Online Request to be a Supporter and Declaration of Financial Support

I-134A_Copydeck_(PRA-012)_v1.1.1

Online Request to be a Supporter and Declaration of Financial Support

OMB: 1615-0157

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1615-0157 can be found here:

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myUSCIS Copy Deck
I-134 Declaration of Finanical Support
OMB Control Number: 1615-0014
Edition Date: 04/25/2022
Expires: 10/31/2022
I-134_Expansion_Copydeck_(PRA-012)_v1.1.1

myUSCIS Copy Deck
I-134A Online Request for Consideration to be a Supporter and Declaration of Financial Suppo
OMB Control Number: 1615-0014
Edition Date: 04/25/2022
Expires: 10/31/2022
I-134_Expansion_Copydeck_(PRA-012)_v1.1.1

Revision Key
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Example

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Any text that is removed from original column will be shown with a strikethrough and in red.

Original

1. Oranges
2. Bananas
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Revised

1. Oranges
2. Bananas
3. Apple
4. Pineapple

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Copy Deck Version

I-134: File a Form

File A Form Copy

Alerts

I-134, Request to be Financial Supporter
Some immigration benefits that involve a temporary stay in the
United States require U.S. Citizenship and Immigration Services
(USCIS) to determine whether the applicant or beneficiary of the
request has sufficient financial resources or financial support to pay
for expenses during the temporary stay. The individual who signs
and submits Form I-134 must establish that he or she has both
sufficient financial resources and access to those funds to support
the beneficiary listed on Form I-134 for the duration of the
beneficiary’s stay in the United States.

We are only accepting online filing of Form I-134 by individuals
We are only accepting online filing of Form I-134A by individuals agreeing Paper Form I-134:
agreeing to financially support beneficiaries eligible for the following
to financially support beneficiaries eligible for the following programs: https://www.uscis.gov/iprograms:
• Cuba
134
• Cuba
• Haiti
• Haiti
• Nicaragua
• Nicaragua
• Ukraine
• Ukraine
• Venezuela
• Venezuela
You must be located in the United States to file Form I-134 online.
Indviduals seeking parole may not file Form I-134 on their own
behalf. Supporters must include the name of the beneficiary on
Form I-134.
Supporters must file a separate Form I-134 for each beneficiary
they are planning to support, including minor children.
To be eligible for this process, children under the age of 18 must be
traveling to the United States in the care and custody of their parent
or legal guardian and be able to provide documentation to confirm
the relationship.
If you are agreeing to support a beneficiary seeking parole who is
not applying under Venezuela or Uniting for Ukraine, or a beneficiary
seeking any other immigration benefit, you must file a paper Form I-134
through the appropriate Lockbox location.

Revisions
I-134A, Online Request to be a Supporter and Declaration of Financial
Support

Link

Notes

You must be located in the United States to file Form I-134A online.
Indviduals seeking parole may not file Form I-134A on their own behalf.
Supporters must include the name of the beneficiary on Form I-134A.
Supporters must file a separate Form I-134A for each beneficiary they are
planning to support, including minor children.
To be eligible for this process, children under the age of 18 must be
traveling to the United States in the care and custody of their parent or
legal guardian and be able to provide documentation to confirm the
relationship.
If you are agreeing to support a beneficiary seeking parole who is not
applying under Venezuela or Uniting for Ukraine, or a beneficiary seeking
any other immigration benefit, you must file a paper Form I-134 through
the appropriate Lockbox location.

File-A-Form

I-134:Overview

Heading
I-134, Declaration of
Financial Support

Before You Start Your
Declaration

I-134A, Online Request to
be a Supporter and
Declaration of Financial
Support

Sub-Heading

Eligibility

Body Text
Some immigration benefits that involve a temporary stay in the United States require U.S. Citizenship and Immigration Services (USCIS) to determine whether the
applicant or beneficiary of the request has sufficient financial resources or financial support to pay for expenses during the temporary stay. The individual who signs
and submits Form I-134 must establish that he or she has both sufficient financial resources and access to those funds to support the beneficiary listed on Form I-134
for the duration of the beneficiary’s stay in the United States.

Revisions
Some immigration benefits that involve a temporary stay in the United States require U.S. Citizenship and Immigration Services (USCIS) to determine whether the
applicant or beneficiary of the request has sufficient financial resources or financial support to pay for expenses during the temporary stay. The individual who signs
and submits Form I-134A must establish that he or she has both sufficient financial resources and access to those funds to support the beneficiary listed on Form I134A for the duration of the beneficiary’s stay in the United States.

Form I-134, Declaration of Financial Support, was previously titled “Form I-134, Affidavit of Support."

Form I-134, Declaration of Financial Support, was previously titled “Form I-134, Affidavit of Support." (delete)

Certain individuals applying for parole based on urgent humanitarian reasons or significant public benefit filed on Form I-131, Application for Travel Document, must
submit this form with Form I-131. Form I-134 is filed either by the applicant for parole on his or her own behalf, or by another individual on the parole applicant’s
behalf.

Certain individuals applying for parole based on urgent humanitarian reasons or significant public benefit filed on Form I-131, Application for Travel Document, must
submit this form with Form I-131. Form I-134A is filed either by the applicant for parole on his or her own behalf, or by another individual on the parole applicant’s
behalf.

Certain individuals applying for parole into the United States for urgent humanitarian reasons or significant public benefit who are not filing Form I-131 may also be
required to submit this form. In such cases, Form I-134 is completed by an individual other than the beneficiary who is agreeing to financially support the beneficiary
for the period of his or her temporary stay in the United States.

Certain individuals applying for parole into the United States for urgent humanitarian reasons or significant public benefit who are not filing Form I-131 may also be
required to submit this form. In such cases, Form I-134A is completed by an individual other than the beneficiary who is agreeing to financially support the beneficiary
for the period of his or her temporary stay in the United States.

Note: Whether or not the beneficiary of this Form I-134 will have sufficient means of support while in the United States is an important factor in determining whether
to exercise discretion to authorize parole. We require evidence that the beneficiary of this Form I-134 has financial support for the duration of his or her stay in the
United States. Lack of evidence of financial support while in the United States is a strong negative factor that may lead to a denial of parole.

Note: Whether or not the beneficiary of this Form I-134A will have sufficient means of support while in the United States is an important factor in determining whether
to exercise discretion to authorize parole. We require evidence that the beneficiary of this Form I-134A has financial support for the duration of his or her stay in the
United States. Lack of evidence of financial support while in the United States is a strong negative factor that may lead to a denial of parole.

Form I-134 may also be requested by Department of State in certain instances.

Form I-134A may also be requested by Department of State in certain instances.

Do not use Form I-134 if the beneficiary you are agreeing to financially support must have Form I-864, Affidavit of Support Under Section 213A of the INA, filed on his
or her behalf instead.

Do not use Form I-134A if the beneficiary you are agreeing to financially support must have Form I-864, Affidavit of Support Under Section 213A of the INA, filed on his
or her behalf instead.

