Table of Changes

Table of Changes – INSTRUCTIONS

Form I-485, Application to Register Permanent Residence or Adjust Status

08/21/2012

Location	Current Text	Proposed Revision
P. 1, NOTE	NOTE: The filing fee for Form I-485 is $985 plus biometrics fee, if applicable. Refer to "What is the Filing Fee?" on Page 8.	[Deleted]
Page 1-2 Who May File Form I-485?	…2. Based on being … A. If the spouse or child is in the United States, the individual derivatives may file their Form I-485 with Form I-485 for the principal applicant, or file Form I-485 at anytime after the principal is approved, if a visa number is available. B. If the spouse … The fee … 9. Other basis of eligibility… 10. Who Is Not Eligible to Adjust Status? Unless you are … A. You entered … B. You entered … C. You were not admitted … D. Your authorized … E. You were employed … F. You failed … 1. An immediate relative … 2. A K-1 fiancé(e) … 3. An H or I … G. You were admitted … H. You are or were … I. You have A, E, or G … J. You were admitted … K. You were admitted … L. You are already a conditional permanent resident.	…2. Based on being … A. If the spouse or child is in the United States, the individual derivatives may file their Form I-485 with Form I-485 for the principal applicant, or file Form I-485 at anytime after the principal's Form I-485 application is approved, if a visa number is available. B. If the spouse … NOTE: The fee … 9. Priority date not current but valid You may apply for adjustment of status due to a Priority Date and Preference that are not current but valid under the Child Status Protection Act or if you have a Western Hemisphere Priority Date. 10. Other basis of eligibility… [New section header] Who Is Not Eligible to Adjust Status? Unless you are … 1. You entered … 2. You entered … 3. You were not admitted … 4. Your authorized … 5. You were employed … 6. You failed … a. An immediate relative … b. A K-1 fiancé(e)… c. An H or I … 7. You were admitted … 8. You are or were … 9. You have A, E, or G … 10. You were admitted… 11. You were admitted … 12. You are already a conditional permanent resident.
Page 2- 5 General Instructions	Fill Out Form I-485 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. 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. 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. 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. Initial Evidence You must file … 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 Form I-485. 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). 10. Form G-325A, Biographic Information Sheet… 11. Affidavit of Support/Employment Letter 12. Evidence of eligibility 13. Based on Cuban citizenship or nationality… 14. 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… 15. Other basis for eligibility…	Each application must be properly signed and filed. A photocopy of a signed application is not acceptable. If you are under 14 years of age, your parent or guardian may sign the application on your behalf. Evidence. You must submit all required initial evidence along with all the supporting documentation with your application at the time of filing. If you are electronically filing this application, you must follow the instructions provided on the USCIS Web site, www.uscis.gov. Biometrics Services Appointment. After receiving your application and ensuring completeness, USCIS will inform you in writing when to go to your local USCIS Application Support Center (ASC) for your biometrics services appointment. Failure to attend the biometrics services appointment may result in denial of your application. Copies. Unless specifically required that an original document be filed with an application or petition, a legible photocopy may be submitted. Original documents submitted when not required may remain a part of the record and will not automatically be returned to you. Translations. Any document containing foreign language submitted to USCIS must 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. How To Fill Out Form I-485 1. Type or print legibly in black ink. 2. If you require more space to provide any additional information within the application, you may attach separate sheets to this application. You must provide your A-Number and identify the Page Number, Part Number and Item Number along with the additional information when attaching additional sheets. 3. Answer all questions fully and accurately. If an item is not applicable or the answer is "none," leave the space blank. [Deleted] [Moved before “How To Fill Out Form I-485] [Moved before “How To Fill Out Form I-485] [New section header] Initial Evidence You must file … c. 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 Form I-485. d. 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). 8. Form G-325A, Biographic Information Sheet… 9. Affidavit of Support/Employment Letter 10. Evidence of eligibility 11. Based on Cuban citizenship or nationality… 12. 