Form I-134A Online Request to be a Supporter and Declaration of Fina

Online Request to be a Supporter and Declaration of Financial Support

I-134A-003 PRA Revision Copydeck v2.0.14

Online Request to be a Supporter and Declaration of Financial Support

OMB: 1615-0157

Document [pdf]
Download: pdf | pdf
myUSCIS Copydeck: Interactive Forms
Form Number and Name
OMB Number
Form Edition Date:
Form Expiration Date:
Baseline Copydeck:

I-134A Online Request to be a Supporter and Declaration of Financial Sup
1615-0157
4/25/2022
7/31/2023
I-134A Production Copydeck v2.0.3

Revision Key
Description
• All original (old) text is black.
• All revised (new) text is red.

Example

Original

Revised

• All original text is black.
• Any text that is removed from original 
column is shown with a strikethrough and in 
red.

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

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

Copydeck Version Info

FILE A FORM: I-134A
Column Header Descriptions
Header: If needed, a header is located directly under the dropdown menu and above the body text.
Body Text: Based on the purpose of the form found in the paper form instructions.
Link: A reference column to include any URLs that appear as hyperlinks in the body text.
CTA: Copy to include for a button.
Heading

Body Text

Select the form you want to file online

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

Revisions

Alert

Revisions

Link

CTA

Notes

Start form

[yellow alert]
[h] We are only accepting online filing of Form I‐134A from individuals agreeing to financially 
support eligible beneficiaries from the following countries:

[yellow alert]
[h] We are only accepting online filing of Form I‐134A from individuals agreeing to financially 
support eligible beneficiaries from the following countries:

https://www.uscis.gov/i‐134

[b]
• Cuba
• Haiti
• Nicaragua
• Ukraine
• Venezuela

[b]
• Cuba
• Colombia
• El Salvador
• Guatemala
• Haiti
• Honduras
You must be located in the United States to file Form I‐134A online. Individuals seeking parole  • Nicaragua
• Ukraine
may not file Form I‐134A on their own behalf. Supporters must include the name of the 
• Venezuela
beneficiary on Form I‐134A.
Supporters must file a separate Form I‐134A for each beneficiary they are planning to 
support, including minor children.

You must be located in the United States to file Form I‐134A online. Individuals seeking parole 
through these processes may not file Form I‐134A on their own behalf. Supporters must 
include the name of the beneficiary on Form I‐134A.

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.

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

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.

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 who is not seeking consideration for parole
under one of these programs or processes, 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

APPLICATION OVERVIEW: I‐134A
Column Header Descriptions
Heading: The primary heading on a page, typically the first part of a section of the page.
Sub-Heading: The secondary header typically directly underneath the Heading
Heading

Sub‐Heading

Conditional Logic

I‐134A, Online Request To Be 
A Supporter And Declaration 
Of Financial Support

Revisions

Body Text

Revisions

Alert

Revisions

[yellow alert]

[yellow alert]
[h] We are only accepting online filing of Form I‐134A from individuals agreeing to financially support eligible 

Required?

Link

CTA

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

https://www.uscis.gov/i‐134

[h] We are only accepting online filing of Form I‐134A from individuals  beneficiaries from the following countries:
agreeing to financially support eligible beneficiaries from the following 
[b]
countries:
[b]
• Cuba
• Haiti
• Nicaragua
• Ukraine
• Venezuela

• Cuba
• Colombia
• El Salvador
• Guatemala
• Haiti
• Honduras
• Nicaragua
• Ukraine
• Venezuela

You must be located in the United States to file Form I‐134A online. 
You must be located in the United States to file Form I‐134A online. Individuals seeking parole 
through these
Individuals seeking parole may not file Form I‐134A on their own 
behalf. Supporters must include the name of the beneficiary on Form I‐ processes may not file Form I‐134A on their own behalf. Supporters must include the name of the beneficiary 
on Form I‐134A.
134A.
Supporters must file a separate Form I‐134A for each beneficiary they are planning to support, including 

Supporters must file a separate Form I‐134A for each beneficiary they  minor children.
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 an

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

Before You Start Your 
Declaration

Eligibility

If you are agreeing to support a beneficiary seeking parole who is not  appropriate Lockbox location.
applying under Venezuela or Uniting for Ukraine, or a beneficiary 
seeking any other immigration benefit, you must file a paper Form I‐
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  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
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.
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 
Certain individuals applying for parole into the United States for urgent humanitarian reasons or significant public benefit who are not filing
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 
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
temporary stay in the United States.
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‐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‐134A may also be requested by Department of State in certain instances.
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.

Fee

Documents you may need

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

https://www.uscis.gov/i‐864

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 their 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-134A may also be requested by Department of State in certain instances.
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.
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‐ Please refer to the instructions for the form(s) you are filing for additional information or you may call the USCIS Contact Center at 800-3755283. For TTY (deaf or hard of hearing) 800-767-1833.
767‐1833.
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 
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 
members requesting parole may not file Form I‐134A on their own behalf.
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.

As the person who agrees to financially support the beneficiary's financial supporter, 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.
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.

