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Contract Between Sponsor and Household Member | USCIS

Use this form if you are a household member and want to promise to make your income and/or assets available to help support sponsored immigrants.

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Contract Between Sponsor and Household Member | USCIS

Summary: Form I-864A is a legally binding contract used by a sponsor's household member to pledge their income and assets to support an intending immigrant, ensuring the sponsor meets the minimum income requirements under the Immigration and Nationality Act.

Form I-864A, Contract Between Sponsor and Household Member, is an official USCIS document (OMB No. 1615-0075) that allows a household member to agree to be jointly and severally liable for the support of an intending immigrant. By signing this contract, the household member commits to providing financial support to maintain the immigrant at or above 125 percent of the Federal Poverty Guidelines. The form includes sections for personal information, relationship to the sponsor, employment and income details, federal tax information, and formal declarations. The 08/24/26 edition includes a privacy release authorizing USCIS to request information from consumer reporting agencies to verify financial sufficiency. Failure to fulfill these obligations may result in legal action by benefit-granting agencies to recoup the cost of means-tested public benefits.

Document outline

1. Part 1: Information About the Household Member 2. Part 2: Relationship to the Sponsor 3. Part 3: Employment and Income 4. Part 4: Federal Income Tax Information and Assets 5. Part 5: Sponsor's Promise, Statement, and Signature 6. Part 6: Household Member's Promise, Statement, and Signature 7. Part 7: Interpreter's Contact Information and Certification 8. Part 8: Preparer's Contact Information and Certification 9. Part 9: Additional Information

Metadata

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