Form I-539 Application to Extend/Change Nonimmigrant Status

Application to Extend/Change Nonimmigrant Status

I-539 03-13-07

Application to Extend/Change Nonimmigrant Status

OMB: 1615-0003

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OMB No. 1615-0003; Expires 11/30/07

I-539, Application to Extend/
Change Nonimmigrant Status

Department of Homeland Security
U.S. Citizenship and Immigration Services

Instructions
NOTE: You have the option of submitting this paper version of Form I-539 according to form's instructions or you may file the
application electronically. To file electronically, visit our internet website atwww. uscis.gov and follow the instructions on e-filing.
Whether you submit this paper form or e-file, U.S. Citizenship and Immigration Services (USCIS) recommends that you retain a copy
of your application and supporting documents for your records.

Purpose of This Form.

Nonimmigrant Categories.

You should use this form if you are one of the nonimmigrants
listed below and wish to apply to U.S. Citizenship and
Immigration Services (USCIS) for an extension of stay or a
change to another nonimmigrant status.

This form may be used by the following nonimmigrants
listed in alphabetical order:

In certain situations, you may use this form to apply for an
initial nonimmigrant status.
You may also use this form if you are a nonimmigrant F-1 or
M-1 student applying for reinstatement.

Who May File/Initial Evidence.
Extension of Stay or Change of Status:
Nonimmigrants in the United States may apply for an
extension of stay or a change of status on this form, except as
noted in these instructions under the heading, "Who May Not
File."

Multiple Applicants.
You may include your spouse and your unmarried children
under age 21 years as co-applicants in your application for the
same extension or change of status, if you are all now in the
same status or they are all in derivative status.
Required Documentation - Form I-94,
Nonimmigrant Arrival/ Departure Record.
You are required to submit with your Form I-539 application
the original or copy, front and back, of Form I-94 of each
person included in your application. If the original Form I-94
or required copy cannot be submitted with this application,
include a Form I-102, Application for Replacement/Initial
Nonimmigrant Arrival/Departure Document, with the required
fee.
Valid Passport.
If you were required to have a passport to be admitted into the
United States, you must maintain the validity of your passport
during your nonimmigrant stay. If a required passport is not
valid when you file the Form I-539 application, submit an
explanation with your form.
Additional Evidence.
You may be required to submit additional evidence noted in
these instructions.

An A, Ambassador, Public Minister, or
Career Diplomatic or Consular Officer
and their immediate family members.
You must submit a copy, front and back, of the Form I-94
of each person included in the application and a Form I-566,
Interagency Record of Individual Requesting Change,
Adjustment to, or from, A to G Status; or Requesting A, G
or NATO Dependent Employment Authorization, certified
by the U.S. Department of State to indicate your accredited
status.
NOTE: An A-1 or A-2 nonimmigrant is not required to pay
a fee with the Form I-539 application.

An A-3, Attendant or Servant of an
A Nonimmigrant and the A-3's
immediate family members.
You must submit a copy, front and back, of the Form I-94
of each person included in the application.
The application must be filed with:
-- A copy of your employer's Form I-94 or approval notice

demonstrating A status;

-- An original letter from your employer describing your

duties and stating that he or she intends to personally
employ you; and arrangements you have made to depart
from the United States; and

-- An original Form I-566, certified by the Department of

State, indicating your employer's continuing accredited
status.

A B-1, Visitor for Business
or B-2, Visitor for Pleasure.
If you are filing for an extension/change, you must file your
application with the original Form I-94 of each person
included in your application. In addition, you must submit
a written statement explaining in detail:
-- The reasons for your request;
Form I-539 Instructions (Rev. 04/02/07)Y

--

Why your extended stay would be temporary, including
what arrangements you have made to depart from the
United States; and

--

Any effect the extended stay may have on your foreign
employment or residency.

If you are applying for an extension/change of B-1, Visitor for
pleasure, you must designate your desired status using the
following classification in Part 2.1.b of Form I-539:
--

B-1A non-immigrant who is the personal or domestic
servant of a nonimmigrant employer;

--

B-1B nonimmigrant domestic servant of a U.S. citizen;

--

B-1C non-immigrant who is employed by a foreign
airline;

--

B-1D non-immigrant who is a missionary;

--

B-1 all other visa classifications not designated above.