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:
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) from 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

Evidence should consist of any of the applicable documents listed below:
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) from your employer on business stationery letterhead showing:
• Date and nature of employment; 
• Salary paid; and 
• Whether the position is temporary or permanent

4. List containing serial numbers and denominations of bonds and name of record owner(s).
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 filing for a beneficiary under the Family Reunification Parole (FRP) process and they are a derivative of the principal beneficiary listed on 
the approved USCIS Form I‐130, Petition for Alien Relative, provide documentation showing the relationship between the USCIS Form I‐130 principle 
beneficiary and the beneficiary listed in this form. Evidence could include: marriage certificate, birth certificate, adoption certificate, divorce decree, 
and death certificate when applicable.

Biometric services 
appointment

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

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
Receive your decision

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. 
The decision on the Form I‐134A involves a determination of whether you have established a basis of support for the beneficiary seeking an immigration benefit. USCIS will notify you  The decision on the USCIS' determination to confirm or not to confirm yourForm I‐134A involves a determination of is based on whether you 
of the decision in writing. 
have established a basis of you have sufficient resources to  support for the beneficiary for the duration of their parole period in the United
States seeking an immigration benefit. USCIS will notify you of the decision determination in writing. 
Submitting your declaration online is the same as mailing in a completed paper form. They both gather the same information.

Completing Your Form Online Filing online
Complete the Getting Started 
section first
Provide as many responses as 
you can
We will automatically save 
your responses
How to continue filling out 
your form
DHS Privacy Notice

Next

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. 
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‐134A is 
seeking. 
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.
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 
ROUTINE USES: DHS may share the information you provide on this declaration and any additional requested evidence with other Federal, state, 
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,  local, and foreign government agencies and authorized organizations. DHS follows approved routine uses described in the associated published 
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  system of records notices [DHS/USCIS/ICE/CBP‐001 Alien File, Index, and National File Tracking System, DHS/USCIS‐007 Benefits Information System, 
assessments [DHS/USCIS/PIA‐003 Integrated Digitization Document Management Program (IDDMP), DHS/USCIS/PIA‐056 USCIS Electronic Immigration System, DHS/USCIS/PIA‐071 
and DHS/USCIS‐018 Immigration Biometric and Background Check, and U.S. Customs and Border Protection (CBP) DHS/CBP/PIA‐024 Arrival and 
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  Departure Information System and DHS/CBP/PIA‐068 CBP One Mobile Application] and the published privacy impact assessments [DHS/USCIS/PIA‐
this information, as appropriate, for law enforcement purposes or in the interest of national security.
003 Integrated Digitization Document Management Program (IDDMP), DHS/USCIS/PIA‐051 Case and Activity Management for International 
Operations, DHS/USCIS/PIA‐056 USCIS Electronic Immigration System, and DHS/USCIS/PIA‐071 myUSCIS Account Experience] 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.

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

Overview

Notes

APPLICATION OVERVIEW: I‐134A
Column Header Descriptions
Heading: The primary heading on a page, typically the first part of a section of the page.
Sub-Heading: The secondary header typically directly underneath the Heading
Heading

Sub‐Heading

Conditional Logic

Revisions

Body Text

Revisions

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 Office of 
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 
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 
displays a currently valid Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information is 
reviewing instructions, gathering the required documentation and information, completing the declaration, preparing statements, attaching necessary documentation, and submitting  estimated at 2.00 hours per response, including the time for reviewing instructions, gathering the required documentation and information, 
the declaration. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to:
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
U.S. Citizenship and Immigration Services
5900 Capital Gateway Drive, Mail Stop #2140
Office of Policy and Strategy, Regulatory Coordination Division
Camp Springs, MD 20588‐0009
5900 Capital Gateway Drive, Mail Stop #2140
Camp Springs, MD 20588‐0009
Do not mail your completed Form I‐134A to this address.
Do not mail your completed Form I‐134A to this address.
OMB No. 1615‐0157
OMB No. 1615‐0157
Expires: 07/31/2023
Expires: 07/31/2023

Security Reminder

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.

Alert

Revisions

Required?

Link

CTA

Start

Overview

Notes

GETTING STARTED: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria
Primary Nav

Secondary Nav

Getting Started

Basis for filing

Tertiary Nav

Conditional Logic

Revisions

Paper Form 
Question

Revisions

1.1
1.2

Sub‐Question

Revisions

Another individual who is the beneficiary
Cuba
Haiti
Nicaragua
Ukraine
Venezuela

Field Type

Parole Process
Cuba
Haiti
Nicaragua
Ukraine
Venezuela
Family Reunification Parole Process
Cuba
Haiti
Nicaragua
Ukraine
Venezuela
Colombia
Cuba
El Salvador
Guatemala
Haiti
Honduras

Dropdown

Revisions

Help Text

Alert

Required?

Dropdown
Radio

Revisions

Notes

Yes

For online filing, this is the only
option available

Yes

Select "Parole Process" for the Uniting for Ukraine and 
CHNV parole processes. Select "Family Reunification 
Parole Process" only if you have received personalized 
invitation letters inviting you to participate in the Family 
Reunification Parole Process.

Radio
Dropdown

Yes

Dropdown

Yes

[If "Family Reunification 
Program" selected in 
1.2]

1.3

I am filing for my relative who is 
associated with an approved I‐130 
and a national of:

[If "Family Reunification 
Program" selected in 
1.2]

1.4

Invitation Number:

Text

The Invitation Number can be found on the I‐130 
beneficiary's Family Reunification Parole Process 
Invitation Letter.

