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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: [email protected]

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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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Green Card Application Guide • • • Trips shorter than one year do not normally require a travel permit, 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. 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. permanent residence valid if you travel outside the U.S. for more than one year U.S. law does not require you to have the reentry permit in your possession when you leave the United States. However, travelers must apply before they leave the United States. 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. Before an individual can apply for U.S. citizenship through the naturalization process, he or she needs to fulfill a residency requirement. The time spent abroad does not count towards this requirement. 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. It is not recommended to depart the United States with a Green Card that will expire abroad. For more information how to apply for a Reentry Permit visit: http://www.usimmigrationsupport.org/reentry_permit.html

1.5
• • • • • • • • • • • • • • • • •

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.S. 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, 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, 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 ⎪
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Green Card Application Guide • • Providing false information and documentation may lead to denial of benefits, fines, criminal prosecution and deportation from the United States For more information how to apply for a Reentry Permit visit: http://www.usimmigrationsupport.org/reentry_permit.html

1.6

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. 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.S. 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. residency o Did you file taxes as a U.S. resident? o Did you pay your mortgage or lease on time all the time? o Do you have a letter from a U.S. 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. For more information how to apply for a Reentry Permit visit: http://www.usimmigrationsupport.org/reentry_permit.html

1.7

Commuter Status for Individuals Working in Canada and Mexico

Green card holders that commute between the U.S. and Canada or Mexico on a daily or seasonal basis may keep their green cards even though they live abroad for over one year. The USCIS will grant such workers “Commuter Status”, 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. A lawful permanent resident may live in the Mexico or Canada but work in the United States while keep their U.S. residency status. However, there are some issues that must be considered: • The time spent abroad does not count toward the time needed to apply U.S. citizenship (naturalization) • Commuters are not allowed to petition for immigration benefits on behalf of family For more information about how to obtain commuter status, visit the nearest USCIS office or request to talk to an immigration officer through InfoPass. See the Appendix section for more information. ⎪ ⎪ www.usimmigrationsupport.org
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Green Card Application Guide

2.0

GREEN CARD THROUGH ADOPTION

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

2.1

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.S. 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

2.2

Limitations for the Adopted Child
• • • • The adopted child must reside in the United States permanently; 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, i.e., 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; otherwise, the child might lose the green card. The child might lose the green card if he/she commits a crime or participates in politically subversive or other proscribed activities

2.3

How to Apply

Generally, 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.usimmigrationsupport.org/greencard_adoption.html

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Green Card Application Guide

3.0

GREEN CARD THROUGH EMPLOYMENT

There are five different employment categories that determine how difficult it will be for you to get your green card. The first preference category does not require a Labor Certification but the other categories do: 1. Employment First Preference - Priority workers. 2. Employment Second Preference - Workers with advanced degrees or exceptional ability. 3. Employment Third Preference - Skilled or unskilled workers without advanced degrees. 4. Employment Fourth Preference - Religious workers and various miscellaneous categories of workers and other individuals. 5. Employment Fifth Preference - Individual investors willing to invest $1,000,000 in a U.S. business (or $500,000 in economically depressed areas).

3.1

Employment First Preference

Persons of Extraordinary Ability Although you do not need a specific job offer from a U.S. employer, you must prove that you intend to continue working in your field when you arrive in the U.S. and that you are still at the top of your field and not retiring or in decline. Your ability can either be in sciences, arts, education, business, athletics and your achievements must be publicly recognized. Professors and Researchers If you have international recognition as a professor or researcher with three years minimum experience, you will fall under this category and be eligible to apply for a green card. However, you do need to have an offer of employment. The company employing you must have reached significant achievements and must also employ at least three other full time workers. Multi-National Executives and Managers If you have worked as an executive manager by a company outside the U.S. for at least one out of the past three years, and now wish to transfer to the same company in the U.S. or to a company who is a subsidiary, you will qualify for a green card. The U.S. based company must have been operational for at least one year. To qualify as a petitioning company for the applicant, the company must meet at least one of the following requirements: • They must be different branches of the same company. • They are a joint venture where the parent company owns half or has equal control and veto power. • One company must be a majority-controlled subsidiary of the other. • The foreign and U.S. companies are under the control of the same person, persons, company or group of companies. ⎪ ⎪ www.usimmigrationsupport.org
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Green Card Application Guide For the applicant to meet managerial or supervisory classifications, he/she must meet all of the following requirements: Manager • • • • He or she manages the organization or a department or function of the organization. He/she supervises and controls the work of other supervisory, professional or managerial employees, or manages an essential function of the organization. He/she has the authority to hire and fire those persons supervised, or if none are supervised, works at a senior level within the organization. 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.

Supervisor • • • • He/she directs the management of the organization or a major part or function of the organization. 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. He/she receives only general supervision or direction from higher-level executives, board of directors or the stockholders of the organization.

3.2

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, arts, or business. Under this category, you must be coming to the U.S. having already received an offer of employment. (There are limited exceptions to this). Advance Degree Professionals To qualify as an advance degree professional, you must have achieved a graduate level degree or a professional degree requiring postgraduate education. The exception to this is if you have a standard bachelor’s degree plus five years of professional experience in your field. Persons of Exceptional Ability To qualify as a person of exceptional ability, you do not necessarily need to have international acclaim. However, you do need national acclaim in your specific field of sciences, arts, or business and be considered as a person who has significantly accomplished more than the average person in that profession. Under the second preference category, generally, you do need a Labor Certification. There are exceptions to this rule though. If your arrival and residence in the U.S. will benefit the country by having a substantial positive effect on the economy, employment rate, education, housing or cultural aspects, you may not require a Labor Certification.

3.3

Employment Third Preference

Applicants falling under this category must be aware that only 10,000 of the current 40,000 quota allocation will go to persons under this category. The waiting period for a green card applied for under this category is currently at least five years.

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Green Card Application Guide Professional Workers Professions falling under this category include: Architects, Lawyers, Physicians, Engineers, Teachers, Accountants, Computer Systems Analysts, Physical therapists, Chemists, Pharmacists, Medical Technologists, Hotel Managers, Fashion Designers, Commercial Airline Pilots. If you have the necessary bachelor degree, it is simple to prove your eligibility under this category. Skilled Workers To be classified as a skilled worker you do not need a college degree, but you do need at least two years of training and/or experience. 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. For this category, you need specific qualifications required by the particular job.

3.4

Employment Fourth Preference

This is the fourth category of employment-based workers. It encompasses religious workers, which includes ministers and religious professionals. The fourth preference also includes various miscellaneous categories of workers.

3.5

Employment Fifth Preference

This employment category is for investors willing to invest a minimum of $ 500,000 to $ 1,000,000 in a new U.S. business that will create jobs. The minimum amount depends on the location of the enterprise.

3.6

Benefits
• • • • • You may live anywhere in the U.S. and stay as long as you want. As long as you start out working for the company through which you obtained the green card, you may later work at any job, for any company, anywhere in the U.S., or you may choose not to work at all. You may travel in and out of the U.S. whenever you wish. You may apply to become an American citizen after you have held your green card for a certain length of time. In some cases, your spouse and unmarried children under the age of 21 may also be eligible for green cards as accompanying relatives.

3.7

Drawbacks
Your place of actual residence must be in the U.S. You cannot use a green card just for work and travel purposes. • You must pay taxes on your worldwide income because you are regarded as a U.S. resident. ⎪ Page 13 ⎪ www.usimmigrationsupport.org •

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Green Card Application Guide • • • You cannot remain outside the U.S. for more than one year at a time without special permission, or you risk losing your green card. If you commit certain crimes, participate in politically subversive activities or engage in other prohibited activities, your green card can be taken away and you can be deported. Under most categories, you must work full time and not be self-employed.

3.8

Accompanying Relatives

If you are married or have children below the age of 21 and you acquire a green card through employment, your spouse and children can get green cards as accompanying relatives by proving their relationship to you and submitting other required paperwork and documents. Their green cards will also be issued conditionally and will become permanent when your resident status becomes permanent.

3.9

Inadmissibility

If you have ever been arrested for a crime, lied on an immigrant application, lied to an immigration officer, suffered certain physical or mental illness, or are otherwise inadmissible, you may be unable to receive a green card unless you can qualify for what is known as a 'waiver of inadmissibility'. The same applies to family members.

3.10 Job Offer from U.S. Employer
You cannot begin the application procedure until you have found an employer willing to be an active part in your application. Your employer must be willing to wait until your green card is approved before you can work. Employers can be a company, institution, a single person or an agent who can prove that he/she can pay your salary. There are two exceptions to this rule. You may not need a job offer before applying for a green card if you qualify as a person with extraordinary abilities, or a ‘priority worker’, or if you fall under the employment based second preference.

3.11 Correct Background
You must prove that you have the correct background for the job in terms of experience, training and education. It is not acceptable to simply prove that you are intelligent, honest, hard working and reliable. You must show you have the necessary experience and education as requested.

3.12 No Qualified Americans
One of the objectives of a green card through employment is that you, the applicant, will be assisting a U.S. company. Therefore, you and your employer must be able to prove that there are no other qualified Americans either willing or able to take the position. To prove this, a Labor Certification is required. This is much easier to obtain if the applicant has exceptional ability, is college educated, intends to work in a job with undesirable working hours or has special skills and/or training.

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3.13 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.usimmigrationsupport.org/greencard_employment.html

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4.0

GREEN CARD THROUGH INVESTEMENT

Green Cards through investment are available to all qualified applicants. Petition approval normally takes from two to six months, and the application process takes one to six months. Permanent residency (green card) in the United States is available to anyone who invests a minimum of $1 million in creating a new U.S business or expanding an existing one. This amount can be reduced to $500,000 if the business is located in an urban or rural area with a high unemployment rate. State governments will identify parts of different states that class as high unemployment areas and will notify the USCIS. The investor must employ at least ten full time employees. This cannot include family members, although the investor should be an active member of the management team. The investment can include cash equivalents such as certificates of deposits, loans and notes. Borrowed funds may also be used as long as the investor is personally liable in the event of a default, and the loan is adequately secured and not by the assets of the business being purchased. A number of investors may join together in creating or expanding a U.S business and each may qualify for a green card through the single company. However, the investment of each person still has to be for the minimum qualifying amount, and each investor must be separately responsible for the creation of ten new jobs. Although it is expected that the investment will be well underway when the green card application is made, the law does require the investment to be in a completely new commercial enterprise. 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 %. If the existing business purchased is in financial trouble, an investment designed to save that business will qualify the investor for a green card in this category. Purchasing a troubled business releases the investor from having to increase the net worth or the number of employees. However, it does not excuse the $1 million minimum investment requirement. To qualify as a troubled business, the company must have been in operation for at least two years, and have had an annual loss during those two years equal to at least 20% of the company's net worth. An investor buying a troubled business is prohibited from laying off any employees. A green card for an investor is first only issued conditionally. The conditional green card is granted for two years. When the two years are over, the investor will have to file a request with the USCIS to remove the condition. In deciding if the condition should be removed, the USCIS will investigate whether or not the proposed investment has actually been made, if ten full-time workers have been hired, whether or not the business is still operating, and if the business is still owned by the investors who got 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, the investor will lose his / her green card and be subject to deportation from the United States.

4.1

Green Card through Investment Privileges
• Once the Green Card through Investment application is approved, you may live anywhere in the United States. When you first receive your Green Card through investment, you must work for your own company (the company you bought or started in order to receive the Green Card), but after a few years you will be eligible to work anywhere in the U.S. and for any company. Your spouse and unmarried children may accompany you to the U.S. ⎪
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Green Card Application Guide • You and you accompanying relatives may travel in and out of the U.S. as you wish

4.2

Green Card through Investment Limitations
• • • • You must invest a large amount of money in the U.S. The company you buy or start in order to receive the Green Card must stay in business for a certain period of time, and it must meet several requirements You may not remain outside the U.S. for more than 6 months at the time You will be taxed on your worldwide income, not only on the money earned in the United States.

4.3

Accompanying Relatives

If you are married or have children below the age of 21 and you acquired a green card through investment, your spouse and children can get green cards as accompanying relatives by proving their relationship to you and submitting other required paperwork and documents. Their green cards will also be issued conditionally and will become permanent when yours does.

4.4

Inadmissibility

If you have ever been arrested for a crime, lied on an immigrant application, lied to an immigration officer, suffered certain physical or mental illness, or are otherwise inadmissible, you may be unable to receive a green card unless you can qualify for what is known as a 'waiver of inadmissibility'. The same applies to family members.

4.5

Green Card with Conditions

Individuals who have invested in a U.S. business will be issued a conditional Green Card. should use. 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. The spouse and children may also be included on the petition. For more information about how to obtain to remove conditions on a Green Card visit http://www.usimmigrationsupport.org/remove_conditions.html

4.6

How to Apply

Generally, 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.org/greencard_investment.html ⎪ ⎪ www.usimmigrationsupport.org
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5.0
5.1

GREEN CARD THROUGH MARRIAGE
Marriage inside the United States

The U.S. citizen must submit a visa petition to the appropriate USCIS Office to prove that the marriage is bona fide, that is, entered into for love rather than simply for the foreign-born spouse to obtain a green card.

5.2

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. The process begins when the citizen spouse submits a visa petition to either the USCIS office, which has jurisdiction over his residence or directly to the U.S. Embassy or Consulate in the country where the foreign-born spouse resides. The citizen spouse must attach the same items with the visa petition which are listed in Section 1. Once the visa petition is approved, 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.g., passport, police clearances, results of medical examinations, etc.). Usually, the foreign-born spouse is interviewed and granted an immigrant visa within three to six months. The State Department charges a fee for an immigrant visa. Sometimes, in order to avoid a lengthy separation, the spouses return to the United States after the marriage and proceed to file the necessary applications once they are both in the U.S. However, 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. as an intending immigrant. It is important to notice that e.g. a spouse entering the United States under the Visa Waiver Program cannot change status in the United States. However, if the foreign-born spouse is able to enter the United States on a visa that allows him or her to change status, the USCIS will not deny his or her application for a green card.

5.3

Conditional Residence Green Card through Marriage

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. Individuals under these circumstances have conditions on their Green Card that need to be removed. A Conditional Residence Green Card is only valid for two years. 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. The process of removing the conditions on the Conditional Residence Green Card is different from renewing the Green Card. Once the conditions are removed, the individual is subject to the 10-year renewal and must use Form I-90 unless the foreign fiancé applies for U.S. citizenship.

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Green Card Application Guide For more information about how to obtain to remove conditions on a Green Card visit http://www.usimmigrationsupport.org/remove_conditions.html

5.4

How to Apply

Generally, 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.org/greencard_marriage.html

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6.0

GREEN CARD AS A SPECIAL IMMIGRANT

Currently, the U.S issues Green Cards to immigrants with special circumstances providing the applicants and his/her situation fits certain requirements and criteria. The procedure of applying for a green card involves two steps: Step One, The Petition and Step Two, The Application. The whole process can take over one year and can be carried out in the U.S or at a consulate abroad. Special Immigrant visas are available to you if you fall under one of the following categories: • Workers for recognized religious organizations. • Foreign medical graduates who have been in the U.S a long time. • Foreign workers who were formerly longtime employees of the U.S government. • Retired officers or employees of certain international organizations who have lived in the U.S for a certain time. • Foreign nationals who have been declared dependant on juvenile courts in the U.S.

6.1

Accompanying Relatives

If you are married or have children below the age of 21 and you acquire a green card, your spouse and children can get green cards as accompanying relatives by proving their relationship to you and submitting other required paperwork and documents.

6.2

Inadmissibility

If you have ever been arrested for a crime, lied on an immigrant application, lied to an immigration officer, suffered certain physical or mental illness, or are otherwise inadmissible, you may be unable to receive a green card unless you can qualify for what is known as a 'waiver of inadmissibility'. The same applies to family members.

6.3

Green Card as a Special Immigrant

There are several categories of “Special Immigrants”. Read carefully the descriptions below to find out of if you qualify.

6.4

Religious Workers

Clergy and other religious workers are eligible to apply for a green card. The definition of clergy is a person authorized by a recognized religious denomination to conduct religious activities. This includes: Ministers, priests, rabbis, salaried Buddhist monks, commissioned officers of the salvation army, practitioners and nurses of the Christian science church and ordained deacons. Any other religious workers not considered part of the clergy may also be eligible providing he/she is authorized to perform normal religious duties. To qualify as a special Immigrant using religion as a cause, you must have been a member of a recognized religion in the U.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.S or remain there legally, for the purpose of working as a minister of that religion. ⎪ ⎪ www.usimmigrationsupport.org
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Green Card Application Guide Your children below the age of 21 are eligible to apply for a green card after yours has been approved. They must provide proof of their family relationship to you and how long they have lived with you.

6.5

Foreign Medical Graduates

You qualify as a special immigrant under this circumstance if you came to the U.S before January 10, 1978, on either an H or a J visa and you meet the following requirements: • You were physically in the U.S and practicing medicine on January 9, 1978. • You have lived continuously in the U.S and practiced medicine since January 9, 1978. • You were permanently licensed to practice medicine in a U.S state on or before January 9, 1978. If you came to the U.S on a J-1 visa and were subject to the two year home residency requirement, you got a waiver of the home residency requirement, or you have a ‘no objection’ letter from your home government.

6.6

Former Overseas United States Government Workers

You and your spouse/children may apply if you have been employed abroad by the U.S government for at least fifteen years. You must have the recommendation of the principle officerin-charge of the U.S government foreign office which you were employed. Also, the U.S secretary of state must approve the recommendation

6.7

Retired Employees of International Organizations

You may be eligible as a special immigrant if you are a retired employee of an international organization, if you are the unmarried child of an officer, employee, former officer or former employee of an international organization or if you are the spouse of an officer or employee. If you were married to a qualifying officer or employee who has now died, you are still eligible providing you lived in the U.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 three and a half years before you apply. If this is the case, you must also apply within six months after your spouse’s death. The following details the requirements for both a retired employee and unmarried child: Retired Employee • • • You have resided in the U.S for at least fifteen years prior to your retirement on a G-4 or N visa. You lived and were physically present in the U.S for at least half of the seven years immediately before applying for a green card. You apply to receive a green card within six months after your retirement.

Unmarried Child • • • You have a G-4 or N visa. You lived and were physically present in the U.S for at least half of the seven-year period before applying for a green card. You lived in the U.S for at least a total of seven years while you were between the ages of five and twenty-one. ⎪ ⎪ www.usimmigrationsupport.org
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Green Card Application Guide • You apply for a Green Card before your 25th birthday.

6.8

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. • You have been declared dependant on a juvenile court located in the U.S. • The court has stated you are eligible for long term foster care or you have been committed to the care of a state agency. The court has determined that it is on your best interest to remain in the United States.

6.9

How to Apply

Generally, 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, Widow(er), 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.usimmigrationsupport.org/greencard_specialimmigrant.html

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7.0

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). A “close family member” is defined in the follow sub chapters.

7.1
• • • • •

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.S. citizen’s death) Widowers (if married for at least two years and applying for a green card within two years of the U.S. 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

7.2
• •

Preference relative of a Green Card holder or U.S. Citizen
Family first preference: o These are unmarried people at any age who have at least one 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.S. citizen parent Family fourth preference: o Sisters and brothers of U.S. citizens where the U.S. citizen is at least 21 years of age

• •

7.3
• •

Accompanying Relative of Someone in a Preference Category
If you get a green card as a preference relative, and you are married or have unmarried children under the age of 21, then your spouse and children are entitled to green cards as accompanying relatives. If you qualify as an immediate relative, your spouse and children cannot. The way around that problem is simply solved by having the U.S. citizen petition for his/her spouse and children separate. The idea is to not have the children ride on the non-U.S. parent’s green card application.

7.4
•

Marriage to a United States Citizen
If you have been married for at least two years to a U.S. citizen, and the USCIS trust your marriage to be valid, you will obtain your green card by going through the application process. ⎪
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Green Card Application Guide • If you have been married to a U.S. citizen for less than two (2) years, and the USCIS trust your marriage to be valid, you will get a conditional green card with a validity of two years. After the two years have past, 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. If during the two years you have a conditional green card, the situation between you and your spouse has changed, then you must file for a removal of the condition yourself. You might be able to keep your green card, 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, but the marriage was established in good faith A potential deportation can cause extreme hardship You were abused by the U.S. citizen or U.S. 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. Once the green card is approved after two years of marriage, it becomes permanent. 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. Should you get divorced between year 1 and 5, you cannot remarry a non-U.S. citizen and try to get that person a green card without getting in trouble with the USCIS. USCIS believes that any remarriage of a non-U.S. citizen to a newly gifted green card holder is based on convenience. There are particular quota restrictions for all four before mentioned categories. However, they change from year to year, but to provide you with an idea, see the following quotas for 2004: • Family first preference: o Three years for natives of all countries. The exceptions are natives from the Philippines who have an estimated waiting period of fourteen years, and natives of Mexico who have an estimated waiting period of nine years. Family second preference: o Four years for natives of all countries. The exceptions are natives of Mexico who have a waiting period of 7-9 years. Family third preference: o Six years for natives of all countries. The exceptions are natives of Mexico who have a waiting period of 9 years, and natives of the Philippines who have an estimated waiting period of fourteen years. Family fourth preference: o Eleven years for natives of all countries. Natives of the Philippines have an estimated waiting period of twenty-two years.

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Detailed Information on Green Card through Marriage: This immigration manuals focus mostly on obtaining a green card through other family members. For detailed information on how to apply for a green card through Marriage to U.S. citizen visit http://www.usimmigrationsupport.org/greencard_marriage.html

7.5

Divorce

Relationships do not always work out, but what concerns the USCIS is the intent at the time of marriage. If you do get divorced while you have a conditional green card, you can still apply to get the condition removed as long as the marriage was legit from the beginning. However, be aware of that your divorced American spouse must be willing to file a petition on your behalf too. It is ⎪ ⎪ www.usimmigrationsupport.org
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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.

7.6

Cruelty

Unfortunately in some cases, the U.S. citizen batters and abuses the spouse or children of the non-U.S. citizen, and refuses to file a petition for a green card on your behalf. In such a situation, you are able file a petition for yourself, but you must be physically present in the U.S. to take advantage of this opportunity. In addition, 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.S. • In cases where you are the spouse, you must prove that the marriage was entered in good faith

7.7

Deportation

In some cases you might end up marrying a U.S. green card holder who is in the process of being deported. You are still entitled to apply for a green card, but the USCIS will hold you to very strict standards of why you are marrying someone who is being deported from the United States. Strong evidence must be provided and expect a very detailed marriage interview. It is strongly recommended to hire an immigration attorney in such a situation.

7.8

Widows/Widowers

There are particular rules that apply to widows and widowers of U.S. citizens. The only way you as a non-U.S. citizen is able to take advantage of the rules for widows/widowers, is if you were married for at least two (2) years before the U.S. spouse’s death. You as the surviving national can file your own green card petition on Form I-360, which is included in this application guide. There is an upper limit of 2 years to file Form I-360 after the U.S. spouse died. If the surviving national decides to re-marry after the death of the U.S. citizen, he/she looses the rights to apply for a green card as a widow/widower. However, you are able remarry after you get the green card without any problems. It is important to understand that this rule only applies to spouses of U.S. citizens, and not U.S. green holders. The U.S. green card holder must, in this situation, be alive until the permanent residency application is approved. It is strongly recommended to get a lawyer involved if this is your case.

7.9

Personal Problems

You may be inadmissible for a green card if you ever have been arrested for a crime, stayed in the U.S. for more than six (6) months unlawfully, lied on the immigration application/to the immigration officer or suffer from physical or mental illness.

7.10

How to Apply

Generally, 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, Widow(er) or Special Immigrant ⎪ Page 25 www.usimmigrationsupport.org Form G-325A Form I-130 Form I-131 Form I-360

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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.org/greencard_relatives.html

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8.0

THE DV LOTTERY (GREEN CARD LOTTERY)

The Diversity Immigrant Visa Program is now being processed electronically (over the internet). Paper applications submitted by mail are no longer accepted. Until the 2002, Green Card Lottery (DV-2004) applications had to be submitted by mail, and the application form had to be signed by the applicant. These requirements no longer apply. The applicant does not have to sign the initial application form, which is now submitted online. Being selected in the Green Card Lottery does not automatically guarantee that the individual will receive a Green Card. Additional forms and documents must be submitted to the U.S. government before the application is approved, and the foreign national receives permanent residence in the United States. It is a misconception to believe that “winning” the Green Card Lottery automatically grants the selected applicant U.S. residence, a Green Card or United States Citizenship.

8.1

Overview of the Diversity Immigrant Visa Program

The United States Government issues 50,000 permanent resident cards (Green Cards) every year to applicants selected in the Diversity Immigrant Visa Program, commonly knows as the Green Card Lottery. Applicants are selected randomly by a computer generated drawing. Selected applicants, their spouses and unmarried children under 21 years of age will be authorized to live and work permanently in the United States. Every year over 8 million applications are submitted electronically (over the internet) to the U.S. government. However, only 100,000 receive a notification letter that they were selected. Just receiving the notification letter does not guarantee that the individual will receive a Green Card. The following also apply: 1. The applicant still has to prove he/she meets the requirements 2. Have a low DV Lottery Rank Number (1 is the best, and 100,000 is the worst) 3. The application must be submitted and approved by the deadline In order to actually be granted permanent residence in the United States, the applicant must act quickly upon receiving the notification letter (Notice of Approval). Therefore, it is important to be prepared in advance and act quickly upon receiving the Notice of Approval.

8.2

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. This information is provided only for information purposes. The number of immigration visas (and Green Cards) issued on the next DV Lottery program will most certainly be different, 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. This list has been compiled from official sources, and it displays data from the DV-2005 (the 2003 Green Card Lottery), the DV-2006 (the 2004 Green Card Lottery) and the DV-2007 (the 2005 Green Card Lottery).

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8.3

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, DEMOCRATIC REPUBLIC OF THE 42 COTE D’IVOIRE 308 DJIBOUTI 11 EGYPT 7,229 EQUATORIAL GUINEA 1 ERITREA 582 ETHIOPIA 6,871 GABON 42 GAMBIA, 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 4,922 MOZAMBIQUE 4 NAMIBIA 8 NIGER 62 NIGERIA 9,849 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 1,592 TUNISIA UGANDA 213 ZAMBIA 92 ZIMBABWE 73

OCEANIA
AUSTRALIA 532 CHRISTMAS ISLANDS 0 COOK ISLANDS 3 FIJI 514 KIRIBATI 0 MARSHALL ISLANDS 1 MICRONESIA, 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 5,901 BHUTAN 2 BRUNEI 0 BURMA 651 CAMBODIA 177 HONG KONG SPECIAL ADMIN. 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 1,988 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 1,255

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BELGIUM 57 BOSNIA & HERZEGOVINA 90 BULGARIA 1,674 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, FORMER YUGOSLAV REP. 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 1,418 TURKMENISTAN 59 UKRAINE 7,205 UZBEKISTAN 1,536 VATICAN CITY 0 WESTERN SAHARA 1

SOUTH AMERICA, CENTRAL AMERICA, 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 1,274 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, China (mainland-born, excluding Hong Kong S.A.R., and Taiwan), Colombia, Dominican Republic, El Salvador, Haiti, India, Jamaica, Mexico, Pakistan, the Philippines, Poland, Russia, South Korea, United Kingdom (except Northern Ireland) and its dependent territories and Vietnam.

8.4

How to Apply

Generally, 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.usimmigrationsupport.org/greencardlottery.html

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9.0
9.1

UNITED STATES CITIZENSHIP
Overview

If you want to be naturalized (the term describing how to obtain U.S. citizenship) you must have been admitted to the United States legally to become a permanent resident and be at least 18 years old. You must have been lawfully admitted to the United States, which means that you have legally obtained the privilege of living permanently in the United States as an immigrant. If you have been lawfully admitted, you will be provided with Form I-551, Permanent Resident Card, as proof of your status. If you want to file for United States citizenship as an immigrant, 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. 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, 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.S. citizenship, visit: www.usimmigrationsupport.org/citizenship_application.html

9.2

United States Citizenship Test

In order to become a legal citizen of the United States, there is a list of things you need to complete. One of them is to pass the United States Citizenship Exam. The “U.S Citizenship Test Study Guide” will help you prepare for the United States Citizenship Exam. You can use the information manual to study on your own or with friends. It can also be used as a textbook in a formal classroom that prepares students to become an American citizen. It is written in simple English so that the content of can be understood by people whose English is not yet very fluent. For more information about the U.S. citizenship test, visit: www.usimmigrationsupport.org/citizenship_test.html

9.3

United States Dual Citizenship

Dual citizenship is a concept which means that an individual is a citizen of two countries at the same time. Every independent nation in world has its own laws regarding dual citizenship. Some countries allow it - others do not. Some countries may take a citizenship away when an individual of the country takes upon a new citizenship. An individual will not be recognized as a dual citizen if one of the countries does not recognize dual citizenship. Individuals can obtain a second citizenship in a different ways such as through naturalization, birth, period of stay in the U.S. and nationality of parents/grandparents. The focus of dual citizenship becomes a complex matter because different countries have different rules and regulations. The process of determining your present citizenship status can be a difficult and lengthy process. It is recommended to find out the circumstances around your existing citizenship to avoid problems in the future. The 14th Amendment to the Constitution states that; “All persons ⎪ ⎪ www.usimmigrationsupport.org
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Green Card Application Guide born or naturalized in the United States, and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside.” This sentence is frequently referred to as the “citizenship clause”. The U.S. Government recognizes that dual nationality exists. However, it does not encourage it as a matter of policy because of the problems it may cause. There may be law conflicting issues between the U.S. and the other country. Dual nationality may limit U.S. Government efforts to assist citizens abroad. Depending on where the dual national lives, the local government tends to have a stronger claim to the person’s allegiance. For information about U.S. dual citizenship, visit www.usimmigrationsupport.org/dual_citizenship.html

9.4

United States Passport

A passport is necessary to have when traveling abroad. Conditional or permanent residents must bring their valid national passports (and valid Green Card), while U.S. citizens must bring their U.S. passports. No individual will be allowed to board an airplane without having a valid passport when traveling abroad. Conditional or permanent residents must first obtain U.S. citizenship before applying for a passport. Having a United States passport is a privilege that only United States citizens have. A United State citizen is not a green card holder or a person holding a work visa (H1-B, E1, etc). Visit the U.S. Immigration Support (an independent organization) website for more information on how to apply for a U.S. passport: www.usimmigrationsupport.org/passport.html

9.5

Advantages of U.S. Citizenship

United States citizenship is one step beyond permanent residency (Green Card). Citizenship gives the holder the maximum rights available in the United States. In order to apply for citizenship, green card holders must have been a permanent resident for a certain number of years. Naturalized citizens can obtain a Certificate of Naturalization. United States citizens may also find it advantageous to use a U.S. passport when traveling abroad, while green card holders must travel on their native passport. There are certain restrictions that green card holders must be aware of when traveling abroad for longer periods of time. Several countries allow dual citizenship including the United States. Citizens have much greater ability to sponsor relatives for U.S. immigration benefits (visas, Green Card, etc). Many government contracts and jobs require the applicant to be a United States citizen. • • • • • Only United States citizens can obtain a U.S. passport. U.S. citizens can reside abroad for longer periods of time, while Green Card holders may have their permanent resident status revoked. Green cards must be renewed every 10 years for a fee (currently $ 370), while citizenship once obtained does not expire or need to be renewed. Many countries have waived visa requirements for U.S. passport holders, while Green Card holders with native passports may have to apply for visas in advance. U.S. citizens are eligible to receive additional services and assistance from U.S. Embassies and Consulates abroad. ⎪ ⎪ www.usimmigrationsupport.org
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Green Card Application Guide • U.S. citizens do not have to carry proof of citizenship, while green card holders must always be able to proof their legal status in the United States by carrying a valid Green Card. ICE (Immigration and Customs Enforcement) has detained permanent residents who did not have their green cards with them. U.S. citizens have the right to vote in the United States. The right to sponsor relatives and family members so they can immigrate to the United States. United States citizens cannot be deported, while green card holders may be deported in certain cases, such as being convicted of a crime. The right to run for public office.

• • • •

Finally, there are intangible benefits. Most Green Card holders have decided that the United States will be the permanent home for their families. They find it of psychological benefit to be on equal footing with their American peers.

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10.0 FREQUENTLY ASKED QUESTIONS
Question: Answer: I am going to Puerto Rico. 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. It is also recommended to bring your passport. Other U.S. territories include Guam, Puerto Rico, the U.S. Virgin Islands, American Samoa, 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. 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. You may want to bring additional documentation proofing your intent to remain a U.S. resident such as a letter from your employer, copy of your tax returns or a copy of your mortgage or lease.

Question: Answer:

My friend has had a Green Card for 3 months. Now he is going back to Brazil later this month. 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. immigration upon reentry. An approved travel permit is valid for one year.

Question:

Answer:

I have been a legal resident of the U.S. for over 22 years, but I am still an Indian citizen. Now I am considering to live in India for a few years to be near my family. 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.S. visit, an approval of a travel document, when the Green Card is due to expire and ties to the United States. It is recommended to obtain a reentry permit for stays abroad between 1 and 2 years.

Question:

Answer:

My Parents have got Green Cards though me (I am a citizen of the 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.S.? This scenario includes the questions of whether the parents wants to remain U.S. residents or not. What is the intent of living abroad? Are they filing U.S. taxes as residents or non-residents? It is strongly recommended to contact the local U.S. embassy to clarify the situation to avoid any problems upon entry to the United States.

Question:

I am applying for U.S. citizenship, but my Green Card has expired. Can I still apply?

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Green Card Application Guide Answer: No. You need to be in legal status before you can apply for U.S. citizenship. For more information about how to renew your Green Card, visit www.usimmigrationsupport.org/greencard_renewal.html

Question: Answer:

My Green Card is about to expire. Can I apply for U.S. citizenship beforehand to avoid obtaining a new Green Card? By law you must be in legal status. If you do not have proof of U.S. citizenship before your Green Card expires, it is strongly recommended to renew it. For information visit: www.usimmigrationsupport.org/greencard_renewal.html

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

• • • • • • • • • • • •

•

All foreign language documents must be certified by the translator including the translator’s statement that he or she is competent to translate. ⎪
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• •

The certification format should include the certifier's name, signature, address, and date of certification. See example below: Certification by Translator I [typed name], certify that I am fluent (conversant) in the English and [language] languages, and that the above/attached document is an accurate translation of the document attached entitled______________.

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. However, the originals should be readily available in case of a request for originals.

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APPENDIX 1
U.S. Embassies and Consulates Worldwide
The United States has embassies and consulates in almost every country around the world with a few exceptions. For a full list of all U.S. embassies and consulates worldwide, visit the link below. http://usembassy.state.gov

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APPENDIX 2
USCIS Application Support Centers (ASC)
National Toll Free Telephone Number: 1-800-375-5283

Alabama USCIS Application Support Center Metairie Centre, Suite 300 (Third Floor) 2424 Edenborn Avenue Metairie, 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, SW Suite C Albuquerque, NM 87105-4793 USCIS Application Support Center 2545 East Thomas Road Phoenix, AZ 85016-7941 USCIS Application Support Center 3250 South 4th Avenue Suite E Yuma, Arizona 85365-4051 USCIS Application Support Center 6175 South Pecos Road Las Vegas, NV 89120-6283 USCIS Application Support Center 1835 South Alvernon Way Suites 217 Tucson, AZ 85711-5693

Arkansas USCIS Application Support Center 3701 West Northwest Highway Suite 211 Village at Bachman Lake Dallas, TX 75220-4961 USCIS Application Support Center 842 Virginia Run Cove Memphis, TN 38122-4419 USCIS Application Support Center 4977 Old Greenwood Road Fort Smith, AR 72903-6906

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California USCIS Application Support Center 4701 Planz Road Suite A12 Bakersfield, CA 93309-6349 USCIS Application Support Center Bellflower Plaza 17610 Bellflower Blvd. – Suite A -110 Bellflower, CA 90706 USCIS Application Support Center 8381 La Palma Avenue – Suite A Buena Park, CA 90620 USCIS Application Support Center 6831-B Hollister Avenue Goleta, CA 93117 USCIS Application Support Center 15715 Crenshaw Blvd. – Room B-112 Gardena, CA 90249 USCIS Application Support Center 888 Wilshire Blvd. Los Angeles, CA 90017 USCIS Application Support Center 5949 W. Pico Blvd Los Angeles, CA 90035 USCIS Application Support Center 901 N. Carpenter Road. – Suite 14 Modesto, CA 95351 USCIS Application Support Center 2040 Telegraph Avenue Oakland, CA 94612 USCIS Application Support Center 825 Riverside Parkway Suite 100 West Sacramento, CA 95605-1502 USCIS Application Support Center 435 W. Mission Blvd. Suite 110 Pomona, CA 91766 USCIS Application Support Center 10082 Magnolia Avenue Riverside, CA 92503 USCIS Application Support Center 2000 Outlet Center Drive Suite 200 Oxnard, CA 93036-0609 USCIS Application Support Center 16 Heffernan Avenue Calexico, CA 92231 USCIS Application Support Center Golden Vista Plaza 9251 Garvey Avenue – Suite Q South El Monte, CA 91733 USCIS Application Support Center 4893 E. Kings Canyon Fresno, CA 93727 USCIS Application Support Center 825 Riverside Parkway Suite 100 West Sacramento, CA 95605-1502 USCIS Application Support Center Santa Rita Plaza 1954 N. Main Street Salinas, CA 93906 USCIS Application Support Center 2509 El Cajon Blvd San Diego, CA 92104 USCIS Application Support Center 250 Broadway San Francisco, CA 94111 USCIS Application Support Center 122 Charcot Avenue San Jose, CA 95131-1101 USCIS Application Support Center 727 W. San Marcos Blvd # 101 – 102 San Marcos, CA 92069 USCIS Application Support Center 1666 N. Main Street # 100 – A Santa Ana, CA 92701 USCIS Application Support Center 1401 Guerneville Road # 100 Santa Rosa, CA 95403 USCIS Application Support Center 14515 Hamlin Street – Suite 200 Van Nuys, CA 91411

Colorado USCIS Application Support Center 15037 E. Colfax Avenue – Unit G Aurora, CO 80011 USCIS Application Support Center 1605 Isleta Boulevard, SW Suite C Albuquerque, NM 87105-4793 USCIS Application Support Center 2454 Highway 6 and 50 – Valley Plaza – Suite 115 Grand Junction, CO 81505 USCIS Application Support Center 271 West 3rd Street Suite 1050 Wichita, KS 67202-1203

Connecticut

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USCIS Application Support Center 249 Pearl Street Hartford, CT 06103-2112 Delaware USCIS Application Support Center 655 South Bay Road, Suite 4E Dover, DE 19901-4656 USCIS Application Support Center 2040 Shipley Drive Suite 2C Salisbury, MD 21801-7874 USCIS Application Support Center 246 North Avenue New Rochelle, NY 10801-6405

District of Columbia USCIS Application Support Center 8850 Richmond Highway, Suite 100 Alexandria, VA 22309-1586

Florida USCIS Application Support Center 11690 State Road 84 Davie, FL 33325 USCIS Application Support Center Westland Promenade th 3700 West 18 Avenue #110 Hialeah, FL 33012 USCIS Application Support Center 4121 Southpoint Boulevard Jacksonville, FL 32216 USCIS Application Support Center th 11865 SW 26 Street (Coral Way) – Suite J-6 Miami, FL 33175 USCIS Application Support Center st 521 NE. 81 Street, Bay 11 Miami, FL 33138 USCIS Application Support Center Terracotta Business Center 5449 S Semoran Blvd #18C Orlando, FL 32822 USCIS Application Support Center 9280 Bay Plaza Boulevard – Suite 726 Tampa, FL 33619 USCIS Application Support Center 2711 Exchange Court West Palm Beach, FL 33401

Georgia USCIS Application Support Center 1255 Collier Road, Suite 100 Atlanta, GA 30318 USCIS Application Support Center 1 Poston Road, Suite 130 Parkshore Center Charleston, SC 29407

Guam USCIS Application Support Center 108 Hernan Cortez Ave. – Sirena Plaza #100 Hagatna, GU 96910

Hawaii USCIS Application Support Center 677 Ala Moana Blvd. – Suite # 102/103 Honolulu, HI 96813

Idaho USCIS Application Support Center 1185 South Vinnell Way Boise, ID 83709 USCIS Application Support Center Thomas Foley U.S. Federal Courthouse 920 West Riverside Room 691 Spokane, WA 99201-1012 USCIS Application Support Center 1820 E. 17TH Street – Suite 190 Idaho Falls, ID 83404

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Illinois USCIS Application Support Center 4853 North Broadway Chicago, IL 60640-3603 USCIS Application Support Center 5160 South Pulaski Road Super Mall Suite 101 Chicago, IL 60632-4253 USCIS Application Support Center 7852 Interstate Plaza Drive Hammond, IN 46324-3362 USCIS Application Support Center 950 North Meridian Street, Room 400 Indianapolis, IN 46204-3915 USCIS Application Support Center Gene Snyder U.S. Courthouse and Custom House 601 West Broadway Suite 22 Louisville, KY 40202-2250 USCIS Application Support Center 888 South Route 59 Suite 124 Naperville, IL 60540-0962 USCIS Application Support Center 4701 North Cumberland Suites 1-3 B, C, D Norridge, IL 60706-4277 USCIS Application Support Center 1222 Spruce Street Room 1.212 Saint Louis, MO 63103-2822 USCIS Application Support Center 25 South Greenbay Road Waukegan, IL 60085-4815

Indiana USCIS Application Support Center 550 Main Street Room 1524 Cincinnati, OH 45202-5298 USCIS Application Support Center 7852 Interstate Plaza Drive Hammond, IN 46324-3362 USCIS Application Support Center 950 North Meridian Street, Room 400 Indianapolis, IN 46204-3915 USCIS Application Support Center Gene Snyder U.S. Courthouse and Custom House 601 West Broadway Suite 22 Louisville, KY 40202-2250

Iowa USCIS Application Support Center 210 Walnut Street Room 949 Des Moines, IA 50309-2110 USCIS Application Support Center 1717 Avenue H E Omaha, NE 68110-2752 USCIS Application Support Center 1360 University Avenue West Room 103 Saint Paul, MN 55104-4092 USCIS Application Support Center 300 East 8th Street Riverside Station Sioux Falls, SD 57103-7023

Kansas USCIS Application Support Center 9747 Northwest Conant Avenue Kansas City, MO 64153-1833 USCIS Application Support Center 1717 Avenue H E Omaha, NE 68110-2752 USCIS Application Support Center 271 West 3rd Street Suite 1050 Wichita, KS 67202-1203

Kentucky USCIS Application Support Center 210 Kanawha Boulevard West Charleston, WV 25302-2201 USCIS Application Support Center Gene Snyder U.S. Courthouse and Custom House 601 West Broadway Suite 22 Louisville, KY 40202-2250 USCIS Application Support Center 550 Main Street Room 1524 Cincinnati, OH 45202-5298 USCIS Application Support Center 247 Venture Circle Nashville, TN 37228-1603

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Louisiana USCIS Application Support Center Metairie Centre, Suite 300 2424 Edenborn Avenue Metairie, LA 70001 USCIS Application Support Center Corum Plaza 8505 Gulf Freeway Suite D Houston, TX 77017-5043 USCIS Application Support Center 7334 South Westmoreland Road Dallas, TX 75237-2908

Maine USCIS Application Support Center 176 Gannett Drive South Portland, ME 04106-6909

Maryland USCIS Application Support Center 8850 Richmond Highway, Suite 100 Alexandria, VA 22309-1586 USCIS Application Support Center 00 South Charles Street, Suite 201 Baltimore, MD 21201 USCIS Application Support Center 655 South Bay Road, Suite 4E Dover, DE 19901-4656 USCIS Application Support Center 800 Penn Avenue Suite 101 Pittsburgh, PA 15222-3623 USCIS Application Support Center 2040 Shipley Drive Suite 2C Salisbury, MD 21801-7874 USCIS Application Support Center Glenmont Plaza 12331 Georgia Avenue, Suite C Wheaton, MD 20906-3646

Massachusetts USCIS Application Support Center 170 Portland Street Boston, MA 02114-1706 USCIS Application Support Center 249 Pearl Street Hartford, CT 06103-2112 USCIS Application Support Center 1086 Troy-Schenectady Road Latham, NY 12110-1024 USCIS Application Support Center Crossroads Office Park, 105 Sockanosset Cross Road, Suite 210 Cranston, RI 02920-5560

Michigan USCIS Application Support Center 2652 East Jefferson Avenue Chene Square Mall Detroit, MI 48207-4129 USCIS Application Support Center 7852 Interstate Plaza Drive Hammond, IN 46324-3362 USCIS Application Support Center Bretwood Center 4484 Breton Road Kentwood, MI 49508-5270

Minnesota USCIS Application Support Center Federal Building 515 West First Street Room 208 Duluth, MN 55802-1350 USCIS Application Support Center 657 2nd Avenue North Suite 248 Fargo, ND 58102-4727 USCIS Application Support Center 1360 University Avenue West Room 103 Saint Paul, MN 55104-4092 USCIS Application Support Center 300 East 8th Street Riverside Station Sioux Falls, SD 57103-7023

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Mississippi USCIS Application Support Center 100 West Capitol Street McCoy Federal Building Suite 727 Jackson, MS 39269-1602 USCIS Application Support Center 842 Virginia Run Cove Memphis, TN 38122-4419 USCIS Application Support Center Metairie Centre, Suite 300 2424 Edenborn Avenue Metairie, LA 70001

Missouri USCIS Application Support Center 4977 Old Greenwood Road Fort Smith, AR 72903-6906 USCIS Application Support Center 9747 Northwest Conant Avenue Kansas City, MO 64153-1833 USCIS Application Support Center 842 Virginia Run Cove Memphis, TN 38122-4419 USCIS Application Support Center 1222 Spruce Street Room 1.208 Saint Louis, MO 63103-2822

Montana USCIS Application Support Center 2800 Skyway Drive Helena, MT 59602-1230 USCIS Application Support Center 1675 Samco Road Rapid City, SD 57702 USCIS Application Support Center Thomas Foley U.S. Federal Courthouse 920 West Riverside Room 691 Spokane, WA 99201-1012

Nebraska CIS Application Support Center 15037 East Colfax Avenue Unit G Aurora, CO 80011-5777 USCIS Application Support Center 150 East B Street Room 1014 Casper, WY 82601-7005 USCIS Application Support Center 1717 Avenue H E Omaha, NE 68110-2752 USCIS Application Support Center 300 East 8th Street Riverside Station Sioux Falls, SD 57103-7023

Nevada USCIS Application Support Center 6175 South Pecos Road Las Vegas, NV 89120 USCIS Application Support Center 1351 Corporate Blvd. Reno, NV 89502

New Hampshire USCIS Application Support Center 803 Canal Street Manchester, NH 03101

New Jersey USCIS Application Support Center 116 Kansas St. – Main Floor Hackensack, NJ 07601 USCIS Application Support Center 120 North 8th Street Philadelphia, PA 19107-2422 USCIS Application Support Center 24 Commerce Street Newark, NJ 07102

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New Mexico USCIS Application Support Center 1605 Isleta Boulevard, SW Suite C Albuquerque, NM 87105-4793 USCIS Application Support Center 10500 Montwood Drive El Paso, TX 79935-2703 USCIS Application Support Center 3502 Slide Road Suite A-24 Lubbock, TX 79414-2547

New York USCIS Application Support Center 2378 Grand Concourse Bronx, NY 10458-6907 USCIS Application Support Center 227 Livingston Street Brooklyn, NY 11201-5838 USCIS Application Support Center 130 Delaware Avenue Buffalo, NY 14202-2498 USCIS Application Support Center 100 Main Street, Suite B Hempstead, NY 11550-2418 USCIS Application Support Center 153-01 Jamaica Avenue, 1st Floor Jamaica, NY 11432 USCIS Application Support Center 1086 Troy-Schenectady Road Latham, NY 12110-1024 USCIS Application Support Center 201 Varick Street Room #1023 New York, NY 10014-7055 USCIS Application Support Center 24 Commerce Street Suite 200 Newark, NJ 07102-4005 USCIS Application Support Center 246 North Avenue New Rochelle, NY 10801-6405 USCIS Application Support Center 64 Grice Brook Road Saint Albans, VT 05478-9500 USCIS Application Support Center 412 South Warren Street Syracuse, NY 13202-2604 USCIS Application Support Center 63-05 Roosevelt Avenue Woodside, NY 11377-3641

North Carolina USCIS Application Support Center 4801 Chastain Avenue Building #10, Suite #175 Charlotte, NC 28217-2231 USCIS Application Support Center 2500 Almeda Avenue Suite 114 Norfolk, VA 23513

North Dakota USCIS Application Support Center Located in the Federal Building/US Post Office) 657 2nd Avenue North Suite 248 Fargo, ND 58102-4727 USCIS Application Support Center 2800 Skyway Drive Helena, MT 59602-1230

Ohio USCIS Application Support Center 550 Main Street – Room 1524 Cincinnati, OH 4520 USCIS Application Support Center th AJC Federal Building – 1240 E. 9 Street – Room 1259 Cleveland, OH 44199 USCIS Application Support Center Leveque Towers – 50 W Broad Street – Suite 321 Columbus, OH 43215 USCIS Application Support Center 2652 East Jefferson Avenue Chene Square Mall Detroit, MI 48207-4129

Oklahoma USCIS Application Support Center 4977 Old Greenwood Road Fort Smith, AR 72903-6906 USCIS Application Support Center 4400 Southwest 44th Street Suite A Oklahoma City, OK 73119-2800

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Oregon USCIS Application Support Center 1185 South Vinnell Way Boise, ID 83709-1656 USCIS Application Support Center 721 Southwest 14th Avenue Portland, OR 97205-1904 USCIS Application Support Center 415 North 3rd Street Yakima, WA 98901-2331

Pennsylvania USCIS Application Support Center 130 Delaware Avenue Buffalo, NY 14202-2498 USCIS Application Support Center 24 Commerce Street Suite 200 Newark, NJ 07102-4005 USCIS Application Support Center 120 North 8th Street Philadelphia, PA 19107-2422 USCIS Application Support Center 800 Penn Avenue Suite 101 Pittsburgh, PA 15222-3623 USCIS Application Support Center 412 South Warren Street Syracuse, NY 13202-2604 USCIS Application Support Center 3400 Concord Road York, PA 17402-9007

Puerto Rico USCIS Application Support Center 458 Ing. Jose Canals Street San Juan, PR 00918

Rhode Island USCIS Application Support Center 105 Sockanosset Cross Rd. – Suite 210 Cranston, RI 02920

South Carolina USCIS Application Support Center 1 Poston Road, Suite 130 Parkshore Center Charleston, SC 29407 USCIS Application Support Center 4801 Chastain Avenue Building #10, Suite #175 Charlotte, NC 28217-2231

South Dakota USCIS Application Support Center 1675 Samco Road Rapid City, SD 57702 USCIS Application Support Center 657 2nd Avenue North Suite 248 Fargo, ND 58102-4727 USCIS Application Support Center th Riverside Station – 300 East 8 Street Sioux Falls, SD 57104

Tennessee USCIS Application Support Center 1341 Sycamore View – Suite 100 Memphis, TN 38134 USCIS Application Support Center 247 Venture Circle Nashville, TN 37228

Texas USCIS Application Support Center USCIS Application Support Center

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943 North Expressway 77 Southwind Shopping Center, Suite 23 Brownsville, TX 78520-8670 USCIS Application Support Center 3701 West Northwest Highway Suite 211 Village at Bachman Lake Dallas, 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 79935-2703 USCIS Application Support Center 4200 South Freeway Fort Worth Town Center Mall Suite # 1309 Fort Worth, TX 76115-1400 USCIS Application Support Center 10555 Northwest Freeway Suite 150 Houston, TX 77092-8209 USCIS Application Support Center 7086 Bissonnet Street Houston, TX 77074-6010 Corum Plaza 8505 Gulf Freeway Suite D Houston, TX 77017-5043

USCIS Application Support Center 707 East Calton Road Suite 301 Laredo, TX 78041-3638.

USCIS Application Support Center 3502 Slide Road Suite A-24 Lubbock, 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, OK 73119-2800

USCIS Application Support Center 5121 Crestway Drive Suite 112 San Antonio, TX 78239-1975

Utah USCIS Application Support Center 1605 Isleta Boulevard, SW Suite C Albuquerque, NM 87105-4793 USCIS Application Support Center 6175 South Pecos Road Las Vegas, NV 89120-6283 USCIS Application Support Center 5536 South 1900 West Street Building C Taylorsville, UT 84118-9007

Vermont USCIS Application Support Center 1086 Troy-Schenectady Road Latham, NY 12110-1024 USCIS Application Support Center 64 Grice Brook Road Saint Albans, VT 05478-9500

Virgin Islands USCIS Application Support Center Sunny Isles Shopping Center Christiansted, St. Croix, VI 00823 USCIS Application Support Center South Nisky Center – Suite 1A St. Thomas, VI 00802

Virginia USCIS Application Support Center 8850 Richmond Highway, Suite 100 Alexandria, VA 22309-1586 USCIS Application Support Center 210 Kanawha Boulevard West Charleston, WV 25302-2201 USCIS Application Support Center 2500 Almeda Avenue Suite 114 Norfolk, VA 23513 USCIS Application Support Center 2040 Shipley Drive Suite 2C Salisbury, MD 21801-7874

Washington USCIS Application Support Center USCIS Application Support Center

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721 Southwest 14th Avenue Portland, OR 97205-1904 Thomas Foley U.S. Federal Courthouse 920 West Riverside Room 691 Spokane, WA 99201-1012 USCIS Application Support Center 415 North 3rd Street Yakima, WA 98901-2331

USCIS Application Support Center 12500 Tukwila International Boulevard Seattle, WA 98168

West Virginia USCIS Application Support Center 210 Kanawha Boulevard West Charleston, WV 25302-2201 USCIS Application Support Center 800 Penn Avenue Suite 101 Pittsburgh, PA 15222-3623 USCIS Application Support Center Glenmont Plaza 12331 Georgia Avenue, Suite C Wheaton, MD 20906-3646

Wisconsin USCIS Application Support Center Federal Building 515 West First Street Room 208 Duluth, MN 55802-1350. USCIS Application Support Center 310 East Knapp Street First Floor, Room 154 Milwaukee, WI 53202-4504 USCIS Application Support Center 1360 University Avenue West Room 103 Saint Paul, MN 55104-4092

Wyoming USCIS Application Support Center 15037 East Colfax Avenue Unit G Aurora, CO 80011-5777 USCIS Application Support Center 150 East B Street Room 1014 Casper, WY 82601-7005 USCIS Application Support Center 1820 East 17th Street Suite 190 Idaho Falls, ID 83404-6471 USCIS Application Support Center 1675 Samco Road Rapid City, SD 57702. USCIS Application Support Center 5536 South 1900 West Street Building C Taylorsville, UT 84118-9007

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APPENDIX 3
USCIS Field Offices
National Toll Free Telephone Number: 1-800-375-5283

Alabama USCIS Field Office Martin Luther King, Junior Federal Building 77 Forsyth Street, South West Atlanta, GA 30303

Alaska USCIS Field Office Anchorage District Office 620 East 10th Avenue, Suite 102 Anchorage, AK 99501

Arizona USCIS Field Office 2035 North Central Avenue Phoenix, AZ 85004 USCIS Field Office 6431 South Country Club Road Tucson, AZ 85706-5907

Arkansas USCIS Field Office 842 Virginia Run Cove Memphis, TN 38122 USCIS Field Office 4977 Old Greenwood Road Fort Smith, AR 72903

California USCIS Field Office 16 Heffernan Avenue Calexico, CA. 92231 USCIS Field Office 1261 3rd Avenue, Suite A Chula Vista, CA 91911 USCIS Field Office 1177 Fulton Mall Fresno, CA 93721-1913 USCIS Field Office 300 North Los Angeles Street Los Angeles, CA 90012 USCIS Field Office 650 Capitol Mall Sacramento, CA 95814 USCIS Field Office 655 West Rialto Avenue San Bernardino, CA 92410. USCIS Field Office 880 Front Street San Diego, CA 92101-8834 USCIS Field Office 444 Washington Street San Francisco, CA 94111 USCIS Field Office 1887 Monterey Road San Jose, CA 95112 USCIS Field Office 34 Civic Center Plaza Santa Ana, CA 92701

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Colorado USCIS Field Office 4730 Paris Street Denver, CO 80239

Connecticut USCIS Field Office 450 Main Street, 4th Floor Hartford, CT 06103-3060

Delaware USCIS Field Office 1305 McD Drive Dover, DE 19901

Distric of Columbia USCIS Field Office 4420 N. Fairfax Drive Arlington, VA 22203

Florida USCIS Field Office 7880 Biscayne Boulevard Miami, FL 33138 USCIS Field Office 9403 Tradeport Drive Orlando, FL 32827 USCIS Field Office 5524 West Cypress Street Tampa, FL 33607-1708 USCIS Field Office 4121 Southpoint Boulevard Jacksonville, FL 32216 USCIS Field Office 326 Fern St West Palm Beach, FL 33401

Georgia USCIS Field Office Martin Luther King Jr. Federal Building 77 Forsyth Street SW Atlanta, GA 30303

Guam USCIS Field Office Sirena Plaza, Suite 100 108 Hernan Cortez Avenue Hagatna, GU 96910

Hawaii USCIS Field Office 595 Ala Moana Boulevard Honolulu, HI 96813

Idaho USCIS Field Office USCIS Field Office

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1185 South Vinnell Way Boise, ID 83709 U.S. Courthouse 920 West Riverside, Room 691 Spokane, WA 99201

Illinois USCIS Field Office 10 West Jackson Boulevard Chicago, Illinois 60604 USCIS Field Office Robert A. Young Federal Building 1222 Spruce Street Saint Louis, MO 63103

Indiana USCIS Field Office 101 West Congress Parkway Chicago, IL 60605. USCIS Field Office 950 N. Meridian St., Room 400 Indianapolis, IN 46204-3915

Iowa USCIS Field Office 210 Walnut Street, Room 369 Federal Building Des Moines, IA 50309 USCIS Field Office 1717 Avenue H E Omaha, NE 68110-2752

Kansas USCIS Field Office 9747 NW Conant Avenue Kansas City, MO 64153. USCIS Field Office 271 West 3rd Street North, Suite 1050 Wichita, KS 67202-1212

Kentucky USCIS Field Office Gene Snyder U.S. Courthouse and Customhouse - Room 390 601 West Broadway Louisville, KY 40202

Louisiana USCIS Field Office Metairie Centre, Suite 300 (Third Floor) 2424 Edenborn Avenue Metairie, LA 70001

Maine USCIS Field Office 176 Gannett Drive South Portland, ME 04106

Maryland USCIS Field Office Fallon Federal Building - 31 Hopkins Plaza Baltimore, MD 21201

Massachusetts USCIS Field Office John F. Kennedy Federal Building - Government Center Boston, MA 02203

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Michigan USCIS Field Office 333 Mt. Elliot Detroit, MI 48207

Minnesota USCIS Field Office 2901 Metro Drive, Suite 100 Bloomington, MN 55425

Mississippi USCIS Field Office 842 Virginia Run Cove Memphis, TN 38122 USCIS Field Office Metairie Centre, Suite 300 2424 Edenborn Avenue Metairie, LA 70001

Missouri USCIS Field Office 9747 Northwest Conant Avenue Kansas City, MO 64153 USCIS Field Office Robert A. Young Federal Building 1222 Spruce Street, Room 1.100 St. Louis, MO 63103-2815

Montana USCIS Field Office 2800 Skyway Drive Helena, MT 59602

Nebraska USCIS Field Office 3736 South 132nd Street Omaha, NE 68144

Nevada USCIS Field Office 1351 Corporate Boulevard Reno, NV 89502 USCIS Field Office 3373 Pepper Lane Las Vegas, NV 89120-2739

New Hampshire USCIS Field Office 803 Canal Street Manchester, NH 03101

New Jersey USCIS Field Office 530 Fellowship Road Mount Laurel, NJ 08054 USCIS Field Office Peter Rodino Federal Building 970 Broad Street Newark, NJ 07102

New Mexico USCIS Field Office USCIS Field Office

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1545 Hawkins Boulevard El Paso, TX 79925. 1720 Randolph Road SE Albuquerque, NM 87106

New York USCIS Field Office 100 State Street, Room 418 Rochester, NY 14614 USCIS Field Office 26 Federal Plaza New York City, NY 10278 USCIS Field Office 412 South Warren Street Syracuse, NY 13202 USCIS Field Office 1086 Troy-Schenectady Road Latham, NY 12110 USCIS Field Office Federal Center, 130 Delaware Avenue Buffalo, NY 14202

North Carolina USCIS Field Office 6130 Tyvola Centre Drive Charlotte, NC 28217

North Dakota USCIS Field Office 2901 Metro Drive, Suite 100 Bloomington, MN 55425

Ohio USCIS Field Office A.J.C. Federal Building 1240 East Ninth Street, Room 501 Cleveland, OH 44199 USCIS Field Office Leveque Tower 50 West Broad Street, Suite 306 Columbus, OH 43215 USCIS Field Office J.W. Peck Federal Building 550 Main Street, Room 4001 Cincinnati, OH 45202

Oklahoma USCIS Field Office 4400 SW 44th Street - Suite "A" Oklahoma City, OK 73119-2800

Oregon USCIS Field Office 511 NW Broadway Portland, OR 97209

Pennsylvania USCIS Field Office 1600 Callowhill Street Philadelphia, PA 19130 USCIS Field Office 3000 Sidney Street, Suite 200 Pittsburgh, PA 15203

Puerto Rico USCIS Field Office

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San Patricio Office Center 7 Tabonuco Street, Suite 100 Guaynabo, PR 00968

Rhode Island USCIS Field Office 200 Dyer Street Providence, RI 02903

South Carolina USCIS Field Office 142-D West Phillips Road Greer, SC 29650 USCIS Field Office 170 Meeting Street, Fifth Floor Charleston, SC 29401

South Dakota USCIS Field Office 2901 Metro Drive, Suite 100 Bloomington, MN 55425

Tennessee USCIS Field Office 842 Virginia Run Cove Memphis, TN 38122

Texas USCIS Field Office 8101 North Stemmons Freeway Dallas, TX 75247 USCIS Field Office 1545 Hawkins Boulevard, Suite 167 El Paso, TX 79925 USCIS Field Office 1717 Zoy Street Harlingen, TX 78552 USCIS Field Office 126 Northpoint Houston, TX 77060 USCIS Field Office 8940 Fourwinds Drive San Antonio, TX 78239

Utah USCIS Field Office 5272 South College Drive, Suite 100 Salt Lake City, UT 84123

Vermont USCIS Field Office 64 Gricebrook Road St. Albans, VT 05478

Virgin Islands USCIS Field Office Nisky Center, Suite 1A First Floor South Charlotte Amalie, St. Thomas United States Virgin Islands 00823 USCIS Field Office Sunny Isle Shopping Center Christiansted, St. Croix United States Virgin Islands 00802

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Virginia USCIS Field Office 2675 Prosperity Avenue Fairfax, VA 22031-4906 USCIS Field Office 5280 Henneman Drive Norfolk, VA 23513

Washington USCIS Field Office 815 Airport Way South Seattle, WA 98134 USCIS Field Office 415 North 3rd Street Yakima, WA 98901 USCIS Field Office 920 W. Riverside Room 691 Spokane, WA 99201

West Virginia USCIS Field Office 3000 Sidney Street, Suite 200 Pittsburgh, PA 15203 USCIS Field Office 210 Kanawha Boulevard West Charleston, WV 25302

Wisconsin USCIS Field Office 2901 Metro Drive, Suite 100 Bloomington, MN 55425. USCIS Field Office 310 E. Knapp Street Milwaukee, WI 53202

Wyoming USCIS Field Office 150 East B Street, Room 1014 Casper, WY 82601 USCIS Field Office 4730 Paris Street Denver, CO 80239

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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. The service is free and the time and date is easy to arrange. In cases of complex immigration issues, it may be better to ask an experienced immigration officer. By scheduling your appointment online you can save time in comparison to showing up in person and waiting in line. However, there may be times when you have more generic questions, but for which you do not require an appointment with an Immigration Officer. For routine questions, call NCSC at 1-800-375-5283. How does InfoPass work? Log on to: https://infopass.uscis.gov/info_en.php • Step 1: Select the language you want to use (12 different languages) • Step 2: Select “Make an Appointment.” • Step 3: Type in the zip code where you live. If you are not sure of your local zip code, visit this link: http://zip4.usps.com/zip4/welcome.jsp • Step 4: Pick the type of appointment that matches best with the kind of inquiry or problem you have. • Step 5: Fill in your name, date of birth, zip code, and phone number. E-mail address is optional. • Step 6: Pick a date and time for your appointment. It may be that the time and date for when you wish to visit is already booked. It is recommended to check back several times as InfoPass is updated daily. • Step 7: Once you have found a time, date, and location of your appointment, the information will show up on the PC screen. It is important that you print out this information and bring it with you to the appointment. What to bring to your appointment? • • • A printout of the appointment notice confirmation, refer to Step 7 above Personal identification (passport, driver’s license, green card, government issued ID, Alien Registration Card, I-94, or Work Authorization Card) Any forms received such as receipt notices, letters showing approval or denial, 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, 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, a new one can be printed by accessing InfoPass and entering the information requested

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APPENDIX 5
Case Status
This appendix applies only to individuals that have already submitted an application or petition and received an “A – Number”. There are different ways of checking the status, but the process differs depending on the type of application, where and how it is submitted, and in some cases the applicant’s citizenship. 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.immigration.gov/cris/jsps/index.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, 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.usimmigrationsupport.org
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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, 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.S. 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.S. 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, Boston District Office) 123 Main Street, City, State, Zip ATTN: Change of Address

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

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APPENDIX 7
Glossary of Terms
A" Number Academic Training The term used on the Alien Registration number. An “A” number is issued to all aliens applying for permanent residence. This type of training is for students on a J-1 visa. The training is similar to students on an F-1 visa doing the Optional Professional Training (OPT). However, academic training is only for J-1 visa holders. Citizenship bestowed at birth on children who are born overseas to U.S. citizen parent(s). Act means the “Immigration and Nationality Act” (or INA), as amended. American Competitiveness and Workforce Improvement Act of 1998. The term describing the USCIS process of reviewing and processing applications and petitions. Admission in immigration terms is related to the lawful entry into the United States after inspection and authorization by an immigration officer. Note that admission does exclude a person who is paroled or permitted to land temporarily. A process that permits a number of foreigners who are already in the United States to apply for immigrant status. Foreigners who enter the United States as nonimmigrants, refugees, 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. If the status is changed successfully, 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. The particular number is found on your I-94 card, which will change every time you enter the Unites States. Remember to give this card back once your leave the U.S. so there is a record of your U.S. entry and departure. The term used for legal permission to leave the United States and reenter during the adjustment of the individuals status procedures. 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. In some cases, the Affidavit of Support is required and needs to be included as a part of the petition process. There are two Affidavits of Support: Form I-864 and Form I-134. The law and regulations must be consulted to learn the appropriate use and requirements for each. The description of an individual who has been convicted of any of numerous crimes set forth in INA Section 101(a)(43), 8 USC Section 1101. Aggravated felon status creates numerous substantive and procedural disabilities with respect to asylum, admissibility, removal, judicial review, etc., as set forth in INA Sections 298, 212, 237 - 242, 8 USC Sections 1158, 1182. An agricultural worker is a foreign worker who is coming to the United States to carry out agricultural work or services, as defined by the Secretary of Labor, for a temporary period of time as a nonimmigrant. Abbreviation for American Immigration Lawyers Association. Any person who is not a citizen or national of the United States of America; foreigner. A term used to describe the inadmissibility for individuals previously removed from anywhere between 5 to 20 years, depending upon the circumstances of each case. INA Section 212(a)(9)(A), 8 USC Section 1182. Public Law 97-359 (Act of 10/22/82) that permits certain Amerasian children to immigrate to the United States. An alien must have been born in Cambodia, Korea, Laos, Thailand, or Vietnam after December 31, 1950, and before October 22, 1982, and have been fathered by a U.S. 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

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the requirements for benefits under this law. Immigrant visas are granted to Amerasians under Public Law 100-202 (Act of 12/22/87). This law grants aliens who are born in Vietnam after January 1, 1962, and before January 1, 1976 admission to the United States provided he/she was fathered by a U.S. citizen. The alien may be accompanied by spouses, children, and parents or guardians. The individual applying for visa, change of status or citizenship. Immigrant Visa and Alien Registration The procedures for applying for immigrant status through a U.S. consulate. 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. 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.S. Immigration and Customs Enforcement (ICE). 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, or to ask for the protection from that country because of persecution or a well-substantiated fear of persecution. The reasons for 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 any nationality. Asylees are entitled to adjust to the legal permanent resident category after one year of continuous presence in the United States. This category is limited to 10,000 adjustments per fiscal year. BCIS stands for the Bureau of Citizenship and Immigration Services. Foreigners who obtain lawful immigration statuses as a result of their relationship to U.S. citizens, lawful permanent residents, or U.S. employers. Abbreviation for Board of Immigrant Appeals. Genuine or authentic. Border crosser is a foreign resident who reenters the United States after being not present for less than six months in Canada or Mexico. 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. 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. 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. It is a legal document that is issued to derivative citizens and foreigners who obtained U.S. citizenship in order to prove identity and U.S. citizenship. An official document which is issued by the Department of Homeland Security. The certificate is the proof that an individual has become a U.S. citizen (naturalized) after immigration to the United States. The application process of changing status from one immigration status to another immigration status. The abbreviation for "Citizenship and Immigration Services". See BCIS or USCIS. Normally citizenship describes the country that a person is born in. However, a person can change citizenship in a process called naturalization. Doctors trained and certified by the U.S. Citizenship and Immigration Service. These are the doctors you should go to if USCIS asks you for immigration examinations.

