Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization

OMB No. 1615-0027; Expires 02/28/09

Instruction for I-566, Interagency Record of Request A, G, or NATO Dependent Employment Authorization or
Change/Adjustment to/from A, G, or NATO Status

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

Instructions
NOTE: Please read these instructions carefully. If you need more space to complete an answer, use a separate sheet(s) of paper.
Write your name and Alien Registration Number (A #), if you have one, and your Personal Identification Number (PID), if you have
one, at the top of each sheet and indicate the number of the item to which the answer refers.

What Is the Purpose of This Form?
Use Form I-566 to provide necessary information to DOS,
DOD, NATO/HQ SACT, and USCIS to establish your
eligibility to request certain immigration benefits. Such
benefits may be available to:

You must use this form if:
1. You are applying for employment authorization as an
eligible A-1, A-2, G-1, G-3, G-4, or NATO 1-6 dependent.
(Definitions and eligibility requirements may be found in
8 CFR 214.2(a), 214.2(g) and 214.2(s)); or

1. An eligible dependent of an A, G, or NATO nonimmigrant
requesting employment authorization.

2. You are applying for a change or adjustment of status to,
or from, A, G, or NATO status.

2. An A, G, or NATO nonimmigrant requesting a change to
another nonimmigrant status, or if you are currently in
another nonimmigrant status and have been offered a
position that requires you and any dependents to be
reclassified as an A, G, or NATO nonimmigrant; or

Definitions

3. An A, G, or NATO nonimmigrant requesting adjustment
to lawful permanent resident.
Form I-566 generally accompanies other forms. There is
no filing fee for the I-566.

A # - Alien Registration Number assigned to an alien's
administrative file.
8 CFR - Title 8, Code of Federal Regulations.
Certifying officer or official: A chief of a diplomatic
mission, international organization director, or authorized
deputy, NATO member state official or NATO/HQ SACT
Legal Advisor who is authorized to certify information about
an applicant.

When Should I Use Form I-566?

PID: Personal Identification Number. This is the number
provided to eligible A and G nonimmigrants by the DOS.

Use Form I-566 to facilitate the application process for various
benefits that may be available to you if you are in, or wish to
be in, A, G, or NATO nonimmigrant status. This form
provides information needed to identify you and the person
from whom your status is, or will be, derived (the principal
alien). Form I-566 assists government agencies and
organizations in the exercise of their responsibility to
adjudicate applications for immigration benefits, including
requests for employment authorization and change or
adjustment of status. The government agencies and
organizations involved in the process are the:

Principal alien: A nonimmigrant admitted to work
exclusively for a foreign government, international
organization, or NATO in A, G, or NATO status from whom
family members derive their A, G, or NATO status.

1. Department of State (DOS);

2. Department of Defense (DOD);
3. North Atlantic Treaty Organization/Headquarters,
Supreme Allied Commander Transformation (NATO/HQ
SACT); and
4. U.S. Citizenship and Immigration Services (USCIS).

Statement from prospective employer: A statement on the
employer's letterhead identifying the dependent. It must
describe the position offered, duties to be performed, the
salary offered, hours to be worked, and verify that the
dependent possesses the qualifications for the position. The
statement must include the phone number, name, and original
signature of the person making the statement.
Statement from school: A statement on the letterhead of the
dependent's post-secondary school that identifies the
dependent, certifies that he or she is a full-time student,
identifies the courses being taken and the credit hours being
carried and provides the expected graduation date. The
statement must include the phone number, name, and original
signature of the school official making the statement.

Form I-566 Instructions (Rev. 02/28/08) N

Statement from physician: A statement on the letterhead of
the dependent's physician identifying the dependent and the
certifying physician. It must identify the dependent's
condition, describe the symptoms, provide a prognosis and
certify that the dependent is physically/mentally unable to
establish, re-establish or maintain a home of his or her own.
The statement must include the phone number, name and
original signature of the physician making the statement.

Your request for employment authorization as an A, G, or
NATO dependent may be based on either:

DOS Forms

1. A formal, written bilateral agreement between the United
States and the country which employs the principal alien;

DS-2003, Notification of Appointment of Foreign Diplomatic
Officer and Career Consular Officer.
DS-2004, Notification of Appointment of Foreign
Government Employee.

