I-539 Application to Extend/Change Nonimmigrant Status

Application to Extend/Change Nonimmigrant Status

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Application to Extend/Change Nonimmigrant Status

OMB: 1615-0003

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1615-0003 can be found here:

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Overview | I-539: | USCIS

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E-filing USCIS Form
Welcome to the U.S. Citizenship and Immigration Services' (USCIS) Electronic Filing
(E-Filing) Introduction web page.
USCIS' E-Filing system allows you to complete and submit certain USCIS public use
forms entirely online.
In order to electronically file your application in the quickest and most effective
manner, please ensure you have the following available:
Adobe Acrobat Reader version 5.0
Netscape 4.7 or higher, or Internet Explorer 5.0 or higher
A printer to print your application and confirmation receipt page
A copy of the form instructions for the form you intend to complete
Additionally, follow the steps below:
You MUST complete all fields marked * in order to successfully submit your form
and fee payment. If all of the fields marked * are not filled out, you will be prompted
to do so before the submission process can be completed.
You MUST use the "Back" and "Continue" buttons at the bottom of each page to
navigate the application. DO NOT use the navigation buttons supplied by your
browser.
You MUST certify the validity of your application through a check box on the form.
You MUST follow the "Next Step" instructions on the Confirmation Receipt notice
that will be generated after you submit an e-filed application to ensure the proper
processing of you application. Failure to follow these "Next Step" instructions could
result application processing delays or even application denial.
You MUST contact the USCIS National Customer Service Center, if instructed to do
so on your Confirmation Receipt notice, at 1-800-375-5283 [TTY 1-800-767-1833]
to schedule an appointment with your local Application Support Center using your
Confirmation Receipt notice or your official Receipt Notice (I-797). The Application
Support Center will collect a digital photograph, signature, and fingerprint from you
at your appointment.
YOUR APPLICATION CANNOT BE PROCESSED UNTIL YOU HAVE:
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Overview | I-539: | USCIS

Appeared for your Appointment at the Application Support Center (if required).
Submitted required supporting documentation (if any).
PLEASE ALSO NOTE:
We strongly encourage you to SAVE your application electronically and to sign and
keep a hardcopy of your application for your records.

Please read our Secure Site Statement.
Please read our Accessibility Statement.
For assistance or questions regarding this form, please call our National Customer Service Center at
1-800-375-5283 [TDD 1-800-767-1833].

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Filing Status| I-539 | USCIS

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Filing Status
In order to electronically process your application, you must provide information for the
items
marked * below.
1. Attorney or non-attorney
Please indicate below if you are filing this form as a qualified attorney or otherwise: *
I am filing the form for myself or to assist someone. I am not a Qualified
Attorney.
I am a Qualified Attorney or Organization Representative.

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Form | Part 1: Information about you | I-539 | USCIS

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Part 1. Information about you.
In order to electronically process your application, you must provide information for the items
marked * below.
Family Name: *
Given Name: *
Middle Initial:
Address - In
care of:
Street Number
and Name: *
Apt.#:
City: *
State: *

Select a State

Zip Code: *
Daytime Phone
Number:

Country of
Birth:

Select a Country

Country of
Citizenship: *

Select a Country

Date of Birth: *

Social Security
# (if any):

YYYY

A #:
Date of Last
Arrival Into the
U.S.:

/
MM

/
DD

YYYY

I-94#:
Current
nonimmigrant
Status: *

Select a Status

Expires on:

/
MM

/
DD

YYYY
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Form | Page 1 | Part 2: Application type | I-539 | USCIS

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Part 2. Application type.

In order to electronically process your application, you must provide information for the items
marked * below.
1. I am applying for: * (Check one)
a. An extension of stay in my current status.
b. A change of status
c. Other: (Describe grounds of eligibility.)

Part 2 continued on next page

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Form | Page 2 | Part 2: Application type | I-539 | USCIS

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Part 2. Application type.
In order to electronically process your application, you must provide information for the items
marked * below.
2. Number of people included in this application: (Check one) *
a. I am the only applicant:
b. Members of my family are filing this application with me. The
total number of people (including me) in the application is:
(Complete the supplement for each co-applicant)

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Form | Part 3: Processing information | I-539 | USCIS

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Part 3. Processing Information.
1. I/We request that my/our current or requested status be extended until:
/
MM

/
DD

YYYY

2. Is this application based on an extension or change of status already
granted to your spouse, child, or parent?
No

Yes, Receipt #

3. Is this application based on a separate petition or application to give your
spouse, child or parent an extension or change of status?
No
Yes, filed with this I-539

Receipt Number:

