Form I-130, Petition for Alien Relative Instructions

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This form contains 450 fields organized into 61 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Additional Information
Filer’s A-Number Text
Enter the petitioner’s Alien Registration Number (A-Number), if any.
Max length: 9 characters
Entry 3 Page Number Text
Provide the page number in the petition to which this additional information entry refers.
Max length: 2 characters
Entry 3 Part Number Text
Provide the part number in the petition to which this additional information entry refers.
Max length: 6 characters
Entry 3 Item Number Text
Provide the item number in the petition to which this additional information entry refers.
Max length: 6 characters
Entry 3 Additional Information Text
Type or print the additional information details corresponding to the specified page, part, and item numbers.
4.a. Page Number Text
Enter the petition page number to which this additional information entry refers.
Max length: 2 characters
4.b. Part Number Text
Enter the petition part number to which this additional information entry refers.
Max length: 6 characters
4.c. Item Number Text
Enter the petition item number to which this additional information entry refers.
Max length: 6 characters
4.d. Additional Information Text
Provide the detailed additional information or explanation that corresponds to the referenced page, part, and item numbers.
Entry 5 Page Number Text
Enter the page number of the form to which your additional information refers.
Max length: 2 characters
Entry 5 Part Number Text
Enter the part number of the form to which your additional information refers.
Max length: 6 characters
Entry 5 Item Number Text
Enter the item number of the form to which your additional information refers.
Max length: 6 characters
Entry 6 Page Number Text
Provide the page number of the petition form that this additional information refers to.
Max length: 2 characters
Entry 6 Part Number Text
Provide the part number of the petition form that this additional information refers to.
Max length: 6 characters
Entry 6 Item Number Text
Provide the item number within the part that this additional information refers to.
Max length: 6 characters
Entry 6 Additional Information Text
Use this space to enter the detailed information or explanation for the referenced page, part, and item in the petition.
Entry 5 Additional Information Text
Provide the detailed additional information corresponding to the referenced page, part, and item number.
Entry 7 - Additional Information Text
Type or print the detailed additional information or explanation corresponding to the referenced page, part, and item numbers.
Additional Information About Beneficiary
Beneficiary ever in immigration proceedings – No CheckBox
Check if the beneficiary was never in immigration proceedings.
Beneficiary ever in immigration proceedings – Yes CheckBox
Check if the beneficiary was ever in immigration proceedings.
Removal CheckBox
Check if the type of immigration proceeding was Removal. Fill only if the 'Was the beneficiary EVER in immigration proceedings?' is 'Yes'.
Address History
Physical Address 1 – Date To Text
Enter the date you stopped residing at this physical address in month/day/year format (mm/dd/yyyy).
Attorney/Representative Information
Form G-28 attached CheckBox
Check this box if Form G-28 is attached to this petition.
VOLAG Number Text
Provide the attorney or accredited representative’s VOLAG (Voluntary Agencies) number, if any.
Max length: 15 characters
Attorney State Bar Number Text
Provide the attorney or accredited representative’s state bar number, if applicable.
Max length: 10 characters
USCIS Online Account Number Text
Enter the attorney or accredited representative’s USCIS Online Account Number, if any.
Max length: 12 characters
Beneficiary Address
11.f. Province Text
Enter the name of the province, county, or region if the beneficiary resides outside the United States.
Max length: 20 characters
11.g. Postal Code Text
Enter the beneficiary’s postal code if living outside the United States.
Max length: 9 characters
11.h. Country Text
Enter the full name of the beneficiary’s country of residence.
Max length: 29 characters
Beneficiary Intended U.S. Street Number and Name (12.a) Text
Enter the street number and name of the U.S. address where the beneficiary intends to live, or type "SAME" if it is the same as the physical address provided in Item Numbers 11.a – 11.h.
Max length: 34 characters
12.b. Apt. CheckBox
Select this box if the beneficiary's U.S. intended address includes an apartment number.
12.b. Ste. CheckBox
Select this box if the beneficiary's U.S. intended address includes a suite number.
12.b. Flr. CheckBox
Select this box if the beneficiary's U.S. intended address includes a floor number.
Beneficiary Intended U.S. Apt., Suite, or Floor (12.b) Text
Enter the apartment, suite, or floor number of the U.S. address where the beneficiary intends to live, if applicable.
Max length: 6 characters
Beneficiary Intended U.S. City or Town (12.c) Text
Enter the city or town of the U.S. address where the beneficiary intends to live.
Max length: 20 characters
Beneficiary Intended U.S. ZIP Code (12.e) Text
Enter the ZIP Code (five- or nine-digit) for the U.S. address where the beneficiary intends to live.
Max length: 5 characters
Beneficiary Intended U.S. State (12.d) ComboBox
Enter the two-letter postal abbreviation for the U.S. state where the beneficiary intends to live.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK GA KY OR WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
13.e Postal Code Text
Enter the postal code for the beneficiary’s intended address outside the United States.
Max length: 9 characters
13.b Apartment, Suite, or Floor Number Text
Enter the apartment, suite, or floor number for the beneficiary’s intended address outside the United States.
Max length: 6 characters
13.b Apt. CheckBox
Check this box if the beneficiary’s foreign intended address includes an apartment number.
13.b Ste. CheckBox
Check this box if the beneficiary’s foreign intended address includes a suite number.
13.b Flr. CheckBox
Check this box if the beneficiary’s foreign intended address includes a floor number.
13.a Street Number and Name Text
Enter the street number and name of the beneficiary’s intended address outside the United States; type “SAME” if it is the same as the address provided in Item Numbers 11.a–11.h.
Max length: 34 characters
13.c City or Town Text
Enter the city or town of the beneficiary’s intended address outside the United States.
Max length: 20 characters
13.f Country Text
Enter the country of the beneficiary’s intended address outside the United States.
13.d Province Text
Enter the province of the beneficiary’s intended address outside the United States.
Max length: 20 characters
Apt. CheckBox
Check this box if the beneficiary’s current address includes an apartment number.
Ste. CheckBox
Check this box if the beneficiary’s current address includes a suite number.
Flr. CheckBox
Check this box if the beneficiary’s current address includes a floor number.
58.b Apartment, Suite, or Floor Number Text
Enter the beneficiary’s apartment, suite, or floor number for the current address.
Max length: 6 characters
58.c City or Town Text
Enter the city or town of the beneficiary’s current address.
Max length: 20 characters
58.d Province Text
Enter the province, state, or region of the beneficiary’s current address.
Max length: 20 characters
58.f Country Text
Enter the country of the beneficiary’s current address.
58.e Postal Code Text
Enter the postal code or ZIP code of the beneficiary’s current address.
Max length: 9 characters
58.a Street Number and Name Text
Enter the beneficiary’s current street number and street name.