USCIS Forms
I-94, Arrival/Departure Record, issued to nonimmigrants upon
arrival in the United States.
I-129, Petition for a Nonimmigrant Worker.
I-407, Abandonment by Alien of Status as Lawful Permanent
Resident.
I-485, Application to Register Permanent Residence or Adjust
Status.
I-508, Waiver of Rights, Privileges, Exemptions, and
Immunities.
I-508F, form used by French nationals in conjunction with the
I-508.
I-551, Alien Registration Receipt Card.
I-539, Application to Extend/Change Nonimmigrant Status.
I-765, Application for Employment Authorization.

How Do I File Form I-566?
A separate Form I-566 must be filed for each individual
seeking an immigration benefit. Follow these steps to
complete your request:
Step 1 - Reason for Filing Form I-566
Step 2 - Fill Out Form I-566
Step 3 - Submit Form I-566

General Instructions
Step 1. Reason for Filing Form I-566
Dependent Employment Authorization

2. A de facto arrangement between the United States and the
country which employs the principal alien (employment
authorization under a de facto arrangement requires that
the principal is a national of the country which employs
him/her); or
3. The G-4 dependent employment regulations found in
8 CFR 214.2(g).
If you have a question about which provision may apply to
you, contact the diplomatic mission, international organization,
NATO/HQ SACT, or DOD command that employs the
principal alien.
If one of the provisions in 1, 2 or, 3 applies to you, you must
also show that you are an eligible dependent of a principal
alien. Eligible dependents are the:
1. Spouse or unmarried child under age 21; or
2. Dependent unmarried son or daughter who is a full-time,
post-secondary student between age 21 and 23 years (or
between age 21 and 25 under certain bilateral
agreements); or
3. Dependent unmarried son or daughter who is mentally or
physically unable to care for him or herself and cannot
establish his or her own household.
If you meet one of these conditions and believe you are
eligible to apply for employment authorization, complete
Parts 1, 2, 3 (Check Box "1a" or "1b"), 4, and 5 on Form
I-566.

Evidence Requirements
1.

If you are filing as the spouse or unmarried child under
age 21:
A. Bilateral agreement - Submit documentation as
specified in the applicable agreement.
B. De facto arrangement or G-4 regulations - Submit a
statement from your prospective employer.

Form I-566 Instructions (Rev. 02/28/08) N Page 2

2. If you are filing as the dependent unmarried son or
daughter who is a full-time, post-secondary student
between ages 21 and 23 years (or between ages 21 and 25
under certain bilateral agreements):
A. Bilateral agreement - Submit documentation as
specified in the applicable agreement and a statement
from your school.
B. De facto arrangement or G-4 regulations - Submit a
statement from your prospective employer and school.
3.

If you are filing as the dependent unmarried son or
daughter who is mentally or physically unable to care for
yourself and cannot establish your own household:
A. Bilateral agreement - Submit documentation as
specified in the applicable agreement and a statement
from your physician.
B. De facto arrangement or G-4 regulations - Submit a
statement from your prospective employer and
physician.

4.

If you are requesting an extension of your employment
authorization, submit the above noted required documents
and any other documents required by the principal alien's
sponsoring agency.

NOTE: If you are a permanent resident who wishes to be
employed by an A or G mission or organization while
retaining your permanent resident status, contact the
USCIS district office having jurisdiction over your
residence for instructions. (See section 247(b) of the
Immigration and Nationality Act for more information.)
3. Change to other nonimmigrant status from A, G, or NATO.
Complete Form I-566, Parts 1, 3 (check Box "2c"), 4,
and 5. Complete Part 2 if you are not applying to be the
principal alien.
4. Adjustment from A, G, or NATO nonimmigrant to
immigrant status.
Complete Form I-566, Parts 1, 3 (check Box "2d"), 4,
and 5. Complete Part 2 if you are and not applying to be
the principal alien. Attach these required supporting
documents:
A. Your Form I-94 and Form I-485 package;
B. Your Form I-508;
C. If you are a French National, a Form I-508F; and
D. All documentation required to establish eligibility for
the status you are requesting.

Change to/from Nonimmigrant A, G, or NATO
Status or Adjustment of Status

A-1, A-2, G-1 or, G-2 nonimmigrant applying under
Section 13 of the Act of September 11, 1957

1.

Complete Form I-566, Parts 1, 3 (check Box "2e"), 4, and 5.
Complete Part 2 if you are not applying to be the principal
alien. Attach these required supporting documents:

Change of nonimmigrant status to A, G, or NATO
nonimmigrant

Complete Form I-566, Parts 1, 3 (check Box "2a"), 4,
and 5. Complete Part 2 if you are not applying to be the
principal alien. Attach the required supporting
documents:
A. Your Form I-94 and Form I-539.
B. A DS-2003 or DS-2004 form, as appropriate, if you
are applying to be the principal alien.
2. Section 247(a), immigrant to A or G nonimmigrant
A. Complete Form I-566, Parts 1, 3 (check Box "2b"), 4,
and 5. Complete Part 2 if you are not applying to be
the principal alien. Attach the required supporting
documents:
B. A DS-2003 or DS-2004 form, as appropriate, if you
are applying to be the principal alien.

