GET STARTED
GET STARTED

I-485

Application to Register Permanent Residence
or Adjust Status
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-485
OMB No. 1615-0023
Expires 02/28/2026

For USCIS Use Only
Preference Category:
Country Chargeable:
Priority Date:
Date Form I-693 Received:
Receipt
Applicant Interviewed Interview
Waived
Date of
Initial Interview :___________________
Lawful Permanent
Resident as of:_____________________
Section of Law
Action Block
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
A-Number A-
NOTE TO ALL APPLICANTS:  If you do not completely fill out this application or fail to submit required documents listed in the Instructions, U.S. Citizenship and Immigration Services (USCIS) may deny your application.
Part 1. Information About You (Person applying for lawful permanent residence)
Your Current Legal Name (do not provide a nickname)
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name
Other Names You Have Used Since Birth (if applicable)
NOTE:   Provide all other names you have ever used, including
your family name at birth, other legal names, nicknames,
aliases, and assumed names. If you need extra space to
complete this section, use the space provided in Part 14.
Additional Information.
2.a. Family Name
(Last Name)
2.b. Given Name
(First Name)
2.c. Middle Name
3.a. Family Name
(Last Name)
3.b. Given Name
(First Name)
3.c. Middle Name
4.a. Family Name
(Last Name)
4.b. Given Name
(First Name)
4.c. Middle Name
Other Information About You
5. Date of Birth (mm/dd/yyyy)
NOTE: In addition to providing your actual date of birth, include any other dates of birth you have used in connection with any legal names or non-legal names in the space provided in Part 14. Additional Information.
6. Sex Male Female
7. City or Town of Birth
Form I-485 Edition 02/21/23 Page 1 of 20
A-Number A-
Part 1. Information About You (Person applying for lawful permanent residence) (continued)
8. Country of Birth
9. Country of Citizenship or Nationality
10. Alien Registration Number (A-Number) (if any)
A-
NOTE: If you have EVER used other A-Numbers,
include the additional A-Numbers in the space provided
in Part 14. Additional Information
11. USCIS Online Account Number (if any)
U.S. Mailing Address
12.a. In Care Of Name (if any)
12.b. Street Number
and Name
12.c.
12.d. City or Town
12.e. State
12.f. ZIP Code
Alternate and/or Safe Mailling Address
If you are applying based on the Violence Against Women Act
(VAWA) or as a special immigrant juvenile, human trafficking
victim (T nonimmigrant), or victim of a qualifying crime (U
nonimmigrant) and you do not want USCIS to send notices
about this application to your home, you may provide an
alternative and/or safe mailing address.
13.a. In Care Of Name (if any)
13.b. Street Number
and Name
13.c.
13.d. City or Town
13.e. State
13.f. ZIP Code
Social Security Card
14. Has the Social Security Administration (SSA) ever
officially issued a Social Security card to you?
If you answered “Yes,” provide the information requested
in Item Number 15.
15. Provide your U.S. Social Security Number (SSN).
16. Do you want the SSA to issue you a Social Security card ?
(You must also answer “Yes” to Item Number 17.
Consent for Disclosure, to receive a card).
17. Consent for Disclosure: I authorize disclosure of
information from this application to the SSA as required
for the purpose of assigning me an SSN and issuing me a
Social Security Card.
Recent Immigration History
Provide the information for Item Numbers 18. - 24. if you last
entered the United States using a passport or travel document.
18. Passport Number Used at Last Arrival
19. Travel Document Number Used at Last Arrival
20. Expiration Date of this Passport or Travel Document
(mm/dd/yyyy)
21. Country that Issued this Passport or Travel Document
22. Nonimmigrant Visa Number from this Passport (if any)
Place of Last Arrival into the United States
23.a. City or Town
23.b. State
24. Date of Last Arrival (mm/dd/yyyy)
Form I-90 Edition 11/02/22 Page 2 of 20
A-Number A-
Part 1. Information About You (Person applying for lawful permanent residence) (continued)
When I last arrived in the United States, I:
25.a. Was inspected at a port of entry and admitted as (for example, exchange visitor; visitor, waived through; temporary worker; student):
25.b. Was inspected at a port of entry and paroled as (for example, humanitarian parole, Cuban parole):
25.c. Came into the United States without admission or parole.