Max length: 34 characters
Apt. CheckBox
Check this box if the last address you lived with your spouse included an apartment number.
Ste. CheckBox
Check this box if the last address you lived with your spouse included a suite number.
Apartment, Suite, or Floor Number Text
Enter the apartment, suite, or floor number of the last physical address where you and your spouse lived together.
Max length: 6 characters
Flr. CheckBox
Check this box if the last address you lived with your spouse included a floor number.
Street Number and Name Text
Enter the street number and name of the last physical address where you and your spouse lived together.
Max length: 34 characters
City or Town Text
Enter the city or town of the last physical address where you and your spouse lived together.
Max length: 20 characters
ZIP Code Text
Enter the ZIP Code of the last physical address where you and your spouse lived together.
Max length: 5 characters
State ComboBox
Enter the U.S. state of the last physical address where you and your spouse lived together.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Beneficiary Contact Information
Beneficiary Daytime Telephone Number Text
Enter the beneficiary’s daytime telephone number, including area code, if any.
Max length: 15 characters
Beneficiary Mobile Telephone Number Text
Provide the beneficiary’s mobile telephone number, including country and area codes, if any.
Max length: 15 characters
Beneficiary Email Address Text
Provide the beneficiary’s email address, if any.
Beneficiary Employment Information
Current Employer Name Text
The full name of the beneficiary's current employer; type "Unemployed" if the beneficiary is not currently employed.
Max length: 38 characters
Employer Street Number and Name Text
The street number and street name of the beneficiary's current employer's address.
Max length: 34 characters
Apt. CheckBox
Check this box if the beneficiary’s current employer address includes an apartment number.
Ste. CheckBox
Check this box if the beneficiary’s current employer address includes a suite number.
Flr. CheckBox
Check this box if the beneficiary’s current employer address includes a floor number.
Employer Postal Code Text
The postal code of the beneficiary's current employer if the address is outside the United States.
Max length: 9 characters
Employer Country Text
The country of the beneficiary's current employer's address.
Beneficiary Entry Information
Was the beneficiary ever in the United States: No CheckBox
Check this box if the beneficiary has never been in the United States.
Authorized Stay Expiration Date or Duration of Status Text
Enter the expiration date of the beneficiary’s authorized stay as shown on Form I-94 or I-95, or type "D/S" for Duration of Status.
Class of Admission ComboBox
Provide the class of admission under which the beneficiary entered the United States.
U5 FSM C3 C1 H1A TWO GT WB O1 C4 OP CW1 DX H3A TD U4 BE G5 F2 H2 RE5 F1 DE ML H3B IN ST S2 H1B DT WI 1B4 J2 T2 N3 G2 E2 EAO UU O1A CC L1B X N7 E2C S9 EWI PAR SDF P1A WT LZ Q3 E3 TN1 N5 D2 I CW2 T5 U1 IMM E1 M1 V2 K1 N9 R1 D1 J2S K3 L1A 1B1 WD L1 1B5 G3 A3 O1B 1B3 A1 H2B MIS PI ASD 1BS R2 P3S Q1 B2 N8 A2 J1 RE U3 B1D K4 H2A H3 U2 UN G4 H4 V3 M2 P1 B1B P2S P4 AW DA K2 PAL TB H1 O3 Q2 TC H2R P2 TN2 N1 HSC GB T3 AS CH O2 B1 L2 CP N6 T4 1B2 B1C FUG G1 J1S N2 RW S1 P1B V1 H1C N4 C2 B1A P1S T1 P3
Form I-94 Arrival-Departure Record Number Text
Enter the beneficiary’s I-94 arrival-departure record number from their most recent entry into the United States.
Max length: 11 characters
Date of Arrival Text
Provide the date (mm/dd/yyyy) when the beneficiary most recently arrived in the United States.
Passport Number Text
Enter the beneficiary’s passport number exactly as it appears on their passport.
Max length: 30 characters
Travel Document Number Text
Provide the beneficiary’s travel document number as shown on their travel document.
Country of Issuance for Passport or Travel Document Text
Enter the name of the country that issued the beneficiary’s passport or travel document.
Expiration Date for Passport or Travel Document Text
Enter the expiration date of the beneficiary’s passport or travel document in mm/dd/yyyy format.
Beneficiary Family Information
Person 1 Relationship Text
Enter Person 1’s relationship to the beneficiary (for example, spouse, son, or daughter).
Beneficiary Identification
U.S. Social Security Number Text
Enter the beneficiary’s U.S. Social Security Number as issued by the Social Security Administration, if any.
Max length: 9 characters
Beneficiary Information
Alien Registration Number (A-Number) Text
Enter the beneficiary’s Alien Registration Number (A-Number) as shown on their USCIS documents, if any.
Max length: 9 characters
USCIS Online Account Number Text
Enter the beneficiary’s USCIS online account number assigned when they registered for an online USCIS account, if any.
Max length: 12 characters
Beneficiary Family Name Text
Enter the beneficiary’s family name (last name) exactly as it appears on their legal documents.
Beneficiary Given Name Text
Enter the beneficiary’s given name (first name) exactly as it appears on their legal documents.
Beneficiary Middle Name Text
Enter the beneficiary’s middle name exactly as it appears on their legal documents.
Other Family Name (Last Name) Text
Provide the beneficiary’s other family name (last name) that has ever been used, such as a maiden name, alias, or nickname.
Other Given Name (First Name) Text
Provide the beneficiary’s other given name (first name) that has ever been used, including any aliases or nicknames.
Other Middle Name Text
Provide the beneficiary’s other middle name that has ever been used, if any.
City, Town, or Village of Birth Text
Enter the name of the city, town, or village where the beneficiary was born.
Max length: 38 characters
Country of Birth Text
Enter the country where the beneficiary was born.
Beneficiary Sex: Female CheckBox
Check this box if the beneficiary is female.
Previous Petition Filed – Yes CheckBox
Check this box if anyone else has ever filed a petition for the beneficiary.
Previous Petition Filed – No CheckBox
Check this box if no one else has ever filed a petition for the beneficiary.
Previous Petition Filed – Unknown CheckBox
Check this box only if neither you nor the beneficiary know whether anyone else has ever filed a petition for the beneficiary.
57.c Beneficiary Middle Name Text
Provide the beneficiary's middle name in their native written language if it does not use Roman letters.
57.a Beneficiary Family Name Text
Provide the beneficiary's family name (last name) in their native written language if it does not use Roman letters.
57.b Beneficiary Given Name Text
Provide the beneficiary's given name (first name) in their native written language if it does not use Roman letters.
Province Text
Enter the province of the last physical address where you and your spouse lived together.
Max length: 20 characters
Country Text
Enter the country of the last physical address where you and your spouse lived together.
