Form I-929 Form I-929 Petition for Qualifying Family Member of a U-1 Nonimmigr

OMB No. 1615-0106; Expires 09/30/09

I-929, Petition for Qualifying Family
Member of a U-1 Nonimmigrant

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

DO NOT WRITE IN THIS BLOCK-- FOR USCIS USE ONLY
Bene. A-file
reviewed

Yes Action Block

U-1 A-file
reviewed

Yes

Bar Code (USCIS Use only)

No

No

Bene. filed I-485
Yes

Remarks

No

U-1 adjusted
No

Yes

U-1 I-485 pending
No
Yes

START HERE -- TYPE OR PRINT LEGIBLY USING BLACK INK
I am filing for my: (Check one)
Child:

Spouse

Biological Child

Parent:

Stepchild

Stepparent

Adopted Child

Parent who adopted me

Part 1. Information About You

Part 2. Information About Your Alien Relative

Last Name (Family Name)

Last Name (Family Name)

First Name (Given Name)

First Name (Given Name)

Middle Name

Middle Name

Current Address

Current Address
Apt. Number

Street Address

City

State

Date of Birth

State

A-Number

Street Address

Zip Code

Safe Mailing Address if Other Than Above
Apt. Number
Street Address
City

Biological Parent

Apt. Number

City

State/Province

Country

Postal/Zip Code

Mailing Address if Other Than Above

Zip Code

Date of Birth

A-Number

Form I-929 (Rev. 10/30/08)

Part 1. Information About You (Con't)
Social Security
Number

Country of Birth

Part 2. Information About Your Alien Relative (Con't)

Country of Citizenship/Nationality

Country of Citizenship/Nationality

Gender: (Check one)

Male

Female

If you ever used other names, provide them below:

Last Name (Family Name)

First Name (Given Name)

Social Security
Number

Country of Birth

Gender: (Check one)

Male

If your relative ever used other names, provide them below:

Last Name (Family Name)

First Name (Given Name)

Middle Name

Middle Name

Last Name (Family Name)

First Name (Given Name)

Last Name (Family Name)

First Name (Given Name)

Middle Name

Middle Name

Last Name (Family Name)

First Name (Given Name)

Last Name (Family Name)

First Name (Given Name)

Middle Name

Middle Name

Marital Status: (Check one)

Marital Status: (Check one)
Single (Never Married)

Married

Single (Never Married)

Married

Divorced

Widowed

Divorced

Widowed

Spouse's Name:

Spouse's Name:
First Name

Last Name
Middle Name

Female

Date of Marriage
Place of Marriage

First Name

Last Name
Middle Name

Date of Marriage

Place of Marriage

Form I-929 (Rev. 10/30/08) Page 2

Part 1. Information About You (Con't)

Part 2. Information About Your Alien Relative (Con't)

Number of marriages including current marriage:

Number of marriages including current marriage:

List most previous marriage first. If you need more space, attach
an additional sheet of paper.

List most previous marriage first. If you need more space,
attach an additional sheet of paper.
Prior Spouse's Name:

Prior Spouse's Name:

Middle Name

Middle Name

Date of Marriage

Place of Marriage

Date of Termination

Place of Termination

Reason for Termination:
Divorce

Death

Date of Marriage

Place of Marriage

Date of Termination

Place of Termination

Reason for Termination:
Annulment

Other

Divorce

Death

Annulment

Other

Prior Spouse's Name:

Prior Spouse's Name:
First Name

Last Name

Middle Name

Date of Marriage

Place of Marriage

Date of Termination

Place of Termination

Reason for Termination:
Divorce

First Name

Last Name

Middle Name

Other

First Name

Last Name

First Name

Last Name

Death

Annulment

Date of Marriage

Place of Marriage

Date of Termination

Place of Termination

Reason for Termination:
Divorce

Death

Annulment

Other

Form I-929 (Rev. 10/30/08) Page 3

Part 2. Information About Your Alien Relative (Con't)

Part 1. Information About You (Con't)

