OMB No. 1615-0106; Expires 04/30/2019 Department of Homeland Security U.S. Citizenship and Immigration Services Form I-929, Petition for Qualifying Family Member of a U-1 Nonimmigrant FOR USCIS USE ONLY Bene. A-file reviewed U-1 A-file reviewed Bene. filed I-485 Yes U-1 adjusted Yes U-1 I-485 pending Yes Yes No Yes No Action Block Bar Code (USCIS Use only) No Remarks No No START HERE -- TYPE OR PRINT LEGIBLY USING BLACK INK I am filing for my: (Select one) Spouse Child: Biological Child Stepchild Adopted Child Parent: Biological Parent Stepparent Parent who adopted me Part 1. Information About You Last Name (Family Name) Part 2. Information About Your Alien Relative Last Name (Family Name) First Name (Given Name) First Name (Given Name) Middle Name Middle Name Current Address Street Number and Name Apt. Number Current Address Street Number and Name Apt. Number City State Zip Code City State/Province Country Postal/Zip Code Safe Mailing Address If Other Than Above Street Number and Name Apt. Number Mailing Address If Other Than Above City State Zip Code Date of Birth A-Number Date of Birth A-Number Form I-929 04/13/17 Y Page 1 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Part 1. Information About You (Cont'd) Country of Birth Social Security Number Part 2. Information About Your Alien Relative (Cont'd) Country of Birth Social Security Number Country of Citizenship/Nationality Country of Citizenship/Nationality Gender: (Select one) Male Female Gender: (Select one) Male Female If you ever used other names, provide them below: Last Name (Family Name) First Name (Given Name) If alien relative ever used other names, provide them below: Last Name (Family Name) First Name (Given Name) Middle Name Middle Name Last Name (Family Name) First Name (Given Name) Last Name (Family Name) First Name (Given Name) Middle Name Middle Name Last Name (Family Name) First Name (Given Name) Last Name (Family Name) First Name (Given Name) Middle Name Middle Name Marital Status: (Select one) Single (Never Married) Divorced Spouse's Name: Last Name (Family Name) First Name (Given Name) Married Widowed Marital Status: (Select one) Single (Never Married) Divorced Spouse's Name: Last Name (Family Name) First Name (Given Name) Married Widowed Middle Name Middle Name Place of Marriage Place of Marriage Form I-929 04/13/17 Y Page 2 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Part 1. Information About You (Cont'd) Number of marriages including current marriage: List any previous marriages 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) Part 2. Information About Your Alien Relative (Cont'd) Number of marriages including current marriage: List any previous marriages 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) Middle Name Date of Marriage Middle Name Date of Marriage Place of Marriage Place of Marriage Date of Termination Place of Termination Date of Termination Place of Termination Reason for Termination: Divorce Other Death Annulment Reason for Termination: Divorce Other Death Annulment Prior Spouse's Name: Last Name (Family Name) First Name (Given Name) Prior Spouse's Name: Last Name (Family Name) First Name (Given Name) Middle Name Date of Marriage Middle Name Date of Marriage Place of Marriage Place of Marriage Date of Termination Place of Termination Date of Termination Place of Termination Reason for Termination: Divorce Other Death Annulment Reason for Termination: Divorce Other Death Annulment Form I-929 04/13/17 Y Page 3 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Part 1. Information About You (Cont'd) Prior Spouse's Name: Last Name (Family Name) First Name (Given Name) Part 2. Information About Your Alien Relative (Cont'd) Prior Spouse's Name: Last Name (Family Name) First Name (Given Name) Middle Name Date of Marriage Middle Name Date of Marriage Place of Marriage Place of Marriage Date of Termination Place of Termination Date of Termination Place of Termination Reason for Termination: Divorce Other Death Annulment Reason for Termination: Divorce Other Death Annulment Select One: I am a Lawful Permanent Resident I obtained my Lawful Permanent Residence on: My Form I-485 is currently pending Receipt Number Complete if your relative is in the United States Date of Admission Place of Admission Class of Admission Date Authorized to Stay Part 3. Information About Your Alien Relative's Children Last Name (Family Name) First Name (Given Name) Middle Name Date of Birth Place of Birth Biological Child Gender: (Select one) Stepchild Male Adopted Child Female State/Province Street Number and Name Apt. Number City Country Postal/Zip Code A-Number Country of Birth Name of Mother Last Name (Family Name) First Name (Given Name) Middle Name Name of Father Last Name (Family Name) First Name (Given Name) Middle Name Form I-929 04/13/17 Y Page 4 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Part 3. Information About Your Alien Relative's Children (Cont'd) Last Name (Family Name) First Name (Given Name) Middle Name Date of Birth Place of Birth Biological Child Gender: (Select one) Stepchild Male Adopted Child Female State/Province Street Number and Name Apt. Number City Country Postal/Zip Code A-Number Country of Birth Name of Mother Last Name (Family Name) First Name (Given Name) Middle Name Name of Father Last Name (Family Name) First Name (Given Name) Middle Name Last Name (Family Name) First Name (Given Name) Middle Name Date of Birth Place of Birth Biological Child Gender: (Select one) Stepchild Male Adopted Child Female State/Province Street Number and Name Apt. Number City Country Postal/Zip Code A-Number Country of Birth Name of Mother Last Name (Family Name) First Name (Given Name) Middle Name Name of Father Last Name (Family Name) First Name (Given Name) Middle Name Last Name (Family Name) First Name (Given Name) Middle Name Date of Birth Place of Birth Biological Child Gender: (Select one) Stepchild Male Adopted Child Female Form I-929 04/13/17 Y Page 5 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Part 3. Information About Your Alien Relative's Children (Cont'd) Street Number and Name Apt. Number City State/Province Country Postal/Zip Code A-Number Country of Birth Name of Mother Last Name (Family Name) First Name (Given Name) Middle Name Name of Fat