I212 Ins Toc 04242018

TABLE OF CHANGES – INSTRUCTIONS

Form I-212, Application for Permission to Reapply for Admission Into the United States After Deportation or Removal

OMB Number: 1615-0018

4/24/2018

Reason for Revision: 83C Revision to update standard language and include G-325A data fields.

Current Page Number and Section	Current Text	Proposed Text
Page 1, What is the Purpose of This Application?	[Page 1] What is the Purpose of This Application? If you are inadmissible under section 212(a)(9)(A) or (C) of the Immigration and Nationality Act (INA), you must ask for consent to reapply for admission to the United States (consent to reapply) before you can lawfully return to the United States. Consent to reapply is also called “permission to reapply.” You should use this application to seek consent to reapply.	[Page 1] What Is the Purpose of Form I-212? If you are inadmissible under the Immigration and Nationality Act (INA) section 212(a)(9)(A) or (C), you must ask for consent to reapply for admission to the United States (consent to reapply) before you can lawfully return to the United States. Consent to reapply is also called “permission to reapply.” You should use this application to seek consent to reapply.
Page 1, Why Do I Need Consent to Reapply?	[Page 1] Why Do I Need Consent to Reapply? … These Instructions contain more information about the grounds of inadmissibility and the consequences for failure to obtain consent to reapply in the Detailed Description of Grounds of Inadmissibility Under INA Sections 212(a)(9)(A) and (C), and Criminal Penalties Under INA Section 276 section.	[Page 1] Why Do I Need Consent to Reapply? … These Instructions contain more information about the grounds of inadmissibility and the consequences for failure to obtain consent to reapply in the Detailed Description of Grounds of Inadmissibility Under INA Sections 212(a)(9)(A) and (C) and Criminal Penalties Under INA Section 276 section of these Instructions.
Pages 3-4, Who May Not Be Required to File For Consent to Reapply?	[Page 3] Who May Not Be Required to File For Consent to Reapply? … NOTE: Although you may be inadmissible under INA section 212(a)(9)(A) or (C), U.S. Citizenship and Immigration Services (USCIS) cannot consider your inadmissibility under these provisions for purposes of a TPS application because INA section 244(a)(5) states that a TPS applicant’s current status may not be considered as part of the adjudication of TPS. Therefore, TPS applicants do not need to file Form I-212 to establish eligibility for TPS. Your inadmissibility under INA section 212(a)(9)(A) or (C), however, may remain relevant and be considered for the purposes of other immigration benefits. [Page 4] Applicants for certain immigration benefits may be able to obtain a waiver of inadmissibility under INA section 212(a)(9)(A) or (C) instead of consent to reapply for admission. See the Waiver of Inadmissibility Instead of Consent to Reapply section below.	[Page 3] Who May Not Be Required to File For Consent to Reapply? … NOTE: Although you may be inadmissible under INA section 212(a)(9)(A) or (C), USCIS cannot consider your inadmissibility under these provisions for purposes of a TPS application because INA section 244(a)(5) states that a TPS applicant’s current status may not be considered as part of the adjudication of TPS. Therefore, TPS applicants do not need to file Form I-212 to establish eligibility for TPS. Your inadmissibility under INA section 212(a)(9)(A) or (C), however, may remain relevant and be considered for purposes of other immigration benefits. Applicants for certain immigration benefits may be able to obtain a waiver of inadmissibility under INA section 212(a)(9)(A) or (C) instead of consent to reapply for admission. See the Waiver of Inadmissibility Instead of Consent to Reapply section of these Instructions.
Page 4, Waiver of Inadmissibility Instead of Consent to Reapply	[Page 4] Waiver of Inadmissibility Instead of Consent to Reapply … 2. Use Form I-690, Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act, if: … A. You are an applicant for U nonimmigrant status. You must file your Form I-192 with your Form I-918, Petition for U Nonimmigrant Status. You do not need to fileAW Form I-212 or a new waiver application if you are already in U nonimmigrant status and applying for adjustment of status under 8 CFR 245.24; … C. You are an applicant for nonimmigrant status and inadmissible under INA section 212(a)(9)(C)(i)(I) for unlawful presence and subsequent reentry without admission or parole. You may be eligible for a waiver of inadmissibility authorizing you to enter as a nonimmigrant under INA section 212(d)(3)(A) at any time and as an alternative to consent to reapply, but only if you wish to seek admission to the United States as a nonimmigrant. This authorization is temporary and does not eliminate the INA section 212(a)(9)(C)(i)(I) ground of inadmissibility for immigrant purposes or future entries as a nonimmigrant. See the instructions for Form I-192 to determine whether and how you may obtain a waiver of a ground of inadmissibility for authorization to enter as a nonimmigrant under INA section 212(d)(3)(A).	[Page 4] Waiver of Inadmissibility Instead of Consent to Reapply … 2. Use Form I-690, Application for Waiver of Grounds of Inadmissibility, under INA sections 245A or 210 if: … A. You are an applicant for U nonimmigrant status. You must file your Form I-192 with your Form I-918, Petition for U Nonimmigrant Status. You do not need to file Form I-212 or a new waiver application if you are already in U nonimmigrant status and applying for adjustment of status under 8 CFR 245.24; … C. You are an applicant for nonimmigrant status and inadmissible under INA section 212(a)(9)(C)(i)(I) for unlawful presence and subsequent reentry without admission or parole. You may be eligible for a waiver of inadmissibility authorizing you to enter as a nonimmigrant under INA section 212(d)(3)(A) at any time and as an alternative to consent to reapply, but only if you wish to seek admission to the United States as a nonimmigrant. This authorization is temporary and does not eliminate the INA section 212(a)(9)(C)(i)(I) ground of inadmissibility for immigrant purposes or future entries as a nonimmigrant. See the Instructions for Form I-192 to determine whether and how you may obtain a waiver of a ground of inadmissibility for authorization to enter as a nonimmigrant under INA section 212(d)(3)(A).