Postal Code Text
Enter the postal code of the last physical address where you and your spouse lived together.
Max length: 9 characters
Adjustment Office City or Town (61.a) Text
Enter the name of the city or town where the USCIS office handling the beneficiary’s adjustment of status (Item 61) is located.
Max length: 20 characters
Adjustment Office State (61.b) ComboBox
Enter the two-letter abbreviation of the state where the USCIS office handling the beneficiary’s adjustment of status (Item 61) is located.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK GA KY OR WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Beneficiary Marital Information
Province of Current Marriage Text
Enter the province where the beneficiary’s current marriage took place. Fill only if the 'Current Marital Status' is 'Married'.
Max length: 20 characters
Number of Times Beneficiary Has Been Married Text
Enter the total number of times the beneficiary has been married.
Max length: 5 characters
Current Marital Status: Widowed CheckBox
Check this box if the beneficiary’s current marital status is widowed.
Current Marital Status: Annulled CheckBox
Check this box if the beneficiary’s most recent marriage was annulled.
Current Marital Status: Separated CheckBox
Check this box if the beneficiary is legally separated from their spouse.
Current Marital Status: Single, Never Married CheckBox
Check this box if the beneficiary has never been married and is currently single.
Current Marital Status: Married CheckBox
Check this box if the beneficiary is currently married.
Current Marital Status: Divorced CheckBox
Check this box if the beneficiary’s most recent marriage ended in divorce.
Date of Current Marriage Text
Provide the date on which the beneficiary’s current marriage began in mm/dd/yyyy format. Fill only if the 'Current Marital Status' is 'Married'.
Beneficiary Proceedings
Exclusion/Deportation CheckBox
Check if the type of immigration proceeding was Exclusion/Deportation. Fill only if the 'Was the beneficiary EVER in immigration proceedings?' is 'Yes'.
Rescission CheckBox
Check if the type of immigration proceeding was Rescission. Fill only if the 'Was the beneficiary EVER in immigration proceedings?' is 'Yes'.
Other Judicial Proceedings CheckBox
Check if the type of immigration proceeding was Other Judicial Proceedings. Fill only if the 'Was the beneficiary EVER in immigration proceedings?' is 'Yes'.
Immigration Proceedings City or Town Text
Enter the city or town where the immigration proceedings took place. Fill only if the 'Was the beneficiary EVER in immigration proceedings?' is 'Yes'.
Max length: 20 characters
Immigration Proceedings State ComboBox
Enter the state where the immigration proceedings took place. Fill only if the 'Was the beneficiary EVER in immigration proceedings?' is 'Yes'.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Immigration Proceedings Date Text
Enter the date of the immigration proceedings in mm/dd/yyyy format. Fill only if the 'Was the beneficiary EVER in immigration proceedings?' is 'Yes'.
Beneficiary Spouse Information
Spouse 2 Family Name Text
Enter the family name (last name) of the beneficiary’s second spouse.
Spouse 2 Given Name Text
Enter the given name (first name) of the beneficiary’s second spouse.
Spouse 2 Middle Name Text
Enter the middle name of the beneficiary’s second spouse.
Spouse 1 Family Name (Last Name) Text
Enter the family name (last name) of the beneficiary’s first/current spouse as shown on their legal documents.
Spouse 1 Given Name (First Name) Text
Enter the given name (first name) of the beneficiary’s first/current spouse as shown on their legal documents.
Spouse 1 Middle Name Text
Enter the middle name of the beneficiary’s first/current spouse as shown on their legal documents.
Spouse 1 Date Marriage Ended (mm/dd/yyyy) Text
Provide the date when the marriage to the beneficiary’s first/most recent spouse ended, in mm/dd/yyyy format.
Date Marriage Ended Text
Provide the date on which the beneficiary’s most recent marriage ended in mm/dd/yyyy format.
Beneficiary Visa Application
62.a. City or Town Text
Enter the name of the city or town where the beneficiary will apply for the immigrant visa.
Max length: 20 characters
62.b. Province Text
Enter the province, state, or region where the beneficiary will apply for the immigrant visa.
Max length: 20 characters
62.c. Country Text
Enter the country where the beneficiary will apply for the immigrant visa.
Beneficiary's Employment Information
Employer Apartment, Suite, or Floor Number Text
The apartment, suite, or floor number in the beneficiary's current employer's address. Fill only if the 'Apt.' is 'Yes'.
Max length: 6 characters
Employer City or Town Text
The city or town where the beneficiary's current employer is located.
Max length: 20 characters
Employer State ComboBox
The state where the beneficiary's current employer is located; use the two-letter U.S. postal abbreviation.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Employer ZIP Code Text
The ZIP Code for the beneficiary's current employer's address.
Max length: 5 characters
Employer Province Text
The province of the beneficiary's current employer if the address is outside the United States.
Max length: 20 characters
Date Employment Began Text
The date the beneficiary began employment with the current employer in mm/dd/yyyy format.
Beneficiary's Entry Information
Was the beneficiary ever in the United States: Yes CheckBox
Check this box if the beneficiary has ever been in the United States.
Beneficiary's Family Information
Person 1 Family Name Text
Enter Person 1’s family name (last name) as it appears on official documents.
Person 1 Given Name Text
Enter Person 1’s given name (first name) as it appears on official documents.
Person 1 Middle Name Text
Enter Person 1’s middle name, if any, as it appears on official documents.
Person 1 Date of Birth Text
Enter Person 1’s date of birth in mm/dd/yyyy format.
Person 1 Country of Birth Text
Enter the country where Person 1 was born.
Person 2 Relationship Text
Enter the relationship of the second family member to the beneficiary (for example, spouse or child).
Person 2 Date of Birth Text
Enter the date of birth of the beneficiary’s second family member in mm/dd/yyyy format.
Person 2 Country of Birth Text
Enter the country of birth of the beneficiary’s second family member.
Person 2 Family Name Text
Enter the family name (last name) of the beneficiary’s second family member.
Person 2 Given Name Text
Enter the given name (first name) of the beneficiary’s second family member.
Person 2 Middle Name Text
Enter the middle name of the beneficiary’s second family member.
Person 3 Given Name (First Name) Text
Enter the given (first) name of the third family member of the beneficiary.
Person 3 Middle Name Text
Enter the middle name of the third family member of the beneficiary, if any.
Person 3 Family Name (Last Name) Text
Enter the family (last) name of the third family member of the beneficiary.
Person 3 Country of Birth Text
Enter the country where the third family member was born.
Person 3 Date of Birth (mm/dd/yyyy) Text
Enter the date of birth of the third family member in mm/dd/yyyy format.
Person 3 Relationship Text
Describe the relationship of the third family member to the beneficiary (for example, son, daughter, or spouse).