25.d. Other:
If you were issued a Form I-94 Arrival-Departure Record Number:
26.a. Form I-94 Arrival-Departure Record Number
26.b. Expiration Date of Authorized Stay Shown on Form I-94
(mm/dd/yyyy)
26.c. Status on Form I-94 (for example, class of admission, or paroled, if paroled)
27. What is your current immigration status (if it has changed since your arrival)?
Provide your name exactly as it appears on your Form I-94 (if any)
28.a. Family Name
(Last Name)
28.b. Given Name
(First Name)
28.c. Middle Name
Part 2. Application Type or Filing Category
Attach a copy of the Form I-797 receipt or approval notice for the underlying petition or application, as appropriate.
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.):
1.a. 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
1.b. Employment-based
Alien worker, Form I-140
Alien entrepreneur, Form I-526
1.c. 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
1.d. 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
1.e. Human Trafficking Victim or Crime Victim
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
Form I-90 Edition 11/02/22 Page 3 of 20
A-Number A-
Part 2. Application Type or Filing Category (continued)
1.f. 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 (Section 13 of the Act of September 11, 1957)
Indochinese Parole Adjustment Act of 2000
1.g. 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 eligibility
2. Are you applying for adjustment based on the Immigration and Nationality Act (INA) section 245(i)?
NOTE: : If you answered "Yes" to Item Number 2., you
must have selected a family-based, employment-based,
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
of this application and Supplement A to Form I-485,
Adjustment of Status Under Section 245(i) (Supplement
A). For detailed filing instructions, read the Form I-485
Instructions (including any Additional Instructions that
relate to the immigrant category that you selected in Item
Numbers 1.a. - 1.g.) and Supplement A Instructions.
Information About Your Immigrant Category
If you are the principal applicant, provide the following
information.
3. Receipt Number of Underlying Petition (if any)
4. Priority Date from Underlying Petition (if any)
(mm/dd/yyyy)
If you are a derivative applicant (the spouse or unmarried
child under 21 years of age of a principal applicant), provide the
following information for the principal applicant
Principal Applicant's Name
5.a. Family Name
(Last Name)
5.b. Given Name
(First Name)
5.c. Middle Name
6. Principal Applicant's A-Number (if any)
A-
7. Principal Applicant's Date of Birth
(mm/dd/yyyy)
8. Receipt Number of Principal's Underlying Petition (if any)
9. Priority Date of Principal Applicant's Underlying Petition (if any) (mm/dd/yyyy)
Part 3. Additional Information About You
1. Have you EVER applied for an immigrant visa to obtain
permanent resident status at a U.S. Embassy or U.S.
Consulate abroad?
If you answered "Yes" to Item Number 1., complete
Item Numbers 2.a. - 4. below. If you need extra space to
complete this section, use the space provided in Part 14.
Additional Information.
Location of U.S. Embassy or U.S. Consulate
2.a. City
2.b. Country
3. Decision (for example, approved, refused, denied,
withdrawn)
4. Date of Decision (mm/dd/yyyy)
Form I-485 Edition 02/21/23 Page 4 of 20
A-Number A-
Part 3. Processing Information (continued)
Address History
Provide physical addresses for everywhere you have lived during 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 14. Additional Information.
Physical Address 1 (current address)
5.a. Street Number
and Name
5.b.
5.c. City or Town
5.d. State
5.e. ZIP Code
5.f. Province
5.g. Postal Code
5.h. Country
Dates of Residence
6.a. From (mm/dd/yyyy)
6.b. To (mm/dd/yyyy)
Physical Address 2
7.a. Street Number
and Name
7.b.
7.c. City or Town
7.d. State
7.e. ZIP Code
7.f. Province
7.g. Postal Code
7.h. Country
Dates of Residence
8.a. From (mm/dd/yyyy)
8.b. To (mm/dd/yyyy)
Provide your most recent address outside the United States where you lived for more than one year (if not already listed above).
9.a. Street Number
and Name
9.b.
9.c. City or Town
9.d. State
9.e. ZIP Code
9.f. Province
9.g. Postal Code
9.h. Country
Dates of Residence
10.a. From (mm/dd/yyyy)
10.b. To (mm/dd/yyyy)
Employment History
Provide your employment history for the last five years,
whether inside or outside the United States. Provide the most
recent employment first. If you need extra space to complete
this section, use the space provided in Part 14. Additional
Information.