Yes

[If "Family Reunification 
Program" selected in 
1.2]

1.5

How many total family members will 
be included in this family 
reunification group who all share the 
same invitation number? 

Text

Entering "1" indicates no derivative beneficiaries share 
the same invitation number.

Yes

Is someone assisting you with 
completing this declaration?

Yes/No

Is a preparer assisting you with 
completing this declaration?

Yes/No

Radio

(IF YES) 

Is an interpreter assisting you with 
completing this declaration?

Yes/No

Radio

7.1

What is your preparer's full name?

Given name (first name)

Text

7.2

What is your preparer's business or 
organization name?

What is your preparer's mailing 
address?

(If non‐USA use 
Province and text field)
(If non‐USA use Postal 
code and remove help 
text)
7.4

What is your preparer's contact 
information?

7.5

7.6

(IF YES TO 
INTERPRETER)

Instructional Text

I am filing for an individual under the 
parole process for the following 
country:

(IF YES) 

(IF YES TO PREPARER)

Revisions

Radio

1.3

7.3

Interpreter 
information

Revisions

[If "Parole Process" 
selected in 1.2]

Preparer and 
interpreter 
information

Preparer information

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

6.1

What is your interpreter's full name?

6.2

What is your interpreter's business or 
organization name?

Radio

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

Family name (last name)

Text
Text

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

Checkbox

Address line 1
Address line 2
City or town
State/Province

Text
Text
Text
Dropdown/ Text

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

Dropdown

ZIP code/Postal code 

Text

Provide a 5 or 9‐digit ZIP code.

Daytime telephone number

Text

Provide a 10‐digit phone number.

Mobile telephone number

Text

Provide a 10‐digit phone number.

My preparer does not have a mobile 
telephone number. 
Email address
My preparer does not have an email 
address.
Given name (first name)

Checkbox
Text
Checkbox

Example: user@domain.com

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
City or town
State/Province

Text
Text
Text
Dropdown/Text

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

ZIP code

Text

Provide a 5 or 9‐digit ZIP code.

Daytime telephone number

Text

Provide a 10‐digit phone number.

6.5

Mobile telephone number

Text

Provide a 10‐digit phone number.

6.6

My interpreter does not have a mobile 
telephone number 
Email address
My interpreter does not have an email 
address.

6.3

What is your interpreter's mailing 
address?

(If non‐USA use 
Province and text field)
(If non‐USA use Postal 
code and remove help 
text)
6.4

What is your interpreter's contact 
information?

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

Dropdown

Checkbox
Text
Checkbox

Example: user@domain.com

Text

Getting Started

ABOUT THE INDIVIDUAL AGREEING TO FINANCIALLY SUPPORT THE BENEFICIARY: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria. 
Primary Nav

Secondary Nav

About the Individual 
Agreeing to Financially 
Support the Beneficiary

Name of the 
individual agreeing to 
financially support the 
beneficiary

Tertiary Nav

Conditional Logic

Revisions

Paper Form Question

Revisions

Question

Revisions

Text

3.2

Have you used any other names since birth?

Middle name 
Family name (last name)
Yes/No

Text
Text
Radio

3.3

3.3

5.3

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

How may we contact you?

5.4
5.5
3.4
3.4

[If NO] 

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

Immigration 
information for the 
individual agreeing to 
financially support the 
beneficiary

Field Type

Given name (first name)

[If "Family Reunification 
Parole Process" selected 
in 1.2]
Contact information 
for the individual 
agreeing to financially 
support the 
beneficiary

Revisions

What is your current legal name?

[If yes to 3.2] 

[If "Parole Process" 
selected in 1.2]

Sub‐Question

3.1

What is your current mailing address?

3.4
3.4
3.4
3.4
3.4
3.5

Is your mailing address the same as the physical address?

3.6

What is your physical address?

3.7

What is your date of birth?

3.9
3.9
3.9
3.8

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

3.14

What is your current immigration status?

[If Other] 
[If Nonimmigrant] 

3.14
3.14

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

(if Lawful Permanent 
Resident, then A‐
Number is required)

3.1

What is your A‐Number?

3.12

What is your Social Security Number?

3.11

What is your USCIS Online Account Number?

Given name (first name)

Text

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

Text
Text
Text

Organization, Group, Entity Individual Name

Revisions

Instructional Text

Help Text

Other names used may include aliases, 
maiden name, and nicknames.
Provide the other names you have used.

Notes

Table
Add another name button

Daytime telephone number

Text 

Provide a 10‐digit phone number.

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

Text 
Checkbox
Text
Text
Dropdown

Provide a 10‐digit phone number.

Address line 1
Address line 2
City or town
State
ZIP code
Yes/No

Text 
Text 
Text 
Dropdown
Text
Radio

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

In care of name (if any)
Country

Text
Dropdown

Address line 1
Address line 2
City or town
State
ZIP code
MM/DD/YYYY

Text
Text
Text
Dropdown
Text
Date

Text
Text
Dropdown
Radio

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

Radio

A‐ 

Text

I do not have or know my A‐Number.

Checkbox
Text
Checkbox
Text 

I do not have a U.S. Social Security number.

Required?

Text

Individual(s) or Co‐sponsor(s) Name

Male
Female
X

Alert

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.