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… 13. Based on being an Indochinese parolee In addition to other required evidence listed on this form, attach evidence that you: A. Are a citizen or native of Vietnam, Kampuchea (Cambodia), or Laos; B. Have been paroled into the United States from Vietnam under the Orderly Departure Program (ODP), from a refugee camp in East Asia, or from a displaced persons camp administered by the United Nations High Commissioner for Refugees (UNHCR) in Thailand before October 1, 1997; and C. Have been physically present in the United States prior to and on October 1, 1997. Evidence of parole into the United States may include: a parole authorization letter, a transportation letter, and/or the Arrival-Departure Record (Form I-94) issued to you, or otherwise providing your assigned tracking number or IV file number. Individuals who no longer have their original documentation may make a request for the information via the Freedom of Information Act (FOIA). In the event you are unable to locate these records, you may also submit an affidavit with your application requesting that DHS do a search of its files to determine whether there is documentation or proof verifying that you were in fact paroled in under one of these three programs. Evidence of physical presence prior to and on October 1, 1997 may include: documents issued by a federal, state, or local authority such as immigration records, school records, military records, state driver’s license or identification card, utility bills, medical records, deeds, mortgages, contracts, insurance policies, receipts or any other evidence you wish USCIS to consider. Submitted documents must have been issued in the applicant’s name and bear the signature, seal or other authenticating mark of the issuing authority, if applicable, and be dated no later than the required date. 14. Other basis for eligibility…
Page 5-8 Where Should You File Form I-485?	Updated Filing Address Information The filing addresses provided on this form reflect the most current information as of the date this form was last revised. If you are filing Form I-485 more than 30 days after the latest edition date shown in the lower right corner, please visit our Web site at www.uscis.gov before you file, and check the Forms page to confirm the correct filing address and version currently in use. Check the edition date located at the lower right 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 page, your version is current. If the edition date on the online version is more recent, download a copy and use it. 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. Please read the following instructions carefully to ensure you file your application at the correct location. If you are filing because: 1. You are applying for adjustment of status under one of the eligibility categories listed below, file your Form I-485 with the USCIS Chicago Lockbox facility. See “USCIS Chicago Lockbox Addresses” on Page 6 of these instructions. You must include a copy of the Form I-797C, Notice of Action, of an approved Form I-130, Petition for Alien Relative, or Form I-360, Petition for Amerasian, Widow(er), or Special Immigrant, or other official document reflecting a current priority date and family preference, or file your application together with a Form I-130 or Form I-360 as appropriate. NOTE: Read the Visa Bulletin “Family-Sponsored Preferences” at www.travel.state.gov to ensure your priority date is current before you file your application. A. Spouse, parent, unmarried son/daughter under age 21 of a U.S. citizen with an approved Form I-130 or Form I-130 filed together with this Form I-485 (Part 2, Box “a” on the form); B. Beneficiary of an approved Form I-130 filed by a qualifying relative (Part 2, Box “a” on the form); C. Spouse or child of an immigrant who has applied for adjustment of status or has been granted Lawful Permanent Residence through a Family-Sponsored Visa category that allows derivative status for spouses and children (Part 2, Box “b” on the form) D. K-1 Fiancé(e) (and K-2 dependents) whose Form I-485 is based on an approved Form I-129F, Petition for Alien Fiance(e), (Part 2, Box “c” on the form); E. Beneficiaries of a Form I-360, Petition for Amerasian, Widow(er), or Special Immigrant, classified as an “Amerasian,” “Widow(er) of a U.S. Citizen who died within the past 2 years,” “Special Immigrant Juvenile,” or "Special Immigrant Armed Forces Member.” (Part 2, Box “h” write “Amerasian,” “Widow(er),” “Self Petitioning Juvenile,” or “Armed Forces Member,” as applicable). F. Applicants eligible under the Cuban Adjustment Act of November 2, 1965 (Part 2, Box “e,” “f,” “i” or “j” on the form); G. Registry applicant filing Form I-485 based on continuous residence in the U.S. since before January 1, 1972 (Part 2, Box “g” on the form); H. Diversity lottery winner eligible to file Form I-485 (Part 2, Box “h” on the form. Write “Diversity Visa Lottery Winner. Copy of lottery letter attached” on the line below the box); I. Public Interest Parolees from certain former Soviet and Southeast Asian countries filing Form I-485 under