Form I-539 (e-file) I-539 (e-file) Application to Extend/Change Nonimmigrant Status

Application to Extend/Change Nonimmigrant Status

I539-007-Copy Deck-Biometrics Rule NPRM

Application to Extend/Change Nonimmigrant Status (efile)

OMB: 1615-0003

⚠️ Notice: This form may be outdated.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

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myUSCIS copy deck
I-539 Application to Extend/Change
Nonimmigrant Status
OMB control number 1615-0003
Edits in support of: Biometrics Rule NPRM

COPY DECK VERSION INFO

Biometrics Rule NPRM - edits made

I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

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Questions/Sub-Questions: Based on the questions from the paper form.
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Heading
Application to Extend/Change
Nonimmigrant Status

Current Sub-Heading

Before you start your application

Eligibility

Revised Sub-Heading

Current Body Text
Currently, you may file an Application to Extend/Change Nonimmigrant Status (I-539) online only if you are filing for yourself and wish to extend
your F-1, F-2, M-1, or M-2 nonimmigrant status.

Revised Body Text

CTA
Learn more about extending or changing your nonimmigrant status

If you have any other nonimmigrant status or are filing with additional applicants, you must file a paper Form I-539. If you need to change or
reinstate your nonimmigrant status, file a paper form.
You may be eligible to apply for an extension of your authorized stay if:
・You were lawfully admitted into the United States with a nonimmigrant visa
・Your nonimmigrant visa status remains valid
・You have not committed any crimes that make you ineligible for a visa
・You have not violated the conditions of your admission
・Your passport is valid and will remain valid for the duration of your stay
・Since obtaining the nonimmigrant status you seek to extend or change, you have not received public benefits for more than 12 months within
any 36 month period (unless you qualify for any of the exemptions below):
PUBLIC BENEFITS:
1. Any Federal, state, local, or tribal cash assistance for income maintenance including:
a. Supplemental Security Income (SSI);
b. Temporary Assistance for Needy Families (TANF); or
c. Federal, state, or local cash benefit programs for income maintenance (often called “General Assistance” in the state context, but which may
exist under other names);
2. Supplemental Nutrition Assistance Program (SNAP, formerly called “Food Stamps”);
3. Section 8 Housing Assistance under the Housing Choice Voucher Program;
4. Section 8 Project-Based Rental Assistance (including Moderate Rehabilitation);
5. Public Housing under the Housing Act of 1937, 42 U.S.C. 1437 et seq.; and
6. Federally-funded Medicaid.
[Exemption accordion - see last tab in spreadsheet]
If your nonimmigrant status is based on the fact that you are a family member or dependent of an individual who has already been granted
nonimmigrant status, then you must file your application while that individual continues to maintain a valid nonimmigrant status. Family members
and dependents are limited to the same period of authorized stay as the principal immigrant.
You may NOT be granted an extension or change of status if you were admitted under the Visa Waiver Program or if your current status is:
・An alien in transit (C) or in transit without a visa (TWOV)
・A crewman (D)
・A fiancé(e) or dependent of a fiancé(e) (K-1 or K-2)
EXCEPTION: A K-3 and K-4 are eligible to apply for an extension of status. They should file for an extension during the processing of Form I-130 filed
on their behalf and up to completion of their adjustment-of-status application.

You may include your spouse and your unmarried children under 21 years of age as co-applicants in your application for the same extension or
change of status, but only if you are all now in the same status or they are all in derivative status.

Multiple Applicants

Note: Extensions granted to members of a family group must be for the same period of time. The shortest period granted to any member of the
family shall be granted to all members of the family.
We will automatically calculate the cost for you when you submit your application.

Fee

Learn more about filing a fee
waiver.