Page 5, When Should You Apply for Consent to Reapply?	[Page 5] When Should You Apply for Consent to Reapply? … 3. If you are ordered removed again after approval of consent to reapply, you will have to file a new application for consent to reapply. A conditional approval does not protect you from any other ground of inadmissibility that may result from your departure from the United States, including under INA section 212(a)(9)(B). See the Where to File section of these instructions to determine whether you qualify for the advanced, conditional approval. …	[Page 4] When Should You Apply for Consent to Reapply? … [Page 5] 3. If you are ordered removed again after approval of consent to reapply, you will have to file a new application for consent to reapply. A conditional approval does not protect you from any other ground of inadmissibility that may result from your departure from the United States, including under INA section 212(a)(9)(B). See the Where To File section of these Instructions to determine whether you qualify for the advanced, conditional approval. …
Pages 5-8, Detailed Description of Grounds of Inadmissibility Under INA Sections 212(a)(9)(A) and (C) and Criminal Penalties Under INA Section 276	[Page 5] Detailed Description of Grounds of Inadmissibility Under INA Sections 212(a)(9)(A) and (C) and Criminal Penalties Under INA Section 276 … [Page 6] NOTE: If you have remained outside the United States for the entire inadmissibility period, you are no longer required to seek consent to reapply. Under INA section 276(a)(2)(B), you also will not be subject to criminal liability under INA section 276(a) if you return lawfully to the United States through a U.S. port-of-entry. If you are granted consent to reapply for admission to the United States during the inadmissibility period, your inadmissibility under INA 212(a)(9)(A)(i) no longer applies. NOTE: Even if the inadmissibility period under section 212(a)(9)(A)(i) has already passed (you were required to remain abroad for 5 or 20 consecutive years, and have done so, and have not been convicted of an aggravated felony), you will become inadmissible under INA section 212(a)(9)(C) if you enter or attempt to enter the United States without being inspected and admitted or paroled. If You Are Inadmissible Under INA section 212(a)(9)(A)(ii) … 3. You departed from the United States on your own while an order of exclusion, deportation, or removal was outstanding (for example, you left after you were ordered removed, but before the U.S. government could physically remove you based on your order of removal). This does not include a voluntary departure granted under INA section 240B if you departed the United States during the time period specified in your voluntary departure order. … NOTE: If you have remained outside of the United States for the entire inadmissibility period, you are no longer required to file this application. Under INA section 276(a)(2)(B), you also will not be subject to criminal liability under INA section 276(a), if you return lawfully to the United States through a U.S. port-of-entry. If you are granted consent to reapply for admission to the United States during the inadmissibility period, your inadmissibility under INA 212(a)(9)(A)(ii) no longer applies. NOTE: Even if the inadmissibility period under section 212(a)(9)(A)(ii) has already passed (you were required to remain abroad for 10 or 20 years, and have done so, and have not been convicted of an aggravated felony), you will become inadmissible under INA section 212(a)(9)(C) if you enter or attempt to enter the United States without being inspected and admitted or paroled. …	[Page 5] Detailed Description of Grounds of Inadmissibility Under INA Sections 212(a)(9)(A) and (C) and Criminal Penalties Under INA Section 276 … [Page 6] NOTE: If you have remained outside the United States for the entire inadmissibility period, you are no longer required to seek consent to reapply. Under INA section 276(a)(2)(B), you also will not be subject to criminal liability under INA section 276(a) if you return lawfully to the United States through a U.S. port-of-entry. If you are granted consent to reapply for admission to the United States during the inadmissibility period, your inadmissibility under INA section 212(a)(9)(A)(i) no longer applies. NOTE: Even if the inadmissibility period under INA section 212(a)(9)(A)(i) has already passed (you were required to remain abroad for 5 or 20 consecutive years, and have done so, and have not been convicted of an aggravated felony), you will become inadmissible under INA section 212(a)(9)(C) if you enter or attempt to enter the United States without being inspected and admitted or paroled. If You Are Inadmissible Under INA Section 212(a)(9)(A)(ii) … 3. You departed from the United States on your own while an order of exclusion, deportation, or removal was outstanding (for example, you left after you were ordered removed, but before the U.S. Government could physically remove you based on your order of removal). This does not include a voluntary departure granted under INA section 240B if you departed the United States during the time period specified in your voluntary departure order. … NOTE: If you have remained outside of the United States for the entire inadmissibility period, you are no longer required to file this application. Under INA section 276(a)(2)(B), you also will not be subject to criminal liability under INA section 276(a), if you return lawfully to the United States through a U.S. port-of-entry. If you are granted consent to reapply for admission to the United States during the inadmissibility period, your inadmissibility under INA section 212(a)(9)(A)(ii) no longer applies. NOTE: Even if the inadmissibility period under INA section 212(a)(9)(A)(ii) has already passed (you were required to remain abroad for 10 or 20 years, and have done so, and have not been convicted of an aggravated felony), you will become inadmissible under INA section 212(a)(9)(C) if you enter or attempt to enter the United States without being inspected and admitted or paroled. …
