Form I-765 Electronic I-765 Electronic Application for Employment Authorization

EXPLORE

Filing for or renewing Temporary
Protected Status
The process of filing for Temporary Protected Status includes several
forms. This website will allow you to complete and file them together.

Application for Temporary Protected Status
Form I-821

You can use this website to re-register for Temporary Protected Status as a national
of Nicaragua.
Filing late

Cost

Availibility

If you were unable to file
during the initial filing period
for Nicaragua, you may
qualify to file your initial
application late.

Applying (or re-registering)
for Temporary Protected
Status costs $135 for
anyone over 14 years old.
For children under 14, the
application costs $50.

Filing online is not yet
available for nationals of
other countries. To renew
Temporary Protected Status
for any other country,
complete and submit paper
forms.

Learn more about filing late

Application for
Employment Authorization

Application for
Travel Document

Form I-765

Form I-131

The required information from this form
will be submitted as part of the online
filing process, and you will not need to
complete or file it separately.

If you have necessary travel planned,
you will also need to apply for a travel
document. This is a separate
application, and adjudicators do not
consider requests for travel documents
while determining Temporary Protected
Status.

As part of filing for Temporary
Protected Status, you can also request
employment authorization, which
temporarily allows you to work legally in
the United States.
Cost
Requesting an Employment Authorization
Document costs an additional $380 for
anyone 14 to 65 years old.

This document is important for travel
outside of the United States. If you
need to file it at a later date, you will
need to complete the paper Application
for Travel Document.
Cost
Filing an Application for Travel Document
costs an additional $360.

Timing and deadlines
You must complete these forms before the end of the reregistration period on XXXX X, 2016.
Once you start the process online, we want to keep your
information secure. If you leave your application inactive for
more than 30 days, we will delete your data in order to prevent
storing personal information indefinitely.

After you submit your re-registration

Biometrics appointment

Requests for evidence

Notification

If we need your photograph,
signature, or fingerprints, we
will contact you to schedule
an appointment at an
Application Support Center
near you. If we have this
information on file, we may
not need to schedule a
biometrics appointment.

If we need more
information, we will contact
you to ask for other
documents or forms to help
us make a decision.

Once your application is
reviewed, we will send an
approval notice or a letter
indicating the reason for your
denial. At this point, we will
also send your Employment
Authorization Document (if
you requested one).

Re-registration
Temporary Protected Status for
Nicaragua has been extended
until [date].

Check back on [date-60] to find out
if Temporary Protected Status for
Nicaragua has been extended and
re-register if need be.

Country

Extended until

Check back on

Nicaragua

May 19, 2017

July 19, 2017

Continue

Send me a reminder

RESOURCES

Start your application
Before you start the process of re-registering for Temporary
Protected Status online, you may want to gather the documents
you will need to support your application:

 ocumentation of your
D
identity and nationality
(for instance, a passport
or national identity
document that includes your
photograph)

 ocumentation of your date
D
of entry into the United States
(for instance, your passport or
I-94 Arrival/Departure Record)

 ocumentation of your
D
continuous residence in the
United States (for instance,
employment records, rent or
utility bills, school records, or
other records)

Privacy Act Statements
Application for Temporary Protected Status (Form I-821)
AUTHORITIES: Section 244 of the Immigration and Nationality Act (INA), as amended, and 8 CFR 244.9
authorize USCIS to collect the information and the associated evidence for this benefit application. INA
264(f) (8 U.S.C. 1304(f)) also provides the Secretary of Homeland Security with the authority to collect Social
Security Number (SSN) information.
PURPOSE: The primary purpose for providing the requested information on this form is to determine if you
have established eligibility for the Temporary Protected Status for which you are filing. USCIS may also use
the information you provide to grant or deny the benefit sought.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested
information, and any requested evidence, may delay a final decision or result in denial of your request for
Temporary Protected Status.
ROUTINE USES: The information you provide on this form may be disclosed to other Federal, state, local,
and foreign government agencies and authorized organizations in accordance with approved routine uses,
as described in the associated published system of records notices, DHS-USCIS-007 - Benefits Information
System, DHS/USCIS-001 - Alien File, Index, and National File Tracking System of Records and DHS/
USCIS-015 - Electronic Immigration System-2 Account and Case Management System of Records, which can
be found at www.dhs.gov/privacy. USCIS may also make the information available, as appropriate, for law
enforcement purposes or in the interest of national security.