The application fee is $370. An additional biometrics services fee of $85 is required for you and for each person included on a Form I-539A.
Refund Policy

USCIS does not refund fees, regardless of any action we take on your application, petition, or request.
By continuing this transaction, you acknowledge that you must submit fees in the exact amount and that you are paying the fees for a government
service. You further agree that the filing fee, biometric fee, and any other paid costs related to this financial transaction are final and not
refundable.
Please refer to the instructions for the form(s) you are filing for additional information or you may call the USCIS Contact Center at 800-375-5283.
The USCIS Contact Center provides information in English and Spanish. For TTY (deaf or hard of hearing) 800-767-1833.

Filing online

Submitting your application online is the same as mailing in a completed paper form. They both gather the same information and cost the same.

Documents you may need

Most applicants will be required to submit:
・Nonimmigrant Arrival-Departure Record (I-94) for all applicants
・Passport and travel document numbers
・A valid passport
Several other documents will be required depending on your current nonimmigrant status. We will automatically determine which documents you
should provide us as you fill out your application.

After you submit your application

Track your case online
Respond to requests for
information
Provide your biometrics

Biometrics appointment

After you submit your form, you can track its status through your USCIS account. Sign in to your account often to check your case status and read
any important messages from USCIS.
If we need more information from you, we will send you a Request for Evidence (RFE) or Request for Information (RFI). You can respond to our
request and upload your documents through your USCIS account.
If necessary, we will contact you to schedule an appointment at an Application Support Center near you. At the appointment, we will get your
fingerprints, photograph, and signature.

A few weeks after you submit your application, we will contact you to schedule an appointment at an Application Support Center near you. At the
appointment, we will get your fingerprints, photograph, and signature.

Every individual who is an applicant, petitioner, derivative, beneficiary, or sponsor of an immigration benefit request or other request submitted to
USCIS is required to submit biometrics unless USCIS waives or exempts the requirement. USCIS will notify you of the time and place of your
appointment if you must appear and will provide requirements for rescheduling if necessary. If you fail to submit any biometrics as required, USCIS
may deny your application, petition, or request.
DHS may store the biometrics submitted by an individual and use or reuse biometrics to conduct background and security checks, including a check
of criminal history records maintained by the Federal Bureau of Investigation (FBI), verify identity, produce documents, determine eligibility for
immigration and naturalization benefits, or to perform any other functions necessary for administering and enforcing immigration and
naturalization laws, and any other law within DHS authority.
Completing your form online

Provide as many responses as you
can

You should provide as many responses as you can. Incomplete fields or sections and missing information can slow down the process after you
submit your form. If you do not finish your form in one session, you can sign in to your account to continue where you left off.

We will automatically save your
responses

We will automatically save your information when you select next to go to a new page or navigate to another section of the form. Your responses
will be saved for 30 days. You can sign in to your account at anytime to continue where you left off.

DHS Privacy Notice

AUTHORITIES: The information requested on this application, and the associated evidence, is collected pursuant to the U.S. Code sections 1103 and
1184 and Title 8 of the Code of Federal Regulations parts 103, 214 and 248.
PURPOSE: The primary purpose for providing the requested information on this application is to apply for an extension of stay or a change from one
nonimmigrant category to another nonimmigrant category. DHS will use the information you provide to grant or deny the immigration benefit you
are seeking.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your Social Security
number (if applicable), and any requested evidence, may delay a final decision or result in denial of your application.

Application Overview

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I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Heading

Current Sub-Heading

USCIS Compliance Review and
Monitoring

Revised Sub-Heading

Current Body Text

Revised Body Text

ROUTINE USES: DHS may share the information you provide on this application and any additional requested evidence 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/ICE/CBP-001 Alien File, Index, and National File Tracking System, DHS/USCIS-007 Benefits Information
System] and the published privacy impact assessment [DHS/USCIS/PIA-016(a) Computer Linked Application Information Management System and
Associated Systems], which can be found at www.dhs.gov/privacy. DHS may also share the information, as appropriate, for law enforcement
purposes or in the interest of national security.

