN-470 and may deny any other immigration benefit.W.

nun or sister of a denomination or mission having a bona fide organization in the United States. To Be Completed by Attorney or Representative. Part 1. My absence from the United States is: (Check one box. On behalf of a public international organization of which the United States is a member. Reason for request. # Home Address .Please type or print in black ink. Solely because of my capacity as a clergyman or clergywoman. brother. Information about you.Street Number and Name C/O (in care of): City Zip/Postal Code Daytime Phone # (Area/Country Code) Country of Birth State/Province Country Date Reloc Rec'd Date Date Remarks Date of Birth (mm/dd/yyyy) Country of Citizenship Part 2. 07/30/07) Y . ATTY State License # Action Block D. # State/Province Country Apt. 1615-0056. missionary. C.OMB No. if any. Social Security # (if any) Apt.Street Number and Name City Zip/Postal Code Mailing Address .S. For the purpose of engaging in the development of foreign trade and commerce of the United States on behalf of an American firm or corporation or a subsidiary thereof.) A. Citizenship and Immigration Services N-470.S. For the purpose of carrying on scientific research on behalf of an American institution of research. Expires 10/31/09 Department of Homeland Security U. On behalf of the U. Government. (Person filing this application) Given Name Family Name A # (if any) U. Fill in box if G-28 is attached to represent the applicant. Necessary for the protection of property rights outside the United States of an American firm or corporation engaged in the development of foreign trade and commerce of the United States. B. Application to Preserve Residence for Naturalization Purposes For USCIS Use Only Returned Middle Name Date Date Resubmitted Date Date Reloc Sent Date Receipt START HERE . Form N-470 (Rev.S. E. F.

Additional information. Read the information on penalties in the instructions before completing this part.S. Is the name you provided in Part 1 different from the name that appears on your Form I-551. 1. Signature of person preparing form. Since becoming a lawful permanent resident. (Sign below) I declare that I prepared this application at the request of the applicant and it is based on all information of which I have knowledge. Signature Print or Type Your Name Firm Name and Address Daytime Phone Number (with area code) E-Mail Address (if any) Date (mm/dd/yyyy) Fax Number (if any) Form N-470 (Rev. Begin with your most recent trip. have you resided in and been physically present in the United States for an uninterrupted period of at least one year? Yes No 3. 07/30/07) Y Page 2 . You must provide evidence showing the legal basis for the difference. Citizenship and Immigration Services needs to determine eligibility for the benefit sought." note the information that is different. federal. have you ever filed an income tax return as a nonresident or otherwise claimed or received benefits as a nonresident alien under U. that this application and the evidence submitted with it is all true and correct. state or local income tax laws? Yes No 7. Part 5. Permanent Resident Card? Yes No If "Yes. 6. Give the date that you obtained lawful permanent resident status. Explain the position of employment that requires your absence from the United States and the intended length of employment. I authorize the release of any information from my records that U.Part 3. Signature. Since lawfully entry as a permanent resident. Date of Departure (mm/dd/yyyy) Date of Return (mm/dd/yyyy) Port of Entry Into the United States Purpose of Trip 4. under penalty of perjury under the laws of the United States of America.S. if other than above. Enter date (mm/dd/yyyy) 2. you may not be found eligible for the requested document and this application may be denied. I certify. Signature Daytime Phone Number (with area code) E-Mail Address (if any) Date (mm/dd/yyyy) NOTE: If you do not completely fill out this form or fail to submit required documents listed in the instructions. Name (Last/First/Middle) Date of Birth (mm/dd/yyyy) Relationship A # (if applicable) Part 4. Are other family members who are lawful permanent residents intending to reside outside the United States with you? Yes No Give the following information about other family members who will reside outside the United States with you. List all you absences from the United States since your admission as a lawful permanent resident. 5.

