Instructions
Part 1
Family Name: Last name, Surname.
More details about name.
Address:
Provide your real address and not a mailing address.
C/O:
If you have asked others to receive mail for you, write their name. Otherwise, leave blank.
Questions about arrival refer to the latest arrival into the US.
Current USCIS Status
If you are still in a lawful nonimmigrant status, the type of the visa you are currently on such as H-1B, B-2, F-1, etc.
If the expiration date on your I-94 (permitted stay) has passed, write “overstay”.
If you entered the US illegally but somehow became eligible to adjust your status in the US, write “EWI” (entry without inspection).
Part 2
Self-explanatory.
Part 3
Look at the instructions for a Form I-130, Part C.
If you have been with an organization that advocates violence, consult an attorney before proceeding further.
If you have volunteered with organizations such as religious organizations, etc, list them here.
If any answer to the rest of the questions in Part 3 is “Yes”, consult an attorney before proceeding further.
Part 4
You, the beneficiary, should sign this form.
Part 5
Signature of Person Preparing Form if Other than Above
If a lawyer or agency filled out this form, they should provide their details.
If your friend, colleague, or relative helped you fill out this form, they do not have to write their details.
