I-589 Form Table of Changes

I589-014-FRM-TOC-FinalFeeRule.docx

Application for Asylum and for Withholding of Removal

I-589 Form Table of Changes

OMB: 1615-0067

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TABLE OF CHANGES – FORM

Form I-589, Application for Asylum and for Withholding of Removal

OMB Number: 1615-0067

05/28/2020


Reason for Revision: Fee Rule


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 09/30/2022

Edition Date 09/10/2019



Current Page Number and Section

Current Text

Proposed Text

Page 1,

Start Here

[Page 1]


START HERE – Type or print in black ink. See the instructions for information about eligibility and how to complete and file this application. There is no filing fee for this application.


NOTE: Check this box if you also want to apply for withholding of removal under the Conventional Against Torture.


[New]

[Page 1]


START HERE – Type or print in black ink. See the instructions for information about eligibility and how to complete and file this application.



NOTE: Check this box if you also want to apply for withholding of removal under the Conventional Against Torture.


Answer all questions fully and accurately.  If a question does not apply to you (for example, if you have never been married and the question asks, “Provide the name of your current spouse”), type or print “N/A” unless otherwise directed.  If your answer to a question which requires a numeric response is zero or none (for example, “How many children do you have?” or “How many times have you departed the United States?”), type or print “None” unless otherwise directed.

Page 1,

Part A.I. Information About You

[Page 1]


Part A.I. Information About You


1. Alien Registration Number(s) (A-Number) (if any)

2. U.S. Social Security Number (if any)

3. USCIS Online Account Number (if any)


4. Complete Last Name

5. First Name

6. Middle Name


7. What other names have you used (include maiden name and aliases)?


8. Residence in the U.S. (where you physically reside)

Street Number and Name

Apt. Number

City

State

Zip Code

Telephone Number


9. Mailing Address in the U.S. (if different than the address in Item Number 8)

In Care Of (if applicable):

Telephone Number

Street Number and Name

Apt. Number

City

State

Zip Code


10. Gender:

Male

Female


11. Marital Status:

Single

Married

Divorced

Widowed


12. Date of Birth (mm/dd/yyyy)

13. City and Country of Birth

14. Present Nationality (Citizenship)

15. Nationality at Birth

16. Race, Ethnic, or Tribal Group

17. Religion


18. Check the box, a through c, that applies:

a. I have never been in Immigration Court proceedings.

b. I am now in Immigration Court proceedings.

c. I am not now in Immigration Court proceedings, but I have been in the past.


19. Complete 19 a through c.


a. When did you last leave your country? (mm/dd/yyyy)


b. What is your current I-94 Number, if any?


c. List each entry into the U.S. beginning with your most recent entry. List date (mm/dd/yyyy), place, and your status for each entry (Attach additional sheets as needed.)


Date [x3]

Place [x3]

Status [x3]

Date Status Expires


20. What country issued your last passport or travel document?


21. Passport Number

Travel Document Number


22. Expiration Date (mm/dd/yyyy)


23. What is your native language (include dialect, if applicable)?


24. Are you fluent in English?

Yes

No


25. What other languages do you speak fluently?


[Page 1]


Part A.I. Information About You


1. Alien Registration Number(s) (A-Number)

2. U.S. Social Security Number

3. USCIS Online Account Number



[No change]
















9. Mailing Address in the U.S. (if different than the address in Item Number 8)

In Care Of:

Telephone Number

Street Number and Name

Apt. Number

City

State

Zip Code


[No change]

















































23. What is your native language (include dialect)?


[No change]


Page 2-3,

Part A.II. Information About Your Spouse and Children

[Page 2]


Part A.II. Information About Your Spouse and Children


Your spouse I am not married. (Skip to Your Children below.)