Pages 8-9, General Instructions	[Page 8] General Instructions … Biometric Services Fee. If you file this application with USCIS, you do not need to include a biometric services fee at the time you submit it. If you are later notified that you must submit biometrics, you will receive a biometric services appointment notice with instructions on how to submit the additional biometric services fee. If you file this application with an agency other than USCIS, check with that agency to determine if and when you must submit a biometric services fee. Evidence. At the time of filing, you must submit the evidence and supporting documentation listed in the Specific Instructions and the What Evidence Should You Submit sections of these Instructions. Biometric Services Appointment For Applicants Filing Form I-212 with USCIS. USCIS may require that you appear for an interview or provide fingerprints, photograph, and/or signature at any time to verify your identity, obtain additional information, and conduct background and security checks, including a check of criminal history records maintained by the Federal Bureau of Investigations (FBI), before making a decision on your application. After USCIS receives your application and ensures it is complete, we will inform you in writing if you need to attend a biometric services appointment. If an appointment is necessary, the notice will provide you the location of the local or designated USCIS Application Support Center (ASC) and the date and time of your appointment. If you fail to attend your biometric services appointment, USCIS may deny your application. … [Page 9] Acknowledgement of Appointment at USCIS Application Support Center. Review the ASC Acknowledgement that appears in Part 5. of the application. The purpose of this ASC Acknowledgement is to confirm that you have completed your application, reviewed your responses, and affirmed that the information was provided by you and is complete, true, and correct. If someone helped you fill out your application, that person must review the ASC Acknowledgement with you to make sure you understand it. Copies. You may submit legible photocopies of documents requested, unless the instructions specifically state that you must submit an original document. The adjudicating agency may request an original document at the time of filing or at any time during processing of an application. If you submit original documents when not required, the documents may remain a part of the record, and the adjudicating agency will not automatically return them to you. [new] Translations. If you submit a document with information in a foreign language, you must also submit a full English translation. The translator must sign a certification that the English language translation is complete and accurate, and that he or she is competent to translate from the foreign language into English. … 2. If you need extra space to complete any item within this application, use the space provided in Part 8. Additional Information or attach a separate sheet of paper; type or print your name and Alien Registration Number (A-Number) (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. …	[Page 8] General Instructions … Biometric Services Fee. If you file this application with USCIS, you do not need to include a biometric services fee at the time you submit your application. If you are later notified that you must submit biometrics, you will receive a biometric services appointment notice with instructions on how to submit the additional biometric services fee. If you file this application with an agency other than USCIS, please check with that agency to determine if and when you must submit a biometric services fee. Evidence. At the time of filing, you must submit all evidence and supporting documentation listed in the Specific Instructions and/or What Evidence Must You Submit sections of these Instructions. Biometric Services Appointment For Applicants Filing Form I-212 with USCIS. USCIS may require that you appear for an interview or provide fingerprints, photograph, and/or signature at any time to verify your identity, obtain additional information, and conduct background and security checks, including a check of criminal history records maintained by the Federal Bureau of Investigation (FBI), before making a decision on your application, petition, or request. After USCIS receives your application and ensures it is complete, we will inform you in writing if you need to attend a biometric services appointment. If an appointment is necessary, the notice will provide you the location of your local or designated USCIS Application Support Center (ASC) and the date and time of your appointment or, if you are currently overseas, instruct you to contact a U.S. Embassy, U.S. Consulate, or USCIS office outside the United States to set up an appointment. If you are required to provide biometrics, at your appointment you must sign an oath reaffirming that: 1. You provided or authorized all information in the application; 2. You reviewed and understood all of the information contained in, and submitted with, your application; and 3. All of this information was complete, true, and correct at the time of filing. … [deleted] Copies. You should submit legible photocopies of documents requested, unless the Instructions specifically state that you must submit an original document. The adjudicating agency may request an original document at the time of filing or at any time during processing of an application, petition, or request. If you submit original documents when not required, the documents may remain a part of the record, and the adjudicating agency will not automatically return them to you. NOTE: If you submit original documents when not required or requested by USCIS, your original documents may be immediately destroyed upon receipt. Translations. If you submit a document with information in a foreign language, you must also submit a full English translation. The translator must sign a certification that the English language translation is complete and accurate, and that he or she is competent to translate from the foreign language into English. The certification must include the translator’s signature. The U.S. Department of Homeland Security (DHS) recommends the certification contain the translator’s printed name and the date and the translator’s contact information. … [Page 9] 2. If you need extra space to complete any item within this application, use the space provided in Part 9. Additional Information or attach a separate sheet of paper; type or print your name and Alien Registration Number (A-Number) (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. …