2001. B. citizenship through a U.S.OMB No.S. 3. You were born to two U.S. citizen parent. and E. If you are the biological or adopted child of a U. citizenship either by action of law while residing in the United States or by having been born outside the United States to U. 1986. 4. 1986. This residence had to have taken place prior to your birth. You have at least one parent who is a U. whether by birth or naturalization. 2001: A. one of whom is an alien and the other a U. NOTE: To determine if you were born a U. citizen parent(s). citizen.S. or B. Citizenship and Immigration Services Instructions for N-600. citizen parents and at least one of your parents had a residence in the United States or one if its outlying possessions.S. citizen. at least two of which were after the age of 14 years. you automatically become a U.S.S. Both of your parents. had been physically present in the United States or one of its outlying possessions for a period or periods totaling not less than five years. If you entered as an IR-4 (child coming to the United States to be adopted).S. you were legitimate. and C. If you were born before November 14. or F. Application for Certificate of Citizenship Instructions What Is the Purpose of This Form? Form N-600 is an application for a Certificate of Citizenship. and believe you may be a U.S. citizen who. USCIS must look at the law that was in effect at the time of your birth. citizen. prior to your birth. and you are claiming citizenship by action of law. you were born outside the United States and you are claiming citizenship by having been born to U. If you were under the age of 18 on February 27. citizen outside the United States or who fulfilled the requirements for becoming a U.S. 2. You may use this form if you claim U. citizen prior to their 18th birthday may file this form at any time during his or her lifetime. citizen. citizen. you should contact USCIS by calling our National Customer Service Center 1-800-375-5283 or visiting our internet website at http://www. Form N-600 Instructions (Rev. citizen if: A. 2. 5. citizenship in your own right. or you were legitimated while in the legal custody of your legitimating parent(s) prior to reaching your 16th birthday. The current law was enacted on November 14. you may file this form to obtain a certificate of citizenship. and Who Should Use Form N-600? 1. You may also file for a certificate of citizenship if all of the following actions occurred before your 18th birthday and prior to February 27. 1615-0057.S. Any person who was born a U. and D. or your sole surviving parent naturalized as a U. If you are the biological child of a U.S.S. NOTE: If you are now over the age of 18 years but all of the above conditions applied to you before your 18th birthday and you were under the age of 18 on February 27.S.S. You have been lawfully admitted for permanent residence (NOTE: If you entered the United States as an adopted child. 2001. you automatically become a U.S. citizen.S. You are a biological child. Who May File This Form? 1. a final adoption must take place for this section of law to apply to you. the parent having legal and physical custody of you. You regularly reside in the United States in the legal and physical custody of your U. citizen parent. but not all of the conditions noted above were met prior to your 18th birthday. You regularly resided in the United States after admission as a lawful permanent resident. 2001 (the date the law took effect). citizen parent(s).S. you must have been admitted as an IR-3 (child adopted outside the United States). You are a biological child born out of wedlock and you have not been legitimated and your mother naturalizes as a U. you must qualify for U. 10/15/07)Y . Expires 10/31/08 Department of Homeland Security U. citizen. You have not yet reached your 18th birthday. and B.S.S.gov.S. Form N-600 may be filed by any person claiming to have acquired (at birth) or derived (after birth) U. You were born to parents.uscis. you were born outside the United States. citizen at birth if: A. and was last amended on February 27.