1. Alien Registration Number (A-Number) (if any)

2. Passport/ID Card Number (if any)

3. Date of Birth (mm/dd/yyyy)

4. U.S. Social Security Number (if any)


5. Complete Last Name

6. First Name

7. Middle Name


8. Other names used (include maiden name and aliases)


9. Date of Marriage (mm/dd/yyyy)

10. Place of Marriage

11. City and Country of Birth

12. Nationality (Citizenship)

13. Race, Ethnic, or Tribal Group


14. Gender

Male

Female


15. Is this person in the U.S.?

Yes (Complete Blocks 16 to 24.)

No (Specify location): [Fillable field


16. Place of last entry into the U.S.

17. Date of last entry into the U.S. (mm/dd/yyyy)

18. I-94 Number (if any)

19. Status when last admitted (Visa type, if any)

20. What is your spouse's current status?

21. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)


22. Is your spouse in Immigration Court proceedings?

Yes

No


23. If previously in the U.S., date of previous arrival (mm/dd/yyyy)


24. If in the U.S., is your spouse to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your spouse in the upper right corner of Page 9 on the extra copy of the application submitted for this person.)

No


Your Children. List all of your children, regardless of age, location, or marital status.

I do not have any children. (Skip to Part A.III., Information about your background.)

I have children.

Total number of children: [Fillable field]


(NOTE: Use Form I-589 Supplement A or attach additional sheets of paper and documentation if you have more than four children.)


1. Alien Registration Number (A-Number) (if any)

2. Passport/ID Card Number (if any)

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number (if any)


5. Complete Last Name

6. First Name

7. Middle Name


8. Date of Birth (mm/dd/yyyy)

9. City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group


12. Gender

Male

Female


13. Is this child in the U.S.?

Yes (Complete Blocks 14 to 21.)

No (Specify location):


14. Place of last entry into the U.S.

15. Date of last entry into the U.S. (mm/dd/yyyy)

16. I-94 Number (If any)

17. Status when last admitted (Visa type, if any)

18. What is your child's current status?

19. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)


20. Is your child in Immigration Court proceedings?

Yes

No


21. If in the U.S., is this child to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your child in the upper right corner of Page 9 on the extra copy of the application submitted for this person.)

No



[Page 3]


1. Alien Registration Number (A-Number) (if any)

2. Passport/ID Card Number (if any)

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number (if any)


5. Complete Last Name

6. First Name

7. Middle Name


8. Date of Birth (mm/dd/yyyy)

9. City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group


12. Gender

Male

Female


13. Is this child in the U.S.?

Yes (Complete Blocks 14 to 21.)

No (Specify location):


14. Place of last entry into the U.S.

15. Date of last entry into the U.S. (mm/dd/yyyy)

16. I-94 Number (If any)

17. Status when last admitted (Visa type, if any)

18. What is your child's current status?

19. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)


20. Is your child in Immigration Court proceedings?

Yes

No


21. If in the U.S., is this child to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your child in the upper right corner of Page 9 on the extra copy of the application submitted for this person.)

No


1. Alien Registration Number (A-Number) (if any)

2. Passport/ID Card Number (if any)

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number (if any)


5. Complete Last Name

6. First Name

7. Middle Name


8. Date of Birth (mm/dd/yyyy)

9. City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group


12. Gender

Male

Female


13. Is this child in the U.S.?

Yes (Complete Blocks 14 to 21.)

No (Specify location):


14. Place of last entry into the U.S.

15. Date of last entry into the U.S. (mm/dd/yyyy)

16. I-94 Number (If any)

17. Status when last admitted (Visa type, if any)

18. What is your child's current status?

19. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)


20. Is your child in Immigration Court proceedings?

Yes

No


21. If in the U.S., is this child to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your child in the upper right corner of Page 9 on the extra copy of the application submitted for this person.)

No


1. Alien Registration Number (A-Number) (if any)

2. Passport/ID Card Number (if any)

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number (if any)


5. Complete Last Name

6. First Name

7. Middle Name


8. Date of Birth (mm/dd/yyyy)

9. City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group


12. Gender

Male

Female


13. Is this child in the U.S.?

Yes (Complete Blocks 14 to 21.)