Employer 1 (current or most recent)
11. Name of Employer or Company
Address of Employer or Company
12.a. Street Number
and Name
12.b.
12.c. City or Town
12.d. State
12.e. ZIP Code
12.f. Province
12.g. Postal Code
12.h. Country
13. Your Occupation
Form I-485 Edition 02/21/23 Page 5 of 20
A-Number A-
Part 3. Additional Information About You (continued)
Dates of Employment
14.a. From (mm/dd/yyyy)
14.b. To (mm/dd/yyyy)
Employer 2
15. Name of Employer or Company
Address of Employer or Company
16.a. Street Number
and Name
16.b.
16.c. City or Town
16.d. State
16.e. ZIP Code
16.f. Province
16.g. Postal Code
16.h. Country
17. Your Occupation
Dates of Employment
18.a. From (mm/dd/yyyy)
18.b. To (mm/dd/yyyy)
Provide your most recent employment outside of the United
States (if not already listed above).
19. Name of Employer or Company
Address of Employer or Company
20.a. Street Number
and Name
20.b.
20.c. City or Town
20.d. State
20.e. ZIP Code
20.f. Province
20.g. Postal Code
20.h. Country
21. Your Occupation
Dates of Employment
22.a. From (mm/dd/yyyy)
22.b. To (mm/dd/yyyy)
Part 4. Information About Your Parents
Information About Your Parent 1
Parent 1's Legal Name
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name
Parent 1's Name at Birth (if different than above)
2.a. Family Name
(Last Name)
2.b. Given Name
(First Name)
2.c. Middle Name
3. Date of Birth (mm/dd/yyyy)
4. Sex Male Female
5. City or Town of Birth
6. Country of Birth
Form I-485 Edition 02/21/23 Page 6 of 20
A-Number A-
Part 4. Information About Your Parents (continued)
7. Current City or Town of Residence (if living)
8. Current Country of Residence (if living)
Information About Your Parent 2
Parent 2's Legal Name
9.a. Family Name
(Last Name)
9.b. Given Name
(First Name)
9.c. Middle Name
Parent 2's Name at Birth (if different than above)
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 or Town of Birth
14. Country of Birth
15. Current City or Town of Residence (if living)
16. Current Country of Residence (if living)
Part 5. Information About Your Marital History
1. What is your current marital status?
  Single, Never Married  Married  Divorced
 Widowed  Marriage Annulled
 Legally Separated
2. If you are married, is your spouse a current member of the U.S. armed forces or U.S. Coast Guard?
N/A  Yes  No 
3. How many times have you been married (including annulled marriages and marriages to the same person)?
Information About Your Current Marriage
(including if you are legally separated)
If you are currently married, provide the following information about your current spouse.
Current Spouse's Legal Name
4.a. Family Name
(Last Name)
4.b. Given Name
(First Name)
4.c. Middle Name
5. A-Number (if any)
A-
6. Current Spouse's Date of Birth (mm/dd/yyyy)
7. Date of Marriage to Current Spouse (mm/dd/yyyy)
Current Spouse's Place of Birth
8.a. City or Town
8.b. State or Province
8.c. Country
Place of Marriage to Current Spouse
9.a. City or Town
9.b. State or Province
9.c. Country
10. Is your current spouse applying with you?
Form I-485 Edition 02/21/23 Page 7 of 20
A-Number A-
Part 5. Information About Your Marital History(continued)
Information About Prior Marriages (if any)
If you have been married before, whether in the United States or in any other country, provide the following information about your prior spouse. If you have had more than one previous marriage, use the space provided in Part 14. Additional Information to provide the information below.
Prior Spouse's Legal Name (provide family name before marriage)
11.a. Family Name
(Last Name)
11.b. Given Name
(First Name)
11.c. Middle Name
12. Prior Spouse's Date of Birth (mm/dd/yyyy)
13. Date of Marriage to Prior Spouse (mm/dd/yyyy)
Place of Marriage to Prior Spouse
14.a. City or Town
14.b. State or Province
14.c. Country
15. Date Marriage with Prior Spouse Legally Ended
(mm/dd/yyyy)
Place Where Marriage with Prior Spouse Legally Ended
16.a. City or Town
16.b. State or Province
16.c. Country
Part 6. Information About Your Children
1. Indicate the total number of ALL living children
(including adult sons and daughters) that you have.
