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I-130A

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Supplemental Information for Spouse Beneficiary

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-130A

OMB No. 1615-0012

Expires 02/28/2027

To be completed by an attorney or accredited representative (if any).

Select this box if
Form G-28 is
attached.

Volag Number
(if any)

Attorney State Bar Number
(if applicable)

Attorney or Accredited Representative USCIS Online Account Number (if any)

START HERE - Type or print in black ink.

The purpose of this form is to collect additional information for a spouse beneficiary of Form I-130, Petition for Alien Relative. If your spouse is a U.S. citizen, lawful permanent resident, or non-citizen U.S. national who is filing Form I-130 on your behalf, you must complete and sign Form I-130A, Supplemental Information for Spouse Beneficiary, and submit it with the Form I-130 filed by your spouse. If you reside overseas, you still must complete Form I-130A, but you do not need to sign the form.

Part 1. Information About You (Spouse Beneficiary)

1.	Alien Registration Number (A-Number)

A-

2.	USCIS Online Account Number (if any)

Your Full Name

3.a.	Family Name (Last Name)
3.b.	Given Name (First Name)
3.c.	Middle Name

Address History

Provide your physical addresses for the last five years, whether inside or outside the United States. Provide your current address first. If you need extra space to complete this section, use the space provided in Part 7. Additional Information.

Physical Address 1

4.a.

Street Number
and Name

4.b.

Apt.

Ste.

Flr.

4.c.

City or Town

4.d.

State

4.e.

ZIP Code

4.f.

Province

4.g.

Postal Code

4.h.

Country

5.a.

Date From (mm/dd/yyyy).

5.b.

Date To (mm/dd/yyyy).

Physical Address 2

6.a.

Street Number
and Name

6.b.

Apt.

Ste.

Flr.

6.c.

City or Town

6.d.

State

6.e.

ZIP Code

6.f.

Province

6.g.

Postal Code

6.h.

Country

7.a.

Date From (mm/dd/yyyy)

7.b.

Date To (mm/dd/yyyy)

Last Physical Address Outside the United States

Provide your last address outside the United States of more than one year (even if listed above).

8.a.

Street Number
and Name

8.b.

Apt.

Ste.

Flr.

8.c.

City or Town

8.d.

Province

8.e.

Postal Code

8.f.

Country

Form I-130A Edition 04/01/24

Page 1 of 6

Part 1. Information About You (The Spouse Beneficiary)

9.a.

Date From (mm/dd/yyyy)

9.b.

Date To (mm/dd/yyyy)

Information About Parent 1

Full Name of Parent 1

10.a.	Family Name (Last Name)
10.b.	Given Name (First Name)
10.c.	Middle Name

11.

Date of Birth (mm/dd/yyyy)

12.

Sex

Male

Female

13.

City/Town/Village of Birth

14.

Country of Birth

15.

City/Town/Village of Residence

16.

Country of Residence

Information About Parent 2

Full Name of Parent 2

17.a.	Family Name (Last Name)
17.b.	Given Name (First Name)
17.c.	Middle Name

18.

Date of Birth (mm/dd/yyyy)

19.

Sex

Male

Female

20.

City/Town/Village of Birth

21.

Country of Birth

22.

City/Town/Village of Residence

23.

Country of Residence

Part 2. Information About Your Employment

Provide your employment history for the last five years, whether inside or outside the United States. Provide your current employment first. If you are currently unemployed, type or print "Unemployed" in Item Number 1. below. If you need extra space to complete this section, use the space provided in Part 7. Additional Information.

Employment History

Employer 1

Name of Employer/Company

2.a.

Street Number
and Name

2.b.

Apt.

Ste.

Flr.

2.c.

City or Town

2.d.

State

2.e.

ZIP Code

2.f.

Province

2.g.

Postal Code

2.h.

Country

Your Occupation

4.a.

Date From (mm/dd/yyyy)

4.b.

Date To (mm/dd/yyyy)

Employer 2

Name of Employer/Company

6.a.

Street Number
and Name

6.b.

Apt.

Ste.

Flr.

6.c.

City or Town

6.d.

State

6.e.

ZIP Code

6.f.

Province

6.g.

Postal Code

6.h.

Country

Form I-130A Edition 04/01/24

Page 2 of 6

Part 2. Information About Your Employment (continued)

Your Occupation

8.a.

Date From (mm/dd/yyyy)

8.b.

Date To (mm/dd/yyyy)

Part 3. Information About Your Employment Outside the United States

Provide your last occupation outside the United States if not shown above. If you never worked outside the United States, provide this information in the space provided in Part 7. Additional Information.

Name of Employer/Company

2.a.

Street Number
and Name

2.b.

Apt.

Ste.

Flr.

2.c.

City or Town

2.d.

State

2.e.

ZIP Code

2.f.

Province

2.g.

Postal Code

2.h.

Country

Your Occupation

4.a.

Date From (mm/dd/yyyy)

4.b.

Date To (mm/dd/yyyy)

Part 4. Spouse Beneficiary's Statement, Contact Information, Certification, and Signature

NOTE: Read the Penalties section of the Form I-130 and Form I-130A Instructions before completing this part.

Spouse Beneficiary's Statement

NOTE: Select the box for either Item Number 1.a. or 1.b. If applicable, select the box for Item Number 2.

1.a.

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

1.b

The interpreter named in Part 5. read to me every question and instruction on this form and my answer to every question in
a language in which I am fluent, and I understood everything.

