Application to Register Permanent Residence or Adjust Status

OMB No. 1615-0023; Expires 01/31/2013

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

Instructions for I-485, Application to Register
Permanent Residence or Adjust Status
B. If you were admitted as the K-2 child of such a
fiancé(e), you may apply to adjust status based on
your parent's Form I-485.

What Is the Purpose of Form I-485?
This form is used by a person who is in the United States to
apply to U.S. Citizenship and Immigration Services (USCIS)
to adjust to permanent resident status or register for permanent
residence.

4.

You may apply to adjust status after you have been
granted asylum in the United States if you have been
physically present in the United States for 1 year after the
grant of asylum, provided you still qualify as an asylee or
as the spouse or child of a refugee.

This form may also be used by certain Cuban nationals to
request a change in the date that their permanent residence
began.

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Who May File Form I-485?
1.

5.

Based on an immigrant petition
A.

An immigrant visa number is immediately available
to you based on an approved immigrant petition; or

B.

You are filing this application with a completed
relative petition, special immigrant juvenile petition,
or special immigrant military petition which, if
approved, would make an immigrant visa number
immediately available to you.

6.

B.

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.
If the spouse or child is residing abroad, the
person adjusting status in the United States should
file Form I-824, Application for Action on an
Approved Application or Petition, together with
the principal's Form I-485, to allow the derivatives to
immigrate to the United States without delay if the
principal's Form I-485 is approved.

A. You are a native or citizen of Cuba, were admitted or
paroled into the United States after January 1, 1959,
and thereafter have been physically present in the
United States for at least 1 year; or
B. You are the spouse or unmarried child of a Cuban
described above and regardless of your nationality,
you were admitted or paroled after January 1, 1959,
and thereafter have been physically present in the
United States for at least 1 year.

7.

Based on admission as the fiancé(e) of a U.S. citizen
and subsequent marriage to that citizen
A. You may apply to adjust status if you were admitted
to the United States as the K-1 fiancé(e) of a U.S.
citizen, and you married that citizen within 90 days of
your entry.

Applying to change the date on which your permanent
residence began
If you were granted permanent residence in the United
States prior to November 6, 1966, and are a native or
citizen of Cuba, or you are the spouse or unmarried child
of such an individual, you may ask to change the date
your lawful permanent residence began to your date of
arrival in the United States or May 2, 1964, whichever is
later.

8.

NOTE: The fee submitted with Form I-824 will not be
refunded if the principal's adjustment is not granted.
3.

Based on Cuban citizenship or nationality
You may apply to adjust status if:

Based on being the spouse or child (derivative) - at the
time another adjustment applicant (principal) files to
adjust status or at the time a person is granted
permanent resident status in an immigrant category
that allows derivative status for spouses and children.
A.

Based on refugee status

You may apply to adjust status after you have been
admitted as a refugee and have been physically present in
the United States for 1 year following your admission,
provided that your status has not been terminated.

You may apply to adjust your status if:

2.

Based on asylum status

Based on continuous residence since before January 1,
1972
You may apply for permanent residence if you have
continuously resided in the United States since before
January 1, 1972. This is known as "Registry."

9.

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.
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10.

Other basis of eligibility
If you are not included in the above categories, but
believe you may be eligible for adjustment or creation of
record of permanent residence, contact our National
Customer Service Center at 1-800-375-5283 for
information on how to use the Internet to make an
appointment at your local USCIS office.

Who Is Not Eligible to Adjust Status?
Unless you are applying for creation of record based on
continuous residence since before January 1, 1972, or
adjustment of status under a category in which special rules
apply (such as 245(i) adjustment, asylum adjustment, Cuban
adjustment, special immigrant juvenile adjustment, or special
immigrant military personnel adjustment), you are not
eligible for adjustment of status if any of the following
apply to you:

You are or were a J-1 or J-2 exchange visitor and are
subject to the 2-year foreign residence requirement and
you have not complied with or been granted a waiver of
the requirement;

9.

