Step 1 of 7 – General Information14%1. General InformationPetitioner Information (citizen or permanent resident applying for a family member’s immigration benefit)Full NameAliasesList all aliases used. Add RemoveDate of Birth MM slash DD slash YYYY City/Town of BirthCountry of BirthSocial Security Number (If Applicable)A#I Am AI Am ALegal Permanent ResidentU.S. CitizenNaturalization Certificate #City of NaturalizationDate of Naturalization MM slash DD slash YYYY Gained Lawful Permanent Residence Through:In options, humanitarian petition includes: VAWA, Asylum, SIJ, U Visa, and T VisaGained Lawful Permanent Residence ThroughFamily PetitionEmployment PetitionAmnestyRegistrySAWLegalizationHumanitarian PetitionSexSexNon-BinaryFemaleMaleResidential AddressMailing AddressPhone NumberAlternate NumberEmailSeeking Immigration Benefit For (Choose Family Member)Family MemberSpouseParentMinor Child (son/daughter)Adult Child (son/daughter)SiblingHas This Person Ever Been Petitioned By You Or Someone Else Before?Please Chose An OptionYesNoIf Filing For Spouse List Last Address You Shared With SpouseI Have Previously Petitioned For (Enter Number of Individuals Previously Petitioned)Please enter a number from 0 to 4.Family RelationshipFamily RelationshipSpouseChild (Son/Daughter)ParentSiblingDate Filed MM slash DD slash YYYY OutcomeOutcomeApprovedDeniedWithdrawnAbandonedUnsureFamily RelationshipFamily RelationshipSpouseChild (Son/Daughter)ParentSiblingDate Filed MM slash DD slash YYYY OutcomeOutcomeApprovedDeniedWithdrawnAbandonedUnsureFamily RelationshipFamily RelationshipSpouseChild (Son/Daughter)ParentSiblingDate Filed MM slash DD slash YYYY OutcomeOutcomeApprovedDeniedWithdrawnAbandonedUnsureFamily RelationshipFamily RelationshipSpouseChild (Son/Daughter)ParentSiblingDate Filed MM slash DD slash YYYY OutcomeOutcomeApprovedDeniedWithdrawnAbandonedUnsureI Have Previously Financially Sponsored (Enter Number of Individuals Financially Sponsored)Please enter a number from 0 to 4.Date Sponsored MM slash DD slash YYYY Permanent Residence Granted?Permanent Residence Granted?YesNoYear of ApprovalHas Individual Worked Since Permanent Residence Approved?Has Individual Worked Since Permanent Residence Approved?YesNoHas Individual Naturalized?Has Individual Naturalized?YesNoHas Individual's Residence Been Removed?Has Individual's Residence Been Removed?YesNoIs Individual Living?Is Individual Living?YesNoDate Sponsored MM slash DD slash YYYY Permanent Residence Granted?Permanent Residence Granted?YesNoYear of ApprovalHas Individual Worked Since Permanent Residence Approved?Has Individual Worked Since Permanent Residence Approved?YesNoHas Individual Naturalized?Has Individual Naturalized?YesNoHas Individual's Residence Been Removed?Has Individual's Residence Been Removed?YesNoIs Individual Living?Is Individual Living?YesNoDate Sponsored MM slash DD slash YYYY Permanent Residence Granted?Permanent Residence Granted?YesNoYear of ApprovalHas Individual Worked Since Permanent Residence Approved?Has Individual Worked Since Permanent Residence Approved?YesNoHas Individual Naturalized?Has Individual Naturalized?YesNoHas Individual's Residence Been Removed?Has Individual's Residence Been Removed?YesNoIs Individual Living?Is Individual Living?YesNoDate Sponsored MM slash DD slash YYYY Permanent Residence Granted?Permanent Residence Granted?YesNoYear of ApprovalHas Individual Worked Since Permanent Residence Approved?Has Individual Worked Since Permanent Residence Approved?YesNoHas Individual Naturalized?Has Individual Naturalized?YesNoHas Individual's Residence Been Removed?Has Individual's Residence Been Removed?YesNoIs Individual Living?Is Individual Living?YesNoMy Current Household SizeNumber of People Financially Dependent on Me Outside of My HouseholdTax Filing StatusTax Filing StatusSingleHead of HouseholdMarried, Filing JointlyMarried, Filing IndividuallyAddress HistoryMust 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 AddressList all addresses, whether in or out of the US, for the last five years. Include dates of residence for each. Add RemoveEmployment HistoryMust 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 EmploymentInclude