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

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

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simultaneously have intent to stay in the U.S. temporarily or permanently. 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. Official United States government office located in foreign country. Embassies are usually located in the capital of the country. Embassies deal with political, economic, and visa issues. The local ambassador is in charge of the Embassy. U.S. employers who hire illegal immigrants are subject to civil fines or criminal penalties if a pattern of violations is found. An employment letter is needed for employees who wish to be sponsored for nonimmigrant work status or permanent resident status. The letter is completed by the sponsoring employer. The visa that the U.S. State Department adds to a page in an individual’s passport. The granting of an entry visa means that the U.S. State Department is eligible to enter the U.S. for a particular purpose. Note that an expired visa does not affect an individual’s legal stay in the U.S. As long as the I-94 card is valid, the visa can be expired. However, if the individual leaves the U.S., a valid visa is necessary to enter again. One cannot enter the U.S. with an expired visa. 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. Some of the activities could be teaching, instructing or lecturing, studying, observing, conducting research, consulting, demonstrating special skills, or receiving training. 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. The term used to describe the application process of extending the stay period listed on Form I-94. F-1 is the visa type used by international students to enter the United States. The I-94 Form in the passport will be marked with the letters “F-1” and “D/S”. D/S stands for “Duration of Status”. A nonimmigrant foreigner who enters the United States to finalize a valid marriage within ninety days of her/his entry with a U.S. citizen An USCIS field office is either a district or a sub-office of that district where foreigners’ case files are maintained and controlled. The fiscal year starts October 1 and ends in September 30. The abbreviation for Foreign Affairs Manual Chapter 41, which relates to nonimmigrant visas. Chapter 42 covers immigrant visas. Any person born outside the U.S. who is not a U.S. citizen or permanent resident. Foreigners who are accredited by a foreign government to work as diplomats, public ministers, career diplomatic or consular officials, other accredited officers, or assistants, servants or personal employees of accredited officials, and their spouses and dependent children. These officials enter the United States for a temporary period as nonimmigrants. A foreigner who enters the United States temporarily as a bona fide envoy of foreign press, radio, film, or other foreign information media and the foreigner’s spouse and dependent children. The independent country that an immigrant under the preference scheme is credited to. 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.S. legally through a J-1 visa. The General provisions that every naturalization applicant must meet such as being 18 years of age, 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. This term refers to Africa, East Asia, Latin America and the Caribbean, Near

EAD Embassy

Employer Sanctions Employment Authorization Letter Entry Visa

Exchange Visitor

Exclusion

Extension of Stay F-1 Status

Fiance of 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- 2019

General Naturalization Provisions

Geographic Area of

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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

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APPENDIX 8
Adobe Acrobat Help
Adobe Acrobat is software that supports Portable Document Format (PDF) files. Adobe Reader (formerly called Adobe Acrobat Reader) is available as a free download from Adobe's website. Adobe Reader allows the viewing and printing of PDF files. It is recommended to have the latest version of Adobe Reader installed on your computer to properly view and print PDF files. You should have at least version 7, preferably version 8 installed on your computer to properly view and print PDF files.

Download Adobe Reader: • • Windows Users: www.adobe.com/products/acrobat/readstep2.html Mac Users: www.adobe.com/products/acrobat/readstep2_allversions.html

If you need assistance downloading or installing Adobe Reader visit www.adobe.com/support

How to Check for Updates: 1. 2. 3. 4. 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, then print it. This is feature only available on the latest versions of Adobe Reader. This is a convenient way to complete application forms. Not all application forms are fillable. However, if the application forms in the PDF file are fillable, the “Highlight Fields” option will be displayed on Adobe Reader. If you select this option, all fillable fields will be highlighted in blue. Example of PDF files with fillable fields:

Adobe Reader Version 7

Adobe Reader Version 8

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Green Card Application Guide Printing Instructions: Most users know how to print a Word document, web page or even a PDF file. You simply click on “File” then on “Print”, or you may use the “Ctrl+P” keyboard shortcut. However, you may only need to print certain pages, such as application forms at the end of a long PDF file. You don’t need to print the entire file if you only require the application forms for example. You may print only selected pages. Follow the instructions bellow to print selected pages of a PDF file. 1. Click on “File” then “Print” (or use the “Ctrl+P” keyboard shortcut) 2. In the “Print Range” section select “Pages” then enter the pages you would like to print. Example: If you wish to print all pages between 87 and 89, enter 87-89.

Note: This is a screenshot from the free Adobe Reader 8. The latest version of Adobe Reader can be found at www.adobe.com/products/acrobat/readstep2.html

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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.S. Embassies and Consulates
U.S. Immigration guides are also available in Spanish. Visit: www.MigracionUSA.org

U.S. 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.S. 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. 2.
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United States Immigration Support 511 Avenue of the Americas # 45 New York, NY 10011 Web: www.usimmigrationsupport.org Email: [email protected]

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U.S. Department of State

APPLICATION FOR IMMIGRANT VISA AND ALIEN REGISTRATION

OMB APPROVAL NO. 1405-0015 EXPIRES: 05/31/2011 ESTIMATED BURDEN: 1 HOUR* (See Page 2)

PART I - BIOGRAPHIC DATA Instructions: Complete one copy of this form for yourself and each member of your family, regardless of age, who will immigrate with you. Please print or type your answers to all questions. Mark questions that are Not Applicable with "N/A". If there is insufficient room on the form, answer on a separate sheet using the same numbers that appear on the form. Attach any additional sheets to this form. Warning: Any false statement or concealment of a material fact may result in your permanent exclusion from the United States. This form (DS-230 Part I) is the first of two parts. This part, together with Form DS-230 Part II, constitutes the complete Application for Immigrant Visa and Alien Registration. 1. Family Name First Name Middle Name

2. Other Names Used or Aliases (If married woman, give maiden name) 3. Full Name in Native Alphabet (If Roman letters not used) 4. Date of Birth (mm-dd-yyyy) 7. Nationality (If dual national, give both) 5. Age 8. Gender Female Male 6. Place of Birth (City or town) 9. Marital Status Single (Never married) Married Widowed Divorced times. Separated (Province) (Country)

Including my present marriage, I have been married

10. Permanent address in the United States where you intend to live, if known (street address including ZIP code). Include the name of a person who currently lives there.

11. Address in the United States where you want your Permanent Resident Card (Green Card) mailed, if different from address in item #10 (include the name of a person who currently lives there).

Telephone number 12. Your Present Occupation

Telephone number 13. Present Address (Street Address) (City or Town) (Province) (Country)

Telephone Number (Home) 14. 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. Father's Family Name 16. Father's Date of Birth (mm-dd-yyyy) Place of Birth First Name Current Address First Name

Office Middle Name

Middle Name If Deceased, Give Year of Death

17. Mother's Family Name at Birth

First Name

Middle Name

18. Mother's Date of Birth (mm-dd-yyyy)

Place of Birth

Current Address

If Deceased, 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

19. List Names, Dates and Places of Birth, and Addresses of ALL Children.
NAME DATE (mm-dd-yyyy)

PLACE OF BIRTH

ADDRESS (If different from your own)

20. List below all places you have lived for at least six months since reaching the age of 16, including places in your country of nationality. Begin with your present residence.
CITY OR TOWN PROVINCE COUNTRY FROM/TO (mm-yyyy)

21a. Person(s) named in 14 and 19 who will accompany you to the United States now. 21b. Person(s) named in 14 and 19 who will follow you to the United States at a later date. 22. List below all employment for the last ten years.
EMPLOYER LOCATION JOB TITLE FROM/TO (mm-yyyy)

In what occupation do you intend to work in the United States? 23. List below all educational institutions attended.
SCHOOL AND LOCATION FROM/TO (mm-yyyy) COURSE OF STUDY DEGREE OR DIPLOMA

Languages spoken or read: Professional associations to which you belong: 24. Previous Military Service Branch: Rank/Position: Yes No Dates (mm-dd-yyyy) of Service: Military Speciality/Occupation:

25. List dates of all previous visits to or residence in the United States. (If never, write "never") Give type of visa status, if known. Give DHS "A" number if any.
FROM/TO (mm-yyyy) LOCATION TYPE OF VISA "A" NO. (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 U.S. Department of State uses the facts you provide on this form primarily to determine your classification and eligibility for a U.S. immigrant visa. Individuals who fail to submit this form or who do not provide all the requested information may be denied a U.S. immigrant visa. If you are issued an immigrant visa and are subsequently admitted to the United States as an immigrant, the Department of Homeland Security will use the information on this form to issue you a Permanent Resident Card, and, if you so indicate, the Social Security Administration will use the information to issue you a social security number and card. *Public reporting burden for this collection of information is estimated to average 1 hour per response, including time required for searching existing data sources, gathering the necessary data, providing the information required, and reviewing the final collection. In accordance with 5 CFR 1320 5(b), persons are not required to respond to the collection of this information unless this form displays a currently valid OMB control number. 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, DC 20520.

DS-230 Part I

Page 2 of 4

APPLICATION FOR IMMIGRANT VISA AND ALIEN REGISTRATION
PART II - SWORN STATEMENT

U.S. Department of State

OMB APPROVAL NO. 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, regardless of age, who will immigrate with you. Please print or type your answers to all questions. Mark questions that are Not Applicable with "N/A". If there is insufficient room on the form, answer on a separate sheet using the same numbers that appear on the form. Attach any additional sheets to this form. The fee should be paid in United States dollars or local currency equivalent, or by bank draft. WARNING: Any false statement or concealment of a material fact may result in your permanent exclusion from the United States. Even if you are issued an immigrant visa and are subsequently admitted to the United States, providing false information on this form could be grounds for your prosecution and/or deportation. This form (DS-230 PART II), together with Form DS-230 PART I, constitutes the complete Application for Immigrant Visa and Alien Registration.
26. Family Name First Name Middle Name

27. Other Names Used or Aliases (If married woman, give maiden name)

28. Full Name in Native Alphabet (If Roman letters not used)

29. Name and Address of Petitioner

Telephone number: 30. 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. The excludable classes are described below in general terms. You should read carefully the following list and answer YES or NO to each category. The answers you give will assist the consular officer to reach a decision on your eligibility to receive a visa. EXCEPT AS OTHERWISE PROVIDED BY LAW, ALIENS WITHIN THE FOLLOWING CLASSIFICATIONS ARE INELIGIBLE TO RECEIVE A VISA. DO ANY OF THE FOLLOWING CLASSES APPLY TO YOU? a. An alien who has a communicable disease of public health significance; who has failed to present documentation of having received vaccinations in accordance with U.S. law; 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; or who is a drug abuser or addict. b. An alien convicted of, or who admits having committed, a crime involving moral turpitude or violation of any law relating to a controlled substance or who is the spouse, son or daughter of such a trafficker who knowingly has benefited from the trafficking activities in the past five years; who has been convicted of 2 or more offenses for which the aggregate sentences were 5 years or more; 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; who is or has been an illicit trafficker in any controlled substance; who has committed a serious criminal offense in the United States and who has asserted immunity from prosecution; who, while serving as a foreign government official, was responsible for or directly carried out particularly severe violations of religious freedom; or whom the President has identified as a person who plays a significant role in a severe form of trafficking in persons, who otherwise has knowingly aided, abetted, assisted or colluded with such a trafficker in severe forms of trafficking in persons, or who is the spouse, son or daughter of such a trafficker who knowingly has benefited from the trafficking activities within the past five years. c. An alien who seeks to enter the United States to engage in espionage, sabotage, export control violations, terrorist activities, the overthrow of the Government of the United States or other unlawful activity; who is a member of or affiliated with the Communist or other totalitarian party; who participated, engaged or ordered genocide, torture, or extrajudicial killings; or who is a member or representative of a terrorist organization as currently designated by the U.S. Secretary of State. d. An alien who is likely to become a public charge. e. 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; who is a graduate of a foreign medical school seeking to perform medical services who has not passed the NBME exam or its equivalent; 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. f. An alien who failed to attend a hearing on deportation or inadmissibility within the last 5 years; who seeks or has sought a visa, entry into the United States, or any immigration benefit by fraud or misrepresentation; who knowingly assisted any other alien to enter or try to enter the United States in violation of law; who, after November 30, 1996, attended in student (F) visa status a U.S. public elementary school or who attended a U.S. public secondary school without reimbursing the school; or who is subject to a civil penalty under INA 274C. 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. The U.S. Department of State uses the facts you provide on this form primarily to determine your classification and eligibility for a U.S. immigrant visa. Individuals who fail to submit this form or who do not provide all the requested information may be denied a U.S. immigrant visa. If you are issued an immigrant visa and are subsequently admitted to the United States as an immigrant, the Department of Homeland Security will use the information on this form to issue you a Permanent Resident Card, and, if you so indicate, the Social Security Administration will use the information to issue you a social security number and card. *Public reporting burden for this collection of information is estimated to average 1 hour per response, including time required for searching existing data sources, gathering the necessary data, providing the information required, and reviewing the final collection. In accordance with 5 CFR 1320 5(b), persons are not required to respond to the collection of this information unless this form displays a currently valid OMB control number. 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, DC 20520.

Yes Yes

No No

Yes

No

Yes Yes

No No

Yes

No

DS-230 Part II

PREVIOUS EDITIONS OBSOLETE

Page 3 of 4

g. An alien who is permanently ineligible for U.S. citizenship; or who departed the United States to evade military service in

time of war. h. 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 previously unlawfully present and ordered removed within the last 10 years or ordered removed a second time within the last 20 years; who was convicted of an aggravated felony and ordered removed; 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; or who was unlawfully present for more than one year or an aggregate of one year within the last 10 years. i. An alien who is coming to the United States to practice polygamy; who withholds custody of a U.S. citizen child outside the United States from a person granted legal custody by a U.S. court or intentionally assists another person to do so; who has voted in the United States in violation of any law or regulation; or who renounced U.S. citizenship to avoid taxation. j. An alien who is a former exchange visitor who has not fulfilled the 2-year foreign residence requirement.
k. An alien determined by the Attorney General to have knowingly made a frivolous application for asylum.

Yes Yes

No No

Yes

No

Yes Yes Yes

No No No

l. An alien who has ordered, carried out or materially assisted in extrajudicial and political killings and other acts of violence

against the Haitian people; who has directly or indirectly assisted or supported any of the groups in Colombia known as FARC, ELN, or AUC; who through abuse of a governmental or political position has converted for personal gain, confiscated or expropriated property in Cuba, a claim to which is owned by a national of the United States, has trafficked in such property or has been complicit in such conversion, has committed similar acts in another country, or is the spouse, minor child or agent of an alien who has committed such acts; 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; or who has disclosed or trafficked in confidential U.S. business information obtained in connection with U.S. participation in the Chemical Weapons Convention or is the spouse, minor child or agent of such a person.

31. Have you ever been charged, arrested or convicted of any offense or crime? (If answer is Yes, please explain)

Yes

No

32. Have you ever been refused admission to the United States at a port-of-entry? (If answer is Yes, please explain)

Yes

No

33a. 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. Yes No

33b. CONSENT TO DISCLOSURE: I authorize disclosure of information from this form to the Department of Homeland Security (DHS), the Social Security Administration (SSA), such other U.S. Government agencies as may be required for the purpose of assigning me an SSN and issuing me a Social Security card, and I authorize the SSA to share my SSN with the INS. Yes No The applicant's response does not limit or restrict the Government's ability to obtain his or her SSN, or other information on this form, for enforcement or other purposes as authorized by law.

No 34. WERE YOU ASSISTED IN COMPLETING THIS APPLICATION? Yes (If answer is Yes, give name and address of person assisting you, indicating whether relative, friend, travel agent, attorney, or other)

DO NOT WRITE BELOW THE FOLLOWING LINE The consular officer will assist you in answering item 35. DO NOT SIGN this form until instructed to do so by the consular officer
35. I claim to be: A Family-Sponsored Immigrant An Employment-Based Immigrant A Diversity Immigrant A Special Category (Specify) (Returning resident, Hong Kong, Tibetan, Private Legislation, etc.) I derive foreign state chargeability under Sec. 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, 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. 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, if I am admitted to the United States, may subject me to criminal prosecution and/or deportation. I, the undersigned applicant for a United States immigrant visa, do solemnly swear (or affirm) that all statements which appear in this application, consisting of Form DS-230 Part I and Part II combined, have been made by me, including the answers to items 1 through 35 inclusive, and that they are true and complete to the best of my knowledge and belief. I do further swear (or affirm) that, if admitted into the United States, I will not engage in activities which would be prejudical to the public interest, or endanger the welfare, safety, or security of the United States; in activities which would be prohibited by the laws of the United States relating to espionage, sabotage, public disorder, or in other activities subversive to the national security; in any activity a purpose of which is the opposition to or the control, or overthrow of, the Government of the United States, by force, violence, or other unconstitutional means. 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 understand all the foregoing statements, having asked for and obtained an explanation on every point which was not clear to me. 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

SUPPLEMENTAL REGISTRATION FOR THE DIVERSITY IMMIGRANT VISA PROGRAM
INSTRUCTIONS

U.S. Department of State

OMB APPROVAL NO. 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. Clearly print or type all answers in the English language. Answer all questions. Using the enclosed self-adhesive return address label, immediately send this form along with Form DS-230 to: Diversity Immigrant Visa Program, Kentucky Consular Center, 3505 N. Highway 25W, Williamsburg, KY 40769. Failure to follow instructions will disqualify your application. You will be notified by mail of your appointment date, therefore the answer to question No. 3 must be accurate. 1. NAME (Last, First, MI)

2. RANK ORDER NUMBER (Case number on envelope)

3. CURRENT MAILING ADDRESS (Address at which you receive your mail. Give any change of mailing address here.)

Telephone Number 4. 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. However, please note that some U. S. Embassies and Consulates do not process immigrant visas. If you are not sure whether the U.S. Embassy or Consulate nearest you processes immigrant visas, or if you do not know which is the U.S. Embassy or Consulate nearest you, please list the city and country where you live. If you live in the United States and plan to adjust status with the Bureau of Citizenship and Immigration Services in the U.S., please list "BCIS"; if you live in the United States but you intend to return abroad to be interviewed, please list the U.S. Embassy or Consulate that processes immigrant visas for the area where you lived before you came to the United States.

5. THE COUNTRY YOU LISTED AS YOUR NATIVE COUNTRY ON YOUR DIVERSITY VISA PROGRAM APPLICATION In most cases, this will be the country where you were born. You may also claim the country of birth of your husband or wife. In addition, you may claim the country of birth of either of your parents, if neither of your parents lived in, or was born in, the country where you were born.

6. EDUCATION a. Check the highest level of education completed. High School, No Degree College, No Degree Other b. Names and addresses of all schools, colleges, 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

7. WORK EXPERIENCE a. Within the last 5 years, I have worked at least 2 years in a job that requires at least 2 years of training or experience: Yes No

b. Occupation - If you answered "yes" to question 7a, give the job title and describe the type of work you did. Be as specific as possible.

c. Names and addresses of your employers during the past 5 years in the work you described above, and the dates (beginning and ending months and years) you worked for each. 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. 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. I understand that any false or misleading statement may result in the refusal of a visa or denial of entry into the United States.

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. The U.S. Department of State uses the facts you provide on this form primarily to determine your eligibility for a U.S. immigrant visa. Individuals who fail to submit this form or who do not provide all the requested information may be denied a U.S. immigrant visa. 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, and, if you so indicate, the Social Security Administration will use the information to issue you a social security number and card. *Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time required for searching existing data sources, gathering the necessary data, providing the information required, and reviewing the final collection. In accordance with 5 CFR 1320 5(b), persons are not required to respond to the collection of this information unless this form displays a currently valid OMB control number. Send comments on the accuracy of this estimate of the burden and recommendations for reducing it to the U.S. Department of State, A/RPS/DIR, 1800 G Street (Suite 2400), NW, Washington, DC 20522.

DO NOT WRITE IN THIS SPACE - FOR OFFICIAL USE ONLY Occupation Code:
DSP-122 Page 2 of 2

Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011

ETA Form 9089 - Instructions U.S. Department of Labor

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

Instructions for ETA Form 9089

Page 1 of 11

Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011

ETA Form 9089 - Instructions U.S. Department of Labor

Regulatory Information The permanent labor certification program is governed by the Immigration and Nationality Act, 8 U.S.C. 1101 et seq. and 20 CFR part 656. This regulation can be found at http://workforcesecurity.doleta.gov/foreign/perm.asp. Employers applying for labor certification must comply with all regulatory and statutory requirements. How to File A. Who May File: An employer who desires to apply for a labor certification, for occupations other than sports, on behalf of an alien must file Form ETA 9089. B. How/Where to File 1. For all occupations other than Schedule A and Sheepherders, ETA Form 9089 must be submitted to the Department of Labor for processing in one of two ways: • • Online. Employers can complete and submit their permanent applications online at the following web address: http://www.plc.doleta.gov. Mail. Applications can be mailed to the DOL Application Processing Center serving the state where the job will be located. Addresses and a downloadable form and instructions can be found at the following web address: http://workforcesecurity.doleta.gov/foreign/.

2. Applications for Sheepherders and Schedule A occupations are granted or denied by the United States Citizenship and Immigration Service (USCIS). 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. Addresses can be found at: http://www.uscis.gov 3. All application information (a copy of certified Form ETA 9089, recruitment information, re-filing information (if applicable), 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. Section A Refiling Instructions Employers that filed applications under the previous regulations (Form ETA 750) may, if the employer has not yet commenced the recruitment process by having a State Workforce Agency file a job order, 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, and the employer must comply with all of the filing and recruiting requirements of the current regulation. The employer must withdraw the case involving the identical job opportunity under the previous regulations and refile under the current regulations. Withdrawal instructions can be found at http://workforcesecurity.doleta.gov/foreign/ 1. If this application was previously submitted under the former permanent application process (Form ETA750), select Yes to keep your original priority date. Otherwise, select No. 1-A. Enter the date you filed the application under the former permanent application process (Form ETA 750). Enter the date in mm/dd/yyyy format. 1-B. 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).

Instructions for ETA Form 9089

Page 2 of 11

Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011

ETA Form 9089 - Instructions U.S. Department of Labor

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

Instructions for ETA Form 9089

Page 3 of 11

Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011

ETA Form 9089 - Instructions U.S. Department of Labor

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

Instructions for ETA Form 9089

Page 4 of 11

Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011

ETA Form 9089 - Instructions U.S. Department of Labor

Section G Wage Offer Information 1. Enter the wage rate to be paid to the employee. If the wage offer is expressed as a range, 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. Identify whether the wage rate to be paid is in terms of per hour, week, bi-weekly, month, or year (you may only select one). Section H Job Opportunity Information 1. Enter the full address of the primary site or location where the work will actually be performed. 2. Enter the city, state, and postal code of the primary site or location where the work will actually be performed. 3. Enter the common name or payroll title of the job being offered. 4. Select the minimum level of education required to adequately perform the duties of the job being offered. 4-A. If Other was selected for question 4, identify the education required. Examples are MD and JD. 4-B. Enter the major field of study required in reference to Question 4. Skip this question if the answer to question 4 is None or High School. 5. Select Yes or No to identify whether or not training is required for the job. Do not duplicate the time requirements. For example, time required in training should not also be listed in education or experience. 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.S. workers. 5-A. If the answer to question 5 is Yes, enter the number of months of training that is required. 5-B. If the answer to question 5 is Yes, enter the field of training that is required for the job offered. 6. Select Yes or No to identify whether experience in the job offered is a requirement. 6-A. If the answer to question 6 is Yes, enter the number of months experience that are required for the job. 7. Select Yes or No to indicate if an alternate field of study is acceptable. This field of study is alternate to the major field of study indicated in question 4-B. 7-A. If the answer to question 7 is Yes, enter the alternate field of study that is acceptable for the job offered. 8. 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. For example, if the requirement is bachelors + 2 years experience but the employer will accept a masters + 1 year experience, an alternate combination of education and experience exists. 8-A. If the answer to question 8 is Yes, select the alternate level of education that is acceptable in combination with the number of months of experience specified in question 8-C. 8-B. If the answer to question 8-A is Other, enter the alternate level of education that is acceptable. 8-C. If the answer to question 8 is Yes, 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. Instructions for ETA Form 9089 Page 5 of 11

Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011

ETA Form 9089 - Instructions U.S. Department of Labor

Section H Continued 9. Select Yes or No to indicate if a foreign educational equivalent is acceptable. 10. Select Yes or No to indicate if experience in an alternate occupation is acceptable. 10-A. If the answer to question 10 is Yes, enter the number of months of experience in the alternate occupation that is required for the job offered. 10-B. If the answer to question 10 is Yes, enter the alternate occupation that is acceptable for the job offered. 11. Describe the job duties. Detail what would be performed by any worker filling the job. Specify equipment used and pertinent working conditions. 12. 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. If the answer to this question is No, the employer must be prepared to provide documentation demonstrating that the job requirements are supported by business necessity. 13. Select Yes or No to indicate if knowledge of a foreign language is required to perform the job duties. If the answer to this question is Yes, the employer must be prepared to provide documentation demonstrating that the language requirements are supported by business necessity. 14. Enter the job related requirements. Examples are shorthand and typing speeds, specific foreign language proficiency, and test results. The employer must be prepared to document business necessity for a foreign language requirement. 15. Select Yes or No to identify whether or not the job includes a combination of occupations. For example, engineer-pilot. 16. Select Yes or No to indicate if the position identified in this application is being offered to the alien identified in Section J. 17. Select Yes or No to indicate if the job requires the alien to live on the employer’s premises. 18. Select Yes or No to identify whether the application is for a live-in domestic service worker. Domestic service workers refer to “private household workers.” 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. A separate and distinct dwelling maintained by an individual or a family in an apartment house, condominium, or hotel may constitute a private home. 18-A. If the answer to question 18 is Yes, 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. Select NA (not applicable) if the answer to question 18 is No.

Section I Recruitment Information 1. Select Yes or No. 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. For the purpose of this question, Professional Occupations do not include college or university teachers. If the answer to this question is Yes, you must complete questions 6 – 22 of this section. 2. Select Yes or No to identify whether or not the application is for a college or university teacher. If the answer to this question is Yes, you must answer questions 2-A and 2-B.

Instructions for ETA Form 9089

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Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011

ETA Form 9089 - Instructions U.S. 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. If the answer to this question is Yes, you must complete questions 3 – 5 of this section. In the event of an audit, the employer will be required to provide documentation as defined by 20 CFR 656.18. 2-B. Select Yes or No to indicate if you used the basic recruitment process for professional occupations. If the answer to this question is Yes, you must complete questions 6 – 22 of this section. Complete Questions 3 – 5 only if the answer to Section I/Question a.2-A is Yes 3. Enter the date the alien was selected using the competitive recruitment and selection process. Enter the date in mm/dd/yyyy format. 4. Enter the name and date of the national professional journal in which the advertisement was placed. 5. Enter additional recruitment information. You may add an attachment if more space is necessary. Complete Questions 6 – 12 unless your answer to Section B/Question 1 is Yes OR your answer to Section I/Question a.2-A is Yes. 6. Enter the start date for the State Workforce Agency job order. Enter the date in mm/dd/yyyy format. 7. Enter the end date for the State Workforce Agency job order. Enter the date in mm/dd/yyyy format. 8. Select Yes or No to indicate if there is a Sunday edition of the newspaper in the area of intended employment. 9. Enter the name of the newspaper (of general circulation) in which the first advertisement was placed. 10. Enter the date of the first advertisement identified in question 9. Enter the date in mm/dd/yyyy format. 11. Enter the name of the newspaper or professional journal in which the second advertisement (if applicable) was placed. Also, select a checkbox to indicate whether the ad ran in a Newspaper or Journal. 12. Enter the date of the second newspaper advertisement or date of publication of journal identified in question 11. Enter the date in mm/dd/yyyy format. If the answer to Section I/Questions a.1 or a.2-B is Yes, at least 3 of the items in this section must be completed. For questions 13-22, enter the dates in mm/dd/yyyy format. 13. Enter the dates advertised at a job fair (if applicable). 14. Enter the dates of on-campus recruiting (if applicable). 15. Enter the dates advertised on the employer’s website (if applicable). 16. Enter the dates advertised with a trade or professional organization (if applicable). 17. Enter the dates listed with a job search website (if applicable). 18. Enter the dates listed with a private employment firm (if applicable). 19. Enter the dates advertised with an employee referral program (if applicable). 20. Enter the dates advertised with a campus placement office (if applicable). Instructions for ETA Form 9089 Page 7 of 11

Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011

ETA Form 9089 - Instructions U.S. Department of Labor

Section I Continued 21. Enter the dates advertised with a local or ethnic newspaper (if applicable). 22. Enter the dates advertised with radio or TV stations (if applicable). All must complete this section 23. Select Yes or No to indicate whether the employer has received payment of any kind for the submission of this application, including intended payroll deductions from the alien’s wages. 23-A. If you answer Yes to question 23, please enter details of the payment for the submission of the application, including the amount, date and purpose of the payment. 24. Select Yes, No, 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. 25. Select Yes, No, or NA to indicate if there is no bargaining representative, that a notice of this filing has been posted for 10 business days in a conspicuous location at the place of employment, ending at least 30 days before but not more than 180 days before the date the application is filed. 26. 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. 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. 26-A. Select Yes, No, or NA to indicate whether the laid off U.S. workers were notified and considered for the job opportunity for which certification is sought.

Section J Alien Information This section must be different than the agent or attorney information in Section E. 1. Enter the alien’s last name, first name, and full middle name. 2. Enter the alien’s current address. This should be the address of the alien’s current residence. 3. Enter the city, state or province, country, and postal code of the alien’s current residence. 4. Enter the phone number for the alien’s current residence. 5. Enter the country of current citizenship for the alien. 6. Enter the alien’s country of birth. 7. Enter the alien’s date of birth in mm/dd/yyyy format. 8. Enter the alien’s class of admission if the alien has one. This is the current visa status of the alien (e.g., H-1B, H-2A, etc.). 9. Enter the alien registration number if the alien has one. This is a number assigned to the alien by USCIS. 10. Enter the alien admission number if the alien has one. This is a number assigned to the alien by USCIS.

Instructions for ETA Form 9089

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Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011

ETA Form 9089 - Instructions U.S. Department of Labor

Section J Continued 11. Select the highest level of education received relevant to the requested occupation that has been achieved by the alien. If the highest level of education achieved by the alien is not shown on the form, select Other. 11-A. If Other was selected for question 11, identify the highest level of education relevant to the requested occupation achieved by the alien. (e.g. MD, JD).

12. Enter the major field(s) of study for the alien in reference to the highest level of relevant education achieved. 13. Enter the year the relevant education was completed by the alien. Enter the year in yyyy format. 14. Enter the name of the institution where the relevant education achieved by the alien, specified in question 11, was obtained. 15. Enter the address of the institution indicated in question 14. 16. Enter the city, state or province, country, and postal code of the institution indicated in question 14. 17. Select Yes, No, or NA to indicate whether the alien completed the training required for the requested job opportunity, as indicated in question H.5. 18. Select Yes, No, or NA to indicate whether the alien has the experience as required for the requested job opportunity indicated in question H.6. 19. Select Yes, No, or NA to indicate whether the alien possesses the alternate combination of education and experience as indicated in question H.8. 20. Select Yes, No, or NA to indicate whether the alien has the experience in an alternate occupation specified in question H.10. 21. Select Yes, 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. 22. 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. 23. Select Yes or No to indicate whether the alien is currently employed by the petitioning employer. 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. Also list all other experiences that qualify the alien for the job opportunity. If you need more space to complete this section, you may use additional pages as attachments for mailed applications, but you must list the primary jobs and experiences in these spaces. For electronic applications, the system will allow employers to enter additional jobs. Instructions for Section a – Job 1 1. Enter the full legal name of the business, firm, or organization that employed the alien. 2. Enter the address of the employer. 3. Enter the city, state or province, country and postal code for the business address.

Instructions for ETA Form 9089

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Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011

ETA Form 9089 - Instructions U.S. Department of Labor

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

Application for Permanent Employment Certification OMB Approval: 1205-0451 Expiration Date: 06/30/2011

ETA Form 9089 - Instructions U.S. Department of Labor

Section N Employer Declaration 1. Enter the full legal name of the employer signing the application. 2. Enter the job title held by the employer. 3. The signature of the employer identified by question 1 and the date of signature are required. The date of signature must be in mm/dd/yyyy format. Note – The signature and date signed do not have to be filled out when electronically submitting to the Department of Labor for processing, but must be completed when submitting by mail. If the application is submitted electronically, the certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing. Section O U.S. Government Agency Use Only Do not complete this section.

Instructions for ETA Form 9089

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OMB Approval: 1205-0451 Expiration Date: 06/30/2011

Application for Permanent Employment Certification

ETA Form 9089 U.S. Department of Labor

Please read and review the filing instructions before completing this form. A copy of the instructions can be found at http://www.foreignlaborcert.doleta.gov/pdf/9089inst.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, civil money penalties, or both.
A. Refiling Instructions 1. Are you seeking to utilize the filing date from a previously submitted Application for Alien Employment Certification (ETA 750)? 1-A. If Yes, enter the previous filing date Yes No

1-B. Indicate the previous SWA or local office case number OR if not available, specify state where case was originally filed: B. Schedule A or Sheepherder Information 1. Is this application in support of a Schedule A or Sheepherder Occupation? Yes If Yes, do NOT send this application to the Department of Labor. All applications in support of Schedule A or Sheepherder Occupations must be sent directly to the appropriate Department of Homeland Security office. C. Employer Information (Headquarters or Main Office) 1. Employer’s name 2. Address 1 Address 2 3. City 4. Phone number 5. Number of employees 7. FEIN (Federal Employer Identification Number) 9. Is the employer a closely held corporation, partnership, or sole proprietorship in which the alien has an ownership interest, or is there a familial relationship between the owners, stockholders, partners, corporate officers, incorporators, and the alien? State/Province Country Extension 6. Year commenced business 8. NAICS code Postal code No

Yes

No

D. Employer Contact Information (This section must be filled out. This information must be different from the agent or attorney information listed in Section E). 1. Contact’s last name 2. Address 1 Address 2 3. City 4. Phone number 5. E-mail address State/Province Country Extension Postal code First name Middle initial

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Application for Permanent Employment Certification

ETA Form 9089 U.S. Department of Labor

E. Agent or Attorney Information (If applicable) 1. Agent or attorney’s last name 2. Firm name 3. Firm EIN 5. Address 1 Address 2 6. City 7. E-mail address State/Province Country Postal code 4. Phone number Extension First name Middle initial

F. Prevailing Wage Information (as provided by the State Workforce Agency) 1. Prevailing wage tracking number (if applicable) 3. Occupation Title 5. Prevailing wage Per: (Choose only one) Bi-Weekly DBA Month SCA Year Other 2. SOC/O*NET(OES) code 4. Skill Level

Week Hour 6. Prevailing wage source (Choose only one) OES CBA Employer Conducted Survey 6-A. If Other is indicated in question 6, specify: 7. Determination date

$

8. Expiration date

G. Wage Offer Information 1. Offered wage From: To: (Optional) Per: (Choose only one) Hour Week Bi-Weekly Month Year

$

$

H. Job Opportunity Information (Where work will be performed) 1. Primary worksite (where work is to be performed) address 1 Address 2 2. City 3. Job title 4. Education: minimum level required: None High School Associate’s Bachelor’s Master’s Doctorate Other State Postal code

4-A. If Other is indicated in question 4, specify the education required: 4-B. Major field of study 5. Is training required in the job opportunity? No Yes 5-A. If Yes, number of months of training required:

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Application for Permanent Employment Certification

ETA Form 9089 U.S. Department of Labor

H. Job Opportunity Information Continued 5-B. Indicate the field of training: 6. Is experience in the job offered required for the job? Yes No Yes No 6-A. If Yes, number of months experience required:

7. Is there an alternate field of study that is acceptable? 7-A. If Yes, specify the major field of study: 8. Is there an alternate combination of education and experience that is acceptable? 8-A. If Yes, specify the alternate level of education required: None High School Associate’s Bachelor’s Master’s

Yes

No

Doctorate

Other

8-B. If Other is indicated in question 8-A, indicate the alternate level of education required:

8-C. If applicable, indicate the number of years experience acceptable in question 8: 9. Is a foreign educational equivalent acceptable? 10. Is experience in an alternate occupation acceptable? Yes No Yes No

10-A. If Yes, number of months experience in alternate occupation required:

10-B. Identify the job title of the acceptable alternate occupation:

11. Job duties – If submitting by mail, add attachment if necessary. Job duties description must begin in this space.

12. Are the job opportunity’s requirements normal for the occupation? Yes If the answer to this question is No, the employer must be prepared to provide documentation demonstrating that the job requirements are supported by business necessity. 13. Is knowledge of a foreign language required to perform the job duties? Yes No If the answer to this question is Yes, the employer must be prepared to provide documentation demonstrating that the language requirements are supported by business necessity. 14. Specific skills or other requirements – If submitting by mail, add attachment if necessary. Skills description must begin in this space. No

ETA Form 9089

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ETA Form 9089 U.S. Department of Labor

H. Job Opportunity Information Continued 15. Does this application involve a job opportunity that includes a combination of occupations? 16. Is the position identified in this application being offered to the alien identified in Section J? 17. Does the job require the alien to live on the employer’s premises? 18. Is the application for a live-in household domestic service worker? 18-A. If Yes, 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. Recruitment Information a. Occupation Type – All must complete this section. 1. Is this application for a professional occupation, other than a college or university teacher? Professional occupations are those for which a bachelor’s degree (or equivalent) is normally required. Yes No Yes No

Yes

No

Yes Yes Yes

No No No NA

2. Is this application for a college or university teacher? If Yes, complete questions 2-A and 2-B below. 2-A. Did you select the candidate using a competitive recruitment and selection process? 2-B. Did you use the basic recruitment process for professional occupations?

Yes Yes Yes

No No No

b. Special Recruitment and Documentation Procedures for College and University Teachers – Complete only if the answer to question I.a.2-A is Yes. 3. Date alien selected: 4. Name and date of national professional journal in which advertisement was placed: 5. Specify additional recruitment information in this space. Add an attachment if necessary.

c. Professional/Non-Professional Information – Complete this section unless your answer to question B.1 or I.a.2-A is YES. 6. Start date for the SWA job order 7. End date for the SWA job order Yes No

8. Is there a Sunday edition of the newspaper in the area of intended employment? 9. Name of newspaper (of general circulation) in which the first advertisement was placed: 10. Date of first advertisement identified in question 9:

11. Name of newspaper or professional journal (if applicable) in which second advertisement was placed: Newspaper
ETA Form 9089

Journal
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ETA Form 9089 U.S. Department of Labor

I. Recruitment Information Continued 12. Date of second newspaper advertisement or date of publication of journal identified in question 11:

d. Professional Recruitment Information – Complete if the answer to question I.a.1 is YES or if the answer to I.a.2-B is YES. Complete at least 3 of the items. 13. Dates advertised at job fair 14. Dates of on-campus recruiting From: To: From: To: 15. Dates posted on employer web site 16. Dates advertised with trade or professional organization From: To: From: To: 17. Dates listed with job search web site 18. Dates listed with private employment firm From: To: From: To: 19. Dates advertised with employee referral program 20. Dates advertised with campus placement office From: To: From: To: 21. Dates advertised with local or ethnic newspaper 22. Dates advertised with radio or TV ads From: To: From: To: e. General Information – All must complete this section. 23. Has the employer received payment of any kind for the submission of this No Yes application? 23-A. If Yes, describe details of the payment including the amount, date and purpose of the payment :

24. 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. If there is no bargaining representative, has a notice of this filing been posted for 10 business days in a conspicuous location at the place of employment, ending at least 30 days before but not more than 180 days before the date the application is filed? 26. 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. If Yes, were the laid off U.S. 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. Alien Information (This section must be filled out. This information must be different from the agent or attorney information listed in Section E). 1. Alien’s last name 2. Current address 1 Address 2 3. City State/Province Country Postal code First name Full middle name

4. Phone number of current residence 5. Country of citizenship 7. Alien’s date of birth 9. Alien registration number (A#) 6. Country of birth 8. Class of admission 10. Alien admission number (I-94)

11. Education: highest level achieved relevant to the requested occupation: None High School Associate’s Bachelor’s Master’s Doctorate Other

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Application for Permanent Employment Certification

ETA Form 9089 U.S. Department of Labor

J. Alien Information Continued 11-A. If Other indicated in question 11, specify 12. Specify major field(s) of study 13. Year relevant education completed 14. Institution where relevant education specified in question 11 was received 15. Address 1 of conferring institution Address 2 16. City State/Province Country Yes Postal code No NA

17. Did the alien complete the training required for the requested job opportunity, as indicated in question H.5? 18. Does the alien have the experience as required for the requested job opportunity indicated in question H.6? 19. Does the alien possess the alternate combination of education and experience as indicated in question H.8? 20. Does the alien have the experience in an alternate occupation specified in question H.10? 21. Did the alien gain any of the qualifying experience with the employer in a position substantially comparable to the job opportunity requested? 22. 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. 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. Alien Work Experience List all jobs the alien has held during the past 3 years. Also list any other experience that qualifies the alien for the job opportunity for which the employer is seeking certification. a. Job 1 1. Employer name 2. Address 1 Address 2 3. City 4. Type of business 6. Start date 7. End date State/Province Country 5. Job title 8. Number of hours worked per week Postal code

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ETA Form 9089 U.S. Department of Labor

K. Alien Work Experience Continued 9. Job details (duties performed, use of tools, machines, equipment, skills, qualifications, certifications, licenses, etc. Include the phone number of the employer and the name of the alien’s supervisor.)

b. Job 2 1. Employer name 2. Address 1 Address 2 3. City 4. Type of business 6. Start date 7. End date State/Province Country 5. Job title 8. Number of hours worked per week Postal code

9. Job details (duties performed, use of tools, machines, equipment, skills, qualifications, certifications, licenses, etc. Include the phone number of the employer and the name of the alien’s supervisor.)

c. Job 3 1. Employer name 2. Address 1 Address 2 3. City 4. Type of business 6. Start date 7. End date State/Province Country 5. Job title 8. Number of hours worked per week Postal code

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ETA Form 9089 U.S. Department of Labor

K. Alien Work Experience Continued 9. Job details (duties performed, use of tools, machines, equipment, skills, qualifications, certifications, licenses, etc. Include the phone number of the employer and the name of the alien’s supervisor.)

L. Alien Declaration I declare under penalty of perjury that Sections J and K are true and correct. I understand that to knowingly furnish false information in the preparation of this form and any supplement thereto or to aid, abet, 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.S.C. §§ 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.S.C. §§ 1546 and 1621. In addition, 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. 1. Alien’s last name 2. 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, but must be complete when submitting by mail. If the application is submitted electronically, any resulting certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing.

M. Declaration of Preparer 1. Was the application completed by the employer? If No, you must complete this section. 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. I understand that to knowingly furnish false information in the preparation of this form and any supplement thereto or to aid, abet, or counsel another to do so is a federal offense punishable by a fine, imprisonment up to five years or both under 18 U.S.C. §§ 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.S.C. §§ 1546 and 1621. 2. Preparer’s last name 3. Title 4. E-mail address 5. 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, but must be complete when submitting by mail. If the application is submitted electronically, any resulting certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing. ETA Form 9089 Page 8 of 10

OMB Approval: 1205-0451 Expiration Date: 06/30/2011

Application for Permanent Employment Certification

ETA Form 9089 U.S. Department of Labor

N. Employer Declaration By virtue of my signature below, I HEREBY CERTIFY the following conditions of employment: 1. 2. The offered wage equals or exceeds the prevailing wage and I will pay at least the prevailing wage. The wage is not based on commissions, bonuses or other incentives, unless I guarantees a wage paid on a weekly, bi-weekly, or monthly basis that equals or exceeds the prevailing wage. 3. I have enough funds available to pay the wage or salary offered the alien. 4. 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. 5. The job opportunity does not involve unlawful discrimination by race, creed, color, national origin, age, sex, religion, handicap, or citizenship. 6. The job opportunity is not: a. Vacant because the former occupant is on strike or is being locked out in the course of a labor dispute involving a work stoppage; or b. At issue in a labor dispute involving a work stoppage. 7. The job opportunity’s terms, conditions, and occupational environment are not contrary to Federal, state or local law. 8. The job opportunity has been and is clearly open to any U.S. worker. 9. The U.S. workers who applied for the job opportunity were rejected for lawful job-related reasons. 10. The job opportunity is for full-time, permanent employment for an employer other than the alien. I hereby designate the agent or attorney identified in section E (if any) to represent me for the purpose of labor certification and, by virtue of my signature in Block 3 below, I take full responsibility for the accuracy of any representations made by my agent or attorney. 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. I understand that to knowingly furnish false information in the preparation of this form and any supplement thereto or to aid, abet, 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.S.C. §§ 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.S.C. §§ 1546 and 1621. 1. Last name 2. Title 3. 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, but must be complete when submitting by mail. If the application is submitted electronically, any resulting certification MUST be signed immediately upon receipt from DOL before it can be submitted to USCIS for final processing. O. U.S. Government Agency Use Only Pursuant to the provisions of Section 212 (a)(5)(A) of the Immigration and Nationality Act, as amended, I hereby certify that there are not sufficient U.S. workers available and the employment of the above will not adversely affect the wages and working conditions of workers in the U.S. similarly employed.

______________________________________________ Signature of Certifying Officer

______________________________ Date Signed

______________________________________________ Case Number
ETA Form 9089

______________________________ Filing Date
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Application for Permanent Employment Certification

P. OMB Information

ETA Form 9089 U.S. 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. Respondent’s reply to these reporting requirements is required to obtain the benefits of permanent employment certification (Immigration and Nationality Act, Section 212(a)(5)). Public reporting burden for this collection of information is estimated to average 1¼ hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate to the Division of Foreign Labor Certification * U.S. Department of Labor * Room C4312 * 200 Constitution Ave., NW * Washington, DC * 20210. Do NOT send the completed application to this address.
Q. Privacy Statement Information

In accordance with the Privacy Act of 1974, as amended (5 U.S.C. 552a), you are hereby notified that the information provided herein is protected under the Privacy Act. 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. Under routine uses for this system of records, case files developed in processing labor certification applications, labor condition applications, 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, records may be released to the employers that filed such applications, their representatives, to named alien beneficiaries or their representatives, and to the DOL Office of Administrative Law Judges and Federal courts; and in connection with administering and enforcing immigration laws and regulations, records may be released to such agencies as the DOL Office of Inspector General, Employment Standards Administration, the Department of Homeland Security, and the Department of State. Further relevant disclosures may be made in accordance with the Privacy Act and under the following circumstances: in connection with federal litigation; for law enforcement purposes; to authorized parent locator persons under Pub. L. 93-647; to an information source or public authority in connection with personnel, security clearance, procurement, or benefit-related matters; to a contractor or their employees, grantees or their employees, consultants, or volunteers who have been engaged to assist the agency in the performance of Federal activities; for Federal debt collection purposes; to the Office of Management and Budget in connection with its legislative review, coordination, and clearance activities; 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; in connection with records management; and to the news media and the public when a matter under investigation becomes public knowledge, the Solicitor of Labor determines the disclosure is necessary to preserve confidence in the integrity of the Department, or the Solicitor of Labor determines that a legitimate public interest exists in the disclosure of information, unless the Solicitor of Labor determines that disclosure would constitute an unwarranted invasion of personal privacy.

ETA Form 9089

Page 10 of 10

OMB No. 1615-0008; Exp. 05/31/09

Department of Homeland Security U.S. Citizenship and Immigration Services
(Family Name) (First Name) (Middle Name)

G-325, Biographic Information
Male Birth Date (mm/dd/yyyy) Citizenship/Nationality File Number A Female City and Country of Birth U.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, Family Name so state.) (For wife, 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) 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 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.
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. (If none, so state.) List present employment first.
Full Name and Address of Employer Occupation (Specify) Month

Show below last occupation abroad if not shown above. (Include all information requested above.)
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.

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.

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)

(1) Ident.

See Instructions on Page 3

Form G-325 (Rev. 07/14/06)Y

OMB No. 1615-0008; Exp. 05/31/09

Department of Homeland Security U.S. Citizenship and Immigration Services
(Family Name) (First Name) (Middle Name)

G-325, Biographic Information
Male Birth Date (mm/dd/yyyy) Citizenship/Nationality File Number A Female City and Country of Birth U.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, Family Name so state.) (For wife, 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) 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 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.
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. (If none, so state.) List present employment first.
Full Name and Address of Employer Occupation (Specify) Month

Show below last occupation abroad if not shown above. (Include all information requested above.)
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.

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.

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. Br.

See Instructions on Page 3

Form G-325 (Rev. 07/14/06)Y Page 2

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.S. Citizenship and Immigration Services (USCIS). USCIS will use the information you provide on this form to process your application or petition. Complete and submit all copies of this form with your petition or application. If you have any questions on how to complete the form, call our National Customer Service Center at 1-800-375-5283.

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. Our legal right to ask for this information is in 8 USC 1101 and 1255. We may provide this information to other Government agencies. Failure to provide this information may delay a final decision or result in denial of your application or petition.

Paperwork Reduction Act Notice.
A person is not required to respond to a collection of information unless it displays a currently valid OMB control number. We try to create forms and instructions that are accurate, can be easily understood and that 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 gather the requested information, complete the form and include it with the appropriate application or petition for filing purposes is 15 minutes. If you have any comments regarding the accuracy of this estimate or suggestions for making this form simpler, write to U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., Washington, D.C. 20529; OMB No. 1615-0008. Do not send your form to this Washington, D.C. address.

Form G-325 (Rev. 07/14/06)Y Page 3

OMB No. 1615-0008; Exp. 05/31/09

Department of Homeland Security U.S. Citizenship and Immigration Services
(Family Name) (First Name) (Middle Name)

G-325A, Biographic Information
Male Birth Date (mm/dd/yyyy) Citizenship/Nationality File Number A Female City and Country of Birth U.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, Family Name so state.) (For wife, 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) 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 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.
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. (If none, so state.) List present employment first.
Full Name and Address of Employer Occupation (Specify) Month

Show below last occupation abroad if not shown above. (Include all information requested above.)
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.

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.

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)

(1) Ident.

See Instructions on Page 5

Form G-325A (Rev. 07/14/06)Y

OMB No. 1615-0008; Exp. 05/31/09

Department of Homeland Security U.S. Citizenship and Immigration Services
(Family Name) (First Name) (Middle Name)

G-325A, Biographic Information
Male Birth Date (mm/dd/yyyy) Citizenship/Nationality File Number A Female City and Country of Birth U.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, Family Name so state.) (For wife, 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) 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 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.
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. (If none, so state.) List present employment first.
Full Name and Address of Employer Occupation (Specify) Month

Show below last occupation abroad if not shown above. (Include all information requested above.)
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.

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.

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)

(2) Rec. Br.

See Instructions on Page 5

Form G-325A (Rev. 07/14/06)Y Page 2

OMB No. 1615-0008; Exp. 05/31/09

Department of Homeland Security U.S. Citizenship and Immigration Services
(Family Name) (First Name) (Middle Name)

G-325A, Biographic Information
Male Birth Date (mm/dd/yyyy) Citizenship/Nationality File Number A Female City and Country of Birth U.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, Family Name so state.) (For wife, 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) 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 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.
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. (If none, so state.) List present employment first.
Full Name and Address of Employer Occupation (Specify) Month

Show below last occupation abroad if not shown above. (Include all information requested above.)
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.

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.

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)

(3) C.

See Instructions on Page 5

Form G-325A (Rev. 07/14/06)Y Page 3

OMB No. 1615-0008; Exp. 05/31/09

Department of Homeland Security U.S. Citizenship and Immigration Services
(Family Name) (First Name) (Middle Name)

G-325A, Biographic Information
Male Birth Date (mm/dd/yyyy) Citizenship/Nationality File Number A Female City and Country of Birth U.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, Family Name so state.) (For wife, 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) 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 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.
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. (If none, so state.) List present employment first.
Full Name and Address of Employer Occupation (Specify) Month

Show below last occupation abroad if not shown above. (Include all information requested above.)
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.

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.

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)

(4) Consulate

See Instructions on Page 5

Form G-325A (Rev. 07/14/06)Y Page 4

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.S. Citizenship and Immigration Services (USCIS). USCIS will use the information you provide on this form to process your application or petition. Complete and submit all copies of this form with your petition or application. If you have any questions on how to complete the form, call our National Customer Service Center at 1-800-375-5283.

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. Our legal right to ask for this information is in 8 USC 1101 and 1255. We may provide this information to other Government agencies. Failure to provide this information may delay a final decision or result in denial of your application or petition.

Paperwork Reduction Act Notice.
A person is not required to respond to a collection of information unless it displays a currently valid OMB control number. We try to create forms and instructions that are accurate, can be easily understood and that 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 gather the requested information, complete the form and include it with the appropriate application or petition for filing purposes is 15 minutes. If you have any comments regarding the accuracy of this estimate or suggestions for making this form simpler, write to U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., Washington, D.C. 20529; OMB No. 1615-0008. Do not send your form to this Washington, D.C. address.

Form G-325A (Rev. 07/14/06)Y Page 5

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

OMB #1615-0012; Expires 01/31/11

Instructions for I-130, Petition for Alien Relative
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. If you do not follow the instructions, U.S. Citizenship and Immigration Services (USCIS) may have to return your petition, which may delay final action. The filing addresses provided on this form reflect the most current information as of the date this form was last printed. If you are filing Form I-130 more than 30 days after the latest edition date shown in the lower right-hand corner, please visit our website online at www.uscis.gov before you file, and check the Immigration Forms page to confirm the correct filing address and version currently in use. Check the edition date located in the lower right-hand corner of the form. If the edition date on your Form I-130 matches the edition date listed for Form I-130 on the online Immigration Forms page, your version is current and will be accepted by USCIS. If the edition date on the online version is later, download a copy and use the online version. If you do not have Internet access, call the National Customer Service Center at 1-800-375-5283 to verify the current filing address and edition date. Improperly filed forms will be rejected, and the fee returned, with instructions to resubmit the entire filing using the current form instructions.

What Is the Purpose of This Form?
A citizen or lawful permanent resident of the United States may file this form with U.S. Citizenship and Immigration Services (USCIS) to establish the existence of a relationship to certain alien relatives who wish to immigrate to the United States.

Who May Not File This Form I-130?
You may not file for a person in the following categories: 1. An adoptive parent or adopted child, if the adoption took place after the child's 16th birthday, or if the child has not been in the legal custody and living with the parent(s) for at least two years. 2. A natural parent, if the U.S. citizen son or daughter gained permanent residence through adoption. 3. A stepparent or stepchild, if the marriage that created the relationship took place after the child's 18th birthday. 4. A husband or wife, if you and your spouse were not both physically present at the marriage ceremony, and the marriage was not consummated. 5. A husband or wife, if you gained lawful permanent resident status by virtue of a prior marriage to a U. S. citizen or lawful permanent resident, unless: A. A period of five years has elapsed since you became a lawful permanent resident; or B. 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; or C. Your prior marriage through which you gained your immigrant status was terminated by the death of your former spouse. 6. A husband or wife, if you married your husband or wife while your husband or wife was the subject of an exclusion, deportation, removal, or rescission proceeding regarding his or her right to be admitted into or to remain in the United States, or while a decision in any of these proceedings was before any court on judicial review, unless: You prove by clear and convincing evidence that the marriage is legally valid where it took place, 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, 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, after the marriage, for a period of at least two years.
Form I-130 Instructions (Rev. 01/31/08)Y

Who May File Form I-130?
1. If you are a U.S.citizen you must file a separate Form I-130 for each eligible relative. You may file a Form I-130 for:

A. B. C. D. E. F.

Your husband or wife; Your unmarried child under age 21; Your unmarried son or daughter age 21 or older; Your married son or daughter of any age; Your brother(s) or sister(s) (you must be age 21 or older); Your mother or father (you must be age 21 or older).

2. If you are a lawful permanent resident of United States, you may file this form for: A. Your husband or wife; B. Your unmarried child under age 21; C. Your unmarried son or daughter age 21 or older. NOTE: 1. There is no visa category for married children of permanent residents. If an unmarried son or daughter of a permanent resident marries before the permanent resident becomes a U.S. citizen, any petition filed for that son or daughter will be automatically revoked. 2. If your relative qualifies under paragraph 1(C), 1(D), or 1(E) above, separate petitions are not required for his or her husband or wife or unmarried children under 21 years of age. 3. If your relative qualifies under paragraph 2(B) or 2(C) above, separate petitions are not required for his or her unmarried children under 21 years of age. 4. 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.

7. A husband or wife, 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. 8. A grandparent, grandchild, nephew, niece, uncle, aunt, cousin, or in-law.

What Documents Do You Need to Prove Family Relationship?
You have to prove that there is a family relationship between you and your relative. If you are filing for: 1. A husband or wife, submit the following documentation:

General Instructions
Step 1. Fill Out Form I-130
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."
Translations. Any foreign language document must be accompanied by a full English translation that the translator has certified as complete and correct, and by the translator's certification that he or she is competent to translate the foreign language into English. Copies. If these instructions state that a copy of a document may be filed with this petition, submit a copy. If you choose to send the original, USCIS may keep that original for our records. If USCIS requires the original, it will be requested.

A. A copy of your marriage certificate. B. If either you or your spouse were previously married, submit copies of documents showing that all prior marriages were legally terminated. C. A passport-style color photo of yourself and a passport-style color photo of your husband or wife, taken within 30 days of the date of this petition. The photos must have a white background and be glossy unretouched and not mounted. The dimensions of the full frontal facial image should be about 1 inch from the chin to top of the hair. Using pencil or felt pen, lightly print the name (and Alien Registration Number, if known) on the back of each photograph. D. A completed and signed Form G-325A, Biographic Information, for you and a Form G-325A for your husband or wife. 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. NOTE: In addition to the required documentation listed above, you should submit one or more of the following types of documentation that may evidence that bona fides of your marriage: E. Documentation showing joint ownership or property; or F. A lease showing joint tenancy of a common residence; or G. Documentation showing co-mingling of financial resources; or H. Birth certificate(s) of child(ren) born to you, the petitioner, and your spouse together; or I. Affidavits sworn to or affirmed by third parties having personal knowledge of the bona fides of the marital relationship. (Each affidavit must contain the full name and address, date and place of birth of the person making the affidavit, his or her relationship to the petitioner of beneficiary, if any, and complete information and details explaining how the person acquired his or her knowledge of your marriage); or J. Any other relevant documentation to establish that there is an ongoing marital union. NOTE: If you married your husband or wife while your husband or wife was the subject of an exclusion, deportation, removal, or rescission proceeding (including judicial review of the decision in one of these proceedings), this evidence must be sufficient to establish the bona fides or your marriage by clear and convincing evidence.

What Documents Do You Need to Show That You Are a U.S. Citizen?
1. If you were born in the United States, a copy of your birth certificate, issued by a civil registrar, vital statistics office, or other civil authority. 2. A copy of your naturalization certificate or certificate of citizenship issued by USCIS or the former INS. 3. A copy of Form FS-240, Report of Birth Abroad of a Citizen of the United States, issued by a U.S. Embassy or consulate. 4. A copy of your unexpired U.S. passport; or 5. An original statement from a U.S. consular officer verifying that you are a U.S. citizen with a valid passport. 6. If you do not have any of the above documents and you were born in the United States, see instructions under Page 3, "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, you must file your petition with a copy of the front and back of your permanent resident card. If you have not yet received your card, submit copies of your passport biographic page and the page showing admission as a permanent resident, or other evidence of permanent resident status issued by USCIS or the former INS.

Form I-130 Instructions (Rev. 01/31/08)Y Page 2

2. 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. 3. A child and you are the father: Submit a copy of the child's birth certificate showing both parents' names and your marriage certificate. 4. A child born out of wedlock and you are the father: If the child was not legitimated before reaching 18 years old, 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. This may include evidence that the father lived with the child, supported him or her, or otherwise showed continuing parental interest in the child's welfare. 5. 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. If you and your brother or sister have a common father but different mothers, 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. If you and your brother or sister are related through adoption or through a stepparent, or if you have a common father and either of you were not legitimated before your 18th birthday, see also 8 and 9 below. 6. A mother: Submit a copy of your birth certificate showing your name and your mother's name. 7. A father: Submit a copy of your birth certificate showing the names of both parents. Also give a copy of your parents' marriage certificate establishing that your father was married to your mother before you were born, and copies of documents showing that any prior marriages of either your father or mother were legally terminated. If you are filing for a stepparent or adoptive parent, or if you are filing for your father and were not legitimated before your 18th birthday, also see 4, 8, and 9. 8. Stepparent/Stepchild: If your petition is based on a stepparentstepchild relationship, 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, copies of documents showing that any prior marriages were legally terminated and a copy of the stepchild's birth certificate.

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, you must file your petition with copies of the legal documents that effected the change, such as a marriage certificate, adoption decree or court order.

What If a Document Is Not Available?
In such situation, submit a statement from the appropriate civil authority certifying that the document or documents are not available. You must also submit secondary evidence, including: A. Church record: A copy of a document 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 child's birth, date of the religious ceremony and the names of the child's parents. B. School record: A letter from the authority (preferably the first school attended) showing the date of admission to the school, the child's date of birth or age at that time, place of birth, and names of the parents. C. Census record: State or Federal census record showing the names, place of birth, date of birth, or the age of the person listed. D. 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. For example, the date and place of birth, marriage or death. The person making the affidavit does not have to be a U.S. citizen. 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 his or her relationship to you, if any, full information concerning the event, and complete details explaining how the person acquired knowledge of the event.

Where To File?
9. Adoptive parent or adopted child: If you and the person you are filing for are related by adoption, you must submit a copy of the adoption decree(s) showing that the adoption took place before the child became 16 years old. If you adopted the sibling of a child you already adopted, you must submit a copy of the adoption decree(s) showing that the adoption of the sibling occurred before that child's 18th birthday. In either case, 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. 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. However, if legal custody is granted by a court or recognized government agency prior to the adoption, that time may count to fulfill the two-year legal custody requirement. If you reside in the United States, file the I-130 form at the Lockbox according to following instructions: If you are the petitioner and you reside in Alaska, Arizona, California, Colorado, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin, or Wyoming and you are filing only Form I-130, mail the petition to the USCIS Lockbox Facility. The address is as follows: USCIS P.O. Box 804625 Chicago, IL 60680-1029
Form I-130 Instructions (Rev. 01/31/08)Y Page 3

If you are the petitioner and you reside in Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Mississippi, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, U.S. Virgin Islands, West Virginia, or District of Columbia and you are filing only Form I-130, mail the petition to the USCIS Lockbox Facility. The address is as follows: USCIS P.O. Box 804616 Chicago, IL 60680-1029 NOTE: If the Form I-130 petition is being filed concurrently with Form I-485, Application to Register Permanent Residence or Adjust Status, submit both forms concurrently to: U.S. Citizenship and Immigration Services P.O. Box 805887 Chicago, IL 60680-4120 For private couriers (non USPS) deliveries: U.S. Citizenship and Immigration Services Attn: FBASI 427 S. LaSalle - 3rd Floor Chicago, 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. 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," and 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.

When Will a Visa Become Available?
When a petition is approved for the husband, wife, parent, or unmarried minor child of a United States citizen, these persons are classified as immmediate relatives. They do not have to wait for a visa number because immediate relatives are not subject to the immigrant visa limit.

For alien relatives in preference categories, a limited number of immigrant visas are issued each year. The visas are processed in the order in which the petitions are properly filed and accepted by USCIS. To be considered properly filed, a petition must be fully completed and signed, and the fee must be paid.

Petitioners residing abroad: If you live in Canada, file your petition at the Vermont Service Center. Exception: If you are a U.S. citizen For a monthly report on the dates when immigrant visas are residing in Canada, and you are petitioning for your spouse, child, or available, call the U.S. Department of State at (202) 663-1541, parent, you may file the petition at the nearest U.S. Embassy or or visit: www.travel.state.gov. consulate, except for those in Quebec City. If you reside elsewhere outside the United States file, your relative petition at the USCIS office overseas or the U.S. Embassy or consulate having jurisdiction over the Address Changes area where you live. For further information, contact the nearest U.S. If you change your address and you have an application or Embassy or consulate.

What Is the Filing Fee?
The filing fee for a Form is $355. Use the following guidelines when you prepare your check or money order for Form I-130: 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. C. If you live outside the United States, Guam, or the U.S. Virgin Islands, contact the nearest U.S. Embassy or consulate for instructions on the method of payment. NOTE: Please spell out U.S. Department of Homeland Security; do not use the initials "USDHS" or "DHS."

petition pending with USCIS, you may change your address online at www.uscis.gov, click on "Change your address with USCIS," and follow the prompts. Or you may complete and mail 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

Notice to Persons Filing for Spouses, If Married Less Than Two Years
Pursuant to section 216 of the Immigration and Nationality Act, 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. Both you and your conditional resident spouse are required to file Form I-751, Joint Petition to Remove Conditional Basis of Alien's Permanent Resident Status, during the 90-day period immediately before the second anniversary of the date your alien spouse was granted conditional permanent resident status.
Form I-130 Instructions (Rev. 01/31/08)Y Page 4

Otherwise, the rights, privileges, responsibilites, and duties that apply to all other permanent residents apply equally to a conditional permanent resident. A conditional permanent resident is not limited to the right to apply for naturalization, file petitions on behalf of qualifying relatives, or reside permanently in the United States as an immigrant in accordance with our Nation's immigration laws. 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.

Penalties
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this request, we will deny the benefit you are filing for, and may deny any other immigration benefit. In addition, you will face severe penalties provided by law, and may be subject to criminal prosecution.

Privacy Act Notice Processing Information
Acceptance. 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. You may correct the deficiency and resubmit the petition. However, a rejected petition does not retain a filing date. A petition is not considered properly filed until accepted by USCIS.

We ask for the information on this form, and associated evidence, to determine if you have established eligibility for the immigration benefit for which you are filing. Our legal right to ask for this information is in 8 U.S.C. 1255. 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.

Initial Processing. Once the petition has been accepted, 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 the required initial evidence, you will not establish a basis for eligibility, and USCIS may deny your petition.

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. The public reporting burden for this collection of information is estimated at 90 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0012. Do not mail your application to this address.