Max length: 29 characters
Person 4 Middle Name Text
Provide the beneficiary family member’s middle name.
Person 4 Given Name (First Name) Text
Provide the beneficiary family member’s given (first) name.
Person 4 Family Name (Last Name) Text
Provide the beneficiary family member’s family (last) name.
Person 4 Country of Birth Text
Provide the country where the beneficiary family member was born.
Person 4 Date of Birth (mm/dd/yyyy) Text
Provide the beneficiary family member’s date of birth in mm/dd/yyyy format.
Person 4 Relationship Text
Enter the relationship of the beneficiary family member to the petitioner (for example, spouse, child, or parent).
Max length: 29 characters
Person 5 Family Name Text
Provide Person 5’s family name (last name) for the beneficiary family member.
Person 5 Given Name Text
Provide Person 5’s given name (first name) for the beneficiary family member.
Person 5 Middle Name Text
Provide Person 5’s middle name for the beneficiary family member.
Person 5 Relationship Text
Provide the relationship of Person 5 to the petitioner (for example, daughter, son, sibling).
Max length: 29 characters
Person 5 Country of Birth Text
Provide the country where Person 5 was born.
Person 5 Date of Birth Text
Provide the date of birth of Person 5 in mm/dd/yyyy format.
Beneficiary's Marriage Information
City/Town of Current Marriage Text
Enter the city or town where the beneficiary’s current marriage took place. Fill only if the 'Current Marital Status' is 'Married'.
Max length: 20 characters
State of Current Marriage ComboBox
Enter the state where the beneficiary’s current marriage took place. Fill only if the 'Current Marital Status' is 'Married'.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Country of Current Marriage Text
Enter the country where the beneficiary’s current marriage took place. Fill only if the 'Current Marital Status' is 'Married'.
Beneficiary's Physical Address
11.a. Street Number and Name Text
Enter the beneficiary’s street number and street name for their current physical address.
Max length: 34 characters
Apt. CheckBox
Check this box when the beneficiary’s physical address includes an apartment, and you will enter the apartment number in the adjacent field.
Ste. CheckBox
Check this box when the beneficiary’s street address includes a suite number as part of their U.S. physical address.
Flr. CheckBox
Check this box when the beneficiary’s physical address includes a floor designation and you are entering that floor number in the address section.
11.b. Apartment, Suite, or Floor Number Text
Provide the beneficiary’s apartment, suite, or floor number, if applicable.
Max length: 6 characters
11.c. City or Town Text
Enter the name of the city or town where the beneficiary physically resides.
Max length: 20 characters
11.e. ZIP Code Text
Enter the U.S. ZIP Code for the beneficiary’s physical address; leave blank if outside the United States.
Max length: 5 characters
11.d. State ComboBox
Enter the two-letter U.S. state abbreviation where the beneficiary resides; leave blank if outside the United States.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Biographic Information
Not Hispanic or Latino CheckBox
Check this box if your ethnicity is not Hispanic or Latino.
Hispanic or Latino CheckBox
Check this box if your ethnicity is Hispanic or Latino.
Black or African American CheckBox
Check this box if you identify as Black or African American.
American Indian or Alaska Native CheckBox
Check this box if you identify as American Indian or Alaska Native.
White CheckBox
Check this box if you identify as White.
Asian CheckBox
Check this box if you identify as Asian.
Native Hawaiian or Other Pacific Islander CheckBox
Check this box if you identify as Native Hawaiian or Other Pacific Islander.
Height – Feet ComboBox
Enter your height in whole feet.
2 5 4 3 8 7 6
Height – Inches ComboBox
Enter the additional inches beyond whole feet for your height.
1 2 5 4 3 8 11 0 7 10 6 9
Weight – Pounds (Hundreds Digit) Text
Enter the hundreds digit of your weight in whole pounds.
Max length: 1 characters
Weight – Pounds (Tens Digit) Text
Enter the tens digit of your weight in whole pounds.
Max length: 1 characters
Weight – Pounds (Ones Digit) Text
Enter the ones digit of your weight in whole pounds.
Max length: 1 characters
Blue CheckBox
Select this box if your eye color is Blue.
Brown CheckBox
Select this box if your eye color is Brown.
Hazel CheckBox
Select this box if your eye color is Hazel.
Pink CheckBox
Select this box if your eye color is Pink.
Maroon CheckBox
Select this box if your eye color is Maroon.
Green CheckBox
Select this box if your eye color is Green.
Gray CheckBox
Select this box if your eye color is Gray.
Black CheckBox
Select this box if your eye color is Black.
Unknown/Other CheckBox
Select this box if your eye color is Unknown or Other.
Bald (No hair) CheckBox
Select this box if the beneficiary has no hair (bald).
Black CheckBox
Select this box if the beneficiary's hair color is black.
Blond CheckBox
Select this box if the beneficiary's hair color is blond.
Brown CheckBox
Select this box if the beneficiary's hair color is brown.
Gray CheckBox
Select this box if the beneficiary's hair color is gray.
Red CheckBox
Select this box if the beneficiary's hair color is red.
Sandy CheckBox
Select this box if the beneficiary's hair color is sandy.
White CheckBox
Select this box if the beneficiary's hair color is white.
Unknown/Other CheckBox
Select this box if the beneficiary's hair color is unknown or another color not listed.
Citizenship Information
Birth in the United States CheckBox
Check this box if your citizenship was acquired by birth in the United States. Fill only if the 'U.S. Citizen' is 'Yes'.
Naturalization CheckBox
Check this box if your citizenship was acquired through naturalization. Fill only if the 'U.S. Citizen' is 'Yes'.
Parents CheckBox
Check this box if your citizenship was acquired through your parents. Fill only if the 'U.S. Citizen' is 'Yes'.
Certificate Number Text
Provide the certificate number from your Certificate of Naturalization or Certificate of Citizenship. Fill only if the 'Have you obtained a Certificate of Naturalization or a Certificate of Citizenship?' is 'Yes'.
Current Marriage Information
City or Town of Current Marriage Text
Enter the city or town where your current marriage took place.
Max length: 20 characters
Date Information
60.a Date From Text
Enter the date you and your spouse first lived together (mm/dd/yyyy).
60.b Date To Text
Enter the date you and your spouse last lived together (mm/dd/yyyy).
Employment History
First Employer Street Number and Name Text
Enter the street number and name of your first employer’s address.
Max length: 34 characters
First Employer Apt. CheckBox
Check this box if your first employer’s address includes an apartment.
First Employer Ste. CheckBox
Check this box if your first employer’s address includes a suite.
First Employer Flr. CheckBox
Check this box if your first employer’s address includes a floor.
First Employer Apartment, Suite, or Floor Text
Enter the apartment, suite, or floor number of your first employer’s address.