No (Specify location):


14. Place of last entry into the U.S.

15. Date of last entry into the U.S. (mm/dd/yyyy)

16. I-94 Number (If any)

17. Status when last admitted (Visa type, if any)

18. What is your child's current status?

19. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)


20. Is your child in Immigration Court proceedings?

Yes

No


21. If in the U.S., is this child to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your child in the upper right corner of Page 9 on the extra copy of the application submitted for this person.)

No


[Page 2]


Part A.II. Information About Your Spouse and Children


Your spouse I am not married. (Skip to Your Children below.)


1. Alien Registration Number (A-Number) (if any)

2. Passport/ID Card Number (if any)

3. Date of Birth (mm/dd/yyyy)

4. U.S. Social Security Number (if any)


[No change]
























18. I-94 Number

19. Status when last admitted (Visa type)

20. What is your spouse's current status?

21. What is the expiration date of his/her authorized stay? (mm/dd/yyyy)


[No change]





























1. Alien Registration Number (A-Number)

2. Passport/ID Card Number)


3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number


[No change]




















16. I-94 Number (If any)

17. Status when last admitted (Visa type)

18. What is your child's current status?

19. What is the expiration date of his/her authorized stay? (mm/dd/yyyy)


[No change]













[Page 3]


1. Alien Registration Number (A-Number)


2. Passport/ID Card Number

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number


[No change]




















16. I-94 Number

17. Status when last admitted (Visa type)

18. What is your child's current status?

19. What is the expiration date of his/her authorized stay? (mm/dd/yyyy)


20. Is your child in Immigration Court proceedings?

Yes

No


21. If in the U.S., is this child to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your child in the upper right corner of Page 9 on the extra copy of the application submitted for this person.)

No


1. Alien Registration Number (A-Number)


2. Passport/ID Card Number

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number


[No change]




















16. I-94 Number

17. Status when last admitted (Visa type)

18. What is your child's current status?

19. What is the expiration date of his/her authorized stay? (mm/dd/yyyy)


20. Is your child in Immigration Court proceedings?

Yes

No


21. If in the U.S., is this child to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your child in the upper right corner of Page 9 on the extra copy of the application submitted for this person.)

No


1. Alien Registration Number (A-Number)


2. Passport/ID Card Number

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number


[No change]





















16. I-94 Number

17. Status when last admitted (Visa type)

18. What is your child's current status?

19. What is the expiration date of his/her authorized stay? (mm/dd/yyyy)


20. Is your child in Immigration Court proceedings?

Yes

No


21. If in the U.S., is this child to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your child in the upper right corner of Page 9 on the extra copy of the application submitted for this person.)

No


Page 4,

Information About Your Background

[Page 4]


Part A.III. Information About Your Background


1. List your last address where you lived before coming to the United States. If this is not the country where you fear persecution, also list the last address in the country where you fear persecution. (List Address, City/Town, Department, Province, or State and Country.)


(NOTE: Use Form I-589 Supplement B, or additional sheets of paper, if necessary.)


[Table with 6 columns and 3 rows, including these headings]

Number and Street (Provide if available)

City/Town

Department, Province, or State

Country

Dates From (Mo/Yr)

To (Mo/Yr)


2. Provide the following information about your residences during the past 5 years. List your present address first.


[Page 4]


Part A.III. Information About Your Background


1. List your last address where you lived before coming to the United States. If this is not the country where you fear persecution, also list the last address in the country where you fear persecution. (List Address, City/Town, Department, Province, or State and Country.)


(NOTE: Use Form I-589 Supplement B, or additional sheets of paper, if necessary.)