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

Provide a 5 or 9‐digit ZIP code.

[yellow alert]
[b] You must be located in the 
United States in order to file at 
this time.
Street number and name
Apartment, suite, unit, or floor

Provide a 5 or 9‐digit ZIP code.

Yes

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.

Textbox 
Text

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 9 
digits, for example: A‐001234567.

A‐Number is 
required if 
Lawful 
Permanent 
Resident is 
selected.

Provide a 9‐digit Social Security number.
You will only have an OAN if you previously  Provide a 12‐digit Online Account Number.
filed a form that has a 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.
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 A‐Number.)

Employment 
information for the 
individual agreeing to 
financially support the 
beneficiary

3.13
3.15

What is your relationship to the beneficiary?
What is your employment status?

3.15
3.16
3.16
3.16A

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

3.16A

Name of employer

3.16B
3.17

Self‐employed as
What is your current employer's address? 

I do not have or know my USCIS Online Account Number.

Checkbox

Employed (full‐time, part‐time, seasonal, self‐employed)

Dropdown
Radio

Unemployed or not employed
Retired
Other
[If Other] 
[If EMPLOYED to 3.15]
[If EMPLOYED to 3.15]
[IF EMPLOYER IS NOT 
SELF] 
[IF EMPLOYER IS NOT 
SELF] 
[IF EMPLOYER IS SELF]

(If non‐USA use 
Province and text field)
(If non‐USA use Postal 
code and remove help 
text)

I am currently employed as a/an
I am currently self‐employed as a/an

Employed as

Yes

Radio
Radio
Radio
Textbox 
Radio
Radio
Text
Text

Country
Address line 1
Address line 2
City or town
State/Province

Text
Dropdown
Text
Text
Text
Dropdown/Text

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

ZIP code/Postal code

Text

Provide a 5 or 9-digit ZIP code.

About the IATFSTB

FINANCIAL INFORMATION ABOUT THE PERSON AGREEING TO FINANCIALLY SUPPORT THE BENEFICIARY: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria. 
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

Conditional Logic

Paper Form Question

Question

Sub‐Question

Field Type

Instructional Text

Help Text

Alert

Required?

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]

3.18
3.18

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?

Given name (first name)
Middle name 
Family name (last name)
MM/DD/YYYY

CTA
Text
Text
Text
Date
Dropdown

I'm entering my own financial information
How much income will this individual contribute to the beneficiary  $
annually?
Save entry
Cancel
What is the total number of dependents?

Checkbox
Text

3.18
3.19

What is the total income?
Does any of the income listed come from an illegal activity or 
source (such as proceeds from illegal gambling or illegal drug 
sales)?

Text 
Radio

[If YES to 3.19] 

3.2
3.21

[IF YES TO 3.20] 

3.22
3.27

What amount of income comes from an illegal activity?
$
Does any of the income listed above come from means‐tested 
Yes/No
public benefits as defined in 8 CFR 213a.1?
What amount of income is from means‐tested public benefits?
$
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.
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.

3.18

3.18

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

Specific 
contributions to the 
beneficiary

3.28

3.29

$
Yes/No

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.

"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
Text

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

Text
Radio
Text
Text box

Yes

Text box

Yes

Text box

Yes

Assets of the 
individual agreeing 
to financially support 
the beneficiary

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.
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.
3.23 [LARGE TABLE]

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

What is the type of asset?

3.23
3.24

Financial 
responsibility for 
other beneficiaries

CTA
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)
$

What is the cash value in U.S. dollars?
Save entry
Cancel
What is the total amount (U.S. dollars)?
$
Have you previously submitted a Form I‐134 or a Form I‐134A on  Yes/No
behalf of a person other than the beneficiary listed on this Form I‐
134A?

Dropdown

Text
CTA
CTA
Text
Radio

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

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

Add entry

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

[red alert] [If no entries 
are entered and 3.24 is 
yes] 

3.25, 3.26 [LARGE TABLE]

What is the person's name?

What is the person's A‐number?

Given name (first name)
Middle name 
Family name (last name)
A‐ 

Text
Text
Text
Text

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.

Financial Info ATIATFSTP

FINANCIAL INFORMATION ABOUT THE PERSON AGREEING TO FINANCIALLY SUPPORT THE BENEFICIARY: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria. 
Primary Nav

Secondary Nav

Tertiary Nav

Conditional Logic

Paper Form Question

Question

Date submitted

Sub‐Question

Field Type

I do not have or know the person's A‐Number.

Checkbox

MM/DD/YYYY

Date

Instructional Text

Help Text

Alert

Required?

Notes

Financial Info ATIATFSTP

ABOUT THE BENEFICIARY: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria. 
Primary Nav

Secondary Nav

About the Beneficiary

Beneficiary name

Tertiary Nav

Conditional Logic

Revisions

Paper Form Question
2.1

2.1
2.1
2.2
[If yes to 2.2] 

Revisions

Question

Has the beneficiary used any other 
names since birth?
[LIST]

Sub‐Question

2.13

How may we contact the beneficiary?

2.14

Revisions

Field Type

Given name (first name)

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
Yes/No

Is this the individual listed as the
principal beneficiary in your Family
Reunification Parole Process
invitation letter?