Application for Employment Authorization (Form I-765)
AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the
Immigration and Nationality Act, section 101, et seq.
PURPOSE: The primary purpose for providing the requested information on this form is to determine
eligibility for certain aliens who are temporarily in the United States requesting an Employment Authorization
Document (EAD).
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested
information, and any requested evidence, may delay a final decision or result in the denial of your benefit
request.
ROUTINE USES: The information you provide on this benefit application may be shared with other federal,
state, local, and foreign government agencies and authorized organizations in accordance with approved
routine uses, as described in the associated published system of records notices [DHS-USCIS-001—Alien
File, Index, and National File Tracking System; DHS-USCIS-007—Benefit Information System; and DHS/
USCIS-010—Asylum Information and Pre-Screening, which can be found at www.dhs.gov/privacy]. The
information may also be made available, as appropriate for law enforcement purposes or in the interest of
national security.

Application for Travel Document (Form I-131)
AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the
Immigration and Nationality Act, section 101, et seq.
PURPOSE: The primary purpose for providing the requested information on this form is to determine if you
have established eligibility for the immigration benefit for which you are filing. The information you provide
will be used to grant or deny the benefit sought.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested
information, and any requested evidence, may delay a final decision or result in denial of your form.
ROUTINE USES: The information you provide on this form may be shared with other Federal, State, local,
and foreign government agencies and authorized organizations following approved routine uses described
in the associated published system of records notices [DHS-USCIS-007—Benefits Information System and
DHS-USCIS-001—Alien File, Index, and National File Tracking System of Records, which can be found at
www.dhs.gov/privacy]. The information may also be made available, as appropriate, for law enforcement
purposes or in the interest of national security.

Paperwork Reduction Act Burden Disclosure
Notice
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 OMB control number for the Application for Temporary Protected Status (Form I-821)
is OMB No. 1615-0043. The public reporting burden for this collection of information is estimated at
1 hour and 55 minutes per response, including the time for gathering the required documentation and
information, reviewing the instructions, and completing and submitting the application.
• The OMB control number for the Application for Employment Authorization (Form I-765)
is OMB No. 1615-0040. The public reporting burden for this collection of information is estimated as
follows: 3.42 hours for reviewing instructions and completing and submitting Form I-765; 1.17 hours
associated with biometrics with providing passport-style photographs.
• The OMB control number for the Application for Travel Document (Form I-131) is
OMB No. 1615-0013. The public reporting burden for this collection of information is estimated at
3 hours and 34 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 Coordination Division
Office of Policy and Strategy
20 Massachusetts Ave NW
Washington, DC 20529-2140
Do not mail your completed forms to this address.

Reminder
Once you start the application, you’ll need to complete it in 30
days. After 30 days, we’ll delete your data in order to prevent
storing personal information indefinitely.

Start your application

Application for Temporary Protected Status

[TPS Navigation]
Select your Temporary Protected Status (TPS)
application type
This is my first time applying for TPS and I was not
previously granted TPS
This is my re-registration application for TPS and I
was previously granted TPS

Are you also filing a request for employment
authorization?
We will automatically file an Application for Employment
Authorization (Form I-765) along with your Application for TPS
(Form I-821), regardless of whether or not you are requesting an
EAD.

Yes, I am requesting an Employment Authorization
Document (EAD)
No, I am not requesting employment authorization

I am applying for:
Permission to accept employment
Renewal of my permission to accept employment

Have you ever before applied for employment
authorization from USCIS?
Yes
No

USCIS office name

Application date

MM / DD / YYYY
Application results

Granted
Denied

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
What is your current legal name?
Your current legal name is the name on your birth certificate, unless it
changed after birth by a legal action such as marriage or court order.
Do not provide any nicknames here.
Given name (first name)

Middle name (if applicable)

Family name (last name)

Have you used any other names since birth?
Provide any other names you have used, including nicknames, aliases,
and maiden names.