Link

Alerts

Revisions

Link

https://www.uscis.gov/i-134

We are only accepting online filing of Form I-134 by individuals agreeing to
financially support beneficiaries eligible for the following programs:
• Cuba
• Haiti
• Nicaragua
• Ukraine
• Venezuela

We are only accepting online filing of Form I-134A by individuals agreeing to
financially support beneficiaries eligible for the following programs:
• Cuba
• Haiti
• Nicaragua
• Ukraine
• Venezuela

Paper Form I134:
https://www.usc
is.gov/i-134

You must be located in the United States to file Form I-134 online. Indviduals
seeking parole may not file Form I-134 on their own behalf. Supporters must
include the name of the beneficiary on Form I-134.

Supporters must file a separate Form I-134 for each beneficiary they are
planning to support, including minor children.

Supporters must file a separate Form I-134A for each beneficiary they are
planning to support, including minor children.

CTA

Paper Form
Form I-134 instructions,
page 1

Notes

Form I-134 instructions,
page 1

To be eligible for this process, children under the age of 18 must be traveling to To be eligible for this process, children under the age of 18 must be traveling to
the United States in the care and custody of their parent or legal guardian and be the United States in the care and custody of their parent or legal guardian and be
able to provide documentation to confirm the relationship.
able to provide documentation to confirm the relationship.
If you are agreeing to support a beneficiary seeking parole who is not applying
under Venezuela or Uniting for Ukraine, or a beneficiary seeking any other
immigration benefit, you must file a paper Form I-134 through the appropriate
Lockbox location.

Fee

Documents you may need

Biometric services appointment

There is no filing fee to file Form I-134.

There is no filing fee to file Form I-134A.

Please refer to the instructions for the form(s) you are filing for additional information or you may call the USCIS Contact Center at 800-375-5283. For TTY (deaf or
hard of hearing) 800-767-1833.

You must be located in the United States in order to file Form I-134 on behalf of beneficiaries and their immediate family members. Beneficiaries and their immediate family
members requesting parole may not file Form I-134 on their own behalf.

You must be located in the United States in order to file Form I-134A on behalf of beneficiaries and their immediate family members. Beneficiaries and their immediate family
members requesting parole may not file Form I-134A on their own behalf.

As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources to support the beneficiary.

Evidence should consist of copies of any of the documents listed below that apply.

Failure to provide evidence of sufficient income or financial resources may result in the denial of the foreign national's application for a visa or his or her removal from the
United States.

Submit in duplicate evidence of income and resources, appropriate:

1. Statement from an officer of the bank or other financial institutions with deposits, identifying the following details regarding the account:
• Date account opened
• Total amount deposited for the past year; and
• Present balance.

2. Statement(s) form your employer on business stationery showing:
• Date and nature of employment;
• Salary paid; and
• Whether the position is temporary or permanent

3. Copy of last U.S. federal income tax return filed (tax transcript); or

4. List containing serial numbers and denominations of bonds and name of record owner(s).

If you are agreeing to support a beneficiary seeking parole who is not applying
under Venezuela or Uniting for Ukraine, or a beneficiary seeking any other
immigration benefit, you must file a paper Form I-134 through the appropriate
Lockbox location.

Form I-134 instructions,
page 2

Need to clarify what to say
in this section.

Form I-134 instructions

USCIS may require that you appear for an interview or provide biometrics (fingerprints, photograph, and/or signature) at any time to verify your identity, obtain
additional information, and conduct background and security checks, including a check of criminal history records maintained by the Federal Bureau of Investigation
(FBI), before making a decision on your application or petition. After USCIS receives your declaration and ensures it is complete, we will inform you if you need to
attend a biometric services appointment. If an appointment is necessary, the notice will provide you the location of you local or designated USCIS Application Support
Center (ASC) and the date and time of your appointment or, if you are currently overseas, instruct you to contact a U.S. Embassy, U.S. Consulate, or USCIS office
outside the United States to set up an appointment.
If you are required to provide biometrics, at your appointment you must sign an oath reaffirming that:
1. You provided or authorized all information in the declaration;
2. You reviewed and understood all of the information contained in, and submitted with your declaration; and;
3. All of this information was complete, true, and correct at the time of filing.

After You Submit Your
Declaration

Completing Your Form
Online

Track your case online

After you submit your form, you can track its status through your USCIS account. Sign in to your account often to check your case status and read any important
messages from USCIS.

Respond to requests for information

If we need more information from you, we will send you a Request for Evidence (RFE) or Request for Information (RFI). You can respond to our request and upload
your documents through your USCIS account.

Receive your decision

The decision on the Form I-134 involves a determination of whether you have established a basis of support for the beneficiary seeking an immigration benefit. USCIS
will notify you of the decision in writing.

Filing online

Submitting your declaration online is the same as mailing in a completed paper form. They both gather the same information.

Complete the Getting Started section first
Provide as many responses as you can
We will automatically save your responses

You should answer all questions in the Getting Started section first so we can best customize the rest of your online form experience.
You should provide as many responses as you can. Incomplete fields or sections and missing information can slow down the process after you submit your form.
We will automatically save your information when you select next to go to a new page or navigate to another section of the form. We will save your information for
30 days from today, or from the last time you worked on the form.
After you start your form, you can sign in to your account to continue your form.
AUTHORITIES: The information requested on this declaration, and the associated evidence, is collected under the Immigration and Nationality Act sections 212(d)(5),
214 and 248.

How to continue filling out your form
DHS Privacy Notice

PURPOSE: The primary purpose for providing the requested information on this declaration of financial support is to determine whether the beneficiary of this
declaration has adequate financial means to support themselves and that, if this individual is admitted or paroled into the United States, this individual has sufficient
financial resources available to them for the duration of their temporary stay in the United States. DHS uses the information you provide to grant or deny the
immigration benefit the beneficiary of Form I-134 is seeking.

Form I-134 instructions pg 78

DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your Social Security number (if applicable),
and any requested evidence, may delay a final decision or result in denial of the beneficiary’s benefit request.

Form I-134 instructions pg 78

ROUTINE USES: DHS may share the information you provide on this declaration and any additional requested evidence with other Federal, state, local, and foreign
government agencies and authorized organizations. DHS follows approved routine uses described in the associated published system of records notices
[DHS/USCIS/ICE/CBP-001 Alien File, Index, and National File Tracking System, DHS/USCIS-007 Benefits Information System, and DHS/USCIS-018 Immigration Biometric
and Background Check] and the published privacy impact assessments [DHS/USCIS/PIA-003 Integrated Digitization Document Management Program (IDDMP),
DHS/USCIS/PIA-056 USCIS Electronic Immigration System, DHS/USCIS/PIA-071 myUSCIS Account Experience, and DHS/USCIS/PIA-051 Case and Activity Management
for International Operations] which you can find at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the
interest of national security.

Paperwork Reduction Act

Security Reminder

https://www.dhs.gov/topics/privacy

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 Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information is estimated at 1.83 hours per response,
including the time for reviewing instructions, gathering the required documentation and information, completing the declaration, preparing statements, attaching
necessary documentation, and submitting the declaration. 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
Office of Policy and Strategy, Regulatory Coordination Division
5900 Capital Gateway Drive, Mail Stop #2140
Camp Springs, MD 20588-0009

Do not mail your completed Form I-134 to this address.