Dependents of an E, Treaty Trader or
Investor.
If you are filing for an extension/change of status as the
dependent of an E, this application must be submitted
with:
--

Your application must include your original Form I-20
(Certificate of Eligibility for Nonimmigrant Student) issued
by the school where you will study. To request either a
change or reinstatement, you must submit documentation
that demonstrates your ability to pay for your studies and
support yourself while you are in the United States.
F-1 Extensions:
Do not use this form to request an extension. For information
concerning extensions, contact your designated school official
at your institution.
F-1 Reinstatement:
You will only be considered for reinstatement as an F-1
student if you establish:
--

That the violation of status was due solely to
circumstances beyond your control or that failure to
reinstate you would result in extreme hardship;

--

You are pursuing or will pursue a full course of study;

--

You have not been employed without authorization; and

--

You are not in removal proceedings.

A G, Designated Principal Resident
Representative of a Foreign Government
and his or her immediate family members.

The Form I-129, Petition for Alien Worker, filed for that
E or a copy of the filing receipt noting that the petition is
pending with USCIS;

--

A copy of the E's Form I-94 or approval notice showing
that he or she has already been granted status to the
period requested on your application; and

--

Evidence of relationship (example: birth or marriage
certificate).
NOTE: An employer or investor should file Form I-129 to
request an extension/change to E status for an employee,
prospective employee, or the investor. Dependents of E
employees should file for an extension/change of status on
this form, not Form I-129.

You must submit a copy, front and back, of the Form I-94,
of each person included in the application, and a Form
I-566, certified by the Department of State to indicate your
accredited status.
NOTE: A G-1 through G-4 nonimmigrant is not required
to pay a fee with the I-539 application.
The application must also be filed with:
--

A copy of your employer's Form I-94 or approval notice
demonstrating G status;

--

An original letter from your employer describing your
duties and stating that he or she intends to personally
employ you; and arrangements you have made to depart
from the United States; and

--

An original Form I-566, certified by the Department of
State, indicating your employer's continuing accredited
status.

An F-1, Academic Student.
To request a change to F-1 status or to apply for
reinstatement as an F-1 student, you must submit your
original Form I-94, as well as the original Form I-94 of
each person included in the application.

Form I-539 Instructions (Rev. 04/02/07)Y Page 2

Dependents of an H, Temporary Worker.

Dependents of an L, Intracompany Transferee.

If you are filing for an extension/change of status as the
dependent of an employee who is an H temporary worker,
this application must be submitted with:

If you are filing for an extension/change of status as the
dependent of an employee who is an L intracompany
transferee, this application must be submitted with:

--

The Form I-129 filed for that employee or a copy of the
filing receipt noting that the petition is pending with the
USCIS;

--

A copy of the employee's Form I-94 or approval notice
showing that he or she has already been granted status
to the period requested on your application; and

--

Evidence of relationship (example: birth or marriage
certificate).
NOTE: An employer should file Form I-129 to request
an extension/change to H status for an employee or
prospective employee. Dependents of such employees
should file for an extension/change of status on this
form, not on Form I-129.

A J-1, Exchange Visitor.
If you are requesting a change of status to J-1, your
application must be filed with an original Form DS-2019,
Certificate of Eligibility for Exchange Visitor Status. You
must also submit your original Form I-94, as well as the
original Form I-94 of each person included in the
application.
NOTE: A J-1 exchange visitor whose status is for the purpose
of receiving graduate medical education or training, who has
not received the appropriate waiver, is ineligible for any
change of status. Also, a J-1 subject to the foreign residence
requirement, who has not received a waiver of that
requirement, is only eligible for a change of status to A or G.
J-1 Extensions:
If you are seeking an extension, contact the responsible
officer of your program for information about this procedure.
J-1 Reinstatement:
If you are a J-1 exchange visitor seeking reinstatement, you
may need to apply for such approval by the Department of
State's Office of Education and Cultural Affairs. Contact the
responsible officer at your sponsoring program for information
on the reinstatement filing procedure.

-- The Form I-129 filed for that employee or a copy of the

filing receipt noting that the petition is pending with
USCIS;

-- A copy of the employee's Form I-94 or approval notice

showing that he or she has already been granted status
to the period requested on your application; and

-- Evidence of relationship (example: birth or marriage

certificate).

NOTE: An employer should file Form I-129 to request an
extension/change to L status for an employee or prospective
employee. Dependents of such employees should file for an
extension/change of status on this form, not on Form I-129.