but we will keep a copy of it. attach a continuation sheet. or 3.S.S. However. If the EFT cannot be completed because of insufficient funds. even if the application is subsequently withdrawn. Children who are not legitimate or who were not legitimated prior to their 16th birthday. 2. we may try to make the transfer up to two times. the fee for the Form N-600 is $420. citizen parent or legal guardian with legal and physical custody of the child. 3. and The form and biometric fees on this form are current as of the edition date appearing in the lower right corner of this page. Department of Homeland Security.S. If you send us a check. The debit from your account will usually take 24 hours. Guam. The fee is not refundable.S. 2. citizen parents of children who regularly reside outside the United States. Virgin Islands. citizen parents requesting a Certificate of Citizenship for an adopted chid. Application for Citizenship and Issuance of Certificate Under Section 322.3. Guam. 10/15/07)Y Page 2 . The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U.uscis. Box C on the Form). Fill Out the Form N-600 1.S. You will not receive your original check back. How to Check If the Fees Are Correct. an immediate relative or legal guardian may file the application. or the U. indicate the item number. embassy or consulate for instructions on the method of payment. In the case of an adult applicant with a disability. unless: A.S. Form N-600 Instructions (Rev.00. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. Step 1. you authorize us to process the copy in place of your original check. Visit our website at www. Use the following guidelines when you prepare your check or money order for the Form N-600. Stepchildren. (Except for children who were born abroad to an eligible U.gov.S. Who May Not File This Form? 1. and will be shown on your regular account statement. If you live outside the United States. 2. C. The fee must be paid at the time of filing the application. 2.S. Review the Fee Schedule included in your form package if you called us to request the form. 4. and date and sign each sheet. citizen parents filing on behalf of an adopted minor child under section 320 of the INA (checking Part 2. If you live in Guam and are filing your petition there. make it payable to Treasurer. If you live in the U. They should refer to Form N-600K. 4. contact the nearest U. For U. If extra space is needed to complete any item. General Instructions. This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. Make the check or money order payable to U. select "Immigration Forms. currency. you can verify if the fees are correct by following one of the steps below: 1. 1.S. make it payable to Commissioner of Finance of the Virgin Islands. do not use the initials "USDHS" or "DHS. If the EFT cannot be processed for technical reasons.S." Notice to Those Making Payment by Check." and check the appropriate fee. Type or print legibly in black ink.S.00. What Is the Filing Fee? The fee for this Form N-600 is $460. B. Persons who do not have a claim to citizenship either at the time of birth or by action of law. the application must be filed by the U. it will be converted into an electronic funds transfer (EFT). Where To File? The completed Form N-600 and accompanying documentation must be filed with the appropriate USCIS district or field office in the United States with jurisdiction over your place of residence. except for U. because USCIS fees change periodically. In the case of minor adopted or biological children (under 18 years) qualifying for citizenship under section 320 of the Immigration and Nationality Act (INA). Virgin Islands and are filing your petition there. Department of Homeland Security. U. NOTE: Please spell out U. We will destroy your original check. citizen mother or eligible children who became citizens through the naturalization of their mother).

you must submit each of the documents listed below for yourself and/or your child and the U.S. or a valid unexpired U. Unless specifically noted otherwise. F. citizenship. if applicable. prior to the child's birth. write that A-number in the place indicated on the top right hand corner of the first page. or on DHS issued travel documents or letters. Proof of status as national of United States . If the A-number has fewer than nine numbers. For each document needed." If you are the applicant or you are filing for a child and you or the child have an A-number. Documents must establish legitimation according to the laws of the child's residence or domicile or father's residence or domicile (if applicable). You do not need to submit documents that were provided in connection with: 1. death certificate. Certificate of Naturalization. Form N-600 Instructions (Rev. Documents showing the termination of a marriage Examples include a divorce decree. Proof of legitimation . Certificate of Citizenship. The translator must certify that he or she is competent to translate and that the translation is true and accurate. 7.A certified birth certificate or record issued by a civil authority in the country of birth. if the USCIS does not already have the document or if you would rather resubmit the document than wait for the retrieval of the USCIS file. Proof of U. one of whom is a citizen of the United States who has been physically present in the United States or one of its outlying possessions for a continuous period of one year prior to the birth of such person. 5. you may submit a clear.(Only required for applicants claiming U. 3. The A-number can be found on you or the child's Permanent Resident Card. G. General Requirements.S. D.Certified marriage certificate(s) issued by a civil authority in the state or country of marriage. An application for an immigrant visa and retained by the U. If there is no A-number. Legitimation for INA benefits requires that the child be in the legal custody of the legitimating parent(s) at the time of legitimation. an N-560. H. You only need to complete those sections of the form that relate to you or the child's eligibility. A. an FS-240. You should indicate that you want USCIS to rely on such documents and identify the administrative file(s) by name and A-number. your ''A" number (if any) and "N-600" on the top right corner of the sheet.Any document in a foreign language must be accompanied by a translation in English.S. readable copy or the originals. depending on the date of birth. Answer all questions fully and accurately. Marriage certificate(s) .3. embassy or consulate for inclusion in the immigrant visa package. such as a person born in American Samoa or Swains Islands.S.