You have A, E, or G nonimmigrant status or have an
occupation that would allow you to have this status,
unless you complete Form I-508 (Form I-508F for French
nationals) to waive diplomatic rights, privileges, and
immunities and, if you are an A or G nonimmigrant,
unless you submit a completed Form I-566;

10. You were admitted to Guam as a visitor under the Guam
visa waiver program;

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1.

You entered the United States in transit without a visa;

2.

You entered the United States as a nonimmigrant
crewman;

3.

You were not admitted or paroled following inspection by
an immigration officer;

4.

Your authorized stay expired before you filed this
application;

5.

You were employed in the United States without USCIS
authorization prior to filing this application;

6.

You failed to maintain your nonimmigrant status, unless
your failure to maintain status was through no fault of
your own or for technical reasons; unless you are
applying because you are:

A. An immediate relative of a U.S. citizen (parent,
spouse, widow, widower, or unmarried child under 21
years old);
B. A K-1 fiancé(e) or a K-2 fiancé(e) dependent who
married the U.S. petitioner within 90 days of
admission; or

C. An H or I nonimmigrant or special immigrant
(foreign medical graduates, international organization
employees, or their derivative family members);
7.

8.

You were admitted as a K-1 fiancé(e), but did not marry
the U.S. citizen who filed the petition for you, or you
were admitted as the K-2 child of a fiancé(e) and your
parent did not marry the U.S. citizen who filed the
petition;

11. You were admitted to the United States as a visitor under
the Visa Waiver Program, unless you are applying
because you are an immediate relative of a U.S. citizen
(parent, spouse, widow, widower, or unmarried child
under 21 years of age); or
12. You are already a conditional permanent resident.

General Instructions

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.
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.

Form I-485 Instructions 06/05/13 Y Page 2

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.

NOTE: Unless a traffic incident was alcohol or drugrelated, you do not need to submit documentation for
traffic fines and incidents that did not involve an
actual arrest if the only penalty was a fine of less than
$500 and/or points on your driver's license.
2.

Submit a copy of your foreign birth certificate or other
record of your birth that meets the provisions of
secondary evidence found in Title 8, Code of Federal
Regulations (CFR), 103.2(b)(2).

Answer all questions fully and accurately. If an item is not
applicable or the answer is "none," leave the space blank.

Initial Evidence

3.

Criminal history

Copy of passport page with nonimmigrant visa

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

You must file your application with the following evidence:
1.

Birth certificate

A. If you have ever been arrested or detained by any law
enforcement officer for any reason, and no charges
were filed, submit:

4.

You must submit two identical color photographs of
yourself taken within 30 days of the filing of this
application. The photos must have a white to off-white
background, be printed on thin paper with a glossy finish,
and be unmounted and unretouched.

An original official statement by the arresting agency
or applicable court order confirming that no charges
were filed.

B. If you have ever been arrested or detained by any law
enforcement officer for any reason, and charges were
filed, or if charges were filed against you without an
arrest, submit:

Passport-style photos must be 2" x 2." The photos must
be in color with full face, frontal view on a white to offwhite background. Head height should measure 1" to 1
3/8" from top of hair to bottom of chin, and eye height is
between 1 1/8" to 1 3/8" from bottom of photo. Your
head must be bare unless you are wearing a headdress as
required by a religious order of which you are a member.
Using pencil or felt pen, lightly print your name and Alien
Registration Number (A-Number) on the back of the
photo.

An original or court-certified copy of the complete
arrest record and/or disposition for each incident (e.g.,
dismissal order, conviction record, or acquittal order).
C. If you have ever been convicted or placed in an
alternative sentencing program or rehabilitative
program (such as a drug treatment or community
service program), submit:
1. An original or court-certified copy of the
sentencing record for each incident; and

5.

a. An original or certified copy of your probation
or parole record; or
b. Evidence that you completed an alternative
sentencing program or rehabilitative program.