An M-1, Vocational or Non-Academic Student.
To request a change to or extension of M-1 status, or apply
for reinstatement as an M-1 student, you must submit your
original Form I-94, as well as the original Form I-94 of each
person included in the application.
M-1 Reinstatement:
--

That the violation of status was due solely to
circumstances beyond your control or that failure to
reinstate you would result in extreme hardship;

--

You are pursuing or will pursue a full course of study;

--

You have not been employed without authorization; and

--

You are not in removal proceedings.

NOTE: If you are an M-1 student, you are not eligible for a
change to F-1 status and you are not eligible for a change to
any H status, if the training you received as an M-1 helps you
qualify for the H status. Also, you may not be granted a
change to M-1 status for training to qualify for H status.

Dependents of a P, Artists,
Athletes and Entertainers.
If you are filing for an extension/change of status as the
dependent of an employee who is classified as a P
nonimmigrant, this application must be submitted with:

Form I-539 Instructions (Rev. 04/02/07)Y Page 3

--

The Form I-129 filed for that employee or a copy of the
filing receipt noting that the petition is pending with the
USCIS;

--

The Form I-129 filed for that employee or a copy of the
filing receipt noting that the petition is pending with
USCIS;

--

A copy of the employee's Form I-94 or approval notice
showing that he or she has already been granted status
to the period requested on your application; and

--

A copy of the employee's Form I-94 or approval notice
showing that he or she has already been granted status
to the period requested on your application; and

--

Evidence of relationship (example: birth or marriage
certificate).

--

Evidence of relationship (example: birth or marriage
certificate).

NOTE: An employer should file Form I-129 to request an
extension/change to P status for an employee or prospective
employee. Dependents of such employees should file for an
extension/change of status on this form, not on Form I-129.

Dependents of an R, Religious Worker.
If you are filing for an extension/change of status as the
dependent of an employee who is classified as an R
nonimmigrant, this application must be submitted with:
-- The Form I-129 filed for that employee or a copy of the

filing receipt noting that the petition is pending with
USCIS;

--

A copy of the employee's Form I-94 or approval notice
showing that he or she has already been granted status
to the period requested on your application; and

-- Evidence of relationship (example: birth or marriage

certificate).

TD Dependents of TN Nonimmigrants.
TN nonimmigrants are citizens of Canada or Mexico who
are coming as business persons to the United States to
engage in business activities at a professional level,
pursuant to the North American Free Trade Agreement
(NAFTA). The dependents (spouse or unmarried minor
children) of a TN nonimmigrant are designated as TD
nonimmigrants. A TD nonimmigrant may accompany or
follow to join the TN professional. TD nonimmigrants
may not work in the United States.
The Form I-539 shall be used by a TD nonimmigrant to
request an extension of stay or by an applicant to request a
change of nonimmigrant status to TD classification.
If you are filing for an extension/change of status as the
dependent of an employee who is classified as a TN
nonimmigrant, this application must be submitted with:

A V, Spouse or Child of a
Lawful Permanent Resident.
Use this Form I-539 if you are physically present in the
United States and wish to request initial status or change
status to a V nonimmigrant, or to request an extension of
your current V nonimmigrant status.
Applicants should follow the instructions on this form and
the attached instructions to Supplement A to Form I-539,
Filing Instructions for V Nonimmigrants. The supplement
contains additional information and the location where V
applicants must file their applications.
NOTE: In addition to the $200.00 application fee required
to file Form I-539, V applicants are required to pay a
$70.00 biometric services fee for USCIS to take their
fingerprints.
If necessary, USCIS may also take the V applicant's
photograph and signature as part of the biometric services.

Notice to V Nonimmigrants.
The Legal Immigration Family Equity Act (LIFE), signed into
law on December 21, 2000, created a new V visa. This
nonimmigrant status allows certain persons to reside legally in
the United States and to travel to and from the United States
while they wait to obtain lawful permanent residence.
In order to be eligible for a V visa, all of the following
conditions must be met:
You must be the spouse or the unmarried child of a lawful
permanent resident;
A Form I-130, Petition for Alien Relative, must have
been filed for you by your permanent resident spouse
on or before December 21, 2000; and
You must have been waiting for at least three years
after the Form I-130 was filed for you;
Form I-539 Instructions (Rev. 04/02/07)Y Page 4

Or you must be the unmarried child (under 21 years of age)
of a person who meets the three requirements listed above.
V visa holders will be eligible to adjust to lawful permanent
resident status once an immigrant visa becomes available to
them. While they are waiting, V visa holders may be
authorized to work following their submission and USCIS
approval of their Form I-765, Application for Employment
Authorization.
WARNING: Be advised that persons in V status who have
been in the United States illegally for more than 180 days may
trigger the grounds of inadmissibility regarding unlawful
presence (for the applicable 3-year or 10-year bar to
admission) if they leave the United States. Their departure
may prevent them from adjusting status as a permanent
resident.

