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Petition For Qualifying Family Member Of A U-1 Nonimmigrant Form. This is a Official Federal Forms form and can be use in US Citizenship And Immigration Services.
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Tags: Petition For Qualifying Family Member Of A U-1 Nonimmigrant, I-929, Official Federal Forms US Citizenship And Immigration Services,
OMB No. 1615-0106; Expires 07/31/2011
Form I-929, Petition for Qualifying Family
Member of a U-1 Nonimmigrant
Department of Homeland Security
U.S. Citizenship and Immigration Services
DO NOT WRITE IN THIS BLOCK-- FOR USCIS USE ONLY
Bene. A-file
reviewed
Yes
U-1 A-file
reviewed
Action Block
Bar Code (USCIS Use only)
Yes
No
No
Bene. filed I-485
Yes
Remarks
No
U-1 adjusted
No
Yes
U-1 I-485 pending
No
Yes
START HERE -- TYPE OR PRINT LEGIBLY USING BLACK INK
I am filing for my: (Check one)
Spouse
Child:
Biological Child
Parent:
Biological Parent
Stepchild
Stepparent
Adopted Child
Parent who adopted me
Part 1. Information About You
Part 2. Information About Your Alien Relative
Last Name (Family Name)
Last Name (Family Name)
First Name (Given Name)
First Name (Given Name)
Middle Name
Middle Name
Current Address
Current Address
Street Number and Name
City
State
Apt. Number
Zip Code
Street Number and Name
Apt. Number
Street Number and Name
City
Date of Birth
State
State/Province
Country
Safe Mailing Address If Other Than Above
City
Postal/Zip Code
Mailing Address If Other Than Above
Apt. Number
Zip Code
A-Number
Date of Birth
A-Number
Form I-929 (Rev. 07/08/10) Y
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Part 1. Information About You (Cont'd)
Country of Birth
Part 2. Information About Your Alien Relative (Cont'd)
Social Security Number
Country of Citizenship/Nationality
Gender: (Check one)
Male
Female
First Name (Given Name)
Middle Name
Last Name (Family Name)
Gender: (Check one)
Male
Female
If alien relative ever used other names, provide them below:
Last Name (Family Name)
First Name (Given Name)
Middle Name
First Name (Given Name)
Middle Name
Last Name (Family Name)
Social Security Number
Country of Citizenship/Nationality
If you ever used other names, provide them below:
Last Name (Family Name)
Country of Birth
Last Name (Family Name)
First Name (Given Name)
Middle Name
First Name (Given Name)
Middle Name
Last Name (Family Name)
First Name (Given Name)
Middle Name
Marital Status: (Check one)
Marital Status: (Check one)
Single (Never Married)
Married
Single (Never Married)
Married
Divorced
Widowed
Divorced
Widowed
Spouse's Name:
Spouse's Name:
Last Name (Family Name)
First Name (Given Name)
Middle Name
Place of Marriage
Last Name (Family Name)
First Name (Given Name)
Middle Name
Place of Marriage
Form I-929 (Rev. 07/08/10) Y Page 2
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Part 1. Information About You (Cont'd)
Part 2. Information About Your Alien Relative (Cont'd)
Number of marriages including current marriage:
Number of marriages including current marriage:
List any previous marriage(s) beginning with the most recent.
If you need more space, attach an additional sheet of paper.
Prior Spouse's Name:
List any previous marriage(s) beginning with the most recent.
If you need more space, attach an additional sheet of paper.