OMB No. 1615-0014
Expires: 10/31/2022

OMB No.
Expires:

If you do not work on your declaration for more than 30 days, we will delete your data in order to prevent storing personal information indefinitely.

https://www.dhs
.gov/topics/priva
cy

Form I-134 instructions pg 78

Start

Overview

I-134: GETTING STARTED

Primary Nav

Secondary Nav

Getting Started

Basis for filing

Tertiary Nav

Paper Form
Question
1.1
1.2

Question

Sub-Question

Revisions

Field Type

On whose behalf are you
filing this form?
I am filing this form under
one of the following:

Another individual who is the beneficiary

Radio

Cuba / Haiti / Nicaragua / Ukraine /
Venezuela

Dropdown

Instructional Text

Help Text

Notes
For online filing, this is the
only option available

REQUIRED QUESTION

Dropdown

Preparer and
interpreter
information

(IF YES TO
PREPARER
QUESTION)
Preparer
information

Is someone assisting you
Yes/No
with completing this
declaration?
(IF YES) Is a preparer assisting Yes/No
you with completing this
declaration?

7.1

7.2

7.3

7.4
7.5

7.6

Dropdown
Radio

Radio

A preparer is anyone who
completes or helps you
complete all or part of your
declaration using information
and answers that you provide.

(IF YES) Is an interpreter
Yes/No
assisting you with completing
this declaration?

Radio

An interpreter is anyone who
translates or helps you translate
all or part of your declaration
using information and answers
that you provide.

What is your preparer's full
name?

Given name (first name)

Text

Family name (last name)

Text
Text

My preparer is not part of a business or
organization.
Country

Checkbox

Address line 1
Address line 2

Text
Text

City or town
State/Province
ZIP code/Postal code

Text
Dropdown/
Text
Text

Daytime telephone number

Text

Mobile telephone number
My preparer does not have a mobile
telephone number.
Email address

Text
Checkbox

What is your preparer's
business or organization
name?

What is your preparer's
mailing address?

What is your preparer's
contact information?

Dropdown

Text

Street number and name
Apartment, suite, unit, or
floor

Provide a 5 or 9-digit ZIP
code.
Provide a 10-digit phone
number.

Example:
user@domain.com

Getting Started

I-134: GETTING STARTED

Primary Nav

Secondary Nav

(IF YES TO
INTERPRETER)
Interpreter
information

Tertiary Nav

Paper Form
Question

6.1

6.2

6.3

6.4
6.5

Question

Sub-Question

My preparer does not have an email
address.
What is your interpreter's full Given name (first name)
name?

What is your interpreter's
business or organization
name?

What is your interpreter's
mailing address?

What is your interpreter's
contact information?

6.6

What language is your
interpreter using to interpret
this declaration for you?

Revisions

Field Type

Instructional Text

Help Text

Notes

Checkbox
Text

Family name (last name)

Text
Text

My interpreter is not part of a business
or organization.
Country

Checkbox

Address line 1
Address line 2

Text
Text

City or town
State/Province
ZIP code

Text
Dropdown/Te
xt
Text

Daytime telephone number

Text

Mobile telephone number
My interpreter does not have a mobile
telephone number
Email address

Text
Checkbox

My interpreter does not have an email
address.

Checkbox

Dropdown

Text

Street number and name
Apartment, suite, unit, or
floor

Provide a 5 or 9-digit ZIP
code.
Provide a 10-digit phone
number.

Example:
user@domain.com

Text

Getting Started

I-134: About the Individual Agreeing to Financially Support the Beneficiary

Primary Nav
About the Individual
Agreeing to Financially
Support the Beneficiary

Secondary Nav
Tertiary Nav
Name of the
individual agreeing
to financially
support the
beneficiary

Paper Form Question
3.1.

Question
What is your current legal name?

Sub-Question
Given name (first name)

Field Type
Text

Have you used any other names since birth?

Middle name
Family name (last name)
Yes/No

Text
Text
Radio

[If yes to 3.2] [LIST]

Given name (first name)

Text

Middle name
Family name (last name)
Organization, Group, Entity Name

Text
Text
Text

Daytime telephone number

Text

Provide a 10-digit phone
number.

5.4

Mobile telephone number (if any)

Text
Checkbox

5.5
3.4
3.4

This is the same as my daytime
telephone number.
Email address
In care of name (if any)
Country

Provide a 10-digit phone
number.

Text
Text
Dropdown

3.4
3.4

Address line 1
Address line 2

Text
Text

Street number and name
Apartment, suite, unit, or floor

3.4
3.4
3.4

City or town
State
ZIP code

Text
Dropdown
Text

Provide a 5 or 9-digit ZIP code.

Yes/No
In care of name (if any)
Country

Radio
Text
Dropdown

Address line 1
Address line 2

Text
Text

Street number and name
Apartment, suite, unit, or floor

City or town
State
ZIP code

Text
Dropdown
Text

Provide a 5 or 9-digit ZIP code.

3.2

Contact
information for the
individual agreeing
to financially
support the
beneficiary

3.3

Provide the name of the organization, group, or entity that is
providing support to the beneficiary with you (if any).

5.3

How may we contact you?

3.5
3.6

What is your current mailing address?

Is your mailing address the same as the physical address?
[If NO] What is your physical address?

Alert

Instructional Text
Help Text
Your current legal name is the
name on your birth certificate,
unless it changed after birth by a
legal action such as marriage or
court order. Do not provide any
nicknames here.

Notes

Other names used may include
aliases, maiden name, and
nicknames.

Provide the other names you
have used.

Include the "Add another
name" option

Example: user@domain.com
You must be located
in the United States
in order to file at
this time.

You must be located
in the United States
in order to file at
this time.

About the IATFSB

I-134: About the Individual Agreeing to Financially Support the Beneficiary

Primary Nav

Secondary Nav
Tertiary Nav
When and where
the individual
agreeing to
financially support
the beneficiary was
born

Immigration
information for the
individual agreeing
to financially
support the
beneficiary

Paper Form Question
3.7

Question
What is your date of birth?

3.9

What is your city or town of birth?

Text

3.9
3.9
3.8

What is your state or province of birth?
What is your country of birth?
What is your sex?

Male

Text
Dropdown
Radio

What is your current immigration status?

Female
X
U.S. Citizen

Radio
Radio
Radio

U.S. National
Lawful Permanent Resident
Nonimmigrant
Other
Please provide an explanation.

Radio
Radio
Radio
Radio
Textbox
Text

A-

Text

3.14

3.14
3.14
3.14
3.14
[If Other] 3.14
[If Nonimmigrant] 3.14

What is your Form I-94 Arrival-Departure Record Number?

3.10

What is your A-number?

3.12

I do not have or know my A-Number.

What is your U.S. Social Security number?
I do not have a U.S. Social Security number.

Sub-Question
(mm/dd/yyyy)

Field Type
Date

Checkbox

Text
Checkbox

Alert

Instructional Text

Help Text

Please select the sex that is
shown on your passport or other
government-issued identity
document. For any value other
than “Male” (“M”) or “Female”
(“F”) that appears on your
identity document, please
choose “X” (Unspecified or
another gender identity). USCIS
requires this information to
conduct accurate background
checks and security screening.