Who May Not File.
You may not be granted an extension or change of status if
you were admitted under the Visa Waiver Program or if your
current status is:

Original and Copies.
If these instructions state that a copy of a document may be
filed with this application and you choose to send us the
original, we will keep that original document in our records.
Translations.
Any foreign language document must be accompanied by a
full English translation that the translator has certified as
complete and correct, and by the translator's certification that
he or she is competent to translate the foreign language into
English.

When to File.
You must submit an application for extension of stay or
change of status before your current authorized stay expires.
We suggest you file at least 45 days before your stay expires,
or as soon as you determine your need to change status.
Failure to file before the expiration date may be excused if you
demonstrate when you file the application that:

An alien in transit (C) or in transit without a visa (TWOV);

The delay was due to extraordinary circumstances beyond
your control;

A crewman (D); or

The length of the delay was reasonable;

A fiance'(e) or dependent of a fiance'(e) (K)(1) or (K)(2).

You have not otherwise violated your status;

A spouse (K-3) of a U.S. citizen and their children (K-4),
accorded such status pursuant to the LIFE Act, may not
change to another nonimmigrant status.

You are still a bona fide nonimmigrant; and
You are not in removal proceedings.

EXCEPTION: A K-3 and K-4 are eligible to apply for an
extension of status. They should file for an extension during
the processing of the Form I-130 filed on their behalf and up
to completion of their adjustment of status application.

Where to File.

NOTE: Any nonimmigrant (A to V) may not change their
status to K-3 or K-4.

California Service Center fillings cover the following states:
Alaska, Arizona, California, Colorado, Guam, Hawaii, Idaho,
Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota,
Missouri, Montana, Nebraska, Nevada, North Dakota, Ohio,
Oregon, South Dakota, Utah, Washington, Wisconsin, or
Wyoming.

General Filing Instructions.
Please answer all questions by typing or clearly printing in
black ink. Indicate that an item is not applicable with "N/A."
If the answer is "none," please so state. If you need extra
space to answer any item, attach a sheet of paper with your
name and your alien registration number (A#), if any, and
indicate the number of the item to which the answer refers.
Your application must be filed with the required initial
evidence. Your application must be properly signed and filed
with the correct fee. If you are under 14 years of age, your
parent or guardian may sign your application.

With some exceptions, Form I-539 is generally filed with the
California Service Center or the Vermont Service Center.

The mailing address is:

USCIS California Service Center
P.O. Box 10539
Laguna Niguel, CA 92607-1053

Form I-539 Instructions (Rev. 04/02/07)Y Page 5

Vermont Service Center filings cover the following states:
Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia,
Kentucky, Louisiana, Maine, Maryland, Massachusetts,
Mississippi, New Hamphsire, New Jersey, New Mexico, New
York, North Carolina, Oklahoma, Pennsylvania, Puerto Rico,
Rhode Island, South Carolina, Tennessee, Texas, Vermont,
Virginia, U.S. Virgin Islands, West Virginia and the District
of Columbia.
The address for Vermont Service Center filings is:

USCIS Vermont Service Center
ATTN: I-539
75 Lower Welden Street
St. Albans, VT 05479
Applicants for change of status to E-1, E-2, H-4, L-2,
O-3, or P-4 as the dependent spouse or child or for an
E-1, E-2, H-4, L-2, O-3, P-4, or TD extension, as the
dependent spouse or child.
--

--

--

Filing Form I-539 at the same time as the principal:
If your Form I-539 for change of status or extension of
stay is filed at the same time as the principal's Form
I-129, Petition for Nonimmigrant Worker, (which
includes a request for change of status or extension of
stay), send the entire Form I-129/I-539 package to the
Vermont Service Center or the California Service
Center, depending on the state where the principal is or
will be employed temporarily.
Filing Form I-539 separately from the principal and
the principal's case is pending: If the principal's
Form I-129 (which includes a request for change of
status or extension of stay) is pending, file Form I-539
with the same service center where the principal's Form
I-129 is pending. Include a copy of the Form I-129
filing receipt (or transfer notice) to show the pending
Form I-129 location.
Filing Form I-539 separately from the principal and
the principal's case is approved: If the principal's
Form I-129 (which included a request for change of
status or extension of stay) has already been approved,
file Form I-539 with the service center which approved
the principal's I-129 petition. Include a copy of the
Form I-129 approval notice to show the approved Form
I-129 location.

