Application for Benefits Under the Family Unity Program

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Department of Homeland Security
U.S Citizenship and Immigration Services

OMB No. 1615-0005: Expires 01/31/12

Instructions for I-817, Application
for Family Unity Benefits

Instructions
Read these instructions carefully to properly complete this form. If you need more space to complete an answer, use a separate sheet
of paper. Write your name and Alien Registration Number (A-Number), 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?
For requesting initial benefits under the Family Unity
Program, or to request an extension of such benefits.

When Should I Use Form I-817?

General Instructions
You must fill out a separate Form I-817 for each person who
needs to apply for family unity benefits. Follow the steps to
complete the application process:
Step 1 - Read the Reasons for Filing Form I-817
Step 2 - Fill Out Form I-817

You should use Form I-817 to request initial benefits under
the Family Unity Program as well as to request an extension of
such benefits.

Step 1. Reasons for Filing Form I-817
1. Under IMMACT 90

1. Form I-817 should be used if you are applying for Family
Unity Program benefits under section 301 of the
Immigration Act of 1990 (IMMACT 90), or if you are
applying under to section 1504 of the Legal Immigration
Family Equity Act (LIFE Act) Amendments.
2. If you are granted family unity benefits under IMMACT
90, you are authorized to remain in the United States for
two years, and you will receive an Employment
Authorization Document (EAD) valid for the same period.
3. If you are granted family unity benefits under the LIFE Act
Amendments, you are authorized to remain in the United
States for two years (or one year if your spouse or parent
has not adjusted to lawful permanent resident status). You
will receive an EAD valid for the same period. You should
file only this Form I-817 with supporting documents to
request authorization to remain in the United States and
receive an EAD.
4. If after being granted family unity benefits under either
IMMACT 90 or the LIFE Act Amendments you intend to
travel outside the United States temporarily, you must
apply for advance authorization by completing Form I-131,
Application for Travel Document. Upon approval of Form
I-131, you will be issued Form I-512, Authorization of
Parole Into the United States. Advance parole allows you to
leave the United States and be paroled back into the United
States when you return.

To prove eligibility for Family Unity Program benefits
under IMMACT 90, you must meet the following
conditions:
A. You must have entered the United States prior to
May 5, 1988, or December 1, 1988, as appropriate to
the section of law that applies to you, and have been
continuously residing in the United States since that
date.
B. You were the spouse or unmarried child under 21 years
of age of a legalized alien as of May 5, 1988, or
December 1, 1988, as appropriate, and you have been
continuously eligible since that date for familysponsored immigrant status based on your relationship
to that person.
NOTE: If you were an unmarried child under 21 years of
age as of May 5, 1988, or December 1, 1988, as
appropriate, who has since been married, you will be
regarded as continuously eligible for family-sponsored
immigration benefits only if you were married after the
legalized alien, through whom your eligibility was gained,
naturalized as a U.S. citizen.
NOTE: For information on the two dates, May 5, 1988, or
December 1, 1988, go to Page 2 of these instructions and
read "Relationship to a legalized alien."

Form I-817 Instructions (Rev. 01/06/10) Y

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2. Under LIFE Act Amendments
To prove eligibility for Family Unity Program benefits
under the LIFE Act Amendments, you must be the
spouse or unmarried child under 21 years of age of an alien
who is eligible for adjustment under section 1504(b) of the
LIFE Act and:
A. Your spouse or parent has applied for or been granted
adjustment of status; and
B. You entered the United States before December 1,
1988, and resided in the United States on that date.
A legalized alien is someone who obtained temporary
or permanent residence in the United States as a
Special Agricultural Worker under section 210 of the
Immigration and Nationality Act (INA) through
Legalization under section 245A of the INA, or under
section 1504(b) of Public Law 106-553 (the LIFE Act).
For the purposes of this form, a legalized alien is also
someone who obtained permanent residence through a
Cuban/Haitian Adjustment under section 202 of the
Immigration Reform and Control Act of 1986.
3. The classes of individuals eligible to apply for family unity
benefits are listed below. Check the box in Part 2 of Form
I-817 that matches your request.
A. Relationship to a legalized alien:
1. I am the spouse of an alien who was legalized under
section 245A of the INA, and we have been married
since`at least May 5, 1988. Check box A if your
relationship was established on or before May 5,
1988, and you currently meet the residence and
continuous eligibility requirements.
2. I am the spouse of an alien who was legalized as a
Special Agricultural Worker under section 210 of
the INA, and we have been married since at least
December 1, 1988. Check box B if your
relationship was established on or before December
1, 1988, and you currently meet the residence and
continuous eligibility requirements.
3. As of May 5, 1988, I was the unmarried child under
21 years of age of an alien who was legalized under
section 245A of the INA. I am currently the child, son,
or daughter of the same parent. That parent is either a
legalized alien or a naturalized U.S. citizen who was a
legalized alien on or before May 5, 1988, and
maintained such status until his or her naturalization.
Check box C if your relationship was established on
or before May 5, 1988, and you currently meet the
residence and continuous eligibility requirements.