Yes
No

Given name (first name)

Middle name (if applicable)

Family name (last name)

What is your date of birth?
MM / DD / YYYY

Have you ever used other birth dates?
Yes
No

Date of birth

MM / DD / YYYY
Date of birth

MM / DD / YYYY

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
What is your country of citizenship or nationality?
Provide the name of the country as it currently exists, where you are
currently a citizen or national. If the country no longer exists, use the
current name of the country.
If you are a citizen or national of more than one country, provide the
name of the foreign country that issued your last passport.
If you are stateless, enter the name of the current country where you
were last a citizen or national.

When did you enter the United States?
You must have resided in the United States since the date you entered
in order to be eligible for TPS.

MM / DD / YYYY

What is your current immigration status?

Visitor, student, visa overstay, entered without inspection (EWI), etc.

Have you ever resided in any country other
than your country of citizenship or nationality?
Yes
No

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
Provide information about the last country you
resided in
Country name

Date residence began

MM / DD / YYYY

Date residence ended

MM / DD / YYYY

Your immigration status in the country

Citizen, permanent resident, refugee, asylee, visitor, temporary resident,
etc.

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
Where were you born?
Country

City, town, or village

State or province (if applicable)

What country do you currently live in?
You must currently live in the United States in order to be eligible for
TPS.

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
What is your U.S. Social Security Number?
I do not have a U.S. Social Security Number.

What is your A-Number?
Your A-Number is located on your Permanent Resident Card
(formerly known as the Alien Registration or Green Card).
[Image with sample green card and arrow to number]
The A-Number on your card consists of a 7, 8, or 9-digit number,
depending on when your card was issued to you.
I do not have an A-Number.

What is your USCIS Online Account Number?
I do not have a USCIS Online Account Number.

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
How can we contact you?
Mobile phone number

Daytime phone number
This is the same as my mobile phone number.

Email address

What is your current U.S. mailing address?
We will use your current mailing address to contact you throughout
the TPS process. We may not be able to contact you if you do not
provide a complete and valid address.
Do not provide a P.O. Box number unless it is your only address.
In care of name (if any)

Provide a name if someone else is receiving your
mail for you at your current mailing address.

Address Line 1

Street name and number
Address Line 2

Apartment, suite, unit, floor, etc.
City or town

State

Next
Back

ZIP code

Application for Temporary Protected Status

[TPS Navigation]
Is your current U.S. physical address the same as
your current U.S. mailing address?
Your physical address is where you currently live.

Yes
No

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
Is anyone helping you fill out this application?
Yes
No

I am using a preparer.
I am using an interpreter.

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
What is your preparer’s full name?
Given name (first name)

Family name (last name)

What is your preparer's business or
organization name?
My preparer is not part of a business or organization.

What is your preparer's mailing address?
Country

Address Line 1

Street name and number
Address Line 2

Apartment, suite, unit, floor, etc.

If country above is
United States, display
Country/State/Zip
If country above is
another country,
display Province/Postal

City or town

State

Province or region

Postal code

ZIP code

What is your preparer's contact information?
Daytime phone number

Mobile phone number
My preparer does not have a mobile phone number.
My preparer’s mobile phone number is the same as his or her
daytime phone number.

Email address
My preparer does not have an email address.

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
What is your interpreter’s full name?
Given name (first name)

Family name (last name)

What is your interpreter’s business or
organization name?
My interpreter is not part of a business or organization.

What is your interpreter’s mailing address?
Country

Address Line 1

Street name and number
Address Line 2

Apartment, suite, unit, floor, etc.