At my request, the preparer named in Part 6.,

prepared this form for me based only upon information I provided or authorized.

Spouse Beneficiary's Contact Information

Spouse Beneficiary's Daytime Telephone Number

Spouse Beneficiary's Mobile Telephone Number (if any)

Spouse Beneficiary's Email Address (if any)

Spouse Beneficiary's Certification

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

I further authorize release of information contained in this form, in supporting documents, and in my USCIS records to other entities and persons where necessary for the administration and enforcement of U.S. immigration laws.

I certify, under penalty of perjury, that I provided or authorized all of the information in this form, I understand all of the information contained in, and submitted with, my form, and that all of this information is complete, true, and correct.

Spouse Beneficiary's Signature

6.a.

Spouse Beneficiary's Signature (sign in ink)

6.b.

Date of Signature (mm/dd/yyyy)

NOTE TO ALL SPOUSE BENEFICIARIES:: If you do not completely fill out this form or fail to submit required documents listed in the Instructions, USCIS may deny the Form I-130 filed on your behalf.

Form I-130A Edition 04/01/24

Page 3 of 6

Part 5. Interpreter's Contact Information, Certification, and Signature

Provide the following information about the interpreter you used to complete Form I-130A if he or she is different from the interpreter used to complete the Form I-130 filed on your behalf.

Interpreter's Full Name

1.a.

Interpreter's Family Name (Last Name)

1.b.

Interpreter's Given Name (First Name)

Interpreter's Business or Organization Name (if any)

Interpreter's Mailing Address

3.a.

Street Number
and Name

3.b.

Apt.

Ste.

Flr.

3.c.

City or Town

3.d.

State

3.e.

ZIP Code

3.f.

Province

3.g.

Postal Code

3.h.

Country

Interpreter's Contact Information

Interpreter's Daytime Telephone Number

Interpreter's Mobile Telephone Number (if any)

Interpreter's Email Address (if any)

Interpreter's Certification

I certify, under penalty of perjury, that:

I am fluent in English and ,

which is the same language provided inPart 4., Item Number 1.b., and I have read to this spouse beneficiary in the identified language every question and instruction on this form and his or her answer to every question. The spouse beneficiary informed me that he or she understands every instruction, question, and answer on the form, including the Spouse Beneficiary's Certification, and has verified the accuracy of every answer.

Interpreter's Signature

7.a.

Interpreter's Signature (sign in ink)

7.b.

Date of Signature (mm/dd/yyyy)

Part 6. Contact Information, Declaration, and Signature of the Person Preparing this Form, if Other Than the Spouse Beneficiary

Provide the following information about the preparer you used to complete Form I-130A if he or she is different from the preparer used to complete the Form I-130 filed on your behalf.

Preparer's Full Name

1.a.

Preparer's Family Name (Last Name)

1.b.

Preparer's Given Name (First Name)

Preparer's Business or Organization Name (if any)

Preparer's Mailing Address

3.a.

Street Number
and Name

3.b.

Apt.

Ste.

Flr.

3.c.

City or Town

3.d.

State

3.e.

ZIP Code

3.f.

Province

3.g.

Postal Code

3.h.

Country

Form I-130A Edition 04/01/24

Page 4 of 6

Part 6. Contact Information, Declaration, and Signature of the Person Preparing this Form, if Other Than the Spouse Beneficiary (continued)

Preparer's Contact Information

Preparer's Daytime Telephone Number

Preparer's Mobile Telephone Number (if any)

Preparer's Email Address (if any)

Preparer's Statement

7.a.

I am not an attorney or accredited representative but have prepared this form on behalf of the spouse beneficiary and with the spouse beneficiary's consent.

7.b.

I am an attorney or accredited representative and my
representation of the spouse beneficiary in this case
extends does not extend beyond the preparation
of this application.

NOTE: If you are an attorney or accredited
representative whose representation extends beyond
preparation of this form, you may be obliged to submit
a completed Form G-28, Notice of Entry of
Appearance as Attorney or Accredited Representative,
with this form.

Preparer's Certification

By my signature, I certify, under penalty of perjury, that I prepared this form at the request of the spouse beneficiary. The spouse beneficiary then reviewed this completed form and informed me that he or she understands all of the information contained in, and submitted with, his or her form, including the Spouse Beneficiary's Certification, and that all of this information is complete, true, and correct. I completed this form based only on information that the spouse beneficiary provided to me or authorized me to obtain or use.

Preparer's Signature

8.a.

Preparer's Signature

8.b.

Date of Signature (mm/dd/yyyy)

Form I-130A Edition 04/01/24

Page 5 of 6

Part 7. Additional Information

If you need extra space to provide any additional information
within this form, use the space below. If you need more space
than what is provided, you may make copies of this page to
complete and file with this form or attach a separate sheet of
paper. Type or print your name and A-Number (if any) at the
top of each sheet; indicate the Page Number, Part Number,
and Item Number to which your answer refers; and sign
and date each sheet

1.a.	Family Name (Last Name)
1.b.	Given Name (First Name)
1.c.	Middle Name

A-Number(if any)

A-

3.a.

Page Number

3.b.

Part Number

3.c.

Item Number

3.d.

4.a.

Page Number

4.b.

Part Number

4.c.

Item Number

4.d.

5.a.

Page Number

5.b.

Part Number

5.c.

Item Number

5.d.

6.a.

Page Number

6.b.

Part Number

6.c.

Item Number

6.d.

7.a.