ROUTINE USES: DHS may share the information you provide on this application and any additional requested evidence 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/ICE/CBP-001 Alien File, Index, and National File Tracking System, DHS/USCIS-007 Benefits Information System,
and DHS/USCIS-018 Immigration Biometric and Background Check] and the published privacy impact assessment [DHS/USCIS/PIA-016(a) Computer
Linked Application Information Management System and Associated Systems], which can be found at www.dhs.gov/privacy. DHS may also share the
information, as appropriate, for law enforcement purposes or in the interest of national security.

CTA

By signing this application, you have stated under penalty of perjury (28 U.S.C. section 1746) that all information and documentation submitted
with this application are complete, true, and correct. You also authorize the release of any information from your records that USCIS may need to
determine your eligibility for the immigration benefit you are seeking and consent to USCIS verifying such information.
DHS has the authority to verify any information you submit to establish eligibility for the immigration benefit you are seeking at any time. USCIS’
legal authority to verify this information is in 8 U.S.C. sections 1103, 1155, and 1184, and 8 CFR parts 103, 204, 205, and 214. To ensure compliance
with applicable laws and authorities, USCIS may verify information before or after your case is decided.
Agency verification methods may include, but are not limited to: review of public records and information; contact through written correspondence,
the internet, fax, other electronic transmission, or telephone; unannounced physical site inspections of residences and locations of employment;
and interviews. USCIS will use information obtained through verification to assess your compliance with the laws and to determine your eligibility
for an immigration benefit.
Subject to the restrictions under 8 CFR 103.2(b)(16), USCIS will provide you with an opportunity to address any adverse or derogatory information
that may result from a USCIS compliance review, verification, or site visit after a formal decision is made on your case or after the agency has
initiated an adverse action which may result in revocation or termination of an approval.

Paperwork Reduction Act

An agency may not conduct or sponsor in 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 2.38 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
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:

An agency may not conduct or sponsor in 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 2.38 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
is estimated to require 3 hours and 40 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

Do not mail your completed Form I-539 to this address.

OMB Number: 1615-0003
Expires: 08/31/2020

Application Overview

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I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Section

Getting
Started

Basis for eligibility

Paper Form
Question #

Question

Sub-Question

1.15a What is your current
nonimmigrant status?

1.15b When does your current
nonimmigrant status expire?
2.1

What are you applying for?

Instructional Text

Help Text

Dropdown

1.16 Were you granted Duration of Yes/No
Status (D/S)?

Reason for request

Field Type

Radio

Notation on certain nonimmigrant
Form I-94 indicating that the individual,
such as an F-1 nonimmigrant student, is
authorized to remain in the U.S. as long
as he or she maintains a valid status.

Date

Reinstatement to student
status

checkbox

2.2

An extension of stay in my checkbox
current status

2.3.a

A change of status

checkbox

2.3.c

(IF CHANGE OF STATUS) What
is the change of status you are
requesting?

dropdown

2.3.b

(IF CHANGE OF STATUS) What month/day/year
is the effective date of
change?

date

3.1

What date are you requesting month/day/year
your current or requested
status be extended until?

date

Getting Started

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Step

Section

Paper Form
Question #

Preparer and interpreter
information

Preparer information
8.1.b
8.1.a

Question

Radio

(IF YES) Is a preparer assisting Yes/No
you with completing this
application?

Radio

(IF YES) Is an interpreter
Yes/No
assisting you with completing
this application?

Radio

(IF YES TO PREPARER) What is Given name (first name)
your preparer's full name?

Text

Family name (last name)

Text
Text

What is your preparer's
8.3.h mailing address?
8.3.a
8.3.b
8.3.c
8.3.d/8.3.f

What is your preparer's
8.4 contact information?
8.5

Field Type

Is someone assisting you with Yes/No
completing this application?

What is your preparer's
business or organization
8.2 name?

8.3.e/8.3.g

Sub-Question

Instructional Text

Help Text

A preparer is anyone who
completes or helps you complete
all or part of your application using
information and answers that you
provide.