If country above is
United States, display
Country/State/Zip

City or town

State

If country above is
another country,
display Province/Postal

Province or region

Postal code

ZIP code

What is your interpreter’s contact information?
Daytime phone number

Mobile phone number
My interpreter does not have a mobile phone number.
My interpreter’s mobile phone number is the same as his or her
daytime phone number.

Email address
My interpreter does not have an email address.

Other than English, what language is your
interpreter using to interpret this application for
you?

Next
Back

Application for Temporary Protected Status

[TPS Navigation]

Eligibility Standards
"If any part of a question in this section applies to you or has
ever applied to you, you must answer yes. If you answer yes, you
must provide an explanation describing the circumstances. If
you were ever arrested, provide the outcome of the arrest in
your explanation (for example, no charges filed, case dismissed,
jail, probation, or another outcome.).
Your answers, whether yes or no, will not automatically cause
your application to be denied."

Have you EVER been convicted of:
Any felony committed in the United States?
Yes
No

Any misdemeanor(s) committed in the United
States?
Yes
No

Any particularly serious crime committed either
in or outside the United States?
Yes
No

Have you EVER ordered, incited, assisted, or
otherwise participated in the persecution of any
person on account of race, religion, nationality,
membership in a particular social group, or
political opinion?
Yes
No

Have you EVER committed serious nonpolitical
crimes outside of the United States prior to your
arrival in the United States?
Yes
No

Have you EVER or are you NOW engaged in
activities that could be reasonable grounds for
concluding that you are a danger to the security
of the United States?
Yes
No

Have you ever been convicted of or have you
EVER committed acts which constitute the
essential elements of:
A crime (other than a purely political offense)?
Yes
No

A violation of any law relating to a controlled
substance as defined in section 102 of the
Controlled Substances Act?
Yes
No

A conspiracy to violate any law relating to a
controlled substance as defined in section 102
of the Controlled Substances Act?
Yes
No

Have you EVER been convicted of two or more
criminal offenses (other than purely political
offenses) for which you received sentences to
confinement that, when combined, total 5 years
or more?
Yes
No

Have you EVER been arrested, cited, charged,
indicted, fined, or imprisoned for breaking or
violating any law or ordinance, excluding minor
traffic violations?
Yes
No

Have you EVER been the beneficiary of a
pardon, amnesty, rehabilitation decree, other
act of clemency, or similar action?
Yes
No

Have you EVER committed a serious criminal
offense in the United States and asserted
immunity from prosecution?
Yes
No

Have you EVER trafficked in or are you NOW
trafficking in any controlled substance?
Yes
No

Are you NOW or have you EVER knowingly
assisted, abetted, conspired, or colluded with
others in the unlawful trafficking of any
controlled substance?
Yes
No

Are you the spouse or child of an alien who
unlawfully trafficked in any controlled
substance?
Yes
No

Are you the spouse or child of an alien who
assisted, abetted, conspired, or colluded with
others in the unlawful trafficking of any
controlled substance?
Yes
No

Next
Back

Application for Temporary Protected Status

[TPS Navigation]

Have you EVER engaged, or do you plan to
engage, solely, principally, or incidentally, in
any of the following:
Any activity to violate any law of the United
States relating to espionage or sabotage?
Yes
No

Any activity to violate or evade any law
prohibiting the export from the United States of
goods, technology, or sensitive information?
Yes
No

Any activity in which a purpose is the
opposition to, or the control or overthrow of, the
Government of the United States by force,
violence, or other unlawful means, including but
not limited to, participating in such activities,
giving support to others involved in such
activities, or being a member or representative
of a terrorist organization?
Yes
No

Have you EVER or are you NOW engaged in
terrorist activities?
Yes
No

Have you EVER or are you NOW engaged in or
plan to engage in activities in the United States
that would have potentially serious adverse
foreign policy consequences for the United
States?
Yes
No

Have you EVER been or are you NOW a
member of the Communist or other totalitarian
party, except when membership was
involuntary?
Yes
No

Have you EVER participated in Nazi
persecution or genocide?
Yes
No

Have you EVER, within the past 10 years, or are
you NOW engaged in prostitution or
procurement of prostitution?
Yes
No

