I-485 Application to Register Permanent Residence or Adjust Status

I-485 Application Form

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

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Your Current Legal Name

First

Middle

Last

Other Names You Have Used Since Birth

First

Middle

Last

Other Information About You

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Date of Birth

Gender

Male
Female

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City or Town of Birth

Country of Birth

Country of Citizenship or Nationality

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Alien Registration Number (if any)

USCIS Online Account Number (if any)

Street Number and Name

City or town

State

Zip Code

Has the Social Security Administration (SSA) ever officially issued a Social Security card to you?

Passport Number Used at Last Arrival

Travel Document Number Used at Last Arrival

Expiration Date of this Passport or Travel Document

Country that Issued this Passport or Travel Document

Nonimmigrant Visa Number from this Passport (if any)

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City or Town

State

Date of Last Arrival

When I last arrived in the United States

Was inspected at a port of entry and admitted as (for example, exchange visitor; visitor, waived through; temporary worker; student)
Was inspected at a port of entry and paroled as (for example, humanitarian parole, Cuban parole)
Came into the United States without admission or parole
Other

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Form I-94 Arrival-Departure Record Number

Expiration Date of Authorized Stay Shown on Form I-94

What is your current immigration status (if it has changed since your arrival)?

I am applying to register lawful permanent residence or adjust status to that of a lawful permanent resident based on the following immigrant category (select only one box). (See the Form I-485 Instructions for more information, including any Additional Instructions that relate to the immigrant category you select.)

Family-based

Immediate relative of a U.S. citizen, Form I-130
Other relative of a U.S. citizen or relative of a lawful permanent resident under the family-based preference categories, Form I-130
Person admitted to the United States as a fiancé(e) or child of a fiancé(e) of a U.S. citizen, Form I-129F (K-1/K-2 Nonimmigrant)
Widow or widower of a U.S. citizen, Form I-360
VAWA self-petitioner, Form I-360

Employment-based

Alien worker, Form I-140
Alien entrepreneur, Form I-526

Special Immigrant

Religious worker, Form I-360
Special immigrant juvenile, Form I-360
Certain Afghan or Iraqi National, Form I-360 or Form DS-157
Certain international broadcaster, Form I-360
Certain G-4 international organization or family member or NATO-6 employee or family member, Form I-360

Asylee or Refugee

Asylum status (INA section 208), Form I-589 or Form I-730
Refugee status (INA section 207), Form I-590 or Form I-730

Refugee status (INA section 207), Form I-590 or Form I-730

Human trafficking victim (T Nonimmigrant), Form I-914 or derivative family member, Form I-914A
Crime victim (U Nonimmigrant), Form I-918, derivative family member, Form I-918A, or qualifying family member, Form I-929

Special Programs Based on Certain Public Laws

The Cuban Adjustment Act
The Cuban Adjustment Act for battered spouses and children
Dependent status under the Haitian Refugee Immigrant Fairness Act
Dependent status under the Haitian Refugee Immigrant Fairness Act for battered spouses and children
Lautenberg Parolees
Diplomats or high ranking officials unable to return home
Indochinese Parole Adjustment Act of 2000

Additional Options

Diversity Visa program
Continuous residence in the United States since before January 1, 1972 ("Registry")
Individual born in the United States under diplomatic status
Other

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Receipt Number of Underlying Petition (if any)

Priority Date from Underlying Petition (if any)

Have you ever applied for an immigrant visa to obtain permanent resident status at a U.S. Embassy or U.S. special immigrant, or Diversity Visa immigrant category listed above in Item Numbers 1.a. - 1.g. as the basis for your application for adjustment of status. Fill out the rest Consulate abroad?

Physical Address

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Street Number and Name

City or Town

State

Zip Code

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Province

Postal Code

Country

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Dates of Residence(From)

Employment History

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Name of Employer or Company

Street Number & name

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City or Town

State

Zip Code

Province

Postal Code

Country

Your Occupation

Dates of Employment : From

Dates of Employment : To

If you are married, is your spouse a current member of the U.S. armed forces or U.S. Coast Guard?

A-Number (if any)

Ethnicity

Hispanic or Latino
Not Hispanic or Latino

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Height

Weight

Have you EVER been denied admission to the United United States or anywhere else in the world. If you answer States?

Have you EVER been denied a visa to the United States?

Have you EVER worked in the United States without authorization?

Have you EVER violated the terms or conditions of your nonimmigrant status?

Are you presently or have you EVER been in removal, exclusion, rescission, or deportation proceedings?

Have you EVER been issued a final order of exclusion, deportation, or removal?

Have you EVER had a prior final order of exclusion, deportation, or removal reinstated?

Have you EVER held lawful permanent resident status which was later rescinded?

Have you EVER been granted voluntary departure by an immigration officer or an immigration judge but failed to depart within the allotted time?

Have you EVER applied for any kind of relief or protection from removal, exclusion, or deportation?