Notes

REQUIRED QUESTION

Provide an 11-character I-94
number.
Provide a 7, 8, or 9-digit
number. If your A-Number is
fewer than 9 digits, the system
will automatically add zero(s)
after the "A" and before the
first digit so there is a total of A-Number is required if
Lawful Permanent Resident
9 digits, for example: Ais selected.
001234567.

Provide a 9-digit Social
Security Number.

About the IATFSB

I-134: About the Individual Agreeing to Financially Support the Beneficiary

Primary Nav

Secondary Nav

Tertiary Nav

Paper Form Question
3.11

Question
What is your USCIS Online Account Number?

Sub-Question

Field Type
Text

Alert

Instructional Text
Help Text
You will only have an OAN if you Provide a 12-digit Online
previously filed a form that has a Account Number.
receipt number that begins with
IOE. If you filed the form online,
you can find your OAN in your
account profile. If you mailed us
the form, you can find your OAN
at the top of the Account Access
Notice we sent you.

Notes

If you do not have receipt
number that begins with IOE,
you do not have an OAN.
(The OAN is not the same as an ANumber.)

Employment
information for the
individual agreeing
to financially
support the
beneficiary

3.13

I do not have or know my USCIS Online Account Number.
What is your relationship to the beneficiary?

3.15

What is your employment status?

[If Other] 3.15
[If EMPLOYED to 3.15] 3.16
[If EMPLOYED to 3.15] 3.16
[IF EMPLOYER IS NOT SELF]
3.16A
[IF EMPLOYER IS NOT SELF]
3.16A
[IF EMPLOYER IS SELF]
3.16B
3.17

Please provide an explanation.
What is your type of employment?
Employed as

Checkbox
Text
Employed (full-time, part-time, seasonal, Radio
self-employed)

Unemployed or not employed
Retired
Other
I am currently employed as a/an
I am currently self-employed as a/an

Radio
Radio
Radio
Textbox
Radio
Radio
Text

Name of employer

Text

Self-employed as

Text

What is your current employer's address?

Required question

Country
Address line 1
Address line 2

Dropdown
Text
Text

Street number and name
Apartment, suite, unit, or floor

Text
City or town
State/Province (FOR FOREIGN ADDRESS) Dropdown/Text
ZIP code/Postal code (FOR FOREIGN
Text
ADDRESS)

About the IATFSB

I-134: Financial Information About the Person Agreeing to Financially Support the Beneficiary

Primary Nav

Secondary Nav

Financial Information
About the Individual
Agreeing to Financially
Support the Beneficiary

Income
information for the
individual agreeing
to financially
support the
beneficiary

Tertiary Nav

Paper Form Question
Number

3.18
3.18

3.18

Specific
contributions to
the beneficiary

Sub-Question

Field Type

Alerts

Instructional Text

Instrucctional Text Revisions

Help Text

Notes

Provide all of the information requested in the table
below about yourself, all of your dependents, and any
other individuals you financially support. Do not include
any individuals listed in the "Beneficiary's Financial
Information" section.
Information about assets that are not based on
employment should be added in the "Assets of the
individual agreeing to financially support the beneficiary"
section below.

3.18 [LARGE TABLE]

Additional income
information for the
individual agreeing
to financially
support the
beneficiary

Question

Add entry
What is the individual's full name?

What is the individual's date of birth?
What is the individual's relationship to the individual agreeing
to financially support the beneficiary?

How much income will this individual contribute to the
beneficiary annually?
Save entry
Cancel

Given name (first name)

CTA
Text

Middle name

Text

Family name (last name)
(mm/dd/yyyy)

Text
Date
Text

I'm entering my own financial
information
$

Checkbox
Text

Provide the information about the people
for whom you have previously submitted a
Form I-134, other than the beneficiary listed
on this Form I-134.

"If you are the individual
agreeing to financially support
the beneficiary, type in "Self""
instructions TBD based on
feedback from Adi.

If the income contribution is none, type in "0".

CTA
CTA

3.18

What is the total number of dependents?

Text

3.18

What is the total income?

3.19

Does any of the income listed come from an illegal activity or Yes/No
source (such as proceeds from illegal gambling or illegal drug
sales)?

Radio

[If YES to 3.19] 3.20

What amount of income comes from an illegal activity?

Text

3.21

Does any of the income listed above come from meanstested public benefits as defined in 8 CFR 213a.1?

Yes/No

Radio

[IF YES TO 3.20] 3.22

What amount of income is from means-tested public
benefits?

Text

3.27

You are responsible for receiving, maintaining, and
supporting the beneficiary for the duration of their
temporary stay in the United States. Describe the resources
you plan to use or provide to ensure the beneficiary has
adequate financial support to cover their basic living needs.

Text

Provide the total number of dependents.
Number must be between 0 and 100.

Text box

3.28

You are responsible for ensuring the beneficiary has safe and
appropriate housing for the duration of their parole in the
United States. Describe how you will ensure that the
beneficiary's housing needs are met, including where the
beneficiary will reside during their temporary stay in the
United States, if known.

Text box

REQUIRED QUESTION
REQUIRED QUESTION

3.29

You are responsible for assisting the beneficiary's access to
available services and benefits such as learning English,
securing employment opportunities once authorized to
work, enrolling children in school, and helping to enroll for
benefits for which they are eligible. Describe what steps you
plan to take as part of these responsibilities.

Text box

REQUIRED QUESTION

IATFSB Finanical Info

I-134: Financial Information About the Person Agreeing to Financially Support the Beneficiary

Primary Nav

Secondary Nav

Assets of the
individual agreeing
to financially
support the
beneficiary

Tertiary Nav

Paper Form Question
Number

3.23 [LARGE TABLE]

Question

3.24

Financial
responsibility for
other beneficiaries

[If YES to 3.24, conditional
"Financial responsibility for
other beneficiaries" section
displays]
[If YES to 3.24, conditional
"Financial responsibility for
other beneficiaries" section
displays]

Field Type

Add entry
What is the asset holder's full name?

Given name (first name)
Middle name
Family name (last name)
Checking - Bank Account
Savings - Bank Account
Annuities
Stocks, Bonds, Certificates of Deposit
Retirement or Educational Account
Real Estate Holdings
Personal Property (net value)

Instructional Text

Instrucctional Text Revisions

Help Text

Notes

You may also include your household members’ assets
below. Attach evidence in the "Evidence" section under
"Proof of Assets" and "Bonds" showing that you, or your
dependents, have these assets.

CTA

Dropdown

What is the cash value in U.S. dollars?
Save entry
Cancel
What is the total amount (U.S. dollars)?

Text
CTA
CTA
Text

Have you previously submitted a Form I-134 on behalf of a
person other than the beneficiary listed on this Form I-134?

Yes/No

Radio

Provide the information about the people for whom you
have previously submitted a Form I-134, other than the
beneficiary listed on this Form I-134.
Add entry

You must include at least one person for
whom you have previously submitted a
Form I-134, other than the beneficiary
listed on this Form I-134.

What is the person's name?

What is the person's A-number?

Given name (first name)

Text

Middle name

Text

Family name (last name)
A-

Text
Text

I do not have or know the person's A-Number
Date submitted

Provide the information about the people for whom you
have previously submitted a Form I-134A, other than the
beneficiary listed on this Form I-134A.