Max length: 6 characters
First Employer City or Town Text
Enter the city or town where your first employer is located.
Max length: 20 characters
First Employer Province Text
If applicable, enter the province of your first employer’s address.
Max length: 20 characters
First Employer Postal Code Text
If applicable, enter the postal code of your first employer’s address.
Max length: 9 characters
First Employer ZIP Code Text
Enter the ZIP Code for your first employer’s address.
Max length: 5 characters
First Employer State ComboBox
Enter the two-letter state abbreviation for your first employer’s address.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
First Employer Country Text
Enter the country name of your first employer’s address.
Max length: 29 characters
First Employer/Company Name Text
Provide the full name of your first (most recent) employer or company.
Max length: 34 characters
Second Employer Street Number and Name Text
Enter the street number and street name of your second employer’s address.
Max length: 34 characters
Second Employer Apt. CheckBox
Check this box to indicate that the unit number in your second employer’s address is an apartment.
Second Employer Ste. CheckBox
Check this box to indicate that the unit number in your second employer’s address is a suite.
Second Employer Flr. CheckBox
Check this box to indicate that the unit number in your second employer’s address refers to a floor.
Second Employer Apartment, Suite, or Floor Text
Enter the apartment, suite, or floor designation for your second employer’s address.
Max length: 6 characters
Second Employer City or Town Text
Enter the city or town where your second employer is located.
Max length: 20 characters
Second Employer Province Text
Enter the province of your second employer’s address, if applicable.
Max length: 20 characters
Second Employer Postal Code Text
Enter the postal code for your second employer’s address.
Max length: 9 characters
Second Employer ZIP Code Text
Enter the ZIP code for your second employer’s address.
Max length: 5 characters
Second Employer State ComboBox
Enter the state of your second employer’s address.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Second Employer Country Text
Enter the country of your second employer’s address.
Second Employer Occupation Text
Enter your occupation or job title with your second employer.
Second Employer Employment Start Date Text
Enter the date you began working for your second employer in mm/dd/yyyy format.
Second Employer Employment End Date Text
Enter the date you stopped working for your second employer in mm/dd/yyyy format.
Second Employer Company Name Text
Enter the full name of your second employer or company.
Max length: 34 characters
First Employer Occupation Text
Provide your job title or occupation at your first employer.
First Employer Employment Start Date Text
Enter the date you began employment with your first employer in MM/DD/YYYY format.
First Employer Employment End Date Text
Enter the date you ended employment with your first employer in MM/DD/YYYY format.
Form Identification
Additional Information Continuation Text
Provide any extra information or detailed explanations that did not fit in earlier sections, continuing your response here.
Internal Tracking Number Text
Enter the unique internal tracking number assigned to this petition for USCIS processing and identification.
Page Footer Control Text
Enter the internal footer control number for this page of Form I-130, used by the PDF engine to manage page footers.
Additional Information Continuation Text
Enter any additional information or explanations that continue from earlier in the petition when you have run out of space in the designated sections.
Additional Information Continuation Text
Enter any additional relevant information or continuation of responses from the Additional Information section of this petition.
Form Metadata
Internal Page Number Text
Enter the internal page number assigned to this page for tracking purposes.
Document Page Number Text
Enter the current page number of this Form I-130 document (for example, “9” for page 9 of 12).
Footer Page Number Text
Enter the page number for this page as it appears in the footer of the form.
Form Processing
Page Number Text
Enter the current sequential page number of this form.
Page Number Text
Enter the current page number of the form as shown at the bottom of the page.
General Information
Page Number Text
Enter the current page number of this petition form.
Internal Use
Footer Internal Control Number Text
Enter the internal control number or tracking code assigned to this form for administrative purposes.
Interpreter's Contact Information
City or Town Text
Enter the city or town for the interpreter’s mailing address.
Max length: 20 characters
Street Number and Name Text
Enter the street number and street name for the interpreter’s mailing address.
Max length: 34 characters
Apt. CheckBox
Check this box if the unit number is an apartment number in the interpreter’s mailing address.
Ste. CheckBox
Check this box if the unit number is a suite number in the interpreter’s mailing address.
Flr. CheckBox
Check this box if the unit number is a floor number in the interpreter’s mailing address.
Apt., Suite, or Floor Number Text
Enter the apartment, suite, or floor number for the interpreter’s mailing address, if applicable.
Max length: 6 characters
Postal Code Text
Enter the postal code for the interpreter’s mailing address (for non-U.S. addresses).
Max length: 9 characters
ZIP Code Text
Enter the ZIP Code for the interpreter’s mailing address.
Max length: 5 characters
State ComboBox
Enter the two-letter U.S. state abbreviation for the interpreter’s mailing address.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Country Text
Enter the full country name for the interpreter’s mailing address.
Max length: 29 characters
Interpreter's Information
Interpreter’s Given Name (First Name) Text
Enter the interpreter’s given name (first name) exactly as it appears on their official identification documents.
Interpreter’s Family Name (Last Name) Text
Enter the interpreter’s family name (last name) exactly as it appears on their official identification documents.
Interpreter’s Business or Organization Name Text
Enter the name of the interpreter’s business or organization, if any; otherwise leave this field blank.
Max length: 38 characters
Province Text
Enter the province, state, or region for the interpreter’s mailing address (if applicable for non-U.S. addresses).
Max length: 20 characters
Interpreter’s Certification Language Text
Provide the non-English language in which the interpreter conducted the interpretation, matching the language entered in Part 6, Item Number 1.b.
Date of Interpreter's Signature Text
Enter the date the interpreter signed the form in mm/dd/yyyy format.
Interpreter's Signature Text
Provide the interpreter’s signature (sign in ink) to certify their interpretation and verification of the petitioner’s answers.
Max length: 1 characters
Interpreter's Daytime Telephone Number Text
Enter the interpreter’s daytime telephone number, including area code, where they can be reached during regular business hours.
Max length: 10 characters
Interpreter's Email Address Text
Enter the interpreter’s email address if they have one.
Max length: 38 characters
Interpreter's Mobile Telephone Number Text
Enter the interpreter’s mobile telephone number, including country and area code, if they have one.
Max length: 10 characters
Mailing Address
Mailing address same as physical address – Yes CheckBox
Check this box if your current mailing address is the same as your physical address.
Mailing address same as physical address – No CheckBox
Check this box if your current mailing address is not the same as your physical address.
Street Number and Name Text
Enter the street number and name for the petitioner’s mailing address.
Max length: 34 characters
Apt. CheckBox
Check this box if your mailing address includes an apartment number.
Ste. CheckBox
Check this box if your mailing address includes a suite designation.
Flr. CheckBox
Check this box if your mailing address includes a floor designation.
Marital Information
Single, Never Married CheckBox
Check this box if the petitioner is currently single and has never been married.