(Only required for applicants who were born out of wedlock)." If the answer is none. C. If the non-citizen parent is an alien but not a national. For example. The following is a list of documents that must be submitted with the Form N-600. Birth certificate or record . write "none. A 12 345 678 as A 012 345 678. citizenship through a national of the United States. 6. the citizen parent would need to meet the physical presence requirement. State that an item is not applicable with "N/A. Report of Birth Abroad of United States Citizen. or An immigrant petition or application and included in a USCIS administrative file. citizenship . Step 2. 10/15/07)Y Page 3 . an N-550. citizen parent(s) through whom you are claiming U. Write your name. place enough zeros before the first number to make a total of nine numbers on the application. B. Do not send an original Certificate of Citizenship or Certificate of Naturalization. or annulment document.S. and the other of whom is a national but not a citizen of the United States. Translations . Individuals can become citizens under several very different sections of law and can use this form to obtain a certificate of citizenship. passport. leave this blank. USCIS may request that you present original documents at the interview.Examples of this are birth certificates showing birth in the United States. USCIS will only request the required documentation again if necessary.S. 4.) A person is born a citizen if born outside of the United States and its outlying possessions of parents. 2.

This form is divided into ten parts. frontal view on a white to off-white background. citizen parent(s) divorced and/ or separated and for applicants who are adopted or legitimated).State or federal census records showing the name(s) and place(s) of birth.Any document that proves the U. The persons may be relatives and need not be citizens of the United States. full information concerning the event. Social Security quarterly reports. and complete details concerning how he or she acquired knowledge of the event. Each affidavit should contain the following information regarding the person making the affidavit: his or her full name and address. and the date(s) of birth or age(s) of the person(s) listed. You may be required to submit an original written statement from the relevant government or other authority explaining the reason for the unavailability of the document(s). the names of the godparents.(Only required for applicants whose U.S.. Affidavits . the child's date of birth or age at that time. Census records . or other organizations. M. The information below will help you fill out the form. U. Head height should measure 1" to 1 3/8" from top of hair to bottom of chin. print your name (or if a U.e. L.A letter from authorities of the school attended (preferably the first school).S. and eye height is between 1 1/8" to 1 3/8" from bottom of photo.) K. citizen parent applying on behalf of a minor child. The person seeking the Certificate of Citizenship should complete information in this section. 2. and the names and places of birth of parents. and be unmounted and unretouched. date and place of birth.A certificate under the seal of the church where the baptism occurred. be printed on thin paper with a glossy finish. Evidence of all legal name changes. the child's name) and Alien Registration Number (if applicable) in the center of the back of each photograph. Information About Your Child. leases showing residence. marriage. J. showing the date of admission to the school. Affidavits of third parties having knowledge of the residence and physical presence. employment.S. if known. Your head must be bare unless you are wearing a headdress as required by a religious order of which you are a member. mortgages. B. or death). E." The photos must be in color with full face. citizenship through alien parent(s) who naturalized or claiming automatic acquisition of U. Church records . 4. Form N-600 Instructions (Rev. relationship to the applicant. Part 1. Copy of full. 3.S. Deeds. You must submit two identical color photographs of yourself taken within 30 days of the filing of this application. you must establish why the evidence is not available. if shown in the school records. School. citizen parent applying for a certificate of citizenship on behalf of your minor biological or adopted child. (Photographs only required of the person to whom the Certificate of Citizenship will be issued). if any.S. If it is not possible to obtain any one of the aboverequired documents.S citizen parent(s)' residence or physical presence in the United States. date of baptism. final adoption decree . D. Proof of required residence or physical presence in the United States .10/15/07)Y Page 4 . 5. Passport-style photos must be 2" x 2. Attestations by churches. 4. Step-by-Step Instructions. The photos must have a white to off-white background.I. unions. Photographs. provide information relating to your minor child.A certificate under the church seal issued within two months of birth. Baptismal certificate .S. This proof may include but is not limited to the following: 1. Using a soft lead pencil.Written statements sworn (or affirmed) to by two persons who have personal knowledge of the claimed event (i. School record .(Only required for adopted applicants). C. Proof of legal custody . The photographs must not be signed. NOTE: If you are a U. A. place of birth. showing the date and place of the child's birth. the date and place of a birth. military records. Copy of Permanent Resident Card or other evidence of Lawful Permanent Resident status (Only required for applicants claiming U. citizenship while under the age of 18 under section 320 of INA.