4. As of December 1, 1988, I was the unmarried child
under 21 years of age of an alien who was
legalized as a Special Agricultural Worker under
section 210 of the INA. I am currently the child,
son, or daughter of the same parent. That parent is
either a legalized alien or a naturalized U.S. citizen
who was a legalized alien on or before December
1, 1988, and maintained such status until his or her
naturalization. Check box D if your relationship
was established on or before December 1, 1988,
and you currently meet the residence and
continuous eligibility requirements.
5. I am the spouse of a legalized alien who adjusted
under section 202 of the Immigration Reform and
Control Act of 1986 (Cuban/Haitian Adjustment),
and we have been married since at least May 5,
1988. Check box E if your relationship was
established on or before May 5, 1988, and you
currently meet the residence and continuous
eligibility requirements.
6. As of May 5, 1988, I was the unmarried child
under 21 years of age of an alien who adjusted
under section 202 of the Immigration Reform and
Control Act of 1986 (Cuban/Haitian Adjustment).
I am currently the child, son, or daughter of the
same parent. That parent is either a legalized alien
or a naturalized U.S. citizen who was a legalized
alien on or before May 5, 1988, and maintained
such status until his or her naturalization. Check
box F if your relationship was established on or
before May 5, 1988, and you currently meet the
residence and continuous eligibility requirements.
B. Relationship to an alien eligible for adjustment of
status under the provisions of section 1104(b) of
Public Law 106-553 (the LIFE Act):
1. I am the spouse of an alien who is eligible for and
has filed for adjustment under section 1504 of
Public Law 106-554, the LIFE Act. I entered the
United States before December 1, 1988, and was in
the United States on that date. Check box G if you
entered the United States before December 1,
1988, and you were in the United States on that
date.
2. I am the unmarried child of an alien who is eligible
for and has filed for adjustment under section 1504
of Public Law 106-554, the LIFE Act. I entered the
United States before December 1, 1988, and was in
the United States on that date. Check box H if you
entered the United States before December 1, 1988,
and were in the United States on that date.
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NOTE: When a legalized alien becomes a U.S.
citizen, his or her spouse and unmarried children under
21 years of age will be eligible to apply for an
immigrant visa or to adjust status as a permanent
resident. If you are eligible to apply abroad for an
immigrant visa abroad, you must follow U.S.
Department of State requirements. To apply for
adjustment of status, you must follow the requirements
set forth in the INA and Title 8, Code of Federal
Regulations.
4. I am requesting:
A. Initial family unity benefits under section 301 of
IMMACT 90. Check box A if this is your first
application requesting family unity benefits.
B. An extension of family unity benefits under section
301 of IMMACT 90. Check box B if you already
have benefits under the Family Unity Program and you
are requesting an extension. You must submit proof
that Form I-130, Petition for Alien Relative, has been
filed on your behalf if the legalized alien through
whom family unity benefits were obtained is a lawful
permanent resident or naturalized U.S. citizen.
C. Initial Family Unity benefits under the LIFE Act as
amended. Check box C if this is your first application
requesting family unity benefits under the LIFE Act, as
amended.

4. Date of Birth - Use eight numbers to show your date of
birth (example: May 1, 1979, must be written 05/01/1979).
5. Country of Birth - Give the name of the country where
you were born. Include the city, state or province, and
country.
6. Country of Citizenship - Give the name of the country or
countries of which you are a citizen.
7. Home Address - Give your physical street address. 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.
8. Mailing Address - Give your U.S. mailing address, if
different from your home address.
Applicants must provide a U.S. or APO/FPO address in
either the Mailing Address or the Home Address.
9. Daytime Telephone Number - Give a telephone number
where you can be reached during the day. Include area,
country, and city codes, if applicable.