F-1 and M-1 students applying for F-1 and M-1
reinstatement: File Form I-539 with the California
Service Center or the Vermont Service Center, depending
on the state in which the educational institution you attend
or plan to attend is located.
All other applicants for change of status or extention of
stay (not listed above or in the exceptions): File Form
I-539 with the California Service Center or the Vermont
Service Center, depending on the state where you live.

Exceptions
-- R-2 Religious Worker Dependents:

File Form I-539 with the California Service Center,
regardless of where the principal is/will be employed.
-- H-1 C Nurses dependents:

File Form I-539 with the Vermont Service Center,
regardless of where the principal is/will be employed.
TD dependents of TN principals (Free Trade-Canada
and Mexico), H-4 dependents of H-1B1 principals (Free
Trade-Singapore and Chile), and E-3 dependents of
E-3 principals (Free Trade-Australia):
File Form I-539 with the Vermont Service Center,
regardless of where the principal is/will be employed.
Dependents of Major League Sports Athletes or
Support Personnel:
File with the Vermont Service Center. This covers major
league athletes, minor league sports and any affiliates
associated with the major leagues in baseball, hockey,
soccer, basketball, and football. Support personnel
includes: coaches, trainers, broadcasters, referees,
linesmen, umpires and interpreters.
A, G and NATO:
-- For Change of status requests to A, G, or NATO

classification for employment with an embassy,
international organization, or NATO, mail Form I-539
through your embassy, international organization, or
NATO to: Department of State, Office of Protocol,
3507 International Place, N.W., Suite 242,
Washington, DC 20008.

Form I-539 Instructions (Rev. 04/02/07)Y Page 6

-- For change of status requests to G classification for

If you are filing Form I-539 more than 30 days after
the latest edition date shown in the lower right-hand
corner, please visit us online at www.uscis.gov
before you file, and check the Forms and Fees page
to confirm the correct filing address and version
currently in use. Check the edition date located in the
lower right-hand corner of the form. If the edition
date on your Form I-539 matches the edition date
listed for Form I-539 on the online Forms and Fees
page, your version is current and will be accepted by
USCIS. If the edition date on the online version is
later, download a copy and use the online version. If
you do not have Internet access, call Customer
Service at 1-800-375-5283 to verify the current filing
address and edition date. Improperly filed forms
will be rejected, and the fee returned, with
instructions to resubmit the entire filing using the
current form instructions.

employment with a foreign government's mission to the
United Nations or with the United Nations Secretariat,
mail Form I-539 through the foreign government's
mission or the UN Secretariat to: U.S. Mission to the
United Nations, 799 United Nations Plaza, New York,
NY 10017.

-- For a dependent spouse or child requesting a change of

status to a NATO classification based on the principal's
classification as a NATO nonimmigrant, mail Form
I-539 to: NATO/HQ SACT Legal Affairs, 7857 Blandy
Road, Suite 100, Norfolk, VA 23551. If you or the
principal or the principal NATO nonimmigrant through
whom you derive your status are posted at a national
component or as an exchange officer, please submit
Form I-539 to your embassy for proper filing through
official diplomatic channels.

-- For a change of status from A, G, or NATO

classifications to another nonimmigrant classification,
file Form I-539 with the USCIS Service Center
designated to handle the new nonimmigrant
classification sought. You must submit with Form I-539
an endorsement by the Department of State Visa Office,
or a USUN official at Part 7 on the Form I-566
(interagency Record of Request-A, G, or NATO
Dependent Employment Authorization or Change/
Adjustment to Extend/Change nonimmigrant Status).

-- For extensions of stay for A-3, G-5, or NATO-7

nonimmigrants, submit your application through your
embassy or international organization, or NATO
command for proper filing through official diplomatic
channels.

Note on E-Filing
--

If you are e-filing this application, it will automatically
be routed to the Service Center, and you will receive a
receipt indicating the location to which it was routed.
This location may not necessarily be the same center
shown in the filing addresses listed above. For e-filed
applications, it is very important to review your filing
receipt and make specific note of the receiving
location. All further communication, including
submission of supporting documents, should be
directed to the receiving location indicated on your efiling receipt.

What Is the Fee?