[If "Family Reunification 
Program" selected in 
1.2]

Beneficiary contact 
information

Revisions

What is the beneficiary's current legal 
name?

Revisions

Instructional Text

Revisions

Help Text

Revisions

Alert

Revisions

Required?

Revisions

Notes

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.

Other names used may include aliases, maiden 
name, and nicknames.
Provide the other names the beneficiary has used.

Table
Add another name button

Radio

Yes

Daytime telephone number

Text

Provide a 10 to 20‐digit number.

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

Text
Checkbox

Provide a 10 to 20‐digit number.

[blue alert]
[delete previous copy]
[b] Please ensure that you provide a valid email address for  [blue alert]
the beneficiary. We will use this email address to notify the  [b] You must provide a valid email address for the
beneficiary about the status of this Form I‐134A. Failure to  beneficiary. If your Form I-134A is confirmed, we will
provide a email address for the beneficiary will prevent them  send important information to the beneficiary at this email
address. If you do not provide an email address that the
from completing the parole process, if this Form I‐134A is 
beneficiary can access, they will not be able to complete
confirmed. Do not use your email address as the 
the parole process. DO NOT enter your email address in
beneficiary's email address.
this field.
2.15

Email address

Text
Confirm the beneficiary's email address

2.10
[If selected "Family 
Reunification Parole 
Process" in 1.2," show 
United States in 
dropdown]
2.10
2.10
2.10
2.10
2.10
2.10
[If United States mailing  2.11
address, default to 'No']
[If no] 

[If no]

2.12

What is the beneficiary's current 
mailing address?

Is the beneficiary's mailing address 
the same as the physical address?
What is the beneficiary's physical 
address?

Example: user@domain.com
Text

In care of name (if any)

Text

Country
Address line 1
Address line 2
City or town
Province
Postal code
Yes/No

Dropdown
Text
Text
Text
Dropdown/Text
Text
Radio

In care of name (if any)

Text

Country
Address line 1
Address line 2
City or town
Province
Postal code
MM/DD/YYYY

Dropdown
Text
Text
Text
Dropdown/Text
Text
Date

Example: user@domain.com

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

The beneficiary's physical address must be outside 
of the United States.

Instructional text conditional based on selection of FRP 
in 1.2

[If selected "Family 
Reunification Parole 
Process" in 1.2," show 
instructional text]
2.12
2.12
2.12
2.12
2.12
2.3

When and where 
beneficiary was born

2.6
2.6
2.6

What is the beneficiary's date of 
birth?
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?

Other Information 
about the 
Benefiiciary

[If selected "Parole 
Process" in 1.2, show 
yellow alert]

Text
Dropdown/Text
Text Box

2.4

What is the beneficiary's sex?

Male
Female
X

Radio

2.9

What is the beneficiary's marital 
status?

Single, Never Married
Married
Divorced
Widowed
Legally Separated
Marriage Annulled
Other
Provide an explanation 

Radio

2.9
2.7

What is the beneficiary's country of 
citizenship or nationality?

Yes

Text

A grant of parole is a discretionary 
determination granted on a case‐by‐
case basis for urgent humanitarian 
reasons or significant public benefit. 
Please explain why a favorable 
exercise of discretion is merited for 
this individual.

[If OTHER]

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

Text box
Dropdown

yes

yes

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.

[yellow alert]
[h] 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
[b] 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.
[yellow alert]
[h] We are only accepting online filing of Form I-134A
from individuals agreeing to financially support Cuban,
Colombian, Haitian, Honduran, Salvadoran, and
Guatamalan citizens and their immediate family

[If selected "Family 
Reunification Parole 
Process" in 1.2 show 
yellow alert]

[b] 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.
[If selected "Parole 
Process" in 1.2, show 
yellow alert]

2.8

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

Dropdown

[yellow alert]
[h] 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
[b] 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.

[If selected "Family 
Reunification Parole 
Process" in 1.2 show 
yellow alert]

[yellow alert]
[h] We are only accepting online filing of Form I-134A
from individuals agreeing to financially support Cuban,
Colombian, Haitian, Honduran, Salvadoran, and
Guatamalan citizens and their immediate family
[b] 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.

About the Beneficiary

ABOUT THE BENEFICIARY: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria. 
Primary Nav

Secondary Nav

Tertiary Nav

Conditional Logic

Revisions

Paper Form Question

Revisions

2.8

Question

Revisions

Sub‐Question

Revisions

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

Field Type

Revisions

Instructional Text

Text

Revisions

Help Text

(if Cuban)

Provide a 7‐character passport number, 
beginning with 1 letter followed by 6 digits.

(If Haitian)

Provide a 9‐character passport number, 
beginning with 1‐3 letters followed by 6‐8 
digits.
Provide a 8 to 9‐character passport 
number, beginning with 1 letter followed by 
7‐8 digits.
Provide an 8‐character passport number, 
beginning with 2 letters followed by 6 
digits.
Provide a 9‐digit passport number.

(if Nicaraguan)

(if Ukrainian)

(if Venezuelan)
(if Colombia)

Alert

Revisions

Required?

Revisions

Notes

Provide an 8‐character passport number, 
beginning with 2 letters followed by 6 
digits.
Provide a 7 to 8‐character passport 
number, beginning with 1 letter followed by 
6‐7 digits.
Provide a 9‐character passport number, 
beginning with 1 letter followed by 8 digits.