Requests for More Information. 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 needed. Decision. The decision on Form I-130 involves a determination of whether you have established eligibility for the requested benefit. You will be notified of the decision in writing.

USCIS Forms and Information
To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www.uscis. gov. 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. 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.

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.S. citizenship or lawful permanent residence? Did you submit other required supporting evidence? If you are filing for your husband or wife, did you include: His or her photograph? Your completed Form G-325A? His or her Form G-325A?
Form I-130 Instructions (Rev. 01/31/08)Y Page 5

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

OMB #1615-0012; Expires 01/31/11

I-130, Petition for Alien Relative
DO NOT WRITE IN THIS BLOCK - FOR USCIS OFFICE ONLY

A#
Section of Law/Visa Category 201(b) Spouse - IR-1/CR-1 201(b) Child - IR-2/CR-2 201(b) Parent - IR-5 203(a)(1) Unm. S or D - F1-1 203(a)(2)(A)Spouse - F2-1 203(a)(2)(A) Child - F2-2 203(a)(2)(B) Unm. S or D - F2-4 203(a)(3) Married S or D - F3-1 203(a)(4) Brother/Sister - F4-1

Action Stamp

Fee Stamp

Petition was filed on: Personal Interview Pet. Ben. " 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. Relationship
Husband/Wife

You are the petitioner. Your relative is the beneficiary.
2. Are you related by adoption? Brother/Sister Child Yes No 3. Did you gain permanent residence through adoption? Yes No Parent

1. I am filing this petition for my:

B. Information about you
1. Name (Family name in CAPS) (First) (Middle)

C. Information about your relative
1. Name (Family name in CAPS) 2.Address (Number and Street) (First) (Middle)

2. Address (Number and Street)

(Apt. No.)

(Apt. No.)

(Town or City) 3. Place of Birth (Town or City)

(State/Country)

(Zip/Postal Code) (State/Country)

(Town or City) 3. Place of Birth (Town or City)

(State/Country)

(Zip/Postal Code) (State/Country)

4. Date of Birth

5. Gender Male Female

6. Marital Status Married Widowed Single Divorced

4. Date of Birth

5. Gender Male

6. Marital Status Married Single Widowed Divorced

7. Other Names Used (including maiden name)

Female 7. Other Names Used (including maiden name)

8.Date and Place of Present Marriage (if married)
9. U.S. Social Security Number (If any) 11. Name(s) of Prior Husband(s)/Wive(s) 10. Alien Registration Number 12. Date(s) Marriage(s) Ended

8. Date and Place of Present Marriage (if married)
9. U.S. Social Security Number (If any) 11. Name(s) of Prior Husband(s)/Wive(s) 10. Alien Registration Number 12. Date(s) Marriage(s) Ended

13. If you are a U.S. citizen, complete the following: My citizenship was acquired through (check one): Birth in the U.S. Naturalization. Give certificate number and date and place of issuance. Parents. Have you obtained a certificate of citizenship in your own name? Yes. Give certificate number, date and place of issuance. 14. If you are a lawful permanent resident alien, complete the following: Date and place of admission for or adjustment to lawful permanent residence and class of admission. No

13. Has your relative ever been in the U.S.?

Yes

No

14. If your relative is currently in the U.S., complete the following: He or she arrived as a: (visitor, student, stowaway, without inspection, etc.) Arrival/Departure Record (I-94) Date arrived

Date authorized stay expired, or will expire, as shown on Form I-94 or I-95 15. Name and address of present employer (if any) Date this employment began 16. Has your relative ever been under immigration proceedings?

14b. Did you gain permanent resident status through marriage to a U.S. 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. 01/31/08)Y

C. Information about your alien relative (continued)
17. List husband/wife and all children of your relative. (Name) (Relationship) (Date of Birth) (Country of Birth)

18. Address in the United States where your relative intends to live. (Street Address) (Town or City) (State)

19. Your relative's address abroad. (Include street, city, province and country)

Phone Number (if any)

20. If your relative's native alphabet is other than Roman letters, write his or her name and foreign address in the native alphabet. Address (Include street, city, province and country): (Name)

21. If filing for your husband/wife, give last address at which you lived together. (Include street, city, province, if any, and country): From:

To:

22. Complete the information below if your relative is in the United States and will apply for adjustment of status. 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, 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. Acceptance is at the discretion of the designated embassy or consulate.

D. Other information
1. If separate petitions are also being submitted for other relatives, give names of each and relationship.

2. Have you ever before filed a petition for this or any other alien?
If "Yes," give name, place and date of filing and result.

Yes

No

WARNING: USCIS investigates claimed relationships and verifies the validity of documents. USCIS seeks criminal prosecutions when family relationships are falsified to obtain visas. PENALTIES: By law, you may be imprisoned for not more than five years or fined $250,000, or both, for entering into a marriage contract for the purpose of evading any provision of the immigration laws. In addition, you may be fined up to $10,000 and imprisoned for up to five years, or both, for knowlingly and willfully falsifying or concealing a material fact or using any false document in submitting this petition. YOUR CERTIFICATION: I certify, under penalty of perjury under the laws of the United States of America, that the foregoing is true and correct. Furthermore, I authorize the release of any information from my records that the U.S. Citizenship and Immigration Services needs to determine eligiblity for the benefit that I am seeking.

E. Signature of petitioner.
Date Phone Number ( )

F. Signature of person preparing this form, if other than the petitioner.
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. Print Name Address Signature
G-28 ID or VOLAG Number, if any. Form I-130 (Rev. 01/31/08)Y Page 2

Date

OMB No. 1615-0013; Expires 02/28/09 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for Form I-131, Application for Travel Document
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.

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. If you are filing Form I-131 more than 30 days after the latest edition date shown in the lower right-hand corner, please visit our website at www.uscis.gov before you file, and check the Forms and Fees page to confirm the correct filing address and version currently in use. Check the edition date located in the lower right-hand corner of the form. 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, your version is current and will be accepted by USCIS. If the edition date on the online version is later, download a copy and use the online version. If you do not have Internet access, call the National Customer Service Center at 1-800-375-5283 to verify the current filing address and edition date. Improperly filed forms will be rejected and the fee returned with instructions to resubmit the entire filing using the current form instructions.

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. An advance parole document is not issued to serve in place of any required passport. 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. Advance parole cannot be used to circumvent the normal visa issuing procedures and is not a means to bypass delays in visa issuance. NOTE: If you are in the United States and wish to travel abroad, you do not need to apply for advance parole if both conditions described below in A and B are met: A. You are in one of the following nonimmigrant categories: 1. An H-1, temporary worker, or H-4, spouse or child of an H-1; or 2. An L-1, intracompany transferee, or L-2, spouse or child of an L-1; or 3. A K-3, spouse, or K-4, child of a U.S. citizen; or 4. A V-2, spouse, or V-3, child of a lawful permanent resident; and B. A Form I-485, Application to Register Permanent Residence or Adjust Status, was filed on your behalf and is pending with USCIS. However, upon returning to the United States, you must present your valid H, L, K, or V nonimmigrant visa and continue to remain eligible for that status.

What Is the Purpose of This Form?
This form may only be used to apply to U.S. Citizenship and Immigration Services (USCIS) for the following travel documents, and must not be used to request release from immigration custody: 1. Re-entry Permit - 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, without having to obtain a returning resident visa from a U.S. Embassy or consulate. 2. Refugee Travel Document - A refugee travel document is issued to a person classified as a refugee or asylee, or to a permanent resident who obtained such status as a result of being a refugee or asylee in the United States. Persons who hold aslyee or refugee status, and are not permanent residents must have a refugee travel document to return to the United States after temporary travel abroad. 3. Advance Parole Document - An advance parole document is issued solely to authorize the temporary parole of a person into the United States.

Who May File Form I-131?
Each applicant must file a separate application for a travel document. 1. Re-entry Permit A. If you are in the United States as a permanent resident or conditional permanent resident, you may apply for a reentry permit. After filing your application for a reentry permit, USCIS will inform you in writing when to go to your local Application Support Center (ASC) for your biometrics appointment. (See Biometric Services Requirement.)
Form I-131 Instructions (Rev. 02/26/08)Y

You must be physically present in the United States when you file the Re-entry Permit application. However, a Re-entry Permit may be sent to a U.S. Embassy or consulate or Department of Homeland Security (DHS) office abroad for you to pick up, if you request it when you file your application. Departure from the United States before a decision is made on an application for a Re-entry Permit usually does not affect the application. However, where biometric collection is required and the applicant departs the United States before the biometrics are collected, the application may be denied. With the exception of having to obtain a returning resident visa abroad, a Re-entry Permit does not relieve you of any of the requirements of U.S. immigration laws. If you stay outside the United States for less than one year, you are not required to apply for a Re-entry Permit. You may re-enter the United States on your Permanent Resident Card (Form I-551). If you intend to apply in the future for naturalization, absences from the United States for one year or more will generally break the continuity of your required continuous residence in the United States. If you intend to remain outside the United States for one year or more, you should file a Form N-470, Application to Preserve Residence for Naturalization Purposes. For further information, contact your local USCIS office. B. Validity of Re-entry Permit 1. Generally, a Re-entry Permit issued to a permanent resident shall be valid for two years from the date of issuance. However, if since becoming a permanent resident you have been outside the United States for more than four of the last five years, the permit will be limited to one year, except that a permit with a validity of two years may be issued to the following: a. A permanent resident whose travel is on the order of the U.S. Government, other than an exclusion, deportation, removal, or recision order. b. A permanent resident employed by a public international organization of which the United States is a member by treaty or statute. c. A permanent resident who is a professional athlete and regularly competes in the United States and worldwide. 2. A Re-entry Permit issued to a conditional resident shall be valid for two years from the date of issuance, or to the date the conditional resident must apply for removal of the conditions on his or her status, whichever date comes first.

3. A Re-entry Permit may not be extended. C. A Re-entry Permit may not be issued to you if: 1. You have already been issued such a document, and it is still valid, unless the prior document has been returned to USCIS, or you can demonstrate that it was lost; or 2. 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. 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, it may be determined that you have abandoned your permanent or conditional resident status. 2. Refugee Travel Document A. If you are in the United States in valid refugee or asylee status, or if you are a permanent resident as a direct result of your refugee or asylee status in the United States, you may apply for a Refugee Travel Document. Generally, you must have a Refugee Travel Document to return to the United States after temporary travel abroad. After filing your application for a Refugee Travel Document, USCIS will inform you in writing when to go to your local USCIS Application Support Center (ASC) for your biometrics appointment. You should apply for a refugee travel document before you leave the United States. However, a Refugee Travel Document may be sent to a U. S. Embassy or consulate or DHS office abroad for you to pick up, if you request it when you file your application. Departure from the United States before a decision is made on the application for a Refugee Travel Document usually does not affect the application. However, where biometric collection is required and the applicant departs the United States before the biometrics are collected, the application may be denied. 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, 1997, 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. See Section § 208(c)(2)(D) of the Immigration and Nationality Act, 8 U.S.C. 1158(c)(2)(D).

Form I-131 Instructions (Rev. 02/26/08)Y Page 2

B. Validity of Refugee Travel Document 1. A Refugee Travel Document shall be valid for one year. 2. A Refugee Travel Document may not be extended. C. A Refugee Travel Document may not be issued to you if: 1. You have already been issued such a document and it is still valid, unless the prior document has been returned to USCIS, or you can demonstrate that it was lost; or 2. 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. 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, it may be determined that you have abandoned your permanent resident status. 3. Advance Parole Document

F. Therefore, if you apply for adjustment of status after you return to the United States, resume an adjustment application that was pending before you left, or return to a status that requires you to establish that you are not inadmissible, you will need to apply for and receive a waiver of inadmissibility before your adjustment application may be approved or your status continued. G. Generally, only those persons who can establish extreme hardship to their U.S. 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. (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. If you are outside the United States and need to visit the United States temporarily for emergent humanitarian reasons: 1. You may apply for an Advance Parole Document. However, your application must be based on the fact that you cannot obtain the necessary visa and any required waiver of inadmissibility. Parole under these conditions is granted on a case-by-case basis for temporary entry, according to such conditions as prescribed. 2. A person in the United States may file this application on your behalf. In so doing, he or she should complete Part 1 of the form with information about him or herself. B. If you are in the United States and seek advance parole: 1. You may apply if you have an adjustment- of- status application pending and you seek to travel abroad for emergent personal or bona fide business reasons; or 2. 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, casual, and innocent absence (as defined in 8 CFR 244.1) from the United States. 3. 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.S. immigrant visa. 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, he or she will not be returned to his or her refugee or asylee status. 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. 02/26/08)Y Page 3

Travel Warning Regarding Unlawful Presence
Before you apply for an Advance Parole Document, read this travel warning carefully. A. 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, you may be inadmissible for three years from the date of departure. B. If you have been unlawfully present in the United States for one year or more, you may be inadmissible for ten years from the date of departure regardless of whether you left before, during or after removal proceedings. C. Unlawful presence is defined as being in the United States without having been inspected and admitted or paroled, or after the period of authorized stay has expired. D. However, certain immigration benefits and time spent in the United States while certain applications are pending may place you in a period of authorized stay. These include, but are not limited to, a properly filed adjustment of status application, Temporary Protected Status (TPS), deferred enforced departure (DED), asylum, and withholding of removal. E. Although advance parole may allow you to return to the United States, your departure may trigger the three-or ten-year bar, if you accrued more than 180 days of unlawful presence BEFORE the date you were considered to be in a period of authorized stay.

United States to resume his or her refugee or asylee status. For additional information on Refugee Travel Documents, see Pages two and three of these instructions. WARNING: If you have a pending application for asylum, and you return to the country of claimed persecution, it will be presumed that you abandoned your asylum application, unless you can show that there were compelling reasons for your return. See 8 C.F.R. § 208.8. C. An Advance Parole document may not be issued to you if: 1. You held J-1 nonimmigrant status and are subject to the two-year foreign residence requirement as a result of that status; or 2. You are in exclusion, deportation, removal, or recission proceedings. D. If you travel before the advance parole document is issued, your application will be deemed abandoned if: 1. You depart from the United States; or 2. The person seeking advance parole attempts to enter the United States before a decision is made on the application. 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. You should contact U.S. Immigration and Customs Enforcement (ICE) about your request.

All applications must include a copy of an official photo identity document showing your photo, name and date of birth. (Example: a valid government- issued driver's license; passport identity page; Form I-551, Permanent Resident Card, or any other official identity document.) The copy must clearly show the photo and identity information. A Form I-94, Arrival/Departure Document, is not acceptable as a photo identity document. If you are applying for : A. Re-entry Permit You must attach: 1. A copy of the front and back of your Form I-551, Permanent Resident Card; or 2. If you have not yet received your Form I-551, 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, or other evidence that you are a permanent resident; or 3. A copy of the Form I-797, Notice of Action, approval notice of an application for replacement of your Permanent Resident Card or temporary evidence of permanent resident status. If you are applying for a: B. 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. C. Advance Parole Document 1. If you are in the United States, you must attach: a. A copy of any document issued to you by USCIS showing your present status in the United States; and b. An explanation or other evidence showing the circumstances that warrant issuance of an advance parole document; or c. If you are an applicant for adjustment of status, a copy of a USCIS receipt as evidence that you filed the adjustment application;

General Instructions
Step 1. Fill Out the Form I-131
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
1. Initial Evidence We may request additional information or evidence, or we may request that you appear at a USCIS office for an interview or for fingerprinting. (See Biometric Services Requirement.) You must file your application with all the required evidence. If you do not submit the required evidence, it will delay the issuance of the document you are requesting.

Form I-131 Instructions (Rev. 02/26/08)Y Page 4

d. If you are traveling to Canada to apply for an immigrant visa, a copy of the U.S. consular appointment letter. 2. If you are applying for a person who is outside the United States, you must attach: a. A statement of how and by whom medical care, transportation, housing, and other expenses and subsistence needs will be met; and b. An Affidavit of Support (Form I-134), with evidence of the sponsor's occupation and ability to provide necessary support; and c. A statement explaining why a U.S. visa cannot be obtained, including when and where attempts were made to obtain a visa; and d. A statement explaining why a waiver of inadmissibility cannot be obtained to allow issuance of a visa, including when and where attempts were made to obtain a waiver, and a copy of any DHS decision on your waiver request; and e. A copy of any decision on an immigrant petition filed for the person, and evidence regarding any pending immigrant petition; and f. A complete description of the emergent reasons explaining why advance parole should be authorized and including copies of any evidence you wish considered, and indicating the length of time for which the parole is requested. g. Two completed fingerprint cards (FD-258). You must indicate your Alien Registration Number (A#) on the fingerprint card and ensure that the completed cards are not bent, folded, or creased. The fingerprint cards must be prepared by a U.S. Embassy or consulate, USCIS office, or U.S. Military Installation. 2. Photographs A. If you are outside the United States and filing for a refugee travel document, or if you are in the United States and filing for advance parole document. You must submit two identical color photographs of yourself taken within 30 days of the filing of this application.

The photos must have a white to off-white background, be printed on thin paper with a glossy finish, and be unmounted and unretouched. NOTE: Because of the current USCIS scanning process, if a digital photo is submitted, it needs to be produced from a high resolution camera, that has at least 3.5 mega pixels of resolution. Passport-style photos must be 2" x 2." The photos must be in color with full face, frontal view on a white to off-white background. Head height should measure 1" to 1 3/8" from top of hair to bottom of chin, 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. Using pencil or felt pen, lightly print your name and Alien Receipt Number on the back of the photo. B. If the person seeking advance parole is outside the United States: 1. If you are applying for an Advance Parole Document and you are outside the United States, do not submit the photographs with your application. Prior to issuing the parole document, the U.S. Embassy or consulate or DHS office abroad will provide you with information regarding the photograph requirements. 2. If you are filing this application for an Advance Parole Document for another person, submit the required photographs of the person to be paroled. 3. Biometric Services Requirement If you are between age 14 through 79 and you are applying for a Refugee Travel Document or Re-entry Permit, you must be fingerprinted as part of USCIS biometric services requirements. After you have filed this application, USCIS will notify you in writing of the time and location where you must go to be fingerprinted. If necessary, USCIS may also take your photograph and signature. Failure to appear to be fingerprinted or for other biometric services may result in a denial of your application. 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. (See "What is the Filing Fee" on page eight).

Form I-131 Instructions (Rev. 02/26/08)Y Page 5

Invalidation of Travel Document
Any travel document obtained by making a material false representation or concealment in this application will be invalid. A travel document will also be invalid if you are ordered removed or deported from the United States. In addition, a Refugee Travel Document will be invalid if the United Nations Convention of July 28, 1951, shall cease to apply or shall not apply to you as provided in Article 1C, D, E, or F of the Convention.

2. Re-entry Permits If you are a Lawful Permanent Resident or a Conditional Permanent Resident and are applying for a Re-entry Permit, file your Form I-131 with the Nebraska Service Center at the address below: USCIS Nebraska Service Center P.O. Box 87131 Lincoln, NE 68501-7131 3. Advance Parole A. 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. (A complete list of the adjustment of status applications filed with USCIS Chicago Lockbox Facility is found on Form I-485.)

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.

Translations. 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, and by the translator's certification that he or she is competent to translate from the foreign language into English.

USCIS Lockbox Addresses:
For United States Postal Service (USPS) deliveries:

Expedite Request Instructions.
Expedited applications for Re-entry Permit or Refugee Travel Document. When mailing in this request, please notate the outside of the envelope with the word EXPEDITE. It is recommended that two pre-paid, selfaddressed express mailers, e-mail addresses, and a fax number be provided with any expedite request for the Reentry Permit or Refugee Travel Document. If the expedite request is granted and you provide prepaid, self-addressed express mailers, we will use the pre-paid mailers to send you the ASC appointment notice and travel document upon completion. If you do not provide pre-paid mailers, the appointment notice and travel document will be sent via regular mail.

USCIS P.O. Box 805887 Chicago, IL 60680-4120 For private courier (non-USPS) deliveries: USCIS Attn: FBASI 427 S. LaSalle - 3rd Floor Chicago, IL 60605-1029 B. 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, send both forms to the address you will use to file Form I-485. If you are requesting advanced parole based on a pending I-485, file your Form I-131 using the same address you used to file Form I-485. C. 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, use the filing address listed on Form I-485 for both forms. If you are filing a Form I-131 based on a pending Form I-485, file Form I-131 with the Nebraska Service Center using the following address: USCIS Nebraska Service Center P.O. Box 87131 Lincoln, NE 68501-7131
Form I-131 Instructions (Rev. 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. Please view our website at www.uscis.gov for a list of who is eligible to e-file this form and instructions. 1. 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, file your Form I-131 with the Nebraska Service Center at the below address: USCIS Nebraska Service Center P.O. Box 87131 Lincoln, NE 68501-7131

D. 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, use the filing address listed on Form I-485 for both forms. If you are filing a Form I-131 based on a pending Form I-485, file Form I-131 with the Service Center where your Form I-485 is pending. (See addresses to the Nebraska and Texas Service Centers below.) E. For Immigrant Investors: If you are an immigrant investor and you are applying for advance parole concurrently with Form I-485, use the filing address listed on Form I-485 for both forms. If you are filing a Form I-131 based on a pending Form I-485, file Form I-131 with the Texas Service Center using the following address: USCIS Texas Service Center P.O. Box 851182 Mesquite, TX 75185-1182 F. 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, you may file your Form I-131 using the following address: USCIS Nebraska Service Center P.O. Box 87245 Lincoln, 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, you may file your Form I-131 using the following address: Nebraska Service Center USCIS P.O. Box 87245 Lincoln, NE 68501-7131 G. For other adjustment- of- status applications (Form I-485) filed at a USCIS Service Center including the following: 1. Based on an underlying Form I-140 petition; 2. Based on an underlying Form I-360 petition not previously mentioned; or 3. Others not previously mentioned. If you are applying for advance parole concurrently with Form I-485, use the filing address listed on Form I-485 for both forms. If you are filing a Form I-131 based on a pending Form I-485, file Form I-131 with the Nebraska Service Center or Texas Service Center, depending on where you live.

1. Nebraska Service Center filings: File your Form I-131 with the Nebraska Service Center if you live in the following states: Alaska, Arizona, California, Colorado, Guam, Hawaii, Idaho, Nevada, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin, or Wyoming. USCIS Nebraska Service Center P.O. Box 87131 Lincoln, NE 68501-7131 2. Texas Service Center filings: File your Form I-131 with the Texas Service Center if you live in the following states: Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Mississippi, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Oklahoma, Tennessee, Texas, Vermont, Virginia, U.S. Virgin Islands, West Virginia, and the District of Columbia. USCIS Texas Service Center P.O. Box 851182 Mesquite, TX 75185-1182 G. For individuals with Temporary Protected Status (TPS) If you have been granted Temporary Protected Status and you are applying for advance parole, mail Form I-131 to the Vermont Service Center, regardless of where you live in the United States. USCIS Vermont Service Center Attn: I-131 75 Lower Welden Street St. Albans, VT 05479-0001 H. Beneficiaries outside of the United States seeking parole due to extraordinary, emergent, humanitarian circumstances should mail Form I-131 to the following address: U.S. Citizenship and Immigration Services Attn: Chief, International Operations Division (Humanitarian Parole) 20 Massachusetts Avenue, NW, Room 3300 Washington, DC 20529

Form I-131 Instructions (Rev. 02/26/08)Y Page 7

I. Questions Regarding Form I-131 For additional information about Form I-131, including how to file your application or filing locations not mentioned, call the USCIS National Customer Service Center at 1-800-375-5283 or visit our website at www.uscis.gov.

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 fee on this form is current as of 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," and 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.

What Is the Filing Fee?
The fee for this application is $305 and may not be waived, (see NOTE that follows for when this fee may not apply). The biometric fee is $80 for applicants ages 14 through 79 who request a Refugee Travel Document or Re-Entry Permit, unless the applicant resides outside the United States at the time of filing their form. See 8 CFR 103.2(e)(4)(ii)(A)). The application fee and biometrics services fee may be paid with one $385 check. Persons financially unable to pay the required biometric services fee may submit a fee waiver request, with supporting documentation, as described in 8 CFR 103.7(c). USCIS will inform you regarding the approval or denial of your fee waiver request. NOTE: If you filed a Form I-485, Application to Register Permanent Residence or Adjust Status, on or after July 30, 2007, and you paid the I-485 application fee required, then no fee is required to file a request for Advance Parole or for a Refugee Travel Document on Form I-131. You may file the I-131 for Advance Parole or for a Refugee Travel Document concurrently with your I-485, or you may submit the I-131 for Advance Parole or a Refugee Travel Document at a later date. If you file Form I-131 for advance parole or a refugee travel document separately, you must also submit a copy of your Form I-797C, Notice of Action, receipt as evidence that you filed and paid the fee for the Form I-485 required on or after July 30, 2007. Use the following guidelines when you prepare your check or money order for the Form I-131 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."

Address Changes
If you change your address and you have an application or petition pending with USCIS, you may change your address online at www.uscis.gov, click on "Change your address with USCIS," and follow the prompts. Or you may complete and mail 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

Form I-131 Instructions (Rev. 02/26/08)Y Page 8

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 may correct the deficiency and resubmit the Form I-131. An application or petition is not considered properly filed until accepted by USCIS.

USCIS Forms and Information
To order USCIS forms, call our toll-free number at 1-800870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www.uscis.gov. 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. 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.

Initial processing. Once a Form I-131 has been accepted, 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-131.

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-131 involves a determination of whether you have established eligibility for the requested benefit. You will be notified of the decision in writing. 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, 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, you should carefully review the consequences of such actions under the Immigration and Nationality Act. If you file a nonresident alien tax return or fail to file a tax return, you may be regarded as having abandoned residence in the United States and as having lost your permanent resident status under the Act. As a consequence, you may be ineligible for a visa or other document for which permanent resident aliens are eligible. You may also be inadmissible to the United States if you seek admission as a returning resident, and you may become ineligible for adjustment of status as a permanent resident, or naturalization on the basis of your original entry.

Penalties
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-131, we will deny the Form I-131 and may deny any other immigration benefit. In addition, 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, and associated evidence, 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, as amended. 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 Form I-131.

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. The public reporting burden for this collection of information is estimated at one hour and 55 minutes per response, including the time for reviewing instructions, and completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0013. Do not mail your application to this address.

Form I-131 Instructions (Rev. 02/26/08)Y Page 9

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

OMB No. 1615-0013; Expires 02/28/09

I-131, 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, 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, if any.

Attorney State License # Check box if G-28 is attached.

Part 1.
1. A #

Information about you. (Please type or print in black ink.)
2. Date of Birth (mm/dd/yyyy) (First) 3. Class of Admission (Middle) Apt. # State or Province 8. Country of Citizenship Zip/Postal Code Country 4. Gender Male Female

5. Name (Family name in capital letters) 6. Address (Number and Street) City 7. Country of Birth

9. Social Security # (if any.)

Part 2.
a. b. c. d. e. f.

Application type (check one).
I am a permanent resident or conditional resident of the United States and I am applying for a reentry permit. I now hold U.S. refugee or asylee status and I am applying for a refugee travel document. I am a permanent resident as a direct result of refugee or asylee status and I am applying for a refugee travel document. I am applying for an advance parole document to allow me to return to the United States after temporary foreign travel. I am outside the United States and I am applying for an advance parole document. I am applying for an advance parole document for a person who is outside the United States. If you checked box "f", provide the following information about that person: (First) (Middle)

1. Name (Family name in capital letters)

2. Date of Birth (mm/dd/yyyy)

3. Country of Birth

4. Country of Citizenship

5. Address (Number and Street)

Apt. #

Daytime Telephone # (area/country code)

City

State or Province

Zip/Postal Code

Country

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

Part 3. Processing information.
1. Date of Intended Departure (mm/dd/yyyy) 2. Expected Length of Trip

3. Are you, or any person included in this application, now in No exclusion, deportation, removal or recission proceedings? If you are applying for an Advance Parole Document, skip to Part 7. 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, lost, etc.):

5. Where do you want this travel document sent? (Check one) a. To the U.S. address shown in Part 1 on the first page of this form. b. c. To an American embassy or consulate at: City: To a DHS office overseas at: City: Country: Country:

d. If you checked "b" or "c", 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. To the address shown below: Address (Number and Street) City State or Province

Apt. #

Daytime Telephone # (area/country code) Zip/Postal Code Country

Part 4. Information about your proposed travel.
Purpose of trip. If you need more room, continue on a seperate sheet(s) of paper. List the countries you intend to visit.

Part 5. Complete only if applying for a reentry permit.
Since becoming a permanent resident of the United States (or during the less than six months past five years, 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, have you ever filed a federal income tax return as a nonresident, or failed to file a federal income tax return because you considered yourself to be a nonresident? (If "Yes," give details on a separate sheet(s) of paper.) two to three years three to four years more than four years

Yes

No

Part 6. Complete only if applying for a refugee travel document.
1. 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. 2. Do you plan to travel to the above named country? 3. Since you were accorded refugee/asylee status, have you ever: a. returned to the above named country? b. applied for and/or obtained a national passport, passport renewal or entry permit of that country? c. applied for and/or received any benefit from such country (for example, health insurance benefits). 4. Since you were accorded refugee/asylee status, have you, by any legal procedure or voluntary act: a. reacquired the nationality of the above named country? b. acquired a new nationality? c. 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. 02/26/08)Y Page 2

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

B. At least three of the following: 1. Receipt of lesser nationally or internationally recognized prizes or awards for excellence in the field of endeavor; 2. Membership in associations in the field which require outstanding achievements as judged by recognized national or international experts; 3. Published material about the alien in professional or major trade publications or other major media; 4. Participation on a panel or individually as a judge of the work of others in the field or an allied field; 5. Original scientific, scholarly, artistic, athletic, or business-related contributions of major significance in the field; 6. Authorship of scholarly articles in the field in professional or major trade publications or other major media; 7. Display of the alien's work at artistic exhibitions or showcases; 8. Evidence that the alien has performed in a leading or critical role for organizations or establishments that have distinguished reputations; 9. Evidence that the alien has commanded a high salary or other high remuneration for services; 10. Evidence of commercial successes in the performing arts, as shown by box office receipts or record, casette, compact disk, or video sales. C. If the above standards do not readily apply to the alien's occupation, you may submit comparable evidence to establish the alien's eligibility; and D. Evidence that the alien is coming to the United States to continue work in the area of expertise. Such evidence may include letter(s) from prospective employer(s), evidence of prearranged commitments such as contracts, or a statement from the alien detailing plans on how he or she intends to continue work in the United States. 2. A U.S. employer filing for an outstanding professor or researcher must file the petition with: A. Evidence that the professor or researcher is recognized internationally as outstanding in the academic field

specified in the petition. Such evidence shall consist of at least two of the following: 1. Receipt of major prizes or awards for outstanding achievement in the academic field; 2. Membership in associations in the academic field that require outstanding achievements of their members; 3. Published material in professional publications written by others about the alien's work in the academic field; 4. Participation on a panel, or individually, as the judge of the work of others in the same or an allied academic field; 5. Original scientific or scholarly research contributions to the academic field; or 6. Authorship of scholarly books or articles in scholarly journals with international circulation in the academic field. B. Evidence the beneficiary has at least three years of experience in teaching and/or research in the academic field; and C. If you are a university or other institution of higher education, 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; or D. If you are a private employer, a letter indicating that you intend to employ the beneficiary in a permanent research position in the academic field, and evidence that you employ at least three full-time researchers and have achieved documented accomplishments in the field. 3. A U.S. employer filing for a multinational executive or manager must file the petition with a statement which demonstrates that: A. If the worker is now employed outside the United States, 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, branch, subsidiary, or affiliate; or, if the worker is already employed in the United States, 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, branch, subsidiary, or affiliate;
Form I-140 Instructions (Rev. 05/16/08) Y Page 2

B. 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; C. The prospective United States employer has been doing business for at least one year; and D. The alien is to be employed in the United States in a managerial or executive capacity. A description of the duties to be performed should be included. 4. A U.S. employer filing for a member of the professions with an advanced degree or a person with exceptional ability in the sciences, arts, or business must file the petition with: A. A labor certification (see General Evidence), or a request for a waiver of a job offer because the employment is deemed to be in the national interest, with documentation provided to show that the beneficiary's presence in the United States would be in the national interest; and either: 1. An official academic record showing that the alien has a U.S. advanced degree or an equivalent foreign degree, or an official academic record showing that the alien has a U.S. 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; or 2. At least three of the following: a. An official academic record showing that the alien has a degree, diploma, certificate, or similar award from an institution of learning relating to the area of exceptional ability; b. 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; c. A license to practice the profession or certification for a particular profession or occupation; d. Evidence that the alien has commanded a salary, or other remuneration for services that demonstrates exceptional ability; e. Evidence of membership in professional associations; or

f. Evidence of recognition for achievements and significant contributions to the industry or field by peers, governmental entities, or professional or business organizations. 3. If the above standards do not readily apply to the alien's occupation, you may submit comparable evidence to establish the alien's eligibility. 5. A U.S. employer filing for a skilled worker must file the petition with: A. A labor certification (see General Evidence), and B. Evidence that the alien meets the educational, training, or experience and any other requirements of the labor certification (the minimum requirement is two years of training or experience). 6. A U.S. employer filing for a professional must file the petition with: A. A labor certification (see General Evidence); B. Evidence that the alien holds a U.S. baccalaureate degree or equivalent foreign degree, and C. Evidence that a baccalaureate degree is required for entry into the occupation. 7. A U.S. employer filing for an unskilled worker must file the petition with: A. A labor certification (see General Evidence), and B. Evidence that the beneficiary meets any education, training, or experience requirements required in the labor certification.

General Evidence
1. Labor certification Petitions for certain classifications must be filed with an original individual labor certification from the U.S. 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. If an individual labor certification is required, then the original individual labor certification must be submitted with the petition, unless the original labor certification has already been provided to USCIS in support of a different petition.

Form I-140 Instructions (Rev. 05/16/08) Y Page 3

A labor certification establishes that there are insufficient U.S. workers who are able, willing, qualified, and available to fill the position being offered to the alien at the time and place where the alien is to be employed, and that the employment of the alien, if qualified, will not adversely affect the wages and working conditions of similarly employed U.S. workers. Application for labor certification is currently made on Form ETA-9089. Labor certification applications filed before March 28, 2005 were filed on Form ETA-750. If the alien is to be employed in a Schedule A, Group I or II shortage occupation, then you may file a fully completed, uncertified Form ETA-9089 in duplicate with your petition for determination by USCIS that the alien belongs to the shortage occupation. See 20 CFR 656 or the DOL website, http://www. foreignlaborcert.doleta.gov, for further information about obtaining an individual labor certification or about Schedule A, Group I or II shortage occupations. NOTE: Individual labor certifications issued by the Department of Labor must be submitted in the original, unless the original labor certification has already been provided to USCIS in support of a different petition. 2. Ability to pay wage Petitions which require job offers must be accompanied by evidence that the prospective U.S. employer has the ability to pay the proffered wage. Such evidence shall be in the form of copies of annual reports, federal tax returns, or audited financial statements. In a case where the prospective U.S. employer employs 100 or more workers, a statement from a financial officer of the organization which establishes ability to pay the wage may be submitted. In appropriate cases, additional evidence, such as profit/loss statements, bank account records, or personnel records, may be submitted.

NOTE: Individual labor certifications issued by the Department of Labor must be submitted in the original, unless the original labor certification has already been provided to USCIS in support of a different petition.

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. If you are filing Form I-140 more than 30 days after the latest edition date shown in the lower right-hand corner, please visit us online at www.uscis.gov before you file, and check the Forms and Fees page to confirm the correct filing address and version currently in use. Check the edition date located in the lower right-hand corner of the form. 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, your version is current and will be accepted by USCIS. If the edition date on the online version is later, download a copy and use the online version. If you do not have Internet access, call Customer Service at 1-800-375-5283 to verify the current filing address and edition date. Improperly filed forms will be rejected, and the fee returned with instructions to resubmit the entire filing using the current form instructions.

Where to File
E-Filing Form I-140
Certain Form I-140 filings may be electronically filed (efiled) with USCIS. Please view our website at www.uscis.gov for a list of who is eligible to e-file this form and instructions.

Translations. 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, and by the translator's certification that he or she is competent to translate from the foreign language into English.

Premium Processing
If you are requesting Premium Processing Services for Form I-140, you must also file Form I-907, Request for Premium Processing Service. Send the Forms I-140 and I-907 together to the address listed in the Form I-907 filing instructions. NOTE: Before you file the I-907/I-140 package, please check the Premium Processing Service page, a link to which can be found on the “Services & Benefits” page, on the USCIS website at www.uscis.gov to determine whether you may request Premium Processing for the requested classification.

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.

Form I-140 Instructions (Rev. 05/16/08) Y Page 4

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, file Form I-907 with the Service Center where your Form I-140 is pending. See Form I-907 for further instructions. Include a copy of Form I-797, Notice of Action, or a copy of the transfer notice, if applicable, showing the location of the relating petition. To ensure that Form I-907 is matched up with the pending Form I-140, you must fully answer questions 1 through 5 in Part 2 of Form I-907. If this information is not provided, Form I-907 will be rejected.

New Jersey, New Mexico, New York, North Carolina, South Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, Tennessee, Texas, Vermont, Virginia, U.S. Virgin Islands, or West Virginia. For Form I-140 filed alone, or concurrently with Form I-485, Application to Register Permanent Residence or Adjust Status, mail your forms package to: USCIS Texas Service Center P.O. Box 852135 Mesquite, TX 75185

Processing Form I-140
All I-140 forms are filed either at the Nebraska Service Center or the Texas Service Center, depending on the location of the beneficiary's permanent employment. Before you file, note the different filing addresses. Failure to follow these instructions may result in your application or petition being rejected, delayed, or denied.

Note on E-Filing
If you are e-filing this application, it will automatically be routed to the appropriate Service Center, and you will receive a receipt indicating the location to which it was routed. This location may not necessarily be the same center shown in the filing addresses listed above. For e-filed applications, it is very important to review your filing receipt and make specific note of the receiving location. All further communication, including submission of supporting documents, should be directed to the receiving location indicated on your e-filing receipt.

Nebraska Service Center Filings
File Form I-140 with the Nebraska Service Center if the beneficiary will be employed permanently in: Alaska, Arizona, California, Colorado, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin, or Wyoming. For Form I-140 filed alone, mail the form to: USCIS Nebraska Service Center P.O. Box 87140 Lincoln, NE 68501-7140 For Form I-140 filed concurrently with Form I-485, Application to Register Permanent Residence or Adjust Status, mail your forms package to: USCIS Nebraska Service Center P.O. Box 87485 Lincoln, 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. 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
Form I-140 Instructions (Rev. 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, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Mississippi, New Hampshire,

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 fee on this form is current as of 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," and 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.

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. You may correct the deficiency and resubmit the Form I-140. An application or petition is not considered properly filed until accepted by USCIS.

Initial Processing. Once a Form I-140 has been accepted, 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-140.

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-140 involves a determination of whether you have established eligibility for the requested benefit. You will be notified of the decision in writing. Meaning of Petition Approval. Approval of a petition
means you have established that the person you are filling for is eligible for the requested classification. This is the first step towards permanent residence. However, this does not in itself grant permanent residence or employment authorization. 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.

Address Changes
If you change your address and you have an application or petition pending with USCIS, you may change your address online at www.uscis.gov, click on "Change your address with USCIS," and follow the prompts, or you may complete and mail 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

Instructions for Industry and Occupation Codes
NAICS Code. The North American Industry Classification System (NAICS) code can be obtained from the U.S. Department of Commerce, U.S. Census Bureau at (www. census.gov/epcd/www/naics.html). Enter the code from left to right, one digit in each of the six boxes. If you use a code that is less than six digits, enter the code left to right and then add zeros in the remaining unoccupied boxes.

Form I-140 Instructions (Rev. 05/16/08) Y Page 6

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, we will deny the Form I-140 and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.

3

3

4

6

6

0

The code sequence 5133 would be entered as:

5

1

3

3

0

0

SOC Code. The Standard Occupational Classification (SOC) System codes can be obtained from the U.S. Department of Labor, Bureau of Labor Statistics (http://stats.bls.gov/soc/ socguide.htm). Enter the code from left to right, one digit in each of the six boxes. If you use a code which is less than six digits, enter the code left to right and then add zeros in the remaining unoccupied boxes. The code sequence 19-1021 would be entered as:

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 for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as amended. 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 Form I-140.

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, call our toll-free number at 1-800870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www.uscis.gov. 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. 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. 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. The public reporting burden for this collection of information is estimated at 60 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0015. Do not mail your application to this address.

Form I-140 Instructions (Rev. 05/16/08) Y Page 7

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

Form I-140, Immigrant Petition for Alien Worker
For USCIS Use Only
Returned Date Date Resubmitted
Suite #

START HERE - Please type or print in black ink.
an individual is filing, use the top name line. Organizations should use the second line. 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.S. Social Security # (if any) E-Mail Address (if any)

Part 1.

Information about the person or organization filing this petition. 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. 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. Petition type.
This petition is being filed for: (Check one.) a. An alien of extraordinary ability. b. An outstanding professor or researcher. c. A multinational executive or manager. d. A member of the professions holding an advanced degree or an alien of exceptional ability (who is NOT seeking a National Interest Waiver). e. A professional (at a minimum, possessing a bachelor's degree or a foreign degree equivalent to a U.S. bachelor's degree) or a skilled worker (requiring at least two years of specialized training or experience). (Reserved.) Any other worker (requiring less than two years of training or experience). Soviet Scientist. 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).

f. g. h. i.

Certification:
National Interest Waiver (NIW) Schedule A, Group I Schedule A, Group II

Part 3. Information about the person you are filing for.
Family Name (Last Name) Address: (Street Number and Name) C/O: (In Care Of) Given Name (First Name) Full Middle Name Apt. #

Priority Date Concurrent Filing:

Consulate

I-485 filed concurrently.
City Country Zip/Postal Code State/Province E-Mail Address (if any) Date of Birth (mm/dd/yyyy) Country of Birth U.S. 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.S.

To Be Completed by Attorney or Representative, if any. Fill in box if G-28 is attached to represent the applicant.
ATTY State License #
Form I-140 (Rev. 05/16/08) Y

Part 4. Processing Information.
1. 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. Alien's country of current residence or, if now in the U.S., last permanent residence abroad.

2. If you provided a U.S. address in Part 3, print the person's foreign address:

3. If the person's native alphabet is other than Roman letters, write the person's foreign name and address in the native alphabet:

4. 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 - Attach an explanation. Yes-Attach an explanation. Yes-Attach an explanation.

5. Is the person you are filing for in removal proceedings? 6. Has any immigrant visa petition ever been filed by or on behalf of this person?

If you answered yes to any of these questions, please provide the case number, office location, date of decision and disposition of the decision on a separate sheet(s) of paper.

Part 5. Additional information about the petitioner.
1. Type of petitioner (Check one.) Employer Self Other (Explain, e.g., Permanent Resident, U.S. citizen or any other person filing on behalf of the alien.)

2. If a company, 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. If an individual, give the following: Occupation Annual Income

Part 6. Basic information about the proposed employment.
1. Job Title 2. SOC Code

3. Nontechnical Description of Job

4. Address where the person will work if different from address in Part 1.

5. Is this a full-time position? Yes No

6. If the answer to Number 5 is "No," how many hours per week for the position?

7. Is this a permanent position? Yes No

8. Is this a new position? Yes No

9. Wages per week $
Form I-140 (Rev. 05/16/08) Y Page 2

Part 7. Information on spouse and all children of the person for whom you are filing.
List husband/wife and all children related to the individual for whom the petition is being filed. Provide an attachment of additional family members, if needed. Name (First/Middle/Last) Relationship Date of Birth (mm/dd/yyyy) Country of Birth

Part 8.

Signature.

Read the information on penalties in the instructions before completing this section. If someone helped you prepare this petition, he or she must complete Part 9.

I certify, 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. I authorize U.S. Citizenship and Immigration Services to release to other government agencies any information from my USCIS (or former INS) records, if USCIS determines that such action is necessary to determine eligibility for the benefit sought. 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, a final decision on your petition may be delayed or the petition may be denied.

Part 9.

Signature of person preparing form, if other than above.

(Sign below.)

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. Attorney or Representative: In the event of a Request for Evidence (RFE), 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.05/16/08) Y Page 3

OMB No. 1615-0095; Expires 10/31/08

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

Form I-290B, Notice of Appeal or Motion
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-Number), if any, at the top of each sheet of paper and indicate the part and number of the item to which the answer refers.

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. The appeal or motion must be filed with USCIS in accordance with the regulations at 8 C.F.R. § 103.3 and § 103.5. The form must be filed within 30 calendar days after service of the decision. If the decision is mailed, the form must be filed within 33 days. If the appeal relates to a revocation of an immigrant petition approval, the appeal must be filed within 15 calendar days after service of the decision, 18 days if the decision was mailed. The date of service is normally the date of the decision. Late filed appeals and motions will be rejected. The form may be used in the following circumstances: 1. To file an appeal with the Administrative Appeals Office (AAO); or 2. To file a motion to reconsider a decision of USCIS (either the AAO or a field office); or 3. To file a motion to reopen a decision of USCIS (either the AAO or a field office). When a decision on a petition is appealed or a request for a motion is made, the petitioner, an authorized official of a petitioning employer, or the petitioner's attorney or representative must sign this form. (In the case of selfpetitioners and applicants for certain waivers, the selfpetitioner or waiver applicant must sign the form.)

General Instructions Step 1. Fill Out Form I-290B
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." This form is divided into Parts 1 through 4. The following information should help you fill out the form. Part 1. Information About You (Individual/Business/ Organization filing appeal or motion.) 1. Family Name (Last name) - Give your legal name. If you have two last names, include both and use a hyphen (-) between the names, if appropriate. 2. Name of Business or Organization - Give the complete name, without abbreviations. 3. Mailing Address - Give your complete mailing address. 4. Daytime Phone Number - Give a phone number with area code where you can be reached during the day. 5. Fax Number - Give a fax number with area code. 6. E-mail Address - If you have an E-mail address please provide it. If you are acting as an attorney or representative - check the box provided and complete the rest of Part 1 as follows: 1. Family Name (Last name) - Give your legal name. If you have two last names, include both and use a hyphen (-) between the names, if appropriate.

Who May Not File Form I-290B?
If you are the beneficiary of a visa petition or the beneficiary's attorney or representative, you may not file an appeal or motion.

Form I-290B (Rev. 03/04/08) N

2. Business/Organization/School Name - Give the complete name, without abbreviations, if the party for whom you are filing is other than an individual. 3. A # - This is your client's USCIS (INS) file number. 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. If they do not have an A #, leave this blank. Part 2 - Information About the Appeal or Motion You must clearly indicate if you are filing an appeal or a motion. The adverse decision will indicate whether you may file an appeal or a motion. The requirements for motions to reopen and motions to reconsider are located at 8 C.F.R. § 103.5. Part 3 - Basis for the Appeal or Motion Your appeal or motion will be dismissed if you do not complete this part. If additional space is needed, attach a separate sheet(s) of paper. Part 4 - 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. A Form G-28, Notice of Entry of Appearance as Attorney or Representative, must be attached if signed by a legal representative.

You may submit a brief and evidence with this form. Or you may send these materials to the AAO within 30 days of the date you sign this form. You must send any materials you submit after filing the appeal to: USCIS Administrative Appeals Office U.S. Citizenship and Immigration Services 20 Massachusetts Avenue, N.W., Room 3000 Washington, DC 20529 If you need more than 30 days, you must explain why in a separate letter attached to this form. The AAO may grant more time only for good cause.

2. Oral Argument:
You may request oral argument before the AAO in Washington, D.C. in a separate letter attached to this form. The letter must explain specifically why an oral argument is necessary, i.e., why your argument cannot be adequately addressed in writing. If your request is granted, the AAO will contact you about setting the date and time. The U.S. Government does not furnish interpreters for oral argument.

Motions
Although a petitioner may be permitted additional time to submit a brief and/or evidence to support an appeal, no such provision applies to motions. Any additional evidence must be submitted concurrent with the motion.

Step 2. General requirements
Your appeal or motion must include the following items.

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.

Your signed and completed Form I-290B
NOTE: If you wish, you may be represented at no expense to the U.S. Government by an attorney or other duly authorized representative. Your attorney or representative must submit a Form G-28, Notice of Entry of Appearance as Attorney or Representative, with the appeal or motion. If the appeal or motion is filed by an attorney or representative without a properly executed Form G-28, it will be dismissed or rejected.

What Is the Filing Fee?
The filing fee for a Form I-290B is $585. 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, provided that they are all covered by the same petition, and therefore, the same decision. The fee will not be refunded, regardless of the action taken in your case.

Appeals
1. Brief
You do not need to submit a brief in support of your appeal, but you may submit one if you so choose. You may also submit additional evidence.

Form I-290B (Rev. 03/04/08) N Page 2

Use the following guidelines when you prepare your check or money order for the Form I-290B 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. C. If you live outside the United States, Guam, or the U.S. Virgin Islands, contact the nearest U.S. consulate or embassy for instructions on the method of payment. 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 fee on this form is current as of 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.

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). If you are appealing the revocation of an immigrant petition approval, you must file the appeal within 15 days of the revocation decision (18 days if the decision was mailed.) The date of service is normally the date of the decision. Do not send your appeal directly to the Administrative Appeals Office (AAO). Submit an original appeal or motion only. Additional copies are not required.

Address Changes
While your appeal is pending, if you change your address, send a written notice of your change of address to the Administrative Appeals Office (AAO). Include the type of case that was denied and any available tracking number (receipt number and/or A-number). Mail the notice to: USCIS Administrative Appeals Office U.S. Citizenship and Immigration Services 20 Massachusetts Avenue, N.W., Room 3000 Washington, DC 20529 If you change your address after you file a motion, where you send your notice depends on where your motion is pending. If your motion has been forwarded to the AAO, send a written notice of your change of address to the above address. If your motion has remained with the office where you submitted it, send the notice to that office. Include the type of case that was denied and any available tracking number (receipt number and/or A-number).

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. If completed timely, you may correct the deficiency and resubmit the appeal. However, an appeal or motion is not considered properly filed until it is accepted by USCIS. Once the appeal or motion is accepted, it will be reviewed. If you do not have any standing to file the appeal or motion, or the decision is not appealable or filed timely, the appeal or motion will be dismissed or rejected without further review.

Form I-290B (Rev. 03/04/08) N Page 3

Decision. You will be notified in writing of any action taken
on your appeal or motion.

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 for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as amended. 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 Form I-290B.

USCIS Forms and Information
To order USCIS forms, call our toll-free number at 1-800870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www.uscis.gov. As an altenative 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. 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.

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. The public reporting burden for this collection of information is estimated at 90 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0009. 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-290B, we will deny the Form I-290B and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.

Form I-290B (Rev. 03/04/08) N Page 4

OMB No. 1615-0095; Expires 10/31/08

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

Form I-290B, Notice of Appeal or Motion
File Number: A For USCIS Use Only Returned Date Date Resubmitted Apt. # Date Date Reloc Sent Receipt

In the Matter of: START HERE - Please Type or Print (Use black ink)

Part 1. Information About You (Individual/Business/Organization filing
appeal or motion) Family Name Given Name Middle Name

Name of Business/Organization (if applicable) Mailing Address - 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. If you check this box, you must provide the following information about the person or organization for whom you are appearing. (NOTE: You must attach a Form G-28, Notice of Entry of Appearance as Attorney or Representative.) 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. Information About the Appeal or Motion.
Check the box below that best describes your request. (Check one box.) A. B. C. D. E. F. I am filing an appeal. My brief and/or additional evidence is attached. I am filing an appeal. My brief and/or additional evidence will be submitted to the AAO within 30 days. I am filing an appeal. No supplemental brief and/or additional evidence will be submitted. I am filing a motion to reopen a decision. My brief and/or additional evidence is attached. I am filing a motion to reconsider a decision. My brief is attached. I am filing a motion to reopen and a motion to reconsider a decision. My brief and/or additional evidence is attached.
Form I-290B (Rev. 03/04/08) N

In the Matter of:

File Number: A -

Part 2. Information About the Appeal or Motion
Information on the relating application/petition. Application/Petition Form # Receipt #

(Continued)
Date of Denial (mm/dd/yyyy) USCIS Office Where Decision Issued

Part 3. 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. Motion to Reconsider: The motion must be supported by citations to appropriate statutes, regulations or precedent decisions. Appeal: Provide a statement explaining any erroneous conclusion of law or fact in the decision being appealed.

Part 4. 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.

Form I-290B (Rev. 03/04/08) N Page 2

OMB No. 1615-0020; Expires 10/31/08 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for Form I-360, Petition for Amerasian, Widow(er), or Special Immigrant
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. The filing addresses provided on this form reflect the most current information as of the date this form was last printed. If you are filing Form I-360 more than 30 days after the latest edition date shown in the lower right-hand corner, please visit our website at www.uscis.gov before you file, and check the Immigration Forms page to confirm the correct filing address and version currently in use. Check the edition date located in the lower right-hand corner of the form. If the edition date on your Form I-360 matches the edition date listed for Form I-360 on the online Immigration Forms page, your version is current and will be accepted by USCIS. If the edition date on the online version is later, download a copy and use the online version. If you do not have Internet access, call the National Customer Service Center at 1-800-375-5283 to verify the current filing address and edition date. Improperly filed forms will be rejected, and the fee returned, with instructions to resubmit the entire filing using the current form instructions. The petition must be filed with: 1. Copies of evidence showing that the person who is subject of this petition was born in one of the above countries between those dates. If he or she was born in Vietnam, you must also submit a copy of his or her Vietnamese identification card, or an affidavit explaining why it is not available; 2. Copies of evidence establishing the parentage of the person, and that the biological father was a U.S. citizen. Examples of documents that may be submitted are: birth or baptismal records or other religious documents; local civil records; an affidavit, correspondence, or evidence of financial support from the father; photographs of the father (especially with the child); or, absent other documents, affidavits from knowledgeable witnesses that detail the parentage of the child and how they know such facts; 3. A photograph of the person; 4. If the person is married, submit a copy of the marriage certificate, and proof of the termination of any prior marriages; The sponsorship documents noted below are also required. You may file these documents with the petition or wait until USCIS reviews the petition and requests them. However, not filing them with the petition will add to the overall processing time. 1. An Affidavit of Financial Support executed by the sponsor with the evidence of financial ability required by that form. Please note that the original sponsor remains financially responsible for the Amerasian if any subsequent sponsor fails in this area; 2. Copies of evidence showing that the sponsor is at least 21 years old and is a U.S. citizen or permanent resident; 3. Fingerprints of the sponsor taken by USCIS as part of the required biometric services,
Form I-360 Instructions (Rev. 10/15/07)Y

What Is the Purpose of This Form?
This petition is used to classify an alien as: 1. An Amerasian; 2. A Widow or Widower; 3. A Battered or Abused Spouse or Child of a U.S. Citizen or Lawful Permanent Resident; or 4. A special immigrant is defined as one of the following; A. Religious Worker; B. Panama Canal Company Employee, Canal Zone Government Employee, U.S. Government in the Canal Zone Employee; C. Physician; D. International Organization Employee or Family Member; E. Juvenile Court Dependent; F. Armed Forces Member; or G. Afghanistan or Iraq national who supported the U.S. Armed Forces as a translator.

Who May File This Form I-360?
Amerasian
Any person who is 18 or older, including the alien, or a U.S. corporation may file this petition for a beneficiary who was born in Korea, Vietnam, Laos, Kampuchea, or Thailand after December 31, 1950, and before October 22, 1982, and was fathered by a U.S. citizen.

Widow/Widower of a U.S. Citizen
You may file this petition for yourself if: 1. You were married for at least two years to a U.S. citizen who is now deceased and who was a U.S. citizen at the time of death; 2. Your citizen spouse's death was less than two years ago; 3. You were not legally separated from your citizen spouse at the time of death; and 4. You have not remarried. The petition must be filed with: 1. A copy of your marriage certificate to the U.S. citizen and proof of termination of any prior marriages of either of you; 2. Copies of evidence that your spouse was a U.S. citizen, such as a birth certificate if born in the United States, Naturalization Certificate or Certificate of Citizenship issued by USCIS; Form FS-240, Report of Birth Abroad of a Citizen of the United States; or a U.S. passport which was valid at the time of the citizen's death; and 3. A copy of the death certificate of your U.S. citizen spouse.

Special Immigrant Religious Worker
Any person, including the alien, 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, religious organization in the United States, and who has been carrying on the vocation, professional work, or other work described below, continuously for the past two years; and seeks to enter the United States to work solely: 1. As a minister of that denomination; or in a professional capacity in a religious vocation or occupation for that organization; or 2. In a religious vocation or occupation for the organization or its nonprofit affiliate. NOTE: All special immigrant religious workers, other than ministers, immigrating to the United States as special immigrant religious workers must immigrate (i.e., enter the United States) or adjust status to permanent residence (i.e., have their Form I-360 and Form I-485 approved) before October 1, 2008. The petition must be filed with: 1. A letter from the authorized official of the religious organization establishing that the proposed services and alien qualify as above; 2. A letter from the authorized official of the religious organization attesting to the alien's membership in the religious denomination and explaining, in detail, the person's religious work and all employment during the past two years and the proposed employment; and 3. Evidence establishing that the religious organization, and any affiliate which will employ the person, 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.

Special Immigrant Juvenile
Any person, including the alien, may file this petition for an alien who: 1. Is unmarried and less than 21 years old; 2. Has been declared dependent upon a juvenile court in the United States, or who such a court has legally committed to, or placed under the custody of an agency or department of a State, and who has been found eligible for long-term foster care; and 3. 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. The petition must be filed with: 1. A copy of the juvenile's birth certificate or other evidence of his or her age; 2. Copies of the court or administrative document(s) upon which the claim to eligibility is based. NOTE: After a special immigrant juvenile becomes a permanent resident, his or her parent(s) may not receive any immigration benefit based on the relationship to the juvenile.

Special immigrant based on employment with the Panama Canal Company, Canal Zone Government or U.S. Government in the Canal Zone
Any person may file this petition for an alien who, at the time the Panama Canal Treaty of 1977 entered into force, either: 1. Was resident in the Canal Zone and had been employed by the Panama Canal Company, or Canal Zone Government for at least one year; or 2. Was a Panamanian national and either honorably retired from U.S. Government employment in the Canal Zone with a total of 15 or more years of faithful service; or
Form I-360 Instructions (Rev. 10/15/07)Y Page 2

3. Was employed for 15 years and since honorably retired; or was an employee of the Panama Canal Company or Canal Zone Government, had performed faithful service for five years or more as an employee, and whose personal safety, or the personal safety of his or her spouse or child, is in danger as a direct result of the special nature of his or her employment and as a direct result of the Treaty. The petition must be filed with: 1. A letter from the Panama Canal Company, Canal Zone Government, or U.S. Government agency employing the person in the Canal Zone, indicating the length and circumstances of employment and any retirement or termination; and 2. Copies of evidence to establish any claim of danger to personal safety.

The petition must be filed with: 1. 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; and 2. Copies of evidence documenting the relationship between the person this petition is for and the employee.

Armed Forces Member
You may file this petition for yourself if: 1. You have served honorably on active duty in the U.S. Armed Forces after October 15, 1978; 2. You originally lawfully enlisted outside the United States under a treaty or agreement in effect on October 1, 1991, for a period or periods aggregating: A. Twelve years, and were never separated from such service except under honorable conditions; or B. Six years, are now on active duty, and have reenlisted to incur a total active duty service obligation of at least 12 years; 3. 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. Armed Forces each year; and 4. The executive department under which you have served or are serving has recommended you for this special immigrant status. The petition must be filed with: 1. 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; and 2. Your birth certificate.

Special Immigrant Physician
Any person may file this petition for an alien who: 1. Graduated from a medical school or qualified to practice medicine in a foreign state; 2. Was fully and permanently licensed to practice medicine in a State of the United States on January 9, 1978, and was practicing medicine in a State on that date; 3. Entered the United States as an "H" or "J" nonimmigrant before January 9, 1978; and 4. 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. Letters from the person's employers, detailing his or her employment since January 8, 1978, including the current employment; and 2. Copies of relevant documents that demonstrate that the person filed for meets all the above criteria.

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, exemptions, and immunities under the International Organizations Immunities Act, and certain relatives of such an employee, may be eligible to apply for classification as a Special Immigrant. To determine eligibility, contact the qualifying international organization or your local USCIS office.

Afghanistan or Iraq National Supporting U.S. Armed Forces as a Translator
You may file this petition for yourself if: 1. You are a national of Afghanistan or Iraq; 2. You worked directly with the U.S. Armed Forces as a translator for a period of at least 12 months; 3. You have obtained a favorable written recommendation from a general or flag officer in the chain of command of the U.S. Armed Forces unit that you supported; and
Form I-360 Instructions (Rev. 10/15/07)Y Page 3

4. Before filing this petition, you were cleared by a background check and screening, as determined by a general or flag officer in the chain of command of the U.S. Armed Forces unit that you supported. The petition must be filed with: 1. A copy of your passport or birth certificate, showing that you are a national of Afghanistan or Iraq; 2. A favorable written recommendation from a general or flag officer in the chain of command of the U.S. Armed Forces unit that you supported; 3. Documentation establishing that you have worked as a translator directly for the U.S. Armed Forces for a period of at least 12 months; 4. Evidence of having cleared a background check and screening by the U.S. Armed Forces. This can be in the form of a written letter attesting to the clearance signed by a member of the U.S. Armed Forces unit that you supported; and 5. A properly signed Form I-360 in Part 9, Signature, by the petitioner. If you are physically present in the United States, you must also submit a copy of the front and back of your Form I-94, Arrival/Departure Document. This is the document you received upon arrival in the United States.

B. Your citizen or lawful permanent resident parent while residing with that parent; 5. Are a person of good moral character; 6. Are a person whose removal or deportation would result in extreme hardship to yourself, or to your child if you are a spouse; and if you 7. Are a spouse who entered into the marriage to the citizen or lawful permanent resident abuser in good faith. 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. If you remarry before you become a lawful permanent resident, however, your self-petition will be denied or the approval revoked. Your self-petition may be filed with any credible relevant evidence of eligibility. The determination of what evidence is credible and the weight to be given that evidence is within the sole discretion of USCIS; therefore, you are encouraged to provide the following documentation: 1. Evidence of the abuser's U.S. citizenship or lawful permanent resident status; 2. Marriage and divorce decrees, birth certificates, or other evidence of your legal relationship to the abuser; 3. One or more documents showing that you and the abuser have resided together in the United States in the past, such as employment records, utility receipts, school records, hospital or medical records, birth certificates of children, mortgages, rental records, insurance policies, or affidavits; 4. One or more documents showing that you are now residing in the United States, such as the documents listed above; 5. Evidence of the abuse, such as reports and affidavits from police, judges, and other court officials, medical personnel, school officials, clergy, social workers, and other social service agency personnel. If you have an order of protection, or have taken other legal steps to end the abuse, you should submit copies of those court documents; 6. If you are more than 14 years of age, your affidavit of good moral character accompanied by a local police clearance, state-issued criminal background check, 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; 7. Affidavits, birth certificates of children, medical reports, and other relevant credible evidence of the extreme hardship that would result if you were to be removed or deported; and
Form I-360 Instructions (Rev. 10/15/07)Y Page 4

Self-Petitioning Battered or Abused Spouse or Child of a U.S. Citizen or Lawful Permanent Resident
You may self-petition for immediate relative or familysponsored immigrant classification if you: 1. Are now the spouse or child of an abusive U.S. citizen or lawful permanent resident; 2. Are eligible for immigrant classification based on that relationship; 3. Are now residing in the United States or have resided in the United States with the U.S. citizen or lawful permanent resident abuser in the past; 4. Have been battered by or have been the subject of extreme cruelty perpetrated by: A. Your U.S. citizen or lawful permanent resident spouse during the marriage, 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;

8. If you are a spouse, proof that one spouse has been listed as the other's spouse on insurance policies, property leases, income tax forms, or bank accounts; and testimony or other evidence regarding your courtship, wedding ceremony, shared residence, and experiences showing that your marriage was entered in good faith. NOTE: A self-petitioning battered or abused spouse or child of a U.S. citizen or lawful permanent resident may submit any relevant credible evidence in place of the suggested evidence.

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?
Where the Form I-360 is submitted depends on where you live and/or the catagory you are filing under. See the following instructions to determine where to file the petition. For Service Center and Lockbox mailing addresses, go to "Mailing Addresses" at the end of this section.

Public Service Information
The National Domestic Violence Hotline provides information, crisis intervention, and referrals to local service providers, including legal assistance organizations, to victims of domestic violence or anyone calling on their behalf at 1-800-799-7233 or TDD at 1-800-787-3244 TTD. The hotline services are available 24 hours a day, seven (7) days a week, toll-free from anywhere in the United States, Puerto Rico, or the U.S. Virgin Islands. The staff and volunteers speak both English and Spanish and have access to translators in 139 languages.

Amerasian
1. If the beneficiary lives outside the United States, Form I-360 may be filed at the USCIS office overseas or at the U.S. Embassy or consulate having jurisdiction over the beneficiary's current place of residence. 2. 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.

General Instructions
Step 1. Fill Out Form I-360
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." 4. Every petition must be properly signed, and accompanied by the proper fee. If you are under 14 years of age, your parent or guardian may sign the petition.

Widow or Widower
1. If you are filing only Form I-360, it must be filed at the Vermont Service Center. 2. Form I-360 may also be filed concurrently with Form I-485. Concurrent Form I-360/I-485 widow/widower filings must be filed with the USCIS Lockbox. 3. If you live outside the United States, you may file Form I-360 at the USCIS office or U.S. Embassy or consulate that has jurisdiction over the area where you live.

Special Immigrant Juvenile Court Dependent
Form I-360 may be filed alone or concurrently with Form I-485 at the USCIS Lockbox.

Step 2. General requirements Translations. 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, and by the translator's certification that he or she is competent to translate from the foreign language into English.

Religious Worker or Minister
Form I-360 must be filed at the California Service Center, regardless of where you live or work. It cannot be filed concurrently with Form I-485.

Form I-360 Instructions (Rev. 10/15/07)Y Page 5

Special Immigrant International Organization Employee or Family Member
Form I-360 must be filed with the Nebraska Service Center, regardless of where you live. It may be filed alone or concurrently with Form I-485.

Louisiana, Maine, Maryland, Massachusetts, Mississippi, New Hampshire, New Jersey, New Mexico, New York, North Carolina, South Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, Tennessee, Texas, Vermont, Virginia, U.S. Virgin Islands, or West Virginia, file this petition with the Vermont Service Center. If you live in Alaska, Arizona, California, Colorado, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin, or Wyoming, file this petition with the California Service Center.

Armed Forces Member
1. If you live outside the United States, file Form I-360 at the USCIS office or U.S. Embassy or consulate abroad that has jurisdiction over the area where you live. 2. If you live in the United States, file Form I-360 with the Vermont or California Service Center depending on the place where you live, or you may file it concurrently with Form I-485 at the USCIS Lockbox.

Mailing Addresses
Service Center Addresses:
California Service Center: USCIS California Service Center P.O. Box 10360 Laguna Niguel, CA 92607-0360 Nebraska Service Center USCIS Nebraska Service Center P.O. Box 87360 Lincoln, NE 68501-7360 Vermont Service Center

Afghan and Iraqi Translators
Form I-360 must be filed at the Nebraska Service Center, regardless of where you live. It cannot be filed concurrently with Form I-485.

International Broadcasters
Form I-360 must be filed at the Vermont Service Center, regardless of where you live or work. It cannot be filed concurrently with Form I-485.

Self-Petitioning Battered or Abused Spouse or Child
Form I-360 must be filed at the Vermont Service Center, regardless of where you live. In some cases it may be filed concurrently with Form I-485 (see note below). NOTE: Form I-485 may be filed concurrently with Form I-360 if the abusive spouse or parent is a U.S. citizen. Otherwise, an immigrant visa number must be immediately available to file the I-485 concurrently.