[Table with 6 columns and 3 rows, including these headings]

Number and Street

City/Town

Department, Province, or State

Country

Dates From (Mo/Yr)

To (Mo/Yr)


[No change]





Page 11,

Supplement A, Form I-589

[Page 11]


Supplement A, Form I-589


A-Number (If available)

Date

Applicant’s Name

Applicant’s Signature



List All of Your Children, Regardless of Age or Marital Status (NOTE: Use this form and attach additional pages and documentation as needed, if you have more than four children)


1. Alien Registration Number (A-Number) (if any)

2. Passport/ID Card Number (if any)

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number (if any)


5. Complete Last Name

6. First Name

7. Middle Name


8. Date of Birth (mm/dd/yyyy)

9. City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group


12. Gender

Male

Female


13. Is this child in the U.S.?

Yes (Complete Blocks 14 to 21.)

No (Specify location):


14. Place of last entry into the U.S.

15. Date of last entry into the U.S. (mm/dd/yyyy)

16. I-94 Number (If any)

17. Status when last admitted (Visa type, if any)

18. What is your child's current status?

19. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)


20. Is your child in Immigration Court proceedings?

Yes

No


21. If in the U.S., is this child to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your child in the upper right corner of Page 9 on the extra copy of the application submitted for this person.)

No


1. Alien Registration Number (A-Number) (if any)

2. Passport/ID Card Number (if any)

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number (if any)


5. Complete Last Name

6. First Name

7. Middle Name


8. Date of Birth (mm/dd/yyyy)

9. City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group


12. Gender

Male

Female


13. Is this child in the U.S.?

Yes (Complete Blocks 14 to 21.)

No (Specify location):


14. Place of last entry into the U.S.

15. Date of last entry into the U.S. (mm/dd/yyyy)

16. I-94 Number (If any)

17. Status when last admitted (Visa type, if any)

18. What is your child's current status?

19. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)


20. Is your child in Immigration Court proceedings?

Yes

No


21. If in the U.S., is this child to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your child in the upper right corner of Page 9 on the extra copy of the application submitted for this person.)

No


[Page 11]


Supplement A, Form I-589


A-Number

Date

Applicant’s Name

Applicant’s Signature



List All of Your Children, Regardless of Age or Marital Status (NOTE: Use this form and attach additional pages and documentation as needed, if you have more than four children)


1. Alien Registration Number (A-Number)


2. Passport/ID Card Number

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number


[No change]




















16. I-94 Number

17. Status when last admitted (Visa type)

18. What is your child's current status?

19. What is the expiration date of his/her authorized stay? (mm/dd/yyyy)


20. Is your child in Immigration Court proceedings?

Yes

No


21. If in the U.S., is this child to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your child in the upper right corner of Page 9 on the extra copy of the application submitted for this person.)

No


1. Alien Registration Number (A-Number)


2. Passport/ID Card Number

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number


[No change]




















16. I-94 Number

17. Status when last admitted (Visa type)

18. What is your child's current status?

19. What is the expiration date of his/her authorized stay? (mm/dd/yyyy)


20. Is your child in Immigration Court proceedings?

Yes

No


21. If in the U.S., is this child to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your child in the upper right corner of Page 9 on the extra copy of the application submitted for this person.)

No


Page 12,

Supplement B, Form I-589

[Page 12]


Supplement B, Form I-589


Additional Information About Your Claim to Asylum


A-Number (if available)

Date

Applicant’s Name

Applicant’s Signature


NOTE: Use this as a continuation page for any additional information requested. Copy and complete as needed.


Part [Fillable field]

Question [Fillable field]

[Fillable field]


[Page 12]


Supplement B, Form I-589


Additional Information About Your Claim to Asylum


A-Number

Date

Applicant’s Name

Applicant’s Signature


NOTE: Use this as a continuation page for any additional information requested. Copy and complete as needed.


Part [Fillable field]

Question [Fillable field]

[Fillable field]



1

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleI-589
AuthorLauver, James L
File Modified0000-00-00
File Created2021-01-13

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