NOTE: The term “children” includes all biological or
legally adopted children, as well as current stepchildren,
of any age, whether born in the United States or other
countries, married or unmarried, living with you or
elsewhere and includes any missing children and those
born to you outside of marriage.
Provide the following information for each of your children.
If you have more than three children, use the space provided in
Part 14. Additional Information
Child 1
Current Legal Name
2.a. Family Name
(Last Name)
2.b. Given Name
(First Name)
2.c. Middle Name
3. A-Number (if any)
A-
4. Date of Birth (mm/dd/yyyy)
5. Country of Birth
6. Is this child applying with you?
Child 2
Current Legal Name
7.a. Family Name
(Last Name)
7.b. Given Name
(First Name)
7.c. Middle Name
8.. A-Number (if any)
A-
9. Date of Birth (mm/dd/yyyy)
10. Country of Birth
11. Is this child applying with you?
Form I-485 Edition 02/21/23 Page 8 of 20
A-Number A-
Part 6. Information About Your Children (continued)
Child 3
Current Legal Name
12.a. Family Name
(Last Name)
12.b. Given Name
(First Name)
12.c. Middle Name
13. A-Number (if any)
A-
14. Date of Birth (mm/dd/yyyy)
15. Country of Birth
16. Is this child applying with you?
Part 7. Biographic Information
1. Ethnicity (Select only one box)
  Hispanic or Latino
  Not Hispanic or Latino
2. Race (Select all applicable boxes)
  White
  Asian
  Black or African American
  American Indian or Alaska Native
  Native Hawaiian or Other Pacific Islander
3. Height Feet Inches
4. Weight Pounds
5. Eye Color (Select only one box)
  Black  Blue   Brown
  Gray   Green   Hazel
 Maroon  Pink  Unknown/Other
6. Hair Color (Select only one box)
  Bald (No hair)   Black   Blond
 Brown   Gray  Red
 Sandy  White  Unknown/Other
Part 8. General Eligibility and Inadmissibility Grounds
1. Have you EVER been a member of, involved in, or in
any way associated with any organization, association,
fund, foundation, party, club, society, or similar group in
the United States or in any other location in the world
including any military service?
If you answered "Yes" to Item Number 1., complete Item Numbers 2. - 13.b. below. If you need extra space to complete this section, use the space provided in Part 14. Additional Information. If you answered "No," but are unsure of your answer, provide an explanation of the events and circumstances in the space provided in Part 14. Additional Information.
Organization 1
2. Name of Organization
3.a. City or Town
3.b. State or Province
3.c. Country
4. Nature of Group
Dates of Membership or Dates of Involvement
5.a. From (mm/dd/yyyy)
5.b. To (mm/dd/yyyy)
Organization 2
6. Name of Organization
7.a. City or Town
7.b. State or Province
7.c. Country
8. Nature of Group
Form I-485 Edition 02/21/23 Page 9 of 20
A-Number A-
Part 8. General Eligibility and Inadmissibility Grounds (continued)
Dates of Membership or Dates of Involvement
9.a. From (mm/dd/yyyy)
9.b. To (mm/dd/yyyy)
Organization 3
10. Name of Organization
11.a. City or Town
11.b. State or Province
11.c. Country
12. Nature of Group
Dates of Membership or Dates of Involvement
13.a. From (mm/dd/yyyy)
13.b. To (mm/dd/yyyy)
Answer Item Numbers 14. - 86.b. Choose the answer that you
think is correct. If you answer “Yes” to any questions (or if
you answer "No," but are unsure of your answer), provide
an explanation of the events and circumstances in the space
provided in Part 14. Additional Information
14. Have you EVER been denied admission to the United States?
15. Have you EVER been denied a visa to the United States?
16. Have you EVER worked in the United States without authorization?
17. Have you EVER violated the terms or conditions of your nonimmigrant status?
18. Are you presently or have you EVER been in removal,
exclusion, rescission, or deportation proceedings?
19. Have you EVER been issued a final order of exclusion, deportation, or removal?
20. Have you EVER had a prior final order of exclusion, deportation, or removal reinstated?
21. Have you EVER held lawful permanent resident status which was later rescinded?
22. Have you EVER been granted voluntary departure by an immigration officer or an immigration judge but failed to depart within the allotted time?