Have you EVER been a J nonimmigrant exchange visitor who was subject to the two-year foreign residence requirement?

Have you complied with the foreign residence requirement?

Have you been granted a waiver or has Department of State issued a favorable waiver recommendation letter for you?

Have you EVER been arrested, cited, charged, or detained for any reason by any law enforcement official (including but not limited to any U.S. immigration official or any official of the U.S. armed forces or U.S. Coast Guard)?

Have you EVER committed a crime of any kind (even if you were not arrested, cited, charged with, or tried for that crime)?

Have you EVER pled guilty to or been convicted of a crime or offense (even if the violation was subsequently expunged or sealed by a court, or if you were granted a pardon, amnesty, a rehabilitation decree, or other act of clemency)?

Have you EVER been ordered punished by a judge or had conditions imposed on you that restrained your liberty (such as a prison sentence, suspended sentence, house arrest, parole, alternative sentencing, drug or alcohol treatment, rehabilitative programs or classes, probation, or community service)?

Have you EVER been a defendant or the accused in a criminal proceeding (including pre-trial diversion, deferred prosecution, deferred adjudication, or any withheld adjudication)?

Have you EVER violated (or attempted or conspired to violate) any controlled substance law or regulation of a state, the United States, or a foreign country?

Have you EVER been convicted of two or more offenses (other than purely political offenses) for which the combined sentences to confinement were five years or more?

Have you EVER illicitly (illegally) trafficked or benefited from the trafficking of any controlled substances, such as chemicals, illegal drugs, or narcotics?

Have you EVER knowingly aided, abetted, assisted, conspired, or colluded in the illicit trafficking of any illegal narcotic or other controlled substances?

Are you the spouse, son, or daughter of a foreign national who illicitly trafficked or aided (or otherwise abetted, assisted, conspired, or colluded) in the illicit trafficking of a controlled substance, such as chemicals, illegal drugs, or narcotics and you obtained, within the last five years, any financial or other benefit from the illegal activity of your spouse or parent, although you knew or reasonably should have known that the financial or other benefit resulted from the illicit activity of your spouse or parent?

Have you EVER engaged in prostitution or are you coming to the United States to engage in prostitution?

Have you EVER received any proceeds or money from prostitution?

Do you intend to engage in illegal gambling or any other form of commercialized vice, such as prostitution, bootlegging, or the sale of child pornography, while in the United States?

Have you EVER exercised immunity (diplomatic or otherwise) to avoid being prosecuted for a criminal offense in the United States?

Have you EVER, while serving as a foreign government official, been responsible for or directly carried out violations of religious freedoms?

Have you EVER induced by force, fraud, or coercion (or otherwise been involved in) the trafficking of persons for commercial sex acts?

Have you EVER engaged in money laundering or have you EVER knowingly aided, assisted, conspired, or colluded with others in money laundering or do you seek to enter the United States to engage in such activity?

Security and Related

Engage in any activity that violates or evades any law relating to espionage (including spying) or sabotage in the United States?

Engage in any activity in the United States that violates or evades any law prohibiting the export from the United States of goods, technology, or sensitive information?

Engage in any activity whose purpose includes opposing, controlling, or overthrowing the U.S. Government by force, violence, or other unlawful means while in the United States?

Engage in any activity that could endanger the welfare, safety, or security of the United States?

Engage in any other unlawful activity?

Have you EVER worked, volunteered, or otherwise served in any prison, jail, prison camp, detention facility, labor camp, or any other situation that involved detaining persons?

Have you EVER been a member of, assisted, or participated in any group, unit, or organization of any kind in which you or other persons used any type of weapon against any person or threatened to do so?

Have you EVER served in, been a member of, assisted, or participated in any military unit, paramilitary unit, police unit, self-defense unit, vigilante unit, rebel group, guerilla group, militia, insurgent organization, or any other armed group ?

Have you EVER been a member of, or in any way affiliated with, the Communist Party or any other totalitarian party (in the United States or abroad)?

Acts involving torture or genocide?

Killing any person?

Intentionally and severely injuring any person?

Engaging in any kind of sexual contact or relations with any person who did not consent or was unable to consent, or was being forced or threatened?

Have you EVER recruited, enlisted, conscripted, or used any person under 15 years of age to serve in or help an armed force or group?

Identify the total value of your household liabilities (including both secured and unsecured liabilities)

Have you EVER falsely claimed to be a U.S. citizen (in writing or any other way)?

Been convicted of desertion from the U.S. armed forces?

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Applicant's Daytime Telephone Number

Applicant's Mobile Telephone Number (if any)

Applicant's Email Address (if any)

Evidence

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Birth Certificate Of Petitioner

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Birth Certificate Of Beneficiary

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Green Card Or Certificate Of Citizenship Or US Birth Certificate

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Marriage Certificate (If Through Marriage)

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If Prior Marriage (Divorce Certificate)

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I-94

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Passport

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2x2 Passport Photo

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Church Records Or School Records

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I-485 Application Form