Married CheckBox
Check this box if the petitioner is currently married.
Divorced CheckBox
Check this box if the petitioner is currently divorced.
Spouse 1 Date Marriage Ended Text
Enter the date on which the marriage to Spouse 1 ended in mm/dd/yyyy format.
Date of Current Marriage Text
Provide the date of your current marriage in mm/dd/yyyy format.
Marriage Information
State of Current Marriage ComboBox
Enter the state where your current marriage occurred.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Province of Current Marriage Text
Enter the province where your current marriage took place, if applicable.
Max length: 20 characters
Country of Current Marriage Text
Enter the country where your current marriage occurred.
Other Information
Item 1: Prior Petition Filed – Yes CheckBox
Check this box if you have ever previously filed a petition for this beneficiary or any other alien.
Item 1: Prior Petition Filed – No CheckBox
Check this box if you have never previously filed a petition for this beneficiary or any other alien.
Prior Petition Beneficiary Family Name Text
Enter the family name (last name) of the beneficiary in the previously filed petition. Fill only if the 'Have you EVER previously filed a petition for this beneficiary or any other alien?' is 'Yes'.
Prior Petition Beneficiary Given Name Text
Enter the given name (first name) of the beneficiary in the previously filed petition. Fill only if the 'Have you EVER previously filed a petition for this beneficiary or any other alien?' is 'Yes'.
Prior Petition Beneficiary Middle Name Text
Enter the middle name of the beneficiary in the previously filed petition. Fill only if the 'Have you EVER previously filed a petition for this beneficiary or any other alien?' is 'Yes'.
Prior petition result Text
Provide the outcome of the prior petition (for example, approved, denied, or withdrawn). Fill only if the 'Have you EVER previously filed a petition for this beneficiary or any other alien?' is 'Yes'.
Max length: 33 characters
Prior petition date filed Text
Enter the date the prior petition was filed in mm/dd/yyyy format. Fill only if the 'Have you EVER previously filed a petition for this beneficiary or any other alien?' is 'Yes'.
3.a City or Town Text
Enter the city or town where the prior petition was filed. Fill only if the 'Have you EVER previously filed a petition for this beneficiary or any other alien?' is 'Yes'.
Max length: 20 characters
3.b State ComboBox
Enter the state where the prior petition was filed. Fill only if the 'Have you EVER previously filed a petition for this beneficiary or any other alien?' is 'Yes'.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK GA KY OR WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Relative 1 Relationship Text
Provide your relationship to the first relative (Relative 1) you are sponsoring (for example, spouse, child, sibling, or parent).
Max length: 29 characters
Other Information About Beneficiary
Date of Birth (mm/dd/yyyy) Text
Provide the beneficiary’s date of birth in month/day/year format (mm/dd/yyyy).
Beneficiary Sex: Male CheckBox
Check this box if the beneficiary is male.
Parent Information
Parent 1 Family Name Text
Enter the family name (last name) of Parent 1.
Parent 1 Given Name Text
Enter the given name (first name) of Parent 1.
Parent 1 Middle Name Text
Enter the middle name of Parent 1, if any.
Parent 1 Date of Birth Text
Enter the date of birth of Parent 1 in mm/dd/yyyy format.
City/Town/Village of Residence Text
Enter the name of the city, town, or village where the petitioner currently resides.
Country of Residence Text
Enter the country where the petitioner currently resides.
Country of Birth Text
Enter the country where the petitioner was born.
Parent 2 Given Name Text
Provide Parent 2’s given name (first name) exactly as it appears on official documents.
Parent 2 Middle Name Text
Provide Parent 2’s middle name exactly as it appears on official documents.
Parent One's Information
Parent 1 Sex – Male CheckBox
Check this box if Parent 1 is male.
Parent 1 Sex – Female CheckBox
Check this box if Parent 1 is female.
Parent Two's Information
Parent 2 Family Name Text
Provide Parent 2’s family name (last name) exactly as it appears on official documents.
Parent 2 Date of Birth Text
Enter Parent 2’s date of birth in mm/dd/yyyy format.
Parent 2 City/Town/Village of Residence Text
Enter the current city, town, or village where Parent 2 resides.
Parent 2 Country of Residence Text
Enter the name of the country where Parent 2 currently resides.
Parent 2 Country of Birth Text
Enter the name of the country where Parent 2 was born.
Parent 2 Sex – Male CheckBox
Check this box if Parent 2 is male.
Parent 2 Sex – Female CheckBox
Check this box if Parent 2 is female.
Permanent Resident Information
Class of Admission Text
Enter the immigration classification (visa category) under which you were admitted as a lawful permanent resident.
Date of Admission Text
Provide the date you were admitted as a lawful permanent resident in mm/dd/yyyy format.
City or Town of Admission Text
Enter the city or town where you were admitted as a lawful permanent resident.
Marriage Based LPR Status – No CheckBox
Check this box if you did not gain lawful permanent resident status through marriage to a U.S. citizen or lawful permanent resident.
Petitioner Address History
Physical Address 2 Street Number and Name Text
Enter the house number and street name for your secondary physical address.
Max length: 34 characters
Physical Address 2 Apt. CheckBox
Check this box if you need to provide an apartment number for the second physical address.
Physical Address 2 Ste. CheckBox
Check this box if you need to provide a suite number for the second physical address.
Physical Address 2 Flr. CheckBox
Check this box if you need to provide a floor number for the second physical address.
Physical Address 2 Apartment, Suite, or Floor Text
Enter the apartment, suite, or floor number for your secondary physical address, if applicable.
Max length: 6 characters
Physical Address 2 City or Town Text
Enter the city or town of your secondary physical address.
Max length: 20 characters
Physical Address 2 State ComboBox
Enter the state of your secondary physical address if located in the United States.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Physical Address 2 ZIP Code Text
Enter the U.S. ZIP Code for your secondary physical address.
Max length: 5 characters
Physical Address 2 Province Text
Enter the province for your secondary physical address if located outside the United States.
Max length: 20 characters
Physical Address 2 Country Text
Enter the country for your secondary physical address.
Physical Address 2 Postal Code Text
Enter the postal code for your secondary physical address if applicable.
Max length: 9 characters
Physical Address 1 – Date From Text
Enter the date you began residing at this physical address in month/day/year format (mm/dd/yyyy).
Physical Address 2 Date From Text
Enter the start date (mm/dd/yyyy) of the period you lived at your secondary physical address.
Physical Address 2 Date To Text
Enter the end date (mm/dd/yyyy) of the period you lived at your secondary physical address.
Physical Address 1 – Street Number and Name Text
Enter the street number and name for this physical address.
Max length: 34 characters
Physical Address 1: Apartment Number CheckBox
Enter the apartment number for your first physical address.