Page Number

7.b.

Part Number

7.c.

Item Number

7.d.

Form I-130A Edition 04/01/24

Page 6 of 6

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Form I-130A (officially called the “Supplemental Information for Spouse Beneficiary,”) is used to provide additional information about the spouse beneficiary to support the Form I-130, Petition for Alien Relative.

Filing the I-130 petition with U.S. Citizenship and Immigration Services (USCIS), which is part of the U.S. Department of Homeland Security (DHS), is the first step in the family-based green card process. Filling the I-130A is the second step.

The beneficiary is responsible for filling out and signing the I-130A, while the petitioner completes the Form I-130.

You have the following responsibilities upon completion:

The signed form must be mailed directly to USCIS.
All the applicable USCIS fees must be paid by you

Disclaimer: Citizen Concierge is an independent firm that supplies self-governed immigration services. We are not associated with USCIS or any government agency and the data provided on this website is for general guidance about common immigration matters only - it should not be taken as legal advice. Additionally, as we are not a law practice of any kind, we cannot offer any form of lawful consultation. If you have questions that require professional legal expertise, please contact an attorney instead.

I understand and agree.

Let's first assess whether you meet the requirements for submitting Form I-130A. This form is typically filed by a U.S. citizen or permanent resident who is seeking to petition for their relative.

Please indicate your current immigration status by selecting one of the options provided. *

U.S. citizen Lawful permanent resident None of the above

Only a U.S. citizen, U.S. national, or lawful permanent resident (green card holder) is eligible to file this petition.

It appears that you are not eligible to file Form I-130A, Petition for Alien Relative, as you must be either a U.S. citizen or lawful permanent resident in order to do so. Therefore, you cannot proceed with this form at this time.

This petition is being file for my:*

Spouse

The petition for a spouse, parent, sibling, or child may be filed by a U.S. citizen.

This petition is being file for my:*

Spouse

The petition for a spouse, parent, sibling, or child may be filed by a U.S. citizen. A

Have you ever been a member of the U.S. armed forces and completed your service with honor?*

Yes No

Select "Yes" only if you served honorably in the U.S. Army, Marines, Navy, Air Force, Space Force or Coast Guard

Has your relative ever been involved in any immigration proceedings?*

Yes No

The terms "exclusion," "deportation," "removal," and "rescission" are often used interchangeably to describe immigration proceedings.

Has your relative ever been taken into custody by law enforcement?*

Yes No

It is important to note that certain criminal offenses can render your relative ineligible for permanent residency due to being considered inadmissible.

While you may meet the eligibility requirements for filing Form I-130A, your case appears to be complex. As a result, we strongly advise that you seek the guidance of an experienced immigration attorney instead of using our service.ation is complex.Therefore, we recommend that you consult with an experienced immigration attorney instead of using our service.

Based on your response, it appears that you may have a history that could complicate your situation and require the assistance of an immigration attorney. While you may still be eligible to file your petition, we strongly recommend that you first consult with an attorney to obtain additional guidance.

If you have already spoken to an attorney and/or wish to proceed with the filing process, please acknowledge that you understand the potential complications by selecting the appropriate option.

Was your permanent residency or U.S. citizenship obtained through the process of adoption?*

Yes No

While you may meet the eligibility requirements for filing Form I-130A, your case appears to be complex. As a result, we strongly advise that you seek the guidance of an experienced immigration attorney instead of using our service.ation is complex.Therefore, we recommend that you consult with an experienced immigration attorney instead of using our service.

Did you gain permanent residence through a prior marriage to a U.S. citizen or lawful permanent resident?*

Yes No

Please note that if you are filing a petition for your spouse, you are required to submit a completed Form I-130A along with Form I-130. We will provide you with a prepared Form I-130A at no additional cost. Additionally, if you have served in the U.S. Army, Marines, Navy, Air Force, Space Force or Coast Guard and received an honorable discharge, please select 'Yes'.

Have you been a lawful permanent resident for at least five years?*

Yes No

Has a court or legal authority ever determined that your spouse attempted or conspired to enter into a marriage for the purpose of evading U.S. immigration laws?*

Yes No

Did the prior marriage through which you gained your permanent residence end due to the death of your former spouse?*

Yes No

Has a court or legal authority ever determined that your spouse attempted or conspired to enter into a marriage for the purpose of evading U.S. immigration laws?*

Yes No

Please indicate whether your spouse has ever been involved in any acts of marriage fraud.

At the time of your marriage ceremony, were you and your spouse physically present together?*

Yes No

Please indicate whether you and your spouse were physically present together at the time of your wedding or ceremony.

While you may meet the eligibility requirements for filing Form I-130A, your case appears to be complex. As a result, we strongly advise that you seek the guidance of an experienced immigration attorney instead of using our service.

Are you currently 21 years of age or older?*

Yes No

Please note that in order to file the I-130A petition for a sibling or parent, you must be at least 21 years of age or older.

Are you related to this person through the process of adoption?*

Yes No

Sorry, based on your answer, you cannot continue. You must be at least 21 years of age to file Form I-130A for a brother, sister or parent.

Is your relationship with this brother or sister through a stepparent?*

Yes No

Was the marriage that established the relationship between you and your stepbrother/ stepsister formed prior to their 18th birthday?*

Yes No

Can you provide the name of the parent you share with your sibling?*

Father Mother

I apologize for any confusion caused. Based on your response indicating that the marriage which created the relationship between you and your stepbrother/stepsister took place after their 18th birthday, it appears that you may not petition for a stepparent or stepchild relationship. This is because immigration laws dictate that such a relationship cannot be established through a marriage that occurred after the child's 18th birthday.