USCIS Vermont Service Center 75 Lower Welden Street St. Albans, VT 05479-0001

For other categories including: USCIS Lockbox Addresses
1. Panama Canal Company Employment; 2. Canal Zone Government Employment; 3. U.S. Government in Canal Zone Employment; or 4. Special Immigrant Physician. File Form I-360 with the California Service Center or the Vermont Service Center, depending on where you live: If you live in Alabama, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Kentucky,
Form I-360 Instructions (Rev. 10/15/07)Y Page 6

USCIS P.O. Box 805887 Chicago, IL 60680-4120

What Is the Filing Fee?
The filing fee for Form I-360 is $375, except there is no fee if filing for an Amerasian, a Special Immigrant Juvenile or as a self-petitioning battered or abused spouse, parent, or child of a U.S. citizen, or lawful permanent resident. An additional biometric fee of $80 is required when filing this Form I-360 on behalf of an Amerasian. After you submit Form I-360, USCIS will notify you about when and where you will need to go for biometric services. You may submit one check or money order for both the application and biometric fees, for a total of $455. Use the following guidelines when you prepare your check or money order for Form I-360, and the biometric service fee if applicable: 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 of 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," and 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-360 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.

Address Changes
If you change your address and you have an application or petition pending with USCIS, you may change your address online at www.uscis.gov, click on "Change your address with USCIS," and follow the prompts. Or you may complete and mail 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

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. You may correct the deficiency and resubmit the Form I-360. An application or petition is not considered properly filed until accepted by USCIS.

Form I-360 Instructions (Rev. 10/15/07)Y Page 7

Initial processing. Once a Form I-360 has been accepted, 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 petition. 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. If you establish that the person this petition is for is eligible for the requested classification, we will approve the petition. We will send it to the U.S. Embassy or consulate for visa issuance, unless he or she is in the United States and appears eligible and intends to apply for adjustment to permanent resident status while here. If you do not establish eligibility, we will deny the petition. We will notify you in writing of our decision.

Penalties
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-360, we will deny Form I-360 and may deny any other immigration benefit. In addition, 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, and associated evidence, 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, as amended. 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 Form I-360.

USCIS Forms and Information
To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www.uscis. gov. As an altenative to waiting in line for assistance at a USCIS office, you can now schedule an appointment through our Internet-based system. To access the system, visit our website. 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.

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. The public reporting burden for this collection of information is estimated at 2 hours per response, including the time for reviewing instructions, completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0020. Do not mail your application to this address.

Form I-360 Instructions (Rev. 10/15/07)Y Page 8

OMB No. 1615-0020; Expires 10/31/08 Department of Homeland Security U.S. Citizenship and Immigration Services

I-360, Petition for Amerasian, Widow(er), or Special Immigrant
For USCIS Use Only
Returned Receipt

START HERE - Please type or print in black ink Part 1. Information about person or organization filing this petition. (Individuals should use the top name line; organizations should

use the second line.) If you are a self-petitioning spouse or child and do not want USCIS to send notices about this petition to your home, you may show an alternate mailing address here. If you are filing for yourself and do not want to use an alternate mailing address, skip to Part 2.
Given Name Middle Name

Resubmitted

Family Name Company or Organization Name Address - C/O Street Number and Name City Country U.S. Social Security # a. b. c. d. e. f. g. h. i. j. k.
A#

Reloc Sent

Apt. # State or Province Zip/Postal Code IRS Tax # (if any)

Reloc Rec'd

Part 2. Classification Requested (check one):
Amerasian Widow(er) of a U.S. 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, Canal Zone Government or U.S. 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.S. Citizen or Lawful Permanent Resident Self-Petitioning Child of Abusive U.S. Citizen or Lawful Permanent Resident Other, explain:

Petitioner/ Applicant Interviewed Beneficiary Interviewed I-485 Filed Concurrently Bene "A" File Reviewed Classification Consulate Priority Date Remarks:

Part 3. Information about the person this petition is for
Family Name Address - C/O Street Number and Name City Country Date of Birth Country of Birth (mm/dd/yyyy) U.S. 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, if any Fill in box if G-28 is attached to represent the applicant Widowed VOLAG# ATTY State License # Apt. # Given Name Middle Name Action Block

Form I-360 (Rev. 10/15/07)Y

Part 4. Processing Information
Below give information on U.S. consulate you want notified if this petition is approved and if any requested adjustment of status cannot be granted. American Consulate: City Country

If you gave a United States address in Part 3, print the person's foreign address below. If his or her native alphabet does not use Roman letters, print his or her name and foreign address in the native alphabet. 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.S. 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. Complete only if filing for an Amerasian
Section A. Information about the mother of the Amerasian Family Name Living? Address Section B. Information about the father of the Amerasian: If possible, attach a notarized statement from the father regarding parentage. Explain on separate paper any question you cannot fully answer in the space provided on this form. 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. The father was not in the military, and was not a civilian employed abroad. (Attach a full explanation of the circumstances.)

Part 6. Complete only if filing for a Special Immigrant Juvenile Court Dependent
Section A. Information about the Juvenile List any other names used. Answer the following questions regarding the person this petition is for. If you answer "No," explain on a separate sheet of paper. 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. 10/15/07)Y Page 2

Part 7. Complete only if filing as a Widow/Widower, a Self-petitioning Spouse of an Abuser, or as a Self-petitioning Child of an Abuser
Section A. Information about the U.S. citizen husband or wife who died or about the U.S. 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.S. citizen through naturalization (Show A #) U.S. lawful permanent resident (Show A #) Other, explain Middle Name

He or she is now, or was at time of death a (check one): U.S. citizen born in the United States. U.S. citizen born abroad to U.S. citizen parents. Section B. Additional Information about you. 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. (If you are a self-petitioning child, write: "N/A") until (Month/Year) No Yes, (attach explanation).

When did you live with the person named in Section A? From (Month/Year)

If you are filing as a widow/widower, were you legally separated at the time of the U.S citizens's death?

Give the last address at which you lived together with the person named in Section A, and show the last date that you lived together with that person at that address:

If you are filing as a self-petitioning spouse, have any of your children filed separate self-petitions?

No

Yes (show child(ren)'s full names):

Part 8. 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. A. Family Name Country of Birth B. Family Name Country of Birth C. Family Name Country of Birth D. Family Name Country of Birth E. 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. 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#

Part 8. Information about the spouse and children of the person this petition is for (Continued)
F. Family Name Country of Birth G. Family Name Country of Birth Given Name Relationship Child Given Name Relationship Child H. 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. Signature

Read the information on penalties in the instructions before completing this part. If you are going to file this petition at a USCIS office in the United States, sign below. If you are going to file it at a U.S. consulate or USCIS office overseas, sign in front of a USCIS or consular official.

I certify, or, if outside the United States, I swear or affirm, under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it is all true and correct. If filing this on behalf at an organization, I certify that I am empowered to do so by that organization. I authorize the release of any information from my records, or from the petitioning organization's records, that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought. 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, the person(s) filed for may not be found eligible for a requested benefit and the petition may be denied.

Part 10. Signature of person preparing form, 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. Signature Firm Name and Address Print Your Name Date

Form I-360 (Rev. 10/15/07)Y Page 4

OMB No. 1615-0023; Expires 09/30/08

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

Instructions for I-485, 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. If you are filing Form I-485 more than 30 days after the latest edition date shown in the lower right-hand corner, please visit our website at www.uscis.gov before you file, and check the Forms and Fees page to confirm the correct filing address and version currently in use. Check the edition date located at the lower right-hand corner of the form. 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, your version is current and will be accepted by USCIS. If the edition date on the online version is later, download a copy and use the online version. If you do not have Internet access, call the National Customer Service Center at 1-800-375-5283 to verify the current filing address and edition date. Improperly filed forms will be rejected, and the fee returned with instructions to resubmit the entire filing using the current form instructions.

What Is the Purpose of This Form?
This form is used by a person who is in the United States to apply to U.S. Citizenship and Immigration Services (USCIS) to adjust to permanent resident status or register for permanent residence. This form may also be used by certain Cuban nationals to request a change in the date that their permanent residence began.

B. If the spouse or child is residing abroad, the person adjusting status in the United States should file the Form I-824, Application for Action on an Approved Application or Petition, 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. The fee submitted with the Form I-824 will not be refunded if the principal's adjustment is not granted.

Who May File This Form I-485?
1. Based on an immigrant petition.
You may apply to adjust your status if: A. An immigrant visa number is immediately available to you based on an approved immigrant petition; or B. You are filing this application with a completed relative petition, special immigrant juvenile petition, or special immigrant military petition which, if approved, would make an immigrant visa number immediately available to you.

3. Based on admission as the fiancé(e) of a U.S. citizen and subsequent marriage to that citizen.
A. You may apply to adjust status if you were admitted to the United States as the K-1 fiancé(e) of a U.S. citizen and you married that citizen within 90 days of your entry. B. If you were admitted as the K-2 child of such a fiancé(e), you may apply to adjust status based on your parent's adjustment application.

4.

Based on asylum status.
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, provided you still qualify as an asylee or as the spouse or child of a refugee.

2. 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.
A. If the spouse or child is in the United States, the individual derivatives may file their Form I-485 adjustment-of-status applications concurrently with the Form I-485 for the principal applicant, or file the Form I-485 at anytime after the principal is approved, if a visa number is available.

5.

Based on refugee status.
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, provided that your status has not been terminated.

6.

Based on Cuban citizenship or nationality.
You may apply to adjust status if: A. You are a native or citizen of Cuba, were admitted or paroled into the United States after January 1, 1959, and thereafter have been physically present in the United States for at least one year; or

Form I-485 Instructions (Rev. 05/27/08)Y

B. You are the spouse or unmarried child of a Cuban described above and regardless of your nationality, you were admitted or paroled after January 1, 1959, and thereafter have been physically present in the United States for at least one year. 7. Applying to change the date on which your permanent residence began. If you were granted permanent residence in the United States prior to November 6, 1966, and are a native or citizen of Cuba, or you are the spouse or unmarried child of such an individual, you may ask to change the date your lawful permanent residence began to your date of arrival in the United States or May 2, 1964, whichever is later. 8. Based on continuous residence since before January 1, 1972. You may apply for permanent residence if you have continuously resided in the United States since before January 1, 1972. This is known as "Registry." 9. Other basis of eligibility. If you are not included in the above categories, but believe you may be eligible for adjustment or creation of record of permanent residence, 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. 10. Who Is Not Eligible to Adjust Status. Unless you are applying for creation of record based on continuous residence since before January 1, 1972, or adjustment of status under a category in which special rules apply (such as 245(i) adjustment, asylum adjustment, Cuban adjustment, special immigrant juvenile adjustment, or special immigrant military personnel adjustment), you are not eligible for adjustment of status if any of the following apply to you: A. You entered the United States in transit without a visa; B. You entered the United States as a nonimmigrant crewman; C. You were not admitted or paroled following inspection by an immigration officer; D. Your authorized stay expired before you filed this application; E. You were employed in the United States without USCIS authorization prior to filing this application; F. You failed to maintain your nonimmigrant status, other than through no fault of your own or for technical reasons; unless you are applying because you are:

1.

An immediate relative of a U.S. citizen (parent, spouse, widow, widower, or unmarried child under 21 years old); A K-1 fiancé(e) or a K-2 fiancé(e) dependent who married the U.S. petitioner within 90 days of admission; or An H or I nonimmigrant or special immigrant (foreign medical graduates, international organization employees, or their derivative family members);

2.

3.

7. You were admitted as a K-1 fiancé(e), but did not marry the U.S. citizen who filed the petition for you, or you were admitted as the K-2 child of a fiancé(e) and your parent did not marry the U.S. citizen who filed the petition; 8. 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; 9. You have A, E, or G nonimmigrant status or have an occupation that would allow you to have this status, unless you complete Form I-508 (I-508F for French nationals) to waive diplomatic rights, privileges, and immunities and, if you are an A or G nonimmigrant, unless you submit a completed Form I-566; 10. You were admitted to Guam as a visitor under the Guam visa waiver program; 11. You were admitted to the United States as a visitor under the Visa Waiver Program, unless you are applying because you are an immediate relative of a U.S. citizen (parent, spouse, widow, widower, or unmarried child under 21 years old); or 12. You are already a conditional permanent resident.

General Instructions
Fill Out Form I-485
1. 2. Type or print legibly in black ink. If extra space is needed to complete any item, attach a continuation sheet, indicate the item number, and date and sign each sheet. Answer all questions fully and accurately. State that an item is not applicable with "N/A." If the answer is none, write "none."

3.

4. You must file your application with the required Initial Evidence described below. Your application must be properly signed and filed with the correct fee. If you are under 14 years of age, your parent or guardian may sign your application.
Form I-485 Instructions (Rev. 05/27/08)Y Page 2

Translations. 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, and by the translator's certification that he or she is competent to translate from the foreign language into English.

NOTE that unless a traffic incident was alcohol or drug-related, 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.

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.

2. Birth certificate.
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, Code of Federal Regulations (CFR), 103.2(b)(2).

Initial Evidence.
You must file your application with the following evidence:

3. Copy of passport page with nonimmigrant visa.
If you have obtained a nonimmigrant visa(s) from a U.S. Embassy or consulate abroad within the last year, submit a photocopy(ies) of the page(s) of your passport containing the visa(s).

1. Criminal history.
A. If you have ever been arrested or detained by any law enforcement officer for any reason, and no charges were filed, submit: An original official statement by the arresting agency or applicable court order confirming that no charges were filed. B. If you have ever been arrested or detained by any law enforcement officer for any reason, and charges were filed, or if charges were filed against you without an arrest, submit: An original or court-certified copy of the complete arrest record and/or disposition for each incident (e.g., dismissal order, conviction record, or acquittal order). C. 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), submit: 1. An original or court-certified copy of the sentencing record for each incident, and 2. Evidence that you completed your sentence, specifically: a. An original or certified copy of your probation or parole record, or

4. Photos.
You must submit two identical color photographs of yourself taken within 30 days of the filing of this application. The photos must have a white to off-white background, be printed on thin paper with a glossy finish, and be unmounted and unretouched. Passport-style photos must be 2" x 2." The photos must be in color with full face, 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, 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. Using pencil or felt pen, lightly print your name and Alien Receipt Number on the back of the photo.

5. Biometric services.
If you are between the ages of 14 and 79, you must be fingerprinted as part of the USCIS biometric services requirement. After you have filed this application, USCIS will notify you in writing of the time and location where you must go to be fingerprinted. If necessary, USCIS may also take your photograph and signature. Failure to appear to be fingerprinted or for other biometric services may result in a denial of your application.

b. Evidence that you completed an alternative sentencing program or rehabilitative program. D. If you have ever had any arrest or conviction vacated, set aside, sealed, expunged, or otherwise removed from your record, submit: 1. An original or court-certified copy of the court order vacating, setting aside, sealing, expunging, or otherwise removing the arrest or conviction, or An original statement from the court that no record exists of your arrest or conviction.

6. Police clearances.
If you are filing for adjustment of status as a member of a special class described in an I-485 supplement form, please read the instructions on the supplement form to see if you need to obtain and submit police clearances, in addition to the required fingerprints, with your application.

2.

Form I-485 Instructions (Rev. 05/27/08)Y Page 3

7. Medical examination.
When required, submit a medical examination report on the form you have obtained from USCIS. A. Individuals applying for adjustment of status through a USCIS Service Center. 1. General: If you are filing your adjustment-of-status application with a USCIS Service Center, include your medical examination report with the application, unless you are a refugee. 2. Refugees: If you are applying for adjustment of status one year after you were admitted as a refugee, you only need to submit a vaccination supplement with your adjustment-of-status application, not the entire medical report, unless there were medical grounds of inadmissibility that arose during the initial examination that you had overseas. B. Individuals applying for adjustment of status through a local USCIS office. If you are filing your adjustment-of-status application with a local USCIS office, include your medical examination report with the application.

B. Employment Letter. If your adjustment-of-status application is related to an employment-based visa petition (Form I-140), 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. The letter must also state the salary that will be paid. 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, 1972, asylum or refugee adjustment, or a Cuban citizen or a spouse or unmarried child of a Cuban citzen who was admitted after January 1, 1959.

15. Evidence of eligibility.
A. Based on an immigrant petition. Attach a copy of the approval notice for an immigrant petition that makes a visa number immediately available to you, or submit a complete relative, special immigrant juvenile, or special immigrant military petition that, if approved, will make a visa number immediately available to you. B. Based on admission as the K-1 fiancé(e) of a U. S. citizen and subsequent marriage to that citizen. Attach a copy of the fiancé(e) petition approval notice, a copy of your marriage certificate, and your Form 1-94. C. Based on asylum status. Attach a copy of the letter or Form 1-94 that shows the date you were granted asylum. D. Based on continuous residence in the United States since before January 1, 1972. Attach copies of evidence that shows continuous residence since before January 1, 1972.

8. Fiancé(e)s.
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, you only need to submit a vaccination supplement, not the entire medical report. You may include the vaccination supplement with your adjustment-of-status application.

9. Persons not required to have a medical examination.
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, 1972 (registry applicant).

16. Based on Cuban citizenship or nationality.
Attach evidence of your citizenship or nationality, such as a copy of your passport, birth certificate, or travel document.

13. Form G-325A, Biographic Information Sheet.
You must submit a completed Form G-325A if you are between 14 and 79 years of age.

14. Affidavit of Support/Employment Letter.
A. Affidavit of Support. Submit an Affidavit of Support (Form I-864) if your adjustment-of-status application is based on your entry as a fiancé(e), a relative visa petition (Form I-130) filed by your relative, or an employment-based visa petition (Form I-140) related to a business that is five percent or more owned by your family.

17. 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.
File your application with the application of the other applicant, or with evidence that the application is pending with USCIS or was approved, or with evidence that your spouse or parent was granted permanent residence based on an immigrant visa, and:

Form I-485 Instructions (Rev. 05/27/08)Y Page 4

If you are applying as the spouse of that person, 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; If you are applying as the child of that person, attach also a copy of your birth certificate and, if the other person is not your parent, 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.

10. Applicants eligible under the Cuban Adjustment Act of November 2, 1965. 11. Diversity lottery winner eligible to file Form I-485; 12. Public Interest Parolees from certain former Soviet and Southeast Asian countries filing Form I-485 under Public Law 101-167 (the "Lautenberg Amendment"); 13. Registry applicant filing Form I-485 based on birth in the United States to a foreign diplomatic officer; 14. Former diplomat filing Form I-485 under Section 13 of the Immigration and Nationality Act; 15. Registry applicant filing Form I-485 based on continuous residence in the U.S. since before January 1, 1972, or 16. Applicants who are beneficiaries of Private Bills:

18. Other basis for eligibility.
Attach copies of documents proving that you are eligible for the classification.

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, file your Form I-485, Application to Register Permanent Residence or Adjust Status, with the USCIS Lockbox Facility. 1. Spouse, parent, unmarried son/daughter under age 21 of a U.S. citizen with an approved or concurrently filed Form I-130; Beneficiary of an approved Form I-130 filed by a qualifying relative; Qualifying derivative, family-based beneficiary;

USCIS Lockbox Addresses:
For U.S. Postal Service (USPS) deliveries: USCIS P.O. Box 805887 Chicago, IL 60680-4120 For courier/express deliveries: USCIS Attn: FBAS 131 South Dearborn - 3rd Floor Chicago, IL 60603-5517

2. 3. 4.

Form I-485 Service Center Filing Addresses:
1. Form I-485 is Based on an Underlying Form I-140, Immigrant Petition for Alien Worker: Adjustment-of-status applications filed based on a concurrently filed, pending, or approved Form I-140 must be filed with the Nebraska Service Center or the Texas Service Center, depending on where the applicant lives. If you wish to concurrently file your Form I-485 and Form I-140, an immigrant visa number must be immediately available at the time of filing. NOTE: To facilitate acceptance and processing of Form I-485 when Form I-140 has already been approved, submit a copy of the I-140 approval notice. If Form I-140 is pending, 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).

K-1 Fiancé(e) (and K-2 dependents) whose Form I-485 is based on an approved Form I-129F;

5. Applicants who are beneficiaries of an approved Form I-360, Petition for Amerasian, Widow(er), or Special Immigrant, as a battered spouse or child; 6. Widow/widower of a U.S. citizen with an approved or concurrently filed Form I-360; 7. Special Immigrant Military filing Form I-485 based on honorable active duty service in the U.S. Armed Forces with an approved or concurrently filed Form I-360; Special Immigrant juvenile with a pending or concurrently filed Form I-360;

8.

9. Amerasians with an approved or concurrently filed Form I-360;

Form I-485 Instructions (Rev. 05/27/08)Y Page 5

If you live in the following states: Alaska, Arizona, California, Colorado, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin, or Wyoming, the mailing address you should use is: USCIS Nebraska Service Center P. O. Box 87485 Lincoln, NE 68501-7485 If you live in the following states: Alabama, Arkansas, Connecticut, Florida, Georgia, Kentucky, Louisianna, Maine, Maryland, Massachusetts, Mississippi, New Hampshire, New Jersey, New Mexico, New York, North Carolina, South Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, Tennessee, Texas, Vermont, Virginia, U.S. Virgin Islands, West Virginia, or Washington, DC, the mailing address you should use is: USCIS Texas Service Center P. O. Box 851804 Mesquite, TX 75185-1804 2. Form I-485 is Based on an Underlying Form I-360, Petition for Amerasian, Widow(er), or Special Immigrant: A. Filing Address for International Organization Employee or Family Member: Adjustment-of-status applications filed based on a concurrently filed, pending, or approved Form I-360 for International Organization Employee or eligible family member must be filed with the Nebraska Service Center (see address below). B. 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). You cannot concurrently file Forms I-360 and I-485 for this classification. C. 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, depending on where the applicant lives.

NOTE: You cannot concurrently file forms I-360 and I-485 for the following classifications: 1. Religious Worker or Minister; 2. Panama Canal Company Employment; 3. U.S. Government in Canal Zone Employment; 4. Special Immigrant Physician; or 5. International Broadcasters. If you live in the following states: Alaska, Arizona, California, Colorado, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin, or Wyoming, send your application to the Nebraska Service Center: USCIS Nebraska Service Center P.O. Box 87485 Lincoln, NE 68501-7485 If you live in the following states: Alabama, Arkansas, Connecticut, Florida, Georgia, Kentucky, Louisianna, Maine, Maryland, Massachusetts, Mississippi, New Hampshire, New Jersey, New Mexico, New York, North Carolina, South Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, Tennessee, Texas, Vermont, Virginia, U.S. Virgin Islands, West Virginia, or Washington, DC, send your application to the Texas Service Center: USCIS Texas Service Center P.O. Box 851804 Mesquite, TX 75185-1804 3. Form I-485 is Based on an Underlying Form I-526, Immigrant Petition by Alien Entrepreneur: If you are an immigrant investor with an approved Form I-526, you must file Form I-485 with the Texas Service Center, regardless of where the business enterprise is located. NOTE: You cannot concurrently file forms I-526 and I-485. USCIS Texas Service Center P.O. Box 851804 Mesquite, TX 75185-1804 4. 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, depending on where the applicant lives. If you are
Form I-485 Instructions (Rev. 05/27/08)Y Page 6

filing Form I-131, Application for Travel Document, to enable you to travel outside the United States while your adjustment-of-status application is pending, you should indicate that you are requesting a refugee travel document. The relating Form I-131 for a Refugee Travel document is filed with the Nebraska Service Center, regardless of the Form I-485 filing location. If you live in the following states: Alaska, Arizona, California, Colorado, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin-or Wyoming, the mailing address you should use is: USCIS Nebraska Service Center P.O. Box 87485 Lincoln, NE 68501-7485 If you live in the following states: Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Mississippi, New Hampshire, New Jersey, New Mexico, New York, North Carolina, South Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, Tennessee, Texas, Vermont, Virginia, U.S. Virgin Islands, West Virginia, or Washington, DC, send your application to the Texas Service Center: USCIS Texas Service Center P.O. Box 852211 Mesquite, TX 75185-2211 5. 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.O. Box 87209 Lincoln, NE 68501-7209

USCIS Nebraska Service Center P.O. Box 87245 Lincoln, NE 68501-7245

Questions Regarding Form I-485
For additional information about Form I-485, including how to file your application or filing locations not mentioned, call the USCIS National Customer Service Center at 1-800-375-5283 or visit our website at www.uscis.gov.

What Is the Filing Fee?
The filing fee for a Form I-485 is $930. An additional biometric fee of $80 is required when filing this Form I-485. After you submit Form I-485, USCIS will notify you about when and where to go for biometric services. The fee is $930 only (no biometrics fee required) for applicants under 14 years who submits Form I-485 independent from other family members. 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), 203(a)(2) (A), and 203(d) of the INA. You may submit one check or money order for both the application and biometric fees, for a total of $1010. Use the following guidelines when you prepare your check or money order for the Form I-485 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 of 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: Effective July 30, 2007, if you file Form I-485 to adjust your status as a permanent resident, 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. You may file these forms concurrently. If you choose to file the I-765 and/or I-131 separately after the effective date, you must also submit a copy of your I-797C, Notice of Action, receipt as evidence of the filing of an I-485.

6. 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. The filing period for principal HRIFA applicants has closed. All HRIFA applications for dependents must be filed at the Nebraska Service Center.

Form I-485 Instructions (Rev. 05/27/08)Y Page 7

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 of 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," and 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-485 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.

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 may correct the deficiency and resubmit the application. An application is not considered properly filed until accepted by USCIS.

Initial processing.
Once an application has been accepted, 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 application.

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.

Interview.
After you file your application, you may be notified to appear at a USCIS office to answer questions about the application. You will be required to answer these questions under oath or affirmation. You must bring your Arrival-Departure Record (Form I-94) and any passport or official travel document you have to the interview.

Decision.
You will be notified in writing of the decision on your application.

Selective Service Registration.
If you are a male at least 18 years old, but not yet 26 years old, and required according to the Military Selective Service Act to register with the Selective Service System, USCIS will help you register. When your signed application is filed and accepted by USCIS, we will transmit to the Selective Service System your name, current address, Social Security number, date of birth, and the date you filed the application. This action will enable the Selective Service System to record your registration as of the filing date of your application. If USCIS does not accept your application and, if still so required, you are responsible to register with the Selective Service System by using other means, provided you are under 26 years of age. If you have already registered, the Selective Service System will check its records to avoid any duplication.

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

Form I-485 Instructions (Rev. 05/27/08)Y Page 8

(NOTE: Men 18 through 25 years old who are applying for student financial aid, government employment, or job training benefits should register directly with the Selective Service System or such benefits may be denied. Men can register at a local post office or on the internet at http://www.sss.gov).

Travel outside the United States for adjustment-ofstatus applicants under sections 209 and 245 of the Act, and Registry applicants under section 249 of the Act.
Your departure from the United States (including brief visits to Canada or Mexico) constitutes an abandonment of your adjustment-of-status application, unless you are granted permission to depart and you are inspected upon your return to the United States. Such permission to travel is called ''advance parole.'' To request advance parole, you must file Form I-131, Application for Travel Document, with the appropriate fee at the USCIS office where you applied for adjustment of status.

If you become inadmissible under section 212(a)(9)(B)(i) of the Act while your adjustment-of-status application is pending, 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. This waiver, however, is granted on a case-by-case basis and in the exercise of discretion. It requires a showing of extreme hardship to your U.S. citizen or lawful permanent resident spouse or parent, unless you are a refugee or asylee. For refugees and asylees, the waiver may be granted for humanitarian reasons to assure family unity or if it is otherwise in the public interest.

Penalties
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-485, we will deny the Form I-485 and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.

1. Exceptions.
A. H, L, V, or K3/K4 nonimmigrants: If you are an H, L,V, or K3/K4 nonimmigrant who continues to maintain his or her status, you may travel on a valid H, L, V or K3/K4 visa without obtaining advance parole. B. 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, you may travel outside the United States on your valid refugee travel document, if you have one, without the need to obtain advance parole.

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 for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as amended. 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 Form I-485.

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. The public reporting burden for this collection of information is estimated at 5 hours and 15 minutes per response, including the time for reviewing instructions, and completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0023. Do not mail your application to this address.

2. 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, but not registry applicants. This ground of inadmissibility is triggered if you were unlawfully present in the United States (i.e., 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. NOTE: Only unlawful presence that was accrued on or after April 1, 1997, counts towards the three and ten year bar under section 212(a)(9)(B)(i) of the Act.)

Form I-485 Instructions (Rev. 05/27/08)Y Page 9

OMB No. 1615-0023; Expires 09/30/08 Department of Homeland Security U.S. Citizenship and Immigration Services

I-485, Application to Register Permanent Residence or Adjust Status
For USCIS Use Only
Returned Middle Name Receipt

START HERE - Please type or print in black ink. Part 1. Information about you.
Family Name Address- 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.S. 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. #

Zip Code

Reloc Rec'd

Part 2.
a.

Application Type. (Check one.)

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. (Attach a copy of the approval notice, or a relative, special immigrant juvenile, or special immigrant military visa petition filed with this application that will give you an immediately available visa number, if approved.) 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. I entered as a K-1 fiancé(e) of a U.S. citizen whom I married within 90 days of entry, 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). I was granted asylum or derivative asylum status as the spouse or child of a person granted asylum and am eligible for adjustment. I am a native or citizen of Cuba admitted or paroled into the United States after January 1, 1959, and thereafter have been physically present in the United States for at least one year. I am the husband, wife, or minor unmarried child of a Cuban described above in (e), and I am residing with that person, and was admitted or paroled into the United States after January 1, 1959, and thereafter have been physically present in the United States for at least one year. I have continuously resided in the United States since before January 1, 1972. Other basis of eligibility. Explain (for example, I was admitted as a refugee, my status has not been terminated, and I have been physically present in the United States for one year after admission). If additional space is needed, use a separate piece of paper.

Section of Law
Sec. 209(b), INA Sec. 13, Act of 9/11/57 Sec. 245, INA Sec. 249, INA Sec. 1 Act of 11/2/66 Sec. 2 Act of 11/2/66 Other

b. c.

Country Chargeable

d. e. f.

Eligibility Under Sec. 245
Approved Visa Petition Dependent of Principal Alien Special Immigrant Other

Preference Action Block

g. h.

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, or as of May 2, 1964, whichever date is later, and: (Check one.) i. j. I am a native or citizen of Cuba and meet the description in (e) above. I am the husband, wife, or minor unmarried child of a Cuban and meet the description in (f) above.

To be Completed by Attorney or Representative, if any Fill in box if G-28 is attached to represent the applicant. VOLAG # ATTY State License # Form I-485 (Rev. 05/27/08) Y

Part 3. Processing Information.
A. 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, student, exchange alien, crewman, temporary worker, without inspection, etc.) Yes No Consulate Where Visa Was Issued Marital Status: No

Were you inspected by a U.S. 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.S.?

Yes. If you checked "Yes," give date and place of filing and final disposition.

B. List your present husband/wife, all of your sons and daughters (If you have none, write "none." If additional space is needed, use separate paper). 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. List your present and past membership in or affiliation with every organization, association, fund, foundation, party, club, society, or similar group in the United States or in other places since your 16th birthday. Include any foreign military service in this part. If none, write "none." Include the name(s) of organization(s), location(s), dates of membership from and to, and the nature of the organization(s). If additional space is needed, use a separate piece of paper.

Form I-485 (Rev. 05/27/08) Y Page 2

Part 3. Processing Information. (Continued)
Please answer the following questions. (If your answer is "Yes" on any one of these questions, 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. Answering "Yes" does not necessarily mean that you are not entitled to adjust status or register for permanent residence.) 1. Have you ever, in or outside the United States: a. 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. Been arrested, cited, charged, indicted, fined, or imprisoned for breaking or violating any law or ordinance, excluding traffic violations? c. Been the beneficiary of a pardon, amnesty, rehabilitation decree, other act of clemency, or similar action?

d. Exercised diplomatic immunity to avoid prosecution for a criminal offense in the United States? 2. Have you received public assistance in the United States from any source, including the U.S.Government or any State, county, city, or municipality (other than emergency medical treatment), or are you likely to receive public assistance in the future? 3. Have you ever: a. Within the past ten years been a prostitute or procured anyone for prostitution, or intend to engage in such activities in the future?

Yes Yes Yes Yes

No No No No

b. Engaged in any unlawful commercialized vice, including, but not limited to, illegal gambling? c. Knowingly encouraged, induced, assisted, abetted, or aided any alien to try to enter the United States illegally?

d. Illicitly trafficked in any controlled substance, or knowingly assisted, abetted, or colluded in the illicit trafficking of any controlled substance? 4. Have you ever engaged in, conspired to engage in, or do you intend to engage in, or have you ever solicited membership or funds for, 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, kidnapping, political assassination, hijacking, or any other form of terrorist activity? 5. Do you intend to engage in the United States in: a. Espionage?

Yes

No

Yes Yes Yes Yes Yes

No No No No No

b. Any activity a purpose of which is opposition to, or the control or overthrow of, the Government of the United States, by force, violence, or other unlawful means? c. Any activity to violate or evade any law prohibiting the export from the United States of goods, technology, or sensitive information?

6. Have you ever been a member of, or in any way affiliated with, the Communist Party or any other totalitarian party? 7. Did you, during the period from March 23, 1933, to May 8, 1945, in association with either the Nazi Government of Germany or any organization or government associated or allied with the Nazi Government of Germany, ever order, incite, assist, or otherwise participate in the persecution of any person because of race, religion, national origin, or political opinion? 8. Have you ever engaged in genocide, or otherwise ordered, incited, assisted, or otherwise participated in the killing of any person because of race, religion, nationality, ethnic origin, or political opinion? 9. Have you ever been deported from the United States, or removed from the United States at government expense, excluded within the past year, or are you now in exclusion, deportation, removal, or recission proceedings? 10. 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, by fraud or willful misrepresentation of a material fact, ever sought to procure, or procured, a visa, other documentation, entry into the United States or any immigration benefit? 11. Have you ever left the United States to avoid being drafted into the U.S. Armed Forces? 12. 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. Are you now withholding custody of a U.S. citizen child outside the United States from a person granted custody of the child? 14. 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. 05/27/08) Y Page 3

Part 4. Signature.

(Read the information on penalties in the instructions before completing this section. You must file this application while in the United States.)

Your registration with U.S. Citizenship and Immigration Services.
"I understand and acknowledge that, under section 262 of the Immigration and Nationality Act (Act), as an alien who has been or will be in the United States for more than 30 days, I am required to register with U.S. Citizenship and Immigration Services. I understand and acknowledge that, under section 265 of the Act, I am required to provide USCIS with my current address and written notice of any change of address within ten days of the change. I understand and acknowledge that USCIS will use the most recent address that I provide to USCIS, on any form containing these acknowledgements, for all purposes, including the service of a Notice to Appear should it be necessary for USCIS to initiate removal proceedings against me. I understand and acknowledge that if I change my address without providing written notice to USCIS, I will be held responsible for any communications sent to me at the most recent address that I provided to USCIS. I further understand and acknowledge that, if removal proceedings are initiated against me and I fail to attend any hearing, 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 may be ordered removed in my absence, arrested, and removed from the United States."

Selective Service Registration.
The following applies to you if you are a male at least 18 years old, but not yet 26 years old, who is required to register with the Selective Service System: "I understand that my filing this adjustment-of-status application with U.S. Citizenship and Immigration Services authorizes USCIS to provide certain registration information to the Selective Service System in accordance with the Military Selective Service Act. Upon USCIS acceptance of my application, I authorize USCIS to transmit to the Selective Service System my name, current address, Social Security Number, date of birth, and the date I filed the application for the purpose of recording my Selective Service registration as of the filing date. If, however, USCIS does not accept my application, I further understand that, if so required, I am responsible for registering with the Selective Service by other means, provided I have not yet reached age 26."

Applicant's Certification
I certify, under penalty of perjury under the laws of the United States of America, that this application and the evidence submitted with it is all true and correct. I authorize the release of any information from my records that U.S. Citizenship and Immigration Services (USCIS) needs to determine eligibility for the benefit I am seeking.
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, you may not be found eligible for the requested document and this application may be denied.

Part 5. Signature of person preparing form, 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. Signature Print Your Full Name Date Phone Number (Include Area Code)

(
Firm Name and Address E-Mail Address (if any)

)

Form I-485 (Rev. 05/27/08) Y Page 4

OMB No. 1615-0023; Expires 09/30/08

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

Instructions for Supplement A to Form I-485, Adjustment of Status Under Section 245(i)
Instructions

NOTE: Use this form only if you are applying to U.S. 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.

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), in lieu of consular visa processing, while the alien remains in the United States. In order to be eligible, the alien must have been inspected and admitted or paroled, be eligible for an immigrant visa and admissible for permanent residence, have an immigrant visa immediately available and, with some exceptions, have maintained lawful nonimmigrant status. 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. If you meet all of these requirements, you do not have to submit this form when applying for adjustment of status to that of LPR. Section 245(i) of the Act allows certain aliens to file for adjustment of status upon payment of a penalty fee of $1,000, even though some of the conditions required by section 245(a) and (c) of the Act are not met. Aliens in the United States who have an immigrant visa immediately available, but who entered the United States without inspection, remained in the United States past the period of admission, worked unlawfully, or are otherwise ineligible for adjustment of status under section 245(c) of the Act must submit this form along with Form I-485, Application to Register Permanent Residence or Adjust Status. NOTE: If you are applying to adjust as the spouse or unmarried minor child of a U.S. citizen or the parent of a U.S. citizen child at least 21 years of age, and if you were inspected and lawfully admitted to the United States other than in C-1 or S nonimmigrant status, you do not need to file this form.

Who May Use Supplement A to Adjust Status to That of LPR Under Section 245(i)?
1. You may apply for adjustment of status to that of LPR under section 245(i) if you: A. Are physically present in the United States when the application is submitted; and B. Have an immigrant visa number immediately available; and C. Are admissible to the United States for permanent residence; and D. Are the beneficiary of an approvable-when-filed visa petition, or an application for labor certification filed on or before April 30, 2001; and E. Pay a $1,000 penalty fee (unless exempted). 2. In addition, you must fall within one of the categories noted below: A. Alien crewmen; B. Aliens who work without authorization; C. Aliens in unlawful immigrant status; D. Aliens who fail to continuously maintain a lawful status since entry into the United States; E. Aliens who were admitted in transit without visa;

Form I-485 Supplement A Instructions (Rev. 05/27/08)Y

F.

Aliens admitted as nonimmigrant visitors under section 212(l) of the Act or under the Visa Waiver Program;

G. Aliens admitted as a nonimmigrant described in section 101(a)(15)(S) of the Act; or H. Aliens seeking employment-based adjustment of status who are not in lawful nonimmigrant status.

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, 1998, and on or before April 30, 2001. Aliens using section 245(i) because they are beneficiaries of a visa petition or application for labor certification filed after January 14, 1998, and on or before April 30, 2001, should submit documentation along with this form that demonstrates physical presence in the United States on December 21, 2000.

What Documentation Demonstrates Your Physical Presence on December 21, 2000?
Documentation of your physical presence in the United States on December 21, 2000, can consist of Federal, State, or local government-issued documents or other documents establishing your physical presence on that date. If one document does not establish your physical presence, you should submit documentation establishing your physical presence in the United States prior to and after December 21, 2000. In some cases, a single document may suffice to establish the applicant's physical presence on December 21, 2000. In most cases, however, the alien may need to submit several documents because most applicants may not possess documentation that contains the exact date of December 21, 2000. In such instances, the applicant should submit sufficient documentation establishing the applicant's physical presence in the United States prior to and after December 21, 2000. If you submit affidavits, they should be accompanied by supporting documentation. USCIS will evaluate all documentation on a case-by-case basis.

Who Does Not Need to Use Supplement A to Form I-485?
1. You do not have to submit Supplement A to Form I-485 if you: A. B. Are already an LPR; or Have continuously maintained lawful immigration status in the United States since November 5, 1986; or

C. Are applying to adjust status as the spouse or unmarried minor child of a U.S. citizen or the parent of a U.S. citizen child at least 21 years of age, and you were inspected and lawfully admitted to the United States other than in C-1 or S nonimigrant status. 2. In addition, 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. Were granted asylum in the United States; or B. C. Have continuously resided in the United States since January 1, 1972; or Entered as a K-1 fiancé(e) of a U.S. citizen; or

D. Have an approved Form I-360, Petition for Amerasian, Widow(er), Battered or Abused Spouse or Child, or Special Immigrant, and are applying for adjustment as a special immigrant juvenile court dependent, or as a special immigrant who has served in the U.S. Armed Forces, or as a battered or abused spouse or child; or E. Are a special immigrant retired international organization employee or family member; or F. Are a special immigrant physician; or

Form I-485 Supplement A Instructions (Rev. 05/27/08)Y Page 2

G. Are a public interest parolee, who was denied refugee status, and are from the former Soviet Union, Vietnam, Laos, or Cambodia (a "Lautenberg Parolee" under Public Law 101-167); or H. Are eligible under the Immigration Nursing Relief Act.

Where To File?
You must file this form at the same USCIS office or location where you must submit the related Form I-485.

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. 2. 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. An additional biometric fee of $80 is required when filing this Form I-485 Supplement A. Applicants younger than 14 years or older than 79 do not have to pay the biometric services fee. After you submit Form I-485 Supplement A, USCIS will notify you about when and where to go for biometric services.

3. A $1,000 penalty fee is required with the Supplement A Form. 4. If you filed Form I-485 separately, attach a copy of your filing receipt and pay only the additional sum of $1,000. There are two categories of applicants who do not need to pay the $1,000 fee associated with Supplement A to Form I-485: A. Applicants under the age of 17 years; and B. Applicants who are an unmarried son or daughter of a legalized alien and less than 21 years of age, or the spouse of a legalized alien, and have attached a copy of a USCIS receipt or approval notice for a properly filed Form I-817, Application for Family Unity Benefits. You may submit one check or money order for both the application and biometric fees, for a total of $2,010. 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. 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. C. If you live outside the United States, Guam, or the U.S. Virgin Islands, contact the nearest U.S. Embassy or consulate for instructions on the method of payment. 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.

Form I-485 Supplement A Instructions (Rev. 05/27/08)Y Page 3

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 of 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," and 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-485 Supplement A 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.

Address Changes
If you change your address and you have an application or petition pending with USCIS, you may change your address online at www.uscis.gov, click on "Change your address with USCIS," and follow the prompts. Or you may complete and mail 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

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. You may correct the deficiency and resubmit the Form I-485 Supplement A. An application or petition is not considered properly filed until accepted by USCIS.

Initial processing. Once a Form I-485 Supplement A has been accepted, 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-485 Supplement A. 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-485 Supplement A involves a determination of whether you have established eligiblity for the requested benefit. You will be notified of the decision in writing.
Form I-485 Supplement A Instructions (Rev. 05/27/08)Y Page 4

USCIS Forms and Information
To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www.uscis.gov. As an altenative 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. 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.

Penalties
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-485 Supplement A, we will deny the Form I-485 Supplement A and may deny any other immigration benefit. In addition, 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, and associated evidence, 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, as amended. 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 Form I-485 Supplement A.

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. The public reporting burden for this collection of information is estimated at 13 minutes per response, including the time for reviewing instructions, and completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0023. Do not mail your application to this address.

Checklist.
I signed the form at Part D. I included the appropriate fees (if any). If I checked box b or d in Question 1, Part B, I included evidence of my physical presence in the United States on December 21, 2000.

Form I-485 Supplement A Instructions (Rev. 05/27/08)Y Page 5

OMB No. 1615-0023; Expires 09/30/08

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

Supplement A to Form I-485, 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.

Part A.

Information about you.
First Name Middle Name

For USCIS Use Only
Action Block

Last Name Address: In Care Of Street Number and Name City State

Apt. # Zip Code Date of Birth (mm/dd/yyyy) Country of Citizenship/Nationality E-Mail Address, if any

Alien Registration Number (A #) if any Country of Birth Telephone Number

(

)

Part B. Eligibility. (Check the correct response.)
1. I am filing Supplement A to Form I-485 because: a. I am the beneficiary of a visa petition filed on or before January 14, 1998. b. I am the beneficiary of a visa petition filed on or after January 15, 1998, and on or before April 30, 2001. c. I am the beneficiary of an application for a labor certification filed on or before January 14, 1998. d. I am the beneficiary of an application for a labor certification filed on or after January 15, 1998, and on or before April 30, 2001. If you checked box b or d in Question 1, you must submit evidence demonstrating that you were physically present in the United States on December 21, 2000. 2. And I fall into one or more of these categories: (Check all that apply to you.) a. I entered the United States as an alien crewman; b. I have accepted employment without authorization; c. 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; d. I have failed (except through no fault of my own or for technical reasons) to maintain, continuously, lawful status; e. I was admitted to the United States in transit without a visa; f. I was admitted as a nonimmigrant visitor without a visa; g. I was admitted to the United States as a nonimmigrant in the S classification; or h. I am seeking employment-based adjustment of status and am not in lawful nonimmigrant status.

Part C. Additional eligibility information.
1. Are you applying to adjust status based on any of the below reasons? a. You were granted asylum in the United States; b. You have continuously resided in the United States since January 1, 1972; c. You entered as a K-1 fiancé(e) of a U.S. citizen; d. You have an approved Form I-360, Petition for Amerasian, Widow(er), Battered or Abused Spouse or Child, or Special Immigrant, and are applying for adjustment as a special immigrant juvenile court dependent or a special immigrant who has served in the U.S. armed forces, or a battered or abused spouse or child; e. You are a native or citizen of Cuba, or the spouse or child of such alien, who was not lawfully inspected or admitted to the United States; f. You are a special immigrant retired international organization employee or family member; g. You are a special immigrant physician;
Form I-485 Supplement A (Rev. 05/27/08)Y

Part C. Additional eligibility information. (Continued.)
h. You are a public interest parolee, who was denied refugee status, and are from the former Soviet Union, Vietnam, Laos or Cambodia (a "Lautenberg Parolee" under Public Law 101-167); or i. You are eligible under the Immigration Nursing Relief Act. No. I am not applying for adjustment of status for any of these reasons. (Go to next question.) Yes. I am applying for adjustment of status for any one of these reasons. (If you answered "Yes," do not file this form.) 2. Do any of the following conditions describe you? a. You are already a lawful permanent resident of the United States. b. You have continuously maintained lawful immigration status in the United States since November 5, 1986. c. You are applying to adjust status as the spouse or unmarried minor child of a U.S. citizen or the parent of a U.S. citizen child at least 21 years of age, and you were inspected and lawfully admitted to the United States. No. None of these conditions describe me. (Go to Part D. Signature.) Yes. If you answered "Yes," do not file this form.

Part D. Signature. Read the information on penalties in the instructions before completing this section.
I certify, under penalty of perjury under the laws of the United States of America, that this application and the evidence submitted with it is 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 being sought. Signature Print Name Date

Part E. Signature of person preparing form, if other than above. Read the information on penalties in the instructions
before completing this section. I certify, under penalty of perjury under the laws of the United States of America, 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. Signature Print Name Date

Firm Name and Address

Daytime Phone Number (Area Code and Number) ( )

E-Mail Address, if any

Form I-485 Supplement A (Rev. 05/27/08Y)Y Page 2

OMB No. 1615-0026; Exp. 09/30/08 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for I-526, Immigrant Petition by Alien Entrepreneur
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 section and number of the item to which the answer refers.

What Is The Purpose of This Form I-526?
This form is for use by an entrepreneur to petition the U.S. 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, as amended. That section of the law pertains to immigrant visas for an investor in a new commercial enterprise.

General Instructions.
Fill Out the Form I-526
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."

Who May File Form I-526?
You may file this petition for yourself if you have established a new commercial enterprise: 1. In which you will engage in a managerial or policymaking capacity, and 2. 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, and 3. Which will benefit the U.S. economy, and 4. Which will create full-time employment in the United States for at least ten U.S. citizens, permanent residents, or other immigrants authorized to be employed, other than yourself, your spouse, your sons or daughters, or any nonimmigrant aliens. The establishment of a new commercial enterprise may include: 1. Creation of a new business; 2. The purchase of an existing business with simultaneous or subsequent restructuring or reorganization resulting in a new commercial enterprise; or 3. The expansion of an existing business through investment of the amount required, so that a substantial change (at least 40 percent) in either the net worth, number of employees, or both, results. The amount of investment required in a particular area is set by regulation. Unless adjusted downward for targeted areas or upward for areas of high employment, the amount of investment shall be $1,000,000 (one million dollars). You may obtain additional information from our website at www. uscis.gov, or an American embassy or consulate abroad.

Initial Evidence Requirements.
The following evidence must be filed with your petition: 1. Evidence that you have established a lawful business entity under the laws of the jurisdiction in the United States in which it is located, or, if you have made an investment in an existing business, evidence that your investment has caused a substantial (at least 40 percent) increase in the net worth of the business, the number of employees, or both. Such evidence shall consist of copies of articles of incorporation, certificate of merger or consolidation, partnership agreement, certificate of limited partnership, joint venture agreement, business trust agreement, or other similar organizational document; a certificate evidencing authority to do business in a state or municipality, or if such is not required, a statement to that effect; 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, or both. This evidence must be in the form of stock purchase agreements, investment agreements, certified financial reports, payroll records or other similar instruments, agreements or documents evidencing the investment and the resulting substantial change. 2. Evidence, if applicable, that your enterprise has been established in a targeted employment area. 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. 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 20,000 or more. 3. 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. 07/30/07)Y

Such evidence may include, but need not be limited to, copies of bank statements, evidence of assets that have been purchased for use in the enterprise, evidence of property transferred from abroad for use in the enterprise, evidence of monies transferred or committed to be transferred to the new commercial enterprise in exchange for shares of stock, any loan or mortgage, promissory note, security agreement, or other evidence of borrowing that is secured by assets of the petitioner. 4. Evidence that capital is obtained through lawful means. The petition must be accompanied, as applicable, by: foreign business registration records, tax returns of any kind filed within the last five years in or outside the United States, evidence of other sources of capital, or certified copies of any judgment, pending governmental civil or criminal actions, or private civil actions against the petitioner from any court in or outside the United States within the past 15 years. 5. Evidence that the enterprise will create at least ten fulltime positions for U.S. citizens, permanent residents, or aliens lawfully authorized to be employed (except yourself, your spouse, sons, or daughters, and any nonimmigrant aliens). Such evidence may consist of copies of relevant tax records, Forms I-9, or other similar documents, if the employees have already been hired, or a business plan showing when such employees will be hired within the next two years. 6. Evidence that you are or will be engaged in the management of the enterprise, either through the exercise of day-to-day managerial control or through policy formulation. Such evidence may include a statement of your position title and a complete description of your duties, evidence that you are a corporate officer or hold a seat on the board of directors, or, if the new enterprise is a partnership, evidence that you are engaged in either direct management or policy-making activities. 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.

Louisiana, Mississippi, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New Mexico, New York, North Carolina, South Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, Tennessee, or Texas, Vermont, the U.S. Virgin Islands, Virginia or West Virginia, mail the petition to: USCIS Texas Service Center P.O. Box 852135 Mesquite, TX 75185-2135 If the new commercial enterprise is located, or will principally be doing business in: Alaska, Arizona, California, Colorado, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin or Wyoming, mail the petition to: USCIS California Service Center P.O. Box 10140 Laguna Niguel, CA 92607-0526

What Is the Filing Fee?
The filing fee for the Form I-526 is $1,435.00. Use the following guidelines when you prepare your check or money order for the Form I-526: 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. C. If you live outside the United States, Guam, or the U.S. Virgin Islands, contact the nearest U.S. consulate or embassy for instructions on the method of payment. NOTE: Please spell out U.S. Department of Homeland Security; do not use the initials "USDHS" or "DHS."

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. 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" and check the appropriate fee;

Where To File?
If the new commercial enterprise is located, or will principally be doing business in: Alabama, Arkansas, Connecticut, Delaware, District of Columbia, Florida, Georgia, Kentucky,

Form I-526 (Rev. 07/30/07)Y Page 2

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.

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

Approval. If you have established that you qualify for investor status, the petition will be approved. If you have requested that the petition be forwarded to an American embassy or consulate abroad, the petition will be sent there unless that consulate does not issue immigrant visas. If you are in the United States and state that you will apply for adjustment of status, and the evidence indicates you are not eligible for adjustment, the petition will be sent to an American embassy or consulate abroad. You will be notified in writing of the approval of the petition and where it has been sent, and the reason for sending it to a place other than the one requested, if applicable. Meaning of petition approval. Approval of a petition shows only that you have established that you have made a qualifying investment. It does not guarantee that the American embassy or consulate will issue the immigrant visa. There are other requirements that must be met before a visa can be issued. The American embassy or consulate will notify you of those requirements. Immigrant status granted based on this petition will be conditional. Two years after entry, the conditional investor will have to apply for the removal of conditions based on the ongoing nature of the investment. Denial. If you have not established that you qualify for the benefit sought, the petition will be denied. You will be notified in writing of the reasons for the denial.

Processing Information.
Acceptance. Any petition that is not signed or accompanied by the correct fee will be rejected with a notice that it is deficient. You may correct the deficiency and resubmit the petition. However, a petition is not considered properly filed until accepted by USCIS. Initial processing. Once the Form I-526 has been accepted, 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-526. 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.

USCIS Forms and Information.
To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www.uscis. gov. As an altenative 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. 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.

Penalties.
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this request, we will deny the benefit you are filing for, and may deny any other immigration benefit. In addition, you will face severe penalties provided by law, and may be subject to criminal prosecution.
Form I-526 (Rev. 07/30/07)Y Page 3

Decision. The decision on the Form I-526 involves a determination of whether you have established eligibility for the requested benefit. You will be notified of the decision in writing.

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 for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as amended. 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 Form I-526.

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. The public reporting burden for this collection of information is estimated at 1 hour and 15 minutes per response, including the time for reviewing instructions, completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0026. Do not mail your application to this address.

Form I-526 (Rev. 07/30/07)Y Page 4

OMB No. 1615-0026; Exp. 09/30/08 Department of Homeland Security U.S. Citizenship and Immigration Services

I-526, Immigrant Petition by Alien Entrepreneur

Classification

Do Not Write in This Block - For USCIS Use Only (Except G-28 Block Below) Fee Receipt Action Block

Priority Date
To be completed by Attorney or Representative, if any

G-28 is attached Attorney's State License No. Remarks: START HERE - Type or print in black ink.

Part 1.
Family Name Address: In care of

Information about you.
Given Name Middle Name

Number and Street City Date of Birth
(mm/dd/yyyy)

Apt. # 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, provide the following information: Current Nonimmigrant Status

Part 2.
a. b. c.

Application type. (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. 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. 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.

Part 3.

Information about your investment.

Name of commercial enterprise in which funds are invested Street Address Phone # with Area Code Kind of business (e.g. furniture manufacturer) Business organized as (corporation, partnership, etc.) Date established (mm/dd/yyyy)
IRS Tax #

RECEIVED: ________________ RESUBMITTED: ____________ RELOCATED: SENT ________________ REC'D ____________
Form I-526 (Rev. 07/30/07)Y

Part 3.

Information about your investment. (Continued.)
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, 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. Include the name, percentage of ownership and whether or not the person is seeking classification under section 203(b)(5). NOTE: A "natural" party would be an individual person and a "non-natural" party would be an entity such as a corporation, consortium, investment group, partnership, etc. If you indicated in Part 2 that the enterprise is in a targeted employment area County or in an upward adjustment area, name the county and state: State

Part 4.

Additional information about the enterprise.

Type of Enterprise (check one):
New commercial enterprise resulting from the creation of a new business. New commercial enterprise resulting from the purchase of an existing business. New commercial enterprise resulting from a capital investment in an existing business.

Composition of the Petitioner's Investment:
Total amount in U.S. bank account ...................................................................................... Total value of all assets purchased for use in the enterprise................................................. Total value of all property transferred from abroad to the new enterprise........................... Total of all debt financing.................................................................................................... Total stock purchases........................................................................................................... Other (explain on separate paper)........................................................................................

$ $ $ $ $ $ $

Total Income:
When you made the investment......... Now.................................................... Gross Gross

$ $

Net Net

$ $

Net worth:
When you made investment............... Gross

$

Now $

Form I-526 (Rev. 07/30/07)Y Page 2

Part 5.

Employment creation information.
Now Difference

Number of full-time employees in the enterprise in U.S. (excluding you, your spouse, 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, office or title with the new commercial enterprise?

Briefly describe your duties, activities and responsibilities.

What is your salary?

$

What is the cost of your benefits?

$

Part 6.

Processing information.
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. If the petition is approved and the person named in Part 1 wishes to apply for an immigrant visa abroad, complete the following for that person: Country of nationality: Country of current residence or, if now in the United States, last permanent residence abroad: If you provided a United States address in Part 1, print the person's foreign address:

Check One:

If the person's native alphabet is other than Roman letters, write the foreign address in the native alphabet:

Is a Form I-485, Application for Adjustment of Status, 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.

Signature. Read the information on penalties in the instructions before completing this section.

I certify, under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it is 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

NOTE: If you do not completely fill out this form or fail to the submit the required documents listed in the instructions, you may not be found eligible for the immigration benefit you are seeking and this petition may be denied.

Part 8.

Signature of person preparing form, if other than above. (Sign below)
Print Your Name Daytime phone # with area code
Form I-526 (Rev. 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. Signature
Firm Name

Date

Address

OMB No. 1615-0003; Expires 12/31/08 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for Form I-539, Application to Extend/Change Nonimmigrant Status
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. 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. To file electronically, visit our Internet website at www.uscis.gov and follow the instructions on e-filing. Whether you submit this paper form or e-file, U.S. Citizenship and Immigration Services (USCIS) recommends that you retain a copy of your application and supporting documents for your records.

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.S. Citizenship and Immigration Services (USCIS) for an extension of stay, or a change to another nonimmigrant status. In certain situations, you may use this form to apply for an initial nonimmigrant status. You may also use this form if you are a nonimmigrant F-1, or M-1 student applying for reinstatement.

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, if you are all now in the same status or they are all in derivative status. 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, or change of status before your current authorized stay expires. We suggest you file at least 45 days before your stay expires, or as soon as you determine your need to change status. Failure to file before the expiration date may be excused if you demonstrate when you file the application that: 1. The delay was due to extraordinary circumstances beyond your control; 2. The length of the delay was reasonable; 3. You have not otherwise violated your status; 4. You are still a bona fide nonimmigrant; and 5. You are not in removal proceedings.

1. An A, Ambassador, Public Minister, or Career Diplomatic or Consular Officer and their immediate family members
You must submit a copy, front and back, of the Form I-94 of each person included in the application and a Form I-566, Interagency Record of Individual Requesting Change, Adjustment to, or from, A to G Status; or Requesting A, G or NATO Dependent Employment Authorization, certified by the U.S. Department of State to indicate your accredited status. NOTE: An A-1 or A-2 nonimmigrant is not required to pay a fee with the Form I-539 application.

2. An A-3, Attendant or Servant of an A Nonimmigrant and the A-3's immediate family members
You must submit a copy, front and back, of Form I-94 of each person included in the application. The application must be filed with: A. A copy of your employer's Form I-94 or approval notice demonstrating A status; B. 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; and
Form I-539 Instructions (Rev. 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, except as noted in these instructions under the heading, "Who May Not File This Form I-539."

C. An original Form I-566, certified by the U.S. Department of State, indicating your employer's continuing accredited status.

5. An F-1, Academic Student
To request a change to F-1 status or to apply for reinstatement as an F-1 student, you must submit your original Form I-94, as well as the original Form I-94 of each person included in the application. Your application must include your original Form I-20 (Certificate of Eligibility for Nonimmigrant Student) issued by the school where you will study. To request either a change or reinstatement, you must submit documentation that demonstrates your ability to pay for your studies, and support yourself while you are in the United States. F-1 Extensions Do not use this form to request an extension. For information concerning extensions, contact your designated school official at your institution. F-1 Reinstatement You will only be considered for reinstatement as an F-1 student if you establish: A. That the violation of status was due solely to circumstances beyond your control or that failure to reinstate you would result in extreme hardship; B. You are pursuing or will pursue a full course of study; C. You have not been employed without authorization; and D. You are not in removal proceedings.

3. A B-1, Visitor for Business or B-2, Visitor for Pleasure
If you are filing for an extension/change, you must file your application with the original Form I-94 of each person included in your application. In addition, you must submit a written statement explaining in detail: A. The reasons for your request; B. Why your extended stay would be temporary, including what arrangements you have made to depart from the United States; and C. Any effect the extended stay may have on your foreign employment or residency. If you are applying for an extension/change of B-1, Visitor for pleasure, you must designate your desired status using the following classification in Part 2.1.b of Form I-539: A. B-1A, non-immigrant who is the personal or domestic servant of a nonimmigrant employer; B. B-1B, nonimmigrant domestic servant of a U.S. citizen; C. B-1C, non-immigrant who is employed by a foreign airline; D. B-1D, non-immigrant who is a missionary; E. B-1, all other visa classifications not designated above.

4. Dependents of an E, Treaty Trader or Investor, or Australian Specialty Occupation Worker
If you are filing for an extension/change of status as the dependent of an E, this application must be submitted with: A. Form I-129, Petition for Alien Worker, filed for that E or a copy of the filing receipt noting that the petition is pending with USCIS; 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; and C. Evidence of relationship (example: birth or marriage certificate). NOTE: An employer or investor should file Form I-129 to request an extension/change to E status for an employee, prospective employee, or the investor. Dependents of E employees should file for an extension/change of status on this form, not Form I-129.

6. A G, Designated Principal Resident Representative of a Foreign Government and his or her immediate family members
You must submit a copy, front and back, of Form I-94 for each person included in the application, and a Form I-566, certified by the U.S. Department of State to indicate your accredited status. NOTE: A G-1 through G-4 nonimmigrant is not required to pay a fee with the I-539 application. The application must also be filed with: A. A copy of your employer's Form I-94 or approval notice demonstrating G status; B. 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; and
Form I-539 Instructions (Rev. 12/31/07) Y Page 2

7. Dependents of an H, Temporary Worker
If you are filing for an extension/change of status as the dependent of an employee who is an H temporary worker, this application must be submitted with: A. Form I-129 filed for that employee or a copy of the filing receipt noting that the petition is pending with USCIS; B. 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; and C. 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. Dependents of such employees should file for an extension/change of status on this form, not on Form I-129.

If a J-1 exchange visitor is subject to the foreign residence requirement, the J-2 dependant is also subject as a derivative to this requirement. If the J-1 exchange visitor obtains a waiver of the foreign residence requirement, the J-2 dependant is also exempt from the requirement. Under certain limited circumstances, a J-2 dependant may be independently eligible for 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, who is currently maintaining another nonimmigrant visa status, continues to be subject to the foreign residence requirement. As noted above, 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. If you are a current or former J nonimmigrant, you must provide information about this status, including the dates you maintained status as a J-1 exchange visitor or a J-2 dependant. Willful failure to disclose this information (or other relevant information) can result in your application being denied. Please provide proof of this status along with your application, such as a copy of Form DS-2019, Certificate of Eligibility for Exchange Visitor Status, or a copy of your passport that includes the J visa stamp.

8. A J-1, Exchange Visitor
If you are requesting a change of status to J-1 nonimmigrant classification, your application must be filed with an original DS-2019, Certificate of Eligibility for Exchange Visitor Status. You must also submit your original Form I-94, as well as the original Form I-94 for each person included in the application. J-1 Extensions If you are a J-1 exchange visitor seeking an extension of nonimmigrant status, contact the responsible officer of your program for information about this procedure. J-1 Reinstatement If you are a J-1 exchange visitor seeking reinstatement, you may need to apply to the U.S. Department of State's Office of Education and Cultural Affairs for such approval. Contract the responsible officer at your sponsoring program for information on the restatement filing procedure.

9. Dependents of an L, Intracompany Transferee
If you are filing for an extension/change of status as the dependent of an employee who is an L intracompany transferee, this application must be submitted with: A. The Form I-129 filed for that employee, or a copy of the filing receipt noting that the petition is pending with USCIS; B. 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; and C. Evidence of relationship (example: birth or marriage certificate). NOTE: An employer should file Form I-129 to request an extension/change to L status for an employee or prospective employee. Dependents of such employees should file for an extension/change of status on this form, 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, and who has not received the appropriate waiver, is ineligible for change of status except to a nonimmigrant T or U visa. In addition, a J-1 exchange visitor who is subject to the foreign residence requirement, and who has not received a waiver of that requirement, is only eligible for a change of status to a nonimmigrant A, G, T, or U visa.

Form I-539 Instructions (Rev. 12/31/07) Y Page 3

10. An M-1, Vocational or Non-Academic Student
To request a change to or extension of M-1 status, or apply for reinstatement as an M-1 student, you must submit your original Form I-94, as well as the original Form I-94 of each person included in the application. M-1 Reinstatement A. The violation of status was due solely to circumstances beyond your control or that failure to reinstate you would result in extreme hardship; B. You are pursuing or will pursue a full course of study; C. You have not been employed without authorization; and D. You are not in removal proceedings. NOTE: If you are an M-1 student, you are not eligible for a change to F-1 status, 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. Also, you may not be granted a change to M-1 status for training to qualify for H status. B. 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; and C. Evidence of relationship (example: birth or marriage certificate).

13. 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). The dependents (spouse or unmarried minor children) of a TN nonimmigrant are designated as TD nonimmigrants. A TD nonimmigrant may accompany or follow to join the TN professional. TD nonimmigrants may not work in the United States. 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. If you are filing for an extension/change of status as the dependent of an employee who is classified as a TN nonimmigrant, this application must be submitted with: A. Form I-129 filed for that employee or a copy of the filing receipt noting that the petition is pending with USCIS; B. 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; and C. Evidence of relationship (example: birth or marriage certificate).

11. Dependents of a P, Artists, 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, this application must be submitted with: A. The Form I-129 filed for that employee or a copy of the filing receipt noting that the petition is pending with USCIS; B. 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; and C. Evidence of relationship (example: birth or marriage certificate). NOTE: An employer should file Form I-129 to request an extension/change to P status for an employee or prospective employee. Dependents of such employees should file for an extension/change of status on this form, not on Form I-129.

14. A V, 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, or to request an extension of your current V nonimmigrant status. Applicants should follow the instructions on this form and the attached instructions to Supplement A to Form I-539, Filing Instructions for V Nonimmigrants. The supplement contains additional information and the location where V applicants must file their applications.

12. Dependents of an R, 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, this application must be submitted with: A. The Form I-129 filed for that employee or a copy of the filing receipt noting that the petition is pending with USCIS;

Form I-539 Instructions (Rev. 12/31/07) Y Page 4

NOTE: In addition to the $300 application fee required to file Form I-539, V applicants are required to pay a $80 biometric services fee for USCIS to take their fingerprints. If necessary, USCIS may also take the V applicant's photograph and signature as part of the biometric services.

1. An alien in transit (C) or in transit without a visa (TWOV); 2. A crewman (D); or 3. A fiance'(e) or dependent of a fiance'(e) (K)(1) or (K)(2). A spouse (K-3) of a U.S. citizen and their children (K-4), accorded such status pursuant to the LIFE Act, may not change to another nonimmigrant status. EXCEPTION: A K-3 and K-4 are eligible to apply for an extension of status. 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. NOTE: Any nonimmigrant (A to V) may not change their status to K-3 or K-4.

Notice to V Nonimmigrants
The Legal Immigration Family Equity Act (LIFE), signed into law on December 21, 2000, created a new V visa. 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. You must be the spouse or the unmarried child of a lawful permanent resident; B. A Form I-130, Petition for Alien Relative, must have been filed for you by your permanent resident spouse on or before December 21, 2000; and C. You must have been waiting for at least three years after Form I-130 was filed for you; Or you must be the unmarried child (under 21 years of age) of a person who meets the three requirements listed above. V visa holders will be eligible to adjust to lawful permanent resident status once an immigrant visa becomes available to them. While they are waiting, V visa holders may be authorized to work following their submission and USCIS approval of their Form I-765, Application for Employment Authorization. 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. Their departure may prevent them from adjusting status as a permanent resident.