[If YES to 3.18]

CTA

[If no entries are entered
and 3.24 is true]

3.25, 3.26 [LARGE TABLE]

Alerts

Provide information about any assets you will use to
support the beneficiary for the anticipated period of his
or her stay. List only assets that can be converted into
cash within 12 months and that will be used to support
the beneficiary while the beneficiary is in the United
States. Provide the value of all assets listed in U.S. dollars,
regardless of whether they are held in the United States
or outside of the United States. Do not include assets
from any individuals in the “Beneficiary’s Financial
Information” section.

What is the type of asset?

3.23

Sub-Question

Checkbox
(mm/dd/yyyy)

You must include at least one person for
whom you have previously submitted a
Form I-134A, other than the beneficiary
listed on this Form I-134A.

Provide a 7, 8, or 9-digit number. If your ANumber is fewer than 9 digits, the system
will automatically add zero(s) after the "A"
and before the first digit so there is a total of
9 digits, for example: A-001234567.

Date

IATFSB Finanical Info

I-134: About the Beneficiary

Primary Nav
About the Beneficiary

Secondary Nav
Beneficiary name

Tertiary Nav

Paper Form Question
2.1

Sub-Question
Given name (first name)

Field Type
Text

Middle name
Family name (last name)
Yes/No

Text
Text
Radio

Given name (first name)

Text

Middle name
Family name (last name)

Text
Text

Daytime telephone number

Text (10 digits)

Mobile telephone number (if any)
This is the same as the beneficiary's
daytime telephone number.
Email address

Text (10 digits)
Checkbox

In care of name (if any)

Text

Country

Dropdown

2.10
2.10
2.10

Address line 1
Address line 2
City or town

Text
Text
Text

2.10
2.10

State/Province (FOR FOREIGN ADDRESS) Dropdown/Text
ZIP code/Postal code (FOR FOREIGN
Text
ADDRESS)
Yes/No
Radio

2.1
2.1
2.2

Question
What is the beneficiary's current
legal name?

Has the beneficiary used any
other names since birth?

[If yes to 2.2] [LIST]

Beneficiary contact
information

2.13
2.14

How may we contact the
beneficiary?

2.15

2.10
2.10

2.11
2.12

What is the beneficiary's current
mailing address?

Is the beneficiary's mailing
address the same as the physical
address?
[If no] What is the beneficiary's
physical address?

2.12
2.12
2.12
2.12
2.12
When and where
beneficiary was
born

2.3

What is the beneficiary's date of
birth?

2.6

What is the beneficiary's city or
town of birth?
What is the beneficiary's state or
province of birth?
What is the beneficiary's country
of birth?

2.6
2.6
Other information
about the
beneficiary

2.4

What is the beneficiary's sex?

Alerts

Revisions

Instructional Text
Help Text
The beneficiary's current legal
name is the name on their
birth certificate, unless it
changed after birth by a legal
action such as marriage or
court order. Do not provide
any nicknames here.

Text

Country
Address line 1
Address line 2
City or town
State/Province (FOR FOREIGN ADDRESS)
ZIP code/Postal code (FOR FOREIGN
ADDRESS)

Dropdown
Text
Text
Text
Dropdown/Text
Text

(mm/dd/yyyy)

Date

Notes

Other names used may include
aliases, maiden name, and
nicknames.

Provide the other names the
beneficiary has used.

Include the
"Add
another
name"
option

Provide a 10 to 20-digit number.

Note: Please ensure that you provide a
valid email address for the beneficiary.
We will use this email address to notify
the beneficiary about the status of this
Form I-134. Failure to provide a valid
email address for the beneficiary will
prevent them from completing the
parole process, if this Form I-134 is
confirmed. Do not use your email
address as the beneficiary’s email
address.

Text

In care of name (if any)

Revisions

Street number and name
Apartment, suite, unit, or floor

Note: Please ensure that you provide a
valid email address for the beneficiary.
We will use this email address to notify
the beneficiary about the status of this
Form I-134A. Failure to provide a valid
email address for the beneficiary will
prevent them from completing the
parole process, if this Form I-134A is
confirmed. Do not use your email
address as the beneficiary’s email
address.
REQUIRED
FIELD
REQUIRED
FIELD

Street number and name
Apartment, suite, unit, or floor
Provide a 5 or 9-digit ZIP code.
Required
field

Text
Text
Dropdown
Male

Radio

Please select the sex that is
shown on your passport or
other government-issued
identity document. For any
value other than “Male” (“M”)
or “Female” (“F”) that appears
on your identity document,
please choose “X” (Unspecified
or another gender identity).
USCIS requires this
information to conduct
accurate background checks
and security screening.

required
field

About the Beneficiary

I-134: About the Beneficiary

Primary Nav

Secondary Nav

Tertiary Nav

Paper Form Question

Question

2.9

What is the beneficiary's marital
status?

2.9
2.9
2.9
2.9
2.9
2.9
2.9
2.7

2.8

2.8
(if Cuban)

[If OTHER]
What is the beneficiary's country
of citizenship or nationality?

What country issued the
beneficiary's most recently issued
passport?

What is the number of the
beneficiary's most recently issued
passport?

Sub-Question
Female
X
Single, Never Married

Field Type
Radio
Radio
Radio

Married
Divorced
Widowed
Legally Separated
Marriage Annulled
Other
Provide an explanation

Radio
Radio
Radio
Radio
Radio
Radio
Text box
Dropdown

Dropdown

Alerts

Revisions

We are only accepting online filing of
Form I-134 from individuals agreeing
to financially support Cuban, Haitian,
Nicaraguan, Ukrainian, and
Venezuelan citizens and their
immediate family

We are only accepting online filing of
Form I-134A from individuals agreeing
to financially support Cuban, Haitian,
Nicaraguan, Ukrainian, and
Venezuelan citizens and their
immediate family

Immediate family members are:

• Their spouse or common-law
partner; and
• Unmarried children under the age of
21.

Note: Individuals only eligible as
immediate family members and
children under age 18 must travel with
their beneficiary spouse, common law
partner, parent, or legal guardian to be
eligible for parole.

We are only accepting online filing of
Form I-134 from individuals agreeing
to financially support Cuban, Haitian,
Nicaraguan, Ukrainian, and
Venezuelan citizens and their
immediate family

We are only accepting online filing of
Form I-134A from individuals agreeing
to financially support Cuban, Haitian,
Nicaraguan, Ukrainian, and
Venezuelan citizens and their
immediate family

Immediate family members are:

• Their spouse or common-law
partner; and
• Unmarried children under the age of
21.

Text
Immediate family members are:

(if Nicaraquan)

• Their spouse or common-law partner;
and

(if Ukrainian)

• Unmarried children under the age of
21.

What is the expiration date of the
beneficiary's most recently issued
passport?

Date

Help Text

Revisions

Notes

Link:
https://ww
w.uscis.gov
/ukraine

Provide a 7 to 12-character passport
number.