Part 2. Basis for Application
1. Number 1 - Check one box that applies to your particular
circumstance.
2. Number 2 - Check one box that relates to what you are
requesting.

Part 3. Additional Information
Step 2. Fill Out Form I-817
Use black ink only. 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."
This form is divided into Parts 1 through 8. The following
information will help you fill out the form.

Part 1. Information About You
1. Family Name (Last Name) - Use your legal name. If you
have two last names, include both and use a hyphen (-)
between the names, if appropriate.
2. Alien Registration Number (A-Number) - This is your
file number. If you do not have an A-Number or do not
know it, leave this blank. If your A-Number has 8 digits,
place a zero before the first number (example: A12345678
must be written A012345678).
3. U.S. Social Security Number - If you do not have a U.S.
Social Security Number, leave this blank.

The information requested is about you. You must provide all
the requested information in numbers 1 through 5. You must
answer all the questions numbered 6 through 34.

Part 4. Information About Your Spouse or Parent
The information requested is about the legalized alien
through whom you are claiming eligibility or an applicant
qualifying for Legalization under the LIFE Act.

Part 5. Complete Only If You Are Applying Based
on a Marital Relationship
Provide the requested information about your qualifying
marriage.

Part 6. Complete Only If You Are Applying Based
on a Child/Parent Relationship
1. Provide the requested information about your relationship
to the alien.
2. If you are married, divorced, or widowed, provide the
requested information.
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Part 7. Signature
1. You must sign and date your application. If you do not
sign the form, the application will be returned as
incomplete.
2. A parent or legal guardian may sign the application on
behalf of a child under 14 years of age.

Part 8. Signature of Person Preparing Form,
If Other Than Above
1. If you do not fill out Form I-817, the preparer must also
sign and date the form and give his or her address.
2. If the preparer is a business or organization, its name must
be included on the application.
3. Signature for placement on Employment Authorization
Document.
Make sure that your signature fits into the box
provided. No part of your signature should be outside
the box.

Evidence Requirements
Attach copies showing the front and back of the documents
you need to support your application. Do not send original
documents unless instructed to do so.
NOTE: If you send us a document in a foreign language, it
must have a full English translation that the translator has
certified as complete and correct. The translator must also
certify that he or she is competent to translate the foreign
language into English.
1. If you are requesting initial family unity benefits under
section 301 of IMMACT 90. Copies of the following
documents are evidence that the required relationship exists
and that you may be eligible to file an initial application:
A. A copy, front and back, of the document issued by
USCIS to your legalized spouse or parent (for example:
Form I-551, Permanent Resident Card, N-550,
Certificate of Naturalization, etc.).
B. If the legalized alien is your spouse - Submit a copy,
front and back, of a registered marriage certificate. If
you or your spouse were previously married, submit a
copy of a final divorce decree or death certificate.

C. If the legalized alien is your parent - Give evidence
of a valid parent-child relationship. This evidence can
vary, depending on the circumstances of your
relationship.
1. If your mother is the legalized alien, submit a copy
of your birth certificate showing your mother's
name.
2. If you were born in wedlock and the legalized alien
is your natural father, submit a copy of your birth
certificate showing your father's name, your
parents' marriage certificate, and proof of
termination of any of their prior marriages.
3. If you are the legitimated child of a legalized father,
submit a copy of your birth certificate and evidence
of your legitimation. Legitimation may be
established by the marriage certificate of your
natural parents or by documents of legitimation
issued by civil authorities. The legitimation must
have occurred while you were unmarried and prior
to your 18th birthday. You must also submit
evidence of any legal termination of your parents'
prior marriages, if your legitimation resulted from
your natural parents' marriage to each other.
4. If you were born out of wedlock and the legalized
alien is your natural father, submit a copy of your
birth certificate showing your father's name.
Evidence showing that a bona fide relationship
exists must also be provided. Such evidence may
include, but is not limited to: money order receipts
or canceled checks showing your father's financial
support, your father's income tax returns, your
father's medical or insurance records showing you
as a beneficiary, your school records, your father's
work documents showing you as a beneficiary,
correspondence, and/or notarized affidavits from
witnesses who are knowledgeable about the
relationship.
5. If the legalized alien is your stepparent, whether or
not you were born in wedlock, evidence must be
provided showing that you had not yet reached 18
years of age at the time of the marriage creating
your status as a stepchild. Submit a copy of your
birth certificate showing the name of your natural
parent to whom your stepparent is married. You
must also provide copy of the marriage certificate
that created the stepparent-stepchild relationship
and evidence of termination of any previous
marriages of your natural parent and stepparent.