Pages 9-12, Specific Instructions	[Page 9] Specific Instructions Part 1. Information About You If you need extra space to complete this section, use the space provided in Part 8. Additional Information. … Item Numbers 3.a. - 3.c. Other Names Used. Provide any other names you have used, including maiden names, aliases, and nicknames. Item Numbers 4.a. - 4.i. Mailing Address. Provide the address where you would like to receive written correspondence regarding this application. Use a mailing address in the United States if you have one. If you do not have a U.S. mailing address, provide your mailing address abroad. Item Numbers 5. - 6.h. Physical Address. If the place where you live is different from your mailing address, provide the address where you currently reside. Item Number 7. U.S. Social Security Number (if any). Provide your U.S. Social Security Number. [new] [Page 10] Item Number 8. Gender. Indicate whether you are male or female. Item Number 9. Date of Birth. Provide your date of birth in mm/dd/yyyy format. Item Numbers 10. - 12. Place of Birth. Provide the name of the city or town, state or province, and country where you were born. Item Number 13. Country of Citizenship or Nationality. Provide the country where you are currently a citizen or national. If you do not have citizenship in any country, indicate “stateless.” Item Numbers 14.a. - 14.b. Consent to Reapply Filed with Immigrant or Nonimmigrant Visa Applications. If you seek an immigrant visa or nonimmigrant visa and are or will file your application for consent to reapply with your immigrant or nonimmigrant visa application, provide the DOS Consular Case Number for your immigrant or nonimmigrant visa application (if available) and indicate the location of the U.S. Embassy or U.S. Consulate where you are seeking or will seek your visa. Item Numbers 15.a. - 15.c. Consent to Reapply Filed with Adjustment of Status Applications. If you are seeking consent to reapply in connection with your application to adjust your status to that of a lawful permanent resident or if you have previously filed an application for adjustment of status, list the USCIS receipt number for your adjustment of status application and indicate the date and the USCIS office where you filed your application. Item Numbers 16. - 17.c. Consent to Reapply Filed with Form I-601, Waiver of Grounds of Inadmissibility. Indicate whether you are submitting your application for consent to reapply with your Form I-601, Waiver of Grounds of Inadmissibility. If you mark “No,” but have previously filed a Form I-601, provide the USCIS receipt number for that application and indicate the date and USCIS office where you filed your Form I-601. Part 2. Reasons You Are Filing Form I-212 Item Numbers 1.a. - 2.b. Removal as an Arriving Alien. Complete this section if you were removed from the United States as an arriving alien in expedited removal proceedings under INA section 235(b)(1) or at the end of proceedings under INA section 240. Also indicate either the number of times you have been removed from the United States or if you were convicted of an aggravated felony at any time before or after removal from the United States. Provide the dates you were removed from the United States and the location from where you were removed (city or town and state). If you were convicted, you must submit court documents, police records, or criminal records showing the disposition of your offense. You also should submit the originals or certified copies that are properly authenticated. Item Numbers 3.a. - 4.b. Removal as a Deportable Alien. Complete this section if you were removed from the United States as a deportable alien under INA section 240 or any other provision or law or if you departed while an order of removal was outstanding. Also indicate either the number of times you have been removed from the United States or if you were convicted of an aggravated felony at any time before or after removal from the United States. If you were convicted, you must submit court documents, police records, or criminal records showing the disposition of your offense. You also should submit the originals or certified copies that are properly authenticated. Also, provide the dates you were removed from the United States and the location from where you were removed (city or town and state). Item Numbers 5.a. - 6.d. Entry After Unlawful Presence in the Aggregate of 1 Year. Complete this section if you entered or attempted to enter the United States without being admitted or paroled after having been unlawfully present in the United States on or after April 1, 1997, for a period of more than one year, in the aggregate. (See INS section 212(a)(9)(C)(i)(I)). List all periods when you were unlawfully present in the United States, beginning with the most recent period. Provide the dates and locations (city or town and state) for your departures and entries or attempted reentries. Attach evidence to establish that you have remained outside of the United States for 10 years since your last departure. [Page 11] Item Numbers 7.a. - 8.b. Entry After Removal. Complete this section if you entered or attempted to enter the United States without being admitted or paroled after having been excluded, deported, or removed from the United States. List all the dates you were excluded, deported, or removed and when you entered or attempted to reenter into the United States. (see INA section 212(a)(9)(C)(i)(II)). Provide the dates and locations (city or town and state) for each exclusion, removal, and entry or attempted reentry. Attach evidence that you have remained outside of the United States for 10 years since your last departure. Part 3. Reasons For Your Request For Permission to Reapply …. Item Numbers 3.a. - 4.b. U.S. Citizen or Lawful Permanent Resident Family Members (if any). Provide the name and your relationship to the U.S. citizen or lawful permanent resident family members (if any) with close ties to the United States. Indicate whether each relative is a U.S. citizen or lawful permanent resident or has some other status. Refer to the What Initial Evidence Should You Submit section of these Instructions for more information about family members. Part 4. Biographic Information Provide the biographic information requested in Part 4., Item Numbers 1. - 6. Providing this information as part of your application may reduce the time you spend at your USCIS ASC appointment as described in the Biometric Services Appointment section of these instructions. … [Page 12] Part 5. Applicant’s Statement, Contact Information, Acknowledgement of Appointment at USCIS Application Support Center, Certification, and Signature Item Numbers 1.a. - 6.b. Select the appropriate box to indicate that you either read this application yourself or someone interpreted this application for you from English to a language in which you are fluent. If applicable, select the box to indicate if someone prepared this application for you. You must also affirm that you have read and understand (or that an interpreter or preparer read to you and you