General Instructions
Step 1. Fill Out Form I-539
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
Required Documentation - Form I-94, Nonimmigrant Arrival/ Departure Record. You are required to submit with your Form I-539 application the original or copy, front and back, of Form I-94 of each person included in your application. If the original Form I-94 or required copy cannot be submitted with this application, include a Form I-102, Application for Replacement/Initial Nonimmigrant Arrival/ Departure Document, with the required fee. Valid Passport. If you were required to have a passport to be admitted into the United States, you must maintain the validity of your passport during your nonimmigrant stay. If a required passport is not valid when you file Form I-539 application, submit an explanation with your form. Additional Evidence. You may be required to submit additional evidence noted in these instructions.

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. 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, and by the translator's certification that he or she is competent to translate from the foreign language into English.
Form I-539 Instructions (Rev. 12/31/07) Y Page 5

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?
1. With some exceptions, Form I-539 is generally filed with the California Service Center or the Vermont Service Center. California Service Center fillings cover the following states: Alaska, Arizona, California, Colorado, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin, or Wyoming. The mailing address is: USCIS California Service Center P.O. Box 10539 Laguna Niguel, CA 92607-1053 Vermont Service Center filings cover the following states: Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Mississippi, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, U.S. Virgin Islands, West Virginia, and the District of Columbia. The address for Vermont Service Center filings is: USCIS Vermont Service Center ATTN: I-539 75 Lower Welden Street St. Albans, VT 05479 2. Applicants for change of status to E-1, E-2, E-3, H-4, L-2, O-3, or P-4 as the dependent spouse or child or for an E-1, E-2, E-3, H-4, L-2, O-3, P-4, or TD extension, as the dependent spouse or child. A. 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, Petition for Nonimmigrant Worker, (which includes a request for change of status or extension of stay), send the entire Form I-129/I-539 package to the Vermont Service Center or the California Service Center, depending on the State where the principal is or will be employed temporarily.

B. 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, 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. C. 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, file Form I-539 with the Service Center which approved the principal's I-129 petition. Include a copy of the Form I-129 approval notice to show the approved Form I-129 location. D. 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, depending on the State in which the educational institution you attend or plan to attend is located. E. 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, depending on the State where you live. 3. Exceptions A. R-2 Religious Worker Dependents: File Form I-539 with the California Service Center, regardless of where the principal is/will be employed. B. H-1 C Nurses dependents: File Form I-539 with the California Service Center, regardless of where the principal is/will be employed. C. TD dependents of TN principals (Free TradeCanada and Mexico), H-4 dependents of H-1B1 principals (Free Trade-Singapore and Chile), and E-3 dependents of E-3 principals (Free TradeAustralia): File Form I-539 with the Vermont Service Center, regardless of where the principal is/will be employed. D. Dependents of Major League Sports Athletes or Support Personnel:

Form I-539 Instructions (Rev. 12/31/07) Y Page 6

File with the Vermont Service Center. This covers major league athletes, minor league sports, and any affiliates associated with the major leagues in baseball, hockey, soccer, basketball, and football. Support personnel includes: coaches, trainers, broadcasters, referees, linesmen, umpires, and interpreters. E. A, G and NATO: 1. For change of status requests to A, G, or NATO classification for employment with an embassy, international organization, or NATO, mail Form I-539 through your embassy, international organization, or NATO to: U.S. Department of State, Office of Protocol, 3507 International Place, N.W., Suite 242, Washington, DC 20008. 2. 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, mail Form I-539 through the foreign government's mission or the UN Secretariat to: U.S. Mission to the United Nations, 799 United Nations Plaza, New York, NY 10017. 3. 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, mail Form I-539 to: NATO/HQ SACT Legal Affairs, 7857 Blandy Road, Suite 100, Norfolk, VA 23551. 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, please submit Form I-539 to your embassy for proper filing through official diplomatic channels. 4. For a change of status from A, G, or NATO classifications to another nonimmigrant classification, file Form I-539 with USCIS Service Center designated to handle the new nonimmigrant classification sought. You must submit with Form I-539 an endorsement by the U.S. Department of State Visa Office, or a USUN official at Part 7 on the Form I-566 (interagency Record of Request-A, G, or NATO Dependent Employment Authorization or Change/Adjustment to Extend/Change Nonimmigrant Status). 5. For extensions of stay for A-3, G-5, or NATO-7 nonimmigrants, submit your application through your embassy or international organization, or NATO command for proper filing through official diplomatic channels.

F. V Nonimmigrants Follow the filing instructions on Form I-539, Supplement A, Filing Instructions for V Nonimmigrants. G. 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. If you are filing Form I-539 more than 30 days after the latest edition date shown in the lower right-hand corner, visit us online at www.uscis.gov before you file, and check the Immigration Forms page to confirm the correct filing address and version currently in use. Check the edition date located in the lower right-hand corner of the form. If the edition date on your Form I-539 matches the edition date listed for Form I-539 on the online forms page, your version is current and will be accepted by USCIS. If the edition date on the online version is later, download a copy and use the online version. If you do not have Internet access, call Customer Service at 1-800-375-5283 to verify the current filing address and edition date. H. Note on E-Filing If you are e-filing this application, it will automatically be routed to the appropriate Service Center, and you will receive a receipt indicating the location to which it was routed. This location may not necessarily be the same center shown in the filing addresses listed above. For e-filed applications, it is very important to review your filing receipt and make specific note of the receiving location. All further communication, including submission of supporting documents, should be directed to the receiving location indicated on your e-filing receipt.

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, as noted in these instructions. An additional biometric fee of $80 is required when filing this Form I-539 for V nonimmigrant status. After you submit Form I-539, USCIS will notify you about when and where to go for biometric services. If biometric services are required, you may submit one check or money order for both the application and biometric fees, for a total of $380.
Form I-539 Instructions (Rev. 12/31/07) Y Page 7

Use the following guidelines when you prepare your check or money order for the Form I-539 and the biometric service fee, if applicable: 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 of 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," and 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-539 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.

Address Changes
If you change your address and you have an application or petition pending with USCIS, you may change your address online at www.uscis.gov, click on "Change your address with USCIS" and follow the prompts. Or you may complete and mail 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

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. You may correct the deficiency and resubmit the Form I-539. An application or petition is not considered properly filed until accepted by USCIS.

Initial processing. Once a Form I-539 has been accepted, 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-539. 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-539 involves a determination of whether you have established eligiblity for the requested benefit. You will be notified of the decision in writing.

USCIS Forms and Information
To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www.uscis. gov.
Form I-539 Instructions (Rev. 12/31/07) Y Page 8

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. 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.

Penalties
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-539, we will deny Form I-539 and may deny any other immigration benefit. In addition, 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, and associated evidence, 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, as amended. 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 Form I-539.

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. The public reporting burden for this collection of information is estimated at 45 minutes per response, including the time for reviewing instructions, completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0003. Do not mail your application to this address.

Form I-539 Instructions (Rev. 12/31/07) Y Page 9

OMB No. 1615-0003; Expires 12/31/08 Department of Homeland Security U.S. Citizenship and Immigration Services

I-539, Application to Extend/ Change Nonimmigrant Status
For USCIS Use Only
Returned

START HERE - Please type or print in black ink.

Part 1.

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. #
Date

State

Zip Code

Daytime Phone #
Reloc Sent

Country of Citizenship U. S. 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.S. Current Nonimmigrant Status

Part 2. Application type (See instructions for fee.)
1. I am applying for: (Check one.) a. An extension of stay in my current status. b. A change of status. The new status I am requesting is: c. Reinstatement to student status 2. Number of people included in this application: (Check one.) a. I am the only applicant. Members of my family are filing this application with me. b. The total number of people (including me) in the application is: (Complete the supplement for each co-applicant.)

Part 3. Processing information
1. I/We request that my/our current or requested status be extended until (mm/dd/yyyy): 2. Is this application based on an extension or change of status already granted to your spouse, child, or parent? No Yes. USCIS Receipt # 3. Is this application based on a separate petition or application to give your spouse, child, or parent an extension or change of status? No Yes, filed with this I-539. Yes, filed previously and pending with USCIS. Receipt #: 4. If you answered "Yes" to Question 3, give the name of the petitioner or applicant: If the petition or application is pending with USCIS, 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. Additional information
1. For applicant #1, provide passport information: Country of Issuance 2. Foreign Address: Street Number and Name City or Town Country Valid to: (mm/dd/yyyy) Apt. # State or Province Zip/Postal Code

To Be Completed by Attorney or Representative, if any Fill in box if G-28 is attached to represent the applicant.

ATTY State License #
Form I-539 (Rev. 12/31/07)Y

3. Answer the following questions. If you answer "Yes" to any question, please describe the circumstances in detail and explain on a separate sheet(s) of paper. Yes
a. b. c.

No

Are you, or any other person included on the application, 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, Application to Register Permanent Residence or Adjust Status, ever been filed by you or by any other person included in this application?

d. 1. Have you or any other person, included in this application, ever been arrested or convicted of any criminal

offense since last entering the United States? d. 2. Have you EVER ordered, incited, called for, commited, assisted, helped with, 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. 3. Have you EVER:

(a) Served in, been a member of, assisted in, or participated in any military unit, paramilitary unit, police unit, self-defense unit, vigilante unit, rebel group, guerrilla group, militia, or insurgent organization? (b) Served in any prison, jail, prison camp, detention facility, labor camp, or any other situation that involved detaining persons?
d. 4. Have you EVER been a member of, assisted in, or participated in any group, unit, 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. 5. Have you EVER assisted or participated in selling or providing weapons to any person who to your

knowledge used them against another person, or in transporting weapons to any person who to your knowledge used them against another person?
d. 6. Have you EVER received any type of military, paramilitary, or weapons training? e. f. g.

Have you, or any other person included in this application, done anything that violated the terms of the nonimmigrant status you now hold? Are you, or any other person included in this application, now in removal proceedings? Have you, or any other person included in this application, been employed in the United States since last admitted or granted an extension or change of status?
1. If you answered "Yes" to Question 3f, give the following information concerning the removal proceedings on the attached

page entitled "Part 4. Additional information. Page for answers to 3f and 3g." Include the name of the person in removal proceedings and information on jurisdiction, date proceedings began, and status of proceedings.
2. If you answered "No" to Question 3g, fully describe how you are supporting yourself on the attached page entitled "Part 4.

Additional information. Page for answers to 3f and 3g." Include the source, amount, and basis for any income.
3. If you answered "Yes" to Question 3g, fully describe the employment on the attached page entitled "Part 4. Additional

information. Page for answers to 3f and 3g." Include the name of the person employed, name and address of the employer, weekly income, and whether the employment was specifically authorized by USCIS.

Form I-539 (Rev. 12/31/07)Y Page 2

Yes
h.

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, you must provide the dates you maintained status as a J-1 exchange visitor or J-2 dependent. Willful failure to disclose this information (or other relevant information) can result in your application being denied. Also, please provide proof of your J-1 or J-2 status, such as a copy of Form DS-2019, Certificate of Eligibility for Exchange Visitor Status, or a copy of your passport that includes the J visa stamp.

Part 5. Applicant's Statement and Signature (Read the information on penalties in the instructions before completing this
section. You must file this application while in the United States). Applicant's Statement (Check One): I can read and understand English, and have read and understand each and every question and instruction on this form, as well as my answer to each question. Each and every question and instruction on this form, as well as my answer to each question, has been read to me by the person named below in , a language in which I am fluent. I understand each and every question and instruction on this form, as well as my answer to each question.

Applicant's Signature I certify, under penalty of perjury under the laws of the United States of America, that this application and the evidence submitted with it is all true and correct. I authorize the release of any information from my records that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking. 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, you may not be found eligible for the requested benefit and this application may be denied.

Part 6. Interpreter's Statement
Language used: I certify that I am fluent in English and the above-mentioned language. I further certify that I have read each and every question and instruction on this form, as well as the answer to each question, to this applicant in the above-mentioned language, and the applicant has understood each and every instruction and question on the form, as well as the answer to each question. 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. 12/31/07)Y Page 3

Part 7. Signature of Person Preparing Form, 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.

Part 4. (Continued) Additional information. Page for answers to 3f and 3g.
If you answered "Yes" to Question 3f in Part 4 on Page 3 of this form, give the following information concerning the removal proceedings. Include the name of the person in removal proceedings and information on jurisdiction, date proceedings began, and status of proceedings.

If you answered "No" to Question 3g in Part 4 on Page 3 of this form, fully describe how you are supporting yourself. Include the source, amount and basis for any income.

If you answered "Yes" to Question 3g in Part 4 on Page 3 of this form, fully describe the employment. Include the name of the person employed, name and address of the employer, weekly income, and whether the employment was specifically authorized by USCIS.

Form I-539 (Rev. 12/31/07)Y Page 4

Supplement -1
Attach to Form I-539 when more than one person is included in the petition or application. (List each person separately. Do not include the person named in the Form I-539.)
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.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.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.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.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.S. Social Security # (if any) I-94 # Expires on (mm/dd/yyyy)

Expiration Date (mm/dd/yyyy)

If you need additional space, attach a separate sheet(s) of paper. Place your name, A #, if any, date of birth, form number, and application date at the top of the sheet(s) of paper.
Form I-539 (Rev. 12/31/07)Y Page 5

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

Instructions for I-600, Petition to Classify Orphan as an Immediate Relative
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. D. Proxy adoption abroad. 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, the petitioner (and spouse, if married) must submit a statement indicating the petitioner's (and, if married, the spouse's) willingness and intent to readopt the child in the United States. If requested by USCIS, 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, evidence of compliance with the preadoption requirements, if any, of that State must be submitted. E. Preadoption requirements. If the orphan has not been adopted abroad, the petitioner and spouse or the unmarried petitioner must establish that: 1. The child will be adopted in the United States by the petitioner and spouse jointly or by the unmarried petitioner, and that 2. The preadoption requirements, if any, of the State of the orphan's proposed residence have been met.

What Is the Purpose of This Form?
To classify an alien orphan who either is, or will be, adopted by a U.S. citizen as an immediate relative of the U.S. citizen to allow the child to enter the U.S. The petition is filed by the U.S. citizen who is adopting the child.

Who May File This Form I-600?
1. Eligibility. A. Child. Under 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. 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. A petition to classify an alien as an orphan may not be filed on behalf of a child 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. Parent(s). The petition may be filed by a married U.S. citizen and spouse or unmarried U.S. citizen at least 25 years of age. The spouse does not need to be a U.S. citizen, but must be in lawful immigration status. C. Adoption abroad. If the orphan was adopted abroad, 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. 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.

2. Filing Petition for Known Child.
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 the petitioner is married, the Form I-600 must also be signed by the petitioner's spouse. The petition must be accompanied by the following: A. Proof of U.S. citizenship of the petitioner. 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
Form I-600 Instructions (Rev. 07/30/07) Y

occurred within two months after birth and showing the date and place of the petitioner'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, the petitioner's birth date 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 petitioner listed; 4. Affidavits. If a required document cannot be obtained, you must submit either an original written statement from the governmental agency that should have the record, 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. 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. Each affidavit must contain the affiant's full name, address, date and place of birth, and signature. The affidavit must also explain the affiant's relationship to you, full information concerning event and complete details of how the affiant acquired the information. 5. An unexpired U.S. passport, initially issued for ten years may also be submitted as proof of U.S. Citizenship. If the petitioner was born outside the United States, submit a copy of one of the following: 1. Certificate of Naturalization or Certificate of Citizenship issued by the U.S. Citizenship and Immigration Services (USCIS) or 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 petitioner's spouse, if applicable, must be submitted. If the spouse is not a U.S. citizen, proof of the spouse's 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. B. Proof of marriage of petitioner and spouse. 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. In the case of an unmarried petitioner who was previously married, submit proof of termination of all prior marriages. NOTE: If any change occurs in the petitioner's marital status while the case is pending, immediately notify the USCIS office where the petition was filed. C. Proof of age of orphan. The petitioner should submit a copy of the orphan's birth certificate if obtainable; if not obtainable, submit an explanation together with the best available evidence of birth. D. Copies of the death certificate(s) of the child's parent (s) if applicable. E. A certified copy of adoption decree together with certified translation, if the orphan has been lawfully adopted abroad. F. 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, if the orphan has only one parent. G. Evidence that the orphan has been unconditionally abandoned to an orphanage, if the orphan has been placed in an orphanage by his or her parent or parents. H. Evidence that the preadoption requirements, if any of the state of the orphan's proposed residence have been met, if the child is to be adopted in the United States.

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

If is not possible to submit this evidence upon initial filing of the petition under the laws of the State of proposed residence, it may be submitted later. The petition, however, will not be approved without it. I. Home Study. 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. In the case of a child adopted abroad, 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. 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, including the required personal interviews. If the recommending entity is licensed, the recommendation must state that it is licensed, where it is licensed, its license number, if any, and the period of validity of the license. However, the research, including the interview and the preparation of the home study, may be done by an individual or group in the United States or abroad that is satisfactory to the recommending entity. 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. 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. An explanation regarding any history of abuse or violence or any complaints, charges, citations, arrests, convictions, prison terms, 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.

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. However, failure to disclose such information may result in denial of this application and/or any subsequent petition for an orphan. 2. An assessment of the financial ability of the petitioner and petitioner's spouse, if applicable. 3. A detailed description of the living accommodations where the petitioner and petitioner's spouse currently reside(s). 4. If the petitioner and petitioner's spouse are residing abroad at the time of the home study, a description of the living accommodations where the child will reside in the United States with the petitioner and petitioner's spouse, if known. 5. An assessment of the physical, mental and emotional capabilities of the petitioner and petitioner's spouse in relation to rearing and educating the child.

Filing Petition for Known Child Without Full Documentation on Child or Home Study.
When a child has been identified but the documentary evidence relating to the child or the home study is not yet available, an orphan petition may be filed without that evidence or home study. The evidence outlined in Instructions 2A and 2B (Proof of U.S. citizenship of the petitioner and Documentation of marriage of petitioner and spouse), however, must be submitted. 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 petition will be considered abandoned and the fee will not be refunded. Any further proceeding will require the filing of a new petition.

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.

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

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.

What Is the Filing Fee?
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. 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. For example, if a petition is filed by a married people residing in the United States with one additional adult member in their household, the total fee that must be submitted would be $910.00 ($670.00 for the petition and $240.00 for biometric services for fingerprinting the three adults). NOTE: If the prospective adoptive parents and any other adult members of the household reside abroad at the time of filing, they are exempt from paying the USCIS biometric services fee. However, they may have to pay the fingerprinting fee charged by the U.S. consular office or military installation. When more than one petition is submitted by the same petitioner on behalf of orphans who are siblings, only one Form I-600 petition and fee for biometric services is required, unless re-fingerprinting is ordered. If the orphans are not siblings, a separate filing fee must be submitted for each additional Form I-600 petition. The fee will not be refunded, whether the petition is approved or not. Do not mail cash. All checks or money orders, whether U.S. or foreign, must be payable in U.S. currency at a financial institution in the United States. When a check is drawn on the account of a person other than yourself, write your name on the face of the check. If the check is not honored, USCIS will charge you $30.00. Pay by check or money order in the exact amount. Make the check or money order payable to the Department of Homeland Security, unless: A. You live in Guam, make the check or money order payable to the "Treasurer, Guam" or ; B. You live in the U.S. Virgin Islands, make your check or money order payable to the "Commissioner of Finance of the Virgin Islands."

General Instructions.
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.

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. A petitioner residing outside the United States should consult the nearest American embassy or consulate designated to act on the petition.

Biometrics Services.
As part of the USCIS biometric services requirements, the following persons must be fingerprinted in connection with this petition: 1. The petitioner and petitioner's spouse, if applicable, and 2. Each additional adult member the petitioner's household, 18 years of age or older. NOTE: Submit a copy of the birth certificate of each household member over 18. If necessary, USCIS may also take a photograph and signature of those named above 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 the petition. Petitioners residing abroad. Completed fingerprint cards (Forms FD-258) must be submitted with the petition. Do not, bend, fold or crease completed fingerprint cards. Fingerprint cards must be prepared by a U.S. embassy or consulate, USCIS office or military installation.

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

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. 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" and 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-600 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.

If unmarried, the prospective petitioner must be at least 24 years of age, 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. The request must be on Form I-600A, Application for Advance Processing of Orphan Petition, and accompanied by the evidence requested on that form. After a child or children are located and/or identified, a separate Form I-600 must be filed for each child. If only one Form I-600 is filed, a new fee is not required, 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.

When Child/Children Are Located and/or Identified.
A separate Form I-600, Petition to Classify Orphan as an Immediate Relative, must be filed for each child. Generally, Form I-600 should be submitted at the USCIS office where the advance processing application was filed. If a prospective petitioner goes abroad to adopt or locate a child in one of the countries noted below, 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, unless the case is retained at the stateside office. USCIS has offices in the following countries: Austria, China, Cuba, the Dominican Republic, El Salvador, Germany, Ghana, Great Britain, Greece, Guatemala, Haiti Honduras, India, Italy, Jamaica, Kenya, Korea, Mexico, Pakistan, Panama, Peru, the Philippines, Russia, South Africa, Thailand and Vietnam. 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, unless the case is retained at the Stateside office. Any Form I-600 that is not signed or accompanied by the correct fee, will be rejected with a notice that the Form I-600 is deficient. You may correct the deficiency and resubmit the Form I-600. An application or petition I-600 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, 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

Processing Information.
Submitting Advance Processing Application for Orphan Child Not Yet Identified.
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.

Initial processing. Once a Form I-600 has been accepted, it
will be checked for completness, 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-600.

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

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-600 involves a determination of whether you have established eligiblity for the requested benefit. You will be notified of the decision in writing.

Penalties.
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-600, we will deny the Form I-600 and may deny any other immigration benefit. In addition, 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, and associated evidence, 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, as amended. 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 Form I-600.

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. The public reporting burden for this collection of information is estimated at 30 minutes per response, including the time for reviewing instructions, completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0028. Do not mail your application to this address.

Form I-600 Instructions (Rev. 07/30/07) Y Page 6

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

I-600, Petition to Classify Orphan as an Immediate Relative
(For USCIS Use Only.)
Fee Stamp

Do not write in this block.
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. for adoption. Preadoption requirements have been met. File number

Remarks:

DATE OF ACTION DD DISTRICT

Type or print legibly in black ink. Complete a separate petition for each child.
Petition is being made to classify the named orphan as an immediate relative

Block I - Information about petitioner.
1. My name is: (Last) (First) (Middle)

8. If you are now married, give the following information: Date and place of present marriage (mm/dd/yyyy) Name of present spouse (include maiden name of wife) (Apt. No.) 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. Other names used (including maiden name if appropriate): 3. I reside in the U.S. at: (Number and Street) (C/O if appropriate) (Town or City)

(State) (Zip Code) (Apt. No.) (Country)

4. Address Abroad (if any): (Number and Street) (Town or city) (Province)

(Apt. No.) (No. and Street)

5. I was born on: (mm/dd/yyyy) In: (Town or City) (State or Province) (Country)

9. I am a citizen of the United States through: Birth Parents Naturalization If acquired through naturalization, give name under which naturalized, number of naturalization certificate, and date and place of naturalization:

6. My telephone number is: (Include Area Code) 7. My marital status is: Married Widowed Divorced Single I have never been married. I have been previously married Received Trans. In Ret'd Trans. Out time(s). Completed

If not, submit evidence of citizenship. See Instruction 2.a(2). If acquired through parentage, 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.S. citizenship? No Yes (If Yes, attach detailed explanation.)

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

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

The written request must explicitly request a one-time, nocharge extension to the current I-600A approval. You must submit an amended/updated home study and any other supporting documentation of any changes in the household. The home study amendment/update must address each issue under 204.3(e) and indicate whether anything has changed on any item. The home study must also address any changes to the I-600A answers and must say whether approval is still recommended.

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 for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as amended. 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 Form I-600A.

Requesting a change of country. If you had USCIS send the approval notice for your Form I-600A to the Department of State office in a particular country, but now wish to adopt a child from a different country, you may make one request, without fee, to have a new approval notice sent to the Department of State office in the new country. You must submit a written request to the USCIS office that adjudicated the initial I-600A. 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, and that also addresses any other changes since your Form I-600A was approved.
If you have received one free change of country, then you must submit a properly completed Form I-824, Application for Action on Approved Petitioner or Application, with the fee specified in 8 CFR 103.7(b), to obtain any additional change of country

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. The public reporting burden for this collection of information is estimated at 30 minutes per response, including the time for reviewing instructions, completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0028. Do not mail your application to this address.

USCIS Forms and Information.
To order USCIS forms, call our toll-free number at 1-800870-3676. You can also get USCIS forms and information on immigration laws, regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www.uscis.gov. As an altenative 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. 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.

Penalties.
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-600A, we will deny the Form I-600A and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.
Form I-600A Instructions (Rev. 07/30/07)Y Page 6

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

I-600A, Application for Advance Processing of Orphan Petition
For USCIS Use Only.
Unmarried Fee Stamp

Do not write in this block.
It has been determined that the: Married

prospective adoptive parent will furnish proper care to a beneficiary orphan if admitted to the United States. There: are are not preadoptive requirements in the State of the child's proposed residence. The following is a description of the preadoption requirements, if any, of the State of the child's proposed residence: DATE OF FAVORABLE DETERMINATION DD DISTRICT The preadoption requirements, if any,: have been met. File number of applicant, if applicable. have not been met.

Please type or print legibly in black ink.
This application is made by the named prospective adoptive parent for advance processing of an orphan petition.

BLOCK I - Information about the prospective adoptive parent. 8. If you are now married, give the following information:
1. 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. No.) With me Apart from me (provide address below) (City) (State) (Country)

2. Other names used (including maiden name if appropriate): 3. I reside in the U.S. at: (Number and Street) 4. Address abroad (If any): (Town or City) (C/O if appropriate) (Town or City) (State) (Apt. No.) (Zip Code) (Apt. No.) (Country)

(Number and Street) (Province)

(No. and Street)

5. I was born on: (mm/dd/yyyy) In: (Town or City) (State or Province) (Include Area Code) (Country)

9. I am a citizen of the United States through: Birth Parents Naturalization If acquired through naturalization, give name under which naturalized, number of naturalization certificate, and date and place of naturalization.

6. My telephone number is:

7. My marital status is: Married Widowed Divorced Single I have never been married. I have been previously married ___________ time(s). Received Trans. In Ret'd Trans. Out Completed

If not, submit evidence of citizenship. See Instruction 2.a(2). If acquired through parentage, 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, attach detailed explanation.)

Form I-600A (Rev. 07-30-07) Y

BLOCK II - General information.
10. Name and address of organization or individual assisting you in locating or identifying an orphan (Name) (Address) 11. Do you plan to travel abroad to locate or adopt a child? Yes No 12. Does your spouse, if any, plan to travel abroad to locate or adopt a child? Yes No 13. If the answer to Question 11 or 12 is "Yes," give the following information: a. Your date of intended departure b. Your spouse's date of intended departure c. City, province 14. Will the child come to the United States for adoption after compliance with the preadoption requirements, if any, of the State of proposed residence? No Yes 15. If the answer to Question 14 is "No," will the child be adopted abroad after having been personally seen and observed by you and your spouse, if married? Yes No 16. Where do you wish to file your orphan petition? The USCIS office located at The American Embassy or Consulate at 17. Do you plan to adopt more than one child? No Yes If "Yes," 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, that the foregoing is true and correct and that I will care for an orphan/orphans properly if admitted to the United States.

Certification of married prospective adoptive parent 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/orphans properly if admitted to the United States.

(Signature of Prospective Adoptive Parent) Executed on (Date)

(Signature of Prospective Adoptive Parent Spouse) 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-600A (Rev. 07/30/07)Y Page 2

OMB No. 1615-0029; Expires 02/28/09 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for I-601, Application for Waiver of Grounds of Inadmissibility
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 section and number of the item to which the answer refers.

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, and certain nonimmigrant applicants who are inadmissible, must file this form to seek a waiver of certain grounds of inadmissibility.

Who May File This Form?
1. An immigrant visa applicant; 2. Any applicant for adjustment of status; 3. A K-1 or K-2 nonimmigrant visa applicant (see Special Instructions); 4. A K-3, K-4, or V nonimmigrant visa applicant; 5. A Temporary Protected Status (TPS) applicant; 6. A Nicaraguan Adjustment and Central American Relief Act (NACARA) applicant; 7. A Haitian Refugee Immigrant Fairness Act (HRIFA) applicant;

I. INA section 212(a)(9)(C)(Unlawfully Present After Previous Immigration Violations) for a VAWA selfpetitioner. If the application is filed to waive a communicable disease of public health significance, and the applicant is incompetent to file, a qualified family member listed in "Specific Filing Instructions, 1. Applicants With Communicable Diseases," may file the waiver application on the applicant's behalf. Note: Except as provided in Title 8, Code of Federal Regulations (CFR), part 204.313(g)(1)(ii) for convention adoption cases, 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, the waiver is valid indefinitely even if you do not obtain your immigrant visa, immigrant admission, or adjustment of status, or if you otherwise lose your legal permanent resident status. 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, the validity of the waiver automatically ceases with the termination of such residence; no separate notification of termination of the waiver is needed, and the termination of the waiver cannot be appealed. However, if the immigration judge determines that you are not removable based on the termination of your conditional resident status, the waiver will become effective again. Also, a waiver granted in relation to a TPS application is only valid for the TPS application.

8. 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. Health-related grounds (INA section 212(a)(1)); B. Certain criminal grounds (INA section 212(a)(2)); C. Immigrant Membership in Totalitarian Party (INA section 212(a)(3)(D)); D. Immigration fraud or misrepresentation (INA section 212(a)(6)(C)) except that a waiver under INA section 212(i) is not available, if you are inadmissible based on a false claim to be a U.S. citizen (INA section 212(a)(6)(C)(ii)), and if you made your false claim on or after September 30, 1996; E. Smugglers (INA section 212(a)(6)(E)) and Being Subject of Civil Penalty (INA section 212(a)(6)(F)); F. The Three-year or Ten-year bar (INA section 212(a)(9)(B)); G. Certain ground of inadmissibility, if filed by an applicant for TPS; H. INA section 212(a)(9)(A)(Aliens Previously Removed) and (9)(C)(Unlawfully Present After Previous Immigration Violations), if filed by a NACARA or HRIFA adjustment applicant;

General Instructions
Step 1. Fill Out Form I-601
1. When filling out the form, 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. If the answer is not applicable write "N/A." If the answer is none, write "none." 4. Applicant's Signature. Pursuant to 8 CFR 103.2(a)(2), you or the qualified family member filing the application on your behalf must sign this application personally. A parent or legal guardian may also sign the application for someone under the age of 14, and a duly appointed legal guardian may sign for an adult who is incompetent to sign the application. 5. Preparer's Signature. If an individual, other than the applicant, or a qualified family member prepared the application, that individual must sign and date the application and provide the information requested.
Form I-601 Instructions (Rev. 02/28/08)Y

6. Any documentation submitted to the U.S. 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. The translator must certify that he or she is fluent in English and the language contained in the document, and that he or she is competent to translate from the foreign language into English. The translator must furthermore certify that the translation is complete and accurate. 7. The application has to be signed by the applicant and submitted with the required fee. If the application is not properly signed and submitted with the required fee, the application will be returned as incomplete. Please see "Specific Instructions" for additional reasons why the application may be rejected.

- Indicate "Child" in item B.4 (Relationship to Applicant); and - Indicate "Prospective LPR" in item B.5 (Immigration Status). If, upon review of your application, 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.S. citizen who filed the K visa petition, USCIS will conditionally approve the waiver application. The condition imposed on the approval is that you (or your parent) and the U.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. Despite the conditional approval, USCIS may ultimately deny Form I-601 if you (or your parent) do not marry the U.S. 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. Applicants Seeking a Waiver of Health-Related Grounds of Inadmissibility 1. Applicants With Communicable Diseases If you have a communicable disease that has been determined to be of public health significance, you must complete the application and provide the information as requested in the form. Communicable diseases of public health significance are defined in 42 CFR 34.2(b) and include but are not limited to: A. Class A Tuberculosis condition, as per U.S. Department of Health and Human Services (HHS) regulations; B. Human Immunodeficiency Virus (HIV) Infection; C. Chancroid; D. Gonorrhea; E. Granuloma inguinale; F. Lymphogranuloma venerum; G. Syphilis, infectious stage; H. Leprosy, infectious; I. Any other communicable disease as determined by the U.S. Secretary of Health and Human Services and as defined at 42 CFR 34.2(b). The application may be approved if: A. You are the spouse, parent, the unmarried son or daughter, or the minor unmarried lawfully adopted child of a U.S. citizen or of an alien lawfully admitted for permanent residence, or of an alien who has been issued an immigrant visa, or if you are the fiancé(e) of a U.S. citizen or the fiancé(e)'s child; or B. You are a VAWA self-petitioner.
Form I-601 Instructions (Rev. 02/28/08)Y Page 2

Specific Instructions
Note: If this form is approved, the waiver that is granted will apply ONLY for those grounds of inadmissibility and those crimes, incidents, events, or conditions that you have included in your application. For this reason, it is important that you disclose all grounds of inadmissibility for which you seek a waiver. 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, you must enter one of the following in Block B: If you are a fiancé(e) of a U.S. citizen: - Complete items B.1, B.2, B.3, and B.5 with information regarding the U.S. citizen who filed a fiancé(e) petition on your behalf; and - Indicate "Prospective Spouse" in item B.4 (Relationship to Applicant). If you are the child of a fiancé(e) of a U.S. citizen and will be less than 18 years old when your parent marries such person: - Complete items B.1, B.2, B.3, and B.5 with information regarding the U.S. citizen who filed a fiancé(e) petition on your parent's behalf; and - Indicate "Prospective Step-child" in item B.4 (Relationship to Applicant) If you are the child of a fiancé(e) of a U.S. citizen, and will be at least 18 years but less than 21 years old when your parent marries such person: - Complete items B.1, B.2, and B.3 with information regarding your parent who will marry the U.S. citizen who filed a fiancé(e) petition on your parent's behalf; and

For specific information pertaining to applicants with a Class A Tuberculosis condition as per HHS regulations, or HIV, please see number two (2) or three (3) below. 2. 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, page three (3) of this form must be completed. If page three (3) of the application is not completed, the application will be returned to you without further action. 3. Applicants With HIV Infection If you have an HIV infection, page four (4) of this form must be completed. If page four (4) of the application is not completed, the application will be returned to you without further action. 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. In addition, you must establish that no government agency will incur any cost for your treatment without that agency's prior consent. 4. 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, has posed, or will pose a threat to the property, safety, or welfare of you or others, you should file this form, and a waiver may be granted pursuant to INA section 212(g)(3). 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, safety, or welfare or the property, safety, or welfare of others, and if the behavior is likely to recur or to lead to other harmful behavior. In addition to this form, you must submit a complete medical history and a report that addresses the following: A. Your physical or mental disorder, and the behavior associated with the disorder that poses, posed, or may pose in the future a threat to the property, safety, or welfare of you or other individuals. The report should also provide details of any hospitalization, institutional care, or any other treatment you may have received in relation to this physical or mental disorder;

B. Findings regarding your current physical condition, including, if applicable, reports of chest X-rays and a serologic test, if you are 15 years of age or older, and other pertinent diagnostic tests; and C. Findings regarding the current mental or physical condition, including a detailed prognosis that should specify, based on a reasonable degree of medical certainty, the possibility that the harmful behavior is likely to recur or that other harmful behavior associated with the disorder is likely to occur; and D. 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 medical report will be referred to the U.S. Public Health Service for review and, if found acceptable, you will be required to submit such additional assurances as the U.S. Public Health Service may deem necessary in your particular case. 5. 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 should file this form. You should establish with evidence that: A. You are opposed to vaccinations in any form; B. The objection is based on religious belief or moral conviction; and C. The belief or conviction is sincere. Applicants Seeking a Waiver of Certain Criminal Grounds of Inadmissibility and Immigration Fraud or Misrepresentation Pursuant to INA Sections 212(h) and (i) 1. Criminal Grounds If you are found to be inadmissible based on criminal grounds, you may seek a waiver of inadmissibility for the following: A. A crime involving moral turpitude (other than a purely political offense); B. 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; C. Two (2) or more convictions other than purely political ones, for which the aggregate sentences to confinement were five (5) years or more;

Form I-601 Instructions (Rev. 02/28/08)Y Page 3

D. Prostitution; E. Unlawful commercialized vice whether or not related to prostitution; and F. Certain aliens involved in serious criminal activity, who have asserted immunity from prosecution. With the application, you will have to establish that: A. You are inadmissible only because of your participation in prostitution, including having procured others for prostitution or having received the proceeds of prostitution, but that you have been rehabilitated and your admission to the United States will not be contrary to the national welfare, safety, or security of the United States; OR B. At least 15 years have passed since the activity or event that makes you inadmissible, that you have been rehabilitated, and that your admission to the United States or the issuance of the immigrant visa will not be contrary to the national welfare, safety, or security of the United States; OR C. Your qualifying U.S. citizen or legal permanent resident relative (spouse, son, daughter, parent), or K visa petitioner would experience extreme hardship if you were denied admission; OR D. You are an approved VAWA self-petitioner. For information about how you can establish extreme hardship, please see "What Evidence Should Be Submitted With the Application?" (Page six (6)). Note: If you are convicted of a violent or dangerous crime, the waiver may not be approved unless there is an extraordinary circumstance, such as one involving national security or foreign policy consideration, or if the denial of your admission would result in exceptional and extremely unusual hardship. Even if that standard is met, your waiver may still be denied. See 8 CFR 212.7(d). 2. 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)), you may seek a waiver by filing this form. This waiver may be approved if you can establish that: A. Your qualifying U.S. citizen or legal permanent resident relative (spouse, parent), or the K visa petitioner would experience extreme hardship if you were denied admission; OR B. You are a VAWA self-petitioner, and that you, your U.S. citizen or lawful permanent resident parent or child may experience extreme hardship if you were denied admission.

For information about how you can establish extreme hardship, please see "What Evidence Should Be Submitted With the Application?" (Page six (6)). 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, you may apply for a waiver pursuant to INA section 212(a)(3)(D)(iv), if you are the parent, spouse, son, daughter, brother, or sister of a citizen of the United States or a spouse, son, or daughter of an alien lawfully admitted for permanent residence, or if you are the fiancé(e) of a U.S. citizen. The waiver may be granted for humanitarian purposes, to assure family unity, or when it is otherwise in the public interest, if you are not a threat to the security of the United States. 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), you may apply for a waiver pursuant to INA section 212(d)(11) that may be granted for humanitarian purposes, to assure family unity, or when it is otherwise in the public interest, if you have encouraged, induced, assisted, abetted, or aided only an individual who at the time of such action was your spouse, parent, son, or daughter (and no other individual) to enter the United States in violation of the law, and; 1. 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); or 2. 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, second or third preference, but not the fourth preference) or as the fiancé(e) (or his or her child(ren) of a U.S. citizen. If you are inadmissible because you have been the subject of a final order for violation of INA section 247C, 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, if no previous civil money penalty was imposed against you under INA section 247C, and the offense was committed solely to assist, aid, or support your spouse or child (and not another individual), and
Form I-601 Instructions (Rev. 02/28/08)Y Page 4

1. 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); or 2. If you are seeking admission or adjustment of status under INA section 201(b)(2)(A) as an immediate relative, 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.S. citizen. 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), you may seek a waiver by filing this form. The waiver may be granted if: A. Your qualifying U.S. citizen or legal permanent resident relative (spouse, parent), or the K visa petitioner would experience extreme hardship if you were denied admission. For TPS applicants and VAWA self-petitioners, see special instructions below. For information about how you can establish extreme hardship, please see "What Evidence Should Be Submitted With the Application?" (Page six (6)). 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, your waiver may be granted for humanitarian purposes to assure family unity or when it is otherwise in the public interest. No waiver of inadmissibility is available to TPS applicants for the following grounds of inadmissibility: A. INA Section 212(a)(2)(A), (B) or (C) (except for a single offense of simple possession of 30 grams or less of marijuana); OR B. INA Section 212(a)(3)(A), (B), (C), or (E). Note: A waiver that is granted in relation to an application for TPS is valid only for purposes of your application for TPS. If you seek an immigrant visa or adjustment of status, you may need to apply for an additional waiver at that time.

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, who is inadmissible under INA section 212(a)(9)(A) or INA section 212(a)(9)(C) of the Act, you may apply for a waiver of these grounds of inadmissibility while present in the United States. 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). When adjudicating your waiver application, USCIS will consider the same factors that would be considered if you were seeking "Consent to Reapply." Factors that may be considered include, but are not limited to: A. The length of time you have lived in the United States, whether lawfully or unlawfully; B. Whether you have any criminal records; C. Your immigration history in the United States; D. Your family ties to U.S. citizens or to aliens living lawfully in the United States; E. Whether the denial of your application will impose hardship on you or on these relatives, and the degree of that hardship; Whether granting your waiver application is likely to result in your ability to immigrate lawfully;

F.

G. Your employment history in the United States and the continued need for your services; H. Whether you are a person of good moral character; I. Any other factor that you believe USCIS should consider in deciding your case.

In addition to this form, you should submit a brief statement indicating why USCIS should grant your waiver application, and any documentary evidence that may be available to support your factual claims. Although hardship to a relative who is a U.S. citizen or an alien who is living lawfully in the United States, is not specifically required by statute, this factor can play a significant role in establishing why USCIS should grant your application. For information about how you can establish hardship, please see "What Evidence Should Be Submitted With the Application?" (Page six (6)).

Form I-601 Instructions (Rev. 02/28/08)Y Page 5

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), section 212(a)(9)(B)(i), or section 212(a)(9)(C)(i). You should only file this Form I-601 to seek a waiver of inadmissibility pursuant to INA section 212(a)(9)(C)(i); you do not need to file this form, if you are inadmissible under INA sections 212(a)(6)(A)(i) or 212(a) (9)(B)(i), as explained in the "Note" below. 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 the aggregate, or who has been ordered removed, and subsequently enters or attempts to reenter without being admitted. USCIS has discretion to waive this ground of inadmissibility under INA section 212(a)(9)(C)(iii) for an approved VAWA self-petitioner, and his or her child(ren), if the VAWA self-petitioner can establish a "connection" between the battery or extreme cruelty that is the basis for the VAWA claim, the unlawful presence and departure, or the removal, and his or her subsequent unlawful entry or attempted reentry into the United States. If you seek such a waiver, 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, the unlawful presence and your departure, or your removal from the United States, and your unlawful entry or attempted reentry into the United States. 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, and if you are inadmissible under INA section 212(a)(6)(A)(i) (Presence in the United States without admission or parole, 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). Under INA section 212(a)(6)(A)(ii) or INA section 212(a)(9)(B)(iii) (IV), an approved VAWA self-petitioner and his or her child(ren) can claim exceptions from these grounds of inadmissibility. A. You may be exempt from inadmissibility under INA section 212(a)(6)(A)(i) if you, the approved VAWA self-petitioner, 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. You may be exempt from inadmissibility under INA section 212(a)(9)(B)(i) if you, the approved VAWA self-petitioner, 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. In order to claim any of these exceptions, you should submit evidence of the "substantial connection" with your Form I-485, Application to Register Permanent Residence or Adjust Status, or your immigrant visa application. If you are inadmissible under INA section 212(a)(6)(A)(i), and entered on or before April 1, 1997, you do not need to provide evidence of the "substantial connection." Also, because INA section 212(a)(6)(A)(i) inadmissibility ends when you depart the United States, you do not have to submit evidence of a "substantial connection" with an immigrant visa application. 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. While the relationships appear to be similar, the various waiver provisions contain different qualifying family relationships. Also, please pay close attention to the requirements that need to be established to have a particular ground of inadmissibility waived, as listed in the "Specific Instructions." In support of your application, you should provide evidence that establishes why you may qualify for a waiver of inadmissibility. Depending on the type of waiver, this information and evidence may include but is not limited to: A. Affidavits from you or other individuals in support of your application; B. Police reports from any country you lived in; C. Complete court records regarding any conviction or charge from any country; D. If applicable, evidence of rehabilitation; E. 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; F. Medical reports; G. If you are applying for a waiver because you are the spouse, parent, son, or daughter of a U.S. citizen or an alien lawfully admitted for permanent residence, or the fiancé(e) of a U.S. citizen, you have to attach evidence that demonstrates your denial of admission would result in extreme hardship to the U.S. citizen or legal permanent resident spouse, son, daughter or parent, or your U.S. citizen fiancé(e). Such evidence can include but is not limited to:
Form I-601 Instructions (Rev. 02/28/08)Y Page 6

1. Evidence establishing the family relationship (birth certificate, marriage certificate, etc.); 2. Presence of legal permanent resident or U.S. citizen family ties to the United States; 3. The qualifying relative's family ties outside the United States; 4. Country conditions in the country you would have to relocate and the qualifying relative's family ties to that country; 5. The financial impact of departure from the United States; 6. Significant health conditions, and if appropriate, what type of treatment and suitable medical care is available in that country; 7. The impact of separation; 8. Other conditions that impact the relocation, such as economic and social conditions impacting quality of life, technical skills, etc. H. If you are a VAWA self-petitioner and you seek a waiver under INA section 212(a)(9)(C)(iii), submit any evidence that you believe establishes a connection between the battery or extreme cruelty that is the basis for the VAWA claim, your unlawful presence and your departure, or your removal, and your unlawful return or attempted unlawful return. Note: Your application should be supported by documentary evidence, or you should have a detailed explanation why such evidence cannot be obtained. Mere assertions will not suffice. Medical assertions should be supported by a professional's statement.

3. If you are in the United States and your I-485 is currently pending, you should file the I-601 with the USCIS office or Service Center where your I-485 is CURRENTLY pending. 4. If you are in removal proceedings, you should file this application with the office of the Executive Office for Immigration Review (EOIR) with jurisdiction over your case, and according to the instructions that are provided to you in court. For information about EOIR, please visit EOIR's website at www.usdoj.gov/eoir.

What Is the Filing Fee?
No fee is required, if you are filing this application to have waived the following grounds of inadmissibility: 1. Class A Tuberculosis condition, as per HHS regulations; or 2. A physical or mental disorder with associated harmful behavior or a history of such a disorder that is likely to recur. All other applications must be accompanied by a fee of $545. The fee cannot be refunded, regardless of the action taken on the application. Do not mail cash. All fees must be submitted in the exact amount. Note: As stated on page 2 of these instructions, 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. You should specify on this Form I-601 every ground of inadmissibility for which you seek a waiver. You may file just one application, and pay just one filing fee, if you request more than one type of waiver or a waiver for more than one event or condition that makes you inadmissible. If you do not include all applicable events or grounds of inadmissibility in your application, you may need to file an additional Form I-601 and pay an additional fee to request any additional waiver(s). Use the following guidelines when you prepare your check or money order for the Form I-601 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.

Where To File?
The application and supporting documents should be taken or mailed to the following locations: 1. If you are outside the United States, you should submit Form I-601 to the U.S. Embassy or consulate where you are applying for a visa. 2. If you are in the United States and filing Form I-601 together with Form I-485, Application To Register Permanent Residence or Adjust Status, you should file the I-485/I-601 at the filing location specified on the I-485. Please see I-485 filing instructions.

Form I-601 Instructions (Rev. 02/28/08)Y Page 7

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. C. If you live outside the United States, Guam, or the U.S. Virgin Islands, contact the nearest U.S. Embassy or consulate for instructions on the method of payment. 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 fee on this form is current as of 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" and 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.

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

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. You may correct the deficiency and resubmit the Form I-601. An application or petition is not considered properly filed until accepted by USCIS.

Initial processing. Once a Form I-601 has been accepted, 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-601.

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-601 involves a determination of whether you have established eligibility for the requested benefit. You will be notified of the decision in writing.

USCIS Forms and Information
To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www.uscis. gov. As an altenative 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. 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.

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 you may complete and mail 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

Form I-601 Instructions (Rev. 02/28/08)Y Page 8

Penalties
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-601, we will deny the Form I-601 and may deny any other immigration benefit. In addition, 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, and associated evidence, 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, as amended. 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 Form I-601.

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. The public reporting burden for this collection of information is estimated at 90 minutes per response, including the time for reviewing instructions, completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0029. Do not mail your application to this address.

Form I-601 Instructions (Rev. 02/28/08)Y Page 9

OMB No. 1615-0029; Expires 02/28/09 Department of Homeland Security U.S. Citizenship and Immigration Services

I-601, Application for Waiver of Grounds of Inadmissibility

Do not write in this block. For Government use only.
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, as follows: (First) (Middle) City and State From (Date) To (Date) Immigration Status

Fee Stamp

A. Information about applicant
1. Family Name (Surname In CAPS)

2. Address (Number and Street)

(Apartment Number)

3. (Town or City)

(State/Country)

(Zip/Postal Code)

Telephone Number

E-Mail Address

4. Date of Birth (mm/dd/yyyy)

5. USCIS File Number A-

6. City/Province-State of Birth

7a. Country of Birth

7b. Country of Citizenship/Nationality

8. Date of Visa Application

9. Visa Applied for at: 12. Applicant's U.S. Social Security Number (if any)

10. Reason for Inadmissibility: (Please include a statement explaining the acts,
convictions, and medical conditions that make you inadmissible. If you seek a waiver of inadmissibility because you have a Class A Tuberculosis condition (as per HHS regulations), you must complete page 3 of this form. If you seek a waiver because you have a HIV infection, you must complete page 4 of this form. Applicants with physical or mental disorders must attach the information requested in the instructions.)

B. Information about relative, through whom applicant claims eligibility for a waiver
1. Family Name (Surname in CAPS) (First) (Middle)

2. Address (Number and Street)

(Apartment Number)

3. (Town or City)

(State)

(Zip/Postal Code)

Telephone Number

E-Mail Address

4. Relationship to Applicant

5. Immigration Status

FOR USCIS USE ONLY. DO NOT WRITE IN THIS AREA.

Initial receipt

Resubmitted

Relocated Received Sent

Completed Approved Denied Returned

Copy

Form I-601 (Rev. 02/28/08)Y

C. Information about applicant's other relatives in the United States (List only U.S. citizens and permanent residents)
1. Family Name (Surname in CAPS) (First) (Middle)

Preparer's Address

Date

2. Address (Number and Street)

(Apartment Number)

3. (Town or City)

(State)

(Zip/Postal Code)

4. Relationship to Applicant

5. Immigration Status

1. Family Name (Surname in CAPS)

(First)

(Middle)

2. Address (Number and Street)

(Apartment Number)

3. (Town or City)

(State)

(Zip/Postal Code)

4. Relationship to Applicant

5. Immigration Status

1. Family Name (Surname in CAPS)

(First)

(Middle)

2. Address (Number and Street)

(Apartment Number)

3. (Town or City)

(State)

(Zip/Postal Code)

4. Relationship to Applicant

5. Immigration Status

Applicant's Signature and Certification.
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. I authorize the release of any information from my records that the U.S. Citizenship and Immigration Services (USCIS) needs to determine my eligibility for this waiver.

Signature of Applicant or Qualified Relative / Legal Guardian Preparer's Signature and Certification.

Date

I declare that this document was prepared by me at the request of the applicant or qualified relative/legal guardian of the applicant, 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. I have not knowingly withheld any information.

Preparer's Signature

Date

Copy

Form I-601 (Rev. 02/28/08)Y Page 2

To Be Completed for Applicants With Class A Tuberculosis Condition (As Per HHS Regulations).
A. Statement by Applicant
Upon admission to the United States I will: 1. Go directly to the physician or health facility named in Section B; 2. Present all X-rays used in the visa medical examination to substantiate diagnosis; 3. Submit to such examinations, treatment, isolation, and medical regimen as may be required; and 4. Remain under the prescribed treatment or observation, whether on inpatient or outpatient basis, until discharged. Signature of Applicant Address (Number and Street) Date City, State and Zip Code (Apt #)

C. Applicant's Sponsor in the United States
Arrange for medical care of the applicant and have the physician complete Section B. If medical care will be provided by a physician who checked Box 2 or 3, in Section B, 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. If medical care will be provided by a physician who checked Box 4, in Section B, forward this form directly to the military facility at the address provided in Section B. Address in the United States where the alien plans to reside:

B. Statement by Physician or Health Facility
(May be executed by a private physician, health department or other public or private health facility, or military hospital.) I agree to supply any treatment or observation necessary for the proper management of the alien's tuberculosis condition. I agree to submit Form CDC 75.18, "Report on Alien with Tuberculosis Waiver," to the health officer named in Section D: 1. Within 30 days of the alien's reporting for care, indicating presumptive diagnosis, test results, and plans for future care of the alien; or 2. 30 days after receiving Form CDC 75.18, if the alien has not reported. Satisfactory financial arrangements have been made. (This statement does not relieve the alien from submitting evidence, as required by consul, to establish that the alien is not likely to become a public charge.) I represent (enter an "X" in the appropriate box and give the complete name and address of the facility below.) 1. 2. 3. 4. Local Health Department Other Public or Private Facility Private Practice Military Hospital

D. Endorsement of Local or State Health Officer
Endorsement signifies recognition of the physician or facility for the purpose of providing care for tuberculosis. 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, you may want to contact the health officer responsible for the jurisdiction of the facility or physician prior to endorsing. 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. Official Name of Department

Address (Number and Street) City, State and Zip Code

(Room/Suite Number)

Name of Facility (Please type or print in black ink) Address (Number and Street) City, State and Zip Code Signature of Physician Date (Room/Suite Number)

NOTE: If further assistance is needed, contact the USCIS office with jurisdiction over the intended place of U.S. residence of the applicant.
If you are approved for a waiver and after admission to the United States you fail to comply with the terms, conditions, and controls that were imposed, you may be subject to removal under Immigration and Nationality Act (INA) section 237(a).
Form I-601 (Rev. 02/28/08)Y Page 3

To Be Completed for Applicants With Human Immunodeficiency Virus (HIV) Infection
A. Statement About Applicant Upon admission to the United States I will: 1. Go directly to the physician or health facility named in Section B; 2. Present copies of diagnostic tests used in the visa examination to substantiate diagnosis; 3. Submit to counseling and such examinations, treatment, and medical regimen as may be required; and 4. Remain under prescribed treatment or observation, whether on inpatient or outpatient basis, until discharged. C. Applicant's Sponsor in the United States Arrange for medical care of the applicant and have the physician of facility complete Section B. If medical care will be provided by a physician who checked box 2 or 3 in Section B, 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. If medical care will be provided by a physician who checked box 4 in Section B, forward this form directly to the military facility at the address provided in Section B.
Address where the alien plans to reside in the United States:

Signature of Applicant Date
B. Statement by Physician or Health Facility (May be executed by a private physician, health department, or other public or private facility, or military hospital.) I agree to supply counseling and any treatment or observation necessary for the proper management of the alien's HIV infection condition. 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), Atlanta Georgia 30333: 1. Within 30 days of the alien's reporting for care, indicating plans for future care of the alien; or 2. A report that the alien has not reported within 30 days after receiving a notice from the Division of Quarantine, CDC. Satisfactory financial arrangements have been made. (This statement does not relieve the alien from submitting evidence, as required by consul, to establish that the alien is not likely to become a public charge.) I represent (enter an "x" in the appropriate box and give the complete name and address of the facility below:) 1. Local Health Department 2. Other Public or Private Facility 3. Private Practice 4. Military Hospital
Name of Physician or Facility (Please type or print) Address (Number & Street) City, State, & Zip Code Signature of Physician

Address (Number & Street)

APT No.

City, State, & Zip Code

D. 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 the facility or physician who signed in Section B is not in your health jurisdiction and is not familiar to you, you may wish to contact the health officer responsible for the jurisdiction of the facility or physician prior to endorsing. 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.
Official Name of Department

Address (Number & Street)

APT No.

City, State, & Zip Code

Please read instructions with care. NOTE: If further assistance is needed, contact the USCIS office with jurisdiction over the intended place of U.S. residence of the applicant.
If you are approved for a waiver and after admission to the United States you fail to comply with the terms, conditions, and controls that were imposed, you may be subject to removal under Immigration and Nationality Act (INA) section 237(a).
Form I-601 (Rev. 02/28/08)Y Page 4

Date

OMB No. 1615-0029; Expires 02/28/09 Department of Homeland Security U.S. Citizenship and Immigration Services

I-601, Application for Waiver of Grounds of Inadmissibility

Do not write in this block. For Government use only.
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, as follows: (First) (Middle) City and State From (Date) To (Date) Immigration Status

Fee Stamp

A. Information about applicant
1. Family Name (Surname In CAPS)

2. Address (Number and Street)

(Apartment Number)

3. (Town or City)

(State/Country)

(Zip/Postal Code)

Telephone Number

E-Mail Address

4. Date of Birth (mm/dd/yyyy)

5. USCIS File Number A-

6. City/Province-State of Birth

7a. Country of Birth

7b. Country of Citizenship/Nationality

8. Date of Visa Application

9. Visa Applied for at: 12. Applicant's U.S. Social Security Number (if any)

10. Reason for Inadmissibility: (Please include a statement explaining the acts,
convictions, and medical conditions that make you inadmissible. If you seek a waiver of inadmissibility because you have a Class A Tuberculosis condition (as per HHS regulations), you must complete page 3 of this form. If you seek a waiver because you have a HIV infection, you must complete page 4 of this form. Applicants with physical or mental disorders must attach the information requested in the instructions.)

B. Information about relative, through whom applicant claims eligibility for a waiver
1. Family Name (Surname in CAPS) (First) (Middle)

2. Address (Number and Street)

(Apartment Number)

3. (Town or City)

(State)

(Zip/Postal Code)

Telephone Number

E-Mail Address

4. Relationship to Applicant

5. Immigration Status

FOR USCIS USE ONLY. DO NOT WRITE IN THIS AREA.

Initial Receipt

Resubmitted

Relocated Received Sent

Completed Approved Denied Returned

AGENCY COPY

Form I-601 (Rev. 02/28/08)Y Page 5

C. Information about applicant's other relatives in the United States (List only U.S. citizens and permanent residents)
1. Family Name (Surname in CAPS) (First) (Middle)

2. Address (Number and Street)

(Apartment Number)

3. (Town or City)

(State)

(Zip/Postal Code)

4. Relationship to Applicant

5. Immigration Status

1. Family Name (Surname in CAPS)

(First)

(Middle)

2. Address (Number and Street)

(Apartment Number)

3. (Town or City)

(State)

(Zip/Postal Code)

4. Relationship to Applicant

5. Immigration Status

1. Family Name (Surname in CAPS)

(First)

(Middle)

2. Address (Number and Street)

(Apartment Number)

3. (Town or City)

(State)

(Zip/Postal Code)

4. Relationship to Applicant

5. 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

OMB No. 1615-0033; Expires 08/31/09

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

I-693, Report of Medical Examination and Vaccination Record
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 you have one, at the top of each sheet and indicate the number of the item that refers to your answer.

Section I. Applicant's Instructions
What Is the Purpose of Form I-693?
Generally, 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. Form I-693 is used to report results of a medical examination to U.S. Citizenship and Immigration Services (USCIS). The examination is required to establish that you are not inadmissible to the United States on public health grounds. A list of those health grounds can be found in section 212(a)(1) of the Immigration and Nationality Act. The list is also available in Question 7 of Section III, Frequently Asked Questions. The results of your medical examination are confidential and are used for immigration purposes only. When required to do so by law, the civil surgeon may share your results with public health authorities. 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, see Questions 1-3 in Section III, Frequently Asked Questions, before proceeding any further.

Step 5 - Submit Form I-693 in the sealed envelope to USCIS according to the instructions on Form I-485, Application to Register Permanent Residence or Adjust Status. 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. NOTE: The civil surgeon will ask you to verify your identity. Take a government-issued photo identification to your appointment. (Example: your valid unexpired passport or driver's license.) For applicants under 14 years, USCIS will accept other proof of identity that shows name, date and place of birth, parents' full names, and any other identifying information about the applicant. Acceptable documents include birth certificates (with translations, if necessary) or affidavits. Also take any vaccination records you may have to the appointment.

How Do I Find a Designated Civil Surgeon in the Area Where I Live?
To find a designated civil surgeon in your area, you can call the USCIS National Customer Service Center (NCSC) at 1-800-375-5283 and follow the instructions in the automated menu. Service is available in English and Spanish. 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.uscis.gov and clicking on the Civil Surgeon Locator link.

How Do I File Form I-693?
A separate Form I-693 is required for each applicant. There is no filing fee for this form. Follow these steps: Step 1 - Carefully read all these instructions, including Section III, Frequently Asked Questions. Step 2 - Call a designated physician (also known as a civil surgeon) to make an appointment. Step 3 - Fill out Part 1 of the form. Do not sign the form. Step 4 - Attend your medical exam appointment and all follow-up exams, as may be required. Sign Form I-693 in front of the civil surgeon.

How Do I Fill Out My Portion of Form I-693?
1. Use black ink only. Type or print clearly. If an item does not apply to you, write "N/A" unless the specific instruction states otherwise. 2. You should fill out only Part 1. The civil surgeon and any other doctors, clinics, or health departments receiving a referral are required to complete Parts 2 through 6. A. Part 1 - Information about you - Fill this part out before your medical exam appointment. B. Family name (Last Name) - Use your legal name. If you have two last names, include both and use a hyphen (-) between the names, if appropriate.

Form I-693 (Rev. 06/05/08)N

C. Home address - Give your physical street address. This must include a street number and name or a rural route number. Do not put a post office box (P.O. Box) number here. D. Date of birth - Use eight numbers to show your date of birth (example: May 1, 1979, should be written 05/01/1979). E. Place of birth - Give the name of the city/town/ village where you were born. F. Country of birth - Give the name of the country where you were born. G. A-number - This is your alien registration file number. If you are not sure if you have one, look at any letters or notices you have received from the Department of Homeland Security (DHS). Look for a number that begins with a letter "A" and is followed by 8 or 9 numbers (example: A 000 000 000). If you do not have one or if you cannot remember what it is, leave this space blank. H. U.S. Social Security # - If you do not have a U.S. Social Security Number, leave this blank. I. Certification - Do not sign here until the civil surgeon tells you to do so.

In this regard, 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. All applicants must present a valid government-issued photo identification. 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. 2. Follow HHS Guidelines. USCIS has designated you as a civil surgeon with the understanding that you will perform the medical exam according to U.S. Department of Health and Human Services' regulations. These regulations include the specific guidelines found in the Technical Instructions for the Medical Examination of Aliens in the United States (Technical Instructions), published by the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia. The Technical Instructions are available on the CDC's website at http://www.cdc.gov/ncidod/dq/ civil.htm. CDC also posts periodic updates to the Technical Instructions at http://www.cdc.gov/ncidod/dq/ updates.htm. Give Pre-Test and Post-Test Counseling for HIV/ AIDS. All civil surgeons must give pre-test counseling to any applicant who is tested for HIV. The pre-test counseling must include an explanation of the purpose of the test and basic information about HIV. Civil surgeons must also provide post-test counseling to all applicants who test HIV positive. You must provide information to the applicant about the test results, the prognosis, the ways the applicant can protect himself or herself from opportunistic infections, the ways the applicant can protect others from HIV transmission, and referrals for counseling and early medical intervention. You will find specific instructions about these pre-test and post-test requirements in CDC's Technical Instructions. Make Referrals and File Case Reports, as Required. According to CDC's Technical Instructions, you are required to: A. 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. NOTE: CDC also recommends referral to the local health department when the chest X-ray is normal or not suggestive of TB, but the applicant has a tuberculin skin test reaction of >10 mm, in order to evaluate the possible need for preventive therapy.

3.

How Do I Submit Form I-693 to USCIS?
1. The civil surgeon is required to give you the completed Form I-693 in a sealed envelope. Do not accept the form from the civil surgeon if it is not in a sealed envelope. USCIS will return the form to you if it is not in an envelope or if the envelope has been opened or altered. Adjustment of status applicants: If you are applying for adjustment of status, submit Form I-693 according to the instructions on Form I-485, Application to Register for Permanent Residence or Adjust Status. 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.

2.

4.

3.

Section II. Civil Surgeon's Instructions
What Are My Responsibilities as a Designated Civil Surgeon?
1. Truthfully and Accurately Report the Results. You are responsible for reporting the results of the medical exam and all laboratory reports on Form I-693 where indicated, and for signing the civil surgeon's certification provided on the form.

Form I-693 (Rev. 06/05/08)N Page 2

B. Ensure that any applicant diagnosed with syphilis is treated with the standard treatment regimen described in CDC's Technical Instructions. C. Ensure that testing and therapy are given for diagnoses of chancroid, gonorrhea, granuloma inguinale, or lymphogranuloma venereum. D. Refer the applicant to a Hansen's disease specialist for evaluation to confirm a suspected diagnosis of Hansen's disease (leprosy). E. File a case report with the appropriate public health authorities if: (1) the applicant tests positive for HIV infection; and (2) a case report is required by local laws or regulations. You must also advise the applicant that a case report is being filed.

5. Part 6 - Health Department Identifying Information. If you are a State or local health department that is completing the vaccination record on behalf of a refugee, you must complete this part.

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. In Part 3, include the name, address, and telephone number of the onward physician or public health service facility that will conduct further evaluation or provide treatment. Specify the type of examination and additional tests or treatment the applicant should receive. Complete the identifying information in Part 5, but do not sign or date. Make a copy of the Form I-693 for your records and give the original form to the applicant in a sealed envelope.

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. You, the civil surgeon, are responsible for ensuring the remaining parts are completed and signed, as follows. 1. Part 2 - Medical examination - 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, vaccinations, physical or mental disorder with associated harmful behavior, and substance or drug abuse/substance or drug addiction. In Part 2, you must also include the results of any lab work or other studies required to determine whether the applicant is inadmissible on health grounds. 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. Part 3 - Referral to Health Department or Other Doctor/Facility. If you refer the applicant to a local health department or to another physician or clinic, you must also fill out Part 3. Also see Part 5. Part 4 - Physician or Health Department Receiving the Referral. If you refer the applicant for further tests or evaluation, the health care professional receiving the referral must fill out and sign Part 4.

What Do I Do After the Medical Exam and Follow-Up (If Required) Are Completed?
You and the applicant should sign your respective certifications. After the medical exam (and any follow-up if required) is complete, write the results in Part 2 of the Form I-693 as they relate to the specific component of the medical exam. The applicant should sign the certification in Part 1 and you should sign the civil surgeon's certification in Part 5. All signatures on the form must be originals (no stamps or facsimiles). Do not sign the form or have the applicant sign the form until the applicant has met all health follow-up requirements. Give the results to the applicant. Give the completed Form I-693 to the applicant in a sealed envelope. On the front of the envelope write in capital letters: "DO NOT OPEN. FOR USCIS USE ONLY." On the back of the envelope, write your initials across the line where the flap of the envelope and the envelope meet. Then, with clear cellophane tape, 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). USCIS will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way. Also, you should keep a copy of the I-693 for your records. Return all supporting medical documents to the applicant and give them a copy of the vaccination record. Return all supporting medical documents, including chest X-rays (if obtained), directly to the applicant. In addition, give the applicant a copy of the completed vaccination record in Part 2. 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. (Example: school, day care, employment, etc.)
Form I-693 (Rev. 06/05/08)N Page 3

2.

3.

4. Part 5 - Civil Surgeon's Certification. You must sign the certification after the initial medical exam and all referrals/follow-up examinations (if required) have been completed. Complete the identifying information in this part before referring an applicant for further tests or evaluation. 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.

Section III. Frequently Asked Questions
1. 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, you do not need to repeat the entire medical exam you had overseas, unless a Class A medical condition was found during that exam. If a complete medical exam is not required, you only need to comply with the vaccination requirements. This means you only need to complete Part 1, Information about you, and the vaccination section of Part 2, not Form I-693. 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. The State or local health department must also complete Part 6 of the Form.

B. V-2 child of a V-1 spouse of a permanent resident, or as a C. V-3 child of a V-2 unmarried son or daughter of a V-1 spouse of a permanent resident, and D. You received a medical examination prior to admission or obtaining V status, thena. You are not required to have another medical examination as long as your Form I-485, Application to Register Permanent Residence or Adjust Status, is filed within one year of your overseas medical examination. b. You will, however, be required to Part 1, Information about you, and submit the vaccination section of Part 2 with your adjustment of status application. A designated civil surgeon must complete the vaccination section and Part 5, the Civil Surgeon's Certification. 4. 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. USCIS will not accept a Form I-693 completed by a doctor who is not a currently designated civil surgeon. 5. 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, visiting the civil surgeon page from the USCIS website at www.uscis.gov and clicking on the Civil Surgeon Locator link, or by visiting your local USCIS office. NOTE: If you choose to visit your local USCIS office, you must first get an InfoPass appointment. For information on InfoPass, visit the USCIS website at www. uscis.gov.