Have you EVER, within the past 10 years (either
directly or indirectly) procured or attempted to
procure or import, prostitutes or persons for the
purpose of prostitution?
Yes
No

Have you EVER, within the past 10 years,
received, in whole or in part, the proceeds of
prostitution?
Yes
No

Have you EVER been or do you intend to be
involved in any other commercial vice?
Yes
No

Have you EVER been ordered removed, and
been deported from the United States?
Yes
No

Have you EVER voluntarily departed the United
States under an order of removal?
Yes
No

These questions follow
the logic as described
on the I-821 paper form
for questions 4.12.a 4.12.d.

Have you re-entered the United States
unlawfully at any time after you were deported
or you voluntarily departed?
Yes
No

Has your prior order of removal been reinstated
by DHS?
Yes
No

Have you EVER failed to attend or remain in
attendance at any immigration proceedings to
determine your admissibility or deportability?
Yes
No

Have you EVER, by fraud or willfully
misrepresenting a material fact, sought to
obtain a visa or other documentation, admission
to the United States, or any other immigration
benefit?
Yes
No

Have you EVER assisted any other person to
enter the United States in violation of the law?
Yes
No

Have you EVER entered the United States as a
stowaway?
Yes
No

Did the former Immigration and Naturalization
Service (INS) EVER impose, or has DHS EVER
imposed, civil monetary penalties on you for
producing or using false documentation to
obtain an immigration benefit?
Yes
No

Are you NOW subject to a final order for
violation of section 274C (producing and/or
using false documentation to unlawfully satisfy
a requirement of the Immigration and
Nationality Act)?
Yes
No

Are you NOW the guardian of, and are you
accompanying, another alien who has been
found to be inadmissible and who has been
certified by a medical examiner to be helpless
due to sickness, physical or mental disability, or
infancy?
Yes
No

Have you EVER detained, retained, or withheld
the custody of a child having a lawful claim to
U.S. citizenship, outside the United States, from
a U.S. citizen granted custody?
Yes
No

Have you EVER ordered, incited, called for,
committed, assisted, helped with, or otherwise
participated in any of the following:
Acts involving torture or genocide?
Yes
No

Intentionally and severely injuring any person?
Yes
No

Engaging in any kind of sexual contact or
relations with any person who was being forced
or threatened?
Yes
No

Limiting or denying any person's ability to
exercise religious beliefs?
Yes
No

Next
Back

Application for Temporary Protected Status

[TPS Navigation]

Have you EVER:
Served in, been a member of, assisted in, or
participated in any military unit, paramilitary
unit, police unit, selfdefense unit, vigilante unit,
rebel group, guerrilla group, militia, or insurgent
organization?
Yes
No

Served or worked in any prison, jail, prison
camp, detention facility, labor camp, or any
other situation that involved detaining persons?
Yes
No

Have you EVER been a member of, assisted in,
or participated in any group, unit, or
organization of any kind in which you or other
persons used any type of weapon against any
person or threatened to do so?
Yes
No

Have you EVER assisted with or participated in
selling or providing weapons to any person who
to your knowledge used them against another
person, or in transporting weapons to any
person who to your knowledge used them
against another person?
Yes
No

Have you EVER received any type of military,
paramilitary, or weapons training?
Yes
No

Have you EVER recruited, enlisted, conscripted,
or used any person under age 15 to serve in or
help an armed force or group?  
Yes
No

Have you EVER used any person under age 15
to take part in hostilities or to help or provide
services to people in combat?
Yes
No

Have you EVER committed or conspired to
commit human trafficking offenses, as defined
in the section 103 of the Victims of Trafficking
and Violence Protection Act of 2000, in the
United States or outside the United States?
Yes
No

Have you EVER knowingly aided, abetted,
assisted, conspired, or colluded with a human
trafficker?
Yes
No

Are you NOW the spouse or child of an alien
who committed or conspired to commit human
trafficking offenses?
Yes
No