Congratulations! Based on the information you have provided, it appears that you are likely eligible to prepare a Form I-130A Supplemental Information for Spouse Beneficiary.
Click on "Next".

Please indicate which of the following best describes your relationship with this parent:*

Biological child Stepchild Adopted child

Sorry, based on your answer, you cannot continue. You must be at least 21 years of age to file Form I-130A for a brother, sister or parent.

At the time of your birth, were your biological parents married to each other?*

Yes No

Did the marriage that created this relationship take place before your 18th birthday?*

Yes No

While you may meet the eligibility requirements for filing Form I-130A, your case appears to be complex. As a result, we strongly advise that you seek the guidance of an experienced immigration attorney instead of using our service.ation is complex. Therefore, we recommend that you consult with an experienced immigration attorney instead of using our service.

Was your marriage conducted through a video conferencing platform such as Zoom or Skype??*

Yes No

Indicate if your marriage was via video conference with the bride and groom at separate locations.

For Your Information: As long as your marriage was legal in the jurisdiction of the governing body that issued the marriage certificate, you may use it as a qualifying basis for immigration. We'll provide additional information in your filing instructions.

Did you and your mate perfect the marriage?*

Yes No

A marriage has been fulfilled once two or three has had sex.

Have you previously submitted a petition for more than one spouse?*

Yes No

If you have submitted two or more petitions for spouses in the past, please select "Yes".

Is your relative currently present in the United States?*

Yes No

Please indicate whether your relative is currently physically present in the United States.

I apologize for any confusion caused. Based on your response indicating that you have submitted multiple petitions for spouses in the past, it is possible that your case could receive additional scrutiny from USCIS. As a result, we strongly recommend that you seek the guidance of an experienced immigration attorney who can analyze your specific circumstances and assist you with preparing the petition.

Does your relative have the intention to remain in the United States and apply for permanent residency?*

Please indicate whether your relative intends to remain in the United States to adjust their status by selecting "Yes", or if they will depart the United States for consular processing by selecting "No".

Please indicate whether your relative plans to apply for a green card while inside the United States by filing Form I-485, Application to Adjust Status.

I apologize for any confusion caused. Based on your response indicating that your relative is physically present in the United States and plans to apply for a green card, we recommend that you proceed with our Adjustment of Status Service. Our package includes Form I-130 and Form I-130A (if applicable), as well as Form I-485 (Application to Adjust Status) for your relative.

Congratulations! Based on the information you have provided, it appears that you are likely eligible to prepare a Form I-130A Supplemental Information for Spouse Beneficiary.
Click on "Next".

Which parent do you share in common with your brother/sister?*

Biological parent Stepparent Adoptive parent

At the time of the child's birth, were you married to their other biological parent?*

Yes No

Was the marriage that established the relationship between you and your stepchild formed prior to their 18th birthday*

Yes No

Please note that there is no visa category available for married children of permanent residents. If your unmarried son or daughter marries before you become a U.S. citizen, any petition that you filed on their behalf will be automatically revoked. This message is provided for your information, and you may proceed with the form accordingly.

Is your son or daughter presently married?*

Yes No

Is the child presently unmarried and under the age of 21?*

Yes No

Is your relative presently located in the United States?*

Yes No

Please indicate whether your relative is currently physically present in the United States.

Does your relative have the intention to remain in the United States and apply for permanent residency?*

Yes, he/she will stay in the U.S. to adjust status. No, he/she will depart the U.S. for consular processing.

Please indicate whether your relative plans to apply for a green card while inside the United States by filing Form I-485, Application to Adjust Status.

While you may meet the eligibility requirements for filing Form I-130A, your case appears to be complex. As a result, we strongly advise that you seek the guidance of an experienced immigration attorney instead of using our service.ation is complex.Therefore, we recommend that you consult with an experienced immigration attorney instead of using our service.

Congratulations! Based on the information you have provided, it appears that you are likely eligible to prepare a Form I-130A Supplemental Information for Spouse Beneficiary.
Click on "Next".

Based on your answer, you cannot continue.There is no visa category for married children of permanent residents. However, if you naturalize as a U.S. citizen, you will be able to petition for a married son or daughter.

You should record Structure I-90 while in the Unified States.Form I-131A, Application for Movement Archive (Transporter Documentation), with the goal that you can get back to the US. For more data, this article will make sense of your choices.

Spouse’s for Petitioner’s Information

To begin the process, please provide information about the Petitioner. The Petitioner refers to the U.S. citizen or lawful permanent resident who will submit Form I-130A on behalf of the noncitizen relative (beneficiary).

Petitioner's Name

Please state your full legal name, including your middle name spelled out in its entirety. If you do not have a middle name, you may leave this field blank.

First Name*

Middle Name

Last Name*

Petitioner's Other Names

Please provide a list of all names you have used since birth, including any previous legal names such as a maiden name, as well as any nicknames you have been known by.

Have you at any point used a different name, such as a maiden name?*

Yes No

Please indicate whether you have ever used a maiden name, a name from a previous marriage, an alias, or any other name.

Other Names

First Name*

Middle Name

Last Name*

Biographic Information

NOTE: Provide the biographic information about you, the Petitioner

Gender/Sex *

Male Female

Identity*

Not Hispanic or Latino Hispanic or Latino

Race *

White Asian Black or African American American Indian or Alaska Native Native Hawaiian or Other Pacific Islander

Please select all relevant boxes that indicate your race.