Prior Spouse's Name:
Last Name (Family Name)
First Name (Given Name)
Last Name (Family Name)
First Name (Given Name)
Middle Name
Date of Marriage
Middle Name
Date of Marriage
Place of Marriage
Date of Termination
Place of Termination
Reason for Termination:
Divorce
Death
Place of Marriage
Date of Termination
Place of Termination
Reason for Termination:
Annulment
Other
Divorce
Death
Annulment
Other
Prior Spouse's Name:
Prior Spouse's Name:
Last Name (Family Name)
First Name (Given Name)
Last Name (Family Name)
First Name (Given Name)
Middle Name
Date of Marriage
Middle Name
Date of Marriage
Place of Marriage
Date of Termination
Place of Termination
Reason for Termination:
Divorce
Other
Death
Place of Marriage
Date of Termination
Place of Termination
Reason for Termination:
Annulment
Divorce
Death
Annulment
Other
Form I-929 (Rev. 07/08/10) Y Page 3
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Part 1. Information About You (Cont'd)
Part 2. Information About Your Alien Relative (Cont'd)
Prior Spouse's Name:
Prior Spouse's Name:
Last Name (Family Name)
First Name (Given Name)
Last Name (Family Name)
First Name (Given Name)
Middle Name
Date of Marriage
Middle Name
Date of Marriage
Place of Marriage
Date of Termination
Place of Marriage
Place of Termination
Date of Termination
Reason for Termination:
Divorce
Place of Termination
Reason for Termination:
Death
Annulment
Divorce
Other
Death
Annulment
Other
Complete if your relative is in the United States
(Check One):
I am a Lawful Permanent Resident
I obtained my Lawful
Permanent Residence on:
My Form I-485 is currently pending
Place of Admission
Date of Admission
Class of Admission
Date Authorized to Stay
Receipt Number
Part 3. Information About Your Alien Relative's Children
Last Name (Family Name)
Date of Birth
First Name (Given Name)
Place of Birth
Middle Name
Biological Child
Gender: (Check one)
Street Number and Name
Country
Apt. Number
Postal/Zip Code
City
A-Number
Stepchild
Male
Adopted Child
Female
State/Province
Country of Birth
Name of Mother
Last Name (Family Name)
First Name (Given Name)
Middle Name
First Name (Given Name)
Middle Name
Name of Father
Last Name (Family Name)
Form I-929 (Rev. 07/08/10) Y Page 4
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Part 3. Information About Your Alien Relative's Children (Cont'd)
Last Name (Family Name)
Date of Birth
First Name (Given Name)
Place of Birth
Middle Name
Biological Child
Gender: (Check one)
Street Number and Name
Country
Apt. Number
Postal/Zip Code
Stepchild
Male
Adopted Child
Female
City
State/Province
A-Number
Country of Birth
Name of Mother
First Name (Given Name)
Middle Name
Last Name (Family Name)
First Name (Given Name)
Middle Name
Last Name (Family Name)
First Name (Given Name)
Middle Name
Last Name (Family Name)
Name of Father
Date of Birth
Place of Birth
Biological Child
Gender: (Check one)
Street Number and Name
Country
Apt. Number
Postal/Zip Code
Stepchild
Male
Adopted Child
Female
City
State/Province
A-Number
Country of Birth
Name of Mother
First Name (Given Name)
Middle Name
Last Name (Family Name)
First Name (Given Name)
Middle Name
Last Name (Family Name)
First Name (Given Name)
Middle Name
Last Name (Family Name)
Name of Father
Date of Birth
Place of Birth
Biological Child
Gender: (Check one)
Stepchild
Male
Adopted Child
Female
Form I-929 (Rev. 07/08/10) Y Page 5
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Part 3. Information About Your Alien Relative's Children (Cont'd)
Street Number and Name
Country
Apt. Number
Postal/Zip Code
City
State/Province
A-Number
Country of Birth
Name of Mother
First Name (Given Name)
Middle Name
Last Name (Family Name)
First Name (Given Name)
Middle Name
Last Name (Family Name)
First Name (Given Name)
Middle Name
Last Name (Family Name)
Name of Father
Date of Birth
Place of Birth
Biological Child
Gender: (Check one)
Street Number and Name
Country
Apt. Number
Postal/Zip Code
City
A-Number
Stepchild
Male
Adopted Child
Female
State/Province
Country of Birth
Name of Mother
Last Name (Family Name)
First Name (Given Name)
Middle Name
First Name (Given Name)
Middle Name
Name of Father
Last Name (Family Name)
Name and address of your alien relative in the language written in the country where he/she currently resides.
Last Name (Family Name)
C/O: (In Care Of)
City/State or Province
First Name (Given Name)
Street Number and Name
Country
Middle Name
Apt. Number
Postal/Zip Code
Form I-929 (Rev. 07/08/10) Y Page 6
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Part 4. Processing Information
1. Check one:
a.
The person named in Part 2 is now in the United States
b.
The person named in Part 2 is now outside the United States. (Indicate below at which U.S. Embassy
or consulate your relative will apply for a visa.)
U.S. Embassy or consulate at:
City and Country
2. Is the person named in Part 2 or has this person ever been in deportation or removal proceedings in the United States?
a.
No
b.
Yes (Indicate when and where):
Part 6. Signature
I certify, or if outside the United States, I swear or affirm, under penalty of perjury under the laws of the United States of America,
that this petition and the evidence submitted with it, is all true and correct. I authorize the release of any information from my record
that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking.
Signature
Print Your Full Name
Date
Part 7. Preparer's Information, If Other Than Person Signing Above
I declare that I prepared this petition at the request of the above person, and it is based on all the information that I have knowledge.
Signature
Firm Name
City/State or Province
Print Your Full Name
Date
Street Number and Name
Suite Number
Postal/Zip Code
Telephone Number
Form I-929 (Rev. 07/08/10) Y Page 7
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