Form I-508 Waiver of Rights, Privileges, Exemptions and Immunities

Waiver of Rights, Privileges, Exemptions and Immunities

I-508 long version 01-20-06_ made filiable v4

Waiver of Rights, Privileges, Exemptions and Immunities

OMB: 1615-0025

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OMB No. 1615-0025: Expires 08/31/08

I-508, Waiver of Rights, Privileges,
Exemptions and Immunities

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

(Under Section 247(b) of the INA)

Type or print in black ink. Applicant must complete and submit all copies of this form.
Alien Registration Number:

I,

Last Name

A#

First Name

Middle Name

believe that I have an occupational status entitling me to a nonimmigrant classification under paragraph 15(A)
(Government Official), 15(E) (Treaty Trader or Treaty Investor) or 15(G) (International Organization
Representative) of section 101(a) of the Immigration and Nationality Act.
Accordingly, I seek to acquire and/or retain the status of an alien lawfully admitted for permanent residence and
hereby waive all rights, privileges, exemptions and immunities that would otherwise accrue to me under any law
or executive order by reason of such occupational status.
NOTE: French Nationals receiving a salary from the French Republic are required to complete this form I-508,
and also complete an additional waiver on Form I-508F. Both form I-508 and I-508F must be submitted together
to U.S. Citizenship and Immigration Services (USCIS).
1. I was born on: (mm/dd/yyyy)

At: (City/Province/State/Country)

2. I am employed by: (Name and Address of Mission or Organization)

3. U.S. Social Security Number:

U.S. State Department-Issued
Personal Identification Number (PID):

4. Signature:

Date: (mm/dd/yyyy)

FOR GOVERNMENT USE ONLY. (FRENCH NATIONALS PAID BY THE FRENCH REPUBLIC.)
FORM I-508F EXECUTED.
USCIS FILE COPY

EXEMPT FROM U.S. TAXES

NOT EXEMPT FROM U.S. TAXES.
Form I-508 (Rev.05/27/08)Y

What is the Purpose of This Form?
This form is used by a person whose occupational status entitles him or her to nonimmigrant status under section
101(a)(15)(A),(E), or (G) of the Immigration and Nationality Act (INA) as a Government Official, Treaty Trader or Treaty
Investor, or International Organization Representative, respectively, to waive rights, privileges, exemptions, and immunities
associated with such occupational status.

Where Should I File This Form?
If you are filing this form in conjunction with an application to adjust status to that of a lawful permanent resident, file this form
at the same U.S. Citizenship and Immigration Services (USCIS) office where you must submit the related Form I-485. If you
are filing this form in conjunction with an application for reentry permit, file this form at the same USCIS office where you
must submit the related Form I-131.

Our Authority to Collect This Information
The authority for collection of the information requested on this form is contained in 8 U.S.C. 1257(b), 8 CFR 223.2, 8 CFR
245.1, and 8 CFR 247. Submission of the information by an alien to request that he or she be permitted to retain status as an
immigrant lawfully admitted for permanent residence, to adjust to that of an alien lawfully admitted for permanent residence, or
to obtain a reentry permit, is voluntary.
The solicited information on this form will be used principally by U.S. Citizenship and Immigration Services (USCIS) to
determine whether (1) the status of the alien applicant shall be adjusted under the provisions of section 247(a) of the Immigration
and Nationality Act (INA), 8 U.S.C. 1257(a), to that of a nonimmigrant as described by section 101(a)(15)(A), (E) or (G) of the
INA, 8 U.S.C. 1101(a)(15)(A), (E) or (G); (2) the status of the alien applicant shall be adjusted under the provisions of 8 CFR
Part 245 to that of an alien lawfully admitted for permanent residence; or (3) the alien applicant may obtain a reentry permit
under 8 CFR Part 223.
As a matter of routine use, the information solicited may also be disclosed to other Federal, state, local, or foreign law
enforcement and regulatory agencies, the Department of State, the Internal Revenue Service, the Department of Defense,
including any component thereof (if the applicant has served in the Armed Forces of the United States); the Central Intelligence
Agency, Interpol; and other authorized individuals and organizations. Disclosure of this information may be made during the
course of an investigation to elicit further information required by USCIS to carry out its functions.
Failure to provide any or all of the solicited information may result in (1) the alien's adjustment of status from that of a lawful
permanent resident to that of a nonimmigrant classified under paragraph 15(A), 15(E) or 15(G) of section 101(a) of the INA; (2)
denial of the alien's application to adjust status to that of a lawful permanent resident; or (3) denial of the alien's application for a
reentry permit.

Paperwork Reduction Act Notice
Under the Paperwork Reduction Act 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. The reporting burden for this
collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing
this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W.,
Washington, D.C. 20529; OMB No. 1615-0025. Do not submit your application to this address.