Height*

feet inches

Weight*

lbs

Eye Color*

Gray Green Hazel Maroon Black Blue Brown Pink Unknown/Other

Please select the choice that best describes the usual color of your eyes.

Hair Color*

Blond Brown Gray Red Bald (no hair) Black Sandy White Unknown/Other

Please choose the option that most accurately describes the natural color of your hair.

Petitioner's Contact Information

Please provide your contact information so that USCIS can reach you. This will include your mobile phone number and/or email address, which will be used to create a complimentary Form G-1145 by Citizen Concierge. By submitting the G-1145 form along with Form I-130A, USCIS will be able to text and/or email you to notify you when they have accepted your petition for processing.

Daytime Phone Number*

Mobile Phone Number

E-mail

Birth Information

Date of Birth*

City or Town*

Enter the city, town or village where you were born.

Country Birth*

Please select the country where you were born. If you are unable to locate your country, please choose "Other".

We identified an issue. You are unable to proceed based on your response. Your status as a permanent resident is something you mentioned on the first page. This response lacks coherence. Change one of these responses, please.

Immigration Status

What was the process through which you obtained U.S. citizenship?*

Birth in the U.S. Naturalization Parents

Please indicate the method through which you acquired U.S. citizenship.

Have you received a Certificate of Citizenship?*

Yes No

Have you received a Certificate of Naturalization?*

Yes No

We have encountered an issue as your previous answer conflicts with your current response, preventing you from continuing. Please note that if you were born outside of the United States, you should not select "Birth in the U.S." as your place of birth.

Please provide the certificate number from your Certificate of Citizenship, which is typically a red 6- to 8-digit alphanumeric number. If you are unable to locate your certificate, please enter "Unknown". Additionally, please provide the city and state where the document was issued to you.

Please provide the certificate number from your Certificate of Naturalization, which is typically a red 6- to 8-digit alphanumeric number. If you are unable to locate your certificate, please enter "Unknown". Additionally, please provide the city and state where the document was issued to you.

Certificate Number*

Place of Issuance*

Date of Issuance*

Date of Admission

Date of Admission describes the date you were granted lawful permanent resident status or conditional permanent resident status. It is not necessarily the date you entered the country. You can find it on the front side of your Permanent Resident Card next to “Resident Since.” See the example illustration.

Date of Admission

Class of Admission

Class of Admission describes the immigrant category that was used to admit you to the U.S. as a permanent resident or conditional permanent resident. You can find the code on the front side of your Permanent Resident Card under “Category.” See the example illustration. If you do not know or cannot find your class of admission, you may select "Unknown."

Place of Admission

Please provide the city and state where you were granted admission. If you are unsure, you may enter "Unknown"

City

State

Alien Registration Number (A-Number)

Your "A-Number" is an 8- or 9-digit number that can be found on your green card. If you do not have a green card or an A-Number, please leave this field blank.

Social Security Number

Please enter a valid Social Security Number issued by the Social Security Administration. If you do not have a Social Security Number, please leave this field blank.

USCIS Online Account Number

If you have a USCIS Online Account Number, please enter it here. If you are not sure whether you have one or not, you may leave this field blank.

Please provide information about the spouse’s for petitioner’s parents and any marriages they have had (if applicable). This may include their names, dates of birth, and any other relevant details.

Information About Parent 1

Please provide information about Parent 1, who may be a biological, adoptive, or step parent. If you are unable to answer a question, "Unknown" is an acceptable response, provided that you have made a reasonable effort to obtain the information.

Parent 1's Current Legal Name

First Name*

Middle Name

Last Name*

Parent 1's Birth Information

Date of Birth

Sex*

Country Birth*

Is this parent deceased?

Yes No

Parent 1's Place of Residence

City*

Country*

Information About Parent 2

Please provide information about Parent 2, who may be a biological, adoptive, or step parent. If you are unable to answer a question, "Unknown" is an acceptable response, provided that you have made a reasonable effort to obtain the information.

Parent 2's Current Legal Name

First Name*

Middle Name

Last Name*

Parent 2's Birth Information

Date of Birth

Sex*

Country Birth *

Is this parent deceased?

Yes No

Parent 2's Place of Residence

City*

Country*

Spouse’s for Petitioner’s Marital Information

Marriage status*

Single and never married Married Widowed Divorced Separated Annulled

Spouse's Marital Information

How many times have you been married, including your current marriage?* What is the total number of times you have been married?*

Information about your Current Spouse

Please provide your current spouse's full legal name and details about your marriage, including any name changes that may have occurred through marriage.

Current Spouse's Full Name

First Name*

Middle Name

Last Name*

Date of Marriage*

Place of Marriage

Country*

State *

Zip Code *

Province *

Postal Code *

Information about your Prior Marriage(s)

Please provide the name of your prior spouse and the date on which the marriage ended due to divorce, annulment, or death. If you have been previously married more than once, please click on "Add Another Prior Marriage" and enter the details for each additional marriage.

Prior Marriage 1

First Name*

Middle Name

Last Name*

Date Marriage Ended*

Delete

Add Another Prior Marriage

Your response indicates a discrepancy between the number of marriages you listed and the number you reported earlier. To proceed, please adjust your responses so that the number of marriages matches the information you previously provided.