23. Have you EVER applied for any kind of relief or protection from removal, exclusion, or deportation?
24.a. Have you EVER been a J nonimmigrant exchange visitor who was subject to the two-year foreign residence requirement?
If you answered "Yes" to Item Number 24.a., complete Item Numbers 24.b. - 24.c. If you answered "No" to Item Number 24.a., skip to Item Number 25.
24.b. Have you complied with the foreign residence requirement?
24.c. Have you been granted a waiver or has Department of
State issued a favorable waiver recommendation letter
for you?
Criminal Acts and Violations
For Item Numbers 25. - 45., you must answer "Yes" to any
question that applies to you, even if your records were sealed or
otherwise cleared, or even if anyone, including a judge, law
enforcement officer, or attorney, told you that you no longer
have a record. You must also answer "Yes" to the following
questions whether the action or offense occurred here in the
United States or anywhere else in the world. If you answer
"Yes" to Item Numbers 25. - 45., use the space provided in
Part 14. Additional Information to provide an explanation
that includes why you were arrested, cited, detained, or charged;
where you were arrested, cited, detained, or charged; when
(date) the event occurred; and the outcome or disposition (for
example, no charges filed, charges dismissed, jail, probation,
community service).
25. 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)?
26. Have you EVER committed a crime of any kind (even if
you were not arrested, cited, charged with, or tried for that
crime)?
Form I-485 Edition 02/21/23 Page 10 of 20
A-Number A-
Part 8. General Eligibility and Inadmissibility Grounds (continued)
27. 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)?
NOTE: If you were the beneficiary of a pardon, amnesty,
a rehabilitation decree, or other act of clemency, provide
documentation of that post-conviction action.
28. 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)?
29. 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)?
30. 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?
31. 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?
32. Have you EVER illicitly (illegally) trafficked or benefited
from the trafficking of any controlled substances, such as
chemicals, illegal drugs, or narcotics?
33. Have you EVER knowingly aided, abetted, assisted,
conspired, or colluded in the illicit trafficking of any
illegal narcotic or other controlled substances?
34. 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?
35. Have you EVER engaged in prostitution or are you
coming to the United States to engage in prostitution?
36. Have you EVER directly or indirectly procured (or
attempted to procure) or imported prostitutes or persons
for the purpose of prostitution?
37. Have you EVER received any proceeds or money from
prostitution?
38. 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?
39. Have you EVER exercised immunity (diplomatic or
otherwise) to avoid being prosecuted for a criminal
offense in the United States?
40. Have you EVER, while serving as a foreign government
official, been responsible for or directly carried out
violations of religious freedoms?
41. Have you EVER induced by force, fraud, or coercion (or
otherwise been involved in) the trafficking of persons for
commercial sex acts?
42. Have you EVER trafficked a person into involuntary
servitude, peonage, debt bondage, or slavery? Trafficking
includes recruiting, harboring, transporting, providing, or
obtaining a person for labor or services through the use of
force, fraud, or coercion.
43. Have you EVER knowingly aided, abetted, assisted,
conspired, or colluded with others in trafficking persons
for commercial sex acts or involuntary servitude,
peonage, debt bondage, or slavery?
44. Are you the spouse, son or daughter of a foreign national
who engaged in the trafficking of persons and have
received or obtained, within the last five years, any
financial or other benefits from the illicit activity of your
spouse or your parent, although you knew or reasonably
should have known that this benefit resulted from the illicit
activity of your spouse or parent?
45. 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?
Form I-485 Edition 02/21/23 Page 11 of 20
A-Number A-
Part 8. General Eligibility and Inadmissibility Grounds (continued)
Security and Related
Do you intend to:
46.a. Engage in any activity that violates or evades any law
relating to espionage (including spying) or sabotage in the
United States?
46.b. 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?
46.c. 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?
46.d. Engage in any activity that could endanger the welfare,
safety, or security of the United States?
46.e. Engage in any other unlawful activity?
47. Are you engaged in or, upon your entry into the United
States, do you intend to engage in any activity that could
have potentially serious adverse foreign policy
consequences for the United States?
Have you EVER:
48.a. Committed, threatened to commit, attempted to commit,
conspired to commit, incited, endorsed, advocated,
planned, or prepared any of the following: hijacking,
sabotage, kidnapping, political assassination, or use of a
weapon or explosive to harm another individual or cause
substantial damage to property?