V Nonimmigrants: Follow the filing instructions on
Form I-539 Supplement A, Filing Instructions for V
Nonimmigrants.

The fee for this application is $200.00, except for certain A
and G nonimmigrants who are not required to pay a fee, as
noted in these instructions.

Updated Filing Address Information

The fee must be submitted in the exact amount. It cannot be
refunded. Do not mail cash.

--

The filing addresses provided on this form reflect the
most current information as of the date this form was
last printed.

Form I-539 Instructions (Rev. 04/02/07)Y Page 7

All checks and money orders must be drawn on a bank or
other institution located in the United States and must be
payable in U.S. currency.
The check or money order should be made payable to the
Department of Homeland Security, except that:

Initial Processing.
Once the application has been accepted, it will be checked for
completeness. If you do not completely fill out the form, or
file it without the required initial evidence, you will not
establish a basis for eligibility and we may deny your
application.

--

If you live in Guam, make your check or money order
payable to the "Treasurer, Guam."

Requests for More Information or Interview.

--

If you live in the U.S. Virgin Islands, make your check or
money order payable to the "Commissioner of Finance of
the Virgin Islands."

We may request more information or evidence or we may
request that you appear at a USCIS office for an interview. We
may also request that you submit the originals of any copy.
We will return these originals when they are no longer
required.

Checks are accepted subject to collection. An uncollected
check will render the application and any document issued
invalid. A charge of $30.00 will be imposed if a check in
payment of a fee is not honored by the bank on which it is
drawn.

How to Check If the Fee Is Correct.
The fee on this form is current as of the edition date appearing
in the lower right corner of this page. However, because
USCIS fees change periodically, you can verify if the fee is
correct by following one of the steps below:
Visit our website at www.uscis.gov and scroll down to
"Forms and E-Filing" to check the appropriate fee, or
Review the Fee Schedule included in your form package,
if you called us to request the form, or
Telephone our National Customer Service Center at
1-800-375-5283 and ask for the fee information.
NOTE: If your petition or application requires a biometric
services fee for USCIS to take your fingerprints, photograph or
signature, use the same procedure above to confirm the
biometrics fee.

Processing Information.
Acceptance.
Any application that is not signed or is not accompanied by
the correct fee will be rejected with a notice that the
application is deficient. You may correct the deficiency and
resubmit the application. An application is not considered
properly filed until accepted by USCIS.

Decision.
An application for extension of stay, change of status, initial
status or reinstatement, may be approved at the discretion of
USCIS. You will be notified in writing of the decision on
your application.

Penalties.
If you knowingly and willfully falsify or conceal a material
fact or submit a false document with this application, we will
deny the benefit you are seeking and may deny any other
immigration benefit. In addition, you will face severe
penalties provided by law and may be subject to criminal
prosecution.

Privacy Act Notice.
We ask for the information on this form and associated
evidence to determine if you have established eligibility for
the immigration benefit you are seeking. Our legal right to
ask for this information is in 8 U.S.C. 1184 and 1258. We
may provide this information to other government agencies.
Failure to provide this information and any requested evidence
may delay a final decision or result in denial of your request.

USCIS Forms and Information.
To order USCIS forms, call our toll-free forms line at
1-800-870-3676. If you need information on immigration
laws, regulations or procedures call our National Customer
Service Center at 1-800-375-5283 or visit our internet website
at www.uscis.gov.
Form I-539 Instructions (Rev. 04/02/07)Y Page 8

Use InfoPass for Appointments.
As an alternative to waiting in line for assistance at your local
USCIS office, you can now schedule an appointment through
our internet-based system, InfoPass. To access the system,
visit our website at www.uscis.gov. Use the InfoPass
appointment scheduler and follow the screen prompts to set up
your appointment. InfoPass generates an electronic
appointment notice that appears on the screen. Print the notice
and take it with you to your appointment. The notice gives the
time and date of your appointment, along with the address of
USCIS office.

Paperwork Reduction Act Notice.
An agency may not conduct or sponsor an information
collection and a person is not required to respond to a
collection of information unless it displays a currently valid
OMB control number.