My preparer is not part of a Checkbox
business or organization.
Country

Text

Address line 1
Address line 2
City or town
State/Province (FOR
FOREIGN ADDRESS)
ZIP code/Postal code (FOR
FOREIGN ADDRESS)
Daytime telephone number

Text
Text
Text
Dropdown

Street number and name
Apartment, suite, unit, or floor

Text
Text

Mobile telephone number Text

Getting Started

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Step

Section

Paper Form
Question #

8.6

Interpreter information
7.1.b
7.1.a
7.2

7.3.h
7.3.a
7.3.b
7.3.c
7.3.d/f
7.3.e/g
7.4
7.5

7.6

Question

Sub-Question

My preparer does not have
a mobile telephone
number.
Email address
My preparer does not have
an email address.
(IF YES TO INTERPRETER) What Given name (first name)
is your interpreter's full
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
Country
mailing address?
Address line 1
Address line 2
City or town
State/Province (FOR
FOREIGN ADDRESS)
ZIP code/Postal code (FOR
FOREIGN ADDRESS)
What is your interpreter's
Daytime telephone number
contact information?
Mobile telephone number
My interpreter does not
have a mobile telephone
number.
Email address
My interpreter does not
have an email address.

Field Type

Instructional Text

Help Text

Checkbox
Text
Checkbox
Text
Text
Text
Checkbox
Text
Text
Text
Text
Dropdown

Street number and name
Apartment, suite, unit, or floor

Text
Text

Text
Checkbox

Getting Started

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Step

Section

Paper Form
Question #

6.1.b

Question
What language is your
interpreter using to interpret
this application for you?

Sub-Question

Field Type

Instructional Text

Help Text

Text

Getting Started

Biometrics Rule NPRM - edits made
I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Current Section

About You Your Name

Your Contact
Information

Revised Section

Paper Form Current Question
Question #

Current Sub-Question

Revised Sub-Question

Current Field
Type

1.1.b What is your current legal
name?

Given name (first name)

Text

1.1.c

Middle name (if applicable)

Text

Revised Field
Type

Current Instructional Text

1.1.a
1.4.a What is your current mailing
address?

Family name (last name)
In care of name (if any)

Text
Text

Address line 1

Text

Street number and name

1.4.c
1.4.d
1.4.e
1.4.f

Address line 2
City or town
State
ZIP code
I live at my current mailing
address

Text
Text
Text
Text
Checkbox

Apartment, suite, unit, or floor

Address line 1
Address line 2
City or town
State
ZIP code
Address line 1

Text
Text
Text
Text
Text
Text

Street number and name
Apartment, suite, unit, or floor

Address line 2
City or town
Province
Postal Code
Country
Daytime telephone number

Text
Text
Text
Text
Dropdown
Text

Apartment, suite, unit, or floor

Mobile telephone number

Text

This is the same as my
mobile telephone number.

Checkbox

Email address

Text
Text

I do not have or know my Anumber
I do not have an USCIS
Online Account Number

Checkbox

Where do you live now?

6.4

6.5
1.2 What is your A-Number?

1.3 What is your USCIS Online
Account Number?

Checkbox

Revised Instructional Text

Current Help Text

Revised Help Text

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.

1.4.b

1.5.a
1.5.b
1.5.c
1.5.d
1.5.e
4.2.a What is your physical
address abroad?
4.2.b
4.2.c
4.2.d
4.2.e
4.2.f
6.3 How can we contact you?

Additional
Information

Revised Question

We will use your current mailing
address to contact you throughout the
application process. We may not be
able to contact you if you do not
provide a complete and valid address.
Please provide a U.S. address only.

Street number and name

You can find your USCIS Online Account Number by signing in to your account
and going to your profile page.
If you previously filed an application, petition, or request using the USCIS
online filing system, provide the USCIS Online Account Number you were
issued.
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. You can
find this number at the top of the notice.