Public Law 101-167 (the “Lautenberg Amendment”) (Part 2, Box “h” on the form. Write “Lautenberg Parolee” or “Polish Hungarian Parolee” on the line beneath the box); J. Registry applicant filing Form I-485 based on birth in the United States to a foreign diplomatic officer (Part 2, Box “h” on the form; Write “Child of Diplomat” on the line beneath the box.); K. Former diplomat filing Form I-485 under Section 13 of the Immigration and Nationality Act (Part 2 Box “h” on the form. Write “Section 13” on the line beneath the box); or L. Applicants who are beneficiaries of Private Bills (Part 2, Box “h” on the form. Write “Private Bill Beneficiary” on the line beneath the box.) USCIS Chicago Lockbox Addresses For U.S. Postal Service (USPS) deliveries: USCIS P.O. Box 805887 Chicago, IL 60680-4120 For Express mail and courier deliveries: USCIS Attn: FBAS 131 South Dearborn - 3rd Floor Chicago, IL 60603-5517 2. You are: A. The beneficiary of an approved Form I-360 based on the eligibility category “Battered Spouse/ Children” and you are filing for adjustment of status. If you are filing as a battered or abused spouse or child and you are filing Form I-485 (Part 2, Box “h” on the form), file it and any associated forms with the USCIS Vermont Service Center. B. A T or U-based nonimmigrant filing Form I-485, file your application at the USCIS Vermont Service Center. Please read Form I-485 Supplement E, for additional guidance on filing. If you are a T or U-based nonimmigrant, you must include a copy of your Form I-797C, Notice of Action, for approval of your T or U nonimmigrant status, in addition to a copy of your Form I-94, Arrival-Departure Record, and a copy of all pages of your passport with a T or U nonimmigrant visa (or explanation why you do not have a passport). USCIS - Vermont Service Center Attn: CRU 75 Lower Welden Street St. Albans, VT. 05479-0001 3. You are filing Form I-485 based on one of the eligibility categories (A - F) below, then file your application at the USCIS Phoenix or Dallas Lockbox facility based on where you are located. See mailing address on Page 7 of these instructions. A. You are filing Form I-485 based on an underlying Form I-360 and you are filing under one of the following classifications. 1. International Organization Employee or Family Member: Form I-485 filed with Form I-360, or Form I-485 based on a pending or approved Form I-360 for an International Organization Employee or eligible family member. (Part 2, Box “h” on the form. Write “International Organization Employee” on the line beneath the box.) 2. Other Form I-360 Categories: Form I-485 filed based on an approved Form I-360 for the following classifications (NOTE: You cannot file Form I-360 together with Form I-485 for the five classifications below.): a. Special Immigrant Religious Worker; b. Panama Canal Company Employment; c. U.S. Government in Canal Zone Employment; d. Special Immigrant Physician; or e. International Broadcasters. (Part 2, Box “h” on the form. Write “Approved Form I-360, Copy of Approval Notice Attached,” on the line beneath the box.) NOTE: If you have an approved or pending Form I-360, you must include a copy of the Form I-797C which shows that your Form I-360 was accepted. B. You are filing your Form I-485 based on Asylum status. (Part 2, Box “d” on the form). C. You are filing your Form I-485 based Refugee status. (Part 2, Box “h” on the form. Write “Refugee” on the line beneath the box.) D. You are filing your Form I-485 as a HRIFA Dependent. Only the 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 (Part 2, Box “h” on the form. Write “HRIFA” on the line beneath the box.) E. You are filing your Form I-485 based on a pending or approved Form I-140. If you have an approved or pending Form I-140, you must include a copy of the Form I-797 which shows that your Form I-140 was accepted or approved. NOTE: Read the Visa Bulletin “Employment - Based Preferences” at www.travel.state.gov to ensure your priority date is current before you file your application. F. You are filing your Form I-485 based on an approved Form I-526, Immigrant Petition by Alien Entrepreneur (Part 2, Box “a” on the form). You must include a copy of the Form I-797C which shows that your Form I-526 was approved. NOTE: You cannot file Form I-526 and Form I-485 together. USCIS Phoenix or Dallas Lockbox Addresses If you live in: Alaska, Arizona, California, Colorado, Commonwealth of Northern Mariana Islands, 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 application to: USCIS Phoenix Lockbox For U.S. Postal Service (USPS) deliveries: USCIS PO Box 21281 Phoenix, AZ 85036 For Express mail and courier deliveries: USCIS Attn: AOS 1820 E. Skyharbor Circle S Suite 100 Phoenix, AZ 85034 USCIS Phoenix or Dallas Lockbox Addresses If you live in: Alabama, Arkansas, Connecticut, Delaware, District of Columbia, 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 application to: USCIS Dallas Lockbox. For U.S. Postal Service (USPS) deliveries: USCIS PO Box 660867 Dallas, TX 75266 For Express mail and courier deliveries: USCIS Attn: AOS 2501 S State Hwy. 121 Business Suite 400 Lewisville, TX 75067 If you are filing your Form I-485 together with Form I-140, you must file with the USCIS Dallas Lockbox facility. USCIS Dallas Lockbox. For U.S. Postal Service (USPS) deliveries: USCIS PO Box 660867 Dallas, TX 75266 For Express mail and courier deliveries: USCIS Attn: AOS 2501 S. State Highway 121 Business Suite 400 Lewisville, TX 75067 NOTE: Read the Visa Bulletin “Employment - Based Preferences” at www.travel.state.gov to ensure your priority date is current before you file your application. 