(If Haitian)

(if Venezuelan)
(if Russian)
(if Venezuelan is
2.8
most recent passport
show tooltip)

Instructional Text

Provide a 7-character passport number,
beginning with 1 letter followed by 6
digits.
Provide a 9-character passport number,
beginning with 2-3 letters followed by 67 digits.
Provide a 9-character passport number,
beginning with 1 letter followed by 8
digits.
Provide an 8-character passport
number, beginning with 2 letters
followed by 6 digits.
Provide a 9-digit passport number.
Provide a 9-digit passport number.
Note: The beneficiary must have a valid,
unexpired passport. CBP will not
approve travel if the beneficiary's
passport is expired.

Link:
https://ww
w.uscis.gov
/ukraine

Tooltip only
shows if
Venezuelan
is selected
for country
that issued
the
beneficiary'
s most
recent
passport.

About the Beneficiary

I-134: About the Beneficiary

Primary Nav

Secondary Nav

Tertiary Nav

Paper Form Question
2.5

2.16

Question
What is the beneficiary's ANumber?

I do not have or know the
beneficiary's A-Number.
What is the beneficiary's
anticipated period of stay in the
United States?

Sub-Question
A-

Field Type
Text

Checkbox
From (mm/dd/yyyy)

Date

To (mm/dd/yyyy)
No End Date

Date
Checkbox

Alerts

Revisions

Instructional Text

Help Text
Revisions
Provide a 7, 8, or 9-digit number. If your
A-Number is fewer than 9 digits, the
system will automatically add zero(s)
after the "A" and before the first digit
so there is a total of 9 digits, for
example: A-001234567.

Notes

About the Beneficiary

I-134: Beneficiary's Financial Information

Primary Nav
Beneficiary's Financial
Information

Secondary Nav
Paper Form Question
Beneficiary income
information

Question

Sub-Question

Beneficiary
additional income
information

What is the individual's full name?

Given name (first name)
Middle name

Text
Text

Family name (last name)

Text

What is individual's date of birth?
(mm/dd/yyyy)
What is the individual's relationship to
the beneficiary?
How much income will this individual $
contribute to the beneficiary annually?

Date
Dropdown

Save entry
Cancel

CTA
CTA

2.17

What is the beneficiary's total number
of dependents?

Text

2.17

How much income will the
$
beneficiary's dependents contribute to
the beneficiary annually?

Text

2.18

Does any of the beneficiary's total
Yes/No
income (including income from
dependents and other individuals who
contribute to the beneficiary's income,
excluding any individuals named in the
"Financial Information About the
Person Agreeing to Financially Support
the Beneficiary" section)
come from an illegal activity or source
(such as proceeds from illegal
gambling or illegal drug sales)?

Radio

[If YES to 2.18] 2.19

What amount of the beneficiary's total $
income comes from an illegal activity
or source?
Does any of the beneficiary's total
Yes/No
income come from means-tested
public benefits as defined in 8 CFR
213a.1?
What amount of the beneficiary's total $
income comes from means-tested
public benefits?

Text

2.20

[If YES to 2.20] 2.21

Instructional Text
Provide information about the income of the beneficiary, all of the beneficiary's dependents, and any other individuals the
beneficiary financially supports. Do not include any individuals named in the "Financial Information About the Individual
Agreeing to Financially Support the Beneficiary" section.

Help Text

Text

Notes

Opens up large table once
clicked

CTA

Add entry

2.17 [LARGE TABLE]

Field Type

Provide all of the information requested in the table below about the beneficiary, all of the beneficiary’s dependents, and
any other individuals the beneficiary financially supports (do not include information about the individual agreeing to
financially support the beneficiary) Information about assets that are not based on employment should not be included
here but may be added under "Beneficiary Assets" below.

If the income contribution is none, type in "0".

Provide the total number of
dependents. Number must be
between 0 and 100.

Radio

Text

Beneficiary assets

Provide the current cash value of any assets available to the beneficiary for the expected period of his or her stay. List only
assets that can be converted to cash within 12 months and that will be used to support the beneficiary while the beneficiary
is in the United States. Provide the value of all assets listed in U.S. dollars, regardless of whether the assets are held in the
United States or outside of the United States. Do not include (excluding assets from any individuals named in the "Financial
Information About the Individual Agreeing to Financially Support the Beneficiary" section).
You may include the net value of the beneficiary’s home as an asset. The net value of the home is the appraised value
of the home, minus the sum of all loans secured by a mortgage, trust deed, or other lien on the home. If you list the net
value of the beneficiary’s home, then you must include documentation demonstrating that the beneficiary owns the home,
a recent appraisal by a licensed appraiser, and evidence of the amount of all loans secured by a mortgage, trust deed, or
other lien on the home.
You may not include the net value of the beneficiary’s automobile unless the beneficiary has more than one automobile,
and at least one automobile is not included as an asset. Submit evidence of the value of the assets listed. Evidence must
include the name of the asset holder, a description of the asset, proof of ownership, and the basis for the owner’s claim of
its net cash value.
Attach evidence in the "Evidence" section under "Proof of beneficiary's assets" and "Bonds" showing that the beneficiary
has these assets.

Add entry

CTA

Beneficiary's Financial Info

I-134: Beneficiary's Financial Information

Primary Nav

Secondary Nav

Paper Form Question
2.22 [LARGE TABLE]

Question
What is the asset holder's full name?
What is the type of asset?

What is the cash value of the asset in
U.S dollars?
Save entry
Cancel
What is the total amount (U.S.
dollars)?

Sub-Question
Given name (first name)
Middle name
Family name (last name)
Checking - Bank Account
Savings - Bank Account
Annuities
Stocks, Bonds, Certificates of Deposit
Retirement or Educational Account
Real Estate Holdings
Personal Property (net value)
$

Field Type
Text
Text
Text
Dropdown

Instructional Text

Help Text

Notes

Text
CTA
CTA

Text

Beneficiary's Financial Info

I-134: Evidence

Primary Nav

Secondary Nav

Evidence

Bank officer
statement

Tertiary Nav

Paper Form Question

Instructional Text

Form I-134 instructions (pg Provide a statement from an officer of the bank or other financial institutions with deposits, identifying the following details:
5)
• Date account opened
• Total amount deposited for the past year; and
• Present balance.

Field Type

File Requirements

Upload

• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a Other documents
full English translation and the translator’s certification
with each original document
• Upload no more than five documents at a time
• Accepted file name characters: English letters,
numbers, spaces, periods, hyphens, underscores, and
parentheses
• Maximum size: 6MB per file

Upload

• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a
full English translation and the translator’s certification
with each original document
• Upload no more than five documents at a time
• Accepted file name characters: English letters,
numbers, spaces, periods, hyphens, underscores, and
parentheses
• Maximum size: 6MB per file
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a
full English translation and the translator’s certification
with each original document
• Upload no more than five documents at a time
• Accepted file name characters: English letters,
numbers, spaces, periods, hyphens, underscores, and
parentheses
• Maximum size: 6MB per file

As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources
to support the beneficiary. Failure to provide evidence of sufficient income or financial resources may result in the denial of the
foreign national's application for a visa or his or her removal from the United States.

Employer
statement

Form I-134 instructions (pg Provide statement(s) from your employer on business stationery showing:
5)
• Date and nature of employment
• Salary paid; and
• Whether the position is temporary or permanent.
As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources
to support the beneficiary. Failure to provide evidence of sufficient income or financial resources may result in the denial of the
foreign national's application for a visa or his or her removal from the United States.