Are you NOW the spouse or child of, or are you
yourself, an alien who knowingly aided,
abetted, assisted, conspired, or colluded with a
human trafficker?
Yes
No

Are you NOW or have you EVER engaged in
money laundering as described in section 1956
or 1957 of Title 18, United States Code?
Yes
No

Within the previous 5 years, have you EVER
obtained any financial or other benefit from the
human trafficking activity of your spouse
(including former spouses) or parents, and
knew, or reasonably should have known, that
the financial or other benefit was the product of
such illicit activity?
Yes
No

Are you NOW or have you EVER been a
knowing aider, abettor, assister, conspirator, or
colluder with others in money laundering?
Yes
No

Next
Back

Application for Temporary Protected Status

[TPS Navigation]

Do you NOW have a communicable disease of
public health significance?
Yes
No

Do you NOW have or have you EVER had a
physical or mental disorder and behavior (or a
history of behavior that is likely to recur)
associated with the disorder which has posed
or may pose a threat to the property, safety, or
welfare of yourself or others?
Yes
No

Are you NOW or have you EVER been a drug
abuser or drug addict?
Yes
No

Do you NOW practice polygamy?
Yes
No

Have you EVER been responsible for or directly
carried out particularly severe violations of
religious freedom, as defined in section 3 of the
International Religious Freedom Act of 1998 (22
U.S.C. section 6402) while serving as a foreign
government official?
Yes
No

Has an immigration judge or the Board of
Immigration Appeals EVER determined that you
filed a frivolous asylum application in the past?
Yes
No

Have you EVER unlawfully voted in a United
States federal, state, or local election?
Yes
No

Have you EVER claimed to be a United States
citizen (in writing or in any other way)?
Yes
No

This notice only
appears if users
selected specific
responses.

You may be eligible for a waiver
Because you answered yes to certain questions in this section,
you may be eligible to receive a waiver for inadmissibility for
your TPS application.
We may grant a discretionary waiver for some of the applicable
inadmissibility grounds based on humanitarian, family unity, or
public interest reasons. Review the general requirements section
of the TPS instructions to see whether you may be eligible for a
waiver. If you are eligible, you will need to submit an
Application for Waiver of Grounds of Inadmissibility (Form
I-601).
Learn more about the Application for Waiver of Grounds of
Inadmissibility.

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
As part of the registration process, you will need to provide evidence
to support your application. These documents help us evaluate your
application and verify your answers are true.
For any documents not in English, include a complete English
translation. For translated documents, include a certification from the
translator that they are competent in both English and the language
of the original document, and that the translation is true and correct
to the best of their ability, knowledge, and belief.

Evidence list

Your uploads

Supporting documents
Primary evidence of your identity
and nationality

Evidence of your continuous residence

Evidence of your date of entry

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
As part of the registration process, you will need to provide evidence
to support your application. These documents help us evaluate your
application and verify your answers are true.
For any documents not in English, include a complete English
translation. For translated documents, include a certification from the
translator that they are competent in both English and the language
of the original document, and that the translation is true and correct
to the best of their ability, knowledge, and belief.

Evidence list

Your uploads

Supporting documents

Primary evidence of your identity
and nationality
Upload one of the following sets of documents:
• A copy of your passport
• A copy of your birth certificate AND photo identification
• Any national identity document bearing your photograph or
fingerprint issued by your country (or by your country’s
embassy or consulate in the U.S.)
This may be one image or several. Make sure all text is clear and
readable.

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

I do not have any of these documents

Evidence of your continuous residence

Evidence of your date of entry

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
As part of the registration process, you will need to provide evidence
to support your application. These documents help us evaluate your
application and verify your answers are true.
For any documents not in English, include a complete English
translation. For translated documents, include a certification from the
translator that they are competent in both English and the language
of the original document, and that the translation is true and correct
to the best of their ability, knowledge, and belief.