Physical Address 1: Suite Number CheckBox
Enter the suite number for your first physical address.
Physical Address 1: Floor Number CheckBox
Enter the floor number for your first physical address.
Physical Address 1 – Apartment, Suite, or Floor Text
Enter the apartment, suite, or floor number for this physical address.
Max length: 6 characters
Physical Address 1 – City or Town Text
Enter the city or town for this physical address.
Max length: 20 characters
Physical Address 1 – State ComboBox
Enter the two-letter U.S. state abbreviation for this physical address.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Physical Address 1 – ZIP Code Text
Enter the five- or nine-digit U.S. ZIP Code for this physical address.
Max length: 5 characters
Physical Address 1 – Province Text
Enter the province for this physical address if it is outside the United States.
Max length: 20 characters
Physical Address 1 – Country Text
Enter the country for this physical address.
Physical Address 1 – Postal Code Text
Enter the postal code for this physical address if it is outside the United States.
Max length: 9 characters
Petitioner Biographic Information
City/Town/Village of Birth Text
Enter the city, town, or village where the petitioner was born.
Petitioner Information
U.S. Social Security Number Text
Enter the petitioner’s U.S. Social Security Number (if any) as issued by the Social Security Administration.
Max length: 9 characters
Petitioner’s Family Name (Last Name) Text
Enter the petitioner’s family name (last name or surname) exactly as shown on official identity documents.
Petitioner’s Given Name (First Name) Text
Enter the petitioner’s given name (first name) exactly as shown on official identity documents.
Petitioner’s Middle Name Text
Enter the petitioner’s middle name (if any) exactly as shown on official identity documents.
Alien Registration Number (A-Number) Text
Enter the petitioner’s Alien Registration Number (A-Number) (if any), including the leading “A” and the following digits, exactly as shown on USCIS documents.
Max length: 9 characters
USCIS Online Account Number Text
Enter the petitioner’s USCIS Online Account Number (if any) assigned to their USCIS online profile.
Max length: 12 characters
Date of Birth Text
Enter the petitioner’s date of birth in the format mm/dd/yyyy.
Male CheckBox
Check this box if the petitioner’s sex is male.
Female CheckBox
Check this box if the petitioner’s sex is female.
Country of Birth Text
Enter the country where the petitioner was born.
Marriage Based LPR Status – Yes CheckBox
Check this box if you gained lawful permanent resident status through marriage to a U.S. citizen or lawful permanent resident.
State of Admission ComboBox
Provide the U.S. state or territory where you were admitted as a lawful permanent resident.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK GA KY OR WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Petitioner Mailing Address
Apartment/Suite/Floor Text
Enter the apartment, suite, or floor information for the petitioner’s mailing address.
Max length: 6 characters
City or Town Text
Enter the city or town of the petitioner’s mailing address.
Max length: 20 characters
Province Text
Enter the province for the petitioner’s mailing address, if applicable.
Max length: 20 characters
Postal Code Text
Enter the postal code for the petitioner’s mailing address, if applicable.
Max length: 9 characters
ZIP Code Text
Enter the five- or nine-digit ZIP Code for the petitioner’s mailing address.
Max length: 5 characters
State ComboBox
Enter the two-letter U.S. postal abbreviation for the state in the petitioner’s mailing address.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Country Text
Enter the country name for the petitioner’s mailing address.
In Care Of Name Text
Enter the name of the person or entity responsible for receiving mail at the petitioner’s mailing address.
Max length: 34 characters
Petitioner Marital Information
Number of Times Married Text
Provide the total number of times you have been married.
Max length: 5 characters
Widowed CheckBox
Check this box if the petitioner is currently widowed.
Annulled CheckBox
Check this box if the petitioner’s marriage has been annulled.
Separated CheckBox
Check this box if the petitioner is currently separated from their spouse.
Petitioner Other Names
Other Names – Family Name Text
Enter any family name (last name) you have ever used other than your current legal name, including aliases, maiden name, or nicknames.
Other Names – Given Name Text
Enter any given name (first name) you have ever used other than your current legal name, including aliases, maiden name, or nicknames.
Other Names – Middle Name Text
Enter any middle name you have ever used other than your current legal name, including aliases, maiden name, or nicknames.
Petitioner's Additional Information
Obtained Certificate of Naturalization or Citizenship: Yes CheckBox
Check this box if you have obtained a Certificate of Naturalization or a Certificate of Citizenship.
Obtained Certificate of Naturalization or Citizenship: No CheckBox
Check this box if you have not obtained a Certificate of Naturalization or a Certificate of Citizenship.
Date of Issuance Text
Enter the issuance date of your Certificate of Naturalization or Certificate of Citizenship in mm/dd/yyyy format. Fill only if the 'Have you obtained a Certificate of Naturalization or a Certificate of Citizenship?' is 'Yes'.
Place of Issuance Text
Provide the city and state or country where your Certificate of Naturalization or Certificate of Citizenship was issued. Fill only if the 'Have you obtained a Certificate of Naturalization or a Certificate of Citizenship?' is 'Yes'.
Petitioner's Contact Information
Petitioner's Daytime Telephone Number Text
Enter the petitioner's primary telephone number for daytime contact, including area code.
Max length: 10 characters
Petitioner's Email Address Text
Enter the petitioner's email address, if any, for correspondence and notifications.
Max length: 38 characters
Petitioner's Mobile Telephone Number Text
Enter the petitioner's mobile phone number, if any, including area code.
Max length: 10 characters
Petitioner's Signature
Date of Signature Text
Enter the date you signed this petition in MM/DD/YYYY format.
Petitioner’s Signature Text
Sign your name in ink to certify that all information provided in this petition is complete, true, and correct.
Petitioner's Statement
1.a. I can read and understand English CheckBox
Select this box if you can read and understand English and have read and understood every question and instruction on this petition and your answer to every question.
1.b. The interpreter named in Part 7 read the petition in a language I am fluent in CheckBox
Select this box if the interpreter named in Part 7 read every question and instruction on this petition and your answer to every question in a language in which you are fluent and you understood all of it.
Interpreter Language Text
Enter the language in which the interpreter named in Part 7 read every question, instruction, and your answer, in which you are fluent. Fill only if the 'Item Number 1.b' is 'Yes'.
At my request, the preparer named in Part 8 prepared this petition for me based only upon information I provided or authorized CheckBox
Check this box if, at your request, the preparer named in Part 8 prepared this petition for you based only upon information you provided or authorized.
Item 2 Preparer Name Text
Enter the name of the preparer named in Part 8 who prepared this petition at your request.
Petitioner's Status
U.S. Citizen CheckBox
Check this box if you are a U.S. citizen.
Lawful Permanent Resident CheckBox
Check this box if you are a lawful permanent resident.