5. If you are filing your Form I-485 as an Afghan or Iraqi Translator. If you are filing Form I-485 based on an approved Form I-360 for Afghan or Iraqi Translators, you must file your Form I-485 with the USCIS Nebraska Service Center. USCIS - Nebraska Service Center P.O. Box 87485 Lincoln, NE 68501-7485 You must include a copy of the Form I-797C, Notice of Action, showing that your Form I-360 was approved. NOTE: You cannot file Form I-360 together with Form I-485 for this classification. E-NOTIFICATION: If you are filing your Form I-485 at one of the USCIS Lockbox facilities, you may elect to receive an email and/or text messages notifying you that your application has been accepted. You must complete Form G-1145, E-Notification of Application/Petition Acceptance, and clip it to the first page of your application. To download a copy of Form G-1145, including the instructions, refer to www.uscis.gov "FORMS." 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 Internet Web site at www.uscis.gov.	[Page 7 – Moved after “What is the Filing Fee?] Where To File Form I-485? Please see our Web site at www.uscis.gov/I-485 or call our National Customer Service Center at 1-800-375-5283 for the most current information about where to file this benefit request. For TDD (hearing impaired) call 1-800-767-1833. [Deleted]
Page 8 What is the Filing Fee?	The filing fee for Form I-485 is $985. An additional biometrics fee of $85 is required when filing your Form I-485. After you submit Form I-485, USCIS will notify you about when and where to go for biometrics services. The fee is $985 only (no biometrics fee required) for applicants 79 years of age or older, and applicants under 14 years of age who submit Form I-485 independent from other family members. The Fee for a child under 14 years of age will be $635 when submitted with the application of a parent under section 201(b)(A)(i), 203(a)(2)(A), and 203(d) of the INA. There is no fee if an applicant is filing as a refugee under section 209(a) of the INA. You may submit one check or money order for both the application and biometrics fees. Use the following guidelines … 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 of Guam. B. If you live in the U.S. Virgin Islands, make it payable to Commissioner of Finance of the Virgin Islands. NOTE: Effective July 30, 2007, if you file Form I-485, no additional fee is required to also file an application for employment authorization on Form I-765, Application for Employment Document, and/or advance parole on Form I-131, Application for Travel Document. You may file these forms together. If you choose to file Form I-765 and/or Form I-131 separately after the effective date, you must also submit a copy of your Form I-797C, Notice of Action, receipt as evidence of the filing of Form I-485. 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 Internet Web site at www.uscis.gov, select "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…	[Page 7 – Moved before “Where to File Form I-485?”] The filing fee for a Form I-485 is $985. An additional biometrics services fee of $85 is required for applicants ages 14 to 78. [Deleted] If a Form I-485 for a child age 13 or younger is filed in the same envelope with the Form I-485 of at least one parent, the fee for the child's Form I-485 is $635, under section 201(b)(2)(A)(i), 203(a)(2)(A), and 203(d) of the INA. There is no filing fee if an applicant is filing as a refugee under section 209(a) of the INA. [Deleted] Use the following guidelines … 2. Make the check or money order payable to U.S. Department of Homeland Security. [Deleted] [Deleted] NOTE: Spell out U.S. Department of Homeland Security; do not use the initials “USDHS” or “DHS.” NOTE:  You may file Form I-765, Application for Employment Authorization, and/or a Form I-131, Application for Travel Document, without fee, if you file Form I-485 and you pay its required fee.  You may file these forms together.  If you choose to file Form I-765 and/or Form I-131 separately, you must also submit a copy of your I-797C, Notice of Action, receipt as evidence of filing and paying for Form I-485… How to Check If the Fees Are Correct Form I-485 filing and biometrics services fees are current as of the edition date appearing in the lower left 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 the USCIS Web site at www.uscis.gov, select "FORMS," and check the appropriate fee; or [Deleted] 2. Telephone the USCIS National Customer Service Center at 1-800-375-5283 and ask for the fee information. For TDD (hearing impaired) call 1-800-767-1833…
