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

OMB No. 1615-0025: Expires 11/30/2011

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)

Instructions

Read these instructions carefully to properly complete this form. If you need more space to complete an answer, use a
separate sheet(s) of paper. Write your name and Alien Registration Number (A Number), if any, at the top of each sheet of
paper and indicate the section and number of the item to which the answer refers.

What Is the Purpose of This Form?
This form is used by a person whose occupational status entitles you 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 To File?
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 8CFR 247. Submission by an alien to request that you 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 245 to that of an
alien lawfully admitted for permanent residence; or (3) the alien applicant may obtain a reentry permit under 8 CFR 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 the information may be made during the course of an investigation to elicit
further information required by USCIS to carry out it 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
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 Form I-508 is estimated at 5
minutes per response, including the time for reviewing instructions and completing and submitting the form. For French Nationals
receiving a salary from the French Republic, the public reporting burden for the supplementary Form I-508F is also 5 minutes per
response. 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, Office of the Executive
Secretariat, 20 Massachusetts Avenue, N.W., Washington, DC 20529-2020; OMB No 1615-0025. Do not mail your completed
Form I-508 to this address.
Instructions I-508 (Rev. 11/17/09)Y

OMB No. 1615-0025: Expires 11/30/2011

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 of print in black ink. Applicant must complete and submit all copies of this form.
Alien Registration Number: A#
Last Name

Middle Name

First Name

I,
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 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 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).
Location: (City / Province / State / Country)

Birth Date

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

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

U. S. Social Security Number

Date(mm/dd/yyyy)

Signature

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. 11/17/09)Y

OMB No. 1615-0025: Expires 11/30/2011

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 of print in black ink. Applicant must complete and submit all copies of this form.
Alien Registration Number: A#
Last Name

Middle Name

First Name

I,
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 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 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).
Birth Date

Location: (City / Province / State / Country)

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

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

U. S. Social Security Number

Date(mm/dd/yyyy)

Signature

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. 11/17/09)Y

OMB No. 1615-0025: Expires 11/30/2011

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 of print in black ink. Applicant must complete and submit all copies of this form.
Alien Registration Number: A#
Last Name

Middle Name

First Name

I,
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 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 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).
Location: (City / Province / State / Country)

Birth Date

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

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

U. S. Social Security Number

Date(mm/dd/yyyy)

Signature

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. 11/17/09)Y