understand) the Acknowledgement of Appointment at USCIS Application Support Center in Part 5. Further, you must sign and date your application and provide your daytime telephone number, mobile telephone number (if any), and email address (if any). Every application MUST contain the signature of the applicant (or parent or legal guardian, if applicable). A stamped or typewritten name in place of a signature is not acceptable. Part 6. Interpreter’s Contact Information, Certification, and Signature Item Numbers 1.a. - 6.b. If you used anyone as an interpreter to read the instructions and questions on this application to you in a language in which you are fluent, the interpreter must fill out this section, provide his or her name, the name and address of his or her business or organization (if any), his or her daytime telephone number, and his or her email address (if any). The interpreter must also certify that he or she has read the Acknowledgement of Appointment at USCIS Application Support Center in Part 5. to you in the same language in which you are fluent. The interpreter must sign and date the application. Part 7. Contact Information, Statement, Certification, and Signature of the Person Preparing this Application, If Other Than the Applicant Item Numbers 1.a. - 8.b. This section must contain the signature of the person who completed your application, if other than you, the applicant. If the same individual acted as your interpreter and your preparer, that person should complete both Part 6. and Part 7. If the person who completed this application is associated with a business or organization, that person should complete the business or organization name and address information. Anyone who helped you prepare this application MUST sign and date the application. A stamped or typewritten name in place of a signature is not acceptable. Anyone who helped you prepare your application must also certify that he or she has read the Acknowledgement of Appointment at USCIS Application Support Center in Part 5. to you, and that you informed him or her that you understood the ASC Acknowledgement. If the person who helped you prepare your application is an attorney or accredited representative, he or she must also submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, or Form G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines of the United States, along with your application. Part 8. Additional Information Item Numbers 1.a. - 8.b. If you need extra space to provide any additional information within this application, use the space provided in Part 8. Additional Information. If you need more space than what is provided in Part 8., you may make copies of Part 8. to complete and file with this application or attach a separate sheet of paper. Include your name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. …	[Page 9] Specific Instructions Part 1. Information About You If you need extra space to complete this section, use the space provided in Part 9. Additional Information. … Item Numbers 3.a. - 4.c. Other Names Used. Provide all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 9. Additional Information. Item Numbers 5.a. - 5.i. Mailing Address. Provide the address where you would like to receive written correspondence regarding this application. Use a mailing address in the United States if you have one. If you do not have a U.S. mailing address, provide your mailing address abroad. Item Numbers 6. - 7.h. Physical Address. If the place where you live is different from your mailing address, provide the address where you currently reside. Item Number 8. Social Security Number (if any). Provide your U.S. Social Security Number. Item Number 9. USCIS Online Account Number (if any). If you have previously filed an application, petition, or request using the USCIS online filing system (previously called USCIS Electronic Immigration System (USCIS ELIS)), provide the USCIS Online Account Number you were issued by the system. You can find your USCIS Online Account Number by logging in to your account and going to the profile page. If you previously filed certain applications, petitions, or requests on a paper form via a USCIS Lockbox facility, you may have received a USCIS Online Account Access Notice issuing you a USCIS Online Account Number. If you received such a notice, your USCIS Online Account Number can be found at the top of the notice. If you were issued a USCIS Online Account Number, enter it in the space provided. The USCIS Online Account Number is not the same as an A-Number. Item Number 10. Gender. Indicate whether you are male or female. Item Number 11. Date of Birth. Provide your date of birth in mm/dd/yyyy format. [Page 10] Item Numbers 12. - 14. Place of Birth. Provide the name of the city or town, state or province, and country where you were born. Item Number 15. Country of Citizenship or Nationality. Provide the country where you are currently a citizen or national. If you do not have citizenship in any country, indicate “stateless.” Item Numbers 16. - 17.b. Consent to Reapply Filed with Immigrant or Nonimmigrant Visa Applications. If you seek an immigrant visa or nonimmigrant visa and are or will file your application for consent to reapply with your immigrant or nonimmigrant visa application, provide the U.S. Department of State (DOS) Consular Case Number for your immigrant or nonimmigrant visa application (if available) and indicate the location of the U.S. Embassy or U.S. Consulate where you are seeking or will seek your visa. Item Numbers 18.a. - 18.c. Consent to Reapply Filed with Adjustment of Status Applications. If you are seeking consent to reapply in connection with your application to adjust your status to that of a lawful permanent resident or if you have previously filed an application for adjustment of status, list the USCIS receipt number for your adjustment of status application and indicate the date and the USCIS office where you filed your application. Item Numbers 19. - 20.c. Consent to Reapply Filed with Form I-601, Waiver of Grounds of Inadmissibility. Indicate whether you are submitting your application for consent to reapply with your Form I-601, Waiver of Grounds of Inadmissibility. If you select “No,” but have previously filed a Form I-601, provide the USCIS receipt number for that application and indicate the date and USCIS office where you filed your Form I-601. Part 2. Reasons You Are Filing Form I-212 Item Numbers 1.a. - 4. Removal as an Arriving Alien. Complete this section if you were removed from the United States as an arriving alien in expedited removal proceedings under INA section 235(b)(1) or