citizen parent applying for a Certificate of Citizenship on behalf of a minor child. C. If you are currently not married but had a prior marriage that was annulled (declared by a court to be invalid). If you were a citizen or national of more than one country.1. Social Security Number . Part 2.If you previously applied for a Certificate of Citizenship or a U. U. check Box D "Other" and briefly write the basis for your application on the lines provided. If you are a U. indicating whether you are applying for a biological or adopted child. 4.Give your height in feet and inches.Telephone numbers and e-mail addresses allow USCIS to contact you more quickly about the application.S. If you adjusted to lawful permanent resident status while in the United States.S. A. 9. Current marital status .S. Previous application for Certificate of Citizenship or U.Use eight numbers to show your date of birth (example: May 1. 5. passport . Provide "Care Of" information if applicable. even if it is misspelled. write them in this section. 1979. write it in this part. Write the name of the country even if it no longer exists.Your current legal name is the name on the birth certificate.If your mailing address is the same as the home address. Information About Your Eligibility. Name exactly as it appears on your Permanent Resident Card (if different from above) . please indicate this by writing "(TTY)" after the telephone number. Social Security Number. should be written 05/01/1979). Complete information must be provided about the person seeking a Certificate of Citizenship. Provide information about your immigration status on entry into the United States. Additional Information About You. Current legal name .S. If the child does not have a U. 8.O. citizen.Write your name exactly as it appears on the card. passport was or was not issued. . write "same. 6. D. passport (or you are a U. passport for your minor child). write the name of the country where the child was last a citizen or national.Give the address where you now live. Part 3.S. indicate on a separate piece of paper what happened with the application and whether a Certificate of Citizenship or U.S. Home address . citizen parent who previously applied for a Certificate of Citizenship or U. if known. unless it has been changed after birth by a legal action such as a marriage. Mailing address . Country of birth . or court order.S. Information about your child's entry into the United States and current immigration statusA. use a separate sheet of paper. adoption. 7. check "Other" and provide an explanation.Indicate whether male or female. If the basis for your eligibility is not described in any of the categories." If the mailing address is different from your home address.) box numbers here. submit information relating to your minor child.S. Check the box in Section A that best indicates why you are eligible for a Certificate of Citizenship. 4. 1. NOTE: If you are a U. Height .S. B. write "N/A" in the space provided. provide the date you became a lawful permanent resident and place where such status was granted. citizen parent applying for a Certificate of Citizenship on behalf of your minor biological or adopted child. Country of prior nationality . Telephone numbers (optional) . Do not put post office (P. 3. Date of birth .Give the name of the country where you were born. If you need more space. Other names used since birth . write the name of the country of your prior nationality.S. If you are hearing impaired and use a TTY telephone connection. Social Security Number. 2. If the name of the country has changed.If you have ever used any other names since birth.Print your U. Provide information about where you entered the United States and what name you used when you entered. 10/15/07)Y Page 5 2. Provide information about what documents you presented to enter the United States. Gender . 5. write the name of the foreign country that issued your last passport. write the name of the country as it was at the time of your birth. 3.Check the marital status you have on the date you are filing this application. 6. Form N-600 Instructions (Rev.If you were a citizen of a different country before becoming a U. If the country no longer exists and/or the child is stateless. check the box in either Section B or C.S. B. Provide your passport number and date of issuance.

