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I-130 Petitioner Questionnaire

Step 1 of 7 - General Information

14%

1. General Information

Petitioner

Information (citizen or permanent resident applying for a family member's immigration benefit)
Aliases
List all aliases used.
MM slash DD slash YYYY
MM slash DD slash YYYY
In options, humanitarian petition includes: VAWA, Asylum, SIJ, U Visa, and T Visa
Please enter a number from 0 to 4.
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
Please enter a number from 0 to 4.

MM slash DD slash YYYY

MM slash DD slash YYYY

MM slash DD slash YYYY

MM slash DD slash YYYY

Address History

Must include full number, street, city, state and zip code. Format dates residence began and ended at each residence as: MM/DD/YYYY-MM/DD/YYYY.
Previous Address
List all addresses, whether in or out of the US, for the last five years. Include dates of residence for each.

Employment History

Must include full company name, position, address, city, state and zip code of company. Format dates employment began and ended at each company as: MM/DD/YYYY-MM/DD/YYYY.
Previous Employment
Include any periods of unemployment and the dates unemployment began and ended.

Family Information

Parent 1

MM slash DD slash YYYY

Parent 2

MM slash DD slash YYYY

Marriage

Include current marriage.

Current Spouse

MM slash DD slash YYYY
MM slash DD slash YYYY

Prior Marriages

For each prior spouse provide:
MM slash DD slash YYYY
MM slash DD slash YYYY

MM slash DD slash YYYY
MM slash DD slash YYYY

MM slash DD slash YYYY
MM slash DD slash YYYY

MM slash DD slash YYYY
MM slash DD slash YYYY

MM slash DD slash YYYY
MM slash DD slash YYYY

MM slash DD slash YYYY
MM slash DD slash YYYY

Children

Include ALL living children (including adult sons and daughters) For immigration purposes children include biological, legally adopted, and step-children whether born in or out of the US, married or unmarried, living with you or elsewhere and whether born in or outside of marriage.)

MM slash DD slash YYYY

MM slash DD slash YYYY

MM slash DD slash YYYY

MM slash DD slash YYYY

MM slash DD slash YYYY

MM slash DD slash YYYY

MM slash DD slash YYYY

MM slash DD slash YYYY

MM slash DD slash YYYY

MM slash DD slash YYYY

Arrests

Include all arrests, detentions, questioning and situations where you were taken to a station or not otherwise allowed to leave at your own will. Include encounters with immigration and encounters with law enforcement in and out of the US.

MM slash DD slash YYYY
Charge(s)

MM slash DD slash YYYY
Charge(s)

MM slash DD slash YYYY
Charge(s)

MM slash DD slash YYYY
Charge(s)

MM slash DD slash YYYY
Charge(s)

MM slash DD slash YYYY
Charge(s)

MM slash DD slash YYYY
Charge(s)

Processing Questions

Supplemental Space For Responses

If additional space is needed to respond to any of the previous questions, please enter here. Include the section and the same information requested in the sections for which you require additional space.
This field is for validation purposes and should be left unchanged.
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