1. An original or court-certified copy of the court
order vacating, setting aside, sealing, expunging, or
otherwise removing the arrest or conviction; or

Biometrics services

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

2. Evidence that you completed your sentence,
specifically:

D. If you have ever had any arrest or conviction vacated,
set aside, sealed, expunged, or otherwise removed
from your record, submit:

Photos

6.

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

2. An original statement from the court that no record
exists of your arrest or conviction.

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7.

Medical examination
When required, submit a medical examination report on
Form I-693, Report of Medical Examination and
Vaccination Record.
Individuals applying for adjustment of status:
A. General: When filing your Form I-485, include your
medical examination report with the application,
unless you are a refugee.
B. Refugees: If you are applying for adjustment of status
1 year after you were admitted as a refugee, you only
need to submit the vaccination portion of Form I-693
(pages 1,4, and 6) with your Form I-485, not the entire
medical report, unless you had a Class A condition
noted on your overseas medical exam.

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).
Form G-325A, Biographic Information Sheet

You must submit a completed Form G-325A if you are
between 14 and 79 years of age.
9.

A. Based on an immigrant petition
Attach a copy of the approval notice for an immigrant
petition that makes a visa number immediately
available to you, or submit a complete relative, special
immigrant juvenile, or special immigrant military
petition that, if approved, will make a visa number
immediately available to you.
B. Based on admission as the K-1 fiancé(e) of a U. S.
citizen and subsequent marriage to that citizen
Attach a copy of the fiancé(e) petition approval notice,
a copy of your marriage certificate, and your Form
I-94, Arrival/Departure Document.

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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.

8.

10. Evidence of eligibility

Affidavit of Support/Employment Letter
A. Affidavit of Support

Submit an Affidavit of Support (Form I-864) if your
Form I-485 is based on your entry as a fiancé(e), a
relative visa petition (Form I-130) filed by your
relative, or an employment-based visa petition (Form
I-140) related to a business that is five percent or more
owned by your family.
B. Employment Letter

If your Form I-485 is related to an employment-based
visa petition (Form I-140), you must submit a letter on
the letterhead of the petitioning employer which
confirms that the job on which the visa petition is
based is still available to you. The letter must also
state the salary that will be paid.
NOTE: The affidavit of support and/or employment
letter are not required if you are applying for creation
of a record based on continuous residence since before
January 1, 1972, asylum or refugee adjustment, or a
Cuban citizen or a spouse or unmarried child of a
Cuban citizen who was admitted after January 1, 1959.

C. Based on asylum status

Attach a copy of the letter or Form 1-94 that shows the
date you were granted asylum.

D. Based on continuous residence in the United States
since before January 1, 1972
Attach copies of evidence that shows continuous
residence since before January 1, 1972.

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

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

If you are applying as the spouse of that person, also
attach a copy of your marriage certificate and copies of
documents showing the legal termination of all other
marriages by you and your spouse;
If you are applying as the child of that person, attach also
a copy of your birth certificate and, if the other person is
not your parent, submit copies of evidence (such as a
marriage certificate and documents showing the legal
termination of all other marriages and an adoption decree)
to demonstrate that you qualify as his or her child.

13. Based on being an Indochinese parolee
In addition to other required evidence listed on this form,
attach evidence that you:

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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.

There is no fee if an applicant is filing as a refugee under
section 209(a) of the INA.
Use the following guidelines when you prepare your check or
money order for the Form I-485 and the biometrics services
fee:
1.

The check or money order must be drawn on a bank or
other financial institution located in the United States and
must be payable in U.S. currency; and

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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

Attach copies of documents proving that you are eligible
for the classification.
15. Public Assistance

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.

Attach evidence of any public assistance you received, or
are likely to receive while in the United States. For more
information on the receipt of public benefits and its
impact on public charge determinations, please see
www.uscis.gov.

What Is the Filing Fee?
The filing fee for Form I-485 is $985.
An additional biometrics services fee of $85 is required for
applicants ages 14 to 78.

2.