48.b. Participated in, or been a member of, a group
or organization that did any of the activities described in
Item Number 48.a.?
48.c. Recruited members or asked for money or things of value
for a group or organization that did any of the activities
described in Item Number 48.a.?
48.d. Provided money, a thing of value, services or labor, or
any other assistance or support for any of the activities
described in Item Number 48.a. ?
48.e. Provided money, a thing of value, services or labor, or
any other assistance or support for an individual, group,
or organization who did any of the activities described in
Item Number 48.a.?
49. Have you EVER received any type of military,
paramilitary, or weapons training?
50. Do you intend to engage in any of the activities listed in
any part of Item Numbers 48.a. - 49.?
NOTE: If you answered “Yes” to any part of Item Numbers
46.a. - 50., explain what you did, including the dates and
location of the circumstances, or what you intend to do in the
space provided in Part 14. Additional Information.
Are you the spouse or child of an individual who EVER:
51.a. Committed, threatened to commit, attempted to commit,
conspired to commit, incited, endorsed, advocated,
planned, or prepared any of the following: hijacking,
sabotage, kidnapping, political assassination, or use of a
weapon or explosive to harm another individual or cause
substantial damage to property?
51.b. Participated in, or been a member or a representative of a
group or organization that did any of the activities
described in Item Number 51.a. ?
51.c. Recruited members, or asked for money or things of value,
for a group or organization that did any of the activities
described in Item Number 51.a.?
51.d. Provided money, a thing of value, services or labor, or
any other assistance or support for any of the activities
described in Item Number 51.a.?
51.e. Provided money, a thing of value, services or labor, or
any other assistance or support to an individual, group, or
organization who did any of the activities described in
Item Number 51.a.?
51.f Received any type of military, paramilitary, or weapons
training from a group or organization that did any of the
activities described in Item Number 51.a.?
NOTE: If you answered “Yes” to any part of Item Number
51., explain the relationship and what occurred, including the
dates and location of the circumstances, in the space provided
in Part 14. Additional Information.
52. Have you EVER assisted or participated in selling,
providing, or transporting weapons to any person who,
to your knowledge, used them against another person?
Form I-485 Edition 02/21/23 Page 12 of 20
A-Number A-
Part 8. General Eligibility and Inadmissibility Grounds (continued)
53. 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?
54. 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?
55. 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?
56. 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)?
57. During the period from March 23, 1933 to May 8, 1945,
did you ever order, incite, assist, or otherwise participate
in the persecution of any person because of race, religion,
national origin, or political opinion, in association with
either the Nazi government of Germany or any
organization or government associated or allied with the
Nazi government of Germany?
Have you EVER ordered, incited, called for, committed, assisted,
helped with, or otherwise participated in any of the following:
58.a.
Acts involving torture or genocide?
58.b.
Killing any person?
58.c. Intentionally and severely injuring any person?
58.d. 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?
58.e. Limiting or denying any person's ability to exercise
religious beliefs? >
59. 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?
60. Have you EVER used any person under 15 years of age
to take part in hostilities, or to help or provide services to
people in combat?
NOTE: If you answered “Yes” to any part of Item Numbers
52. - 60., explain what occurred, including the dates and
location of the circumstances, in the space provided in Part 14.
Additional Information.
Public Charge
61. Are you subject to the public charge ground of inadmissibility under INA section 212(a)(4)?
If you answered “Yes” to Item Number 61., complete Item Numbers 62. - 68.d. below. If you answered “No” to Item Number 61., go to Item Number 69.a. If you need extra space to complete this section, use the space provided in Part 14. Additional Information.
62. What is the size of your household?
63. Indicate your annual household income.
64. Identify the total value of your household assets
Form I-485 Edition 02/21/23 Page 13 of 20
A-Number A-
Part 8. General Eligibility and Inadmissibility Grounds (continued)
65. Identify the total value of your household liabilities (including both secured and unsecured liabilities).
  $0   $1-10,100   $10,101-57,700   $57,701-186,800   Over $186,800
66. What is the highest degree or level of school you have completed?
  Grades 1 through 11   12th grade - no diploma   High school diploma, GED, or alternative credential
  1 or more years of college credit, no degree   Associate's degree   Bachelor's degree
  Master's degree  Professional degree (JD, MD, DMD, etc.)   Doctorate degree
67. List your certifications, licenses, skills obtained through work experience, and educational certificates
68.a. Have you EVER received Supplemental Security Income (SSI), Temporary Assistance for Needy Families (TANF), or State, Tribal, territorial, or local, cash benefit programs for income maintenance (often called “General Assistance” in the State context, but which also exist under other names)?