Step 2. Fill Out Form I-566
Use black ink. Type or print clearly using capital letters. If
an item does not apply to you, write "N/A." If the answer is
none, write "none."
If you need extra space to answer any item, attach a sheet of
paper and at the top of each sheet, write your name, A # (if
any) and PID (if available). Indicate the item number to which
the answer refers.
NOTE: If you are filling out this form by hand, only
complete Pages 1 and 2. When you are done, make a
photocopy of these pages. If you are filling out this form
electronically, input your information on the first two pages;
Pages 3 and 4 will be automatically populated. When you
print the form, you will get two completed copies. No matter
how you fill out the form, both copies must have an original
signature.

Form I-566 Instructions (Rev. 02/28/08) N Page 3

This form is divided into Parts 1 through 8. The following
information should help you fill out the form.

Part 1. Information About you (The person seeking
employment authorization or change/adjustment of
status.)
1. Family Name (Last name) - Give your legal name. If you
have two last names, include both and use a hyphen (-)
between the names, if appropriate.
2. Home Address - Give your physical street address in the
United States. This must include a street number and
name or a rural route number. Do not put a post office box
(P.O. Box) number here.
3. Mailing Address - Give your mailing address, if different
from your home address.

Part 4. Certification
Sign and date the Form I-566 (both copies). If both copies
of the form are not signed, your request will be returned as
incomplete. A parent or guardian may sign, if appropriate.

Part 5. Your Personal Information
You, the person making the request, must complete this
part to assist the agencies involved in responding to your
request.

Parts 6, 7, and 8 are for Official Use Only
This page, with only Part 5 filled in, must be submitted
with your request. You, the requester, do not fill in any of
Parts 6, 7, and 8.

4. Daytime Phone Number (include area code) - Give a
phone number in the United States where you may be
reached during the day.

Step 3. Submitting Form I-566

5. Marital Status - Check the appropriate box. If you are
divorced or widowed, mark "Not Married."

1. Your signed and completed Form I-566. Two (2) copies
of both pages of the form must be submitted. Both copies
must have an original signature in Part 4.

6. A # - This is your file number. If you do not have an A
number or do not know it, leave this blank.
7. Social Security # - Give your U.S. Social Security
Number. If you do not have one, leave this blank.
8.

I-94 # - Give the number on the Form I-94, Arrival/
Departure Document, you received upon your most recent
admission into the United States.

9. DOS Personal Identification # (PID) - This is the
number provided to eligible A and G nonimmigrants by
the DOS.
10. Date of Last Entry Into the U.S. - Give the date you last
entered the United States.
11. Current Immigration Status - Give your current status.
If you changed status after admission to the United States,
give your new status.

Your Form I-566 must include the following items.

NOTE: If your request is urgent, you may so indicate by
attaching a written request. Every effort will be made to
expedite processing.
2. Filing fee. There is no fee for filing Form I-566.
However, there may be a filing fee for the associated
petition or application. If the petition or application is
submitted with this request, read the instructions on the
associated form for fee information.
3. Evidence. Attach copies of the front and back of the
documents you need to support your request. See Step 1,
Reason for Filing Form I-566, for detailed document
requirements. Do not send original documents unless
instructed to do so. A ordinary legible photocopy
(standard 8 1/2 x 11 letter size) may be submitted.
Original documents submitted when not required will
remain a part of the record.

Part 2. Information About Principal Alien

NOTE: Documents not in English must have a full
English translation. The translator must provide a
statement that the translation is complete and correct and
that he or she is competent to translate the foreign
language into English.

If you are a dependent family member filing for employment
authorization or change/adjustment of status to or from an A,
G, or NATO nonimmigrant status, complete this part.

Part 3. Type of Request
Check and fill in any boxes that apply to your request.

4.

Submit your Form I-566. See the following to
determine how your I-566 is to be submitted.
A. If You Are Requesting Employment
NOTE: A completed and signed Form I-765 must be
attached to the Form I-566, and include all required
documentation. See Form I-765 instructions for
additional information.
Form I-566 Instructions (Rev. 02/28/08) N Page 4

Submit your request as follows:
1.

b. Section 247(a), immigrant to A or G
nonimmigrant.