Page 8 Address Change	… contact the USCIS National Customer Service Center at 1-800-375-5283…	[Page 8] … contact the USCIS National Customer Service Center at 1-800-375-528. For TDD (hearing impaired) call 1-800-767-1833…
Page 10, Processing Information	You must have a U.S. address to file this form. 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… 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 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. National Interest Waiver (NIW) Physicians …under section 203(b)(2)(B)(ii)(I) of the Immigration and Nationality Act (INA), as amended by the Nursing Relief for Disadvantaged Areas Act (Nursing Relief Act) of 1999. … An NIW Physician applicant's application for adjustment of status will be considered ready for processing after evidence of the completion of the required medical service is submitted… 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… Selective Service Registration …When your signed application is filed and accepted by USCIS… Effect of departure from the United States while your application is pending 1. Applying for adjustment of status under section 245 of the Act… 2. Applying for adjustment of status under section 209 of the Act… 3. Applying for registry of permanent residence under section 249 of the Act… 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… 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…	[Page 8-9] You must have a U.S. address to file this form. [Deleted] Initial Processing… Requests for More Information or Interview We may request more information or evidence. We may also request that you submit the originals of any copy. We will return these originals when they are no longer required. 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. National Interest Waiver (NIW) Physicians …under section 203(b)(2)(B)(ii)(I) of the INA, as amended by the Nursing Relief for Disadvantaged Areas Act (Nursing Relief Act) of 1999. … An NIW Physician applicant's Form I-485 will be considered ready for processing after evidence of the completion of the required medical service is submitted… [Combined under “Request for More Information or Interview”] Decision… Selective Service Registration …When your signed application is filed with and accepted by USCIS… Effect of Departure from the United States While Your Application Is Pending 1. Applying for adjustment of status under section 245 of the INA… 2. Applying for adjustment of status under section 209 of the INA… 3. Applying for registry of permanent residence under section 249 of the INA… Warning: Travel outside of the United States may trigger the 3 and 10 year bar to admission under section 212(a)(9)(B)(i) of the INA … NOTE: Only unlawful presence that was accrued on or after April 1, 1997, counts towards the 3 and 10 year bar under section 212(a)(9)(B)(i) of the INA…
Page 10-11 Accommodations for Individuals With Disabilities and/or Impairments	USCIS is committed to providing reasonable accommodations for individuals with disabilities and/or impairments. Accommodations vary with the disability(ies) and/or impairment(s) and involve modifications to practices or procedures. For example, if you are: 1. Unable to use your hands, you may be permitted to take a test orally rather than in writing; 2. Hard of hearing, you may be provided with a sign-language interpreter for a USCIS-sponsored training session; or 3. Unable to travel to a designated USCIS location for an interview, you may be visited at your home or a hospital. If you believe that you need us to accommodate your disability(ies) and/or impairment(s), check the "Yes" box and then check any applicable box that describe(s) the nature of your disability(ies) and/or impairment(s). Also, write the type(s) of accommodation(s) you are requesting on the line(s) provided. If you are requesting a sign-language interpreter, indicate which language. If you need more space, use a separate sheet of paper. NOTE: All domestic USCIS facilities meet the Accessibility Guidelines of the Americans with Disabilities Act, so you do not need to contact us to request an accommodation for physical access to a domestic USCIS office. USCIS considers requests for accommodations on a case-by-case basis. Asking for an accommodation will not affect your eligibility for the immigration benefit.	