Make the check or money order payable to U.S.
Department of Homeland Security.
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.
Notice to Those Making Payment by Check.
You will not receive your original check back. We will
destroy your original check, but we will keep a copy of it. If
the EFT cannot be processed for technical reasons, you
authorize us to process the copy in place of your original
check. If the EFT cannot be completed because of insufficient
funds, we may try to make the transfer up to two times.
If you send us a check, it will be converted into an electronic
funds transfer (EFT). This means we will copy your check and
use the account information on it to electronically debit your
account for the amount of the check. The debit from your
account will usually take 24 hours and will be shown on your
regular account statement.
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

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.

Form I-485 Instructions 06/05/13 Y Page 5

NOTE: If your Form I-485 requires payment of a biometrics
services fee for USCIS to take your fingerprints, photograph,
or signature, you can use the same procedure to obtain the
correct biometrics 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.

Address Changes

An NIW Physician applicant must fulfill the medical service
requirement to which he or she is subject based upon a Form
I-140 petition which was approved 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.
Specifically, an NIW Physician applicant must submit
evidence to establish that he or she has met the qualifying
medical service requirement within 120 days after completing
the required service. 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.
(If an NIW Physician must also complete medical service
based on a waiver of the foreign residence requirement of
section 212(e) of the INA, then evidence of the completion
of this required service should also be submitted at this time.)

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If you have changed your address, you must inform USCIS of
your new address. For information on filing a change of
address go to the USCIS Web site at www.uscis.gov/
addresschange or contact the USCIS National Customer
Service Center at 1-800-375-5283. For TDD (hearing
impaired) call 1-800-767-1833.
NOTE: Do not submit a change of address request to USCIS
Lockbox facilities because USCIS Lockbox facilities do not
process change of address requests.

Processing Information

You must have a U.S. address to file this form.
Initial processing

National Interest Waiver (NIW) Physicians

Once an application has been accepted, it will be checked for
completeness, including submission of the required initial
evidence. If you do not completely fill out the form or file it
without required initial evidence, you will not establish a basis
for eligibility, and we may deny your application.
Requests for More Information, Including Biometrics, 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.
At the time of any interview or other appearance at a USCIS
office, USCIS may require that you provide biometrics
information (e.g., photographs, fingerprints) to verify your
identity and update your background information.

Decision

You will be notified in writing of the decision on your
application.
Selective Service Registration

If you are a male at least 18 years of age, but not yet 26 years,
and required according to the Military Selective Service Act to
register with the Selective Service System, USCIS will help
you register.
When your signed application is filed with and accepted by
USCIS, we will transmit to the Selective Service System your
name, current address, Social Security number, date of birth,
and the date you filed the application. This action will enable
the Selective Service System to record your registration as of
the filing date of your application.

If USCIS does not accept your application and, if still so
required, you are responsible to register with the Selective
Service System by using other means, provided you are under
26 years of age. If you have already registered, the Selective
Service System will check its records to avoid any duplication.
(NOTE: Men 18 through 25 years of age who are applying
for student financial aid, government employment, or job
training benefits should register directly with the Selective
Service System or such benefits may be denied. Men can
register at a local post office or on the Internet at
http://www.sss.gov).
Effect of Departure from the United States While Your
Application Is Pending
1.

Applying for adjustment of status under section 245 of the
INA
If you apply for adjustment of status under section 245 of
the Act, traveling anywhere outside the United States
(including brief visits to Canada or Mexico) will lead to
the denial of your Form I-485 as abandoned unless:

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A. You are an H, L, V or K3/K4 nonimmigrant who is
maintaining lawful nonimmigrant status and you
return with a valid H, L, V or K3/K4 nonimmigrant
visa; OR
B. You obtain, before you leave the United States, a grant
of advance parole by filing Form I-131, Application
for Travel Document, as specified in the Form I-131
instructions, and you are paroled into the United
States when you return.
2.

Applying for adjustment of status under section 209 of the
INA
If you apply for adjustment of status under section 209 of
the Act because you were admitted as a refugee or granted
asylum, you may travel abroad and return to the United
States with a refugee travel document. You may obtain a
refugee travel document by filing Form I-131,
Application for Travel Document, as specified in the
Form I-131 instructions.

