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G-1145 Form PDF
Personalized Filling Instructions
Where to File
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Petition to Remove Conditions on Residence
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-751
OMB No. 1615-0038
Expires 02/28/2026
For USCIS Use Only
Receipt
Reloc Sent
Reloc Received
Date (mm/dd/yyyy)
Date (mm/dd/yyyy)
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Date (mm/dd/yyyy)
Date (mm/dd/yyyy)
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Action Block
Remarks
Petitioner interviewed on (mm/dd/yyyy)///
Approved under INA 216(c)(4)(C) Battered Spouse/Child
To be completed by an attorney or accredited representative (if any).
Select this box if Form G-28 is attached.
Attorney State Bar Number (if applicable)
Attorney or Accredited Representative USCIS Online Account Number (if any)
START HERE -
Type or print in black ink.
Part 1. Information About You, the Conditional Resident
1.a.
Family Name (Last Name)
1.b.
Given Name (First Name)
1.c.
Middle Name
Other Names Used
List all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 11. 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
Other Information
4.
Date of Birth
(mm/dd/yyyy)
5.
Country of Birth
6.
Country of Citizenship or Nationality (provide all that apply)
7.
Alien Registration Number (A-Number) (if any)
A-
8.
U.S. Social Security Number (if any)
9.
USCIS Online Account Number (if any)
Marital Status
10.
Marital Status
11.
Date of Marriage
(mm/dd/yyyy)
12.
Place of Marriage
13.
If the marriage through which you gained conditional residence has ended, provide the date it ended (date of divorce or date of death) (mm/dd/yyyy)
14.
Conditional Residence Expires On (mm/dd/yyyy)
Form I-751 Edition 04/01/24
Page 1 of 11
Part 1. Information About You, the Conditional Resident (continued)
Mailing Address
15.a.
In Care Of Name
15.b.
Street Number and Name
15.c.
15.d.
City or Town
15.e.
State
15.f.
ZIP Code
16.
Is your physical address different than your mailing address?
If you answered “Yes” to Item Number 16., provide your physical address below.
Physical Address
17.a.
In Care Of Name
17.b.
Street Number and Name
17.c.
17.d.
City or Town
17.e.
State
17.f.
ZIP Code
Additional Information About You
18.
Are you in removal, deportation, or rescission proceedings?
19.
Was a fee paid to anyone other than an attorney in connection with this petition?
20.
Have you ever been arrested, detained, charged, indicted,
fined, or imprisoned for breaking or violating any law or ordinance (excluding traffic regulations), or committed
any crime which you were not arrested in the United States or abroad?
If you answered "Yes" to Item Number 20.,provide a detailed
explanation in Part 11. Additional Information or on a
separate sheet of paper, and refer to the What Initial Evidence
Is Required section of the Form I-751 instructions to determine
what criminal history document to include with your petition.
21.
If you are married, is this a different marriage than the one through which you gained conditional resident status?
22.
Have you resided at any other address since you became a permanent resident?
If you answered “Yes” to Item Number 22. , provide a list of all addresses where you have resided since becoming a permanent resident and the dates you resided at those locations in the space provided in Part 11. Additional Information.
23.
Is your spouse or parent's spouse currently serving with or employed by the U.S. Government and serving outside the United States?
Part 2. Biographic Information
1.
Ethnicity (Select only one box)
2.
Race (Select all applicable boxes)
3.
Height
Feet
Inches
4.
Weight
Pounds
5.
Eye Color (Select only one box)
6.
Hair Color (Select only one box)
Form I-751 Edition 04/01/24
Page 2 of 11
Part 3. Basis for Petition
Joint Filing
My conditional residence is based on my marriage or my parent's marriage to a U.S. citizen or lawful permanent resident, and I am filing this joint petition together with (Select only one box):
1.a.
My spouse.
1.b.
My parent's spouse because I am unable to be included in a joint petition filed by my parent and my parent's spouse.
OR (Select all applicable boxes in the next section.)
Waiver or Individual Filing Request
My conditional residence is based on my marriage or my parent's marriage to a U.S. citizen or lawful permanent resident, I am unable to file a joint petition with my spouse or my parent's spouse, because:
1.c.
My spouse is deceased.
1.d.
My marriage was entered in good faith, but the marriage was terminated through divorce or annulment.
1.e.