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6. If you are the adopted child of a legalized alien
parent, submit a certified copy of your adoption
decree showing that you were adopted while under
16 years of age, a copy of the legal custody decree if
your custody was obtained before adoption, and a
statement showing the dates and places where you
and your adoptive parent(s) have lived.
NOTE: If you or your parent have had a name change, the
document authorizing the name change must be submitted.
2. If you are requesting initial family unity benefits under
section 1504 of Pub. L. 106-554, LIFE Act, as amended.
Copies of the following documents are evidence that the
required relationship exists and that you may be eligible to
file an initial application:
A. If the alien eligible for adjustment under the LIFE Act
is your spouse, submit a copy, front and back, of a
registered marriage certificate. If you or your spouse
were married previously, submit a copy of a final
divorce decree or death certificate.
B. If the alien eligible for adjustment under the LIFE Act
is your parent, give evidence of a valid parent-child
relationship. This evidence can vary depending on the
circumstances of your relationship:
1. If your mother is the alien eligible for adjustment
under the LIFE Act, submit a copy of your birth
certificate showing your mother's name.
2. If you were born in wedlock and the alien eligible
for adjustment under the LIFE Act is your natural
father, submit a copy of your birth certificate, your
parents' marriage certificate, and proof of
termination of any prior marriages.
3. If you are the legitimated child of an alien eligible
for adjustment under the LIFE Act, submit a copy
of your birth certificate and evidence of your
legitimation. Legitimation may be established by
the marriage certificate of your natural parents or
by documents of legitimation issued by civil
authorities. The legitimation must have occurred
while you were unmarried and prior to your 18th
birthday. You must also submit evidence of any
legal termination of your parents' prior marriages if
your legitimation resulted from your natural parents'
marriage to each other.
4. If you were born out of wedlock and the alien
eligible for adjustment under the LIFE Act is your
natural father, submit a copy of your birth certificate
showing your father's name. Evidence showing that a
bona fide relationship exists must also be submitted.

Such evidence may include but is not limited to:
money order receipts or canceled checks showing
your father's financial support, your father's income
tax returns, your father's medical or insurance
records showing you as a beneficiary, your school
records, and/or your father's work documents
showing you as a beneficiary.
5. If the alien eligible for adjustment under the LIFE
Act is your stepparent, whether or not you were
born in wedlock, evidence must be provided
showing that you had not yet reached 18 years of
age at the time of the marriage creating your status
as a stepchild. Submit a copy of your birth
certificate showing the name of your natural parent
to whom your stepparent is married. A copy of the
marriage certificate that created the stepparentstepchild relationship and evidence of termination
of any previous marriages of your natural parent and
stepparent must also be provided.
6. If you are the adopted child of an alien parent
eligible for adjustment under the LIFE Act, submit a
certified copy of your adoption decree showing that
you were adopted while under 16 years of age, a
copy of the legal custody decree if your custody was
obtained before adoption, and a statement showing
the dates and places you and your adoptive parent(s)
have lived together.
NOTE: If you or your parent have had a name change, the
document authorizing the name change must be submitted.
3. Secondary evidence (for applicants of both section 301
of IMMACT 90 and section 1504 of Public Law
106-554, the LIFE Act, as amended). Official documents
must be issued by the civil registrar, vital statistics office,
or other civil authority. If such documents are unavailable,
you must file your application with evidence from those
authorities establishing that the primary evidence is
unavailable. You must then submit secondary evidence to
establish the facts in question. Submit as many types of
secondary evidence as possible to verify the claimed
relationship. Any evidence submitted must contain enough
information (dates, names, etc.) to establish the event you
are trying to prove. Listed below are examples of
secondary evidence:
A. Baptismal certificate. A certificate under the seal of
the church or other religious entity where the baptism
or similar rite took place. The certificate must have
been issued within two months of the birth, show the
date and place of the birth, date of the baptism, and
names of the child's parents.
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B. School record. A letter from the school official
charged with recording attendance. The letter must
show the date of admission, the child's date of birth or
age at the time of admission, and the place of birth of
the parents, if shown in the record.
C. Census record. State or Federal census record
showing the name(s) and place(s) of birth, and date(s)
of birth or age(s) of the person(s) listed.
As noted above, if all forms of primary and secondary
evidence are unavailable, you must file your application
with evidence from those authorities stating that such
evidence is not available. In such case, you may submit at
least two affidavits sworn to or affirmed by persons who
are not parties to the application who have direct personal
knowledge of the events or circumstances. The persons
making the affidavits do not have to be U.S. citizens.
Each affidavit must contain the full name, address, date
and place of birth, and signature of the person attesting to
the event(s). The affidavit must also explain the person's
relationship to you, full information concerning the
event(s), and complete details of how the person acquired
the information.
4. Evidence of continuous residence requirements for
family unity applicants under section 301 of IMMACT
90
You must submit at least three documents that prove
residence in the United States since May 5, 1988, or
December 1, 1988. Such evidence may include but is not
limited to:
A. Employment records, pay stubs, W-2 Forms, Federal
and/or State tax returns, letter(s) from employers, or, if
you are self-employed, letters from banks and other
firms with whom you have done business. Your name
and the name of the employer or other interested
organization must appear on the form or letter.
B. Employment letters must be in affidavit form and must
be signed by the employer under penalty of perjury.
The letters must include dates of employment, your
home address at the time of employment, and your
duties with the company.
C. Hospital or medical records showing treatment or
hospitalization of you or your children in the United
States. The records must show the name of the medical
facility or physician and the date(s) of the treatment or
hospitalization.
D. Attestations by an official of a church, union, or other
organization indicating your residence, dates of