Check the appropriate box to indicate his immigration status. citizen father (or adoptive father) applying for a Certificate of Citizenship on behalf of your minor child. write the name of the country where the U. provide information about the U. count each time as a separate marriage. citizen father was last a citizen or national.S. S. citizen parent applying on behalf of a minor biological or adopted child. citizen father's birth. citizenship .S. Begin with the most recent trip. Do not put post office (P. citizen father regained citizenship at a later date. 10. should be written 05/01/1969). final foreign adoption. 5. If the name of the country has changed. submit evidence of this. 4.S. NOTE: If you are a U. If you or your child had to be re-adopted in the United States. citizens are required to provide all the dates when their U.S. Current legal name . If deceased. 3.S. who are claiming U. Part 4. or court order).Indicate whether the U.S. 2.S. 1952. Information in this section should be completed if you are claiming citizenship through a U. indicate "No.S. Country of birth . If "No. 9.Give the name of the country where the U.Give the U. citizen father is currently a citizen or national. 9.S.S. Write the number of times the U.S. provide information about YOURSELF in the sections noted. citizen mother (or adoptive mother). Information on adoption . even though admitted as lawful permanent residents. citizen parent(s)) do not automatically acquire citizenship on entry. Provide this information even if the U.S.7. Write the name of the country even if it no longer exists. Marital historyA. Loss of U. U.Indicate how the U. Date of birth .Write the name of the country where the U.Use eight numbers to show the U. If the country no longer exists and/or you are stateless. citizen father (or adoptive father).S. If now married. citizen father ever lost his U. indicate whether the adoptive parents were married to each other at the time of the adoption.Give the address where the U.S. It is the name on the birth certificate unless it was changed after birth by a legal action (marriage. write "deceased" and provide the date of death. citizen. citizenship. Re-adoption in the United States ." even if you subsequently married the child's other parent.S. If he was married more than one time to the same spouse. citizen father's date of birth (example: May 1. citizen father's current legal name. citizen father's current spouse.S. B. Include any annulled marriages.O. 8. citizen father's current spouse is also your parent. Children admitted as IR-4s must have been finally adopted in the United States or had the foreign adoption recognized by the state where the child is permanently residing. If the appropriate authority in your current place of residence recognizes the validity of a full. Indicate whether the U. 1. Dates should include all time immediately after birth as well as after the age of 14 years and older. citizen father was married. If you are a U. citizen father was in the United States.S. provide the information requested. citizen. Absences from the United States . see Part 5 of the form.Only applicants born outside the United States who are claiming to have been born U.Children who are admitted to the United States under section 101(b)(1)(F) of the INA as IR-4s (orphans coming to the United States to be adopted by U. If your minor child was born out-of-wedlock. indicate "No. provide information as to the place and date of the adoption. If you are claiming citizenship solely through a U. Country of nationality . where information is requested about the U. citizen father was born.If you were adopted. citizenship at the time of birth. If the child was adopted.S. C.S. write the name of the country as it was at the time of the U.Provide the requested information for every trip that you have taken since you first arrived in the United States.S. 7. 1969. citizenship . citizen father became a U.S. Home address . This information is needed only for persons born before October 10. citizen father now lives. Citizen Father (or Adoptive Father).S. indicate whether you were married to the child's natural (or adoptive mother) at the time of your minor child's birth (or adoption). Information About the U.S." even if the parents subsequently married. Form N-600 Instructions (Rev.S. Provide all the requested information. If the child was born out-of-wedlock. 6.) box numbers here. Residence and/or physical presence." you will be asked to provide information about your father's previous spouse or spouses. Marital status of parents at time of birth (or adoption) Indicate whether the child's parents were married to each other at the time of the child's birth. 10/15/07)Y Page 6 .S. S. adoption. 8.