(if Honduras

(if El Salvador)

(if Guatemala)

Provide a 9‐digit passport number.

(if Russian)

Provide a 9‐digit passport number.
2.8

(if Venezuelan is most 
recent passport show 
tooltip)

Revisions

Provide a 7 to 12‐character passport 
number.

2.8

Confirm the beneficiary's passport number

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

MM/DD/YYYY

Date

Expiration Date (MM/DD/YYYY)

Note: The beneficiary must have a valid,
unexpired passport. CBP will not approve
travel if the beneficiary's passport is
expired.

Tooltip only shows if Venezuelan is selected for country 
that issued the beneficiary's most recent passport:
If the beneficiary has received a passport extension, 
then enter the extension’s expiration date. For more 
information visit the Process for Venezuelans
webpage.
Link: https://www.uscis.gov/CHNV

2.5

What is the beneficiary's A‐Number?

2.16

What is the beneficiary's anticipated 
period of stay in the United States?

A‐

Text 

I do not have or know the beneficiary's A‐
Number.
From (MM/DD/YYYY)

Date

To (MM/DD/YYYY)
No End Date

Date
Checkbox

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.

Checkbox

About the Beneficiary

BENEFICIARY'S FINANCIAL INFORMATION: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria. 
Primary Nav

Secondary Nav

Beneficiary's Financial 
Information

Beneficiary income 
information

Tertiary Nav

Conditional Logic

Paper Form Question

Question

Sub‐Question

Field Type

Instructional Text

Help Text

Alert

Required?

Notes

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.
Add entry

CTA

Opens up large table once clicked
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.

2.17 [LARGE TABLE]

What is the individual's full name?

Given name (first name)
Middle name 
Family name (last name)
MM/DD/YYYY

What is individual's date of birth?
What is the individual's relationship to the 
beneficiary?
$
How much income will this individual 
contribute to the beneficiary annually?
Save entry
Cancel

[If YES to 2.18] 

What is the beneficiary's total number of 
dependents?

Text

How much income will the beneficiary's  $
dependents contribute to the beneficiary 
annually?
Does any of the beneficiary's total income  Yes/No
(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)?

Text

2.19

2.21

$
What amount of the beneficiary's total 
income comes from an illegal activity or 
source?
Does any of the beneficiary's total income  Yes/No
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?

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

CTA
CTA

2.17

2.20

[If YES to 2.20] 

Text

2.17

2.18

Beneficiary 
additional income 
information 

Text
Text
Text
Date
Dropdown

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

Radio

Text

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 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.
2.22 [LARGE TABLE]

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

Given name (first name)
Middle name 
Family name (last name)
What is the type of asset?
Checking ‐ Bank Account
Savings ‐ Bank Account 
Annuities
Stocks, Bonds, Certificates of Deposit
Retirement or Educational Account
Real Estate Holdings
Personal Property (net value)
What is the cash value of the asset in U.S.  $
dollars?
Save entry
Cancel
What is the total amount (U.S. dollars)?
$

CTA
Text
Text
Text
Dropdown

Text 
CTA
CTA
Text

Beneficiary's Financial Info

EVIDENCE: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Primary Nav

Secondary Nav

Evidence

Bank officer
statement

Revisions

Tertiary Nav

Conditional Logic

Revisions

Paper Form

Evidence Title

Revisions

Form I-134 instructions (pg 5) Bank Officer Statement

Field Type

Revisions

Upload

Instructional Text

Revisions

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

Document type

Revisions

Form I-134 instructions (pg 5) Employer Statement

Upload

Provide statement(s) from your employer on business stationery showing:

Employer statement
Other documents

• 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: 12MB per file

Income tax return
Other documents

• 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: 12MB per file

Bonds
Other documents

• 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: 12MB per file

Immigration status
Other documents

• 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: 12MB per file

Assets
Other documents

• 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: 12MB per file

Beneficiary asset
Other documents

• 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: 12MB per file

• 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 6) Income Tax Return

Upload

Provide a copy of the last U.S. federal income tax return filed (tax transcript).
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.

Bonds

Form I-134 instructions (pg 6) Bonds

Upload

Provide a list containing serial numbers and denominations of bonds and name of record owner(s).
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
immigration status

Form I-134 instructions (pg 5 Proof Of Immigration Status
Item #10: Immigration Status)

Upload

Provide evidence of your 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.
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 Form I-94
Arrival Departure Record.

Form I-134 instructions (pg 5
Item #19: Assets

Proof of assets of
individual
agreeing to
financially support
the beneficiary

Proof of lawful nonimmigrant status may include a copy of an unexpired visa in a foreign passport.
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.

Upload

Proof Of Assets Of
Individual Agreeing To
Financially Support The
Beneficiary

Revisions

• 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: 12MB 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

File Requirements

Bank officer
statement
Other documents

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 inc
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.

Alerts

Required?

Links Notes

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.
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.
Form I-134 instructions (pg 4 Proof Of Beneficiary's
Item #22: Beneficiary's Assets Assets

Proof of
beneficiary's
assets

Upload

Provide information about any assets available to 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 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 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 of the owner’s claim of its net cash value.
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.