We try to create forms and instructions that are accurate, can
easily be understood and that impose the least possible burden
on you to provide us with information. Often this is difficult
because some immigration laws are very complex.
The estimate average time to complete and file this
application is as follows: (1) 10 minutes to learn about the
law and form; (2) 10 minutes to complete the form; and (3)
25 minutes to assemble and file the application; for a total
estimated average of 45 minutes per application.
If you have comments regarding the accuracy of this estimate,
or suggestions for making this form simpler, you can write to
U.S. Citizenship and Immigration Services, Regulatory
Management Division, 111 Massachusetts Avenue, N.W.,
Suite 3008, Washington, D.C. 20529; OMB No. 1615-0003.
Do not mail your completed application to this
Washington, D.C. address.

Mailing Label - Complete the following mailing label and submit this page with
your application if you are required to submit your original Form I-94.
Name and address of applicant.
Name
Street Number and Name

Your Form I-94, Arrival/Departure
Record is attached. It has been
amended to show the extension of
stay/change of status granted.

City, State and Zip Code

Form I-539 Instructions (Rev. 04/02/07)Y Page 9

OMB No. 1115-0093; Expires 11/30/07

I-539, Application to Extend/
Change Nonimmigrant Status

Department of Homeland Security
U.S. Citizenship and Immigration Services

START HERE - Please type or print in black ink.

Part 1.

For USCIS Use Only

Information about you.

Family Name

Receipt

Returned

Given Name

Middle Name
Date

Address In care of Street Number
and Name
City

Resubmitted

Apt. #
State

Zip Code

Country of Birth
Date of Birth

Daytime Phone #

Country of Citizenship
U. S. Social Security # (if any)

A # (if any)

(mm/dd/yyyy)

Date of Last Arrival
Into the U.S.
Current Nonimmigrant
Status

I-94 #

Date
Reloc Sent

Date
Reloc Rec'd

Expires on
Date

(mm/dd/yyyy)

Part 2. Application type. (See instructions for fee.)

1. I am applying for: (Check one.)
a.
An extension of stay in my current status.
b.
A change of status. The new status I am requesting is:
c.
Other: (Describe grounds of eligibility.)

Applicant
Interviewed
on

2. Number of people included in this application: (Check one.)
I am the only applicant.
a.
Members of my family are filing this application with me.
b.
The total number of people (including me) in the application is:
(Complete the supplement for each co-applicant.)

Part 3. Processing information.
1. I/We request that my/our current or requested status be extended until
(mm/dd/yyyy):
2. Is this application based on an extension or change of status already granted to your
spouse, child or parent?
No
Yes. USCIS Receipt #
3. Is this application based on a separate petition or application to give your spouse,
child or parent an extension or change of status?
No
Yes, filed with this I-539.
Yes, filed previously and pending with USCIS. Receipt #:
4. If you answered "Yes" to Question 3, give the name of the petitioner or applicant:
If the petition or application is pending with USCIS, also give the following data:
Office filed at

Date
Extension Granted to (Date):

Change of Status/Extension Granted
New Class: From (Date):
To (Date):
If Denied:
Still within period of stay
S/D to:
Place under docket control
Remarks:

Action Block

Filed on (mm/dd/yyyy)

Part 4. Additional information.
1. For applicant #1, provide passport information:
Country of Issuance
2. Foreign Address: Street Number and Name

Valid to: (mm/dd/yyyy)
Apt. #

City or Town

State or Province

Country

Zip/Postal Code

To Be Completed by
Attorney or Representative, if any
Fill in box if G-28 is attached to
represent the applicant.

ATTY State License #
Form I-539 (Rev. 04/02/07)Y

Part 4. Additional information.
3. Answer the following questions. If you answer "Yes" to any question, explain on separate sheet of paper.
a.

Are you, or any other person included on the application, an applicant for an immigrant visa?

b.

Has an immigrant petition ever been filed for you or for any other person included in this application?

c.

Has a Form I-485, Application to Register Permanent Residence or Adjust Status, ever been filed by you or
by any other person included in this application?

d.

Have you, or any other person included in this application, ever been arrested or convicted of any criminal
offense since last entering the U.S.?

e.

Have you, or any other person included in this application, done anything that violated the terms of the
nonimmigrant status you now hold?

f.

Are you, or any other person included in this application, now in removal proceedings?

g.

Have you, or any other person included in this application, been employed in the U.S. since last admitted
or granted an extension or change of status?

Yes

No



If you answered "Yes" to Question 3f, give the following information concerning the removal proceedings on the attached page
entitled "Part 4. Additional information. Page for answers to 3f and 3g." Include the name of the person in removal
proceedings and information on jurisdiction, date proceedings began and status of proceedings.



If you answered "No" to Question 3g, fully describe how you are supporting yourself on the attached page entitled "Part 4.
Additional information. Page for answers to 3f and 3g." Include the source, amount and basis for any income.



