Date: _____________________

USCIS
______________________
______________________
_______________________ Fee Waiver Enclosed
RE: I-821 Application for Temporary Protected Status Afghanistan (Initial Registration)

Name of Applicant: ________________________________________

Alien Number: ____________________________________________

Dear USCIS:

Attached you will find my petition for Temporary Protected Status (TPS) for Afghanistan. In
support of the above-referenced application, please find the following:

1. Form G-1145, E-Notification of Application/Petition Acceptance;

2. Form I-912, Application for Fee Waiver with supporting documentation
3. Form I-821, Application for Temporary Protected Status (TPS)
a. Evidence of Nationality:
i. ____________________________________________________________
ii. ____________________________________________________________
iii. ____________________________________________________________
iv. ____________________________________________________________
b. Evidence of Date of Entry:
i. ____________________________________________________________
ii. ___________________________________________________________
iii. ____________________________________________________________
c. Evidence of Continuous Residence since March 15, 2022 and Physical Presence
since May 20, 2022:
i. ____________________________________________________________
ii. ____________________________________________________________
iii. ____________________________________________________________
iv. ____________________________________________________________
v. ____________________________________________________________
vi. ____________________________________________________________
vii. ____________________________________________________________
viii. ____________________________________________________________
4. Form I-765, Application for Employment Authorization with supporting documentation
a. Copy of prior EAD card (back and front) expiration date:__________________
b. 2 passport photographs (2” by 2”)

Sincerely,

__________________