Proof of the 
beneficiary's marital 
status

[If "Family Reunification
Parole Process" selected in
1.2 AND if user did NOT
select "Single, Never
Married" in 2.9]

Proof Of Beneficiary's Marital 
Status

Proof of the 
beneficiary's family 
relationship 

[If "Family Reunification 
Parole Process" selected in 
1.2]

Proof Of Beneficiary's Family 
Relationship

Upload

Provide evidence of the beneficiary’s marital status.
If the beneficiary is married or has had a change in marital status since submission of the USCIS Form I‐130, submit a copy of the beneficiary’s 
current marriage certificate and any divorce decree, annulment decree, or death certificate showing that their prior marriages were 
terminated (if applicable).

Upload

Provide evidence of the beneficiary’s age and family relationship with the principal beneficiary of an approved Form I-130.
If the beneficiary is the principal beneficiary of an approved Form I-130, only evidence of the beneficiary’s age is required.

Marriage certificate
Divorce decree
Annulment decree
Death certificate

• 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: 12MB per file

Birth certificate
Adoption decree 

• 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: 12MB per file

Evidence

ADDITIONAL INFORMATION: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Paper Form Question: The number in the paper form associated with the question
Primary Nav

Secondary Nav

Additional Information

Additional 
Information

Tertiary Nav

Conditional Logic

Paper Form Question

Question

Sub‐Question

Field Type

Instructional Text

Large table

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.

Help Text

Alert

Required?

Notes

No

Large Table 
Pattern
Ghost Sub 
Nav

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

Additional Information

REVIEW AND SUBMIT: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
d
l
l
d
d
h h h
b
Primary Nav
Secondary Nav
Revisions
Review and Submit

l
l
Tertiary Nav

f
Revisions

Conditional Logic

Revisions

Paper form question

Review your declaration

Revisions

Question

Revisions

Sub-Question

Revisions

Field Type

Check your declaration before you submit

Revisions

Instructional Text

Revisions

Help Text

Revisions

Alert

Revisions

Required?

CTA

Notes

Please review your declaration and check it for accuracy and completeness before you submit it.
We encourage you to provide as many responses as you can throughout the declaration. Missing 
or incomplete information may 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.

[blue alert]
[Alert appears only for drafts 
started before toggle on of I‐
134A ~12/21]

[blue alert header for active drafts] 
[h] The name of this form has changed

Alert appears only for drafts started before 
toggle on of I‐134A ~12/21

[b] The name of this form has changed to Form I‐134A, Online Request to be a Supporter and 
Declaration of Financial Support.

https://www.uscis.gov/i‐134a

No other changes have been made to your draft. Learn more about  Form I-134A.
Your fee

Your form filing fee is:  $[xxx]
Refund policy: USCIS does not refund fees, regardless of any action we take on your application, petition or request, or how long USCIS takes to reach a decision. By continuing this 
transaction, you acknowledge that you must submit fees in the exact amount and that you are paying the fees for a government service.

Alerts and warnings

You have one or more alerts and warnings based on the information you provided in your 
declaration.

Next

A red alert means you have incomplete responses or inconsistent data. You cannot submit your 
declaration with any alerts.
Green alert: We found no alerts or warnings in your declaration.
Your declaration summary

Review the I‐134A form information

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

Next

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.

Preparer statement

(IF PREPARER) 

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

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.
As the declarant's preparer, you must sign on paper and provide your signature page to the declarant. Follow these steps:

Radio

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. 4. Give the signed Preparer Signature page to the declarant

1. Download the Preparer Signature page
2. Print the Preparer Signature page
3. Read and sign the Preparer Signature page
4. 4. Give the signed Preparer Signature page to the declarant

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

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

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 (G‐28) with your declaration.

Preparer's certification and signature

Preparer signature
Interpreter certification

(IF PREPARER)
(IF INTERPRETER)

7.8
6.7

Preparer's Signature Upload
Interpreter's certification and signature

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

Next

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.

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 understandsthey understand 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.

Next

As the declarant's interpreter, you must sign on paper and provide your signature page to the declarant. Follow these steps:

Next

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.
Interpreter signature
Statement of the individual 
agreeing to financially 
support the beneficiary

Signature of the individual 
agreeing to financially 
support the beneficiary

(IF INTERPRETER) 
(IF NO INTERPRETER) 

Interpreter's Signature Upload
5.1.A

Individual agreeing to financially support the 
beneficiary's statement

(IF PREPARER) 

5.2

(IF INTERPRETER) 

5.1.B

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

5.6

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

I can read and understand English, and have read and understand every question and instruction on this declaration and my answer to every question.

Checkbox

Scan and upload your interpreter's completed signature page below.
I, as the individual agreeing to financially support the beneficiary, certify the following:
You must read and agree to the statement below.

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.

Checkbox

You must read and agree to the statement below.

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.
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.

Checkbox

Upload

You must read and agree to the statement below.

Next
MVP

MVP
Next

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

Submit

(Successful submission) (No 
nav)

Submit the I-134A

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

Checkbox
Text

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.
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.

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.