membership, and attendance. The statement must
include the organization's seal and be on official
letterhead stationary, if available.
E. Rent receipts, utility bills, or letters from companies
showing the dates when you received service.
F. School records (letters, report cards, etc.) from schools
you or your children have attended in the United States
that show the name of the school and periods of
attendance.
G. Any other relevant documents such as money order
receipts, passport entries, insurance documents, birth
certificates of children born in the United States,
correspondence between you and another person or
organization, automobile license receipts, deeds,
mortgages, contracts to which you have been a party,
insurance policies, etc.
5. Evidence requirements for Family Unity applicants
under section 1504 of Public Law 106-554, the LIFE
Act, as amended. You must submit documents that prove
entry into the United States before December 1, 1988, and
residence on that date. Such evidence may include but is
not limited to:
A. At least three documents that prove entry into the
United States before December 1, 1988. Examples: a
photocopy of your Form I-94, Arrival-Departure
Record; Form I-862, Notice to Appear; Form I-122,
Notice to Applicant for Admission Detained for
Hearing Before an Immigration Judge; Form I-221,
Order to Show Cause; photocopies of other DHS
(including USCIS) documents, including any
application or petition for benefits under the Act filed
by or on your behalf on or prior to December 1, 1988;
or a fee receipt issued for such application or petition.
B. Other government documentation issued by a Federal,
State, or local authority, provided such documentation
bears the signature, seal, or other authenticating
authority; was dated at the time of issuance; and bears
the date of issuance not later than November 30, 1988,
when proving entry. Examples: a State driver's license,
a State identification card issued in lieu of a driver's
license, a county or municipal hospital record, a public
college or public school transcript, income tax records,
property tax payment, private or religious school
transcripts (the school having been registered with, or
approved or licensed by appropriate State or local
authorities, or having been accredited by the State or
regional accrediting body, or by the appropriate private
school association).
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C. Non-governmental documents that include actual
dates. Examples: employment records, pay stubs,
employer letters, or if self-employed, letters from
banks and other firms with whom you have done
business (your name and the name of the employer or
interested organization must appear on the form or
letter and must be in affidavit form, signed by the
employer, under penalty of perjury, and must include
dates of employment, home address at the time of
employment, and duties with the company), hospital or
medical records showing hospitalization or treatment
showing the name of the medical facility or physician
and dates of the treatment, attestation by a church
official, union, or other organization indicating your
residence, dates of membership, and attendance,
including the organization's seal and letterhead.
D. Other relevant documents, including but not limited to:
rent receipts, credit card statements, utility bills, money
orders, passport entries, insurance documents, birth
certificate of child born in the United States,
automobile license receipts, deeds, mortgages, and
contracts to which you have been a party.
6. Request for extension of family unity benefits. Copies of
the following documents are evidence that the required
relationship exists and that you may be eligible to file an
application for extension of family unity benefits:
A. A copy, front and back, of the document issued by
USCIS to your legalized spouse or parent (for example:
Form I-551, Permanent Resident Card, N-550,
Certificate of Naturalization, etc.).
B. If the legalized alien through whom family unity
benefits were obtained is a lawful permanent resident
or naturalized U.S. citizen, evidence that Form I-130,
Petition for Alien Relative, has been filed on your behalf.
C. Evidence that you have been granted family unity
benefits in the past.
D. A list of all trips you have made outside the United
States since you were last granted family unity
benefits. This statement must include the dates and
reason for each absence. If you have not been outside
the United States since your last Form I-817 was
approved, provide a statement affirming this fact.
E. A list of all your residences in the United States since
your last Form I-817 was approved.
F. Fingerprints, if you were under 14 years of age when
your last Form I-817 was approved, but are now
14 years of age or older, or if USCIS requests them, as
part of the biometric services.