Pre-populated Information
Filer’s Family Name Text
Type or print the petitioner’s family name (last name).
Filer’s Given Name Text
Type or print the petitioner’s given name (first name).
Filer’s Middle Name Text
Type or print the petitioner’s middle name (leave blank if none).
Preparer's Contact Information
Preparer’s Mobile Telephone Number Text
Enter the preparer’s mobile telephone number, including area code, if one is available.
Max length: 10 characters
Preparer’s Daytime Telephone Number Text
Enter the full daytime telephone number, including area code and any extension, where the person preparing this petition can be reached during normal business hours.
Max length: 10 characters
Preparer’s Email Address Text
Enter the preparer’s email address, if one is available.
Max length: 38 characters
Preparer's Information
Preparer Given Name Text
Enter the preparer’s first name (given name) as it appears on official documents.
Preparer Business or Organization Name Text
Provide the name of the preparer’s business or organization, if any.
Max length: 34 characters
Preparer Family Name Text
Enter the preparer’s family name (last name) as it appears on official documents.
7.b I am an attorney or accredited representative and my representation of the petitioner in this case CheckBox
Check this box to indicate that you are an attorney or accredited representative and are representing the petitioner in this case.
7.b Representation Extends Beyond Preparation CheckBox
Check this box if your representation of the petitioner extends beyond the preparation of this petition. Fill only if the '7.b I am an attorney or accredited representative and my representation of the petitioner in this case' is 'Yes'.
7.b Representation Does Not Extend Beyond Preparation CheckBox
Check this box if your representation of the petitioner does not extend beyond the preparation of this petition. Fill only if the '7.b I am an attorney or accredited representative and my representation of the petitioner in this case' is 'Yes'.
Preparer's Signature Text
Enter the preparer’s signature in ink to certify that you prepared this petition on behalf of the petitioner.
Max length: 1 characters
Date of Preparer’s Signature Text
Provide the date the preparer signed the petition in mm/dd/yyyy format.
Preparer's Mailing Address
City or Town Text
Enter the city or town of the preparer’s mailing address.
Max length: 20 characters
Street Number and Name Text
Enter the street number and street name of the preparer’s mailing address.
Max length: 34 characters
Apt. CheckBox
Check this box if the preparer’s mailing address includes an apartment number.
Ste. CheckBox
Check this box if the preparer’s mailing address includes a suite number.
Flr. CheckBox
Check this box if the preparer’s mailing address includes a floor number.
Apt, Suite, or Floor Number Text
Enter the apartment, suite, or floor number for the preparer’s mailing address, if applicable.
Max length: 5 characters
Postal Code Text
Enter the postal code of the preparer’s mailing address, if applicable.
Max length: 9 characters
ZIP Code Text
Enter the ZIP Code of the preparer’s mailing address.
Max length: 5 characters
State ComboBox
Enter the two-letter abbreviation for the U.S. state of the preparer’s mailing address.
NY NE AR SC UT MO VA NC OH ND PW MI MS RI TX PA VI AK OR GA KY WA AS PR HI AA NH MD MN MH GU NV SD KS LA DE CO IN IL CT MP NJ MA MT IA AP ID WY TN DC VT WV AZ CA WI ME FM AL NM OK AE FL
Country Text
Enter the country name of the preparer’s mailing address.
Province Text
Enter the province of the preparer’s mailing address, if applicable.
Max length: 20 characters
Preparer's Statement
7.a I am not an attorney or accredited representative but have prepared this petition on behalf of the petitioner and with the petitioner's consent CheckBox
Check this box if you are not an attorney or accredited representative and you prepared this petition on behalf of the petitioner with the petitioner’s consent.
Reference Information
Entry 7 - Page Number Text
Provide the page number of the petition to which this additional information entry refers.
Max length: 2 characters
Entry 7 - Part Number Text
Provide the part number of the petition to which this additional information entry refers.
Max length: 6 characters
Entry 7 - Item Number Text
Provide the item number within the specified part to which this additional information entry refers.
Max length: 6 characters
Relationship Information
Spouse CheckBox
Check this box if you are filing this petition for your spouse.
Brother/Sister CheckBox
Check this box if you are filing this petition for your brother or sister.
Parent CheckBox
Check this box if you are filing this petition for your parent.
Child CheckBox
Check this box if you are filing this petition for your child.
Child born to married parents CheckBox
Check this box if the child was born to parents who were married to each other at the time of the child's birth.
Child was adopted CheckBox
Check this box if the child was adopted (not an Orphan or Hague Convention adoptee).
Stepchild/Stepparent CheckBox
Check this box if the beneficiary is your stepchild or stepparent.
Child born to unmarried parents CheckBox
Check this box if the child was born to parents who were not married to each other at the time of the child's birth.
Related by adoption – Yes CheckBox
Check this box if the beneficiary is your brother/sister and you are related by adoption.
Gained lawful permanent resident status or citizenship through adoption – No CheckBox
Check this box if you did not gain lawful permanent resident status or citizenship through adoption.
Gained lawful permanent resident status or citizenship through adoption – Yes CheckBox
Check this box if you gained lawful permanent resident status or citizenship through adoption.
Related by adoption – No CheckBox
Check this box if the beneficiary is your brother/sister and you are not related by adoption.
Relative Information
Relative 1 Family Name (Last Name) Text
Enter the last name (family name) of the first relative (Relative 1) you are sponsoring.
Relative 1 Given Name (First Name) Text
Enter the first name (given name) of the first relative (Relative 1) you are sponsoring.
Relative 1 Middle Name Text
Enter the middle name of the first relative (Relative 1) you are sponsoring, if any.
Relative 2 Middle Name Text
Enter the middle name of the second relative, if any.
Relative 2 Given Name (First Name) Text
Enter the given name (first name) of the second relative.
Relative 2 Family Name (Last Name) Text
Enter the family name (last name) of the second relative.
Relative 2 Relationship to Petitioner Text
Enter how the second relative is related to the petitioner (for example, spouse, child, or sibling).
Max length: 29 characters
Spouse Information
Spouse 1 Last Name Text
Enter the family name (last name) of the spouse listed as Spouse 1.
Spouse 1 First Name Text
Enter the given name (first name) of the spouse listed as Spouse 1.
Spouse 1 Middle Name Text
Enter the middle name of the spouse listed as Spouse 1.
Spouse 2 Date Marriage Ended Text
Enter the date (mm/dd/yyyy) when your marriage to your second spouse ended.
Spouse 2 Middle Name Text
Enter the middle name of your second spouse as it appears on their legal documents.
Spouse 2 Given Name Text
Enter the first name (given name) of your second spouse as it appears on their legal documents.
Spouse 2 Family Name Text
Enter the last name (family name) of your second spouse as it appears on their legal documents.