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 01/31/2012

Instructions 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: Read these instructions carefully. 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, 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?
Form I-566 provides necessary information to establish your
eligibility to request certain immigration benefits. Such
benefits may be available to:
1. An eligible dependent of an A, G, or NATO nonimmigrant
requesting employment authorization;
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
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 Form I-566.

When Should I Use Form I-566?
Use Form I-566 to facilitate the application process for various
benefits that may be available to you if you are, or wish to be
in A, G, or NATO nonimmigrant status. Form I-566 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 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:
1. U.S. Department of State (DOS);
2. U.S. 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).
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
2. You are applying for a change or adjustment of status to
or from A, G, or NATO status.

Definitions
A-Number - 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.
PIN: Personal Identification Number. This is the number
provided to eligible A and G nonimmigrants by the DOS.
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.
Statement from Prospective Employer: A statement on the
employer's letterhead identifying the dependent. It must
describe the position offered, duties to be performed,
salary offered, hours to be worked, and verifying 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.
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.

DOS Forms
DS-2003, Notification of Appointment of Foreign Diplomatic
Officer and Career Consular Officer
DS-2004, Notification of Appointment of Foreign
Government Employee
Form I-566 Instructions (Rev. 01/18/11) Y

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
Form I-508

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;
4. Other dependent recognized by the DOS as qualifying
(only applicable to dependents of A or G principal aliens).
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", "1b" or "1c"), 4, and 5 on
Form I-566.

Evidence Requirements
1.

I-551, Permanent Resident Card

A. Bilateral agreement - Submit documentation as
specified in the applicable agreement;

I-539, Application to Extend/Change Nonimmigrant Status

B. De facto arrangement or G-4 regulations - Submit a
statement from your prospective employer.

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. Use the following instructions
to complete your request.

2. If you are filing as the dependent unmarried son or
daughter who is a full-time, post-secondary student
between 21 and 23 years of age (or between 21 and 25
years of age under certain bilateral agreements):
A. Bilateral agreement - Submit documentation as
specified in the applicable agreement and a statement
from your school;

General Instructions

B. De facto arrangement or G-4 regulations - Submit a
statement from your prospective employer and school.

Reason for Filing Form I-566
Dependent Employment Authorization
Your request for employment authorization as an A, G, or
NATO dependent may be based on either:

3.

1. A formal, written bilateral agreement between the United
States and the country that employs the principal alien;
2. A de facto arrangement between the United States and the
country that employs the principal alien (employment
authorization under a de facto arrangement requires that
the principal is a national of the country that employs
him or her); or
3. The G-4 dependent employment regulations found in
8 CFR 214.2(g).

2. Dependent unmarried son or daughter who is a full-time,
post-secondary student between 21 and 23 years of age
(or between 21 and 25 years of age under certain bilateral
agreements);

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 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, 3, or 4 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 21years of age; or

If you are filing as the spouse or unmarried child under
21 years of age:

If you are filing as a dependent of an A-1, A-2, G-1, G-3,
or G-4 principal alien (other than a dependent listed in 1
through 3 above) recognized by the DOS as qualifying:.
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.

5.

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

Form I-566 Instructions (Rev. 01/18/11) Y Page 2

Change To/From Nonimmigrant A, G, or NATO
Status or Adjustment of Status
1.

Step 1. Fill Out Form I-566

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

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."

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:

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-Number
(if any), and Personal Identification Number (if available).
Indicate the item number to which the answer refers.

A. Form I-94 and Form I-539; and

NOTE: If you are filling out this form by hand, complete
only 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.

B. 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 a DS-2003 or DS-2004
form, as appropriate, if you are applying to be the
principal alien.
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. Form I-94 and Form I-485 package;
B. Form I-508;
C. If you are a French national, Form I-508F; and
D. All documentation required to establish eligibility for
the status you are requesting.

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

Form I-566 is divided into Parts 1 through 8. The following
information will help you fill out the form:

Part 1. Information About You (The person seeking
employment authorization or change/adjustment of
status.)
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.
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.
Mailing Address - Give your mailing address, if different
from your home address.
Daytime Phone # (include area code) - Give a phone
number in the United States where you may be reached
during the day.
Marital Status - Check the appropriate box. If you are
divorced or widowed, mark "Not Married."
A-Number - This is your file number. If you do not have
an A-Number or do not know it, leave this blank.
Social Security # - Give your U.S. Social Security
Number. If you do not have one, leave this blank.
I-94 # - Give the number on the Form I-94, ArrivalDeparture Document, you received upon your most recent
admission into the United States.
DOS Personal Identification # (PID) - This is the
number provided to eligible A and G nonimmigrants by
the DOS.
Date of Last Entry Into the U.S. - Give the date you last
entered the United States.
Current Immigration Status - Give your current status.
If you changed status after admission to the United States,
give your new status.

Form I-566 Instructions (Rev. 01/18/11) Y Page 3

Part 2. Information About Principal Alien
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.

4.

Submit Form I-566. Use the following instructions to
determine how to submit Form I-566:
A. If You Are Requesting Employment
NOTE: A completed and signed Form I-765 must be
attached to Form I-566 and include all required
documentation. See Form I-765 instructions for
additional information.

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

Submit your request as follows:

Part 4. Certification

1.

Sign and date 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.

The DOS or USUN will forward favorably
endorsed requests directly to USCIS. If your
Form I-765 is approved, USCIS will transmit
your employment authorization in accordance
with current procedures.

Parts 6, 7, and 8 Are for Official Use Only
Page 2, with only Part 5 filled in, must be submitted
with your request. Parts 6, 7, and 8 is for official use only.

Step 2. Submitting Form I-566
Form I-566 must include the following items.

2. 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 calling (757)
747-3640.

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

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.

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
Reason for Filing Form I-566 for detailed document
requirements. Do not send original documents unless
instructed to do so. An 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.
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.

A and G Dependents: Submit your complete
Form I-566 package, including Form I-765, to the
DOS office in Washington, DC, through your
diplomatic mission or international organization.
In New York City, the United Nations (UN) and
UN missions must submit the package to the U.S.
Mission to the UN (USUN).

If your Form I-765 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
package to the DOS/Visa Office or USUN.
The DOS/Visa Office or USUN will forward
favorable endorsements to USCIS.
Form I-566 Instructions (Rev. 01/18/11) Y Page 4

b. Section 247(a), immigrant to A or G
nonimmigrant:
Upon receipt of your Form I-566 with a
favorable DOS endorsement, submit both
copies of Form I-566, your Permanent
Resident Card Form I-551, and Form I-407
to the USCIS office having jurisdiction (see
instructions on Form I-407).
2.

Submit the following request directly to DOS/
Visa Office or USUN:
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 Form I-566, 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 Form I-539 or
I-129).

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.

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 Form I-566, we will deny
Form I-566 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 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 Form I-566.

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.

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 Products Division, Office of the Executive
Secretariat, 20 Massachusetts Avenue, N.W., Washington, DC
20529-2020. OMB No. 1615-0027. Do not mail your
application to this address.

Check List
If you filled out Form I-566 by hand, did you:
Completely fill out the form?
Make two copies?
Sign both copies?
If you filled out Form I-566 electronically, did you:
Completely fill out the form?
Sign both copies?
AND:
Is Page 2 of both copies attached?
Did you attach all other required documents?
For your records, you should keep copies of your Form
I-566.
Form I-566 Instructions (Rev. 01/18/11) Y Page 5