Income tax return

Form I-134 instructions (pg Provide a copy of the last U.S. federal income tax return filed (tax transcript).
Upload
6)
As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources
to support the beneficiary. Failure to provide evidence of sufficient income or financial resources may result in the denial of the
foreign national's application for a visa or his or her removal from the United States.

Document types
dropdown
Bank officer
statement

Income tax return
Other documents

• Clear and readable
Bonds
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
Other documents
• If your documents are in a foreign language, upload a
full English translation and the translator’s certification
with each original document
• Upload no more than five documents at a time
• Accepted file name characters: English letters,
numbers, spaces, periods, hyphens, underscores, and
parentheses
• Maximum size: 6MB per file

Proof of
immigration status

Form I-134 instructions (pg Provide evidence of your status.
5 Item #10: Immigration
Status)
A U.S. citizen or U.S. national may submit a copy of a birth certificate, certificate of naturalization, certificate of citizenship,
consular report of birth abroad to U.S. parents, or a copy of the biographic data page on your U.S. passport.

• Clear and readable
Immigration status
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
Other documents
• If your documents are in a foreign language, upload a
full English translation and the translator’s certification
with each original document
• Upload no more than five documents at a time
• Accepted file name characters: English letters,
numbers, spaces, periods, hyphens, underscores, and
parentheses
• Maximum size: 6MB per file
• Clear and readable
Assets
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
Other documents
• If your documents are in a foreign language, upload a
full English translation and the translator’s certification
with each original document
• Upload no more than five documents at a time
• Accepted file name characters: English letters,
numbers, spaces, periods, hyphens, underscores, and
parentheses
• Maximum size: 6MB per file

Proof of lawful nonimmigrant status may include a copy of an unexpired visa in a foreign passport.
Proof of assets of
individual agreeing
to financially
support the
beneficiary

Form I-134 instructions (pg Provide information about any assets you will use to support the beneficiary for the anticipated period of his or her stay. List only Upload
assets that can be converted into cash within 12 months and that will be used to support the beneficiary while the beneficiary is
5 Item #19: Assets
in the United States. Provide the value of all assets listed in U.S. dollars, regardless of whether they are held in the United States
or outside of the United States. Do not include assets from any individuals in the “Beneficiary’s Financial Information” section.
You may include the net value of a home as an asset. The net value of the home is the appraised value of the home, minus the
sum of all loans secured by a mortgage, trust deed, or other lien on the home. If you include the net value of your home, then you
must include documentation demonstrating that you own the home, a recent appraisal by a licensed appraiser, and evidence of
the amount of all loans secured by a mortgage, trust deed, or other lien on the home.
You may not include the net value of an automobile unless you show that you have more than one automobile, and at least one
automobile is not included as an asset.

Notes

Other documents

Form I-134 instructions (pg Provide a list containing serial numbers and denominations of bonds and name of record owner(s).
Upload
6)
As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources
to support the beneficiary. Failure to provide evidence of sufficient income or financial resources may result in the denial of the
foreign national's application for a visa or his or her removal from the United States.

Proof of lawful permanent resident status includes a photocopy of both sides of the Permanent Resident Card or Alien
Registration Receipt Card (Form I-551), or a photocopy of an unexpired temporary Form I-551 stamp in either a foreign passport
or DHS From I-94 Arrival Departure Record.

Help Text

Employer
statement

Bonds

Upload

Logic

Submit evidence of the value of your or your household members’ assets. Evidence must include the name of the asset holder, a
description of the asset, proof of ownership, and the basis for the owner’s claim of its net cash value.
As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources
to support the beneficiary. Failure to provide evidence of sufficient income or financial resources may result in the denial of the
foreign national's application for a visa or his or her removal from the United States.

Evidence

I-134: Evidence

Primary Nav

Secondary Nav
Proof of
beneficiary's assets

Tertiary Nav

Paper Form Question

Instructional Text

Field Type

Form I-134 instructions (pg Provide information about any assets available to the beneficiary for the anticipated period of his or her stay. List only assets that Upload
4 Item #22: Beneficiary's
can be converted into cash within 12 months and that will be used to support he beneficiary while the beneficiary is in the United
Assets
States. Provide the value of all assets listed in the U.S. dollars, regardless of whether the assets are held in the United States or
outside the United States. Do not include assets from any individuals in the "Financial Information About the Person Agreeing to
Financially Support the Beneficiary" section.
You may include the net value of the beneficiary’s home as an asset. The net value of the home is the appraised value of the
home, minus the sum of all loans secured by a mortgage, trust deed, or other lien on the home. If you list the net value of the
beneficiary’s home, then you must include documentation demonstration that the beneficiary owns the home, a recent appraisal
by a licensed appraiser, and evidence of the amount of all loans secured by a mortgage, trust deed, or other lien on the home.
You may not include the net value of the beneficiary’s automobile unless the beneficiary has more than one automobile, and at
least one automobile is not include as an asset. Submit evidence of the value of the assets listed. Evidence must include the name
of the asset holder, a description of the asset, proof of ownership, and the basis of the owner’s claim of its net cash a value.

File Requirements

Document types
dropdown
Beneficiary asset

Logic

Help Text

Notes

• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
Other documents
• If your documents are in a foreign language, upload a
full English translation and the translator’s certification
with each original document
• Upload no more than five documents at a time
• Accepted file name characters: English letters,
numbers, spaces, periods, hyphens, underscores, and
parentheses
• Maximum size: 6MB per file

You may submit evidence of the value of the beneficiary's household members’ assets. Evidence must include the name of the
asset holder, a description of the asset, proof of ownership, and the basis for the owner’s claim of its net cash value.
As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources
to support the beneficiary. Failure to provide evidence of sufficient income or financial resources may result in the denial of the
foreign national's application for a visa or his or her removal from the United States.

Evidence

I-134: Additional Information

Primary Nav
Secondary Nav
Additional Information Additional
information

Tertiary Nav

Paper Form Question
Part 8

Question
You may provide additional
information for your
declaration.

Add a response
Section
Page
Question
Additional information
Save response
Cancel

Sub-Question
Additional information

[List of sections in the online filing flow
displays for selection]
[Pages corresponding to the Section
selected will display]
[Questions listed on the selected Page
will display]

Field Type
No

CTA
Dropdown

Help Text
Instructional Text
If you need to provide any additional information for any of
your answers to the questions in this form, enter it into the
space below. You should include the questions that you are
referencing.

Notes

If you do not need to provide any additional information,
you may leave this section blank.

Dropdown
Dropdown
Text field
CTA
CTA

Additional Information

I-134: Review and Submit

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Review and Submit

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We will review your declaration to check for accuracy and completeness before you
submit it.

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Notes

We encourage you to provide as many responses as you can throughout the declaration,
to the best of your knowledge. Missing information can slow down the review process
after you submit your declaration.
You can return to this page to review your declaration as many times as you want
before you submit it.
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your declaration.
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submit your declaration with any alerts.
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Your declaration summary

Review the I-134 form information

Here is a summary of all the information you provided in your declaration.