A and G Dependents: Submit your complete
Form I-566 package, including Form I-765, to the
DOS office in Washington, D.C., through your
diplomatic mission or international organization.
In New York City, the United Nations (UN) and
UN missions should submit the package to the U.
S. Mission to the UN (USUN).
a. The DOS or USUN will forward favorably
endorsed requests directly to USCIS. If your
Form I-765 application is approved, USCIS
will transmit your employment authorization
in accordance with current procedures.

Upon receipt of your Form I-566 with a
favorable DOS endorsement, submit both
copies of it, your Permanent Resident Card
(Form I-551), and Form I-407 to the USCIS
office having jurisdiction (see instructions on
Form I-407).
2.

Change to other nonimmigrant status from A, G,
or NATO.
Upon receipt of a favorable endorsement from
the DOS/Visa Office or USUN, submit both
copies of the Form I-566, your Form I-94, Form
I-539 or Form I-129 (as appropriate), and all
documentation required to establish eligibility
for the requested status to the USCIS office
having jurisdiction (see instructions on Forms
I-539 or I-129).

b. NATO Dependents: Submit your complete
Form I-566 package, including Form I-765,
to NATO/HQ SACT Legal Affairs, 7857
Blandy Road, Suite 100, Norfolk, VA
23551-2490. Questions regarding the
process or document requirements may be
directed to HQ SACT by telephoning
(757) 747-3640.
If a bilateral dependent employment
agreement contains a numerical limitation on
the number of dependents authorized to
work, NATO/HQ SACT or DOD will
consult with DOS to determine whether this
numerical limitation has been reached.
NATO/HQ SACT or DOD will forward
favorably endorsed requests directly to
USCIS.
If your Form I-765 application is approved,
USCIS will transmit your employment
authorization in accordance with current
procedures.
B. If You Are Requesting a Change / Adjustment of
Status. - Submit your request as follows:
1.

Submit the following requests to your
diplomatic mission, international organization
or NATO/HQ SACT.
a. Change of nonimmigrant status to A, G, or
NATO status.
The diplomatic mission, international
organization or NATO/HQ SACT will
forward your Form I-566 and Form I-539
application package to the DOS/Visa Office
or USUN. the DOS/Visa Office or USUN will
forward favorable endorsements to USCIS.

Submit the following request directly to DOS/
Visa Office or USUN.

3.

Submit the following request directly to the
USCIS office having jurisdiction (see
instructions on Form I-485):
a. Adjustment from A, G, or NATO
nonimmigrant to immigrant.
NOTE: For such request, a DOS/USUN/
NATO/HQ SACT favorable endorsement is
not required prior to USCIS adjudication of
the adjustment application.
b. A-1, A-2, G-1, or G-2 nonimmigrant applying
under Section 13 of the Act of September 11,
1957.
USCIS will forward this request to the DOS/
Visa Office or USUN, as appropriate. The
DOS/Visa Office or USUN will advise
USCIS of its official position, the date of
onset and termination of status, and whether
there are any objections to the requested
adjustment under Section 13.

Form I-566 Instructions (Rev. 02/28/08) N Page 5

Processing Information
Our goal at USCIS is to process all requests fairly. The
processing time will vary depending on the specific
circumstances of each case. We may reject an incomplete
request. We may deny your request if you do not give us the
required information or do not go to a scheduled interview.

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

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 public reporting burden for this
collection of information is estimated at 15 minutes per
response, including the time for reviewing instructions and
completing and submitting the form. 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., 3rd Floor, Suite 3008, Washington, DC 20529.
OMB No. 1615-0027. Do not mail your application to this
address.

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 for which you are filing. Our legal
right to ask for this information can be found in the
Immigration and Nationality Act, as amended. 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 Form.

Check List

USCIS Forms and Information

If you filled out the Form I-566 by hand, did you:
To order USCIS forms, call our toll-free number at
1-800-870-3676. You can also get USCIS forms and
information on immigration laws, regulations and procedures
by telephoning our National Customer Service Center at
1-800-375-5283 or visiting our Internet website at
www.uscis.gov.
As an altenative 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. 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.

Completely fill out the form;
Make two copies; and
Sign both copies?
If you filled out the Form I-566 electronically, did you:
Completely fill out the form;
Make two copies; and
Sign both copies?
AND:
Are both copies of the "Official Use Form attached?"
Did you attach all other required documents?
For your records, you should keep copies of your Form
I-566 package.
Form I-566 Instructions (Rev. 02/28/08) N Page 6