Evidence list

Your uploads

Supporting documents
Primary evidence of your identity
and nationality

Evidence of your continuous residence
Upload clear images of documents that show you have
continuously resided in the United States. For example:
• Employment records
• Rent receipts, utility bills, receipts, or letters from companies
• School records from schools you or your children have
attended in the U.S.
• Hospital or medial records concerning treatment of you or
your children
• Statements from church, union, or other organization
officials who know you and where you have been residing
Make sure all text is readable.
Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

Evidence of your date of entry

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
As part of the registration process, you will need to provide evidence
to support your application. These documents help us evaluate your
application and verify your answers are true.
For any documents not in English, include a complete English
translation. For translated documents, include a certification from the
translator that they are competent in both English and the language
of the original document, and that the translation is true and correct
to the best of their ability, knowledge, and belief.

Evidence list

Your uploads

Supporting documents
Primary evidence of your identity
and nationality

Evidence of your continuous residence

Evidence of your date of entry
Upload a clear image of a document that shows when you
entered the United States. Make sure the text is readable. For
example:
•

A copy of your passport

•

I-94 Arrival/Departure Record

If the documents you uploaded to show your continuous
residence also show when you entered the U.S., you may not
need to upload additional evidence.
Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
As part of the registration process, you will need to provide evidence
to support your application. These documents help us evaluate your
application and verify your answers are true.
For any documents not in English, include a complete English
translation. For translated documents, include a certification from the
translator that they are competent in both English and the language
of the original document, and that the translation is true and correct
to the best of their ability, knowledge, and belief.

Evidence list

Your uploads

Supporting documents
Primary evidence of your identity
and nationality

Evidence of your continuous residence

Evidence of your date of entry

The$Court$

Court disposition records

disposi.on$
records$card$only$
appears$if$the$
applicant$has$
answered$that$
they$have$been$
arrested$or$
convicted$of$
criminal$offense

Upload clear, readable images of certified copies of all arrest
reports, court dispositions, sentencing documents, and any
other relevant documents. You may also include any evidence
concerning the circumstances of your arrests or convictions
that you would like us to consider. If you were placed on
probation, include evidence that you completed your
probationary period.
Note: Provide this documentation even if your records were
sealed, expunged, or otherwise cleared. You must provide this
documentation even if anyone, including a judge, law
enforcement officer, or attorney, told you that you no longer
have a record or that you do not have to disclose the
information.
You do not need to submit documentation for traffic fines and
incidents that did not involve an actual arrest, unless the
traffic fines or incidents were alcohol or drug related.

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
As part of the re-registration process, you will need to provide
evidence to support your application. These documents help us
evaluate your application and verify your answers are true.
For any documents not in English, include a complete English
translation. For translated documents, include a certification from the
translator that they are competent in both English and the language
of the original document, and that the translation is true and correct
to the best of their ability, knowledge, and belief.

You do not need to provide any documents you submitted
previously, unless those documents expired and you have
replaced them.

Evidence list

Your uploads

Have your identity or nationality documents
expired?
Yes
No

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
As part of the re-registration process, you will need to provide
evidence to support your application. These documents help us
evaluate your application and verify your answers are true.
For any documents not in English, include a complete English
translation. For translated documents, include a certification from the
translator that they are competent in both English and the language
of the original document, and that the translation is true and correct
to the best of their ability, knowledge, and belief.

You do not need to provide any documents you submitted
previously, unless those documents expired and you have
replaced them.

Evidence list

Your uploads

Have your identity or nationality documents
expired?
Yes
No

Primary evidence of your identity
and nationality

Evidence of your continuous residence

Next
Back

Application for Temporary Protected Status

[TPS Navigation]
As part of the re-registration process, you will need to provide
evidence to support your application. These documents help us
evaluate your application and verify your answers are true.
For any documents not in English, include a complete English
translation. For translated documents, include a certification from the
translator that they are competent in both English and the language
of the original document, and that the translation is true and correct
to the best of their ability, knowledge, and belief.

You do not need to provide any documents you submitted
previously, unless those documents expired and you have
replaced them.

Evidence list

Your uploads

Have your identity or nationality documents
expired?
Yes
No

Evidence of your continuous residence

Next
Back