Review the I-134A form information

Make sure you have provided responses for everything that applies to you before you
submit your declaration. You can edit your responses by going to each declaration
section using the site navigation.

(IF PREPARER) Preparer
statement

7.7

Preparer's statement

I am not an attorney or accredited representative but have prepared this declaration on behalf of the individual agreeing to financially support the beneficiary and
with that individual's consent

Radio

We also prepared a draft case snapshot with your responses, which you can download
below.
Your preparer must read the statements below and select the statement that applies to
him or her.
If your preparer is an attorney or accredited representative whose representation
extends beyond preparation of this declaration, he or she may be obliged to submit a
completed Notice of Entry of Appearance as Attorney or Accredited Representative (G28) with your declaration.

I am an attorney or accredited representative and my representation of the individual agreeing to financially support the beneficiary in this case does not extend
beyond the preparation of this declaration.
I am an attorney or accredited representative and my representation of the individual agreeing to financially support the beneficiary in this case extends beyond the
preparation of this declaration.
By my signature, I certify, under penalty of perjury, that I prepared this declaration at the request of the individual agreeing to financially support the beneficiary
(which is the beneficiary if on behalf of him or herself). The individual agreeing to financially support the beneficiary then reviewed this completed declaration and
informed me that he or she understands all of the information contained in, and submitted with, his or her declaration, including the Certification of the Individual
Agreeing to Financially Support the Beneficiary, and that all of this information is complete, true, and correct. I completed this declaration based only on filing
information that the individual agreeing to financially support the beneficiary provided to me or authorized me to obtain or use.

Preparer's certification and signature

Radio
Radio
Your preparer must read and agree to the certification below.

As the declarant's preparer, you must sign on paper and provide your signature page to the declarant. Follow these steps:
1. Download the Preparer Signature page
2. Print the Preparer Signature page
3. Read and sign the Preparer Signature page
4. Give the signed Preparer Signature page to the declarant
(IF PREPARER) Preparer
signature
(IF INTERPRETER)
Interpreter certification

7.8

Preparer's signature upload

6.7

Interpreter's certification and signature

The declarant will need to scan and upload your completed signature page on the next screen.

Upload

I certify, under penalty of perjury, that: I am fluent in English and the language provided in the Getting Started section of this declaration, and I have read to this
individual agreeing to financially support the beneficiary in the identified language every question and instruction on this declaration and his or her answer to every
question. The individual agreeing to financially support the beneficiary informed me that he or she understands every instruction, question, and answer on the
declaration, including the Certification of the Individual Agreeing to Financially Support the Beneficiary, and has verified the accuracy of every answer.

Scan and upload your preparer's completed signature page below.
Your interpreter must read and agree to the certification below.

As the declarant's interpreter, you must sign on paper and provide your signature page to the declarant. Follow these steps:
1. Download the Interpreter Signature page
2. Print the Interpreter Signature page
3. Read and sign the Interpreter Signature page
4. Give the signed Interpreter Signature page to the declarant
The declarant will need to scan and upload your completed signature page on the next screen.

(IF INTERPRETER)
Interpreter signature
Statement of the
individual agreeing to
financially supåport the
beneficiary

Interpreter's signature upload
5.1.A

(IF NO PREPARER AND INTERPRETER Individual
agreeing to financially support the beneficiary's
statement

5.2

Individual agreeing to financially support the
beneficiary's statement regarding the preparer
Individual agreeing to financially support the
beneficiary's statement regarding the interpreter

At my request, the preparer named in the Getting Started section of this declaration prepared this declaration for me based only upon the information I provided or
authorized.
The interpreter named in the Getting Started section of this declaration read to me every question and instruction on this declaration and my answer to every
question in the language I specified in the Getting Started section, a language in which I am fluent, and I understood everything.

Individual agreeing to financially support the
beneficiary's Certification

Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS or the Department of State may
require that I submit original documents to USCIS or the Department of State at a later date. Furthermore, I authorize the release of any information from any and
all of my records that USCIS or the Department of State may need to determine my eligibility for the immigration benefit I seek.

5.1.B

(If "Statement of the
Individual agreeing to
financially support the
beneficiary" is
complete) Signature of
the individual agreeing to
financially support the
beneficiary

I, as the individual agreeing to financially support the beneficiary, certify the following:
I can read and understand English, and have read and understand every question and instruction on this declaration and my answer to every question.

5.6

Upload

Scan and upload your interpreter's completed signature page below.

Checkbox

You must read and agree to the statement below.

MVP

Checkbox

You must read and agree to the statement below.

MVP

Checkbox

You must read and agree to the statement below.

MVP

You must read and agree to the certification below. If you knowingly and willfully falsify
or conceal a material fact or submit a false document with your declaration, we can
deny your declaration and may deny any other immigration benefit. You may also face
criminal prosecution and penalties provided by the law.

I further authorize release of information contained in this declaration, in supporting documents, and in my USCIS or the Department of State records to other
entities and persons where necessary for the administration and enforcement of U.S. immigration laws.
I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or
signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that:
1) I reviewed and provided or authorized all of the information in my declaration;
2) I understood all of the information contained in, and submitted with, my declaration; and
3) All of this information was complete, true, and correct at the time of filing
I certify, under penalty of perjury, that I provided or authorized all of the information in my declaration, I understand all of the
information contained in, and submitted with, my declaration, and that all of this information is complete, true, and correct.
That this declaration is made by me to assure the U.S. Government that the beneficiary named under the About Beneficiary section will be financially supported
while in the United States.
That I am willing and able to receive, maintain, and support the person named under the About Beneficiary section to better ensure that such persons will have
sufficient financial resources or financial support to pay for necessary expenses for the period of his or her temporary stay in the United States.
I acknowledge that I have read this section, and I am aware of my responsibilities as an individual agreeing to financially support the beneficiary

I have read and agree to the statement and certification of the individual agreeing to financially support the beneficiary.

Individual Agreeing to Financially Support the
Beneficiary's Signature

[Date of signature]
Submit the I-134

(If "Statement of the
Individual agreeing to
financially support the
beneficiary" and
"Signature of Individual
Agreeing to Financially
Support the Beneficiary's
Signature" are complete")
Submit

(Successful submission)
(No nav)
(Unsuccessful card
declined) (No nav)
(Unsuccessful submission)
(No nav)

You have successfully submitted Declaration of
Financial Support (I-134)

You have successfully submitted your Online
Request to be a Supporter and Declaration of
Financial Support(I-134A)

Checkbox

Submit the I-134A

You must provide your digital signature below by typing your full legal name. If you do
not completely fill out this declaration, or if you do not submit the required documents
listed in the Instructions, we may deny your declaration. We will record the date of your
signature with your declaration.

Required field

Once you submit this declaration, you will receive a confirmation with details on any
next steps. We will record the date of your submission with the declaration. Your case
status will be updated on your home page.

Submit the I134A

We will contact you if we have any questions or need additional information. You can
track the status of your declaration through your USCIS online account.
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Review & Submit

File Type	application/pdf
File Title	Copy of I-130 Form Copydeck 6.18.19- acaOCC 062719
Author	Microsoft Office User
File Modified	2022-12-15
File Created	2022-12-15