2. What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
If you were admitted as a: A. K-1 fiancé(e) or a K-2 child of a K-1 fiancé(e), or as a B. K-3 spouse of a U.S. citizen or a K-4 child of a K-3 spouse of a U.S. citizen, and C. You received a medical examination prior to admission, thena. You are not required to have another medical examination as long as your Form I-485, Application to Register Permanent Residence or Adjust Status, is filed within one year of your overseas medical examination. b. You will, however, be required to complete Part 1, Information about you, and submit the vaccination section of Part 2 with your adjustment of status application. A designated civil surgeon must complete the vaccination section and Part 5, the Civil Surgeon's Certification. 3. 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. V-1 spouse of a permanent resident or awaiting a V-1 visa, or as a

6. Who pays for the medical exam?
The applicant is responsible for paying all costs of the medical exam, including the cost of any follow-up tests or treatment that may be required. Payments are made directly to the civil surgeon or other health care facility.

Form I-693 (Rev. 06/05/08)N Page 4

7. What are the medical grounds of inadmissibility?
The medical grounds of inadmissibility under U.S. immigration laws are divided into four categories communicable diseases of public health significance, lack of required vaccinations, physical or mental disorders with harmful behavior, and drug abuse/drug addiction. The civil surgeon is required to perform a general physical exam and specific evaluations, as described below.

If you are found to have a communicable disease of public health significance, the civil surgeon will advise you how to obtain any necessary treatment. It also may be necessary for you to apply for a waiver of inadmissibility. USCIS will advise you if this is necessary. To obtain more information about this waiver, visit the USCIS website at www.uscis.gov.

Vaccination Requirements
All applicants for adjustment of status must present documents showing they have been vaccinated against a broad range of vaccine-preventable diseases. The civil surgeon will review your vaccination history with you to determine whether you have all the required vaccinations. Make sure you take your vaccination records with you to your appointment with the civil surgeon. NOTE: Please do not attempt to meet the requirements before you are evaluated by the civil surgeon, in case it is not medically appropriate for you to have one or more of the required vaccines. By law, the required vaccines include: mumps, measles, rubella, polio, tetanus and diphtheria toxoids, pertussis, influenza, hepatitis B, haemophilus influenzae type B, varicella, pneumococcal, rotavirus, hepatitis A, meningococcal, human papillomavirus, zoster, and any other vaccinations recommended by the Advisory Committee for Immunization Practices (ACIP). If you never received or are unable to prove you received certain vaccines, the civil surgeon can administer them to you. After evaluation by the civil surgeon, 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. If you initially did not have documents proving you received all the required vaccines but later submit those documents, or if the civil surgeon certifies that it is not medically appropriate for you to have one or more of the missing vaccine(s), USCIS may grant you a waiver based on the civil surgeon's certification on the vaccination supplement. HHS has determined that a vaccine is "not medically appropriate" if : (a) the vaccine is not recommended for your specific age group; (b) there is a medical reason why it would not be safe to have the vaccine (for example, allergies to eggs and yeast, pregnancy, hypersensitivity to prior vaccines, or other medical reasons); or (c) you are unable to complete the entire series of a required vaccine within a reasonable amount of time.

Communicable Diseases of Public Health Significance
The civil surgeon is required to perform specific tests for TB, syphilis, and human immunodeficiency virus (HIV) infection. The medical exam also indicates an evaluation for other sexually transmitted diseases and Hansen's Disease (leprosy).

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. (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.) After the skin test, the applicant will need to return to the civil surgeon within 48 to 72 hours to have the results read. If you have a reaction of four millimeters or less, generally you will not need any further tests for TB. A chest X-ray is required when the reaction to the TST is five millimeters or more. The civil surgeon will explain the medical requirements to you in more detail. All applicants age 15 and older must have a blood test for syphilis. Civil surgeons may require applicants under age 15 to be tested if there is reason to suspect the possibility of infection. All applicants age 15 or older must have a blood test for HIV. Civil surgeons can require applicants under age 15 to be tested for HIV if there is reason to suspect the possibility of infection. Civil surgeons are required to provide pre-test counseling to all applicants who take the HIV test. Civil surgeons are also required to provide posttest counseling to any applicant who tests positive for HIV.

Syphilis

HIV

Form I-693 (Rev. 06/05/08)N Page 5

If you object to receiving the recommended vaccinations because of your sincerely held religious beliefs or moral convictions, you may apply for a waiver of these requirements. If you hold these objections, inform the civil surgeon that you will apply for a waiver. If the waiver application is denied, you may be ineligible for the immigration benefit that you are seeking. To obtain more information about these waivers, visit the USCIS website at www.uscis.gov.

If the civil surgeon determines you have a medical condition of drug addiction/abuse, 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, or you are applying for adjustment of status one year after you were granted asylum. If you are ineligible to apply for a waiver, but are later found by the civil surgeon to be in remission from the drug abuse or drug addiction (as determined by HHS), you may proceed with your adjustment of status application, if eligible.

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, instead of the physical or mental disorder itself. This means that the civil surgeon must determine that there is behavior associated with the disorder that is harmful either to you, to others, or to property. If you have had a history of a physical or a mental disorder, there must be associated harmful behavior that is likely to recur in order for you to be considered inadmissible. The civil surgeon will ask you general questions during the medical exam to determine whether you have such a condition. Depending on the outcome of the initial exam, the civil surgeon may find it necessary to refer you to a specialist for further testing. If the civil surgeon finds that you have a physical or mental disorder with associated harmful behavior, you may apply for a waiver according to the terms, conditions, and controls determined necessary by USCIS in consultation with HHS. To obtain more information about these waivers, visit the USCIS website at www.uscis.gov.

Section IV. USCIS Information
How Do I Get USCIS Forms and Related Information?
To request USCIS forms, call our toll-free forms line at 1-800-870-3676. You may also obtain USCIS forms and information about immigration laws and regulations, policy, and procedures by calling our National Customer Service Center at 1-800-375-5283 or visiting the USCIS Internet website at www.uscis.gov. Address Changes. If you change your address, you must fill out and give us a Form AR-11, Alien's Change of Address Card. Mail the completed form 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 You may also complete Form AR-11, Alien's Change of Address Card, on the USCIS Internet website at www.uscis.gov. Visiting a USCIS Office in Person - InfoPass. To visit a USCIS office in person, you must first have an appointment. InfoPass is an Internet-based system that allows you to make an appointment to talk to an Immigration Information Officer in person. To access InfoPass, log onto the Internet website at www.uscis.gov.

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. The medical guidelines for determining drug abuse and drug addiction are determined by HHS.

Form I-693 (Rev. 06/05/08)N Page 6

Processing Information
Initial Processing. Once the application has been accepted, 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 the required initial evidence, you will not establish a basis for eligibility and we may deny your application. Requests for More Information. We may request more information or evidence, or we may request that you appear at a USCIS office for an interview. Unless specifically required that an original document be filed with an application or petition, an ordinary legible photocopy (standard 8 1/2 x 11 letter size) may be submitted. Original documents submitted when not required will remain a part of the record. Decision. The decision on the Form I-693 involves a determination of whether you have established eligibility for the requested benefit. You will be notified of the decision in writing.

Penalties
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-693, we will deny the Form I-693 and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.

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. The public reporting burden for this collection of information is estimated at 2 hours, 30 minutes per response, including the time for reviewing instructions, completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529, OMB No. 1615-0033. Do not mail your application to this address.

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 for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as amended. 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 Form I-693.

Form I-693 (Rev. 06/05/08)N Page 7

OMB No. 1615-0033; Expires 08/31/09

Department of Homeland Security U.S. Citizenship and Immigration Services START HERE - Please type or print in CAPITAL letters (Use black ink)

I-693, Report of Medical Examination and Vaccination Record

Part 1. 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. 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.S. 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, Report of Medical Examination and Vaccination Record, and that the information in Part 1 of this form is true to the best of my knowledge. I understand the purpose of this medical exam, and I authorize the required tests and procedures to be completed. If it is determined that I willfully misrepresented a material fact or provided false/altered information or documents with regard to my medical exam, I understand that any immigration benefit I derived from this medical exam may be revoked, that I may be removed from the United States, and that I may be subject to civil or criminal penalties. Signature - Do not sign or date this form until instructed to do so by the civil surgeon Date (mm/dd/yyyy)

Part 2. Medical examination (The civil surgeon completes this part)
1. 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. Communicable Diseases of Public Health Significance A. Tuberculosis (TB) Tuberculin Skin Test (TST) (Required for applicants 2 years of age and older: for children under 2 years of age, see pp. 11-12 of Technical Instructions at http://www.cdc.gov/ncidod/dq/civil.htm.) Date TST Applied Date TST Read Size of Reaction (mm)

Chest X-Ray - Required ONLY for TST reactions of > 5mm or if specific TST exception criteria met, or for an applicant with TB symptoms or immunosuppression (e.g., HIV). Attach copy of X-Ray Report. Date Chest X-Ray Taken Date Chest X-Ray Read Results Normal Abnormal (Describe results in remarks.) 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, Latent TB Infection Class B, Other Chest Condition (non-TB)

Remarks: (Include any signs or symptoms of TB, additional tests, and therapy given, with stop and start dates and any changes.)

Form I-693 (Rev. 06/05/08)N

Part 2. Medical Examination
B. Syphilis

(Continued)

Serologic Test for Syphilis (Required for applicants 15 years and older) Date Screening Run Screening Nonreactive Screening Reactive, Titer 1: If Reactive, Date Confirmation Run Confirmation Nonreactive Confirmation Reactive Findings: No Class A or Class B Syphilis Syphilis, Class A (untreated) Syphilis, Class B (with residual deficit, treated in the past year)

Remarks: (Include any therapy given with doses and dates.)

C. 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, Class A If Positive or Indeterminate, Date Confirmation Run Confirmation Negative Confirmation Positive

Remarks: (Include any signs or symptoms of HIV infection, therapy given, and any counseling, or referrals.)

D. Other Class A/Class B Conditions for Communicable Diseases of Public Health Significance

Findings:
Chancroid, Class A Granuloma Inguinale, Class A Gonorrhea, Class A Lymphogranuloma Venereum, Class A Hansen's Disease (Leprosy, Infectious), Class A Hansen's Disease (Leprosy, Noninfectious), Class B

Remarks: (Include any therapy given and any counseling, or referrals.)

3. Physical or Mental Disorders With Associated Harmful Behavior Physical/Mental Disorder, With Associated Harmful Behavior, Class A Physical/Mental Disorder, Without Associated Harmful Behavior, Class B Remarks: (Include diagnosis, with likelihood of harmful behavior to recur, therapy given, and any counseling, or referrals.)

4. Drug Abuse/Drug Addiction Substance (Drug) Use, Listed in Section 202 of Controlled Substance Act, Class A Substance (Drug) Use, Not Listed in Section 202 of Controlled Substance Act, But With Associated Harmful Behavior, Class A Prior Substance (Drug) Use in Remission, Class B Remarks: (Include any therapy given, rehabilitation, counseling, or referrals.)

Form I-693 (Rev. 06/05/08)N Page 2

Part 2. Medical examination

(Continued)

5. Vaccinations (See Technical Instructions at http://www.cdc.gov/ncidod/dq/civil.htm for list of required vaccines.) 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; 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, 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. Applicant will request an individual waiver based on religious or moral convictions. Name (Type or print your name) Vaccine history complete for each vaccine, all requirements met. Applicant does not meet immunization requirements.

Form I-693 (Rev. 06/05/08)N Page 3

Part 2. Medical examination (Continued)
6. List other medical conditions, Class B other (e.g. hypertension, diabetes)

Part 3. Referral to health department or other doctor/facility (To be completed by Civil Surgeon, if referral was made)
Type or Print Name of Doctor or Health Department Date of Referral (mm/dd/yyyy)

Address: (Street Number and Name, City, State and Zip Code)

Daytime Phone # (Include Area Code) no dashes or ( )

Remarks: (Include name of medical condition and reasons for referral.)

Part 4. 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.
Type or Print Full Name of Evaluating Physician or Health Department Signature

Address: (Street Number and Name, City, 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, if needed.)

Form I-693 (Rev. 06/05/08)N Page 4

Part 5.

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 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; I have a currently valid and unrestricted license to practice medicine in the state where I am performing medical examinations; I performed this examination of the person identified in Part 1 of this Form I-693, after having made every reasonable effort to verify that person whom I examined is the person identified in Part 1; that I performed the examination in accordance with the Centers for Disease Control and Prevention's Technical Instructions, and all supplemental information or updates provided to me; and that all information provided by me on this form is true and correct to the best of my information, knowledge, and belief.
Type or Print Full Name (First, Middle, Last) Signature

Address (Street Number and Name, City, 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. Health department identifying information. (If completed by State or local health department on behalf of a
refugee, place a stamp or seal where indicated.)
Type or Print Name

(Place State or local health department stamp/seal below.)

Signature

Date (mm/dd/yyyy)

Daytime Phone # (Include Area Code) no dashes or ( )

Form I-693 (Rev. 06/05/08)N Page 5

OMB No. 1615-0038; Expires 10/31/09 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for I-751, Petition to Remove Conditions on Residence
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 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.S. Citizenship and Immigration Services (USCIS) to remove the conditions on his or her residence.

Who May File Form I-751?
If you were granted conditional resident status through marriage to a U.S. citizen or permanent resident, use this form to petition for the removal of those conditions. If you are still married, the petition should be filed jointly by you and the spouse through whom you obtained conditional status. However, you may apply for a waiver of this joint filing requirement if: 1. You entered the marriage in good faith, but your spouse subsequently died; 2. You entered the marriage in good faith, but the marriage was later terminated due to divorce or annulment; 3. You entered the marriage in good faith and have remained married, but have been battered or subjected to extreme cruelty by your U.S. citizen or permanent resident spouse; or 4. The termination of your status and removal would result in extreme hardship.

You will then become removable from the United States. If your failure to file was through no fault of your own, you may file your petition late with a written explanation and request that USCIS excuse the late filing. 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.

General Instructions
Step 1. Fill Out Form I-751
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." Translations. 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, 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.

Conditional Resident Children
In Part 5 of the form, please make sure to include any conditional resident children applying with you in order to have their conditional basis removed, or they may file separately. Please remember to provide their A-number.

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, and a copy of the Permanent Resident or Alien Registration cards of any of your conditional resident children you are including in your petition. Submit copies of both front and back sides of the card. Exception Those who reside overseas pursuant to military or government orders, including conditional resident dependents residing overseas and listed under Part 5 of the form, must submit the following items with Form I-751: 1. Two passport-style photos for applicants and dependents, regardless of age.
Form I-751 Instructions (Rev. 08/25/08) N

When Should I File Form I-751?
1. Filing jointly. If you are filing this petition jointly with your spouse, you must file it during the 90 days immediately before the second anniversary of the date you were accorded conditional resident status. This is the date your conditional residence expires. 2. Filing with a request that the joint filing requirement be waived. You may file this petition at any time after you are granted conditional resident status and before you are removed. 3. Effect of not filing. If this petition is not filed, you will automatically lose your permanent resident status as of the second anniversary of the date on which you were granted conditional status.

2. Two completed fingerprint cards (Form FD-258) for applicants and dependents between the ages of 14 and 79. You must indicate your Alien Registration Number (A#) on the fingerprint card and ensure that the completed cards are not bent, folded, or creased. The fingerprint cards must be prepared by a U.S. Embassy or U.S. consulate, USCIS Office, or U.S. Military installation. In order for USCIS to identify filings based on military or government orders, applicants are required to indicate on top of Form I-751, "ACTIVE MILITARY" or "GOVERNMENT ORDERS" and submit a copy of their current military or government orders. 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 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 to demonstrate any circumstances surrounding the end of the relationship, if it has ended. The documents should cover, but not limited to, the following examples:
1. Birth certificate(s) of child(ren) born to the marriage. 2. Lease or mortgage contracts showing joint occupancy

If you are filing to waive the joint filing requirement because your marriage has been terminated, also submit a copy of the divorce decree or other document terminating or annulling the marriage with your petition. 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, also file your petition with the following: A. Evidence of the physical abuse, such as copies of reports or official records issued by police, judges, medical personnel, school officials and representatives of social service agencies, and original affidavits as described under Evidence of the Relationship; or B. Evidence of the abuse, such as copies of reports or official records issued by police, courts, medical personnel, school officials, clergy, social workers and other social service agency personnel. 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. You may also submit evidence that you sought safe haven in a battered women's shelter or similar refuge, as well as photographs evidencing your injuries. C. A copy of your divorce decree, if your marriage was terminated by divorce on grounds of physical abuse or extreme cruelty. 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," 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. The evidence must relate only to those factors that arose since you became a conditional resident. If you are a child filing separately from your parent, also submit your petition with a full explanation as to why you are filing separately, along with copies of any supporting documentation. Criminal History If you have ever been arrested or detained by any law enforcement officer for any reason, and no charges were filed, submit: 1. 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, and charges were filed, or if charges were filed against you without an arrest, submit: 2. An original or court-certified copy of the complete arrest record and/or disposition for each incident, (e. g. dismissal order, conviction record, or acquittal order).

and/or ownership of your communal residence.
3. Financial records showing joint ownership of assets and

joint responsibility for liabilities, such as joint savings and checking accounts, joint federal and state tax returns, insurance policies that show the other spouse as the beneficiary, joint utility bills, joint installments or other loans.
4. Other documents you consider relevant to establish that

your marriage was not entered into in order to evade the U.S. immigration laws.
5. 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. (Such persons may be required to testify before an immigration officer as to the information contained in the affidavit.) 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; date and place of birth; relationship to you or your spouse, if any; and full information and complete details explaining how the person acquired his or her knowledge. Affidavits must be supported by other types of evidence listed above. If you are filing to waive the joint filing requirement due to the death of your spouse, also submit a copy of the death certificate with your petition.

Form I-751 Instructions (Rev. 08/25/08) N Page 2

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), submit: 1. An original or court-certified copy of your sentencing record for each incident, and evidence that you completed your sentence, specifically; A. An original or certified copy of your probation or parole record, or B. Evidence that you completed an alternative sentencing program, or rehabilitative program set aside, sealed, expunged, or otherwise removed from your record, submit: 2. An original or court-certified copy of the court order vacating, setting aside, sealing, expunging, or otherwise removing the arrest or conviction, or 3. An original statement from the court that no record exists of your arrest or conviction.
NOTE: Unless a traffic incident was alcohol or drug related,

NOTE: If you or your spouse are currently serving with or employed by the U.S. Government, 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. Include a copy of the U.S. Government orders assigning you and your spouse abroad.

What Is the Filing Fee?
The filing fee for a Form is $465. An additional biometric fee of $80 is required when filing Form I-751. After you submit Form I-751, USCIS will notify you about when and where to go for biometric services. You may submit one check or money order for both the application and biometric fees, for a total of $545.00. NOTE: Each conditional resident dependent, eligible to be included on the principal applicant's Form I-751 and listed under Part 5 of Form I-751, is required to submit an additional biometric services fee of $80.00, including dependents residing overseas pursuant to military or government orders, regardless of age. Use the following guidelines when you prepare your check or money order for the Form I-751 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, make it payable to Treasurer, Guam. B. If you live in the U.S. Virgin Islands, make it payable to Commissioner of Finance of the Virgin Islands. C. If you live outside the United States, Guam, or the U.S. Virgin Islands, contact the nearest U.S. Embassy or consulate for instructions on the method of payment. NOTE: Please spell out U.S. Department of Homeland Security; do not use the initials "USDHS" or "DHS." 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. 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" and check the appropriate fee; 2. Review the Fee Schedule included in your form package, if you called us to request the form; or
Form I-751 Instructions (Rev. 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 $500.00 and or points on your driver's license.

Where to File?
If you live in Alaska, American Samoa, Arizona, California, Colorado, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin, or Wyoming, mail your petition to the California Service Center: USCIS California Service Center P.O. Box 10751 Laguna Niguel, CA 92607-1075 If you live in Alabama, Arkansas, Connecticut, Delaware, Washington, D.C., Florida, Georgia, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Mississippi, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, U.S. Virgin Islands, or West Virginia, mail your petition to the Vermont Service Center: USCIS Vermont Service Center 75 Lower Welden St. P.O. Box 200 St. Albans, VT 05479-0001

3. Telephone our National Customer Service Center at 1-800-375-5283 and ask for the fee information. NOTE: If your Form I-751 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.

USCIS Forms and Information
To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www.uscis. gov. As an altenative 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. 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.

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

Penalties
If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-751, we will deny your Form I-751 and may deny any other immigration benefit. In addition, 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, and associated evidence, 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, as amended. 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 Form I-751.

Processing Information
Acceptance. Any application that is not signed or accompanied by the correct fee will be rejected with a notice that the application is deficient. You may correct the deficiency and resubmit the application. However, an application is not considered properly filed until accepted by USCIS. Initial Processing. Once the application has been accepted, 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 the required initial evidence, you will not establish a basis for eligibility and we may deny your application. Requests for More Information. 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 needed. Decision. The decision on Form I-751 involves a determination of whether you have established eligibility for the requested benefit. You will be notified of the decision in writing.

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. The public reporting burden for this collection of information is estimated at 3 hours and 20 minutes per response, including the time for reviewing instructions, and completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0038. Do not mail your application to this address.

Form I-751 Instructions (Rev. 08/25/08) N Page 4

OMB No. 1615-0038; Expires 10/31/09 Department of Homeland Security U.S. Citizenship and Immigration Services

I-751, Petition to Remove Conditions on Residence
For USCIS Use Only
Returned
Full Middle Name

START HERE - Please type or print in black ink. Part 1. 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. #

C/O: (In care of)

City

State/Province

Country

Zip/Postal Code

Mailing Address, if different than above (Street number and name):

Apt. #

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. Basis for Petition (Check one)
a. b. My conditional residence is based on my marriage to a U.S. citizen or permanent resident, and we are filing this petition together. 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).

Action Block

OR My conditional residence is based on my marriage to a U.S. citizen or permanent resident, but I am unable to file a joint petition and I request a waiver because: (Check one) c. d. e. My spouse is deceased. I entered into the marriage in good faith but the marriage was terminated through divorce or annulment. I am a conditional resident spouse who entered a marriage in good faith, and during the marriage I was battered by or was the subject of extreme cruelty by my U.S. citizen or permanent resident spouse or parent. I am a conditional resident child who was battered by or subjected to extreme cruelty by my U.S. citizen or conditional resident parent(s). The termination of my status and removal from the United States would result in an extreme hardship.

To Be Completed by Attorney or Representative, if any. Fill in box if G-28 is attached to represent the applicant.
ATTY State License #

f. g.

Form I-751 (Rev. 08/25/08)N

Part 3. Additional Information About You
1. Other Names Used (including maiden name):

2. Date of Marriage (mm/dd/yyyy)

3. Place of Marriage

4. If your spouse is deceased, give the date of death (mm/dd/yyyy)

5. Are you in removal, deportation, or rescission proceedings? 6. Was a fee paid to anyone other than an attorney in connection with this petition? 7. Have you ever been arrested, detained, charged, indicted, fined, or imprisoned for breaking or violating any law or ordianance (excluding traffic regulations), or committed any crime which you were not arrested in the United States or abroad? 8. If you are married, is this a different marriage than the one through which conditional residence status was obtained? 9. Have you resided at any other address since you became a permanent resident? (If yes, attach a list of all addresses and dates.) 10. Is your spouse currently serving with or employed by the U.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, 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. 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.

Part 4. 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. 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.S., give address/immigration status Living with you? Yes Yes Yes Yes Yes No No No No No

Part 6. Signature. "a" in Part 2, your spouse must also sign below.

Read the information on penalties in the instructions before completing this section. If you checked block

I certify, under penalty of perjury of the laws of the United States of America, that this petition and the evidence submitted with it is all true and correct. If conditional residence was based on a marriage, 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. I also authorize the release of any information from my records that the U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit sought. 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, you may not be found eligible for the requested benefit and this petition may be denied.

Part 7. Signature of Person Preparing Form, 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. 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.08/25/08) N Page 2

OMB No. 1615-0040; Expires 08/31/08 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for I-765, Application for Employment Authorization
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. The filing addresses provided on this form reflect the most current information as of the date this form was last printed. If you are filing Form I-765 more than 30 days after the latest edition date shown in the lower right-hand corner, please visit our website at www.uscis.gov before you file, and check the Forms and Fees page to confirm the correct filing address and version currently in use. Check the edition date located in the lower right-hand corner of the form. 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, your version is current and will be accepted by USCIS. If the edition date on the online version is later, download a copy and use the online version. If you do not have Internet access, call the National Customer Service Center at 1-800-375-5283 to verify the current filing address and edition date. Improperly filed forms will be rejected and the fee returned, with instructions to resubmit the entire filing using the current form instructions.

Index
Page No. 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.

Replacement EAD: An EAD issued to an eligible applicant when the previously issued EAD has been lost, stolen, mutilated, or contains erroneous information, such as a misspelled name. 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, 1995. 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, Application for Employment Authorization, to request an Employment Authorization Document (EAD). 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. Please review Eligibility Categories to determine whether you should use this form. If you are a Lawful Permanent Resident, a Conditional Resident, or a nonimmigrant authorized to be employed with a specific employer under 8 CFR 274a.12(b), please do not use this form.

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, and whether the applicant is eligible. In order to determine your eligibility, you must identify the category in which you are eligible and fill in that category in Question 16 on the Form I-765. Enter only one of the following category numbers on the application form. For example, if you are a refugee applying for an EAD, you should write "(a)(3)" at Question 16. For easier reference, the categories are subdivided as follows:

Definitions Employment Authorization Document (EAD): Form
I-688, Form I-688A, Form I-688B, Form I-766, or any successor document issued by USCIS as evidence that the holder is authorized to work in the United States.

Page No.
Asylee/Refugee and their Spouses and children Nationality Categories Foreign Students 2 2 3

Form I-765 Instructions (Rev. 05/27/08) N

Eligible Dependents of Employees of Diplomatic Missions, International Organization, or NATO Employment-Based Nonimmigrants Family-Based Nonimmigrants Adjustment-of-Status Categories Other Categories

D. Temporary Treatment Benefits--(c)(19). For an
3 3 4 4 5 EAD based on 8 CFR 244.5. Include evidence of nationality and identity as required by the Form I-821 instructions. 1. Extension of TPS status: Include a copy (front and back) of your last available TPS document: EAD, Form I-94 or approval notice. 2. Registration for TPS only without employment authorization: File Form I-765, Form I-821, and a letter indicating that this form is for registration purposes only. No fee is required for the Form I-765 filed as part of TPS registration. (Form I-821 has separate fee requirements.)

1. Asylee/Refugee Categories A. Refugee--(a)(3). File your EAD application with
either a copy of your Form I-590, Registration for Classification as Refugee, approval letter or a copy of a Form I-730, Refugee/Asylee Relative Petition, approval notice.

B. Paroled as a Refugee--(a)(4). File your EAD
application with a copy of your Form I-94, Arrival and Departure Record.

E. NACARA Section 203 Applicants Who Are Eligible to Apply for NACARA Relief With USCIS--(c)(10). See the instructions to Form I-881,
Application for Suspension of Deportation or Special Rule Cancellation of Removal, to determine if you are eligible to apply for NACARA 203 relief with USCIS. If you are eligible, follow the instructions below and submit your Form I-765 at the same time you file your Form I-881 application with USCIS: 1. If you are filing a Form I-881 with USCIS, file your EAD application at the same time and at the same filing location. Your response to Question 16 on the Form I-765 should be "(c)(10)." 2. If you have already filed your I-881 application at the Service Center specified on Form I-881, and now wish to apply for employment authorization, your response to Question 16 on Form I-765 should be "(c)(10)." You should file your EAD application at the Service Center designated in "Where to File" of these instructions. 3. If you are a NACARA Section 203 applicant who previously filed a Form I-881 with USCIS, and the application is still pending, you may renew your EAD. Your response to Question 16 on Form I-765 should be "(c)(10)." Submit the required fee and the EAD application to the Service Center designated in "Where to File" of these instructions.

C. Asylee (Granted Asylum)--(a)(5). File your EAD
application with a copy of the USCIS letter, or judge's decision, granting you asylum. It is not necessary to apply for an EAD as an asylee until 90 days before the expiration of your current EAD.

D. Asylum Applicant (With a Pending Asylum Application)Who Filed for Asylum on or After January 4, 1995--(c)(8). (For specific
instructions for applicants with pending asylum claims, see Page 5).

2. Nationality Categories A. Citizen of Micronesia, the Marshall Islands or Palau--(a)(8). File your EAD application if you were
admitted to the United States as a citizen of the Federated States of Micronesia (CFA/FSM), the Marshall Islands (CFA/MIS), or Palau, pursuant to agreements between the United States and the former trust territories.

B. Deferred Enforced Departure (DED) / Extended Voluntary Departure--(a)(11). File
your EAD application with evidence of your identity and nationality.

C. Temporary Protected Status (TPS)--(a)(12).
File your EAD application with Form I-821, Application for Temporary Protected Status. If you are filing for an initial EAD based on your TPS status, include evidence of identity and nationality as required by the Form I-821 instructions.

F. Dependent of TECRO E-1 Nonimmigrant--(c).
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.

Form I-765 Instructions (Rev. 05/27/08) N Page 2

3. Foreign Students A. F-1 Student Seeking Optional Practical Training in an Occupation Directly Related to Studies: (c)(3)(A) - Pre-completion Optional Practical Training; (c)(3)(B) - Post-completion Optional Practical Training; (c)(3)(C) 17-month extension for STEM Students (Students with a degree in Science, Technology, Engineering, or Mathematics); 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. If you are a STEM student requesting a 17-month extension under the eligibility code (c)(3)(C), you must also submit a copy of your degree, the employer name as listed in E-Verify, along with the E-Verify Company Identification Number, or a valid E-Verify Client Company Identification Number, for the employer with whom you are seeking the 17-month OPT extension. This information must be provided in Item #17 of the application form.

E. M-1 Student Seeking Practical Training After Completing Studies--(c)(6). File your EAD
application with a completed Form I-539, Application to Change/Extend Nonimmigrant Status. Form I-20 MN, Certificate of Eligibility for Nonimmigrant (M-1) Student Status -- For Vocational Students endorsed by the Designated School Official within the past 30 days.

4. Eligible Dependents of Employees of Diplomatic Missions, International Organizations, or NATO A. Dependent of A-1 or A-2 Foreign Government Officials--(c)(1). Submit your EAD application with
Form I-566, Inter-Agency Record of Individual Requesting Change/Adjustment to or from A or G Status; or Requesting A, G, or NATO Dependent Employment Authorization, through your diplomatic mission to the Department of State (DOS). The DOS will forward all favorably endorsed applications directly to the Nebraska Service Center for adjudication.

B. Dependent of G-1, G-3 or G-4 Nonimmigrant-(c)(4). Submit your EAD application with a Form
I-566, Inter-Agency Record of Individual Requesting Change/Adjustment to or from A or G Status; or Requesting A, G, or NATO Dependent Employment Authorization, through your international organization to the Department of State (DOS). [In New York City, the United Nations (UN) and UN missions should submit such applications to the United States Mission to the UN (USUN).] The DOS or USUN will forward all favorably endorsed applications directly to the Nebraska Service Center for adjudication.

B. F-1 Student Offered Off-Campus Employment Under the Sponsorship of a Qualifying International Organization--(c)(3)(ii). File your
EAD application with the international organization's letter of certification that the proposed employment is within the scope of its sponsorship, and a Certificate of Eligibility of Nonimmigrant (F-1) Student Status -- For Academic and Language Students (Form I-20 A-B/ -20 ID) endorsed by the Designated School Official within the past 30 days.

C. Dependent of NATO-1 Through NATO-6--(c) (7). Submit your EAD application with Form I-566,
Inter-Agency Record of Individual Requesting Change/ Adjustment to or from A or G Status; or Requesting A, G, or NATO Dependent Employment Authorization, to NATO SACLANT, 7857 Blandy Road, C-027, Suite 100, Norfolk, VA 23551-2490. NATO/SACLANT will forward all favorably endorsed applications directly to the Nebraska Service Center for adjudication.

C. F-1 Student Seeking Off-Campus Employment Due to Severe Economic Hardship--(c)(3)(iii). File your EAD application
with Form I-20 A-B/I-20 ID, Certificate of Eligibility of Nonimmigrant (F-1) Student Status -- For Academic and Language Students, and any evidence you wish to submit, such as affidavits, that detail the unforeseen economic circumstances that cause your request, and evidence you have tried to find offcampus employment with an employer who has filed a labor and wage attestation.

5. Employment-Based Nonimmigrant Categories A. B-1 Nonimmigrant Who Is the Personal or Domestic Servant of a Nonimmigrant Employer--(c)(17)(i). File the EAD application
with: 1. Evidence from your employer that he or she is a B, E, F, H, I, J, L, M, O, P, R, 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; and
Form I-765 Instructions (Rev. 05/27/08) N Page 3

D. J-2 Spouse or Minor Child of an Exchange Visitor--(c)(5). 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). 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.

2. Evidence that you have either worked for this employer as a personal or domestic servant for at least one year, or evidence that you have at least one year's experience as a personal or domestic servant; and 3. Evidence establishing that you have a residence abroad which you have no intention of abandoning.

6. Family-Based Nonimmigrant Categories A. K-1 Nonimmigrant Fiance(e) of U.S. Citizen or K-2 Dependent--(a)(6). File your EAD application
if you are filing within 90 days from the date of entry. This EAD cannot be renewed. Any EAD application other than for a replacement must be based on your pending application for adjustment under (c)(9).

B. B-1 Nonimmigrant Domestic Servant of a U.S. Citizen--(c)(17)ii). File your EAD application
with: 1. Evidence from your employer that he or she is a U.S. citizen; and 2. 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; and 3. 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.

B. K-3 Nonimmigrant Spouse of U.S. Citizen or K-4 Dependent--(a)(9). File your EAD application
along with evidence of your admission such as copies of your Form I-94, passport, and K visa.

C. Family Unity Program--(a)(13). If you are filing
for initial or extension Family Unity benefits complete and submit Form I-817, Application for Voluntary Departure Under the Family Unity Program. An Employment Authorization Document (EAD) will be issued if your I-817 is approved; no I-765 application is necessary. If your non-expired Family Unity EAD is lost or stolen, file an I-765 application with proper fee(s), along with a copy of your approval notice for Family Unity benefits, to request a replacement.

C. B-1 Nonimmigrant Employed by a Foreign Airline--(c)(17)(iii). 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.

D. LIFE Family Unity--(a)(14). If you are applying
for initial employment authorization under Family Unity provisions of section 1504 of the LIFE Act Amendments, or an extension of such authorization, you should not be using this form. Please obtain and complete a Form I-817, Application for Family Unity Benefits. If you are applying for a replacement EAD that was issued under LIFE Act Amendments Family Unity provisions, file your EAD application with the required evidence listed in the "Required Document" section of these instructions.

D. Spouse of an E-1/E-2 Treaty Trader or Investor--(a)(17). File your EAD application
with evidence of your lawful status and evidence you are a spouse of a principal E-1/E-2, such as your Form I-94. (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.)

E. V-1, V-2, or V-3 Nonimmigrant--(a)(15). If you
have been inspected and admitted to the United States with a valid V visa, file this application along with evidence of your admission, such as copies of your Form I-94, passport, and K visa. If you have been granted V status while in the United States, file this application along with evidence of your V status, such as an approval notice. If you are in the United States but you have not yet filed an application for V status, you may file this application at the same time as you file your application for V status. USCIS will adjudicate this application after adjudicating your application for V status.

E. Spouse of an L-1 Intracompany Transferee-(a)(18). File your EAD application with evidence of
your lawful status and evidence you are a spouse of a principal L-1, such as your I-94. (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.)

Form I-765 Instructions (Rev. 05/27/08) N Page 4

7. EAD Applicants Who Have Filed for Adjustment of Status A. Adjustment Applicant--(c)(9). File your EAD
application with a copy of the receipt notice or other evidence that your Form I-485, Application for Permanent Residence or Adjust Status, is pending. You may file Form I-765 together with your Form I-485.

D. Paroled in the Public Interest--(c)(11). File your
EAD application if you were paroled into the United States for emergent reasons or reasons strictly in the public interest.

E. Deferred Action--(c)(14). File your EAD
application with a copy of the order, notice, or document placing you in deferred action and evidence establishing economic necessity for an EAD.

B. Adjustment Applicant Based on Continuous Residence Since January 1, 1972--(c)(16). File
your EAD application with your Form I-485, Application for Permanent Residence; a copy of your receipt notice; or other evidence that the Form I-485 is pending. C. 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, you must also include evidence of your meaningful progress toward completing the national interest waiver obligation. Such evidence includes documentation of employment in any period during the previous 12 months (e.g., copies of W-2 forms). If you did not work as a national interest waiver physician during any period of the previous 12 months, you must explain and provide a statement of future intent to work in the national interest waiver employment.

F. Final Order of Deportation--(c)(18). File your
EAD application with a copy of the order of supervision and a request for employment authorization which may be based on, but not limited to the following: 1. Existence of a dependent spouse and/or children in the United States who rely on you for support; and 2. Existence of economic necessity to be employed; 3. Anticipated length of time before you can be removed from the United States.

G. LIFE Legalization Applicant--(c)(24). We
encourage you to file your EAD application together with your Form I-485, Application to Register Permanent Residence or Adjust Status, to facilitate processing. However, you may file Form I-765 at a later date with evidence that you were a CSS, LULAC, or Zambrano class member applicant before October 1, 2000, and with a copy of the receipt notice or other evidence that your Form I-485 is pending.

8. Other Categories A. N-8 or N-9 Nonimmigrant--(a)(7). File your EAD
application with the required evidence listed in the "Required Document" section of these instructions.

H. T-1 Nonimmigrant--(a)(16). If you are applying
for initial employment authorization as a T-1 nonimmigrant, file this form only if you did not request an employment authorization document when you applied for T nonimmigrant status. If you have been granted T status and this is a request for a renewal or replacement of an employment authorization document, file this application along with evidence of your T status, such as an approval notice.

B. Granted Withholding of Deportation or Removal (a)(10). File your EAD application with a
copy of the Immigration Judge's order. It is not necessary to apply for a new EAD until 90 days before the expiration of your current EAD.

C. Applicant for Suspension of Deportation--(c) (10). File your EAD application with evidence that
your Form I-881, Application for Suspension of Deportation, or EOIR-40, is pending.

I. T-2, T-3, or T-4 Nonimmigrant--(c)(25). 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.

Form I-765 Instructions (Rev. 05/27/08) N Page 5

Required Documentation
All applications must be filed with the documents required below, in addition to the particular evidence required for the category listed in "Who May File This Form I-765" with fee, if required. If you are required to show economic necessity for your category, submit a list of your assets, income, and expenses. Please assemble the documents in the following order: 1. Your application with the filing fee. See "What Is the Filing Fee" for details. 2. If you are mailing your application to USCIS, you must also submit: A. A copy of Form I-94 Departure Record (front and back), if available. If you are filing an I-765 under the (c) (9) category, an I-94 record need not submitted. B. A copy of your last EAD (front and back). If no prior EAD has been issued, you must submit a copy of a Federal Government issued identity document, such as a passport showing your picture, name, and date of birth; a birth certificate with photo ID; a visa issued by a foreign consulate; or a national ID document with photo and/or fingerprint. The identity document photocopy must clearly show the facial features of the applicant and the biographical information. C. You must submit two identical color photographs of yourself taken within 30 days of the filing of this application. The photos must have a white to off-white background, be printed on thin paper with a glossy finish, and be unmounted and unretouched.

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, 1995. You must wait at least 150 days following the filing of your asylum claim before you are eligible to apply for an EAD. If you file your EAD application early, it will be denied. File your EAD application with: 1. A copy of the USCIS acknowledgement mailer which was mailed to you; or 2. Other evidence that your Form I-589 was filed with USCIS; or 3. Evidence that your Form I-589 was filed with an Immigration Judge at the Executive Office for Immigration Review (EOIR); or 4. Evidence that your asylum application remains under administrative or judicial review. Asylum applicant (with a pending asylum application) who filed for asylum and for withholding of deportation prior to January 4, 1995, and is NOT in exclusion or deportation proceedings. You may file your EAD application at any time; however, it will only be granted if USCIS finds that your asylum application is not frivolous. File your EAD application with: 1. A complete copy of your previously filed Form I-589; AND 2. A copy of your USCIS receipt notice; or 3. A copy of the USCIS acknowledgement mailer; or 4. Evidence that your Form I-589 was filed with EOIR; or 5. Evidence that your asylum application remains under administrative or judicial review; or 6. A copy of the USCIS acknowledgement mailer.

The passport-style photos must be 2” by 2”. The photos must be in color with full face, frontal view on a white to off-white background. Head height should measure 1” to 1 3/8” from top to bottom of chin, 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. Using pencil or felt pen, lightly print your name and Alien Receipt Number on the back of the photo.

Asylum applicant (with a pending asylum application) who filed an initial request for asylum prior to January 4, 1995, and IS IN exclusion or deportation proceedings. If you filed your Request for Asylum and Withholding of Deportation (Form I-589) prior to January 4, 1995, and you ARE IN exclusion or deportation proceedings, file your EAD application with: 1. A date-stamped copy of your previously filed Form I-589; or

Form I-765 Instructions (Rev. 05/27/08) N Page 6

2. A copy of Form I-221, Order to Show Cause and Notice of Hearing, or Form I-122, Notice to Applicant for Admission Detained for Hearing Before Immigration Judge; or 3. A copy of EOIR-26, Notice of Appeal, date stamped by the Office of the Immigration Judge; or 4. A date-stamped copy of a petition for judicial review or for habeas corpus issued to the asylum applicant; or 5. Other evidence that you filed an asylum application with EOIR. Asylum application under the ABC Settlement Agreement--(c)(8). If you are a Salvadoran or Guatemalan national eligible for benefits under the ABC settlement agreement, American Baptist Churches v. Thornburgh , 760 F. Supp. 976 (N.D. Cal. 1991), please follow the instructions contained in this section when filing your Form I-765. 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. Therefore, please submit evidence that you have previously filed an asylum application when you submit your EAD application. You are not required to submit this evidence when you apply, but it will help USCIS process your request efficiently. If you are renewing or replacing your EAD, you must pay the filing fee. Mark your application as follows: 1. Write "ABC" in the top right corner of your EAD application. You must identify yourself as an ABC class member if you are applying for an EAD under the ABC settlement agreement. 2. Write "(c)(8)" in Section 16 of the application. You are entitled to an EAD without regard to the merits of your asylum claim. Your application for an EAD will be decided within 60 days if: (1) you pay the filing fee, (2) you have a complete pending asylum application on file, and (3) write "ABC" in the top right corner of your EAD application. If you do not pay the filing fee for an initial EAD request, your request may be denied if USCIS finds that your asylum application is frivolous. However, if you cannot pay the filing fee for an EAD, you may qualify for a fee waiver under 8 CFR 103.7(c).

1. (a)(3) Refugee; 2. (a)(4) Paroled as Refugee; 3. (a)(5) Asylee; 4. (a)(7) N-8 or N-9 nonimmigrant; 5. (a)(8) Citizen of Micronesia, Marshall Islands, or Palau; 6. (a)(10) Granted Withholding of Deportation; 7. (a)(11) Deferred Enforced Departure; 8. (a)(16) Victim of Severe Form of Trafficking (T-1); 9. (c)(1), (c)(4), or (c)(7) Dependent of certain foreign government, international organization, or NATO personnel; or 10. (c)(8) Applicant for asylum (an applicant filing under the special ABC procedures must pay the fee).

Renewal EAD: If this is a renewal application and you are
applying under one of the following categories, a filing fee is not required: 1. (a)(8) Citizen of Micronesia, Marshall Islands, or Palau; 2. (a)(10) Granted Withholding of Deportation; 3. (a)(11) Deferred Enforced Departure; or 4. (c)(l), (c)(4), or (c)(7) Dependent of certain foreign government, international organization, or NATO personnel; 5. (c)(9) or (c)(16) adjustment applicant who filed for adjustment under the fee structure implemented July 30, 2007.

Replacement EAD: If this is your replacement application
and you are applying under one of the following categories, a filing fee is not required: 1. (c)(l), (c)(4), or (c)(7) Dependent of certain foreign government, international organization, or NATO personnel. 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, 2007, then the full filing fee will be required; however, no biometrics fee is required. 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. However, if the error was not caused by USCIS, both application and biometrics fees are required. You may be eligible for a fee waiver under 8 CFR 103.7(c).

What is the Filing Fee?
The filing fee for Form I-765 is $340. Exceptions:

Initial EAD: If this is your initial application and you are
applying under one of the following categories, a filing fee is not required:

Form I-765 Instructions (Rev. 05/27/08) N Page 7

USCIS will use the Poverty Guidelines published annually by the U.S. Department of Health and Human Services as the basic criteria in determining the applicant's eligibility when economic necessity is identified as a factor. The Poverty Guidelines will be used as a guide, but not as a conclusive standard, in adjudicating fee waiver requests for employment authorization applications requiring a fee. Use the following guidelines when you prepare your check or money order for the Form I-765 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: If you filed a Form I-485, Application to Register Permanent Residence or Adjust Status, as of July 30, 2007, no fee is required to also file a request for employment authorization on Form I-765. You may file the I-765 concurrently with your I-485, or you may submit the I-765 at a later date. If you file Form I-765 separately, you must also submit a copy of your Form I-797C, Notice of Action, receipt as evidence of the filing of an I-485 as of July 30, 2007.

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 fee on this form is current as of 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," and 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.

Where to File?
E-Filing Form I-765: Certain Form I-765 filings may be
electronically filed (e-filed) with USCIS. Please view our website at www.uscis.gov for a list of who is eligible to e-file this form and instructions. If your response to Question 16 is (a)(3), admitted as a refugee, (a)(4), paroled as a refugee, (a)(5), asylum granted, (a)(7), N-8 or N-9 nonimmigrant, or (a)(8), admitted as citizen of the Federated States of Micronesia or of the Marshall Islands mail your application to: USCIS Nebraska Service Center P.O. Box 87765 Lincoln, NE 68501-7765 For courier/express deliveries:

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.

USCIS Nebraska Service Center 850 S. Street Lincoln, NE 68508-1225 If your response to Question 16 is: 1. (a)(10), an alien granted withholding of deportation or removal; 2. (c)(11), an alien paroled into the United States temporarily for emergency reasons, or reasons deemed strictly in the public interest;
Form I-765 Instructions (Rev. 05/27/08) N Page 8

3. (c)(14), an alien who has been granted deferred action, (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, file your Form I-765 with the Vermont Service Center at the address below.); 4. (c)(16), an alien who has filed an application for creation of record of lawful admission for permanent residence; or 5. (c)(18), an alien against whom a final order of deportation or removal exists and who is released on an order of supervision, mail your application to the following address: USCIS P.O. Box 805887 Chicago, IL 60680-4120 If your response to Question 16 is (c)(14), 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, (a)(16), victim of trafficking, or (c)(25), 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.S. Postal Service and private courier deliveries): USCIS Vermont Service Center Attn: I-765 75 Lower Welden St. St. Albans, VT 05479-0001 If your response to Question 16 is (a)(14), an alien granted family unity benefits under Section 1504 of the LIFE Act, or (c)(24), an alien who has filed for adjustment under section 1104 of the LIFE Act, mail your application to: USCIS P.O. Box 7219 Chicago, IL 60680-7219 If your response to Question 16 is (a)(15), any alien in V nonimmigrant status, mail your application to: USCIS P.O. Box 7216 Chicago, IL 60680-7216 If your response to Question 16 is (a)(12), alien granted Temporary Protected Status, or (c)(19), alien who has a pending application for TPS, mail your application according to the instructions in the Federal Register notice for your particular country's TPS designation.

If you need to replace a valid lost, stolen, or mutilated Temporary Protected Status EAD, send your application to (this address may be used for both U.S. Postal Service and private courier deliveries): USCIS Vermont Service Center Attn: TPS 75 Lower Welden St. St. Albans, VT 05479-0001 If your response to Question 16 is (c)(1), alien spouse or unmarried dependent child, son or daughter of a foreign government official, or (c)(4), eligible dependent of a G-1, G-3 or G-4 non-immigrant, or (c)(7), dependent of a NATO 1 through NATO 7, submit your application through your principal's sponsoring organization. Your application will be reviewed and forwarded by DOS, USUN, or NATO/ SACLANT to the Nebraska Service Center following certification of your eligibility for an EAD. If your response to Question 16 is (c)(8) under the special ABC filing instructions, 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. Otherwise, for all other (c)(8) filings, see additional instructions below. If your response to Question 16 is (c)(9) and you filed your I-485 application with the USCIS Chicago Lockbox Facility, file your Form I-765 with the following address (if you filed your Form I-485 with a USCIS Service Center, see instructions below): USCIS Lockbox Addresses: For U. S. Postal Service (USPS) deliveries: USCIS P.O. Box 805887 Chicago, IL 60680-4120 For courier/express deliveries: USCIS Attn: FBAS 131 South Dearborn - 3rd Floor Chicago, IL 60603-5517 Otherwise, if you filed your I-485 adjustment application with a USCIS Service Center, you must file Form I-765 at the Nebraska Service Center or the Texas Service Center, depending on where you live (see the following addresses).

Form I-765 Instructions (Rev. 05/27/08) N Page 9

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, Arizona, California, Colorado, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin, or Wyoming. If you are filing Form I-765 alone, mail your Form I-765 package to: USCIS Nebraska Service Center P.O. Box 87765 Lincoln, NE 68501-7765 If you are filing Form I-765 concurrently with Form I-485, mail to: USCIS Nebraska Service Center P.O. Box 87485 Lincoln, NE 68501-7485 For private courier (non-USPS) deliveries: USCIS Nebraska Service Center 850 S. Street Lincoln, NE 68508-1225

If your response to Question 16 is: 1. (a)(6), alien admitted as a nonimmigrant fiancé(e) pursuant to section 101(a)(15) (K)(i); 2. (a)(11), alien granted extended voluntary departure by the Secretary as a member of a nationality group pursuant to a request by the Secretary of State; 3. (a)(13), alien granted voluntary departure under the Family Unity Program; 4. (a)(17), spouse of a treaty trader, investor; 5. (a)(18), spouse of an intracompany transferee; 6. (c)(2), alien spouse or unmarried dependent son or daughter of an employee of the Coordination Council for North American Affairs; 7. (c)(3)(A), (c)(3)(B), or (c)(3)(C), F-1 student seeking optional practical training; 8. (c)(3)(ii), F-1 student offered employment under the sponsorship of an international organization; 9. (c)(3)(iii), F-1 student seeking employment because of severe economic hardship; 10. (c)(5), spouse or minor child of an exchange visitor (J-2); 11. (c)(6), M-1 student seeking employment for practical training; 12. (c)(8), an alien who has filed an application for asylum or withholding of deportation or removal; 13. (c)(17)(i), a visitor for business (B-1) who is the personal or domestic servant who is accompanying or following to join an employer; 14. (c)(17)(ii), a domestic servant of a U.S. citizen accompanying or following to join his or her U.S. citizen employer who has a permanent home or is stationed in a foreign country; or 15. (c)(17)(iii), 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).
Form I-765 Instructions (Rev. 05/27/08) N Page 10

Texas Service Center Filings
File Form I-765 with the Texas Service Center if you live in: Alabama, Arkansas, Connecticut, Florida, Georgia, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Mississippi, New Hampshire, New Jersey, New Mexico, New York, North Carolina, South Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, Tennessee, Texas, Vermont, Virginia, U.S. Virgin Islands, West Virginia, or Washington, DC. If you are filing Form I-765 concurrently with Form I-485, mail your Form I-765 to the address you will use to file Form I-485. If you are filing Form I-765 alone, mail your Form I-765 package to: USCIS Texas Service Center P.O. Box 851041 Mesquite, TX 75185-1041 For private courier (non-USPS) deliveries: USCIS Texas Service Center 4141 North St. Augustine Road Dallas, TX 75227

If you live in: Connecticut D.C. Maryland New Hampshire New York Puerto Rico Vermont West Virginia Delaware Maine Massachusetts New Jersey Pennsylvania Rhode Island Virginia U.S.V.I.

Mail your application to: For both U.S. Postal Service and private courier deliveries: USCIS Vermont Service Center ATTN: I-765 75 Lower Welden Street St. Albans, VT 05479-0001 U.S. Postal Service deliveries:

If your response to Question 16 is: 1. (a)(9), admitted as a K-3 spouse or K-4 dependant; or 2. (c)(10), and you are a NACARA 203 applicant eligible to apply for relief with USCIS, 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, Arkansas, Colorado, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Louisiana, Maine, Maryland, Massachusetts, Mississippi, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Tennessee, Texas, Utah, the U.S. Virgin Islands, Vermont, Virginia, West Virginia, or Wyoming, send your application to (this address may be used for both U.S. Postal Service and private courier deliveries): USCIS Vermont Service Center Attn: I-765 75 Lower Welden St. St. Albans, VT 05479-0001 If you live in Alaska, Arizona, California, the Commonwealth of Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Oregon, Ohio, South Dakota, Washington, or Wisconsin, mail your application to: USCIS California Service Center P.O. Box 10765 Laguna Niguel, CA 92607-1076 For courier/express deliveries: USCIS California Service Center 24000 Avila Road 2nd Floor, Room 2312 Laguna Niguel, CA 92677 NOTE: You should submit the fee for the EAD application on a separate check or money order. Do not combine your check or money order with the fee for Form I-881.

Arizona Guam Nevada

California Hawaii

USCIS
California Service Center P.O. Box 10765 Laguna Niguel, CA 92607-1076 For courier/express deliveries: USCIS California Service Center 24000 Avila Road 2nd Floor, Room 2312 Laguna Niguel, CA 92677

Alabama Florida Kentucky Mississippi North Carolina South Carolina Texas

Arkansas Georgia Louisiana New Mexico Oklahoma Tennessee

U.S. Postal Service deliveries:

USCIS Service Center
Texas Service Center P.O. Box 851041 Mesquite, TX 75185-1041 For courier/express deliveries:

USCIS

Texas Service Center 4141 N St. Augustine Rd Dallas, 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.O. Box 87765 Lincoln, NE 68501-7765 For courier/express deliveries: USCIS Nebraska Service Center 850 S. Street Lincoln, NE 68508-1225

Form I-765 Instructions (Rev. 05/27/08) N Page 11

If your response to Question 16 is (c)(10) and you are not eligible to apply for NACARA 203 relief with USCIS, but you are eligible for other deportation or removal relief, mail your application to the following address: USCIS P.O. Box 805887 Chicago, 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, we will deny the Form I-765 and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.

Questions Regarding Form I-765
For additional information about Form I-765, including how to file your application or filing locations not mentioned, call the USCIS National Customer Service Center at 1-800-375-5283 or visit our website at www.uscis.gov.

USCIS Forms and Information
To order USCIS forms, call our toll-free number at 1-800870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www.uscis.gov. As an altenative 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. 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.

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. You may correct the deficiency and resubmit the Form I-765. An application or petition is not considered properly filed until accepted by USCIS.

Initial processing. Once a Form I-765 has been accepted, 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-765.

Paperwork Reduction Act
Authority for Collecting This Information. The
authority to require you to file Form I-765, Application for Employment Authorization, when applying for employment authorization is found at sections 103(a) and 274A(h)(3) of the Immigration and Nationality Act. 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. Failure to provide all information as requested may result in the denial or rejection of this application. The information you provide may also be disclosed to other Federal, State, local, and foreign law enforcement and regulatory agencies during the course of the USCIS investigations. 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. The public reporting burden for this collection of information is estimated at 3 hours and 25 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0040. Do not mail your application to this address.
Form I-765 Instructions (Rev. 05/27/08) N Page 12

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. Interim EAD. 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, 1995, you may obtain interim work authorization by appearing in person at your local USCIS District Office. You must bring proof of identity and any notices that you have received from USCIS in connection with your application for employment authorization. Approval. If approved, your EAD will either be mailed to you or you may be required to appear at your local USCIS office to pick it up.

Denial. If your application cannot be granted, you will receive a written notice explaining the basis of your denial.

OMB No. 1615-0040; Expires 08/31/08 Department of Homeland Security U.S. Citizenship and Immigration Services

I-765, Application For Employment Authorization
Action Block Fee Stamp

Do not write in this block.
Remarks A#

Applicant is filing under §274a.12

Application Approved. Employment Authorized / Extended (Circle One)

until

(Date). (Date).

Subject to the following conditions: Application Denied. Failed to establish eligibility under 8 CFR 274a.12 (a) or (c). Failed to establish economic necessity as required in 8 CFR 274a.12(c)(14), (18) and 8 CFR 214.2(f) I am applying for: Permission to accept employment. Replacement (of lost employment authorization document) Renewal of my permission to accept employment (attach previous employment authorization document).
(Middle) Which USCIS Office? Date(s)

1. Name (Family Name in CAPS) (First)

2. Other Names Used (Include Maiden Name) 3. Address in the United States (Number and Street) (Town or City) (State/Country) (Apt. Number) (ZIP Code)

Results (Granted or Denied - attach all documentation) 12. Date of Last Entry into the U.S. 13. Place of Last Entry into the U.S. 14. Manner of Last Entry (Visitor, Student, etc.) 15. Current Immigration Status (Visitor, Student, etc.) 16. Go to Part 2 of the Instructions, Eligibility Categories. In the space below, place the letter and number of the category you selected from the instructions (For example, (a)(8), (c)(17)(iii), etc.). (mm/dd/yyyy)

4. Country of Citizenship/Nationality 5. Place of Birth (Town or City) (State/Province) 7. Gender Male 8. Marital Status Female

(Country)

6. Date of Birth

(mm/dd/yyyy)

Single Married Widowed Divorced 9. Social Security Number (Include all numbers you have ever used) (if any)

Eligibility under 8 CFR 274a.12 (

)

(

)

(

)

10. Alien Registration Number (A-Number) or I-94 Number (if any) 11. Have you ever before applied for employment authorization from USCIS?

17. If you entered the Eligibility Category, (c)(3)(C), in item 16 above, list your degree, your employer's name as listed in E-Verfy, and your employer's EVerify Company Identification Number or a valid E-Verify Client Company Identification Number in the space below.

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, complete below)

No

Certification
Your Certification: I certify, under penalty of perjury under the laws of the United States of America, that the foregoing is true and correct. Furthermore, I authorize the release of any information that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking. I have read the Instructions in Part 2 and have identified the appropriate eligibility category in Block 16.
Signature Telephone Number Date

Signature of person preparing form, 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.
Print Name Remarks Address Signature Date

Initial Receipt

Resubmitted

Relocated Rec'd Sent Approved

Completed Denied

Returned

Form I-765 (Rev. 05/27/08) N

OMB No. 1615-0044; Expires 08/31/09 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for Form I-824, Application for Action on an Approved Application or 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.

What Is the Purpose of This Form?
Use Form I-824 to request further action on an approved petition or application.

A request for replacement of employment authorization card may be filed on Form I-765. A request for replacement of Form I-94 may be filed on Form I-102. A request for replacement of permanent resident card may be filed on Form I-90. Refer to the respective form instructions for further information. B. USCIS to notify a new U.S. Consulate through the U.S. 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, Check Box B. If approved, USCIS will send information regarding the approval of your nonimmigrant visa petition to a new U.S. Consulate through the NVC or the KCC, or the approval of your waiver application to a new Port-of-Entry different from that originally requested. NOTE: This notification is not available for E or R visa approval notification. C. USCIS to notify a U.S. Consulate through the U.S. Department of State's National Visa Center that your status has been adjusted to permanent resident based on an approved Form I-485 application, Check Box C. This is to request USCIS to notify a U.S. 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, so that your spouse and/or child(ren) may apply for an immigrant visa. NOTE: This notification is not available if you have been issued an immigrant visa at a U.S. Embassy or consulate and have been admitted to the United States as a lawful permanent resident. You may contact the NVC for information on how to request following-tojoin benefits for your dependent(s). You may direct your inquiry by sending an e-mail to [email protected] or by writing to the National Visa Center, ATTN: WC, 32 Rochester Avenue, Portsmouth, NH 03801-2909. 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. Please refer to the instructions on Form I-730, Refugee/Asylee Relative Petition, for specific information on following-to-join benefits for your spouse or unmarried child(ren) under 21 years of age.
Form I-824 Instructions (Rev. 08/25/08) Y

When Must I Use Form I-824?
You must use Form I-824 to request U.S. Citizenship and Immigration Services (USCIS) to provide further action on a previously approved petition or application. NOTE: USCIS will not process Form I-824 if your petition or application has been denied or has not yet been approved. This form must not be used to verify the status of a pending petition or application.

General Instructions
You may file this form at any time while the application or petition is valid. A separate Form I-824 must be filed for each action being requested. Follow the steps below to complete your application: Step 1 - Reason for Filing Form I-824 Step 2 - Fill Out Form I-824

Step 1. Reason for Filing Form I-824
The reasons why you may request further action are listed in the next column. Check the box in Part 2 of Form I-824 that applies to your request. 1. If you are requesting: A. A duplicate approval notice, Check Box A. NOTE: The duplicate approval notice will contain only the information listed on the original Form I-797, Notice of Action. A replacement employment authorization card, Form I-94, permanent resident card, or any other USCIS authorization document will not accompany the duplicate approval notice.

D. USCIS to send your approved immigrant visa petition to the U.S. Department of State's National Visa Center (NVC), Check Box D. This is to request USCIS to send your approved immigrant visa petition to the U.S. Department of State through the NVC. E. USCIS to notify the U.S. Department of State of your U.S. citizenship status, Check Box E. This is to request USCIS to notify the U.S. Department of State that you have become a U.S. citizen through naturalization. NOTE: You may also notify the U.S. Department of State of your status as a U.S. citizen by submitting a copy of your naturalization certificate, without fee, to the National Visa Center, ATTN: WC, 32 Rochester Avenue, Portsmouth, NH 03801-2909. 2. You may not file this form to request: A. A duplicate approval notice for an application or petition that is pending or has been denied; B. A duplicate approval notice naming a spouse or children accompanying or following-to-join the principal beneficiary on an approved immigrant petition; C. USCIS to send information to the U.S. Department of State regarding the approval of your expired nonimmigrant application or petition; D. USCIS to send information to the U.S. Department of State regarding an employment based application or petition if your employment for the original petitioner has ended; or E. USCIS to notify the U.S. Department of State of the approval of Form I-600A, Application for Advanced Processing of Orphan Petition, and/or Form I-600, Petition to Classify Orphan as an Immediate Relative, as well as the approval of Form I-800, Petition to Classify Convention Adoptee as an Immediate Relative, and/or Form I-800A, Application for Determination of Suitability to Adopt a Child from a Convention Country.

Part 1. Information About You (Person filing this application)
A. If you are requesting category A or B in Part 2, the application must be completed and signed by the petitioner or the applicant of the underlying petition or the application. B. If you are requesting category C in Part 2, the application must be completed and signed by the principal applicant who filed Form I-485. C. If you are requesting category D or E in Part 2, the application must be completed and signed by the petitioner of the underlying immigrant visa petition. 1. Family Name (Last name) - Give your legal name. If you have two last names, include both and use a hyphen (-) between the names, if appropriate. 2. Company or Organization Name - Give the entity's complete name if the petitioner or applicant is a company or organization. 3. Home or Business Address - Give your physical street address. This must include a street number and name or a rural route number. Do not put a post office box (P.O. Box number here). 4. Mailing Address - Give your mailing address, if different from your home or business address. 5. Daytime Telephone Number - Give a complete number with area/country codes where you can be reached during the day. 6. Country of Birth - Give the name of the country where you were born. 7. Country of Citizenship - Give the name of the country of which you are a citizen. 8. Date of Birth - Use eight numbers to show your date of birth (example: May 1, 1979, should be written 05/01/1979). 9. IRS Tax # - If you are filing this application on behalf of a business or organization, give the Internal Revenue Service Tax Number of the business or organization. 10. A # - This is your Alien Registration Number (immigration file number). If you do not have an A number or do not know it, leave this blank. 11. U.S. Social Security # - If you do not have a U.S. Social Security number, leave this blank.

Step 2. Fill Out Form I-824
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." This form is divided into Parts 1 through 5. The following information should help you fill out the form.

Form I-824 Instructions (Rev. 08/25/08) Y Page 2

Part 2 - Reason for Request
Check one box that applies to your particular request.

What Is the Filing Fee?
The filing fee for Form I-824 is $340. Use the following guidelines when you prepare your check or money order for the Form I-824 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 fee on this form is current as 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.

Part 3 - Additional Information
Provide the requested information regarding the original application or petition.

Part 4 - Signature
As the applicant, you must sign and date your Form I-824. If you do not sign the form, the application will be returned as incomplete.

Part 5 - Signature of Person Preparing Form, if Other than Applicant
If you, the applicant, did not fill out Form I-824, the preparer must also sign, date, and give his or her address.

Step 3. General Requirements
Attach copies, showing the front and back of the following documents, if available. 1. A copy of the original petition or application. 2. A copy of Form I-797, Notice of Action, for the original petition or application. 3. A copy of Form N-550, Certificate of Naturalization.

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.

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, and by the translator's certification that he or she is competent to translate from the foreign language into English.

Where to File?
You should submit this form and any related evidence to the USCIS office that approved the original petition or application. This could be either a USCIS Service Center or local USCIS office.

Form I-824 Instructions (Rev. 08/25/08) Y Page 3

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

USCIS Forms and Information
To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our Internet website at www.uscis. gov. 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. 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.

Penalties
If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-824, we will deny your Form I-824 and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.

Processing Information
Any Form I-824 that is not signed or accompanied by the correct fee, will be rejected with a notice that Form I-824 is deficient. You may correct the deficiency and resubmit Form I-824. An application or petition is not considered properly filed until accepted by USCIS.

Initial Processing
Once Form I-824 has been accepted, 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-824.

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 for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as amended. 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 Form I-824.

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.

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. The public reporting burden for this collection of information is estimated at 25 minutes per response, including the time for reviewing instructions, and completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0044. Do not mail your application to this address.
Form I-824 Instructions (Rev. 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. You will be notified of the decision in writing.

OMB No. 1615-0044: Expires 08/31/09 Department of Homeland Security U.S. Citizenship and Immigration Services

I-824, Application for Action on an Approved Application or Petition
Returned Date Date Resubmitted Apt./Suite # Date Date Reloc Sent Date Date Reloc Rec'd Date For USCIS Use Only Receipt

START HERE - Please type or print in black ink

Part 1. Information About You (Person filing this application)
Family Name (Last name) Company or Organization Name Home or Business Address - Street Number and Name City Zip/Postal Code Mailing Address - Street Number and Name State or Province Country Apt./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.S. Social Security # (If any) State or Province Country Remarks

Part 2. Reason for Request I am requesting (Check one box):
A. B.
A duplicate approval notice USCIS to notify a new U.S. Consulate, different from that originally requested, through the U.S. 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, different from that originally requested, about the approval of a waiver application. Please notify the U.S. Consulate or Port-of-Entry at:

C.