provide information about the U. citizen mother ever lost her U. Also indicate whether he or she was honorably discharged from service. write the name of the country where the U.S. citizen mother became a U. 4.Indicate whether the U.10/15/07)Y Page 7 . Provide this information even if the U.S. Part 10.S. citizen mother now lives. 7. Do not complete this part. count each time as a separate marriage.Indicate how the U. Write the number of times the U. Affidavit.S. citizen mother is deceased. 3.S. Indicate whether the U.S. citizen parent or legal guardian must sign and date the application.S. it is name must be included on the form. citizen mother's date of birth (example: May 1.Give current legal name of the U. Information About Military Service of U. S. 5. citizen parent served in the U. citizenship . citizen mother was last a citizen or national.S. citizen mother (or adoptive mother) applying on behalf of your minor child.O. Include any annulled marriages. citizen father (or adoptive father). citizen mother's birth. U.S.S. Part 6.Give the address where the U. Do not complete this part. If the name of the country has changed. B. write the name of the country as it was at the time of the U. citizen mother was born.S. citizen mother's current spouse. Part 9.S. Loss of U.Part 5. If you do not fill out this Form N-600. If the U. Your Signature.Use eight numbers to show the U. Country of birth . Residence and/or physical presence ." you will be asked to provide information about your mother's previous spouse or spouses.S. If Other Than Applicant. 2.S. the application will be returned. USCIS will return the application to you.S. should be written 05/01/1969). you must sign and date the application. the preparer must also sign. Part 7.S. Information About Your U. your U. Citizen Parent -.S. citizen mother regained citizenship at a later date. where information is requested about "the U.) box numbers here.S. citizen mother was married. If the preparer is a business or organization. citizen mother. citizen mother is currently a citizen or national. citizen mother (or adoptive mother). citizen. Marital historyA.S.S. or court order. Information in this section should be completed if you are claiming citizenship through a U. If now married.Only applicants who are claiming to have been born U. If she was married more than one time to the same spouse.S. Part 8. If the country no longer exists and/or you are stateless.S. citizen mother's current spouse is also your parent. citizen parent or legal guardian does not sign the application. Dates should include all time immediately after birth as well as after the age of 14 years and older.S. adoption. 1969. If your U. citizens outside of the United States are required to provide all the dates when the U.Check the appropriate box to indicate his immigration status.(Applicable only for applications filed under section 301(g) Provide requested information if either U. Home address . NOTE: If you are a U. It is the name on her birth certificate unless it was changed after birth by a legal action such as a marriage. Citizen Mother (or Adoptive Mother). 8. Current legal name . Country of nationality . citizenship. C. citizenship . citizen mother was in the United States. If you are over the age of 18 years and you are filing this application for yourself. see Part 4 of the form.S. Form N-600 Instructions (Rev. Do not put post office (P. citizen mother. 1." provide information about YOURSELF in the sections noted. If you do not sign the application. 9.S.Write the name of the country where the U. write "deceased" and provide the date of death. date and give his or her address. If you are claiming citizenship solely through a U.S. S.S. If "No.Give the name of the country where the U. Officer Report and Recommendation. Armed Forces. Signature of Person Preparing Form. If you are under the age of 18 years and your U. 6. citizen parent or legal guardian is filing the application on your behalf.S. Date of birth . Provide all the requested information. Write the name of the country even if it no longer exists.S.

An application or petition is not considered properly filed until accepted by USCIS.W. or file it without required initial evidence. Citizenship and Immigration Services Change of Address P. Privacy Act Notice.S. If you change your address and you have an application or petition pending with USCIS. The decision on a Form N-600 involves a determination of whether you have established eligiblity for the requested benefit. To access the system. or we may request that you appear at a USCIS office for an interview. N." and follow the prompts. Penalties. InfoPass generates an electronic appointment notice that appears on the screen. OMB No. USCIS Forms and Information. including submission of the required initial evidence. You will be notified of the decision in writing. Processing Information. Do not mail your application to this address.gov. we will deny the benefit you are filing for. 3rd Floor.uscis.gov.Address Changes. To order USCIS forms. you can now schedule an appointment through our internet-based system. Initial processing. DC 20529.S..S. and may deny any other immigration benefit. Form N-600 Instructions (Rev. and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www. We will