Spouse’s for Petitioner’s Address History

Along with your current mailing address, you will be required to provide information on your physical residences from the past five (5) years, whether they were located inside or outside of the United States.

Spouse's Mailing Address

You can provide a valid residential, APO, or commercial address as your mailing address. This may also include a Post Office address (P.O. Box) if that is where you typically receive your mail. If someone other than yourself will be receiving your mail, please include their name in the "In Care of Name" field. If your mailing address is located in a U.S. territory and includes an urbanization name, please list the urbanization name in the "In Care of Name" field.

In Care of Name

Street Number/Name*

Is there an at, suite or floor?

Enter number:

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Does your physical address match the mailing address you provided earlier?*

Yes No

Your physical address refers to the place where you currently reside or live.

Spouse's Current Physical Address

Please provide your current physical address, which may be a valid residential, APO, or commercial address. This can also include a Post Office address (P.O. Box) if you receive mail there. If someone else will be receiving your mail, please include their name in the "In Care of Name" field. If your address is located in a U.S. territory and includes an urbanization name, please list the urbanization name in the "In Care of Name" field.

Street Number/Name*

Is there an at, suite or floor?*

Enter number:

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Please provide the date when you started living at the address you provided above:*

Previous Address

Please list all physical addresses where you have lived within the past five (5) years. To add another address, please click on "Add Another Address".

Street Number/Name*

Is there an at, suite or floor?*

Enter number:

City/Town*

Country *

State*

ZIP Code*

Province*

Postal Code*

Date From :*

Delete

Add Another Address

Important:It seems that you have not provided sufficient information in the address history section. You need to provide at least five years of address history. Please click on "Add Another Address" to add another physical address that you have lived in, until you have provided a complete five-year history.

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Have you ever lived with your spouse?*

Yes No

Do you currently reside with your spouse?*

Yes No

Last Address with Your Spouse

Please provide the most recent physical address where you lived with your spouse. If you are currently living with your spouse, please provide your current address again.

Street Number/Name*

Is there an at, suite or floor? *

Enter number:

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Date From:*

Date To: *

Date From:*

Your Relative's Information

Please provide information about the relative (beneficiary) for whom you are seeking permanent residency (green card).

Your Relative's Name

Other Names

Please provide any other names that your relative has used in the past, including maiden names, previous married names, aliases, or nicknames.

Have you at any point used a different name, such as a maiden name?*

Yes No

Has your relative ever used a maiden name, a name from a previous marriage, an alias, or any other name? Please indicate.

First Name*

Middle Name

Last Name*

Your Relative's Contact Information

Daytime Phone Number*

Mobile Phone Number

E-mail

Birth Information

Date of Birth *

City*

Enter the city, town or village where your relative was born.

Country of Birth*

Select the country where your relative was born. If you cannot find the country, select "Other".

Sex*

Male Female

Your Relative's Immigration History

Has anyone else ever filed a petition on behalf of this relative?*

Yes No Unknown

Have any individuals or businesses ever filed a visa petition (such as I-129F, I-130, or I-140) for the beneficiary? Please select "Unknown" only if neither you nor the beneficiary knows whether a petition has been filed.

Is your relative currently present in the United States?*

Yes No

Please indicate whether your relative is currently physically present inside the United States.

Has your relative ever been present in the United States?*

Yes No

Has your relative ever made a visit to the United States?

Has your relative ever stayed in the United States beyond the expiration date of their visa? *

Yes No

Has your relative ever stayed in the United States beyond the authorized period of any of their previous visits?

Did your relative's overstay exceed a period of 180 days or more?*

Yes No

If a person departs from the United States after staying beyond the authorized period of their visa for 180 days or more, they may trigger bars to re-entry.

Based on your response, it appears that you may have a history that could complicateyour situation and require the assistance of an immigration attorney. While you may still be eligible to file your petition, we strongly recommend that you first consult with an attorney to obtain additional guidance.

If you have already spoken to an attorney and/or wish to proceed with the filing process, please acknowledge that you understand the potential complications by selecting the appropriate option.

Has your relative stayed in the United States beyond the expiration date of their current visa?*

Yes No

Is your relative currently present in the United States beyond the authorized period of their current stay?

It seems that there is an issue with your previous response. If your relative is currently staying in the United States beyond the authorized period of their stay, filing Form I-130A on their behalf can result in significant immigration problems for them. However, as an immediate relative, they may be eligible to adjust their status to permanent resident. I recommend reading this article on filing Form I-130 after a visa overstay for more information.

Your Relative's Current U.S. Trip

Please provide information about your relative's current trip to the United States.

Did your relative enter the United States legally?*

Yes No

Entering the United States illegally can have serious consequences and may make it difficult to immigrate in the future.

While you may meet the eligibility requirements for filing Form I-130A, your case appears to be complex. As a result, we strongly advise that you seek the guidance of an experienced immigration attorney instead of using our service.

I-94 Arrival/Departure Record

If your relative entered the U.S. lawfully, he/she would have been issued an I-94 Arrival/Departure Record. The information required to answer the next few questions can be found in your relative's I-94 record.

How to Find an I-94 Record
How to Read an I-94 Record

How to Find an I-94 Arrival/Departure Record

An I-94 is a record of arrival and departure issued by the U.S. Customs and Border Protection (CBP) when non-immigrants enter the United States with a valid visa. It confirms that the individual is legally entering the U.S. for a specific period and under a specific visa status.