[Page 9] USCIS is committed to providing reasonable accommodations for qualified individuals with disabilities and impairments that will help them fully participate in USCIS programs and benefits. Reasonable accommodations vary with each disability or impairment. They may involve modifications to practices or procedures. There are various types of reasonable accommodations that may be offered. Examples include: 1. If you are unable to use your hands, you may be permitted to take a test orally rather than in writing; 2. If you are hearing-impaired, you may be provided with a sign-language interpreter at an interview or other application related appointment; or 3. If you are homebound and unable to travel to a designated USCIS location for an interview, you may be visited at your home or a hospital. If you believe that you need USCIS to accommodate your disability and/or impairment, check the “Yes” box and then check any applicable box in Part 4, Item Numbers a. - c., that describes the nature of your disability(ies) and/or impairment(s). Also, write the type(s) of accommodation(s) you are requesting on the line(s) provided. If you are requesting a sign-language interpreter, be sure to indicate for which language. If you require more space to provide any additional information within the application, you may attach separate sheets to this application. You must provide your A-Number and identify the Page Number, Part Number, and Item Number along with the additional information when attaching additional sheets. NOTE: All domestic USCIS facilities meet the Accessibility Guidelines of the Americans with Disabilities Act, so you do not need to contact USCIS to request an accommodation for physical access to a domestic USCIS office. However, on Part 4. of the form, you can indicate whether you use a wheelchair. This will allow USCIS to better prepare for your visit and have a wheelchair accessible interview room available for you once you enter the facility. USCIS considers requests for reasonable accommodations on a case-by-case basis and will use its best efforts to reasonably accommodate all applicants with disabilities or impairments. Qualified individuals will not be excluded from the participation in, or be denied the benefits of, USCIS' programs solely on the basis of their disability(ies) or impairment(s). Requesting and/or receiving an accommodation will not affect your eligibility for a USCIS benefit.
		[Page 9 - New Section] USCIS Forms and Information You can get USCIS forms and immigration-related information on the USCIS Internet Web site at www.uscis.gov. You may order USCIS forms by calling our toll-free number at 1-800-870-3676. You may also obtain forms and information by telephoning our National Customer Service Center at 1-800-375-5283. 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 Web site. 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.
Page 11 Penalties	If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-485, we will deny your Form I-485 and may deny any other immigration benefit…	[Page 9] 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…
Pages 11 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.	[Page 10] USCIS Privacy Act Statement AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the Immigration and Nationality Act, section 101, et seq. PURPOSE: The primary purpose for providing the requested information on this form is to determine if you have established eligibility for the immigration benefit for which you are filing. The information you provide will be used to grant or deny the benefit sought. DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and any requested evidence, may delay a final decision or result in denial of your form. ROUTINE USES: The information you provide on this form may be shared with other Federal, State, local, and foreign government agencies and authorized organizations following approved routine uses described in the associated published system of records notices [DHS-USCIS-007 - Benefits Information System and DHS-USCIS-001 - Alien File, Index, and National File Tracking System of Records, which can be found at www.dhs.gov/privacy ]. The information may also be made available, as appropriate, for law enforcement purposes or in the interest of national security.
Page 11 USCIS Compliance Review and Monitoring	By signing this form, you have stated under penalty of perjury (28 U.S.C. 1746) that all information and documentation submitted with this form is true and correct. You also have … The Department of Homeland Security has the right to verify any information you submit to establish eligibility for the immigration benefit you are seeking at any time. Our legal …	[Page 10] By signing this form, you have stated under penalty of perjury (28 U.S.C. 1746) that all information and documentation submitted with this form is true and correct. You have also … The Department of Homeland Security has the right to verify any information you submit to establish eligibility for the immigration benefit you are seeking at any time. USCIS' legal …
Page 11 Paperwork Reduction Act	… Regulatory Products Division, Office of the Executive Secretariat, 20 Massachusetts Avenue, N.W., Washington, DC 20529-2020. OMB No. 1615-0023. This form expires January 31, 2013. Do not mail your application to this address.	[Page 10] … Regulatory Coordination Division, Office of Policy and Strategy, 20 Massachusetts Ave NW, Washington, DC 20529-2020; OMB No. 1615-0023. Do not mail your completed Form I-485 application to this address.

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