at the end of proceedings under INA section 240. Also indicate either the number of times you have been removed from the United States or if you were convicted of an aggravated felony at any time before or after removal from the United States. Provide the dates you were removed from the United States and the location from where you were removed (city or town and state). If you were convicted, you must submit court documents, police records, or criminal records showing the disposition of your offense. You also should submit the originals or certified copies that are properly authenticated. Item Numbers 5.a. - 7.b. Removal as a Deportable Alien. Complete this section if you were removed from the United States as a deportable alien under INA section 240 or any other provision or law or if you departed while an order of removal was outstanding. Also indicate either the number of times you have been removed from the United States or if you were convicted of an aggravated felony at any time before or after removal from the United States. If you were convicted, you must submit court documents, police records, or criminal records showing the disposition of your offense. You also should submit the originals or certified copies that are properly authenticated. Also, provide the dates you were removed from the United States and the location from where you were removed (city or town and state). Item Numbers 8. - 13. Entry After Unlawful Presence in the Aggregate of 1 Year. Complete this section if you entered or attempted to enter the United States without being admitted or paroled after having been unlawfully present in the United States on or after April 1, 1997, for a period of more than one year, in the aggregate. (See INA section 212(a)(9)(C)(i)(I).) List all periods when you were unlawfully present in the United States, beginning with the most recent period. Provide the dates and locations (city or town and state) for your departures and entries or attempted reentries. Attach evidence to establish that you have remained outside of the United States for 10 years since your last departure. [Page 11] Item Numbers 14. - 17. Entry After Removal. Complete this section if you entered or attempted to enter the United States without being admitted or paroled after having been excluded, deported, or removed from the United States. List all the dates you were excluded, deported, or removed and when you entered or attempted to reenter into the United States. (See INA section 212(a)(9)(C)(i)(II).) Provide the dates and locations (city or town and state) for each exclusion, removal, and entry or attempted reentry. Attach evidence that you have remained outside of the United States for 10 years since your last departure. Part 3. Reasons For Your Request For Permission to Reapply … Item Numbers 3.a. - 4.b. U.S. Citizen or Lawful Permanent Resident Family Members (if any). Provide the name and your relationship to the U.S. citizen or lawful permanent resident family members (if any) with close ties to the United States. Indicate whether each relative is a U.S. citizen or lawful permanent resident or has some other status. Refer to the What Evidence Must You Submit section of these Instructions for more information about family members. Part 4. Biographic Information Provide the biographic information requested in Part 4., Item Numbers 1. - 6. Providing this information as part of your application may reduce the time you spend at your USCIS ASC appointment as described in the Biometric Services Appointment section of these Instructions. … Part 5. Additional Information if Filing with CBP USCIS Form G-325A is no longer required to be submitted with this application. All necessary data elements are now collected on Form I-212. If you are filing this application with Customs and Border Protection (CBP), provide the information requested in Item Numbers 1.a. - 40.c. [Page 12] Item Numbers 1.a. - 4.b. Address History. Provide physical addresses for everywhere you have lived during the last five years, whether inside or outside the United States. Also provide the dates of residence, indicating when you lived at the location listed. If you are unsure of the exact date, provide the closest approximate date to the best of your knowledge. Provide your current address first. If you need extra space to complete this section, use the space provided in Part 9. Additional Information. Item Numbers 5. - 12.b. Employment History. Provide your employment history for the last five years, whether inside or outside the United States. Also provide the dates of employment. If you are unsure of the exact date, provide the closest approximate date to the best of your knowledge. Provide the most recent employment first. If you need extra space to complete this section, use the space provided in Part 9. Additional Information. Item Numbers 13.a. - 26. Information About Your Parents. Provide the information requested about your mother and father. Item Numbers 27. - 40.c. Information About Your Marital History. If you have ever been married, provide information about your current marriage and any previous marriages. If you have had more than one previous marriage, use the space provided in Part 9. Additional Information to provide the information below. Part 6. Applicant’s Statement, Contact Information, Declaration, Certification, and Signature Item Numbers 1.a. - 6.b. Select the appropriate box to indicate whether you read this application yourself or whether you had an interpreter assist you. If someone assisted you in completing the application, select the box indicating that you used a preparer. Further, you must sign and date your application and provide your daytime telephone number, mobile telephone number (if any), and email address (if any). Every application MUST contain the signature of the applicant (or parent or legal guardian, if applicable). A stamped or typewritten name in place of a signature is not acceptable. Part 7. Interpreter’s Contact Information, Certification, and Signature Item Numbers 1.a. - 7.b. If you used anyone as an interpreter to read the Instructions and questions on this application to you in a language in which you are fluent, the interpreter must fill out this section, provide his or her name, the name and address of his or her business or organization (if any), his or her daytime telephone number, his or her mobile telephone number (if any), and his or her email address (if any). The interpreter must sign and date the application. Part 8. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant Item Numbers 1.a. - 8.b. This section must contain the signature of the person who completed your application, if other than you, the applicant. If the same individual acted as your interpreter and your preparer, that person should complete both Part 7. and Part 8. If the person who completed this application is associated with a business or organization, that person should complete the business or organization name and address information. Anyone who helped you complete this application MUST sign and date the application. A stamped or typewritten name in place of a signature is not acceptable. If the person who helped you prepare your application is an attorney or accredited representative, he or she may be obliged to also submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, or G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines of the United States, along with your application. Part 9. Additional Information Item Numbers 1.a. - 7.d. If you need extra space to provide any additional information within this application, use the space provided in Part 9. Additional Information. If you need more space than what is provided in Part 9., you may make copies of Part 9. to complete and file with your application, or attach a separate sheet of paper. Type or print your name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. …
Pages 13-15, What Evidence Should You Submit?	[Page 13] What Evidence Should You Submit? You must submit all evidence requested in these Instructions with your application. If you fail to submit evidence, the adjudicating agency may reject or deny your application for failure to submit required evidence or supporting documents in accordance with 8 CFR 103.2 (b)(1) and these Instructions. You must submit the following evidence. … 2. Relatives. If you listed any relative in Part 3. Reasons for Your Request for Permission to Reapply, Item Numbers 3.a. and 3.d., you must submit evidence of your relationship to that person. In addition, if your relative is a U.S. citizen, you must submit proof of the person’s U.S. citizenship. If he or she is not a U.S. citizen, you must provide his or her: … [Page 14] C. Other Names Used. If you have ever used a name other than your full legal name as provided on the application, you must list any names ever used, including your maiden name (if applicable). You should file evidence of legal name changes, such as marriage certificates, divorce decrees, adoption decrees, and naturalization certificates with your application. Copies are acceptable. …	[Page 13] What Evidence Must You Submit? You must submit all evidence requested in these Instructions with your application. If you fail to submit required evidence, the adjudicating agency may reject or deny your application for failure to submit requested evidence or supporting documents in accordance with 8 CFR 103.2(b)(1) and these Instructions. You must submit the following evidence. … 2. Relatives. If you listed any relative in Part 3. Reasons for Your Request for Permission to Reapply, Item Numbers 3.a. - 3c., you must submit evidence of your relationship to that person. In addition, if your relative is a U.S. citizen, you must submit proof of the person’s U.S. citizenship. If he or she is not a U.S. citizen, you must provide: … [Page 14] C. Other Names Used. Provide all other names you have ever used including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 9. Additional Information. You should file evidence of legal name changes, such as marriage certificates, divorce decrees, adoption decrees, and naturalization certificates with your application. Copies are acceptable. …
Pages 15-16, What Is the Filing Fee?	[Page 15] What Is the Filing Fee? The filing fee for Form I-212 is $930. NOTE: The filing fee is not refundable, regardless of any action USCIS takes on this application. DO NOT MAIL CASH. You must submit all fees in the exact amounts. Biometric Services Fee. If you file this application with USCIS, you do not need to include a biometric services fee when you submit Form I-212. If you are later notified that you must submit biometrics, you will receive a biometric services appointment notice with instructions on how to submit the additional biometric services fee. If you file this Form I-212 with an agency other than USCIS, check with that agency to determine if and when you must submit a biometric services fee. …	[Page 15] What Is the Filing Fee? The filing fee for Form I-212 is $930. NOTE: The filing fee is not refundable, regardless of any action USCIS takes on this application. DO NOT MAIL CASH. You must submit all fees in the exact amounts. [deleted] …
Page 16, Where to File?	[Page 16] Where to File? Please see our website at www.uscis.gov/I-212 or call our National Customer Service Center at 1-800-375-5283 for the most current information about where to file this application. For TTY (deaf or hard of hearing) call: 1-800-767-1833.	[Page 16] Where To File? [no change]
Pages 16-17, Address Change	[Page 16] Address Change Filing a change of address with USCIS. You must notify USCIS of your new address within 10 days of moving from your previous residence. For information on filing a change of address go to the USCIS website at www.uscis.gov/addresschange or contact the USCIS National Customer Service Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call: 1-800-767-1833. [Page 17] NOTE: Do not submit a change of address request to USCIS Lockbox facilities because these facilities do not process change of address requests. … Filing a change of address with EOIR. Download the appropriate Form EOIR-33 from the EOIR website at www.justice.gov/eoir/formslist.htm and proceed in accordance with the instructions given on that form.	[Page 16] Address Change Filing a change of address with USCIS. An applicant who is not a U.S. citizen must notify USCIS of his or her new address within 10 days of moving from his or her previous residence. For information on filing a change of address, go to the USCIS website at www.uscis.gov/addresschange or contact the USCIS National Customer Service Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call: 1-800-767-1833. NOTE: Do not submit a change of address request to USCIS Lockbox facilities because the Lockbox does not process change of address requests. … [Page 17] Filing a change of address with EOIR. If you are already in proceedings in Immigration Court, you must also notify the Immigration Court on EOIR Form 33/IC, Alien's Change of Address Form/Immigration Court, of any changes of address within five days of the change in address. The EOIR Form 33/IC is available on the EOIR website at http://www.justice.gov/eoir/formslist.htm.