Form I-508 (Rev. 05/27/08)Y Page 2

OMB No. 1615-0025: Expires 08/31/08

I-508, Waiver of Rights, Privileges,
Exemptions and Immunities

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

(Under Section 247(b) of the INA)

Type or print in black ink. Applicant must complete and submit all copies of this form.
Alien Registration Number:

I,

Last Name

A#

First Name

Middle Name

believe that I have an occupational status entitling me to a nonimmigrant classification under paragraph 15(A)
(Government Official), 15(E) (Treaty Trader or Treaty Investor) or 15(G) (International Organization
Representative) of section 101(a) of the Immigration and Nationality Act.
Accordingly, I seek to acquire and/or retain the status of an alien lawfully admitted for permanent residence and
hereby waive all rights, privileges, exemptions and immunities that would otherwise accrue to me under any law
or executive order by reason of such occupational status.
NOTE: French Nationals receiving a salary from the French Republic are required to complete this form I-508,
and also complete an additional waiver on Form I-508F. Both form I-508 and I-508F must be submitted together
to U.S. Citizenship and Immigration Services (USCIS).
1. I was born on: (mm/dd/yyyy)

At: (City/Province/State/Country)

2. I am employed by: (Name and Address of Mission or Organization)

3. U.S. Social Security Number:

U.S. State Department-Issued
Personal Identification Number (PID):

4. Signature:

Date: (mm/dd/yyyy)

FOR GOVERNMENT USE ONLY. (FRENCH NATIONALS PAID BY THE FRENCH REPUBLIC.)
FORM I-508F EXECUTED.
STATE DEPT. COPY

EXEMPT FROM U.S. TAXES

NOT EXEMPT FROM U.S. TAXES.
Form I-508 (Rev. 05/27/08)Y Page 3

What is the Purpose of This Form?
This form is used by a person whose occupational status entitles him or her to nonimmigrant status under section
101(a)(15)(A),(E), or (G) of the Immigration and Nationality Act (INA) as a Government Official, Treaty Trader or Treaty
Investor, or International Organization Representative, respectively, to waive rights, privileges, exemptions, and immunities
associated with such occupational status.

Where Should I File This Form?
If you are filing this form in conjunction with an application to adjust status to that of a lawful permanent resident, file this form
at the same U.S. Citizenship and Immigration Services (USCIS) office where you must submit the related Form I-485. If you
are filing this form in conjunction with an application for reentry permit, file this form at the same USCIS office where you
must submit the related Form I-131.

Our Authority to Collect This Information
The authority for collection of the information requested on this form is contained in 8 U.S.C. 1257(b), 8 CFR 223.2, 8 CFR
245.1, and 8 CFR 247. Submission of the information by an alien to request that he or she be permitted to retain status as an
immigrant lawfully admitted for permanent residence, to adjust to that of an alien lawfully admitted for permanent residence, or
to obtain a reentry permit, is voluntary.
The solicited information on this form will be used principally by U.S. Citizenship and Immigration Services (USCIS) to
determine whether (1) the status of the alien applicant shall be adjusted under the provisions of section 247(a) of the Immigration
and Nationality Act (INA), 8 U.S.C. 1257(a), to that of a nonimmigrant as described by section 101(a)(15)(A), (E) or (G) of the
INA, 8 U.S.C. 1101(a)(15)(A), (E) or (G); (2) the status of the alien applicant shall be adjusted under the provisions of 8 CFR
Part 245 to that of an alien lawfully admitted for permanent residence; or (3) the alien applicant may obtain a reentry permit
under 8 CFR Part 223.
As a matter of routine use, the information solicited may also be disclosed to other Federal, state, local, or foreign law
enforcement and regulatory agencies, the Department of State, the Internal Revenue Service, the Department of Defense,
including any component thereof (if the applicant has served in the Armed Forces of the United States); the Central Intelligence
Agency, Interpol; and other authorized individuals and organizations. Disclosure of this information may be made during the
course of an investigation to elicit further information required by USCIS to carry out its functions.
Failure to provide any or all of the solicited information may result in (1) the alien's adjustment of status from that of a lawful
permanent resident to that of a nonimmigrant classified under paragraph 15(A), 15(E) or 15(G) of section 101(a) of the INA; (2)
denial of the alien's application to adjust status to that of a lawful permanent resident; or (3) denial of the alien's application for a
reentry permit.

Paperwork Reduction Act Notice
Under the Paperwork Reduction Act 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. The reporting burden for this
collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing
this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W.,
Washington, D.C. 20529; OMB No. 1615-0025. Do not submit your application to this address.