I entered the marriage in good faith, and, during the marriage, I was battered, or was the subject of extreme cruelty, by my U.S. citizen or lawful permanent resident spouse.
1.f.
My parent entered the marriage in good faith, and, during the marriage, I was battered, or was subjected to extreme cruelty, by my parent's U.S. citizen or lawful permanent resident spouse or by my conditional resident parent.
1.g.
The termination of my status and removal from the United States would result in an extreme hardship.
Part 4. Information About the U.S. Citizen or Lawful Permanent Resident Spouse. If Filing as a Child Separately, Information About the U.S. Citizen or Lawful Permanent Resident Stepparent Through Whom You Gained Your Conditional Residence.
Relationship
1.a.
Spouse or Former Spouse
1.b.
Parent's Spouse or Former Spouse
Other Information
2.a.
Family Name (Last Name)
2.b.
Given Name (First Name)
2.c.
Middle Name
3.
Date of Birth
(mm/dd/yyyy)
4.
U.S. Social Security Number (if any)
5.
A-Number (if any)
A-
Physical Address
6.a.
Street Number and Name
6.b.
6.c.
City or Town
6.d.
State
6.e.
ZIP Code
6.f.
Province
6.g.
Postal Code
6.h.
Country
Part 5. Information About Your Children
Provide information on all of your children. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
Child 1
1.a.
Family Name (Last Name)
1.b.
Given Name (First Name)
1.c.
Middle Name
2.
Date of Birth
(mm/dd/yyyy)
3.
A-Number (if any)
A-
4.
Is this child living with you?
5.
Is this child applying with you?
Form I-751 Edition 04/01/24
Page 3 of 11
Part 5. Information About Your Children (continued)
Physical Address
6.a.
Street Number and Name
6.b.
6.c.
City or Town
6.d.
State
6.e.
ZIP Code
6.f.
Province
6.g.
Postal Code
6.h.
Country
Child 2
7.a.
Family Name (Last Name)
7.b.
Given Name (First Name)
7.c.
Middle Name
8.
Date of Birth
(mm/dd/yyyy)
9.
A-Number (if any)
A-
10.
Is this child living with you?
11.
Is this child applying with you?
Physical Address
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
Child 3
13.a.
Family Name (Last Name)
13.b.
Given Name (First Name)
13.c.
Middle Name
14.
Date of Birth
(mm/dd/yyyy)
15.
A-Number (if any)
A-
16.
Is this child living with you?
17.
Is this child applying with you?
Physical Address
18.a.
Street Number and Name
18.b.
18.c.
City or Town
18.d.
State
18.e.
ZIP Code
18.f.
Province
18.g.
Postal Code
18.h.
Country
Child 4
19.a.
Family Name (Last Name)
19.b.
Given Name (First Name)
19.c.
Middle Name
20.
Date of Birth
(mm/dd/yyyy)
21.
A-Number (if any)
A-
22.
Is this child living with you?
23.
Is this child applying with you?
Form I-751 Edition 04/01/24
Page 4 of 11
Part 5. Information About Your Children (continued)
Physical Address
24.a.
Street Number and Name
24.b.
24.c.
City or Town
24.d.
State
24.e.
ZIP Code
24.f.
Province
24.g.
Postal Code
24.h.
Country
Child 5
25.a.
Family Name (Last Name)
25.b.
Given Name (First Name)
25.c.
Middle Name
26.
Date of Birth
(mm/dd/yyyy)
21.
A-Number (if any)
A-
28.
Is this child living with you?
29.
Is this child applying with you?
Physical Address
30.a.
Street Number and Name
30.b.
30.c.
City or Town
30.d.
State
30.e.
ZIP Code
30.f.
Province
30.g.
Postal Code
30.h.
Country
Part 6. Accommodations for Individuals With Disabilities and/or Impairments
NOTE: Read the information in the Form I-751 Instructions before completing this part.
1.
Are you requesting an accommodation because of your
disabilities and/or impairments?
2.
Are you requesting an accommodation because of your spouse's disabilities and/or impairments?
3.
Are you requesting an accommodation because of your included children disabilities and/or impairments?
If you answered "Yes" to Item Numbers 1. - 3., select any applicable box for Item Numbers 4.a. - 4.c. Provide information on the disabilities and/or impairments for each person.
4.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).):
4.b.
I am blind or have low vision and request the following accommodation:
4.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.):