USCIS to notify a U.S. Consulate through the National Visa Center that my status has been adjusted to permanent resident based on an approved I-485 application. Please notify the U.S. Consulate at: USCIS to send my approved immigrant visa petition to the National Visa Center (NVC) USCIS to notify the U.S. Department of State of my U.S. Citizenship status

To Be Completed by Attorney or Representative, if any. Fill in box if G-28 is attached to represent the applicant. ATTY State License #

D. E.

Form I-824 (Rev. 08/25/08) Y

Part 3. Additional Information
1. Give the following information about the original petition or application. Type of Petition or Application (Form number) Receipt Number (On Form I-797, Notice of Action) Filing Date of Petition or Application (mm/dd/yyyy) Approval Date (mm/dd/yyyy)

2. Give the following information about the petitioner or applicant for the original petition or application. Current/Most Recent Immigration Status Naturalization/Citizenship Certificate Number 3. Give the following information about the principal beneficiary of the original petition or application. Middle Name Family Name (Last name) Given Name (First name) Date of Birth (mm/dd/yyyy) Home Address - Street Number and Name City State or Province Zip/Postal Code Country Country of Birth A # (If any) Apt. #

Mailing Address - (If different from home address) Street Number and Name/P.O. Box Number City State or Province Zip/Postal Code

C/O (In care of)

Country

Daytime Phone (Area/country code and number)

4. If you have checked box C in Part 2, give the following information about the dependents(s) for whom you are requesting following-to-join. If you need additional space, 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. 08/25/08) Y Page 2

Part 4. Signature (Read the information on penalties in the instructions before completing this part.)
I certify, under penalty of perjury under the laws of the United States of America, that this information and the evidence submitted with it is 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 sought. 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, you may not be found eligible for the requested benefit and this application may be denied.

Part 5. Signature of Person Preparing Form, 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. 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. 08/25/08) Y Page 3

OMB No. 1615-0045; Expires 05/31/09 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for I-829, Petition by Entrepreneur to Remove Conditions
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 for a conditional permanent resident who obtained such status through entrepreneurship to petition to the U.S. Citizenship and Immigration Services (USCIS) to remove the conditions on his or her residence.

If you obtained conditional permanent resident status through your entrepreneur spouse or parent and your spouse or parent has died, you may use this form for removal of the conditions. You may use this form to petition for removal of the conditions.

General Instructions. When Should I Use Form I-829?
Step 1. 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. This is the date your conditional permanent residence expires. Effect of Filing.
Filing this petition extends your conditional permanent residence for six months. 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, you may present your Permanent Resident Card and the filing receipt in order to be readmitted. 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
You must file your petition with: 1. Permanent Resident Card (Form I-551). A. A copy of your Permanent Resident Card and, if applicable; B. 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. 2. Evidence of the Commercial Enterprise. Submit the following types of evidence with your petition: (Please label each type of evidence.) A. Evidence that you established a commercial enterprise. Such evidence includes, but is not limited to, federal tax returns; B. Evidence that you invested or were actively in the process of investing the amount of capital required for the location of your enterprise. Such evidence includes, but is not limited to, an audited financial statement; and

Effect of Not Filing.
If this petition is not filed, you will automatically lose your permanent resident status as of the second anniversary of the date that you were granted conditional status. As a result, you will become removable from the United States. If your failure to file was for good cause and due to extenuating circumstances, you may file your petition late with a written explanation and request that USCIS excuse the late filing.

Who May File This I-829?
If you were granted conditional permanent resident status through entrepreneurship, use this form to petition for the removal of those conditions. You may include your conditional permanent resident spouse and children in your petition, or they may file separately subsequent to your petition. If filing subsequently, attach a copy of the Form I-797, Notice of Action, relating to the principal's petition.

Form I-829 Instructions (Rev. 07/30/07) Y

C. Evidence that you sustained your enterprise and your investment in that business throughout your period of conditional permanent residence. Examples of such evidence include: 1. Invoices and receipts; 2. Bank statements; 3. Contracts; 4. Business licenses; and 5. Federal or state income tax returns or quarterly tax statements. D. Evidence of the number of full-time employees at the beginning of the investment and at present. Such evidence includes but is not limited to: 1. Payroll records; 2. Relevant tax documents; and 3. Forms I-9. 3. If you are filing as a spouse or child whose entrepreneur spouse or parent has died, submit the following with your petition: A. Your spouse's permanent resident card; B. Your spouse's death certificate; and C. Evidence that the conditions set forth above in "Evidence of the Commercial Enterprise" have been met. 4. Biometric Services. Applicants will have their photograph, fingerprint, and signature taken by USCIS. When you file Form I-829, USCIS will notify you in writing of the date, time, and location where you must go for the required biometric services. Failure to appear for the biometric services may result in a denial of your application. NOTE: Because USCIS is now taking photographs of applicants, you no longer need to submit two passportstyle photos. 5. Criminal History. If you have ever been arrested or detained by any law enforcement officer for any reason, and no charges were filed, submit:

A. 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, and charges were filed, or if charges were filed against you without an arrest, submit: A. An original or court-certified copy of the complete arrest record, and/or disposition for each incident (e.g., dismissal order, conviction record or acquittal order.) 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), submit: A. An original or court-certified copy of the sentencing record for each incident, and B. Evidence that you completed your sentence, specifically: 1. An original or certified copy of your probation or parole record, or 2. Evidence that you completed an alternative sentencing program, or rehabilitative program. If you have ever had any arrest or conviction vacated, set aside, sealed, expunged or otherwise removed from your record, submit: A. An original or court-certified copy of the court order vacating, setting aside, sealing, expunging or otherwise removing the arrest or conviction, or B. An original statement from the court that no record exists of your arrest or conviction. NOTE: Unless a traffic incident was alcohol or drug related, 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 $500.00 and or points on your drivers license.

Form I-829 Instructions (Rev. 07/30/07) Y Page 2

Where To File?
If the new commercial enterprise is located or will be doing business principally in Alabama, Arkansas, Connecticut, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Mississippi, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New Mexico, New York, North Carolina, South Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, Tennessee, Texas, Vermont, U.S. Virgin Islands, Virginia or West Virginia, mail the petition to: USCIS Texas Service Center P.O. Box 852135 Mesquite, TX 75185-2135 If the new commercial enterprise is located or will be doing business principally in Alaska, Arizona, California, Colorado, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin or Wyoming, mail the petition to: USCIS California Service Center P.O. Box 10526 Laguna Niguel, CA 92607-0526

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 fee on this form is 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.

What Is the Filing Fee?
The filing fee for a Form I-829 is $2,850.00 The fee for biometric services is $80.00 You may submit one check or money order for both the petition and biometric services, for a total of $2,930.00. NOTE: Each conditional resident dependent, eligible to be included on the principal applicant's Form I-829 and listed under Part 3 or Part 4 of Form I-829, is required to submit an additional biometric services fee of $80.00. The fees must be submitted in the exact amount. It cannot be refunded. Do not mail cash. Use the following guidelines when you prepare your check or money order for the Form I-829 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

Form I-829 Instructions (Rev. 07/30/07) YPage 3

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

USCIS Forms and Information.
To order USCIS forms, call our toll-free number at 1-800870-3676. You can also get USCIS forms and information on immigration laws, regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www.uscis.gov. As an altenative 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. 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.

Penalties.
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-829, we will deny the Form I-829 and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.

Processing Information.
Any Form I-829 that is not signed or accompanied by the correct fee, will be rejected with a notice that the Form I-829 is deficient. You may correct the deficiency and resubmit the Form I-829. An application or petition is not considered properly filed until accepted by USCIS.

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 for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as amended. 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 Form I-829.

Initial processing. Once a Form I-829 has been accepted, it
will be checked for completness, 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-829.

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.

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. The public reporting burden for this collection of information is estimated at 1 hour, 5 minutes per response, including the time for reviewing instructions, completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0045. Do not mail your application to this address.
Form I-829 Instructions (Rev. 07/30/07) Y Page 4

Decision. The decision on a Form I-829 involves a determination of whether you have established eligiblity for the requested benefit. You will be notified of the decision in writing.

OMB No. 1615-0045; Expires 05/31/09 Department of Homeland Security U.S. Citizenship and Immigration Services

I-829, Petition by Entrepreneur to Remove Conditions
Fee Receipt

Do not write in this block - For USCIS use only (Except G-28 Block Below) Applicant Interviewed Action Block

To be completed by Attorney or Representative, if any

G-28 is attached Attorney's State License No. Remarks:

START HERE - Type or print in black ink. Part 1.
A # (if any) Family Name Address: In care of Number and Street City Country Date of Birth
(mm/dd/yyyy)

Information about you.
Form I-526 Receipt Number Given Name Middle Name

Apt. # State or Province Zip/Postal Code Country of Birth Daytime Phone # U.S. Social Security # (if any)

Since becoming a conditional permanent resident, have you ever been arrested, cited, charged, indicted, convicted, fined or imprisoned for breaking or violating any law or ordinance (excluding traffic regulations), or committed any crime for which you were not arrested? Yes No (If yes, explain on separate sheet(s) of paper, including disposition, if any.)

Part 2. Basis for petition. (Check one)
a. b. c. d. e. My conditional permanent residence is based on an investment in a commercial enterprise. Reserved. Reserved. I am a conditional permanent resident spouse or child of an entrepreneur, 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. I am a conditional permanent resident spouse or child of an entrepreneur who is deceased. Given Name Male Female Date of Birth (mm/dd/yyyy) Middle Name Date of Marriage (mm/dd/yyyy)

Part 3. Information about your husband or wife.
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. 07/30/07)Y

Part 4. Children.
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. Attach another sheet(s) of paper, if necessary.)

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. Information about your commercial enterprise.
Type of Enterprise (Check one): New commercial enterprise resulting from the creation of a new business. New commercial enterprise resulting from the reorganization of an existing business. New commercial enterprise resulting from a capital investment in 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, your spouse, 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. 07/30/07)Y Page 2

Presently:

Difference:

Part 5. Information about your commercial enterprise . (Continued.)
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. Include all income generated up to date during the present year. Year Gross Income Net Income

Has your commercial enterprise filed for bankruptcy, ceased business operations, 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, shares, property, or had any capital withdrawn since the date of your initial investment? Yes (Explain on separate sheet) No

Part 6. Signature. (Read the information on penalties in the instructions before completing this section.)
I certify, under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it is all true and correct. 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. I also authorize the release of any information from my records that the U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought. 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, you may not be found eligible for the requested benefit and this petition may be denied.

Part 7. Signature of person preparing form, 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. Signature Print Name Date

Firm Name and Address (Include Telephone Number with Area Code and E-Mail Address.)

Form I-829 (Rev. 07/30/07)Y Page 3

OMB No. 1615-0075; Expires 10/31/10 Department of Homeland Security
U.S. Citizenship and Immigration Services

I-864, 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. Use black or blue ink. If you need extra space to answer any item: -- Attach a separate sheet of paper (or more sheets if necessary); -- Write your name, U.S. Social Security number and the words "Form I-864" on the top right corner of the sheet; and -- Write the number and subject of each question for which you are providing additional information.

Not all benefits are considered to be means-tested public benefits. See Form I-864P, Poverty Guidelines, for more information on which benefits may be covered by this definition, or the contract on Page 6 of this form for a list of benefits explicitly not considered means-tested public benefits.

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.S. citizens (spouses, unmarried children under age 21, and parents of U.S. citizens age 21 and older); All family-based preference immigrants (unmarried sons and daughters of U.S. citizens, spouses and unmarried sons and daughters of permanent resident aliens, married sons and daughters of U.S. citizens, and brothers and sisters of U.S. citizens age 21 and older); and Employment-based preference immigrants in cases only when a U.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.

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. For more information about Form I-864, or to obtain related forms please contact: The USCIS website (www.uscis.gov); The National Customer Service Center (NCSC) telephone line at 1-800-375-5283 TTY: (1-800-767-1833); or Your local USCIS office by using Infopass.

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. In addition to their own work, 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. 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. See the SSA website at www.ssa.gov/mystatement/credits for more information; Any intending immigrant who will, upon admission, acquire U.S. citizenship under section 320 of the Immigration and Nationality Act, as amended by the Child Citizenship Act of 2000 (CCA); Self-petitioning widow/ers who have an approved Petition for Amerasian, Widow(er), or Special Immigrant, Form I-360; and

How Is This Form Used?
This form is a contract between a sponsor and the U.S. Government. Completing and signing this form makes you the sponsor. 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. By signing Form I-864, you are agreeing to use your resources to support the intending immigrant(s) named in this form, if it becomes necessary. The submission of this form may make the sponsored immigrant ineligible for certain Federal, State, or local meanstested public benefits, 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. If the immigrant sponsored in this affidavit does receive one of the designated Federal, State or local means-tested public benefits, the agency providing the benefit may request that you repay the cost of those benefits. That agency can sue you if the cost of the benefits provided is not repaid.

Form I-864 Instructions (Rev. 10/18/07)Y

Self-petitioning battered spouses and children who have an approved Petition for Amerasian, Widow(er), or Special Immigrant, Form I-360. NOTE: If you qualify for one of the exemptions listed above, submit Form I-864W, Intending Immigrant's I-864 Exemption, instead of Form I-864.

What If I Cannot Meet the Income Requirements?
If your income alone is not sufficient to meet the requirement for your household size, the intending immigrant will be ineligible for an immigrant visa or adjustment of status, 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; Income from the intending immigrant, if that income will continue from the same source after immigration, and if the intending immigrant is currently living in your residence. If the intending immigrant is your spouse, his or her income can be counted regardless of current residence, but it must continue from the same source after he or she becomes a lawful permanent resident. The value of your assets, the assets of any household member who has signed a Form I-864A, or the assets of the intending immigrant; A joint sponsor whose income and/or assets equal at least 125 percent of the Poverty Guidelines. See question below for more information on joint sponsors.

Who Completes and Signs Form I-864?
A sponsor completes and signs Form I-864. A sponsor is required to be at least 18 years old and domiciled in the United States, or its territories or possessions (see Step-bystep Instructions for more information on domicile). The petitioning sponsor must sign and complete Form I-864, even if a joint sponsor also submits an I-864 to meet the income requirement. The list below identifies who must become sponsors by completing and signing a Form I-864. The U.S. citizen or lawful permanent resident who filed a Form I-130 for a family member, Form I-129F for a fiance(e), or Form I-600 or I-600A for an orphan. The U.S. citizen or permanent resident alien who filed an employment-based immigrant visa petition (Form I-140) for a spouse, parent, son, daughter, or sibling who: (1) has a significant ownership interest (five percent or more) in the business which filed the employment-based immigrant visa petition; or (2) is related to the intending immigrant as a spouse, parent, son, daughter, or sibling.

What Are the Income Requirements?
To qualify as a sponsor, you must demonstrate that your income is at least 125 percent of the current Federal poverty guideline for your household size. The Federal poverty line, for purposes of this form, is updated annually and can be found on Form I-864P, Poverty Guidelines. If you are on active duty in the U.S. Armed Forces, including the Army, Navy, Air Force, Marines or Coast Guard, and you are sponsoring your spouse or minor child, you only need to have an income of 100 percent of the Federal poverty line for your household size. This provision does not apply to joint or substitute sponsors.

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. If you have any unrelated dependents listed on your income tax return you may include their income regardless of where they reside. 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, Contract Between Sponsor and Household Member, and if they are at least 18 years of age when they sign the form.

How Do I Count Household Size?
Your household size includes yourself and the following individuals, no matter where they live: any spouse, any dependent children under the age of 21, any other dependents listed on your most recent Federal income tax return, all persons being sponsored in this affidavit of support, 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. If necessary to meet the income requirements to be a sponsor, you may include additional relatives (adult children, parents, 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).

Can the Intending Immigrant Help Me Meet the Income Requirements?
If certain conditions are met, the intending immigrant's income can help you meet the income requirement. If the intending immigrant is your spouse, his or her income can be included if it will continue from the same source after he or she obtains lawful permanent resident status. If the intending immigrant is another relative, there are two requirements. First, the income must be continuing from the same source after he or she obtains lawful permanent resident status, and second, the intending immigrant must currently live with you in your residence. Evidence must be provided to support both requirements.
Form I-864 Instructions (Rev. 10/18/07)Y Page 2

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, unless the intending immigrant has a spouse and/or children immigrating with him or her. In this instance, the contract relates to support for the spouse and/or children.

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, but before the intending immigrant obtained permanent residence. The substitute sponsor must be related to the intending immigrant in one of the following ways: spouse, parent, mother-in-law, father-in-law, sibling, child (at least 18 years of age), son, daughter, son-in-law, daughter-in-law, brother-inlaw, sister-in-law, grandparent, grandchild or legal guardian. The substitute sponsor must also be a U.S. citizen or lawful permanent resident. If you are a substitute sponsor, 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 beneficiary must also file this form along with a written statement explaining the reasons why the Form I-130 visa petition should be reinstated, having been revoked following the petitioner's death. The beneficiary must also include a copy of the Form I-130 approval notice.

Does Receipt of Means-Tested Public Benefits Disqualify me From being a Sponsor?
No. Receipt of means-tested public benefits does not disqualify anyone from being a sponsor. However, meanstested public benefits cannot be accepted as income for the purposes of meeting the income requirement.

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. 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, a "joint sponsor" who can meet the requirements may submit a Form I-864 to sponsor all or some of the family members. A joint sponsor can be any U.S. citizen, U.S. national, or lawful permanent resident who is at least 18 years old, domiciled in the United States, or its territories or possessions, and willing to be held jointly liable with the petitioner for the support of the intending immigrant. A joint sponsor does not have to be related to the petitioning sponsor or the intending immigrant.

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.S. citizen, or can be credited with 40 qualifying quarters of work in the United States. Although 40 qualifying quarters of work (credits) generally equate to ten years of work, in certain cases the work of a spouse or parent adds qualifying quarters. The Social Security Administration can provide information on how to count qualifying quarters (credits) of work. 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. Divorce does not end the sponsorship obligation.

If the first joint sponsor completes Form I-864 for some rather than all the family members, a second qualifying joint sponsor will be required to sponsor the remaining family members. There may be no more than two joint sponsors. 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. 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. Even if one or more I-864s are submitted for an intending immigrant, the petitioning sponsor remains legally accountable for the financial support of the sponsored alien along with the joint sponsor(s).

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. You may submit photocopies if you are sponsoring more than one intending immigrant listed on the same affidavit of support. Separate affidavits of support are required for intending immigrants for whom different Form I-130 family-based petitions were filed. For instance, if you are sponsoring both parents, 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.
Form I-864 Instructions (Rev. 10/18/07)Y Page 3

Often a spouse or minor children obtain visas or adjust status as dependents of a relative, based on the same visa petition. If you are sponsoring such dependents, you only need to provide a photocopy of the original 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. You do not need to provide copies of the supporting documents for each of the photocopied Forms I-864.

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. Please see Form I-865 for further directions on filing the Sponsor's Change of Address. 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.S. Embassy or Consulate overseas: Complete Form I-864 when it is mailed to you from the National Visa Center (NVC). Different instructions apply to some cases so follow the instructions provided by the National Visa Center for your particular case. 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. Form I-864 and all accompanying documentation must be submitted to the government within one year of when you sign Form I-864. 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. 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. To be valid, Form I-864 and all supporting documentation must be submitted within one year of when you sign Form I-864. For privacy, you may enclose these documents in a sealed envelope marked "Form I-864: To Be Opened Only by a U.S. Government Official." You may be requested to submit updated information if there is a significant delay in processing.

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. To do this, send a completed Form I-865, Sponsor's Change of Address, to the Service Center having jurisdiction over your new address. Do not complete Form I-865 at the same time that you complete the I-864.

Form I-864 Instructions (Rev. 10/18/07)YPage 4

Step-by-Step Instructions
Form I-864 is divided into nine parts. The information below will help you fill out the form.
Part 2. Information on the Principal Immigrant. The principal immigrant is the intending immigrant who is the primary beneficiary of the visa petition.
6. Alien Registration Number. An "A-number" is an Alien Registration Number assigned by the former Immigration and Naturalization Service (INS) or U.S. Citizenship and Immigration Services (USCIS). 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, they probably do not have A-numbers. Persons with A-numbers can locate the number on their INS or USCIS-issued documentation. 8. Indicate whether you are sponsoring the principal immigrant listed in item 2 in this Form I-864. This only applies to cases with two joint sponsors. 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.

Part 1. Basis for Filing Affidavit of Support.
Check box "a" if you are the petitioner who is filing or who has already filed Form I-130, Petition for Alien Relative; Form I-600, Petition to Classify Orphan as an Immediate Relative; or Form I-600A, Application for Advance Processing of Orphan Petition. If you are the petitioner, you must sponsor each intending immigrant. Check box "b" if you are filing or have filed Form I-140, Immigrant Petition for Alien Worker, for your husband, wife, father, mother, child, adult son or daughter, brother, or sister. Check box "c" if you have an ownership interest of at least five percent in a business, corporation or other entity that filed or is filing a Form I-140 for your husband, wife, father, mother, child, adult son or daughter, brother, or sister. Check box "d" if you are the only joint sponsor or box "e" if you are either of two joint sponsors. A joint sponsor must be a person, and may not be a corporation, organization, or other entity. A joint sponsor does not have to be related to the intending immigrant. Indicate whether you are the only joint sponsor or one of two joint sponsors. Check with the petitioning sponsor or the intending immigrant if you are not certain. Check box "f" if you are the substitute sponsor. 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, but before the intending immigrant obtained permanent residence. The substitute sponsor must be related to the intending immigrant in one of the following ways: spouse, parent, mother-in-law, father-in-law, sibling, child (at least 18 years of age), son, daughter, son-in-law, daughter-in-law, brother-in-law, sister-in-law, grandparent, grandchild or legal guardian. The substitute sponsor must also be a U.S. citizen or lawful permanent resident. If you are a substitute sponsor, you must sponsor each intending immigrant.

Part 3. Information on Immigrants You Are Sponsoring.
9. Accompanying Family Members You are Sponsoring . The immigrant you are sponsoring may be bringing a spouse and/or children to the United States. If the spouse and/or children will be traveling with the immigrant, or within six months of the immigrant's entry to the United States and you are sponsoring them, you should list the names and other requested information on the lines provided. If any dependents are not immigrating, will be immigrating more than 6 months after the sponsored alien arrives in the United States, or you are not sponsoring them, do not list their names here. A separate Form I-864 will be required for them when they apply for their immigrant visas.

Part 4. Information on the Sponsor.
15. Country of Domicile. 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. If your mailing address and/or place of residence is not in the United States, but your country of domicile is the United States, you must attach a written explanation and documentary evidence indicating how you meet the domicile requirement. If you are not currently living in the United States, 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. 10/18/07)Y Page 5

A. You are employed by a certain organization.
Some individuals employed overseas are automatically considered to be domiciled in the United States because of the nature of their employment. The qualifying types of employment include employment by: -- The U.S. government; -- An American institution of research recognized by the Secretary of Homeland Security (The list of qualifying institutions may be found at 8 CFR 316.20); -- A U.S. firm or corporation engaged in whole or in part in the development of foreign trade and commerce with the United States, or a subsidiary of such a firm or corporation; -- A public international organization in which the United States participates by treaty or statute; -- A religious denomination having a bona fide organization in the United States, if the employment abroad involves the person's performance of priestly or ministerial functions on behalf of the denomination; or -- A religious denomination or interdenominational missionary organization having a bona fide organization in the United States, if the person is engaged solely as a missionary. B. You are living abroad temporarily. If you are not currently living in the United States, you must show that your trip abroad is temporary and that you have maintained your domicile in the United States. You can show this by providing proof of your voting record in the United States, proof of paying U.S. State or local taxes, proof of having property in the United States, proof of maintaining bank or investment accounts in the United States, or proof of having a permanent mailing address in the United States. Other proof could be evidence that you are a student studying abroad or that a foreign government has authorized a temporary stay.

18. U.S. Social Security Number.
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.

19. Citizenship/Residency.
Proof of U.S. citizen, national, or permanent resident status is required for joint and substitute sponsors and for relatives of employment-based immigrants who file this form. Petitioning relatives who have already filed proof of their citizenship or immigration status with Forms I-130, Form I-129F, I-600 and I-600A do not need to submit proof of their status with this form. Proof of U.S. citizen or national status includes a copy of your birth certificate, certificate of naturalization, certificate of citizenship, consular report of birth abroad to citizen parents, or a copy of the biographic data page of your U.S. passport. Proof of permanent resident status includes a photocopy of both sides of the "green card," Form I-551, Alien Registration Receipt Card/Permanent Resident Card; or a photocopy of an unexpired temporary I-551 stamp in either a foreign passport or a DHS Form I-94, Arrival/Departure Document.

20. Military Service.
Check "yes" if you are the petitioning sponsor and on active duty in the U.S. Army, Navy, Air Force, Marines,or Coast Guard, other than for training. If you provide evidence that you are currently on active duty in the military and you are petitioning for your spouse or minor child, you will need to demonstrate income at only 100 percent of the poverty level for your household size, instead of at 125 percent of the poverty level. (See Form I-864P for information on the poverty levels.) Check "no" if you are not on active duty in the U.S. military. This provision does not apply to joint and substitute sponsors.

Part 5. Sponsor's Household Size.
C. 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. 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. Concrete steps might include accepting a job in the United States, signing a lease or purchasing a residence in the United States, or registering children in U.S. schools. Please attach proof of the steps you have taken to establish domicile as described above. This section asks you to add together the number of persons for whom you are financially responsible. Some of these persons may not be residing with you. Make sure you do not count any individual more than once, since in some cases the same person could fit into two categories. For example, 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). If you included your spouse on line 21c, do not include him or her again on line 21f.

Form I-864 Instructions (Rev. 10/18/07)YPage 6

21d - Enter the number of unmarried children you have who are under age 21, even if you do not have legal custody of these children. You may exclude any unmarried children under 21, 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. 21e - Enter the number of any other dependents. You must include each and every person whom you have claimed as a dependent on your most recent Federal income tax return, even if that person is not related to you. Even if you are not legally obligated to support that person, you must include the person if in fact you did support that person and claimed the person as a dependent. 21f - 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, substitute, or joint sponsor, or of Form I-864EZ as a petitioning sponsor. Include only those persons who have already immigrated to the United States. Do not include anyone for whom your obligation to support has ended through the sponsored immigrant's acquisition of U.S. citizenship, death, abandonment of lawful permanent residence in the United States, acquisition of 40 quarters of earned or credited work in the United States, or obtaining a new grant of adjustment of status while in removal proceedings based on a new affidavit of support, if one is required. 21g - 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. Such relatives may include your mother, father, sister, brother or adult children, if they are living in your residence. However, 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. To be considered, any relative indicated in this category must sign and submit Form I-864A.

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. You are not required to submit this evidence, however, unless specifically instructed to do so by a Government official. For example, you may include a recent letter from your employer, showing your employer's address and telephone number, and indicating your annual salary. You may also provide pay stub(s) showing your income for the previous six months. If your claimed income includes alimony, child support, dividend or interest income, or income from any other source, you may also include evidence of that income.

24. Annual Household Income.
This section is used to determine the sponsor's household income. Take your annual individual income from line 23 and enter it on line 24a. If this amount is greater than 125 percent (or 100 percent if you are on active duty in the U.S. military and sponsoring your spouse or child) of the Federal Poverty Guidelines for your household size from line 21h, you do not need to include any household member's income. See Form I-864P for reference on the Poverty Guidelines. To determine the filing requirements for your relatives included in item 24b, follow these instructions: If you included the income of your spouse listed in 21c, or any child listed in 21d, or any dependent listed in 21e, or any other relative listed in 21g, each one of these individuals must be over 18 years of age and must complete Form I-864A. If you included the income of the intending immigrant who is your spouse (he or she would be counted on line 21a), evidence that his/her income will continue from the current source after obtaining lawful permanent resident status must be provided. He/she does not need to complete Form I-864A unless he/she has accompanying children. If you included the income of the intending immigrant who is not your spouse, (he or she would be counted on line 21a), 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. He or she does not need to complete Form I-864A, Contract Between Sponsor and Household Member, unless he or she has an accompanying spouse or children.

Part 6. Sponsor's Income and Employment. 22. Job Classification.
Check the box (a through d) that applies to you.

23. Current Individual Annual 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.

Form I-864 Instructions (Rev. 10/18/07)Y Page 7

25. Federal Income Tax Information.
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. If you believe additional returns may help you to establish your ability to maintain sufficient income, you may submit transcripts or photocopies of your Federal individual income tax returns for the three most recent years. You are not required to have the IRS certify the transcript or photocopy unless specifically instructed to do so by a Government official; a plain transcript or photocopy is acceptable. Telefile tax records are not acceptable proof of filing. Do not submit copies of your State income tax returns. 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. If you provide a photocopy of your tax return(s), you must include a copy of each and every FormW-2 and Form 1099 that relates to your return(s). Do not include copies of these Forms if you provide an IRS transcript of your return(s) rather than a photocopy. If you checked box 22(b) (self-employed), you should have completed one of the following forms with your Federal income tax return: Schedule C (Profit or Loss from Business), Schedule D (Capital Gains), Schedule E (Supplemental Income or Loss) or Schedule F (Profit or Loss from Farming). You must include each and every Form 1040 Schedule, if any, that you filed with your Federal tax return. If you were required to file a Federal income tax return during any of the previous three tax years but did not do so, 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. If you were not required to file a Federal income tax return under U.S. tax law because your income was too low, attach a written explanation. If you were not required to file a Federal income tax return under U.S. tax law for any other reason, 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.S. citizens or lawful permanent

residents from filing a U.S. Federal income tax return. See "Filing Requirements" in the IRS Form 1040 Filing Instructions to determine whether you were required to file. For purposes of this affidavit, the line for gross (total) income on IRS Forms 1040 and 1040A will be considered when determining income. For persons filing IRS Form 1040 EZ, the line for adjusted gross income will be considered. Obtaining Tax Transcripts. You may use Internal Revenue Service (IRS) Form 4506-T to request tax transcripts from the IRS. Complete IRS Form 4506-T with the ending date for each of your three most recent tax years listed on line 9. Follow all instructions for completing and filing Form 4506-T with the IRS.

Part 7. Use of Assets to Supplement Income.
Only complete this Part if you need to use the value of assets to meet the income requirements. 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), you do not need to complete this Part. If your total household income does not meet the requirement, you may submit evidence of the value of your assets, the sponsored immigrant's assets, and/or assets of a household member that can be used, if necessary, for the support of the intending immigrant(s). The value of assets of all of these persons may be combined in order to meet the necessary requirement. Only assets that can be converted into cash within one year and without considerable hardship or financial loss to the owner may be included. The owner of the asset must include a description of the asset, proof of ownership, and the basis for the owner's claim of its net cash value. You may include the net value of your home as an asset. The net value of the home is the appraised value of the home, minus the sum of any and all loans secured by a mortgage, trust deed, or other lien on the home. If you wish to include the net value of your home, this, you must include documentation demonstrating that you own it, a recent appraisal by a licensed appraiser, and evidence of the amount of any and all loans secured by a mortgage, trust deed, or other lien on the home. You may not include the net value an automobile unless you show that you have more than one automobile, and at least one automobile is not included as an asset.

Form I-864 Instructions (Rev. 10/18/07)Y Page 8

26. Assets.
To use your own assets, you must complete lines 26a through 26d and submit corresponding evidence with this form. Supporting evidence must be attached to establish location, ownership, date of acquisition, and value of any real estate holding.

Part 8. Sponsor's Contact.
Read the contract carefully, print your name, and then sign and date the form. If you do not print your name on line 30 and sign and date the form on line 31, the intending immigrant you are sponsoring cannot be issued a visa or be granted adjustment of status.

27. Household Member's Assets.
To use the assets of a relative (spouse, adult son or daughter, parent or sibling), the relative must reside with you and have completed a Form I-864A, Contract Between Sponsor and Household Member, with accompanying evidence of assets. The Form I-864A and accompanying evidence of assets is submitted with Form I-864. 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.

Other Information.
Penalties. The Government may pursue verification of any information provided on or in support of this form, including employment, income, or assets with the employer, financial or other institutions, the Internal Revenue Service, or the Social Security Administration. If you include in this affidavit of support any information that you know to be false, you may be liable for criminal prosecution under the laws of the United States. If you fail to give notice of your change of address, as required by 8 U.S.C. 1183a(d) and 8 CFR 213a.3, you may be liable for the civil penalty established by 8 U.S.C. 1183a(d) (2). 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, State, or local means-tested public benefits. 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), 403(c)(2), or 4ll(b) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, which are summarized in the contract in Part 8) such failure may result in a fine of not less than $2,000 or more than $5,000. Otherwise, the failure to report your change of address may result in a fine not less than $250 or more than $2,000.

28. Assets of the Intending Immigrant.
You may use the assets of the intending immigrant regardless of where he or she resides. The intending immigrant must provide evidence of such assets with this form. Form I-864A is not required to document the intending immigrant's assets.

29. Total Value of Assets.
In order to qualify based on the value of your assets, 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. However, if you are a U.S. citizen and you are sponsoring your spouse or minor child, the total value of your assets must only be equal to at least three times the difference. If the intending immigrant is an alien orphan who will be adopted in the United States after the alien orphan acquires permanent residence, and who will, as a result, acquire citizenship under section 320 of the Act, the total value of your assets need only equal the difference. Example of How to Use Assets: If you are petitioning for a parent and the poverty line for your household size is $22,062 and your current income is $18,062, the difference between your current income and the poverty line is $4,000. In order for assets to help you qualify, the combination of your assets, plus the assets of any household member who is signing Form I-864A, plus any available assets of the sponsored immigant, would have to equal five times this difference (5 x $4,000). In this case, you would meet the income requirements if the net value of the assets equaled at least $20,000.

Privacy Act Notice.
Authority for the collection of the information requested on this form is contained in 8 U.S.C. 1182a(4), 1183a, 1184(a), and 1258. The information will be used principally by an immigration judge, 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. Submission of the information is voluntary. Failure to provide the information will result in denial of the application for an immigrant visa or adjustment of status.

Form I-864 Instructions (Rev. 10/18/07)Y Page 9

The information may also, as a matter of routine use, be disclosed to other Federal, State and local agencies providing means-tested public benefits for use in civil action against the sponsor for breach of contract. 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. It may also be disclosed as a matter of routine use to other Federal, State, local, and foreign law enforcement and regulatory agencies to enable these entities to carry out their law enforcement responsibilities.

USCIS Forms and Information.
To order USCIS forms, call our toll-free forms line at 1-800-870-3676. You can also obtain forms and information on immigration laws, regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www.uscis.gov.

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. Reporting Burden. A person is not required to respond to a collection of information unless it displays a currently valid OMB control number. We try to create forms and instructions that are accurate, can be easily understood, and which impose the least 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 form is as follows: (1) 75 minutes to learn about the law and form; (2) 90 minutes to complete the form; and (3) 3 hour and 15 minutes to assemble and file the form; for a total estimated average of 6 hours per form. If you have comments regarding the accuracy of this estimate, or suggestions for making this form simpler, write to U.S. Citizenship and Immigration Services, Regulatory Management Division, Attn: OMB No. 1615-0075, 111 Massachusetts Avenue N.W., Washington, D.C. 20529. Do not mail your completed affidavit of support to this address.

Form I-864 Instructions (Rev. 10/18/07)Y Page 10

Check List
The following items must be submitted with Form I-864:
For ALL sponsors: ___ A copy of your individual Federal income tax return, including W-2s for the most recent tax year, or a statement

and/or evidence describing why you were not required to file. Also include a copy of each and every Form 1099, Schedule, and any other evidence of reported income. You may submit this information for the most recent three tax years , 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.
For SOME sponsors: ___ If you are currently self-employed, a copy of your Schedule C, D, E or F from your most recent Federal Tax Return

which establishes your income from your business.
___ If you are sponsoring more than one intending immigrant listed on the same affidavit of support, photocopies of the

original affidavit of support may be submitted for any additional intending immigrants listed. Copies of supporting documentation are not required for these family members.
___ If you are the petitioning sponsor and on active duty in the U.S. Armed Forces and are sponsoring your spouse or

child using 100 percent of governing poverty guideline, proof of your active military status.
___ If you are using the income of persons in your household or dependents to qualify, ___ A separate Form I-864A for each person whose income you will use. However, 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.
___ 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.
___ Proof that the intending immigrant's current employment will continue from the same source if his or her

income is being used.
___ A copy of their individual Federal income tax return, including W-2s and 1099s, for the most recent tax

year, or evidence that they were not required to file. You may submit this information for the most recent three years if you believe it will help you qualify.
___ If you use your assets or the assets of a household member to qualify, ___ Documentation of assets establishing location, ownership, date of acquisition and value. Evidence of any

liens or liabilities against these assets.
___ A separate Form I-864A for each household member using assets other than for the intending immigrant. ___ If you are a joint sponsor, substitute sponsor, or the relative of an employment-based immigrant requiring an affidavit

of support, proof of your citizenship status, U.S. national status or lawful permanent resident status.
___ For U.S. citizens or nationals, a copy of your birth certificate, passport, or certificate of naturalization or

citizenship.
___ For lawful permanent residents, a copy of both sides of your Form I-551, Permanent Resident Card.

Form I-864 Instructions (Rev. 10/18/07)Y Page 11

OMB No. 1615-0075; Expires 10/31/10 Department of Homeland Security
U.S. Citizenship and Immigration Services

I-864, Affidavit of Support Under Section 213A of the Act
For Government Use Only

Part 1. Basis for filing Affidavit of Support.
1. I, am the sponsor submitting this affidavit of support because (Check only one box): a. b. c.
I am the petitioner. I filed or am filing for the immigration of my relative. I filed an alien worker petition on behalf of the intending immigrant, who is related to me as my I have an ownership interest of at least 5 percent in , which filed an alien worker petition on behalf of the intending immigrant, who is related to me as my I am the only joint sponsor. I am the first second of two joint sponsors. (Check appropriate box.)

,

This I-864 is from:
the Petitioner a Joint Sponsor # ______________ the Substitute Sponsor 5% Owner

d. e. f.

This I-864:

The original petitioner is deceased. I am the substitute sponsor. I am the intending immigrant's

.

does not meet the requirements of section 213A. meets the requirements of section 213A.

Part 2. Information on the principal immigrant.
2. Last Name First Name Middle Name

Reviewer

3. Mailing Address Street Number and Name (Include Apartment Number)
Location

City 4. Country of Citizenship

State/Province

Zip/Postal Code Country 5. Date of Birth (mm/dd/yyyy)

Date (mm/dd/yyyy)

Number of Affidavits of Support in file: 1 2

6. Alien Registration Number (if any) A-

7. U.S. Social Security Number (if any)

Part 3. Information on the immigrant(s) you are sponsoring.
8. I am sponsoring the principal immigrant named in Part 2 above. Yes 9. 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. Do not include any relative listed on a separate visa petition.
Name Relationship to Sponsored Immigrant Date of Birth
(mm/dd/yyyy)

A-Number (if any)

U.S.Social Security Number (if any)

a. b. c. d. e.

10. Enter the total number of immigrants you are sponsoring on this form from Part 3, Items 8 and 9.
Form I-864 (Rev. 10/18/07)Y

Part 4. Information on the Sponsor.
11. Name
Last Name For Government Use Only Middle Name

First Name

12. Mailing Address

Street Number and Name (Include Apartment Number)

City

State or Province

Country

Zip/Postal Code

13. Place of Residence Street Number and Name (Include Apartment Number)
(if different from mailing address)
City State or Province

Country

Zip/Postal Code

14. Telephone Number (Include Area Code or Country and City Codes) 15. Country of Domicile 16. Date of Birth (mm/dd/yyyy) 17. Place of Birth (City) 18. U.S. Social Security Number (Required) 19. Citizenship/Residency I am a U.S. citizen. I am a U.S. national (for joint sponsors only). I am a lawful permanent resident. My alien registration number is AIf you checked box (b), (c), (d), (e) or (f) in line 1 on Page 1, you must include proof of your citizen, national, or permanent resident status. 20. Military Service (To be completed by petitioner sponsors only.) I am currently on active duty in the U.S. armed services. Yes No State or Province Country

Form I-864 (Rev. 10/18/07)Y Page 2

Part 5. Sponsor's household size.
21. Your Household Size - DO NOT COUNT ANYONE TWICE
For Government Use Only

Persons you are sponsoring in this affidavit:
a. Enter the number you entered on line 10.

Persons NOT sponsored in this affidavit:
b. Yourself. c. If you are currently married, enter "1" for your spouse. d. If you have dependent children, enter the number here. e. If you have any other dependents, enter the number here. f. If you have sponsored any other persons on an I-864 or I-864 EZ who are now lawful permanent residents, enter the number here. g. OPTIONAL: If you have siblings, parents, or adult children with the same principal residence who are combining their income with yours by submitting Form I-864A, enter the number here.

1

h. Add together lines and enter the number here. Household Size:

Part 6. Sponsor's income and employment.
22. I am currently: a. Employed as a/an Name of Employer #1 (if applicable) Name of Employer #2 (if applicable) b. c. Self-employed as a/an Retired from
(Company Name)

. . . . since
(Date)

.

d.

Unemployed since
(Date)

.

23. My current individual annual income is:

$
(See Step-by-Step Instructions)

Form I-864 (Rev. 10/18/07)Y Page 3

24. My current annual household income: a. List your income from line 23 of this form.
$

For Government Use Only

b. Income you are using from any other person who was counted in your household size, including, in certain conditions, the intending immigrant. (See step-by-step instructions.) Please indicate name, relationship and income. Name Relationship Current Income
$ $ $ $ $

Household Size =

Poverty line for year _______________ is:

c. Total Household Income:

$

(Total all lines from 24a and 24b. Will be Compared to Poverty Guidelines -- See Form I-864P.)

d.

The persons listed above have completed Form I-864A. I am filing along with this form all necessary Forms I-864A completed by these persons. The person listed above,
(Name)

e.

does not need to

complete Form I-864A because he/she is the intending immigrant and has no accompanying dependents.

25. Federal income tax return information. I have filed a Federal tax return for each of the three most recent tax years. I have attached the required photocopy or transcript of my Federal tax return for only the most recent tax year. 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.

Form I-864 (Rev. 10/18/07)Y Page 4

Part 7. Use of assets to supplement income. (Optional)
If your income, or the total income for you and your household, from line 24c exceeds the Federal Poverty Guidelines for your household size, YOU ARE NOT REQUIRED to complete this Part. Skip to Part 8. 26. Your assets (Optional) a. Enter the balance of all savings and checking accounts. b. Enter the net cash value of real-estate holdings. (Net means current assessed value minus mortgage debt.) c. Enter the net cash value of all stocks, bonds, certificates of deposit, and any other assets not already included in lines 26 (a) or (b). d. Add together lines 26 a, b and c and enter the number here. $

For Government Use Only

Household Size =

Poverty line for year _______________ is:

$
$

$

TOTAL: $

27. Your household member's assets from Form I-864A. (Optional) Assets from Form I-864A, line 12d for $
(Name of Relative)

28. Assets of the principal sponsored immigrant. (Optional) The principal sponsored immigrant is the person listed in line 2. a. Enter the balance of the sponsored immigrant's savings and checking accounts. b. Enter the net cash value of all the sponsored immigrant's real estate holdings. (Net means investment value minus mortgage debt.) c. Enter the current cash value of the sponsored immigrant's stocks, bonds, certificates of deposit, and other assets not included on line a or b. d. Add together lines 28a, b, and c, and enter the number here. 29. Total value of assets. Add together lines 26d, 27 and 28d and enter the number here. TOTAL: $ $

$

$
The total value of all assests, line 29, must equal 5 times (3 times for spouses and children of USCs, or 1 time for orphans to be formally adopted in the U.S.) the difference between the poverty guidelines and the sponsor's household income, line 24c.

$

Form I-864 (Rev. 10/18/07)Y Page 5

Part 8. Sponsor's Contract.
Please note that, by signing this Form I-864, you agree to assume certain specific obligations under the Immigration and Nationality Act and other Federal laws. The following paragraphs describe those obligations. Please read the following information carefully before you sign the Form I-864. If you do not understand the obligations, you may wish to consult an attorney or accredited representative.
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 that intending immigrant submits the Form I-864 to the U.S. Government with his or her application for an immigrant visa or adjustment of status, under section 213A of the Immigration and Nationality Act these actions create a contract between you and the U. S. Government. The intending immigrant's becoming a permanent resident is the "consideration" for the contract. Under this contract, you agree 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, the U.S. Government can consider your income and assets to be available for the support of the intending immigrant.
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. But if you do not sign the Form I-864, the intending immigrant may not be able to become a permanent resident in the United States.
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, you must: -- 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. Armed Forces and the person is your husband, wife, unmarried child under 21 years old.) -- Notify USCIS of any change in your address, within 30 days of the change, by filing Form I-865.
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, then until your obligations under the Form I-864 terminate, your income and assets may be considered ("deemed") to be available to that person, 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, if the State or local government's rules provide for consideration ("deeming”) of your income and assets as available to the person. This provision does not apply to public benefits specified in section 403(c) of the Welfare Reform Act such as, but not limited to, emergency Medicaid, short-term, non-cash emergency relief; services provided under the National School Lunch and Child Nutrition Acts; immunizations and testing and treatment for communicable diseases; and means-tested programs under the Elementary and Secondary Education Act.

Contract continued on following page.
Form I-864 (Rev. 10/18/07)Y Page 6

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, that person may sue you for this support. If a Federal, State or local agency, 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, the agency may ask you to reimburse them for the amount of the benefits they provided. If you do not make the reimbursement, the agency may sue you for the amount that the agency believes you owe. If you are sued, and the court enters a judgment against you, the person or agency that sued you may use any legally permitted procedures for enforcing or collecting the judgment. You may also be required to pay the costs of collection, including attorney fees. If you do not file a properly completed Form I-865 within 30 days of any change of address, USCIS may impose a civil fine for your failing to do so.
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.S. citizen; Has worked, or can be credited with, 40 quarters of coverage under the Social Security Act; No longer has lawful permanent resident status, and has departed the United States; Becomes subject to removal, but applies for and obtains in removal proceedings a new grant of adjustment of status, based on a new affidavit of support, if one is required; or Dies. Note that divorce does not terminate your obligations under this Form I-864. Your obligations under a Form I-864 also end if you die. Therefore, if you die, your Estate will not be required to take responsibility for the person's support after your death. Your Estate may, however, be responsible for any support that you owed before you died.

30. I,
(Print Sponsor's Name)

,

certify under penalty of perjury under the laws of the United States that:

a. I know the contents of this affidavit of support that I signed. b. All the factual statements in this affidavit of support are true and correct. c. I have read and I understand each of the obligations described in Part 8, and I agree, freely and without any
mental reservation or purpose of evasion, 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;

d. 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;

e. Each of the Federal income tax returns submitted in support of this affidavit are true copies, or are unaltered tax
transcripts, of the tax returns I filed with the U.S. Internal Revenue Service; and Sign on following page.
Form I-864 (Rev. 10/18/07)Y Page 7

f.

I authorize the Social Security Administration to release information about me in its records to the Department of State and U.S. Citizenship and Immigration Services.

g. Any and all other evidence submitted is true and correct. 31.
(Sponsor's Signature) (Date-- mm/dd/yyyy)

Part 9. Information on Preparer, if prepared by someone other than the sponsor.
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. 10/18/07)Y Page 8

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

I-864P, Poverty Guidelines
2008 Poverty Guidelines*

Minimum Income Requirement for Use in Completing Form I-864.

For the 48 Contiguous States, the District of Columbia, Puerto Rico, the U.S. Virgin Islands and Guam:
Sponsor's Household Size 100% of Poverty Guidelines*
For sponsors on active duty in the U.S. Armed Forces who are petitioning for their spouse or child.

125% of Poverty Line For all other sponsors

2 3 4 5 6 7 8

$14,000 17,600 21,200 24,800 28,400 32,000 35,600
Add $3,600 for each additional person.

$17,500 22,000 26,500 31,000 35,500 40,000 44,500
Add $4,500 for each additional person.

For Alaska:
Sponsor's Household Size 100% of Poverty Line For sponsors on active duty in the U.S. 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. Armed Forces who are petitioning for their spouse or child $16,100 20,240 24,380 28,520 32,660 36,800 40,940 Add $4,140 for each additional person. 125% of Poverty Line For all other sponsors

2 3 4 5 6 7 8

$17,500 22,000 26,500 31,000 35,500 40,000 44,500
Add $4,500 for each additional person for sponsor on active duty in Armed Forces.

$21,875 27,500 33,125 38,750 44,375 50,000 55,625 Add $5,625for each additional person.

$20,125 25,300 30,475 35,650 40,825 46,000 51,175 Add $5,175 for each additional person.

Means -Tested Public Benefits.
Federal Means-Tested Public Benefits. To date, Federal agencies administering benefit programs have determined that Federal means-tested public benefits include Food Stamps, Medicaid, Supplemental Security Income (SSI), Temporary Assistance for Needy Families (TANF) and the State Child Health Insurance Program (SCHIP). State Means-Tested Public Benefits. Each State will determine which, if any, of its public benefits are means-tested. If a State determines that it has programs which meet this definition, it is encouraged to provide notice to the public on which programs are included. Check with the State public assistance office to determine which, if any, State assistance programs have been determined to be State means-tested public benefits. Programs Not Included: The following Federal and State programs are not included as means-tested benefits: emergency Medicaid; short-term, non-cash emergency relief; services provided under the National School Lunch and Child Nutrition Acts; immunizations and testing and treatment for communicable diseases; student assistance under the Higher Education Act and the Public Health Service Act; certain forms of foster-care or adoption assistance under the Social Security Act; Head Start Programs; means-tested programs under the Elementary and Secondary Education Act; and Job Training Partnership Act programs.
* These poverty guidelines remain in effect for use with Form I-864, Affidavit of Support, from March 1, 2008 until new poverty guidelines go into effect in the spring of 2009.
Form I-864P (Rev. 03/01/08)N

OMB No. 1615-0048 ; Expires 07/31/09

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

Instructions for I-907, Request for Premium Processing Service
Instructions

NOTE: You may file Form I-907 electronically. Go to our internet website at www.uscis.gov and follow the detailed instructions on e-filing.

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 section and number of the item to which the answer refers.

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.

General Instructions. How Do I File Form I-907?
You must fill out a separate Form I-907 for each petition or application submitted. Follow the steps below to complete your request process: Step 1 - Fill Out the Form I-907 Step 2 - Submit Your Request NOTE: USCIS wants to make sure that you receive the requested immigration benefit. To do this, we may ask for more evidence, interview you, and/or conduct an investigation.

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. Visit our web site at www.uscis.gov for details about which petitions or applications are eligible for this service. You may file your request for Premium Processing Service with the eligible petition or application. You may also file the request for Premium Processing Service after you file the eligible petition or application, as long as the eligible petition or application is still pending. Only the petitioner or applicant who filed the corresponding petition or application (e.g. Form I-129), or the attorney or accredited representative of the petitioner or applicant, may request Premium Processing Service. If the attorney or accredited representative makes the request, a properly completed Notice of Appearance (Form G-28) must accompany the request, even if the attorney or accredited representative has already filed a Form G-28 in the case. Premium Processing Service guarantees 15 calendar day processing of certain employment-based petitions or applications. U.S. 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, USCIS issues an approval notice or, where appropriate, issues a notice of intent to deny, a request for evidence or opens an investigation for suspected fraud or misrepresentation on the related petition or application. 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, the processing time has been met. Once a response is received to the notice of intent to deny or request for evidence, USCIS will guarantee 15 calendar day processing from the date the response was received.

Step 1. Fill Out the Form I-907.
Use black ink only. Type or print clearly using CAPITAL letters. If an item does not apply to you, write "N/A." If the answer is none, write "NONE." This form is divided into Parts 1 through 4. The following information should help you fill out the form.

Part 1 - Information about you.
Company or Business Name - Give the full name of the company or business.

Part 2 - Information about request.
Give the requested information about the related petition or application for which you are requesting 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. If you are requesting an upgrade of the pending underlying form to Premium Processing Service, 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. If you are concurrently filing the Form I-907 with the underlying form for which you are requesting Premium Processing Service, you must complete blocks 1, 3, 4 and 5 in Part 2 or your Form I-907 will be rejected and the fee returned. (You don't have to complete block 2 because if you are concurrently filing Form I-907 with the underlying form, you will not know the receipt number of the underlying form at the time you file).

Form I-907 Instructions (Rev. 07/30/07) Y

Part 3 - Original signature.
The petitioner, applicant, attorney, or accredited representative must sign and date the request. 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 $1,000 Premium Processing Service fee) will be returned to the requester. 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.

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.

Premium Processing Service for Form I-129 Initial Filings
If you are requesting Premium Processing Services on Form I-129, Petition for Nonimmigrant Worker, you must also file Form I-907, request for Premium Processing Services. Send the entire Forms I-129/I-907 package to the address listed in the I-129 filing instructions. NOTE: Before you file the Forms I-129/I-907 package, check the Premium Processing website to make sure the requested classification is Premium Processing Service eligible. (Premium Processing website link: http://www.uscis.gov)

Part 4 - Original signature of attorney or accredited representative who submitted Form G-28.
1. If a Form G-28, Notice of Entry of Appearance as Attorney or Representative, is attached to this request, the attorney or accredited representative listed on the Form G-28 must sign, date and give his or her address and daytime phone number. 2. If the preparer is a business or organization, its name must be included on the form.

Premium Processing Service for Form I-129 Upgrades for Pending Cases
If you have already filed Form I-129, and you wish to request Premium Processing Service, file Form I-907 with the Service Center where Form I-129 is pending. Include a copy of Form I-797, Notice of Action, or a copy of the transfer notice, if applicable, showing the location of the relating petition. To ensure that Form I-907 is matched up with the pending Form I-129, you must completely answer Questions 1 through 5 in Part 2 of Form I-907. If this information is not provided, the Form I-907 will be rejected. The Premium Processing addresses for each service center that handles Form I-129 is listed in the Form I-129 filing chart. NOTE: Form I-129 filing chart internet address: http://www.uscis.gov)

Step 2. Submit Your Request.
You must include the following items with your request. 1. Your signed and completed Form I-907. 2. Your signed and completed petition or application unless the petition or application was previously filed and is still pending. If this is the case, you must submit a copy of the filing receipt or a copy of the transfer notice, if applicable.

Where To File?
Submit the request. The Form I-907 may be filed at the same time as the relating petition or application, or it may be filed at a later date. If you plan to file the Form I-907 electronically, refer to the USCIS website at www.uscis.gov and click on "Immigration Forms." 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. If you have already filed the underlying form (i.e., Form I-129 or Form I-140) and wish to request Premium Processing Service, submit the Form I-907 to the Service Center where the underlying form is pending. Include a copy of the filing receipt or a copy of the transfer notice, if applicable.

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, depending on the location of the beneficiary's permanent employment. If you are requesting Premium Processing Service on Form I-140 for a preference category that is Premium Processing eligible, you must include Form I-907, and send the entire Form I-907/I-140 package to the correct filing location listed below. Before you file, note the different filing addresses. Failure to follow these instructions may result in your application or petition being rejected, delayed, or denied.

Form I-907 Instructions (Rev. 07/30/07) Y Page 2

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, Arizona, California, Colorado, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, Wisconsin or Wyoming. The mailing address you should use is: Form I-140 Premium Processing E-mail Address: Form I-140 Premium Processing Mailing Address: [email protected] Premium Processing USCIS Nebraska Service Center P.O. Box 87103 Lincoln, NE 68501-7103 Premium Processing Service for Form I-140 - Upgrades for Pending Cases If you have already filed Form I-140, and you wish to request Premium Processing Service, file Form I-907 with theServiceCenterwhere Form I-140 is pending. Include a copy of Form I-797, Notice of Action, or a copy of the transfer notice, if applicable, showing the location of the relating petition. To ensure that Form I-907 is matched up with the pending Form I-140, you must completely answer Questions 1 through 5 in Part 2 of Form I-907. If this information is not provided, the Form I-907 will be rejected. If your Form I-140 is pending with the Nebraska Service Center or the Texas Service Center, send Form I-907 to that center at the previously noted address. 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. Form I-140 Premium Processing Mailing Address: Premium Processing USCIS Texas Service Center P.O. Box 279030 Dallas, TX 75227-9030 Form I-140 Premium Processing Courier Address: Premium Processing USCIS Texas Service Center 4141 North St. Augustine Road Dallas, TX 75227

Form I-140 Premium Processing Courier Address: Premium Processing USCIS Nebraska Service Center 850 S St. Lincoln, NE 68508 Form I-140 Premium Processing E-mail Address: [email protected] 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, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Mississippi, New Hampshire, New Jersey, New Mexico, New York, North Carolina, South Carolina, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, Tennessee, Texas, Vermont, Virginia, U.S. Virgin Islands, or West Virginia.

California Service Center Form I-140 Mailing Address: I-140 Premium Processing USCIS California Service Center P.O. Box 10140 Laguna Niguel,CA 92607-0140

Form I-907 Instructions (Rev. 07/30/07) Y Page 3

Form I-140 Courier Address: Premium Processing USCIS California Service Center 24000 Avila Road 2nd Floor, Room 2312 Laguna Niguel,CA 92677 Form I-140 E-mail Address: [email protected] Vermont Service Center Form I-140 Courier and Mailing Address: Premium Processing USCIS Vermont Service Center 63 Lower Welden Street St. Albans, VT 05479-8001 Form I-140 E-mail Address: [email protected]

Use the following guidelines when you prepare your check or money order: 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. Do not mail cash. 2. Make the check or money order payable to the Department of Homeland Security. Please spell out U.S. Department of Homeland Security. Do not use the initials "USDHS" or "DHS." Your check or money order must be honored by the bank or financial institution. If it is not, we will charge you a fee for a returned/bounced check and your request for Premium Processing Service will be terminated.

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. 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" and 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-907 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.

Service Processing Information.
Our goal at USCIS is to process all petitions and applications fairly. The processing time will vary, depending on the specific circumstances of each case. We may reject an incomplete request. We may deny your request if you do not give us the requested information or do not go to a scheduled interview. To request USCIS forms, call our toll-free forms line at 1-800-870-3676. 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.uscis.gov. If you change your address, you must complete Form AR-11, Alien's Change of Address Card, according to the instructions on the form.

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

What Is the Filing Fee?
The filing fee for the Form I-907 is $1,000. The $1,000 Premium Processing fee is in addition to all other applicable filing fees. The petitioner, attorney or beneficiary may pay the $1,000 fee but the beneficiary cannot sign the Form I-907. You must pay for Premium Processing Service with a separate check or money order. (Example: One check or money order attached to the relating petition or application, and one check or money order attached to the Form I-907).

Form I-907 Instructions (Rev. 07/30/07) Y Page 4

USCIS Forms and Information.
To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www. uscis.gov. As an altenative 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. 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.

Penalties.
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form I-907, we will deny the Form I-907 and may deny any other immigration benefit. In addition, 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, and associated evidence, 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, as amended. 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 Form I-907.

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. The public reporting burden for this collection of information is estimated at 30 minutes per response, including the time for reviewing instructions, completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0048. Do not mail your application to this address. Form I-907 Check List. Did you completely fill out and sign the form? Did you attach a check or money order for $1,000 plus a check for the relating petition or application if applicable? (See Step 2 of these instructions for fee information.) NOTE: If you wish to have the notice mailed to you rather than wait for the batch-printed notice, submit a pre-paid express mail label and envelope for mailing. For your records, you should keep copies of your request packet.
Form I-907 Instructions (Rev. 07/30/07) Y Page 5

OMB No. 1615-0048; Expires 07/31/09

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

I-907, Request for Premium Processing Service
Request Physically Received by USCIS Date

START HERE - Please Type or Print (Use black ink.)

Part 1.

Information about you. (Person filing this petition.)
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 - Street Number and Name / P.O. 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. Are the attorney/accredited representative for the petitioner who is filing or has filed a petition eligible for Premium Processing. (Complete and submit Form G-28.) Are the applicant who is filing or has filed an application eligible for Premium Processing. Are the attorney/accredited representative for the applicant who is filing or has filed an application eligible for Premium Processing. (Complete and submit Form G-28.) Phone Number (Area/Country Code) Fax Number (Area/Country Code) To Be Completed by Attorney or Representative, if any. Fill in box if G-28 is attached to represent the applicant. ATTY State License # State/Province Returned Date Title/Position Zip/Postal Code Date

Date
Resubmitted

E-Mail Address (If Any)

Part 2. Information about request.
1. Form number of related petition/application. 4. Petitioner/Applicant in the relating case. 2. Receipt number of related petition/application. 3. Classification/Eligibility Requested.

5. Beneficiary in the relating case.

Part 3. Original signature. (This is the same person authorized to sign the petition or application.) It is understood that if U.S. Citizenship and Immigration Services (USCIS) does not issue an approval notice, request for evidence, notice of intent to deny, 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, a refund of the Premium Processing fee will be given to the addressee shown in Part 1 of this request. I certify, under penalty of perjury under the laws of the United States of America, that the information provided with this request is all true and correct. I authorize the release of any information from my records that USCIS needs to determine eligibility for the benefit being sought. Title (if applicable) Signature
Print Your Name Date (mm/dd/yyyy)

Part 4. Original signature of attorney or accredited representative. (Note if attorney is signing above in Part 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.
Same individual as signing above in Part 3. (If this box is checked, provide all the requested information below and a submit a Form G-28.) Date (mm/dd/yyyy) Signature Print Your Name Firm Name and Address Daytime Phone Number (Area Code and Number)

Form I-907 (Rev. 07/30/07) Y

USCIS Is Making Photos Simpler
Washington, DC — In accordance with language specified in the Border Security Act of 2003, U.S. Citizenship and Immigration Services (USCIS) announced a change in the photo requirements for all applicants from a three-quarter face position to a standard, full-frontal face position to take effect August 2, 2004.

Old Three-Quarter Style Photo

USCIS will accept both three-quarter and full-frontal color photographs until September 1, 2004, after which only full-frontal color will be accepted. 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.

✔
New Passport Style Photo
Photos Must Be in Color

All photos must be of just the person. Where more than one photo is required, all photos of the person must be identical. All photos must meet the specifications for full-frontal/passport photos. For more information on photo standards, visit the Department of State website at http://www.travel.state.gov/passport/pptphotos/index.html, or contact the USCIS National Customer Service Center at 1 800 375 5283.

List of forms that require photos is on the back

M-603 (07/04)

Applications and Petitions That Require Photos, 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, refugee travel document, or advance parole I-485 – Adjust status and become a permanent resident while in the U.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.S. citizenship) N-400 – Naturalization (to become a U.S. 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, and bring the other 2 with you to your interview N-600K – To apply for U.S. citizenship for foreign-born child residing abroad with U.S. 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, 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. 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. Where more than one photo is required, all photos of the person must be identical. All photos must meet the specifications for full-frontal/passport photos. For more information, visit our website at www.uscis.gov, or call our customer service at 1 800 375 5283.

OMB No. 1615-0056; Expires 10/31/09 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for N-470, Application to Preserve Residence for Naturalization Purposes
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 section and number of the item to which the answer refers.

What Is the Purpose of This Form?
Use Form N-470 to preserve your lawful permanent resident status for naturalization purposes. In certain limited situations, a person may be able to preserve residency, previously accumulated for naturalization purposes, even though he or she may be residing outside the United States for longer than one year. Thus the time spent abroad may be counted toward the residency requirement. These cases involve persons employed in specific jobs in the United States government and private sector as well as religious organizations. To obtain approval to preserve residency, such permanent residents must file a Form N-470 application before departing from the United States. The regulations are different for religious workers proceeding abroad to perform religious duties. Religious workers may apply before or after departure, or after return to the United States. They are not required to have lived in the United States for a specific period of time prior to filing Form N-470. Filing a Form N-470 does not relieve a permanent resident from obtaining a reentry permit, in advance of trips outside the United States for a year or more, nor does it relieve the applicant from the naturalization law's physical presence requirement. 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. Another exception to the residency requirement is made for alien members of the U.S. armed forces. A permanent resident employee of the U.S. government abroad who has filed a Form N-470 is considered physically present in the United States during such employment abroad. He or she does not need to obtain a reentry permit. NOTE: As a naturalization applicant, you may be eligible for expeditious processing if your U.S. citizen spouse is employed outside the United States as a missionary, or by a

U.S. corporation or as a member of the U.S. military. For additional information, call our National Customer Service Center at 1-800-375-5283 or visit our internet website at www.uscis.gov.

When Should I Use Form N-470?
Generally, 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. Additionally, 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). Permanent residents who remain outside the United States for more than one uninterrupted year will disrupt their naturalization residence requirement, unless they are the beneficiaries of an approved Form N-470. 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. Please note that in most cases you must have been physically present and residing in the United States for an uninterrupted period, without any absences whatsoever, for at least one year after your admission as a lawful permanent resident before you can file a Form N-470. In addition, 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. However, if your absence from the United States is, was or will be solely as a clergyman or clergywoman, missionary, brother, nun or sister of a religious denomination or interdenominational mission organization having a bona fide organization within the United States, you may file this application before or after an absence of one year or more. For additional information regarding qualifying employment and eligibility, see Step 1 of these instructions.
Form N-470 (Rev. 07/30/07) Y

General Instructions.
How Do I File Form N-470?
You do not have to be in the United States to file Form N-470, but you must file it before you have been absent for a continuous period of one year. However, members of a qualifying religious or interdenominational mission organization may file Form N-470 before or after an absence of one year or more. You may include in your application a qualifying spouse and dependent unmarried children, sons and daughters. These family members must be permanent residents and are or will be residing outside of the United States as members of your household. Follow the steps below to complete your application: Step 1 - Reason for Filing Form N-470 Step 2 - Fill Out the Form N-470 Step 3 - Submit Your Application

Step 2. Fill Out the Form N-470.
Use black ink. Type or print clearly using capital letters. If an item does not apply to you, write "N/A." If the answer is none, write "NONE." This form is divided into Parts 1 through 5. The following information should help you fill out the form.

Part 1. Information about you.
1. Family Name (Last name) - Give your legal name. If you have two last names, include both and use a hyphen (-) between the names, if appropriate. 2. Home Address - Give your physical street address. This must include a street number and name or a rural route number. Do not put a post office box (P.O. Box) number here. 3. Mailing Address - Give your mailing address, if different from your address. 4. Daytime Telephone Number - Give a telephone number with area code where you can be reached during the day. 5. Country of Birth - Give the name of the country where you were born. 6. Country of Citizenship - Give the name of the country of which you are a citizen. 7. Date of Birth - Use eight numbers to show your date of birth (example: May 1, 1979, should be written 05/01/1979). 8. A # - This is your Alien Registration File Number. It can be found on your Form I-551, Permanent Resident Card. 9. U.S. Social Security # - If you do not have a U.S. Social Security number, leave this blank.

Step 1. Reason for Filing Form N-470.
Check the box in Part 2 of Form N-470 that applies to your request.

My absence from the United States is:
1. On behalf of the U. S. Government - Check Box A if you are, or will be employed by, or are under contract with the U.S. Government. This includes members of the U.S. Armed Services. 2. For the purpose of carrying on scientific research on behalf of an American institution of research - Check Box B if you are employed by a qualifying organization. 3. 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 - Check Box C if you are employed by a qualifying firm or corporation. 4. 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 D if you are employed to perform such services. 5. On behalf of a public international organization of which the United States is a member- Check Box E if you are employed by a qualifying organization. NOTE: Your employment cannot have started until after your admission as a permanent resident. 6. Solely because of my capacity as a clergyman or clergywoman, missionary, nun, or sister of a denomination or mission having a bona fide organization in the United States - Check Box F if you are to serve in such capacity for a qualifying mission or organization.

Part 2 - Reason for request.
1. Check one box that applies to your particular request. Note that your absence from the United States is: On behalf of the U. S. Government. A For the purpose of carrying on scientific research on behalf of an American institution of research. B. 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. C. 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. D. On behalf of a public international organization of which the United States is a member. F. Soley because of your capacity as a clergyman or clergywoman, missionary, brother, nun or sister of a denomination or mission, having a bona fide organization in the United States.
Form N-470 (Rev. 07/30/07) Y Page 2

Part 3 - Additional information.
1. Number 1 - 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. 2. Number 2 - Mark the appropriate box. 3. Number 3 - When furnishing information regarding absences, you must show each departure from and return to the United States, including absences in foreign contiguous countries (i.e., Canada, Mexico), no matter how short. 4. Numbers 4 through 7 - Give all the requested information.

C. Your check or money order must be honored by the bank or financial institution on which it is drawn. If it is not, we will charge you a fee and your application and any document issued to you will not be valid. NOTE: Please spell out Department of Homeland Security. Do not use the initials "USDHS" or "DHS."

How to Check If the Fees Are Correct.
The form fee on this form is 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.