any periods of unemployment and the dates unemployment began and ended. Add RemoveFamily InformationParent 1Parent 1 Full NameName At Birth (If Different)Date of Birth MM slash DD slash YYYY SexSexNon-BinaryFemaleMaleCity/Town of BirthCountry of BirthCity/Town of ResidenceCurrent Country of ResidenceParent 2Parent 2 Full NameName at Birth (If Different)Date of Birth MM slash DD slash YYYY SexSexNon-BinaryFemaleMaleCity/Town of BirthCountry of BirthCity/Town of ResidenceCurrent Country of ResidenceMarriageTotal MarriagesInclude current marriage.Current SpouseCurrent Spouse Full NameAlias UsedDate of Birth MM slash DD slash YYYY City/Town of BirthCountry of BirthDate of Marriage MM slash DD slash YYYY City/Town of MarriageCountry of MarriagePrior Marriages For each prior spouse provide:Prior Spouse 1 Full NameAlias UsedDate of Birth MM slash DD slash YYYY City/Town of BirthCountry of BirthDate of Marriage MM slash DD slash YYYY City/Town of MarriageCountry of MarriagePrior Spouse 2 Full NameAlias UsedDate of Birth MM slash DD slash YYYY City/Town of BirthCountry of BirthDate of Marriage MM slash DD slash YYYY City/Town of MarriageCountry of MarriagePrior Spouse 3 Full NameAlias UsedDate of Birth MM slash DD slash YYYY City/Town of BirthCountry of BirthDate of Marriage MM slash DD slash YYYY City/Town of MarriageCountry of MarriagePrior Spouse 4 Full NameAlias UsedDate of Birth MM slash DD slash YYYY City/Town of BirthCountry of BirthDate of Marriage MM slash DD slash YYYY City/Town of MarriageCountry of MarriagePrior Spouse 5 Full NameAlias UsedDate of Birth MM slash DD slash YYYY City/Town of BirthCountry of BirthDate of Marriage MM slash DD slash YYYY City/Town of MarriageCountry of MarriagePrior Spouse 6 Full NameAlias UsedDate of Birth MM slash DD slash YYYY City/Town of BirthCountry of BirthDate of Marriage MM slash DD slash YYYY City/Town of MarriageCountry of MarriageChildren 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.)Total Number of ChildrenChild 1 Full Legal NameAny Aliases UsedDate of Birth MM slash DD slash YYYY Country of BirthA# (If Applicable)Child 2 Full Legal NameAny Aliases UsedDate of Birth MM slash DD slash YYYY Country of BirthA# (If Applicable)Child 3 Full Legal NameAny Aliases UsedDate of Birth MM slash DD slash YYYY Country of BirthA# (If Applicable)Child 4 Full Legal NameAny Aliases UsedDate of Birth MM slash DD slash YYYY Country of BirthA# (If Applicable)Child 5 Full Legal NameAny Aliases UsedDate of Birth MM slash DD slash YYYY Country of BirthA# (If Applicable)Child 6 Full Legal NameAny Aliases UsedDate of Birth MM slash DD slash YYYY Country of BirthA# (If Applicable)Child 7 Full Legal NameAny Aliases UsedDate of Birth MM slash DD slash YYYY Country of BirthA# (If Applicable)Child 8 Full Legal NameAny Aliases UsedDate of Birth MM slash DD slash YYYY Country of BirthA# (If Applicable)Child 9 Full Legal NameAny Aliases UsedDate of Birth MM slash DD slash YYYY Country of BirthA# (If Applicable)Child 10 Full Legal NameAny Aliases UsedDate of Birth MM slash DD slash YYYY Country of BirthA# (If Applicable)ArrestsInclude 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.Total Number of ArrestsDate of Arrest 1 MM slash DD slash YYYY City of ArrestState of ArrestCharge(s) Add RemoveOutcomeDate of Arrest 2 MM slash DD slash YYYY City of ArrestState of ArrestCharge(s) Add RemoveOutcomeDate of Arrest 3 MM slash DD slash YYYY City of ArrestState of ArrestCharge(s) Add RemoveOutcomeDate of Arrest 4 MM slash DD slash YYYY City of ArrestState of ArrestCharge(s) Add RemoveOutcomeDate of Arrest 5 MM slash DD slash YYYY City of ArrestState of ArrestCharge(s) Add RemoveOutcomeDate of Arrest 6 MM slash DD slash YYYY City of ArrestState of ArrestCharge(s) Add RemoveOutcomeDate of Arrest 7 MM slash DD slash YYYY City of ArrestState of ArrestCharge(s) Add RemoveOutcomeProcessing QuestionsHave You Plead Guilty to a Crime?Have you plead guilty?YesNoHave You Been Sentenced to Jail by a Judge?Have you been sentenced to jail?YesNoSupplemental Space For ResponsesIf 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.Additional SpacePhoneThis field is for validation purposes and should be left unchanged.