Yes

Next

Submit the I-134A

Go to my cases

Review & Submit

WARNINGS, ALERTS, NOTICES, AND ERRORS: I‐134A
Column Header Descriptions
Section: The primary nav where the alert can be found.
Page: The secondary nav where the alert can be found.
Type: The color of the alert. (Red, Yellow, Blue, Green)
Conditional Logic: A column used to indicate whether the question or subquestion only applies if you meet certain criteria.
Message: The copy that will show on the alert. Use [h] to indicate the header copy, and [b] to indicate the body copy.
Navigation
Revisions
Sub‐navigation
Revisions
Type
Revisions
Conditional Logic
File‐A‐Form
Overview

Yellow alert

Revisions

Always show

Message

Revisions

[h] We are only accepting online filing of Form I‐134A from individuals agreeing to financially support eligible beneficiaries from the following 
countries:

[h] We are only accepting online filing of Form I‐134A from individuals agreeing to financially support  https://www.uscis.gov/i‐134
eligible beneficiaries from the following countries:

[b] • Cuba
• Haiti
• Nicaragua
• Ukraine
• Venezuela

[b]
• Cuba
• Colombia
• El Salvador
• Guatemala
• Haiti
• Honduras
• Nicaragua
• Ukraine
• Venezuela

You must be located in the United States to file Form I‐134A online. Individuals 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.

Link

Notes

You must be located in the United States to file Form I‐134A online. Individuals seeking parole through 
these processes 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, 

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  including minor children.
other immigration benefit, you must file a paper Form I-134 through the appropriate Lockbox location.
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 who is not seeking consideration for parole under one of 
these programs or processes, seeking parole who is not applying under Venezuela or Uniting for 

About the IATFSTB

Contact information for the 
individual agreeing to 
financially support the 
beneficiary
When and where the 
individual agreeing to 
financially support the 
beneficiary was born

About the IATFSTB

About the IATFSTB

Yellow alert

Always show under "What is your 
current mailing address?" question and 
"What is your physical address?" 
question
If date of birth is different than the date 
of birth of the applicant's profile, the 
following red alert is shown. 

Red alert

Immigration information for 
the individual agreeing to 
financially support the 
beneficiary

Red alert

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

The date of birth in this account's profile is [MM/DD/YYYY].

If A‐Number is different than the A‐
Number of the applicant's profile, the 
following red alert is shown.

Financial Info 
ATIATFSTP
About the Beneficiary

Financial responsibility for 
other beneficiaries
Beneficiary contact 
information

Red alert

If no entries are entered and 3.24 is yes

Blue alert

Always show

About the Beneficiary

Other information about the 
beneficiary

Yellow alert

Always show under "What is the 
beneficiary's country of citizenship or 
nationality?" question and "What 
country issued the beneficiary's most 
recently issued passport?" question

https://myaccount.uscis.gov/

h5. This account has already been verified with a different date of birth

If you need to apply for a benefit for someone else using the date of birth you entered, you should sign out of this account and create a new 
account for them at https://myaccount.uscis.gov/
h5. This account has already been verified with a different A‐Number

https://myaccount.uscis.gov/

The A‐Number in this account's profile is [xxxxxxxxx].
If you need to apply for a benefit for someone else using the A‐Number you entered, you must sign out of this account and create a new account 
for them at https://myaccount.uscis.gov/
You must include at least one person for whom you have previously submitted a Form I-134 or Form I-134A , other than the beneficiary listed 
on this Form I-134A.
[b] 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  [delete previous copy]
of this Form I‐134A. Failure to provide a email address for the beneficiary will prevent them from completing the parole process, if this Form I‐134A  [b] You must provide a valid email address for the beneficiary. We will send them
important information at this email address if Form I-134A is confirmed. If you do
is confirmed. Do not use your email address as the beneficiary's email address.
not provide an email address that the beneficiary can access, they will not be able
to complete the parole process. DO NOT enter your email address in this field.
if user selected "Parole Process" in [h] We are only accepting online filing of Form I-134A from individuals agreeing to financially support Cuban, Haitian, Nicaraguan,
question 1.2, show under "What is the  Ukrainian, and Venezuelan citizens and their immediate family
beneficiary's country of citizenship or 
[b] Immediate family members are:
nationality?" question and "What 
country issued the beneficiary's most 
• Their spouse or common-law partner; and
recently issued passport?" question
• 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.

About the Beneficiary

Other information about the 
beneficiary

[yellow alert]
[h] We are only accepting online filing of Form I-134A from individuals agreeing to
financially support Cuban, Colombian, Haitian, Honduran, Salvadoran, and
Guatamalan citizens and their immediate family

If user selected "Family Reunification
Parole Process" in question 1.2, show 
under "What is the beneficiary's country 
of citizenship or nationality?" question 
and "What country issued the 
beneficiary's most recently issued 
passport?" question 

Yellow alert

[b] 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.

Review & Submit

Review your declaration

Blue alert

Alert appears only for active drafts 
started before toggle on of I‐134A 
~12/21

[h] The name of this form has changed

https://www.uscis.gov/i‐134a

[b] The name of this form has changed to Form I‐134A, Online Request to be a Supporter and Declaration of Financial Support.
No other changes have been made to your draft. Learn more about Form I-134A.

Alerts


File Typeapplication/pdf
File TitleI-134A-003 PRA Revision Copydeck v2.0.14_CLEAN.xlsx
Authormrfrank
File Modified2023-06-29
File Created2023-06-29

© 2024 OMB.report | Privacy Policy