Yes, filed previously and pending with USCIS.
4. If you answered "Yes" to question 3, give the name of the petitioner or
applicant:

If the petition or application is pending with USCIS, also give the following information:
Office Filed at:

Select a USCIS Location

Filed on:

/
MM

/
DD

YYYY
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Form | Page 1 |Part 4: Additional information | I-539 | USCIS

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Part 4. Additional Information.
1. For applicant #1, provide passport information:
Select a Country

Country of Issuance:
Valid to:

/
MM

/
DD

YYYY

2. Foreign Address:
Street Number and Name:
Apt.#:
City or Town:
Select a state (U.S. address
only) or province (Outside U.S.):
State:

Select a State

Province:
Country:

Select a Country

Zip/Postal Code:

Part 4 continued on next page

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Form | Page 2 |Part 4: Additional information | I-539 | USCIS

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Part 4. Additional Information.
3. Answer the following questions. If you answer "Yes" to any question, explain on separate
sheet of paper.
a. Are you, or any other person included on the application,
an applicant for an immigrant visa?

Yes

b. Has an immigrant petition ever been filed for you or for
any other person included in this application?

Yes

c. Has a Form I-485, Application to Register Permanent
Residence or Adjust Status, ever been filed by you or by
any other person included in this application?

Yes

d. Have you, or any other person included in this
application, ever been arrested or convicted of any
criminal offense since last entering the U.S.?

Yes

e. Have you, or any other person included in this
application, done anything that violated the terms of the
nonimmigrant status you now hold?

Yes

f. Are you, or any other person included in this application,
now in removal proceedings?

Yes

If you answered "Yes" to Question 3f, provide the name of the person in removal
proceedings and information on jurisdiction, date proceedings began and status of
proceedings, in the space below:

g. Have you, or any other person included in this
application, been employed in the U.S. since last
admitted or granted an extension or change of status?

Yes

If you answered "No" to Question 3g, fully describe how you are supporting yourself, include
the source, amount and basis for any income, in the space below:

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Form | Page 2 |Part 4: Additional information | I-539 | USCIS

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If you answered "Yes" to Question 3g, fully describe the employment, include the name of
the person employed, name and address of the employer, weekly income and whether the
employment was specifically authorized by USCIS, in the space below:

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Form | End of Form | I-539 | USCIS

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End of Primary I-539 Form
You have reached the end of the I-539 form.
To continue with the application process, select Continue which takes you to the next step of the
process.
If you would like to review information entered in this form, select Back to navigate through the
form.
To cancel and exit this e-filing process, select Cancel.

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Certify
Please review the information below. If you wish to edit any form information, either select the Form
Checklist link or the Back button. If the information is correct, you must certify it. Once you
certified and selected the "I agree" button, you cannot edit the forms.
In order to electronically process your application, you must provide information for the items marked
*.
Your Certification
Read the information on penalties in the instructions before completing this section. If someone
helped you prepare this petition, he or she must complete Part 9.
Certification: *
I certify, under penalty of perjury under the laws of the United States of America,
that this petition and the evidence submitted with it are all true and correct. I
authorize the U.S. Citizenship and Immigration Services to release to other
government agencies any information from my USCIS (or former INS) records, if
the USCIS determines that such action is necessary to determine eligibility for
the benefit sought.
Print Name:
Title:
Date (mm/dd/yyyy):

06/08/2012

Daytime Phone Number (Area/Country Code):

E-Mail Address:
Please note: If you do not fully complete this form or fail to submit the required documents listed in
the instructions, a final decision on your petition may be delayed or the petition may be denied.
I declare that I prepared this petition at the request of the above person and it is
based on all information of which I have knowledge.
Attorney or Representative: In the event of a Request
for Evidence (RFE) may the USCIS contact you by Fax
or E-mail?

Yes

Print Name:
Date (mm/dd/yyyy):

06/08/2012

Firm Name:
Firm Address:
Daytime Phone Number (Area/Country Code):

Fax Number (Area/Country Code):

E-mail Address:
By selecting I Agree, your application and payment (if applicable) will be sent to the USCIS.
Please select I Agree only once.
I intend to mail supporting documentation for this application.

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Payment | Payment Summary | USCIS

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Payment Summary
Payment Summary - Filer
Listed below are the fees that are to be paid by filer in this application.
Form
I-539 - tester, test

Description
I-539 Application Fee

Total due from filer:

Fee
$ 290.00
$290.00

Payment Method
Please select method of payment:
Credit Card

Electronic Checking or Savings

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File Type	application/pdf
File Modified	2012-06-15
File Created	2012-06-15