Biometrics Requirement
When required, fingerprints must be taken at a USCIS
Application Support Center (ASC) after you file your
application. USCIS will send you a notice about where to go and
when to get your fingerprints taken. As part of the biometrics
service, USCIS may also take your signature and photograph.

Photographs
You must submit two identical color photographs of yourself
taken within 30 days of the filing of this application. The
photos must have a white to off-white background, be printed
on thin paper with a glossy finish, and be unmounted and
unretouched.
NOTE: Because of the current USCIS scanning process, if
a digital photo is submitted, it needs to be produced from a
high resolution camera that has at least 3.5 mega pixels of
resolution.
Passport-style photos must be 2" x 2." The photos must be in
color with full face, frontal view on a white to off-white
background. Head height should measure 1" to 1 3/8" from top
of hair to bottom of chin, and eye height is between 1 1/8" to 1
3/8" from bottom of photo. Your head must be bare unless you
are wearing a headdress as required by a religious order of
which you are a member. Using a pencil or felt pen, lightly
print your name and Alien Receipt Number on the back of the
photo.

Where To File?
Updated Filing Address Information
The filing addresses provided on this form reflect the most
current information as of the date this form was last printed. If
you are filing Form I-817 more than 30 days after the latest
edition date shown in the lower right corner, visit our Web site
at www.uscis.gov before you file, and check the “FORMS”
page to confirm the correct filing address and version
currently in use. Check the edition date located in the lower
right corner of the form.
If the edition date on your Form I-817 matches the edition date
listed for Form I-817 on the online “FORMS” page, your
version is current. If the edition date on the online version is
later, download a copy and use it.
If you do not have Internet access, call the National Customer
Service Center at 1-800-375-5283 to verify the current filing
address and edition date.
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Please read the filing instructions below carefully, to assure
you file your application at the correct location.
Improperly filed forms will be rejected, and the fee
returned, with instructions to resubmit the entire filing
using the current form instructions.
1. If filing under section 1504 of Public Law 106-554,
LIFE Act, as amended to request initial benefits, or to
request an extension of previously acquired Family
Unity Program benefits(Part 2, box “G” or “H” on the
form), mail your application package to the USCIS
Chicago Lockbox facility:
For U.S. Postal Service (USPS) deliveries:
USCIS
P.O. Box 805887
Chicago, IL 60680-4120
For Express mail or courier deliveries:
USCIS
Attn: AOS
131 South Dearborn-3rd Floor
Chicago, IL 60603-5517
2. If you are filing under section 301 of IMMACT 90, and
currently live or intend to live anywhere in the United
States, Puerto Rico, the U.S. Virgin Islands, Guam, or
the Commonwealth of Northern Mariana Islands (Part
2, box “A” or “B” or “C” or “D” or “E” or “F” on the
form), you must mail your application package to the
USCIS Dallas Lockbox facility.
For U.S. Postal Service:
USCIS
P.O. Box 660162
Dallas, TX 75266
For Express mail or courier deliveries:
USCIS
Attn: I-817
2501 S State Highway, 121 Business
Suite 400
Lewisville, TX 75067
E-Notification:
If you are filing your Form I-817 at one of the USCIS
Lockbox facilities, you may elect to receive an email and/or
text message notifying you that your application has been

accepted. You must complete Form G-1145, E-Notification of
Application/Petition Acceptance, and clip it to the first page of
your application. To download a copy of Form G-1145,
including the instructions, click on the link www.uscis.gov
“FORMS.”