Prior Spouse's Name:

Prior Spouse's Name:

Middle Name

Middle Name

Date of Marriage

Place of Marriage

Date of Termination

Date of Marriage

Place of Termination

Place of Marriage

Date of Termination

Reason for Termination:
Divorce

First Name

Last Name

First Name

Last Name

Place of Termination

Reason for Termination:
Annulment

Death

Divorce

Other

Annulment

Death

Other

Complete if your relative is in the United States

(Check One):

Date of Admission

I am a Lawful Permanent Resident

Place of Admission

I obtained my Lawful Permanent Residence on:
My Form I-485 is currently pending

Date Authorized to Stay

Class of Admission

Receipt Number

Part 3. Information About Your Alien Relative's Children
Last Name

Place of Birth

Date of Birth

Middle Name

First Name

Biological Child
Gender: (Check one)

Street Address
Country

Stepchild
Male

Adopted Child
Female

Apt. Number

City

State/Province

Postal/Zip Code

A-Number

Country of Birth

Form I-929 (Rev. 10/30/08) Page 4

Part 3 Information About Your Alien Relative Children (Cont'd)
Name of Mother

First Name

Middle Name

Last Name

First Name

Middle Name

Last Name

First Name

Middle Name

Last Name

Name of Father

Place of Birth

Date of Birth

Biological Child
Gender: (Check one)

Street Address
Country

Stepchild
Male

State/Province
Country of Birth

A-Number

Postal/Zip Code

Name of Mother:

Female

City

Apt. Number

Adopted Child

First Name

Middle Name

Last Name

First Name

Middle Name

Last Name

First Name

Middle Name

Last Name

Name of Father:

Place of Birth

Date of Birth

Biological Child
Gender: (Check one)

Street Address
Country

Name of Mother:

Last Name

Name of Father:

Last Name

City

Apt. Number
Postal/Zip Code

A-Number

Stepchild
Male

Adopted Child
Female

State/Province
Country of Birth

First Name

Middle Name

First Name

Middle Name

Form I-929 (Rev. 10/30/08) Page5

Last Name

Place of Birth

Date of Birth

Middle Name

First Name

Biological Child
Gender: (Check one)

Street Address
Country

Postal/Zip Code

A-Number

Name of Mother:

Male

City

Apt. Number

Adopted Child

Stepchild

Female
State/Province

Country of Birth

First Name

Middle Name

Last Name

First Name

Middle Name

Last Name

First Name

Middle Name

Last Name

Name of Father:

Place of Birth

Date of Birth

Biological Child
Gender: (Check one)

Street Address
Country

Name of Mother:

Last Name

Name of Father:

Last Name

City

Apt. Number

Postal/Zip Code

A-Number

Adopted Child

Stepchild
Male

Female
State/Province

Country of Birth

First Name

Middle Name

First Name

Middle Name

Name and address of your alien relative in the language written in the country where he/she currently resides.
Last Name (Family Name)

Address C/O

City/State or Province

First Name

Street Address

Country

Middle Name

Apt. Number

Postal/Zip Code

Form I-929 (Rev. 10/30/08) Page 6

Part 4. Processing Information
1. Check one:

a.

The person named in Part 2 is now in the United States

b.

The person named in Part 2 is now outside the United States, (Please indicate below at
which U.S. Embassy or consulate your relative will apply for a visa).
U.S. Embassy or consulate at
City and Country

2. Is the person named in Part 2 or has this person ever been in deportation or removal proceedings in the United States?
a.

No

b.

Yes (Indicate when and where)

Part 5. Signature
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. I authorize the release of any information from my record which U.S.
Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking.

Date

Print Name

Signature

Part 5. Preparer's Information, if Other Than Person Signing Above
I declare that I prepared this petition at the request of the above person, and it is based on all the information that I have knowledge.
Signature

Firm Name

City/State or Province

Print Name

Date

Street Number and Name

Suite Number

Postal/Zip Code

Telephone Number

Form I-929 (Rev. 10/30/08) Page 7