Electronic I-94 Record
If the foreigner traveled to the United States by air or sea, they can usually access their I-94 Arrival/Departure Record electronically through the CBP I-94 website. If they are unable to find the electronic record, they should check their passport for a stamp. In certain cases, CBP may issue a physical I-94 stamp instead of an electronic record.

Paper I-94 Record
If the foreigner entered the US via land border ports of entry, they will likely receive a paper I-94 record from CBP. For those who arrived before May 2013 via air or sea, they may also have a paper I-94. The I-94 is a physical card, and the I-94 number, which is also known as the departure number, is usually located in the upper-left corner and consists of 11 digits.

If your relative is a Canadian visitor who entered the United States at a land border crossing, they may not have received an I-94 record. However, this is considered a lawful entry as long as they had a valid visa or parole at the time of entry, including under the Visa Waiver Program. If this is the case for your relative, you should provide all other information except for the I-94 number.

I-94 Number:*

Insert the I-94 number from the Arrival/Departure Record of your relative (I-94).

Class of Admission*

Date of Arrival*

Admit Until Date*

Passport/Travel Document

Please provide your passport (or travel document) information below, even if the document is currently expired.

Does your relative have a visa or travel report?*

Passport Travel document Neither

Passport Number*

Travel Document Number*

Country of Issuance for Passport or Travel Document*

Expiration Date*

Other Information

Alien Registration Number (A-Number)

Please only enter a valid A-Number for your relative. If your relative does not have an A-Number, you can leave this field blank.

Social Security Number

Please provide a valid Social Security Number issued by the Social Security Administration for your relative. If your relative was not issued a Social Security Number, you may leave this field blank.

USCIS Online Account Number

If your relative has a USCIS Online Account Number, please provide it here. If your relative does not have an account or is unsure if an account has been created, you may leave this field blank.

Relative's Address History

Please provide a list of your spouse's physical addresses for the past five years, regardless of whether they were located inside or outside the United States.

Your Relative's Current Address

Please provide the current physical address where your relative is currently residing. If your relative resides outside the United States and their home does not have a street number or name, you may leave these fields blank.

Street Number/Name

Is there an at, suite/floor?*

Enter number:*

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Date From:*

Has your relative lived at this address for at least one year?*

Yes No

Your Relative's Previous Address(es)

Your relative's previous address should be provided. In case there are additional addresses required to complete five years of history, you may click on the "Add Another Address" button.

Previous Address

Street Number/Name*

Is there an at, suite or floor?*

Enter number:

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Date From:*

Did your spouse live at this address for a duration of at least one year?*

Yes No

Delete

Add Another Previous Address

Important:It seems that you have not provided sufficient information in the address history section. You need to provide at least five years of address history. Please click on "Add Another Address" to add another physical address that you have lived in, until you have provided a complete five-year history.

You have provided of address history.

Your Relative's Address Abroad of at Least One Year

Please provide the address where your relative lived outside the United States for at least one year, even if it has been listed above. If the address is for a home without a street number or name, please leave those fields blank.

Street Number/Name*

Is there an at, suite or floor?

Enter number:

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Date From:*

Date To: *

Important:It seems that you have not provided sufficient information in the address history section. You need to provide at least five years of address history. Please click on "Add Another Address" to add another physical address that you have lived in, until you have provided a complete five-year history.

Your Relative's Future U.S. Address

Please provide the physical address in the United States where your relative plans to reside.

Do you have information about your relative's intended place of residence in the United States?*

Yes No

Street Number/Name*

Is there an at, suite or floor?*

Enter number:*

City/Town*

State *

ZIP Code *

Relative's Family Information

Please provide details about your relative's marital status and information about any family members.

Marriage status*

Single and never married Married Widowed Divorced Separated Annulled

Your Relative's Marital Information.

How many times has your relative been married?*

Include any current marriage in the number of times.

Your Relative's Current Marriage

First Name*

Middle Name

Last Name*

Date of Birth*

Country of Birth*

Date Marriage*

Information about your Prior Marriage(s)

Prior Marriage

First Name*

Middle Name

Last Name*

Date Marriage Ended*

Delete

Add Another Prior Marriage

Your response indicates a discrepancy between the number of marriages you listed and the number you reported earlier. To proceed, please adjust your responses so that the number of marriages matches the information you previously provided.

Your Relative's Children

Please provide the names and other required details of your relative's children who are under the age of 21 and unmarried, if any. It is important to include all children, even if they are already U.S. citizens or will not be immigrating to the U.S.

How many unmarried children under the age of 21 does your relative have?*

Child

First Name*

Middle Name

Last Name*

Relationship*

Date of Birth*

Country of Birth*

Delete11

Add Another Child

Your responses regarding the number of children provided do not match. Please adjust the number of children listed to match your previous response.

Information About Your Spouse's Parents

Please provide details about your spouse's parents, including biological, adoptive, or step-parents, and same-sex parents if applicable. If you are unable to obtain the information for any question, you may select "Unknown" as your answer.

Information About Parent 1

Please provide the requested information about your spouse's mother. You should enter her maiden name in the "Family Name" field.

Please provide the current legal name of your spouse's parent 1.

First Name*

Middle Name

Last Name*

Please provide the birth information for your spouse's parent 1

Date of Birth

Sex*

City*

Country Birth*

Is this parent deceased?

Yes No

Please provide the current physical address where your spouse's Parent 1 is currently residing.

City*

Country*

Information About Parent 2

Please provide the requested information about your spouse's father. You should enter her maiden name in the "Family Name" field.