68.b. Have you EVER received long-term institutionalization at government expense?
68.c. If your answer to Item Number 68.a. is “Yes,” list the specific benefit(s) you received, the start and end dates of each period of receipt, and the dollar amount of benefits received.
Benefit Received Start Date End Date Dollar Amount
68.d. If your answer to Item Number 68.b. is “Yes,” list the name, city, and state for each institution, the start and end dates of each period of institutionalization, and the reason you were institutionalized.
Institution Name/City/State Date From Date To Reason
Form I-485 Edition 02/21/23 Page 14 of 20
A-Number A-
Part 8. General Eligibility and Inadmissibility Grounds (continued)
Illegal Entries and Other Immigration Violations
69.a. Have you EVER failed or refused to attend or to remain
in attendance at any removal proceeding filed against you
on or after April 1, 1997?
69.b. If your answer to Item Number 69.a. is "Yes," do you
believe you had reasonable cause?
69.c. If your answer to Item Number 69.b. is "Yes," attach a
written statement explaining why you had reasonable
cause.
70. Have you EVER submitted fraudulent or counterfeit
documentation to any U.S. Government official to obtain
or attempt to obtain any immigration benefit, including a
visa or entry into the United States?
71. Have you EVER lied about, concealed, or misrepresented
any information on an application or petition to obtain a
visa, other documentation required for entry into the
United States, admission to the United States, or any other
kind of immigration benefit?
72. Have you EVER falsely claimed to be a U.S. citizen (in
writing or any other way)?
73. Have you EVER been a stowaway on a vessel or aircraft
arriving in the United States?
74. Have you EVER knowingly encouraged, induced,
assisted, abetted, or aided any foreign national to enter or
to try to enter the United States illegally (alien
smuggling)?
75. Are you under a final order of civil penalty for violating
INA section 274C for use of fraudulent documents?
Removal, Unlawful Presence, or Illegal Reentry
After Previous Immigration Violations
76. Have you EVER been excluded, deported, or removed
from the United States or have you ever departed the
United States on your own after having been ordered
excluded, deported, or removed from the United States?
77. Have you EVER entered the United States without being
inspected and admitted or paroled?
Since April 1, 1997, have you been unlawfully present in the
United States:
78.a. For more than 180 days but less than a year, and then
departed the United States?
78.b For one year or more and then departed the United States?
NOTE: You were unlawfully present in the United States if
you entered the United States without being inspected and
admitted or inspected and paroled, or if you legally entered the
United States but you stayed longer than permitted.
Since April 1, 1997, have you EVERreentered or attempted to
reenter the United States without being inspected and admitted
or paroled after:
79.a Having been unlawfully present in the United States for
more than one year in the aggregate?
79.b Having been deported, excluded, or removed from the
United States?
Miscellaneous Conduct
80. Do you plan to practice polygamy in the United States?
81. Are you accompanying another foreign national who
requires your protection or guardianship but who is
inadmissible after being certified by a medical officer as
being helpless from sickness, physical or mental
disability, or infancy, as described in INA section 232(c)?
82. Have you EVER assisted in detaining, retaining, or
withholding custody of a U.S. citizen child outside the
United States from a U.S. citizen who has been granted
custody of the child?
83. Have you EVER voted in violation of any Federal, state,
or local constitutional provision, statute, ordinance, or
regulation in the United States?
84. Have you EVER renounced U.S. citizenship to avoid
being taxed by the United States?
Have you EVER:
85.a. Applied for exemption or discharge from training or
service in the U.S. armed forces or in the U.S. National
Security Training Corps on the ground that you are a
foreign national?
Form I-485 Edition 02/21/23 Page 15 of 20
A-Number A-
Part 8. General Eligibility and Inadmissibility Grounds (continued)
85.b. Been relieved or discharged from such training or service on the ground that you are a foreign national?
85.c. Been convicted of desertion from the U.S. armed forces?
86.a. Have you EVER left or remained outside the United
States to avoid or evade training or service in the U.S.
armed forces in time of war or a period declared by the
President to be a national emergency?