If you answered "Yes" to Question 3g, fully describe the employment on the attached page entitled "Part 4. Additional
information. Page for answers to 3f and 3g." Include the name of the person employed, name and address of the employer,
weekly income and whether the employment was specifically authorized by USCIS.

Part 5. Signature. (Read the information on penalties in the instructions before completing this section. You must file this
application while in the United States.)

I certify, under penalty of perjury under the laws of the United States of America, that this application and the evidence submitted with it
is all true and correct. I authorize the release of any information from my records that U.S. Citizenship and Immigration Services needs
to determine eligibility for the benefit I am seeking.
Signature

Print your Name

Daytime Telephone Number

E-Mail Address

Date

NOTE: If you do not completely fill out this form or fail to submit required documents listed in the instructions, you may not be found eligible for the
requested benefit and this application may be denied.

Part 6. Signature of person preparing form, if other than above. (Sign below.)
I declare that I prepared this application at the request of the above person and it is based on all information of which I have knowledge.
Signature

Print your Name

Firm Name
and Address

Daytime Telephone Number

Date

(Area Code and Number)

Fax Number

(Area Code and Number)

E-Mail Address
Form I-539 (Rev. 04/02/07)Y Page 2

Part 4. Additional information. Page for answers to 3f and 3g.
If you answered "Yes" to Question 3f in Part 4 on Page 3 of this form, give the following information concerning the removal
proceedings. Include the name of the person in removal proceedings and information on jurisdiction, date proceedings began and
status of procedings.

If you answered "No" to Question 3g in Part 4 on Page 3 of this form, fully describe how you are supporting yourself. Include the
source, amount and basis for any income.

If you answered "Yes" to Question 3g in Part 4 on Page 3 of this form, fully describe the employment. Include the name of the
person employed, name and address of the employer, weekly income and whether the employment was specifically authorized by
USCIS.

Form I-539 (Rev. 04/02/07)Y Page 3

Supplement -1

Attach to Form I-539 when more than one person is included in the petition or application.
(List each person separately. Do not include the person named in the Form I-539.)
Family Name

Given Name

Middle Name

Date of Birth (mm/dd/yyyy)

Country of Birth

County of Citizenship

U.S. Social Security # (if any)

A # (if any)

Date of Arrival (mm/dd/yyyy)

I-94 #

Current Nonimmigrant Status:

Expires on (mm/dd/yyyy)

Country Where Passport Issued

Expiration Date (mm/dd/yyyy)

Family Name

Given Name

Middle Name

Date of Birth (mm/dd/yyyy)

Country of Birth

Country of Citizenship

U.S. Social Security # (if any)

A # (if any)

Date of Arrival (mm/dd/yyyy)

I-94 #

Current Nonimmigrant Status:

Expires on (mm/dd/yyyy)

Country Where Passport Issued

Expiration Date (mm/dd/yyyy)

Family Name

Given Name

Middle Name

Date of Birth (mm/dd/yyyy)

Country of Birth

Country of Citizenship

U.S. Social Security # (if any)

A # (if any)

Date of Arrival (mm/dd/yyyy)

I-94 #

Current Nonimmigrant Status:

Expires on (mm/dd/yyyy)

Country Where Passport Issued

Expiration Date (mm/dd/yyyy)

Family Name

Given Name

Middle Name

Date of Birth (mm/dd/yyyy)

Country of Birth

Country of Citizenship

U.S. Social Security # (if any)

A # (if any)

Date of Arrival (mm/dd/yyyy)

I-94 #

Current Nonimmigrant Status:

Expires on (mm/dd/yyyy)

Country Where Passport Issued

Expiration Date (mm/dd/yyyy)

Family Name

Given Name

Middle Name

Date of Birth (mm/dd/yyyy)

Country of Birth

Country of Citizenship

U.S. Social Security # (if any)

A # (if any)

Date of Arrival (mm/dd/yyyy)

I-94 #

Current Nonimmigrant Status:

Expires on (mm/dd/yyyy)

Country Where Passport Issued

Expiration Date (mm/dd/yyyy)

If you need additional space, attach a separate sheet(s) of paper.
Place your name, A #, if any, date of birth, form number and application date at the top of the sheet(s) of paper.
Form I-539 (Rev. 04/02/07)Y Page 4


File Typeapplication/pdf
File Modified2007-03-13
File Created2007-03-13

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