Part 4 - Signature.
As the applicant, you must sign and date the Form N-470. If you do not sign the form, the application will be returned as incomplete.

Part 5 - Signature of person preparing form, if other than the applicant.
If you, the applicant, did not fill out Form N-470, the preparer must also sign, date and give his or her address.

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

Where to File?
You should submit your application at the USCIS office having jurisdiction over your place of residence in the United States.

What is the Filing Fee?
The filing fee for Form N-470 is $305.00.
Use the following guidelines when you prepare your check or money order for the application 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 the Department of Homeland Security, unless: A. If you live in Guam and are filing your application there, make it payable to the Treasurer, Guam. B. If you live in the U.S. Virgin Islands and are filing your application there, make it payable to the Commissioner of Finance of the Virgin Islands.

Evidence.
Attach copies, showing the front and back of the following documents, if available. Do not send original documents unless instructed to do so. As evidence of your eligibility, submit letters or affidavits from the appropriate officer or the department or agency of the U.S. Government, American research institution, American firm or corporation, public international organization, or religious denomination or interdenomination mission organization. Depending on the circumstances why you are applying to preserve your residence, the letters or affidavits should include the following documentation:
Form N-470 (Rev. 07/30/07) Y Page 3

1.

An official communication from the appropriate office of the department or agency of the U.S. Government, or the public international organization; or Affidavit or affidavits executed by the appropriate administrative official of the American institution or religious denomination or interdenominational mission for whom you are, were or will be employed or with whom you entered into a contract; or by the appropriate administrative official of the American firm or corporation, or subsidiary thereof by whom you are or will be employed.

Whether you will be engaged in the development of foreign trade and commerce of the United States; or 8. 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; or 9. Solely in the capacity of a regularly ordained clergyman or clergywoman, missionary, brother, nun or sister; and 10. In the case where employment is for a public international organization, the date when and place where you were first employed. In addition, you must submit the following evidence. 1. Attach a copy showing the front and back of your I-551, Permanent Resident Card. 2. Copies of legal evidence of a name change or date of birth (See Part 3 of the form). 3. A complete copy of all passports in your possession, expired or unexpired, issued to you since your admission as a permanent resident to the United States. 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. 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.

2.

When an affidavit is made with respect to employment by such firm, corporation or subsidiary, it should state: 1. The title of the official making the affidavit, 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. 2. Whether the employing organization is an American firm or corporation engaged in the development of foreign trade and commerce of the United States, or subsidiary thereof. 3. The nature of the business conducted by the employing organization, church, religious denomination or interdenominational mission organization. 4. If it is a corporation, the name of the State under laws of which it was organized, the date of incorporation and that it is existent. 5. 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, the affidavit should be: A. Executed by an appropriate administrative official of the parent organization, and B. Should state the facts of ownership and/or control of the subsidiary, and C. Should state the exact percentage of stock owned by the parent organization. 6. The facts of your employment, including the nature of the services performed by you during the period or periods of absence to be considered. 7. Whether you will be engaged in the development of foreign trade and commerce of the United States; or

What is the effect of claiming nonresident alien status?
After having been admitted to the United States as a permanent resident, if you claim or claimed nonresident alien status under the income tax laws, 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. Consequently, you may be or become ineligible for naturalization or for preservation of residence. If you have claimed nonresident alien status, submit a full explanation. This should be written on a separate sheet(s) of paper.

Form N-470 (Rev. 07/30/07) Y Page 4

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. Any changes of employment must be approved by a new application. Approval of this application will not relieve you of the requirement to present a valid document for reentry into the United States.

Penalties.
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form N-470, we will deny the FormN-470 and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.

Privacy Act Notice. Processing Information.
Acceptance. Any application that is not signed or accompanied by the correct fee will be rejected with a notice that the application is deficient. You may correct the deficiency and resubmit the application. However, an application is not considered properly filed until accepted by USCIS. Initial Processing. Once the application has been accepted, 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 the required initial evidence, you will not establish a basis for eligibility and we may deny your application. Requests for More Information. 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 needed. Decision. The decision on the Form N-300 involves a determination of whether you have established eligibility for the requested benefit. You will be notified of the decision in writing. We ask for the information on this form, and associated evidence, 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, as amended. 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 Form N-470.

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. The public reporting burden for this collection of information is estimated at 35 minutes per response, including the time for reviewing instructions, completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0056. Do not mail your application to this address.

USCIS Forms and Information.
To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www.uscis. gov. As an altenative 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. 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.

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.
Form N-470 (Rev. 07/30/07) Y Page 5

OMB No. 1615-0056; Expires 10/31/09 Department of Homeland Security U.S. Citizenship and Immigration Services

N-470, 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 - Please type or print in black ink.

Part 1.

Information about you. (Person filing this application)
Given Name

Family Name A # (if any)

U.S. Social Security # (if any) Apt. # State/Province Country Apt. #

Home Address - Street Number and Name City Zip/Postal Code Mailing Address - 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. Reason for request.
My absence from the United States is: (Check one box.) A. B. C. On behalf of the U.S. Government. For the purpose of carrying on scientific research on behalf of an American institution of research. 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. 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. On behalf of a public international organization of which the United States is a member. Solely because of my capacity as a clergyman or clergywoman, missionary, brother, nun or sister of a denomination or mission having a bona fide organization in the United States. To Be Completed by Attorney or Representative, if any. Fill in box if G-28 is attached to represent the applicant.
ATTY State License #

Action Block

D.

E. F.

Form N-470 (Rev. 07/30/07) Y

Part 3. Additional information.
1. Give the date that you obtained lawful permanent resident status. Enter date (mm/dd/yyyy) 2. Since lawfully entry as a permanent resident, have you resided in and been physically present in the United States for an uninterrupted period of at least one year? Yes No 3. List all you absences from the United States since your admission as a lawful permanent resident. Begin with your most recent trip. Date of Departure (mm/dd/yyyy) Date of Return (mm/dd/yyyy) Port of Entry Into the United States Purpose of Trip

4. Explain the position of employment that requires your absence from the United States and the intended length of employment.

5. Is the name you provided in Part 1 different from the name that appears on your Form I-551, Permanent Resident Card? Yes No If "Yes," note the information that is different. You must provide evidence showing the legal basis for the difference.

6. Since becoming a lawful permanent resident, have you ever filed an income tax return as a nonresident or otherwise claimed or received benefits as a nonresident alien under U.S. federal, state or local income tax laws? Yes No 7. 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. Name (Last/First/Middle) Date of Birth (mm/dd/yyyy) Relationship A # (if applicable)

Part 4. Signature. Read the information on penalties in the instructions before completing this part.
I certify, under penalty of perjury under the laws of the United States of America, that this application and the evidence submitted with it is all true and correct. I authorize the release of any information from my records that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit sought. 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, you may not be found eligible for the requested document and this application may be denied.

Part 5. Signature of person preparing form, if other than above.

(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. 07/30/07) Y Page 2

OMB No. 1615-0057; Expires 10/31/08

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

Instructions for N-600, Application for Certificate of Citizenship
Instructions

What Is the Purpose of This Form?
Form N-600 is an application for a Certificate of Citizenship.

4. 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, 2001: A. You regularly resided in the United States after admission as a lawful permanent resident, and

Who Should Use Form N-600?
1. You may use this form if you claim U.S. citizenship either by action of law while residing in the United States or by having been born outside the United States to U.S. citizen parent(s). 2. If you are the biological or adopted child of a U.S. citizen, you were born outside the United States, and you are claiming citizenship by action of law, you automatically become a U.S. citizen if: A. You have at least one parent who is a U.S. citizen, whether by birth or naturalization; and B. You regularly reside in the United States in the legal and physical custody of your U.S. citizen parent; and C. You have been lawfully admitted for permanent residence (NOTE: If you entered the United States as an adopted child, you must have been admitted as an IR-3 (child adopted outside the United States). If you entered as an IR-4 (child coming to the United States to be adopted), a final adoption must take place for this section of law to apply to you; and D. You have not yet reached your 18th birthday; and E. You are a biological child, you were legitimate, or you were legitimated while in the legal custody of your legitimating parent(s) prior to reaching your 16th birthday; or F. You are a biological child born out of wedlock and you have not been legitimated and your mother naturalizes as a U.S. citizen. 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, 2001 (the date the law took effect), you may file this form to obtain a certificate of citizenship. 3. If you were under the age of 18 on February 27, 2001, but not all of the conditions noted above were met prior to your 18th birthday, you must qualify for U.S. citizenship in your own right.

B. Both of your parents, the parent having legal and physical custody of you, or your sole surviving parent naturalized as a U.S. citizen. 5. If you are the biological child of a U.S. citizen, you were born outside the United States and you are claiming citizenship by having been born to U.S. citizen parent(s), you automatically become a U.S. citizen at birth if: A. You were born to two U.S. citizen parents and at least one of your parents had a residence in the United States or one if its outlying possessions. This residence had to have taken place prior to your birth; or B. You were born to parents, one of whom is an alien and the other a U.S. citizen who, prior to your birth, 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, at least two of which were after the age of 14 years. NOTE: To determine if you were born a U.S. citizen, USCIS must look at the law that was in effect at the time of your birth. The current law was enacted on November 14, 1986, and was last amended on February 27, 2001. If you were born before November 14, 1986, and believe you may be a U.S. citizen, you should contact USCIS by calling our National Customer Service Center 1-800-375-5283 or visiting our internet website at http://www.uscis.gov.

Who May File This Form?
1. Form N-600 may be filed by any person claiming to have acquired (at birth) or derived (after birth) U.S. citizenship through a U.S. citizen parent. Any person who was born a U.S. citizen outside the United States or who fulfilled the requirements for becoming a U.S. citizen prior to their 18th birthday may file this form at any time during his or her lifetime.

2.

Form N-600 Instructions (Rev. 10/15/07)Y

3.

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), the application must be filed by the U.S. citizen parent or legal guardian with legal and physical custody of the child. In the case of an adult applicant with a disability, an immediate relative or legal guardian may file the application.

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.

4.

Who May Not File This Form?
1. 2. 3. Persons who do not have a claim to citizenship either at the time of birth or by action of law. Stepchildren. Children who are not legitimate or who were not legitimated prior to their 16th birthday. (Except for children who were born abroad to an eligible U.S. citizen mother or eligible children who became citizens through the naturalization of their mother).

C. If you live outside the United States, Guam, or the U.S. Virgin Islands, contact the nearest U.S. embassy or consulate for instructions on the method of payment. 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.

4. U.S. citizen parents of children who regularly reside outside the United States. They should refer to Form N-600K, Application for Citizenship and Issuance of Certificate Under Section 322.

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.

What Is the Filing Fee?
The fee for this Form N-600 is $460.00, except for U.S. citizen parents requesting a Certificate of Citizenship for an adopted chid. For U.S. citizen parents filing on behalf of an adopted minor child under section 320 of the INA (checking Part 2, Box C on the Form), the fee for the Form N-600 is $420.00. The fee must be paid at the time of filing the application. The fee is not refundable, even if the application is subsequently withdrawn. Use the following guidelines when you prepare your check or money order for the Form N-600. 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

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, 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," and 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.

General Instructions.
Step 1. Fill Out the Form N-600
1. 2. Type or print legibly in black ink. If extra space is needed to complete any item, attach a continuation sheet, indicate the item number, and date and sign each sheet.
Form N-600 Instructions (Rev. 10/15/07)Y Page 2

3. 4.

Write your name, your ''A" number (if any) and "N-600" on the top right corner of the sheet. Answer all questions fully and accurately. State that an item is not applicable with "N/A." If the answer is none, write "none." If you are the applicant or you are filing for a child and you or the child have an A-number, write that A-number in the place indicated on the top right hand corner of the first page. If there is no A-number, leave this blank. The A-number can be found on you or the child's Permanent Resident Card, if applicable, or on DHS issued travel documents or letters. If the A-number has fewer than nine numbers, place enough zeros before the first number to make a total of nine numbers on the application. For example, A 12 345 678 as A 012 345 678. Individuals can become citizens under several very different sections of law and can use this form to obtain a certificate of citizenship. You only need to complete those sections of the form that relate to you or the child's eligibility.

5.

A. Translations - Any document in a foreign language must be accompanied by a translation in English. The translator must certify that he or she is competent to translate and that the translation is true and accurate. For each document needed, you may submit a clear, readable copy or the originals. Do not send an original Certificate of Citizenship or Certificate of Naturalization. USCIS may request that you present original documents at the interview. B. Birth certificate or record - A certified birth certificate or record issued by a civil authority in the country of birth. C. Marriage certificate(s) - Certified marriage certificate(s) issued by a civil authority in the state or country of marriage. D. Documents showing the termination of a marriage Examples include a divorce decree, death certificate, or annulment document. F. Proof of U.S. citizenship - Examples of this are birth certificates showing birth in the United States; an N-550, Certificate of Naturalization; an N-560, Certificate of Citizenship; an FS-240, Report of Birth Abroad of United States Citizen; or a valid unexpired U.S. passport. G. Proof of status as national of United States - (Only required for applicants claiming U.S. citizenship through a national of the United States, such as a person born in American Samoa or Swains Islands.) A person is born a citizen if born outside of the United States and its outlying possessions of parents, 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, and the other of whom is a national but not a citizen of the United States. If the non-citizen parent is an alien but not a national, the citizen parent would need to meet the physical presence requirement, depending on the date of birth, prior to the child's birth. H. Proof of legitimation - (Only required for applicants who were born out of wedlock). Documents must establish legitimation according to the laws of the child's residence or domicile or father's residence or domicile (if applicable). Legitimation for INA benefits requires that the child be in the legal custody of the legitimating parent(s) at the time of legitimation.

6.

7.

Step 2. General Requirements.
You do not need to submit documents that were provided in connection with: 1. An application for an immigrant visa and retained by the U.S. embassy or consulate for inclusion in the immigrant visa package, or An immigrant petition or application and included in a USCIS administrative file. You should indicate that you want USCIS to rely on such documents and identify the administrative file(s) by name and A-number. USCIS will only request the required documentation again if necessary.

2.

3. The following is a list of documents that must be submitted with the Form N-600, 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. Unless specifically noted otherwise, you must submit each of the documents listed below for yourself and/or your child and the U.S. citizen parent(s) through whom you are claiming U.S. citizenship.

Form N-600 Instructions (Rev. 10/15/07)Y Page 3

I.

Proof of legal custody - (Only required for applicants whose U.S. citizen parent(s) divorced and/ or separated and for applicants who are adopted or legitimated).

D. Census records - State or federal census records showing the name(s) and place(s) of birth, and the date(s) of birth or age(s) of the person(s) listed. E. Affidavits - Written statements sworn (or affirmed) to by two persons who have personal knowledge of the claimed event (i.e., the date and place of a birth, marriage, or death). The persons may be relatives and need not be citizens of the United States. Each affidavit should contain the following information regarding the person making the affidavit: his or her full name and address; date and place of birth; relationship to the applicant, if any; full information concerning the event; and complete details concerning how he or she acquired knowledge of the event.

J. Copy of Permanent Resident Card or other evidence of Lawful Permanent Resident status (Only required for applicants claiming U.S. citizenship through alien parent(s) who naturalized or claiming automatic acquisition of U.S. citizenship while under the age of 18 under section 320 of INA.) K. Proof of required residence or physical presence in the United States - Any document that proves the U.S citizen parent(s)' residence or physical presence in the United States. This proof may include but is not limited to the following: 1. 2. 3. 4. 5. School, employment, military records; Deeds, mortgages, leases showing residence; Attestations by churches, unions, or other organizations; U.S. Social Security quarterly reports; Affidavits of third parties having knowledge of the residence and physical presence.

Photographs.
(Photographs only required of the person to whom the Certificate of Citizenship will be issued). You must submit two identical color photographs of yourself taken within 30 days of the filing of this application. The photos must have a white to off-white background, be printed on thin paper with a glossy finish, and be unmounted and unretouched. Passport-style photos must be 2" x 2." The photos must be in color with full face, frontal view on a white to off-white background. Head height should measure 1" to 1 3/8" from top of hair to bottom of chin, 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. The photographs must not be signed. Using a soft lead pencil, print your name (or if a U.S. citizen parent applying on behalf of a minor child, the child's name) and Alien Registration Number (if applicable) in the center of the back of each photograph.

L. Copy of full, final adoption decree - (Only required for adopted applicants). M. Evidence of all legal name changes. 4. If it is not possible to obtain any one of the aboverequired documents, you must establish why the evidence is not available. 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). A. Baptismal certificate - A certificate under the seal of the church where the baptism occurred, showing the date and place of the child's birth, date of baptism, the names of the godparents, if known. B. Church records - A certificate under the church seal issued within two months of birth. C. School record - A letter from authorities of the school attended (preferably the first school), showing the date of admission to the school, the child's date of birth or age at that time, place of birth, and the names and places of birth of parents, if shown in the school records.

Step-by-Step Instructions.
This form is divided into ten parts. The information below will help you fill out the form.

Part 1. Information About Your Child.
The person seeking the Certificate of Citizenship should complete information in this section. NOTE: If you are a U.S. citizen parent applying for a certificate of citizenship on behalf of your minor biological or adopted child, provide information relating to your minor child.

Form N-600 Instructions (Rev.10/15/07)Y Page 4

1.

Current legal name - Your current legal name is the name on the birth certificate, unless it has been changed after birth by a legal action such as a marriage, adoption, or court order. Name exactly as it appears on your Permanent Resident Card (if different from above) - Write your name exactly as it appears on the card, even if it is misspelled. Other names used since birth - If you have ever used any other names since birth, write them in this section. If you need more space, use a separate sheet of paper.

Part 3. Additional Information About You.
Complete information must be provided about the person seeking a Certificate of Citizenship. NOTE: If you are a U.S. citizen parent applying for a Certificate of Citizenship on behalf of your minor biological or adopted child, submit information relating to your minor child. 1. Home address - Give the address where you now live. Do not put post office (P.O.) box numbers here. 2. Mailing address - If your mailing address is the same as the home address, write "same." If the mailing address is different from your home address, write it in this part. Provide "Care Of" information if applicable. 3. Telephone numbers (optional) - Telephone numbers and e-mail addresses allow USCIS to contact you more quickly about the application. If you are hearing impaired and use a TTY telephone connection, please indicate this by writing "(TTY)" after the telephone number. Current marital status - Check the marital status you have on the date you are filing this application. If you are currently not married but had a prior marriage that was annulled (declared by a court to be invalid), check "Other" and provide an explanation. Information about your child's entry into the United States and current immigration statusA. Provide information about where you entered the United States and what name you used when you entered. B. Provide information about what documents you presented to enter the United States. Provide your passport number and date of issuance, if known. C. Provide information about your immigration status on entry into the United States. D. If you adjusted to lawful permanent resident status while in the United States, provide the date you became a lawful permanent resident and place where such status was granted. 6. Previous application for Certificate of Citizenship or U.S. passport - If you previously applied for a Certificate of Citizenship or a U.S. passport (or you are a U.S. citizen parent who previously applied for a Certificate of Citizenship or U.S. passport for your minor child), indicate on a separate piece of paper what happened with the application and whether a Certificate of Citizenship or U.S. passport was or was not issued.
Form N-600 Instructions (Rev. 10/15/07)Y Page 5

2.

3.

4. U.S. Social Security Number - Print your U.S. Social Security Number. If the child does not have a U.S. Social Security Number, write "N/A" in the space provided. 5. Date of birth - Use eight numbers to show your date of birth (example: May 1, 1979, should be written 05/01/1979). 6. Country of birth - Give the name of the country where you were born. Write the name of the country even if it no longer exists. If the name of the country has changed, write the name of the country as it was at the time of your birth. 7. Country of prior nationality - If you were a citizen of a different country before becoming a U.S. citizen, write the name of the country of your prior nationality. A. If the country no longer exists and/or the child is stateless, write the name of the country where the child was last a citizen or national. B. If you were a citizen or national of more than one country, write the name of the foreign country that issued your last passport. 8. Gender - Indicate whether male or female. 9. Height - Give your height in feet and inches.

4.

5.

Part 2. Information About Your Eligibility.
Check the box in Section A that best indicates why you are eligible for a Certificate of Citizenship. If you are a U.S. citizen parent applying for a Certificate of Citizenship on behalf of a minor child, check the box in either Section B or C, indicating whether you are applying for a biological or adopted child. If the basis for your eligibility is not described in any of the categories, check Box D "Other" and briefly write the basis for your application on the lines provided.

7.

Information on adoption - If you were adopted, provide information as to the place and date of the adoption.

2.

8. Re-adoption in the United States - 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.S. citizen parent(s)) do not automatically acquire citizenship on entry, even though admitted as lawful permanent residents. 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 you or your child had to be re-adopted in the United States, provide the information requested. If the appropriate authority in your current place of residence recognizes the validity of a full, final foreign adoption, submit evidence of this. 9. 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. If the child was born out-of-wedlock, indicate "No," even if the parents subsequently married. If the child was adopted, indicate whether the adoptive parents were married to each other at the time of the adoption. If you are a U.S. citizen parent applying on behalf of a minor biological or adopted child, indicate whether you were married to the child's natural (or adoptive mother) at the time of your minor child's birth (or adoption). If your minor child was born out-of-wedlock, indicate "No," even if you subsequently married the child's other parent. 10. Absences from the United States - Provide the requested information for every trip that you have taken since you first arrived in the United States. Begin with the most recent trip. This information is needed only for persons born before October 10, 1952, who are claiming U.S. citizenship at the time of birth.

Date of birth - Use eight numbers to show the U.S. citizen father's date of birth (example: May 1, 1969, should be written 05/01/1969). Country of birth - Give the name of the country where the U.S. citizen father was born. Write the name of the country even if it no longer exists. If the name of the country has changed, write the name of the country as it was at the time of the U.S. citizen father's birth. Country of nationality - Write the name of the country where the U.S. citizen father is currently a citizen or national. If the country no longer exists and/or you are stateless, write the name of the country where the U.S. citizen father was last a citizen or national. Home address - Give the address where the U.S. citizen father now lives. Do not put post office (P.O.) box numbers here. If deceased, write "deceased" and provide the date of death. U. S. citizenship - Indicate how the U.S. citizen father became a U.S. citizen. Provide all the requested information. Loss of U. S. citizenship - Indicate whether the U.S. citizen father ever lost his U.S. citizenship. Provide this information even if the U.S. citizen father regained citizenship at a later date. Residence and/or physical presence- Only applicants born outside the United States who are claiming to have been born U.S. citizens are required to provide all the dates when their U.S. citizen father was in the United States. Dates should include all time immediately after birth as well as after the age of 14 years and older.

3.

4.

5.

6.

7.

8.

9. Marital historyA. Write the number of times the U.S. citizen father was married. Include any annulled marriages. If he was married more than one time to the same spouse, count each time as a separate marriage. B. If now married, provide information about the U.S. citizen father's current spouse. Check the appropriate box to indicate his immigration status. C. Indicate whether the U.S. citizen father's current spouse is also your parent. If "No," you will be asked to provide information about your father's previous spouse or spouses.

Part 4. Information About the U.S. Citizen Father (or Adoptive Father).
Information in this section should be completed if you are claiming citizenship through a U.S. citizen father (or adoptive father). If you are claiming citizenship solely through a U.S. citizen mother (or adoptive mother), see Part 5 of the form. NOTE: If you are a U.S. citizen father (or adoptive father) applying for a Certificate of Citizenship on behalf of your minor child, where information is requested about the U.S. citizen, provide information about YOURSELF in the sections noted. 1. Current legal name - Give the U.S. citizen father's current legal name. It is the name on the birth certificate unless it was changed after birth by a legal action (marriage, adoption, or court order).

Form N-600 Instructions (Rev. 10/15/07)Y Page 6

Part 5. Information About Your U.S. Citizen Mother (or Adoptive Mother).
Information in this section should be completed if you are claiming citizenship through a U.S. citizen mother (or adoptive mother). If you are claiming citizenship solely through a U.S. citizen father (or adoptive father), see Part 4 of the form. NOTE: If you are a U.S. citizen mother (or adoptive mother) applying on behalf of your minor child, where information is requested about "the U.S. citizen mother," provide information about YOURSELF in the sections noted.
1. Current legal name - Give current legal name of the U.S. citizen mother. It is the name on her birth certificate unless it was changed after birth by a legal action such as a marriage, adoption, or court order.

9. Marital historyA. Write the number of times the U.S. citizen mother was married. Include any annulled marriages. If she was married more than one time to the same spouse, count each time as a separate marriage. B. If now married, provide information about the U.S. citizen mother's current spouse.Check the appropriate box to indicate his immigration status. C. Indicate whether the U.S. citizen mother's current spouse is also your parent. If "No," you will be asked to provide information about your mother's previous spouse or spouses.

2.

Date of birth - Use eight numbers to show the U.S. citizen mother's date of birth (example: May 1, 1969, should be written 05/01/1969). Country of birth - Give the name of the country where the U.S. citizen mother was born. Write the name of the country even if it no longer exists. If the name of the country has changed, write the name of the country as it was at the time of the U.S. citizen mother's birth. Country of nationality - Write the name of the country where the U.S. citizen mother is currently a citizen or national. If the country no longer exists and/or you are stateless, write the name of the country where the U.S. citizen mother was last a citizen or national. Home address - Give the address where the U.S. citizen mother now lives. Do not put post office (P.O.) box numbers here. If the U.S. citizen mother is deceased, write "deceased" and provide the date of death. U. S. citizenship - Indicate how the U.S. citizen mother became a U.S. citizen. Provide all the requested information. Loss of U. S. citizenship - Indicate whether the U.S. citizen mother ever lost her U.S. citizenship. Provide this information even if the U.S. citizen mother regained citizenship at a later date. Residence and/or physical presence - Only applicants who are claiming to have been born U.S. citizens outside of the United States are required to provide all the dates when the U.S. citizen mother was in the United States. Dates should include all time immediately after birth as well as after the age of 14 years and older.

Part 6. Information About Military Service of U.S. Citizen Parent -- (Applicable only for applications filed under section 301(g)
Provide requested information if either U.S. citizen parent served in the U.S. Armed Forces. Also indicate whether he or she was honorably discharged from service.

3.

Part 7. Your Signature.
If you are over the age of 18 years and you are filing this application for yourself, you must sign and date the application. If you do not sign the application, USCIS will return the application to you. If you are under the age of 18 years and your U.S. citizen parent or legal guardian is filing the application on your behalf, your U.S. citizen parent or legal guardian must sign and date the application. If your U.S. citizen parent or legal guardian does not sign the application, the application will be returned.

4.

5.

6.

Part 8. Signature of Person Preparing Form, If Other Than Applicant.
If you do not fill out this Form N-600, the preparer must also sign, date and give his or her address. If the preparer is a business or organization, it is name must be included on the form.

7.

Part 9. Affidavit.
Do not complete this part.

8.

Part 10. Officer Report and Recommendation.
Do not complete this part.

Form N-600 Instructions (Rev.10/15/07)Y Page 7

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 you may complete and mail a 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

As an altenative 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. 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.

Penalties.
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this request, we will deny the benefit you are filing for, and may deny any other immigration benefit. In addition, 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, and associated evidence, 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, as amended. 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 Form N-600.

Processing Information.
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. You may correct the deficiency and resubmit the Form N-600. An application or petition is not considered properly filed until accepted by USCIS.

Initial processing. Once a Form N-600 has been accepted, it will be checked for completness, 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 N-600. 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 N-600 involves a determination of whether you have established eligiblity for the requested benefit. You will be notified of the decision in writing.

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. The public reporting burden for this collection of information is estimated at 1 hour and 35 minutes per response, including the time for reviewing instructions, completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0057. Do not mail your application to this address.

USCIS Forms and Information.
To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www.uscis.gov.
Form N-600 Instructions (Rev.10/15/07)Y Page 8

OMB No. 1615-0057, Expires 10/31/08

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

N-600, Application for Certificate of Citizenship

Print clearly or type your answers, using CAPITAL letters in black ink. Failure to print clearly may delay processing of your application.

Part I. Information about you. (Provide information about yourself, if you are
a person applying for the Certificate of Citizenship. If you are a U.S. citizen parent applying for a Certificate of Citizenship for your minor child, provide information about your child). 1. Current legal name
Family Name (Last Name)

If your child has an "A" Number, write it here:

A
For USCIS Use Only
Returned Date Receipt

Given Name (First Name)

Full Middle Name (If applicable)

2. Name exactly as it appears on your Permanent Resident Card (If applicable).
Family Name (Last Name)

Date Resubmitted Date

Given Name (First Name)

Full Middle Name (If applicable)

Date Reloc Sent Date

3. Other names used since birth
Family Name (Last Name) Given Name (First Name) Middle Name (If applicable)

Date Reloc Rec'd Date

4. U.S. Social Security # (If applicable)

5. Date of Birth (mm/dd/yyyy)

Date Remarks

6. Country of Birth

7. Country of Prior Nationality

8. Gender
Male Female

9. Height

Part 2. Information about your eligibility. (Check only one.)
A. I am claiming U.S. citizenship through:
A U.S. citizen father or a U.S. citizen mother. Both U.S. citizen parents. A U.S. citizen adoptive parent(s). An alien parent(s) who naturalized.

Action Block

B. C. D.

I am a U.S. citizen parent applying for a certificate of citizenship on behalf of my minor (under 18 years) BIOLOGICAL child. I am a U.S. citizen parent applying for a certificate of citizenship on behalf of my minor (less than 18 years) ADOPTED child. Other (Please explain fully)

To Be Completed by
Attorney or Representative, if any. Fill in box if G-28 is attached to represent the applicant. ATTY State License #

Form N-600 (Rev. 10/15/07) Y

Part 3. Additional information about you. (Provide additional information about yourself, if you are the person applying for the Certificate of Citizenship. If you are a U.S. citizen parent applying for a Certificate of Citizenship for your minor child, provide the additional information about your minor child).
1. Home Address - Street Number and Name (Do not write a P.O. Box in this space)
Apartment Number

City

County

State/Province

Country

Zip/Postal Code

2. Mailing Address - Street Number and Name (If different from home address)

Apartment Number

City

County

State/Province

Country

Zip/Postal Code

3.

Daytime Phone Number (If any)

Evening Phone Number (If any)

E-Mail Address (If any)

(
4.

)

(

)

Marital Status
Single, Never Married Married Divorced Widowed

Marriage Annulled or Other (Explain)

5.

Information about entry into the United States and current immigration status
A. 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 used the following travel document to enter: Passport Passport Number Country Issuing Passport Date Passport Issued (mm/dd/yyyy)

Other (Please Specify Name of Document and Dates of Issuance)

C. I entered as: An immigrant (lawful permanent resident) using an immigrant visa A nonimmigrant A refugee Other (Explain) D. 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. Have you previously applied for a certificate of citizenship or U.S. passport?

No

Yes (Attach explanation)

Form N-600 (Rev. 10/15/07) Y Page 2

Part 3. Additional information about you. (Provide additional information about yourself, if you are the person applying for the Certificate of Citizenship. If you are a U.S. citizen parent applying for a Certificate of Citizenship for your minor child, provide the additional information about your minor child). Continued.
7. Were you adopted?
Date of Adoption (mm/dd/yyyy) No Yes (Please complete the following information): Place of Final Adoption (City/State or Country)

Date Legal Custody Began (mm/dd/yyyy)

Date Physical Custody Began (mm/dd/yyyy)

8. Did you have to be re-adopted in the United States?
Date of Final Adoption (mm/dd/yyyy)

No

Yes (Please complete the following information):

Place of Final Adoption (City/State)

Date Legal Custody Began (mm/dd/yyyy)

Date Physical Custody Began (mm/dd/yyyy)

9. Were your parents married to each other when you were born (or adopted)? 10. Have you been absent from the United States since you first arrived? (Only for persons born before
October 10, 1952, who are claiming U.S. citizenship at time of birth; otherwise, do not complete this section.)

No No

Yes Yes

If yes, complete the following information about all absences, beginning with your most recent trip. If you need more space, use a separate sheet of paper. Date You Left the United States (mm/dd/yyyy) Date You Returned to the United States (mm/dd/yyyy) Place of Entry Upon Return to the United States

Part 4. Information about U.S. citizen father (or adoptive father). (Complete this section if you are claiming citizenship
through a U.S. citizen father. If you are a U.S. citizen father applying for a Certificate of Citizenship on behalf of your minor biological or adopted child, provide information about yourself below.) 1. Current legal name of U.S. citizen father.
Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable)

2. Date of Birth (mm/dd/yyyy)

3. Country of Birth

4. Country of Nationality

5. Home Address - Street Number and Name (If deceased, so state and enter date of death.)
City County State/Province Country

Apartment Number

Zip/Postal Code

Form N-600 (Rev. 10/15/07) Y Page 3

Part 4. Information about U.S. citizen father (or adoptive father). (Complete this section if you are claiming citizenship
through a U.S. citizen father. If you are a U.S. citizen father applying for a Certificate of Citizenship on behalf of your minor biological or adopted child, provide information about yourself below.) Continued. 6. U.S. citizen by:
Birth in the United States Birth abroad to U.S. citizen parent(s) Acquisition after birth through naturalization of alien parent(s) Naturalization Date of Naturalization (mm/dd/yyyy) Place of Naturalization (Name of Court and City/State or USCIS or Former INS Office Location)

Certificate of Naturalization Number

Former ''A'' Number (If known)

7. Has your father ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship?
No Yes (Provide full explanation on a separate sheet(s) of paper.)

8. Dates of Residence and/or Physical Presence in the United States (Complete this only if you are an applicant claiming U.S.
citizenship at time of birth abroad) Provide the dates your U.S. citizen father resided in or was physically present in the United States. If you need more space, use a separate sheet(s) of paper. From (mm/dd/yyyy) To (mm/dd/yyyy)

9. Marital History
A. How many times has your U.S. citizen father been married (including annulled marriages)? B. Information about U.S. citizen father's current spouse: Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable)

Date of Birth (mm/dd/yyyy)

Country of Birth

Country of Nationality

Home Address - Street Number and Name

Apartment Number

City

County

State or Province

Country

Zip/Postal Code

Date of Marriage (mm/dd/yyyy)

Place of Marriage (City/State or Country)

Spouse's Immigration Status: U.S. Citizen Lawful Permanent Resident Other (Explain) No Yes

C. Is your U.S. citizen father's current spouse also your mother?

Form N-600 (Rev. 10/15/07) Y Page 4

Part 5. Information about your U.S. citizen mother (or adoptive mother). (Complete this section if you are claiming citizenship through a U.S. citizen mother (or adoptive mother). If you are a U.S. citizen mother applying for a Certificate of Citizenship on behalf of your minor biological or adopted child, provide information about yourself below).
1. Current legal name of U.S. citizen mother.
Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable)

2. Date of Birth (mm/dd/yyyy)

3. Country of Birth

4. Country of Nationality

5. Home Address - Street Number and Name (If deceased, so state and enter date of death)
City County State/Province Country

Apartment Number

Zip/Postal Code

6. U.S. citizen by:
Birth in the United States Birth abroad to U.S. citizen parent(s) Acquisition after birth through naturalization of alien parent(s) Naturalization Date of Naturalization (mm/dd/yyyy) Place of Naturalization (Name of Court and City/State or USCIS)

Certificate of Naturalization Number

Former ''A'' Number (If known)

7. Has your mother ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship?
No Yes (Provide full explanation on a separate sheet(s) of paper.)

8. Dates of Residence and/or Physical Presence in the United States (Complete this only if you are an applicant claiming U.S.
citizenship at time of birth abroad) Provide the dates your U.S. citizen father resided in or was physically present in the United States. If you need more space, use a separate sheet(s) of paper. From (mm/dd/yyyy) To (mm/dd/yyyy)

9. Marital History
A. How many times has your U.S. citizen mother been married (including annulled marriages)? B. Information about U.S. citizen mother's current spouse: Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable)

Date of Birth (mm/dd/yyyy)

Country of Birth

Country of Nationality

Form N-600 (Rev. 10/15/07) Y Page 5

Part 5. Information about your U.S. citizen mother (or adoptive mother). (Complete this section if you are claiming
citizenship through a U.S. citizen mother (or adoptive mother). If you are a U.S. citizen mother applying for a Certificate of Citizenship on behalf of your minor biological or adopted child, provide information about yourself below). Continued.
C. Information about U.S. citizen mother's current spouse: (Continued.) Home Address - Street Number and Name Apartment Number

City

County

State or Province

Country

Zip/Postal Code

Date of Marriage (mm/dd/yyyy)

Place of Marriage (City/State or Country)

Spouse's Immigration Status: U.S. Citizen Lawful Permanent Resident Other (Explain) No Yes

D. Is your U.S. citizen mother's current spouse also your father?

Part 6. Information about military service of U. S. citizen parent(s). (Complete this only if you are an applicant claiming
U.S. citizenship at time of birth abroad.)
1. 2. 3. Has your U. S. citizen parent(s) served in the armed forces? If "Yes," which parent? U.S. Citizen Father To (mm/dd/yyyy)

No
U.S. Citizen Mother From (mm/dd/yyyy)

Yes

Dates of Service. (If time of service fulfills any of required physical presence, submit evidence of service.) From (mm/dd/yyyy) To (mm/dd/yyyy)

4.

Type of discharge.

Honorable

Other than Honorable

Dishonorable

Part 7. Signature.
I certify, under penalty of perjury under the laws of the United States, that this application and the evidence submitted with it is all true and correct. I authorize the release of any information from my records, or my minor child's records, that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking. Applicant's Signature Printed Name Date (mm/dd/yyyy)

Part 8. Signature of person preparing this form, if other than applicant.
I declare that I prepared this application at the request of the above person. The answers provided are based on information of which I have personal knowledge and/or were provided to me by the above-named person in response to the questions contained on this form. Preparer's Signature Preparer's Printed Name Date (mm/dd/yyyy)

Name of Business/Organization (If applicable)

Preparer's Daytime Phone Number

(
Preparer's Address - Street Number and Name

)

City

County

State

Zip Code

Form N-600 (Rev. 10/15/07) Y Page 6

NOTE: Do not complete the following parts unless a USCIS officer instructs you to do so at the interview. Part 9. Affidavit.
I, the (applicant, parent or legal guardian) do swear or affirm, under penalty of perjury laws of the ) to

United States, that I know and understand the contents of this application signed by me, and the attached supplementary pages number ( ( ) inclusive, that the same are true and correct to the best of my knowledge, and that corrections number ( ) to (

) were made by me or

at my request. Signature of parent, guardian or applicant Date (mm/dd/yyyy)

Subscribed and sworn or affirmed before me upon examination of the applicant (parent, guardian) on

at

.

Signature of Interviewing Officer

Title

Part 10. Officer Report and Recommendation on Application for Certificate of Citizenship.
On the basis of the documents, records and the testimony of persons examined, and the identification upon personal appearance of the underage beneficiary, I find that all the facts and conclusions set forth under oath in this application are derive or acquire U.S. citizenship on true and correct; that the applicant did

(mm/dd/yyyy), through (mark "X" in appropriate section of law or, if section 301 of the INA section 309 of the INA

section of law not reflected, insert applicable section of law in "Other" block): section 320 of the INA and that (s)he A or has section 321 of the INA Other

has not been expatriated since that time. I recommend that this application be

granted

denied and that .

AA Certificate of Citizenship be issued in the name of District Adjudication Officer's Signature

District Adjudication Officer's Name and Title

I do

do not

concur in recommendation of the application. Date (mm/dd/yyyy)

District Director or Officer-in-Charge Signature

Form N-600 (Rev. 10/15/07) Y Page 7

OMB No. 1615-0087; Expires 09/30/09 Department of Homeland Security U.S. Citizenship and Immigration Services

Instructions for N-600K, Application for Citizenship and Issuance of Certificate Under Section 322
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 section and number of the item to which the answer refers. 3. Is a biological child who is a legitimate child or is a child who was legitimated, while in the legal custody of the legitimating parent(s), prior to reaching the sixteenth birthday or Is an adopted child who has a full and final adoption and the child either is the beneficiary of an approved I-600 or fulfilled the two-years legal custody, two-years joint residence requirements of INA section 101(b)(1)(E).

What Is the Purpose of This Form?
This form, the N-600K is an application for the naturalization of a child who regularly resides outside the United States and for the issuance of a Certificate of Citizenship to the child.

4.

Who May Use Form N-600K?
The following individuals may use this form:
1. A U.S. citizen parent seeking citizenship on behalf of a minor adopted or biological child under section 322 of the Immigration and Nationality Act (INA) (providing for citizenship through an application process for biological and adopted children who regularly reside outside of the United States and meet certain conditions while under the age of 18 years). If a U.S. citizen parent of a child who otherwise meets the eligibility requirements of INA 322 has died, a U.S. citizen parent of the U.S. citizen parent or a U.S. legal guardian can file this application at any time within five years of the U.S. citizen parent's death.

Who May Not File Form N-600K?
Therefore this form should not be used for stepchildren, children who are not legitimate and children who were not legitimated prior to their 16th birthday. Such children are not eligible for benefits under section 322 of the INA. Any person other than a citizen parent should not use this form except in cases in which a U.S. citizen parent has died.

2.

What Is the Filing Fee?
The fee for Form N-600K is $460.00. Except for a person who is requesting a Certificate of Citizenship for an adopted child, (checking Part 2, Box A or C on the form), all applicants must pay the fee for filing Form N-600K, under section 322 of the INA . For U.S. citizen parents, or a U.S. citizen grandparent or U.S. citizen legal guardian filing in lieu of a deceased U.S. citizen parent, filing on behalf of an adopted minor child under section 322 of the INA (checking Part 2, Box B on the form), the fee for this is $420.00. Use the following guidelines when you prepare your check or money order for the Form N-600K. 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.

Who May File Form N-600K?
This form should be filed only if the child:
1. In the case of minor adopted or biological children (under 18 years) qualifying for citizenship under section 322 of the INA, the application must be filed by the U.S. citizen parent with legal and physical custody of the child. 2. In the case of an application filed by a U.S. citizen parent of a deceased citizen parent or of an application filed by a U.S. citizen legal guardian, the child does not have to be residing in the legal and physical custody of the applicant. The application can be filed and approved if the child is residing in the legal and physical custody of a person who does not object to the application.

3. Will not yet have reached their eighteenth birthday at the time of fulfilling all of the requirements for citizenship, including the required interview of U.S. citizen parent and the child, and

Form N-600K Instructions (Rev. 09/06/07)Y

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. C. If you live outside the United States, Guam, or the U.S. Virgin Islands, contact the nearest U.S. embassy or consulate for instructions on the method of payment. 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 of 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" and 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 N-600K 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.

General Instructions.
Step 1. Fill Out Form N-600K.
1. 2. Type or print legibly in black ink. If extra space is needed to complete any item, attach a continuation sheet, indicate the item number, and date and sign each sheet. Answer all questions fully and accurately. State that an item is not applicable with "N/A." If the answer is "none," write none. If the child has a USCIS "A" number, write the "A" number in the place indicated on the top right hand corner of the first page. Use the ''A" number on the Permanent Resident Card (formerly known as the Alien Registration Receipt or ''Green'' Card), if the child has one. Otherwise, use the ''A'' number shown on the USCIS or former INS-issued correspondence about the child.

3.

4.

Step 2. General Requirements. Translations. 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, 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. Do not send an original Certificate of Citizenship or Certificate of Naturalization. USCIS may request that you present original documents at the interview.

What Documents or Evidence Must I Send With the Application?
The following is a list of documents that must be submitted with the Form N-600K. Unless specifically noted otherwise, every applicant must submit each of the documents listed below for himself/herself and the U.S. citizen parent(s) (or grandparent(s) if applicable) through whom the applicant is claiming U.S. citizenship.

Where To File.
For all applicants seeking a U.S. citizenship and the issuance of a Certificate of Citizenship for a minor adopted or biological child who resides outside of the United States and qualifies for citizenship under section 322 of the INA, the Form N-600K may be filed at any USCIS office or suboffice in the United States or its outlying possessions (including San Juan, Puerto Rico; the U.S. Virgin Islands; and Guam). The address of USCIS offices can be found at: www.uscis.gov.

Form N-600K Instructions (Rev. 09/06/07)Y Page 2

1. Photographs.
You must submit two identical color photographs of yourself taken within 30 days of the filing of this application. The photos must have a white to off-white background, be printed on thin paper with a glossy finish, and be unmounted and unretouched. NOTE: Because of the current USCIS scanning process, if a digital photo is submitted, it needs to be produced from a high resolution camera, which has at least a 3.5 mega pixel. Passport-style photos must be 2" x 2." The photos must be in color with full face, 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, 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. Using pencil or felt pen, lightly print your name and Alien Receipt Number on the back of the photo. 2. Birth Certificate or Record of the Child - A certified birth certificate or record issued by a civil authority in the country of birth. Birth Certificate or Record of the Citizen Parent - A certified birth certificate or record issued by a civil authority in the country of birth is required for applications filed by a citizen parent of a citizen parent.

7.

Proof of Legal Guardianship - Proof of legal guardianship issued by competent authority in the place of residence of the legal guardian must be submitted for any application filed by a legal guardian in lieu of a deceased citizen parent. Proof of Legal Custody - (Only required for applicants whose U.S. citizen parent(s) divorced and/or separated and for applicants who are adopted or legitimated). Evidence of Lawful Admission and Maintenance of Such Lawful Status (e.g. Form I-94, Arrival/Departure Record) - (Required at time of interview for all applicants seeking citizenship under section 322 of the INA).

8.

9.

10. Proof of Required Residence or Physical Presence in the United States - Any document that proves the U.S citizen parent(s)' residence or physical presence in the United States. This proof may include but is not limited to the following: A. School, employment, military records; B. Deeds, mortgages, leases showing residence; C. Attestations by churches, unions, or other organizations; D. U.S. Social Security quarterly reports; E. Affidavits of third parties having knowledge of the residence and physical presence. 11. Proof of U.S. Citizen Grandparent(s)' Required Physical Presence in the United States - (Only required for applicants seeking citizenship under section 322 of the Act whose U.S. citizen parent(s) does not meet the physical presence requirement of five years in the United States, two years of which were after the age of 14). Documentation establishing that the U.S. citizen grandparent(s) met the required physical presence requirements. 12. Current Status of U.S. Citizen Grandparent. An application filed by a citizen parent that relies on the physical presence in the United States of a citizen grandparent cannot be approved unless the citizen grandparent is a U.S. citizen, if living, or if deceased, was a U.S. citizen at the time of his or her death. An application filed by any grandparent or legal guardian in lieu of a deceased citizen parent that relies on the physical presence of a citizen grandparent cannot be approved unless evidence is submitted that the citizen grandparent was a U.S. citizen and still alive at the time of the death of the citizen parent.
Form N-600K Instructions (Rev. 09/06/07)Y Page 3

3.

3. Marriage Certificate(s) - Certified marriage certificate(s) issued by a civil authority in the state or country of marriage. 4. Documents Showing the Termination of a Marriage Examples include a divorce decree, death certificate, or annulment document. 5. Proof of U.S. Citizenship - Examples of this are birth certificates showing birth in the United States; an N-550, Certificate of Naturalization; an N-560, Certificate of Citizenship; an FS-240, Report of Birth Abroad of United States Citizen; or a valid unexpired U.S passport.

6. Proof of Legitimation - (Only required for applicants who were born out of wedlock). Documents must establish legitimation according to the laws of the child's residence or domicile or father's residence or domicile (if applicable). Legitimation for INA benefits requires that the child is in the legal custody of the legitimating parent(s) at the time of legitimation.

13. Copy of Notice of Approval of a Form I-600, Petition to Classify Orphan as an Immediate Relative, and Supporting Documentation for Such Form (Except Home Study) - (All adopted orphans applying under section 322 of the INA must either have this form or have complied with the two years legal custody and two years of joint residence requirement of INA 101(b)(1)(E)). 14. Copy of Full, Final Adoption Decree - (Only required for adopted applicants). 15. Evidence of All Legal Name Changes.

Step-By-Step Instructions.
This form is divided into ten parts. The information below will help you fill out the form.

Part 1. Information About Your Child.
NOTE: If you are a U.S. citizen parent, grandparent or legal guardian applying for a certificate of citizenship on behalf of your minor biological, or adopted child, give information for your minor child. 1. Current Legal Name - The child's current legal name is the name on the birth certificate unless it has been changed after birth by a legal action such as a marriage, adoption, or court order. Name Exactly as It Appears on Your Permanent Resident Card (if applicable and if different from above). Write the child's name exactly as it appears on the card, even if it is misspelled. Other Names Used Since Birth - If the child has ever used any other names since birth, write them in this section. If you need more space, use a separate sheet of paper. U.S. Social Security Number - Print the child's U.S. Social Security number. If the child does not have a Social Security number, write "N/A" in the space provided. Date of Birth - Use eight numbers to show the child's date of birth (example: May 1, 1992, should be written 05/01/1992). Country of Birth - Give the name of the country where the child was born. Write the name of the country even if it no longer exists. If the name of the country has changed, write the name of the country as it was at the time of your birth. Country of Citizenship/Nationality - Write the name of the country of the child's citizenship/nationality. A. If the country no longer exists and/or the child is stateless, write the name of the country where the child was last a citizen or national. B. If the child is a citizen or national of more than one country, write the name of the foreign country that issued the last passport. 8. 9. Gender - Indicate whether male or female. Height - Give the child's height in feet and inches.

What If a Document Is Not Available?
If it is not possible to obtain any one of the above-required documents, you must establish why the evidence is not available. 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). You may submit the following secondary evidence for consideration. However, secondary documents that do not overcome the availability of primary documents may result in denial of the application: 1. Baptismal Certificate: A certificate under the seal of the church where the baptism occurred, showing the date and place of the child's birth, date of baptism, the names of the godparents, if known. 2. Church Records: A certificate under the church seal issued within two months of birth. 3. School Record: A letter from authorities of the school attended (preferably the first school), showing the date of admission to the school, the child's date of birth or age at that time, place of birth, and the names and places of birth of parents, if shown in the school records.

2.

3.

4.

5.

6.

4. Census Records: State or Federal census records showing the name(s) and place(s) of birth, and the date(s) of birth or age(s) of the person(s) listed. 5. Affidavits: Written statements sworn to (or affirmed) by two persons who have personal knowledge of the claimed event (i.e., the date and place of a birth, marriage, or death). The persons may be relatives and need not be citizens of the United States. Each affidavit should contain the following information regarding the person making the affidavit: his/her full name and address; date and place of birth; relationship to the applicant, if any; full information concerning the event; and complete details concerning how he/she acquired knowledge of the event.

7.

Form N-600K Instructions (Rev. 09/06/07)Y Page 4

Part 2. Information About the Child's Eligibility.
Check the box that indicates why the child is eligible to apply for a Certificate of Citizenship. If you are a U.S. citizen parent applying for a Certificate of Citizenship on behalf of a minor biological child, check the box in Section A. If you are a U.S. citizen parent applying for a Certificate of Citizenship on behalf of a minor adopted child, check the box in Section B. If you are the U.S. citizen parent of a deceased U.S. citizen parent applying for your grandchild, check the box in Section C. If you are the U.S. citizen legal guardian of an eligible child, check the box in Section C.

7. 8.

Information on Adoption - If the child was adopted, provide information as to the place and date of adoption. 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. If the child was born out-of- wedlock, indicate "No," even if the parents subsequently married. If the child was adopted, indicate whether the adoptive parents were married to each other at the time of the adoption.

Part 4. Information on Child's U.S. Citizen Father or Mother (or Adoptive Father or Mother).
NOTE: If you are a U.S. citizen father or mother (or adoptive father or mother) applying for citizenship and a certificate of citizenship on behalf of your minor child, where information is requested about in this section, provide information about YOURSELF in the sections noted. If you are a U.S. citizen grandparent or legal guardian, provide information about the child's U.S. citizen PARENT in the sections noted. 1. Current Legal Name - Give current legal name, or name at time of death, of the U.S. citizen father or mother. It is the name on the birth certificate unless it was changed after birth by a legal action such as a marriage, adoption, or court order. Date of Birth - Use eight numbers to show the U.S. citizen father or mother's date of birth (example: May 1, 1969, should be written 05/01/1969). Country of Birth - Give the name of the country where the U.S. citizen father or mother was born. Write the name of the country even if it no longer exists. If the name of the country has changed, write the name of the country as it was at the time of your U.S. citizen father or mother's birth. Home Address - Give the address where the U.S. citizen father or mother now lives. Do not put post office (P.O.) box numbers here. U.S. Citizenship - Indicate how the U.S. citizen father or mother became a U.S. citizen. Provide all the requested information. Loss of U.S. Citizenship - Indicate whether the U.S. citizen father or mother ever lost U.S. citizenship. Provide this information even if the U.S. citizen father or mother regained citizenship at a later date. Residence and/or Physical Presence - Provide all the dates when the U.S. citizen father or mother was in United States. Dates should include all time immediately after birth as well as after the age of 14 years and older.

Part 3. Additional Information About the Child.
The information in this section should be about the child who will be issued the Certificate of Citizenship. NOTE: If you are a U.S. citizen parent, grandparent, or legal guardian applying for a Certificate of Citizenship on behalf of a minor biological or adopted child, give information for your minor child. 1. Home Address - Give the address where the child now lives. Do not put post office (P.O.) box numbers here.

2. Mailing Address - If the mailing address is the same as the home address, write "same." If the mailing address is different from the home address, write it in this part. Provide "Care Of" information if applicable. 3. Telephone Numbers - Telephone numbers and e-mail addresses allow USCIS to contact you more quickly about the application. If you are hearing impaired and use a TTY telephone connection, please indicate this by writing "(TTY)" after the telephone number. 4. 5. Current Marital Status - Check the marital status of the child on the date you are filing this application. Information About the Child's Entry Into the U.S. and Current Immigration Status Do not complete this section. The USCIS Adjudicator will complete this during the interview. 6. Previous Application for Certificate of Citizenship or U.S. Passport - If you know of any prior application for a Certificate of Citizenship or a U.S. passport (or you are a U.S. citizen parent who previously applied for a Certificate of Citizenship or U.S. passport for your minor child), indicate on a separate piece of paper what happened with the application and whether a Certificate of Citizenship or U.S. passport was or was not issued.

2.

3.

4.

5.

6.

7.

Form N-600K Instructions (Rev. 09/06/07)Y Page 5

8.

Marital History. A. Write the number of times the U.S. citizen father or mother was married. Include any annulled marriages. If there was more than one marriage to the same spouse, count each time as a separate marriage. B. If now married, provide information about the U.S. citizen father or mother's current spouse. Check appropriate box to indicate immigration status. C. Indicate whether the U.S. citizen father or mother's current spouse is also your parent. If "No," you will be asked to provide information about your father or mother's previous spouse or spouses.

D. Home Address - Give the address where the U.S. citizen grandfather or grandmother now lives. Do not put post office (P.O.) box numbers here. E. U.S. Citizenship - Indicate how the U.S. citizen grandfather or grandmother became a U.S. citizen. Provide all the requested information. F. Loss of U.S. Citizenship - Indicate whether the U.S. citizen grandfather or grandmother ever lost U.S. citizenship. Provide this information even if the U.S. citizen grandfather or grandmother regained citizenship at a later date. G. Residence and/or Physical Presence - Provide all the dates when the U.S. citizen grandfather or grandmother was in United States. Dates should include all time immediately after birth as well as after the age of 14 years and older.

Part 5. Information About the U.S. Citizen Grandfather or Grandmother.
Complete This Section Only If:

Part 6. Legal Guardian.
1. You are a U.S. citizen parent, grandparent or legal guardian applying for citizenship on behalf of a United States citizen's adopted or biological child who regularly resides outside the United States; 2. The U.S. citizen parent, has not been physically present in the U.S. for five years, two years of which were after the age of 14 years; and If the eligible application is relying on the physical presence in the United States of the U.S citizen father or mother of the United States citizen parent (the child's grandfather or grandmother) to get citizenship for the adopted or biological child. Complete this part only for applications filed by a legal guardian in lieu of a deceased U.S. citizen parent.

Part 7. Your Signature.
Except in cases in which a U.S. citizen parent of the child has died, only a U.S. citizen parent may file this application on their child's behalf. In cases in which a U.S. citizen parent has died, a U.S. citizen grandparent or U.S. citizen legal guardian can file the application. The applicant must sign and date the application. If the applicant does not sign the application, the application will be returned.

3.

4. The applicant should provide information about the U.S. citizen parent (the grandparent of the child) of the U.S. citizen father or mother in the sections noted. A. Current Legal Name - Give current legal name of the U.S. citizen grandfather or grandmother. It is the name on his or her birth certificate unless it was changed after birth by a legal action such as a marriage, adoption, or court order. B. Date of Birth - Use eight numbers to show the U.S. citizen grandfather or grandmother's date of birth (example: May 1, 1949, should be written 05/01/1949). C. Country of Birth - Give the name of the country where the U.S. citizen grandfather or grandmother was born. Write the name of the country even if it no longer exists. If the name of the country has changed, write the name of the country as it was at the time of the U.S. citizen grandfather or grandmother's birth.

Part 8. Signature of Person Preparing Form, If Other Than Applicant.
If you do not fill out the Form N-600K yourself, the preparer must also sign, date, and give his or her address. If the preparer is a business or organization, its' name must be included on the form.

Part 9. Affidavit.
Do not complete this part. You will be asked to complete this part at the interview.

Part 10. Officer Report and Recommendation.
Do not complete this part. This part is for USCIS use only.

Form N-600K Instructions (Rev. 09/06/07)Y Page 6

Penalties.
If you knowingly and willfully falsify or conceal a material fact or submit a false document with this Form N-600K, we will deny the Form N-600K and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.

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. The public reporting burden for this collection of information is estimated at 1 hour and 35 minutes per response, including the time for reviewing instructions, completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB No. 1615-0087. Do not mail your application to this address.

Privacy Act Notice.
USCIS will use the information and evidence requested on Form N-600K to determine your eligibility for the requested immigration benefit. We may provide information from your application to other government agencies. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as amended. 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 Form N-600K.

USCIS Forms and Information.
To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations, and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet website at www.uscis. gov. As an altenative 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. 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.

Form N-600K Instructions (Rev. 09/06/07)Y Page 7

OMB No. 1615-0087; Expires 09/30/09 Department of Homeland Security U.S. Citizenship and Immigration Services

N-600K, Application for Citizenship and Issuance of Certificate Under Section 322

Print clearly or type your answers in black ink, using CAPITAL letters. Failure to print clearly may delay your application.

Part 1. Information about your child. (Provide information about the child on whose behalf this application for citizenship and a Certificate of Citizenship is being filed.)
A. Current legal name.
Family Name (Last Name)

If your child has an "A" Number, write it here:

-

-

For USCIS Use Only
Given Name (First Name) Full Middle Name (If applicable)
Bar Code Date Stamp

B. Name exactly as it appears on your Permanent Resident Card (If applicable).
Family Name (Last Name)

Given Name (First Name)

Full Middle Name (If applicable)
Remarks

C. Other names used since birth. Family Name (Last Name) Given Name (First Name) Middle Name (If Applicable)

D. U.S. Social Security # (If Applicable)

E.

Date of Birth (mm/dd/yyyy)

Action

F. Country of Birth

G. Country of Citizenship/Nationality

H. Gender Male Female

I.

Height

Part 2. Information About the Child's Eligibility. (Check only one.)
This application is being filed on my behalf based on the fact that: A. B. C.

I am a BIOLOGICAL child (under 18 years) of a United States citizen parent who is applying for citizenship on my behalf. I am an ADOPTED child (under 18 years) of a United States citizen parent who is applying for citizenship on my behalf. I am a child (under 18 years) of a United States citizen parent who died during the five years preceding the filing of this application. A United States citizen grandparent or a United States citizen legal guardian is applying for citizenship on my behalf.

Part 3. Additional Information About the Child. (Provide information about the child on whose behalf this application for citizenship and a Certificate of Citizenship is being filed.)
A. Home Address - Street Number and Name (Do not write a P.O. Box in this space.) Apartment Number

City

County

State or Province

Country

Zip Code

Form N-600K (Rev. 09/06/07)Y

Part 3. Additional information about the child. (Provide information about the child on whose behalf this application for citizenship and a Certificate of Citizenship is being filed.) - Continued.
B. Mailing Address - Street Number and Name (If Different From Home Address) Apartment Number

City

County

State or Province

Country

Zip Code

C.

Daytime Phone Number (If any)

Evening Phone Number (If any)

E-Mail Address (If any)

D.

Marital Status Single, Never Married Married Divorced Widowed

Marriage Annulled or Other (Explain) E. Information about entry into the United States and current immigration status. (Do not complete this section. The Adjudicator will complete it with you during the interview.) I arrived in the following manner: Port of Entry (City/State) Date of Entry (mm/dd/yyyy) Current Immigration Status

Exact Name Used at Time of Entry:

F. G.

Do you know of any prior application for a certificate of citizenship or U.S. passport for this child? Was the child adopted? Date of Adoption (mm/dd/yyyy) No Yes (Please complete the following information.) Date Legal Custody Began (mm/dd/yyyy)

No

Yes

Date Physical Custody Began (mm/dd/yyyy)

H.

Were the child's parents married to each other when the child was born (or adopted)?

No

Yes

Part 4. Information about the child's U.S. citizen father or mother (or adoptive father or mother). (If you are a United States citizen father or mother applying for citizenship and a Certificate of Citizenship on behalf of your eligible child, provide information about yourself below). If you are a U.S. citizen grandparent or legal guardian, provide information about the child's U.S. citizen parent in the sections noted.
A. Current legal name of U.S. citizen father or mother. Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable)

B.

Date of Birth (mm/dd/yyyy)

C.

Country of Birth

D.

Home Address - Street Number and Name

Apartment Number

City

County

State or Province

Country

Zip Code

Form N-600K (Rev. 09/06/07)Y Page 2

Part 4. Information about the child's U.S. citizen father or mother (or adoptive father or mother). (If you are a United States citizen father or mother applying for citizenship and a Certificate of Citizenship on behalf of your eligible child, provide information about yourself below). If you are a U.S. citizen grandparent or legal guardian, provide information about the child's U.S. citizen parent in the sections noted.- (Continued.)
E. U.S. citizen by: Birth in the United States Naturalization Date of Naturalization (mm/dd/yyyy) Place of Naturalization (Name of Court and City/State or USCIS (or former INS) Office Location)

Certificate of Naturalization Number

Former ''A'' Number (If known)

Through birth abroad to U.S. citizen parent(s) Acquired after birth through naturalization of alien parent(s) F. Has the U.S. citizen father or mother ever lost U.S. citizenship or taken any action that would cause loss of United States citizenship? No Yes (Please provide full explanation.)

G. Dates of Residence and/or Physical Presence in the United States. Provide the dates the U.S. citizen father or mother resided in or was physically present in the United States. If you need more space, use a separate sheet of paper. From (Month/Day/Year - mm/dd/yyyy) To (Month/Day/Year - mm/dd/yyyy)

H. Marital History. 1. 2. How many times has the U.S. citizen father or mother been married (including annulled marriages)? Information about the U.S. citizen father or mother's current spouse: Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable)

Date of Birth (mm/dd/yyyy)

Country of Birth

Country of Citizenship/Nationality

Home Address - Street Number and Name City County State or Province Country

Apartment Number Zip Code

Date of Marriage (mm/dd/yyyy)

Place of Marriage (City/State or Country)

Spouse's Immigration Status: U.S. Citizen Lawful Permanent Resident Other (Explain)

3.

Is the U.S. citizen Father or Mother's current spouse listed in Question 2 above also the parent of the child (biological or adoptive) for whom this application is being submitted?

No

Yes

Form N-600K (Rev. 09/06/07)Y Page 3

Part 5. Information about the U.S. citizen grandfather or grandmother. (Complete this section only if you are a U.S. citizen parent (or adoptive parent) grandparent or legal guardian applying for a Certificate of Citizenship for your biological or adopted child and the citizen parent has not been physically present in the United States for five years, two years of which were after the age of 14. The information provided here should describe, the U.S. citizen grandfather or U.S. grandmother of the minor child.)
A. Current legal name of U.S. citizen grandfather or grandmother. Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable)

B. Date of Birth (mm/dd/yyyy)

C.

Country of Birth

D. Home Address - Street Number and Name City County State or Province Country

Apartment Number Zip Code

E.

U.S. citizen by: Birth in the United States Naturalization Date of Naturalization (mm/dd/yyyy) Place of Naturalization (Name of Court and City/State or (USCIS or former INS) Office Location)

Certificate of Naturalization Number

Former "A" Number (If known)

Through birth abroad to U.S. citizen parent(s) Acquired after birth through naturalization of alien parent(s) F. Has your father or mother (your child's grandfather or grandmother) ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship? No Yes (Please provide full explanation.)

G.

Dates of Residence and/or Physical Presence in the United States Provide the dates that your U.S. citizen father or mother (your child's grandfather or grandmother) lived in the United States. If you need more space, use a separate sheet of paper. From (Month/Day/Year - mm/dd/yyyy) To (Month/Day/Year - mm/dd/yyyy)

Form N-600K (Rev. 09/06/07)Y Page 4

Part 6. Legal guardian. (Complete this part only for applications filed by a legal guardian in lieu of a deceased U.S. citizen parent.)
A. Current legal name of U.S. citizen Legal Guardian. Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable)

B. Date of Birth (mm/dd/yyyy)

C.

Country of Birth

D. Home Address - Street Number and Name

Apartment Number

City

County

State or Province

Country

Zip Code

E.

U.S. citizen by: Birth in the United States Naturalization Date of Naturalization (mm/dd/yyyy) Place of Naturalization (Name of Court & City/State or USCIS or former INS Office Location)

Certificate of Naturalization Number

Former "A" Number (If known)

Through birth abroad to United States citizen parent(s) Acquired after birth through naturalization of alien parent(s) F. Date of Legal Guardianship

G.

Name of Authority that Granted Legal Guardianship

H.

Address of Authority that Granted Legal Guardianship

Part 7. Your Signature.
I certify, under penalty of perjury under the laws of the United States, that this application, and the evidence submitted with it, is all true and correct. I authorize the release of any information from my records that U.S. Citizen and Immigration Services needs to determine eligibility for the benefit I am seeking.
Applicant's Signature Print Name Date (mm/dd/yyyy)

Form N-600K (Rev. 09/06/07)Y Page 5

Part 8. Signature of person preparing this form, if other than above.
I declare that I prepared this application at the request of the above person. The answers provided are based on information of which I have personal knowledge and/or were provided to me by the above-named person in response to the questions contained on this form. Preparer's Printed Name Preparer's Signature

Name of Business/Organization (If Applicable)

Preparer's Daytime Phone Number

Date (mm/dd/yyyy)

Preparer's Address - Street Number and Name

City

County

State

Zip Code

NOTE: Do not complete the following parts below unless the USCIS officer instructs you to do so at the interview.

Part 9. Affidavit.
I, the parent/grandparent/legal guardian, do swear or affirm, under penalty of perjury laws of the ) to

United States, that I know and understand the contents of this application signed by me, and the attached supplementary pages number ( ( ) inclusive, that the same are true and correct to the best of my knowledge, and that corrections number ( ) to (

) were made by

me or at my request. Signature of U.S. citizen parent/grandparent/legal guardian Date (mm/dd/yyyy)

Subscribed and sworn or affirmed before me upon examination of the applicant and U.S. citizen parent/grandparent/legal guardian on at Signature of Interviewing Officer Title

.

Form N-600K (Rev. 09/06/07)Y Page 6

Part 10. Officer Report and Recommendation.
On the basis of the documents, records, and the testimony of persons examined, and the identification upon personal appearance of the underage beneficiary, I find that all the facts and conclusions set forth under oath in this application are to be naturalized on residence) (month/day/year), through section 322 of the INA section 322 of the INA (grandparent or legal guardian application) . true and correct; that the applicant is eligible ; section 322 of the INA (grandparent

and I recommend that this application be

(granted or denied) and that a Certificate of Citizenship be issued in the name of

.
District Adjudications Officer's Name and Title District Adjudications Officer's Signature

I do

concur in recommendation of the application.

Date: (mm/dd/yyyy)

District Director or Officer-in-Charge Signature:

Form N-600K (Rev. 09/06/07)Y Page 7

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