86.b. If your answer to Item Number 86.a. is “Yes,” what was your nationality or immigration status immediately before you left (for example, U.S. citizen or national, lawful permanent resident, nonimmigrant, parolee, present without admission or parole, or any other status)?
Part 9. Accommodations for Individuals With Disabilities and/or Impairments
NOTE: Read the information in the Form I-485 Instructions before completing this part.
1. Are you requesting an accommodation because of your disabilities and/or impairments?
If you answered "Yes" to Item Number 1., select any applicable box in Item Numbers 2.a. - 2.c. and provide an answer.
2.a.
I am deaf or hard of hearing and request the
following accommodation. (If you are requesting a
sign-language interpreter, indicate for which
language (for example, American Sign Language).):
2.b.
I am blind or have low vision and request the
following accommodation:
2.c.
I have another type of disability and/or impairment.
(Describe the nature of your disability and/or
impairment and the accommodation you are requesting.)
Part 10. Applicant's Statement, Contact Information, Declaration, Certification, and Signature
NOTE: Read the Penalties section of the Form I-485
Instructions before completing this part. You must file Form
I-485 while in the United States.
Applicant'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
application and my answer to every question.
1.b. The interpreter named in Part 11. read to me every
question and instruction on this application and my
answer to every question in
a language in which I am fluent, and I understood
everything.
2. At my request, the preparer named in Part 12.,
prepared this application for me based only upon
information I provided or authorized
Applicant's Contact Information
3. Applicant's Daytime Telephone Number
4. Applicant's Mobile Telephone Number (if any)
5. Applicant's Email Address (if any)
Form I-485 Edition 02/21/23 Page 16 of 20
A-Number A-
Part 10. Applicant's Statement, Contact Information, Declaration, Certification, and Signature (continued)
Applicant's Declaration and 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 and all of my records that USCIS may need to
determine my eligibility for the immigration benefit that I seek.
I understand that if I am a male who is 18 to 26 years of age,
submitting this application will automatically register me with
the Selective Service System as required by the Military
Selective Service Act.
I furthermore authorize release of information contained in this
application, in supporting documents, and in my USCIS
records, to other entities and persons where necessary for the
administration and enforcement of U.S. immigration law
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 understood all of the information
contained in, and submitted with, my application; and
2) All of this information was complete, true, and correct at
the time of filing
I certify, under penalty of perjury, that all of the information in
my application and any document submitted with it were
provided or authorized by me, that I reviewed and understand
all of the information contained in, and submitted with, my
application and that all of this information is complete, true, and
correct.
Applicant's Signature
6.a.
Applicant's Signature (sign in ink)
6.b. Date of Signature (mm/dd/yyyy)
NOTE TO ALL APPLICANTS: If you do not completely fill
out this application or fail to submit required documents listed
in the Instructions, USCIS may deny your application.
Part 11. Interpreter's Contact Information, Certification, and Signature
Provide the following information about the interpreter.
Interpreter's Full Name
1.a. Interpreter's Last Name
1.b. Interpreter's First Name
2. Interpreter's Business or Organization Name (if any)
Interpreter's Mailing Address
3.a. Street Number
and Name
3.b.
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
4. Interpreter's Daytime Telephone Number
5. Interpreter's Mobile Telephone Number (if any)
6. Interpreter's Email Address (if any)
Form I-485 Edition 02/21/23 Page 17 of 20
A-Number A-
Part 11. Interpreter's Contact Information, Certification, and Signature (continued)
Interpreter's Certification
I certify, under penalty of perjury, that:.
I am fluent in English and
which is the same language specified in Part 10., Item Number 1.b., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Declaration and 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 12. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant
Provide the following information about the Preparer.
Preparer's Full Name
1.a. Preparer's Family Name (Last Name)
1.b. Preparer's Given Name (First Name)
2. Preparer's Business or Organization Name (if any)
Preparer's Mailing Address
3.a. Street Number
and Name
3.b.
3.c. City or Town
3.d. State
3.e. ZIP Code
3.f. Province
3.g. Postal Code
3.h. Country
Preparer's Contact Information
4. Preparer's Daytime Telephone Number
5. Preparer's Mobile Telephone Number (if any)
6. Preparer's Email Address (if any)
Preparer's Statement
7.a.