return these originals when they are no longer required. to: U. InfoPass.10/15/07)Y Page 8 . You can also get USCIS forms and information on immigration laws. mail to: U. Paperwork Reduction Act. may delay a final decision or result in denial of your Form N-600. KY 40742-7134 For commercial overnight or fast freight services only. 111 Massachusetts Avenue. Any Form N-600 that is not signed or accompanied by the correct fee will be rejected with a notice that the Form N-600 is deficient. The public reporting burden for this collection of information is estimated at 1 hour and 35 minutes per response. Box 7134 London. Citizenship and Immigration Services Change of Address 1084-I South Laurel Road London. to determine if you have established eligibility for the immigration benefit for which you are filing. We may provide this information to other government agencies. Regulatory Management Division. KY 40744 As an altenative to waiting in line for assistance at your local USCIS office. call our toll-free number at 1-800-870-3676.uscis. and any requested evidence. completing and submitting the form. regulations. Or you may complete and mail a Form AR-11. it will be checked for completness. and may be subject to criminal prosecution. 1615-0057. You may correct the deficiency and resubmit the Form N-600. We may also request that you submit the originals of any copy.O. Send comments regarding this burden estimate or any other aspect of this collection of information. you will not establish a basis for eligibility. Requests for more information or interview. as amended. visit our website. Failure to provide this information. and we may deny your Form N-600. In addition. Washington. If you knowingly and willfully falsify or conceal a material fact or submit a false document with this request. including the time for reviewing instructions. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. Once a Form N-600 has been accepted. Suite 3008. Alien's Change of Address Card. Citizenship and Immigration Services. If you do not completely fill out the form. to: U. click on "Change your address with USCIS. Our legal right to ask for this information can be found in the Immigration and Nationality Act. and associated evidence. We may request more information or evidence. you will face severe penalties provided by law. including suggestions for reducing this burden. An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. you may change your address on-line at www. Decision. We ask for the information on this form.

(Check only one.S. Part I. If you are a U. Failure to print clearly may delay processing of your application. An alien parent(s) who naturalized. Fill in box if G-28 is attached to represent the applicant. Information about your eligibility. (Provide information about yourself. C. Action Block B. Citizenship and Immigration Services N-600. U. using CAPITAL letters in black ink.S. Height Part 2. citizen parent applying for a certificate of citizenship on behalf of my minor (under 18 years) BIOLOGICAL child. Information about you. A U. citizen parents. Date of Birth (mm/dd/yyyy) Date Remarks 6. citizen parent applying for a Certificate of Citizenship for your minor child.S. Current legal name Family Name (Last Name) If your child has an "A" Number. citizen adoptive parent(s). citizen parent applying for a certificate of citizenship on behalf of my minor (less than 18 years) ADOPTED child.S. Family Name (Last Name) Date Resubmitted Date Given Name (First Name) Full Middle Name (If applicable) Date Reloc Sent Date 3. if you are a person applying for the Certificate of Citizenship. I am a U. write it here: A For USCIS Use Only Returned Date Receipt Given Name (First Name) Full Middle Name (If applicable) 2. Social Security # (If applicable) 5.S. 1. Gender Male Female 9. D. Country of Prior Nationality 8. citizen mother. Country of Birth 7.S.) A. 10/15/07) Y .S. 1615-0057. I am claiming U. I am a U. citizen father or a U. citizenship through: A U. ATTY State License # Form N-600 (Rev. Name exactly as it appears on your Permanent Resident Card (If applicable). Application for Certificate of Citizenship Print clearly or type your answers. Other names used since birth Family Name (Last Name) Given Name (First Name) Middle Name (If applicable) Date Reloc Rec'd Date 4.OMB No. Other (Please explain fully) To Be Completed by Attorney or Representative.S.S. if any. Both U. Expires 10/31/08 Department of Homeland Security U. provide information about your child).S.

S. citizen parent applying for a Certificate of Citizenship for your minor child. Home Address .Street Number and Name (If different from home address) Apartment Number City County State/Province Country Zip/Postal Code 3. 10/15/07) Y Page 2 . Never Married Married Divorced Widowed Marriage Annulled or Other (Explain) 5. If you are a U. I arrived in the following manner: Port of Entry (City/State) Date of Entry (mm/dd/yyyy) Exact Name Used at Time of Entry: B. I obtained lawful permanent resident status through adjustment of status (If applicable): Date you became a Permanent Resident (mm/dd/yyyy) USCIS Office where granted adjustment of status 6. Mailing Address . Information about entry into the United States and current immigration status A.Part 3. passport? No Yes (