3.

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.

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Applying for registry of permanent residence under
section 249 of the INA

Under the DHS regulations at 8 CFR Part 249, you do not
“abandon” your registry application by traveling abroad
while it is pending. If you do not obtain a grant of
advance parole, however, you may not be able to return
lawfully to the United States. You may obtain advance
parole by filing Form I-131, Application for Travel
Document, as specified in the Form I-131 instructions.
Warning:

Accommodations for Individuals With
Disabilities and Impairments

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
for adjustment applicants, but not registry applicants. This
ground of inadmissibility is triggered if you were unlawfully
present in the United States (i.e., you remained in the United
States beyond the period of authorized stay) for more than 180
days before you applied for adjustment of status and you
travel outside of the United States while your Form I-485 is
pending.
NOTE: Only unlawful presence that was accrued on or after
April 1, 1997, counts towards the three and ten year bar under
section 212(a)(9)(B)(i) of the INA.

If you become inadmissible under section 212(a)(9)(B)(i) of
the INA while your Form I-485 is pending, you will need a
waiver of inadmissibility under section 212(a)(9)(B)(v) of the
INA before your Form I-485 can be approved. This waiver,
however, is granted on a case-by-case basis and in the exercise
of discretion. It requires a showing of extreme hardship to
your U.S. citizen or lawful permanent resident spouse or
parent, unless you are a refugee or asylee. For refugees and
asylees, the waiver may be granted for humanitarian reasons
to assure family unity or if it is otherwise in the public interest.

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 ANumber 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.

Form I-485 Instructions 06/05/13 Y Page 7

USCIS Forms and Information
To ensure you are using the latest version of this form, visit
USCIS Web site at www.uscis.gov where you can obtain the
latest USCIS forms and immigration-related information. If
you do not have internet access, 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 USCIS
National Customer Service Center at 1-800-375-5283. For
TDD (hearing impaired) call 1-800-767-1833.
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.

Penalties

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 have also
authorized the release of any information from your records
that USCIS may need to determine eligibility for the benefit
you are seeking and consented to USCIS' verification of such
information.
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
right to verify this information is in 8 U.S.C. 1103, 1155,
1184, and 8 CFR Parts 103, 204, 205, and 214. To ensure
compliance with applicable laws and authorities, USCIS may
verify information before or after your case has been decided.
Agency verification methods may include, but are not limited
to: review of public records and information; contact via
written correspondence, the Internet, facsimile, or other
electronic transmission, or telephone; unannounced physical
site inspections of residences and locations of employment;
and interviews. Information obtained through verification will
be used to assess your compliance with the laws and to
determine your eligibility for the benefit sought.

Draft
Not for
Production
06/05/2013

If you knowingly and willfully falsify or conceal a material
fact or submit a false document with this request, we will deny
the benefit you are filing for, and may deny any other
immigration benefit.

In addition, you will face severe penalties provided by law and
may be subject to criminal prosecution.

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.

Subject to the restrictions under 8 CFR Part 103.2(b)(16), you
will be provided an opportunity to address any adverse or
derogatory information that may result from a USCIS
compliance review, verification, or site visit after a formal
decision is made on your case or after the agency has initiated
an adverse action which may result in revocation or
termination of an approval.

Paperwork Reduction Act

An agency may not conduct or sponsor an information
collection, and a person is not required to respond to a
collection of information unless it displays a currently valid
OMB control number. The public reporting burden for this
collection of information is estimated at 6 hours and 15
minutes per response, including the time for reviewing
instructions and completing and submitting the form. Send
comments regarding this burden estimate or any other aspect
of this collection of information, including suggestions for
reducing this burden, to: U.S. Citizenship and Immigration
Services, Regulatory Coordination Division, Office of Policy
and Strategy, 20 Massachusetts Ave NW, Washington, DC
20529-2140; OMB No. 1615-0023. Do not mail your
completed Form I-485 application to this address.

Form I-485 Instructions 06/05/13 Y Page 8