Please provide the current legal name of your spouse's parent 2.

First Name*

Middle Name

Last Name*

Please provide the birth information for your spouse's parent 2

Date of Birth

Sex*

City*

Country Birth *

Is this parent deceased?

Yes No

Please provide the current physical address where your spouse's Parent 2 is currently residing.

City*

Country*

Your Spouse's Employment Information

Please provide information about your spouse's employment history for the past five years, whether they were working inside or outside the United States. If your spouse was employed within the U.S., make sure they were authorized to work in the country.

Can you provide information on whether your relative has had a job or been employed before?*

Yes No

In the most recent period up until today, what is the current employment status of your relative?*

Employed Self-Employed Unemployed - Student Unemployed - Homemaker Unemployed - Retired Unemployed

Name of Employer*

Street Number/Name*

Is there an at, suite or floor?

Enter number:

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Occupation*

Date From :*

Date From: *

Can you provide information about any other employers your relative has had in the last five years?*

Yes No

Previous Employer

Please select the option that best describes your relative's employment situation during the past five years, whether inside or outside the United States.*

Employed Self Employed

Name of Employer

Street Number/Name*

Is there an at, suite/floor?*

Enter number:

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Occupation*

Date From:*

Date To:

Delete

Add Another Previous Employer

Important:It seems that you have not provided sufficient information in the address history section. You need to provide at least five years of address history. Please click on "Add Another Address" to add another physical address that you have lived in, until you have provided a complete five-year history.

Other Information

Please provide additional information about your relative. This will help ensure that all necessary information is disclosed to USCIS for this and any future petitions.

Your Relative's Native Written Language

Please indicate whether your relative's native written language uses Roman letters. If the answer is negative, we will provide you with instructions on where to write your relative's name and address in their native written language. This information will be useful in case immigration officials need to contact your relative.

Is the written language of your relative's native language based on the Roman alphabet (letters such as A, B, C, etc.)?*

Yes No

Application for Permanent Residence

Please provide the location of the U.S. embassy or consulate where your relative will apply for the immigrant visa (permanent residence). You can use the link provided to look up the closest U.S. embassy or consulate. Show me a list of U.S. embassies >>

City or Town*

Province or State

Country*

Previous I-130A Petitions

Have you previously submitted a petition for this relative or any other individual?*

Yes No

Previously Filed I-130A Petition

Please provide information about any previous petition that you have filed for your relative, including the date of filing, the USCIS receipt number, and the reason for the denial or withdrawal of the petition if applicable. If you do not have all the information, it is acceptable to indicate "unknown" for those fields.

First Name*

Middle Name

Last Name*

City or Town*

State*

Date:*

Result of filing*

Delete

Add Another Previously Filed I-130A Petition

Future I-130A Petitions

Would you like to file separate petitions for any other relatives besides the one being petitioned for in this application?*

Yes No

Relative

Please provide the name and relationship of the family member for whom you intend to submit a petition.

First Name*

Middle Name

Last Name*

Relationship*

Delete

Add Another Relative

You're close to completing the form! We just need a few more details.

Interpreter

You are nearing the end of the form and there are just a few more details that need to be filled in*

Yes No

I confirm that I am able to read and comprehend English, and that I have read and understood every question and instruction in this application, as well as my responses to each question.*

Interpreter's Information

Which language was utilized to convert into English?*

Interpreter's First Name*

Interpreter's Last Name*

Interpreter's Business or Association Name

Street Number and Name*

Is there an apt, suite or floor?*

Enter number:*

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Interpreter's Contact Information

Daytime Phone Number*

Mobile Phone Number

E-mail

The interpreter named above read to me every question and instruction on this petition and my answer to every question in a language in which I am fluent. I understood all of this information as interpreted.

Interpreter for Spouse

Was an interpreter used to assist your spouse (the Beneficiary)?*

Yes No

If your spouse cannot comprehend English, please respond with a "Yes."

Who interpreted the part of the petition that belongs to your spouse?*

I am the Petitioner, and I interpreted for my spouse. Someone other than the Petitioner

Who was responsible for reading the questions and instructions, as well as translating the answers provided by the beneficiary spouse?.

Interpreter's Information

What language was used to translate the answers into English?*

Can you please provide me with the foreign language that was translated into English?

Interpreter's Full Name

First Name*

Middle Name

Last Name*

Business or Organization Name

Interpreter's Mailing Address

Street Number and Name*

Is there an apt, suite or floor?*

Enter number:*

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Interpreter's Contact Information

Daytime Phone Number*

Mobile Phone Number

E-mail

Preparer

Who was responsible for arranging this application?*

I am the petitioner, and I prepared this petition. I am not an attorney or accredited representative but have prepared this petition on behalf of the petitioner and with the petitioner's consent. I am an attorney or accredited representative of the petitioner that prepared this petition.

My portrayal of the candidate for this situation:

I am only assisting with the preparation of this application. My representation of the applicant goes beyond the preparation of this application.

Preparer's Information

First Name*

Middle Name

Last Name*

VOLAG Number*

State Bar Number*

USCIS Online Account Number*

Preparer's Business or Association Name

Preparer's Mailing Address

Street Number/Name*

Is there an apt, suite or floor?*

Enter Number*

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Preparer Contact Information

Daytime Phone Number*

Mobile Phone Number

E-mail

Did you also prepare the beneficiary's portion of this petition?*

Yes No

Indicate if you acted as the preparer by answering questions on behalf of your spouse.

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