I-130 Petitioner Questionnaire

Step 1 of 7 – General Information

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1. General Information

Petitioner

Information (citizen or permanent resident applying for a family member’s immigration benefit)

Full Name

Aliases
List all aliases used.

Date of Birth

City/Town of Birth

Country of Birth

Social Security Number (If Applicable)

I Am A

Naturalization Certificate #

City of Naturalization

Date of Naturalization

Gained Lawful Permanent Residence Through:
In options, humanitarian petition includes: VAWA, Asylum, SIJ, U Visa, and T Visa

Sex

Residential Address

Mailing Address

Phone Number

Alternate Number

Email

Seeking Immigration Benefit For (Choose Family Member)

Has This Person Ever Been Petitioned By You Or Someone Else Before?

If Filing For Spouse List Last Address You Shared With Spouse

I Have Previously Petitioned For (Enter Number of Individuals Previously Petitioned)
Please enter a number from 0 to 4.

Family Relationship

Date Filed

Outcome

Family Relationship

Date Filed

Outcome

Family Relationship

Date Filed

Outcome

Family Relationship

Date Filed

Outcome

I Have Previously Financially Sponsored (Enter Number of Individuals Financially Sponsored)
Please enter a number from 0 to 4.

Date Sponsored

Permanent Residence Granted?

Year of Approval

Has Individual Worked Since Permanent Residence Approved?

Has Individual Naturalized?

Has Individual's Residence Been Removed?

Is Individual Living?

Date Sponsored

Permanent Residence Granted?

Year of Approval

Has Individual Worked Since Permanent Residence Approved?

Has Individual Naturalized?

Has Individual's Residence Been Removed?

Is Individual Living?

Date Sponsored

Permanent Residence Granted?

Year of Approval

Has Individual Worked Since Permanent Residence Approved?

Has Individual Naturalized?

Has Individual's Residence Been Removed?

Is Individual Living?

Date Sponsored

Permanent Residence Granted?

Year of Approval

Has Individual Worked Since Permanent Residence Approved?

Has Individual Naturalized?

Has Individual's Residence Been Removed?

Is Individual Living?

My Current Household Size

Number of People Financially Dependent on Me Outside of My Household

Tax Filing Status

Family Information

Parent 1

Parent 1 Full Name

Name At Birth (If Different)

Date of Birth

Sex

City/Town of Birth

Country of Birth

City/Town of Residence

Current Country of Residence

Parent 2

Parent 2 Full Name

Name at Birth (If Different)

Date of Birth

Sex

City/Town of Birth

Country of Birth

City/Town of Residence

Current Country of Residence

Marriage

Total Marriages
Include current marriage.

Current Spouse

Current Spouse Full Name

Alias Used

Date of Birth

City/Town of Birth

Country of Birth

Date of Marriage

City/Town of Marriage

Country of Marriage

Prior Marriages

For each prior spouse provide:

Prior Spouse 1 Full Name

Alias Used

Date of Birth

City/Town of Birth

Country of Birth

Date of Marriage

City/Town of Marriage

Country of Marriage

Prior Spouse 2 Full Name

Alias Used

Date of Birth

City/Town of Birth

Country of Birth

Date of Marriage

City/Town of Marriage

Country of Marriage

Prior Spouse 3 Full Name

Alias Used

Date of Birth

City/Town of Birth

Country of Birth

Date of Marriage

City/Town of Marriage

Country of Marriage

Prior Spouse 4 Full Name

Alias Used

Date of Birth

City/Town of Birth

Country of Birth

Date of Marriage

City/Town of Marriage

Country of Marriage

Prior Spouse 5 Full Name

Alias Used

Date of Birth

City/Town of Birth

Country of Birth

Date of Marriage

City/Town of Marriage

Country of Marriage

Prior Spouse 6 Full Name

Alias Used

Date of Birth

City/Town of Birth

Country of Birth

Date of Marriage

City/Town of Marriage

Country of Marriage

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.)

Total Number of Children

Child 1 Full Legal Name

Any Aliases Used

Date of Birth

Country of Birth

A# (If Applicable)

Child 2 Full Legal Name

Any Aliases Used

Date of Birth

Country of Birth

A# (If Applicable)

Child 3 Full Legal Name

Any Aliases Used

Date of Birth

Country of Birth

A# (If Applicable)

Child 4 Full Legal Name

Any Aliases Used

Date of Birth

Country of Birth

A# (If Applicable)

Child 5 Full Legal Name

Any Aliases Used

Date of Birth

Country of Birth

A# (If Applicable)

Child 6 Full Legal Name

Any Aliases Used

Date of Birth

Country of Birth

A# (If Applicable)

Child 7 Full Legal Name

Any Aliases Used

Date of Birth

Country of Birth

A# (If Applicable)

Child 8 Full Legal Name

Any Aliases Used

Date of Birth

Country of Birth

A# (If Applicable)

Child 9 Full Legal Name

Any Aliases Used

Date of Birth

Country of Birth

A# (If Applicable)

Child 10 Full Legal Name

Any Aliases Used

Date of Birth

Country of Birth

A# (If Applicable)

1. General Information

Petitioner

Address History

Employment History

Family Information

Parent 1

Parent 2

Marriage

Current Spouse

Prior Marriages

Children

Arrests

Processing Questions

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