What Is the Filing Fee?
The filing fee for Form I-817 is $440.
An additional biometric fee of $80 is required when filing
Form I-817. After you submit Form I-817, USCIS will notify
you about when and where to go for biometric services.
If you are under 14 years of age, no biometrics fee is required.
You may submit one check or money order for both the
application and biometric fees, for a total of $520.
Use the following guidelines when you prepare your check or
money order for the Form I-817 and biometrics services fees:
1. The check or money order must be drawn on a bank or
other financial institution located in the United States and
must be payable in U.S. currency; and
2. Make the check or money order payable to U.S.
Department of Homeland Security, unless:
A. If you live in Guam, make it payable to Treasurer,
Guam.
B. If you live in the U.S. Virgin Islands, make it payable
to Commissioner of Finance of the Virgin Islands.
NOTE: Spell out U.S. Department of Homeland Security; do
not use the initials "USDHS" or "DHS."
How to Check If the Fees Are Correct
The form 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
fees are correct by following one of the steps below:
1. Visit our Web site at www.uscis.gov, select "FORMS,"
and check the appropriate fee;
2. Review the Fee Schedule included in your form package,
if you called us to request the form; or
3. Telephone our National Customer Service Center at
1-800-375-5283 and ask for the fee information.

Form I-817 Instructions (Rev. 01/06/10) Y Page 8

DRAFT
Notice to Those Making Payment by Check

Requests for More Information Or Interview

If you send us a check, it will be converted into an electronic
funds transfer (EFT). This means we will copy your check and
use the account information on it to electronically debit your
account for the amount of the check. The debit from your
account will usually take 24 hours and will be shown on your
regular account statement.

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.

Service Processing Information
You will not receive your original check back. We will
destroy your original check, but we will keep a copy of it. If
the EFT cannot be processed for technical reasons, you
authorize us to process the copy in place of your original
check. If the EFT cannot be completed because of insufficient
funds, we may try to make the transfer up to two times.

Address Changes
If you change your address and you have an application or
petition pending with USCIS, you may change your address
online at www.uscis.gov. Click on "Online Change of
Address" and follow the prompts. You may also complete and
mail Form AR-11, Alien's Change of Address Card, to:
U.S. Citizenship and Immigration Services
Change of Address
P.O. Box 7134
London, KY 40742-7134
For commercial overnight or fast freight services only, mail to:
U.S. Citizenship and Immigration Services
Change of Address
1084-I South Laurel Road
London, KY 40744

Processing Information
Any Form I-817 that is not signed or accompanied by the
correct fee, will be rejected with a notice that Form I-817
is deficient. You may correct the deficiency and resubmit
Form I-817. An application or petition is not considered
properly filed until accepted by USCIS.

Initial Processing
Once Form I-817 has been accepted, it will be checked for
completeness, including submission of the required initial
evidence. If you do not completely fill out the form, or file it
without required initial evidence, you will not establish a basis
for eligibility, and we may deny your Form I-817.

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

Decision
The decision on Form I-817 involves a determination of
whether you have established eligibility for the requested
benefit. You will be notified of the decision in writing.

USCIS Forms and Information
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 Web site at www.
uscis.gov.
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 Web site. 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.

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 I-817.

Form I-817 Instructions (Rev. 01/06/10) Y Page 9

DRAFT
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 2 hours 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
Products Division, 111 Massachusetts Avenue, N.W., 3rd
Floor, Suite 3008, Washington, DC 20529-2210. OMB No.
1615-0005. Do not mail your application to this address.

Application Check List
Did you completely fill out and sign the form?
Did you attach three color photos?
Did you attach a check or money order for the
appropriate fee for Form I-817, plus the appropriate fee
if you are required to obtain fingerprints or other
biometric services?
For your records you should keep copies of your application
and supporting documents.
Form I-817 Instructions (Rev. 01/06/10) Y Page 10