Page 17, Processing Information	[Page 17] Processing Information Initial Processing. Once your application is accepted, the adjudicating agency will check it for completeness. If you do not completely fill out this application, you will not establish a basis for your eligibility and the adjudicating agency may reject or deny your application. Requests for More Information. The agency adjudicating your application may request that you provide more information or evidence to support your application. The adjudicating agency may also request that you provide the originals of any copies you submit. The adjudicating agency will return any requested originals when they are no longer needed. … Decision. The decision on Form I-212 involves a determination of whether you have established eligibility for the immigration benefit you are seeking. The agency adjudicating your Form I-212 will notify you of the decision in writing. …	[Page 17] Processing Information Initial Processing. Once USCIS accepts your application we will check it for completeness. If you do not completely fill out this application, you will not establish a basis for your eligibility and USCIS may reject or deny your application. Requests for More Information. We may request that you provide more information or evidence to support your application. We may also request that you provide the originals of any copies you submit. If USCIS requests an original document from you, it will be returned to you after USCIS determines it no longer needs your original. … Decision. The decision on Form I-212 involves a determination of whether you have established eligibility for the immigration benefit you are seeking. USCIS will notify you of the decision in writing. …
Page 17, USCIS Forms and Information	[Page 17] USCIS Forms and Information To ensure you are using the latest version of this application, visit the USCIS website at www.uscis.gov where you can obtain the latest USCIS forms and immigration-related information. If you do not have Internet access, you may order USCIS forms by calling our toll-free number at 1-800-870-3676. You may also obtain forms and information by calling the USCIS National Customer Service Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call: 1-800-767-1833. Instead of waiting in line for assistance at your local USCIS office, you can now schedule an appointment through our online system, InfoPass, at infopass.uscis.gov. 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.	[Page 17] USCIS Forms and Information To ensure you are using the latest version of this application, visit the USCIS website at www.uscis.gov where you can obtain the latest USCIS forms and immigration-related information. If you do not have Internet access, you may order USCIS forms by calling the Forms Request Line at 1-800-870-3676. You may also obtain forms and information by calling the USCIS National Customer Service Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call: 1-800-767-1833. Instead of waiting in line for assistance at your local USCIS office, you can schedule an appointment online at www.uscis.gov. Select “Schedule an Appointment” and follow the screen prompts to set up your appointment. Once you finish scheduling an appointment, the system will generate an appointment notice for you.
Page 17, Penalties	[Page 17] Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-212, the agency adjudicating your Form I-212 will deny your Form I-212 and may deny any other immigration benefit. In addition, you will face severe penalties provided by law, and may be subject to criminal prosecution.	[Page 17] Penalties If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-212, the agency adjudicating your Form I-212 will deny your Form I-212 and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.
Page 18, USCIS Privacy Act Statement	[Page 18] USCIS Privacy Act Statement AUTHORITIES: The information requested on this application, and the associated evidence, is collected under the Immigration and Nationality Act section 212(a)(9)(A) or (C). … DISCLOSURE: The information you provide, including your Social Security number, is voluntary. However, failure to provide the requested information, and any requested evidence, may delay a final decision in your case or result in denial of your application. ROUTINE USES: DHS and DOJ may share the information you provide on this application with other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows 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 you can find at www.dhs.gov/privacy. DHS and DOJ may also make the information available, as appropriate, for law enforcement purposes or in the interest of national security.	[Page 18] USCIS Privacy Act Statement AUTHORITIES: The information requested on this application, and the associated evidence, is collected under INA section 212(a)(9)(A) or (C). … DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and any requested evidence, may delay a final decision in your case or result in denial of your application. ROUTINE USES: DHS and DOJ may share the information you provide on this application with other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows 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 you can find at www.dhs.gov/privacy. DHS and DOJ may also share the information, as appropriate, for law enforcement purposes or in the interest of national security.
Page 18, Paperwork Reduction Act	[Page 18] 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, gathering the required documentation and information, completing the application, preparing statements, attaching necessary documentation, and submitting the application. The collection of biometrics, if required, is estimated to require 1 hour and 10 minutes. 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; OMB No. 1615-0018. Do not mail your completed Form I-212 to this address.	[Page 18] 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 Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information is estimated at 2 hours and 20 minutes per response, including the time for reviewing instructions, gathering the required documentation and information, completing the application, preparing statements, attaching necessary documentation, and submitting the application. The collection of biometrics, if required, is estimated to require 1 hour and 10 minutes. 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; OMB No. 1615-0018. Do not mail your completed Form I-212 to this address.

2