Form I-508 (Rev. 05/27/08)Y Page 4

OMB No. 1615-0025: Expires 08/31/08

I-508, Waiver of Rights, Privileges,
Exemptions and Immunities

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

(Under Section 247(b) of the INA)

Type or print in black ink. Applicant must complete and submit all copies of this form.
Alien Registration Number:

I,

Last Name

First Name

A#
Middle Name

believe that I have an occupational status entitling me to a nonimmigrant classification under paragraph 15(A)
(Government Official), 15(E) (Treaty Trader or Treaty Investor) or 15(G) (International Organization
Representative) of section 101(a) of the Immigration and Nationality Act.
Accordingly, I seek to acquire and/or retain the status of an alien lawfully admitted for permanent residence and
hereby waive all rights, privileges, exemptions and immunities that would otherwise accrue to me under any law
or executive order by reason of such occupational status.
NOTE: French Nationals receiving a salary from the French Republic are required to complete this form I-508,
and also complete an additional waiver on Form I-508F. Both form I-508 and I-508F must be submitted together
to U.S. Citizenship and Immigration Services (USCIS).
1. I was born on: (mm/dd/yyyy)

At: (City/Province/State/Country)

2. I am employed by: (Name and Address of Mission or Organization)

3. U.S. Social Security Number:

U.S. State Department-Issued
Personal Identification Number (PID):

4. Signature:

Date: (mm/dd/yyyy)

FOR GOVERNMENT USE ONLY. (FRENCH NATIONALS PAID BY THE FRENCH REPUBLIC.)
FORM I-508F EXECUTED.
IRS COPY

EXEMPT FROM U.S. TAXES

NOT EXEMPT FROM U.S. TAXES.
Form I-508 (Rev. 05/27/08)Y Page 5

What is the Purpose of This Form?
This form is used by a person whose occupational status entitles him or her to nonimmigrant status under section
101(a)(15)(A),(E), or (G) of the Immigration and Nationality Act (INA) as a Government Official, Treaty Trader or Treaty
Investor, or International Organization Representative, respectively, to waive rights, privileges, exemptions, and immunities
associated with such occupational status.

Where Should I File This Form?
If you are filing this form in conjunction with an application to adjust status to that of a lawful permanent resident, file this form
at the same U.S. Citizenship and Immigration Services (USCIS) office where you must submit the related Form I-485. If you
are filing this form in conjunction with an application for reentry permit, file this form at the same USCIS office where you
must submit the related Form I-131.

Our Authority to Collect This Information
The authority for collection of the information requested on this form is contained in 8 U.S.C. 1257(b), 8 CFR 223.2, 8 CFR
245.1, and 8 CFR 247. Submission of the information by an alien to request that he or she be permitted to retain status as an
immigrant lawfully admitted for permanent residence, to adjust to that of an alien lawfully admitted for permanent residence, or
to obtain a reentry permit, is voluntary.
The solicited information on this form will be used principally by U.S. Citizenship and Immigration Services (USCIS) to
determine whether (1) the status of the alien applicant shall be adjusted under the provisions of section 247(a) of the Immigration
and Nationality Act (INA), 8 U.S.C. 1257(a), to that of a nonimmigrant as described by section 101(a)(15)(A), (E) or (G) of the
INA, 8 U.S.C. 1101(a)(15)(A), (E) or (G); (2) the status of the alien applicant shall be adjusted under the provisions of 8 CFR
Part 245 to that of an alien lawfully admitted for permanent residence; or (3) the alien applicant may obtain a reentry permit
under 8 CFR Part 223.
As a matter of routine use, the information solicited may also be disclosed to other Federal, state, local, or foreign law
enforcement and regulatory agencies, the Department of State, the Internal Revenue Service, the Department of Defense,
including any component thereof (if the applicant has served in the Armed Forces of the United States); the Central Intelligence
Agency, Interpol; and other authorized individuals and organizations. Disclosure of this information may be made during the
course of an investigation to elicit further information required by USCIS to carry out its functions.
Failure to provide any or all of the solicited information may result in (1) the alien's adjustment of status from that of a lawful
permanent resident to that of a nonimmigrant classified under paragraph 15(A), 15(E) or 15(G) of section 101(a) of the INA; (2)
denial of the alien's application to adjust status to that of a lawful permanent resident; or (3) denial of the alien's application for a
reentry permit.

Paperwork Reduction Act Notice
Under the Paperwork Reduction Act 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. The reporting burden for this
collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing
this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W.,
Washington, D.C. 20529; OMB No. 1615-0025. Do not submit your application to this address.

Form I-508 (Rev. 05/27/08)Y Page 6


File Typeapplication/pdf
File Titlei-508
File Modified2008-07-28
File Created2006-02-22

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