1.8 What is your date of birth?

month/date/year

1.9 What is your U.S. Social
Security number?

Your Immigration
Information

What is your current
4.1.a passport number?
4.1.b What country issued your
passport?
4.1.c What date does your
passport expire?
1.6
What is your country of
birth?
1.7 What is your country of
citizenship or nationality?

Date

The USCIS Online Account Number is not the same as an A-Number. The USCIS
Online Account Number was previously called the USCIS Electronic
Immigration System (USCIS ELIS) Number

Text
I do not have a U.S. Social
Secuirity Number

Country
month/date/year

Checkbox

Dropdown
date

Dropdown

If you are the Principal Applicant, provide your current passport information.

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.

Text

If you are stateless, enter the name of the current country where you were
last a citizen or national

About You

Biometrics Rule NPRM - edits made
I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Current Section

Revised Section

Paper Form Current Question
Question #

Revised Question

Current Sub-Question

Revised Sub-Question

Current Field
Type

Revised Field
Type

Current Instructional Text

Revised Instructional Text

Provide information about your most recent entry into the United States

1.10

What is your date of last
arrival into the United
States?
1.11 What is your I-94 ArrivalDeparture Record Number?

Current Help Text

Revised Help Text

This information may be found on your
Nonimmigrant Arrival/Departure
Record (I-94) issued by U.S. Customs
and Border Protection (CBP) or USCIS
upon arrival to the United States. If you
were admitted to the United States by
CBP at an airport or seaport after April
30, 2013, you may have been issued an
electronic I-94 by CBP, instead of a
paper form. Visit CBP
[https://www.cbp.gov/travel/internati
onal-visitors/i-94] to obtain a paper
version of your I-94.
If you are unable to obtain a copy of
your I-94 from CBP, go to the USCIS I102 [https://www.uscis.gov/i-102] to
find additional I-94 Replacement
Information.

Text

1.12

Text

What is the passport
number listed on your I-94?
1.13 What is your travel
document number?
1.14.a What country issued your
passport or travel
document?
1.14.b What is the expiration date
for your passport or travel
document?

Text
Dropdown
date

Describe yourself

We require you to complete the categories below to conduct background
checks. Providing this information as part of your application may reduce the
time you spend at your biometrics services appointment.
What is your ethnicity?

Hispanic or Latino
Not Hispanic or Latino

Radio

Hispanic or Latino refers to a person of Cuban, Mexican, Puerto Rican, South
or Central American, or other Spanish culture or origin, regardless of race.

What is your race?

White

Checkbox

Select all that apply. Your race is different from your ethnicity and should
reflect your geographical origins.

Asian

Checkbox

White
A person having origins in any of the
original peoples of Europe, the Middle
East, or North Africa.

Asian
A person having origins in any of the
original peoples of the Far East,
Southeast Asia, or the Indian
subcontinent including, for example,
Cambodia, China, India, Japan, Korea,
Malaysia, Pakistan, the Philippine
Islands, Thailand, and Vietnam.

Black or African American

Checkbox

Black or African American
A person having origins in any of the
black racial groups of Africa.

American Indian or Alaska
Native

Checkbox

Native Hawaiian or Other
Pacific Islander

Checkbox

American Indian or Alaska Native
A person having origins in any of the
original peoples of North and South
America (including Central America),
and who maintains tribal affiliation or
community attachment.
Native Hawaiian or Other Pacific
Islander
A person having origins in any of the
original peoples of Hawaii, Guam,
Samoa, or other Pacific Islands.

What is your height?
What is your weight?
What is the color of your
eyes?
What is the color of your
hair?

Feet/Inches
Pounds
Black/Blue/Brown/Gray/Gr
een/Hazel/Maroon/Pink/
Unknown/other
Bald (no
hair)/Black/Blonde/Brown/
Gray/Red/Sandy/White/
Unknown/other

Text
Text
Dropdown

Dropdown

About You

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I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Section

Moral
Party and group
Character affiliations

Paper Form Question
Question #

Sub-Question

Field Type

4.7.a

Yes/No

Radio

Yes/No

Textarea
Radio

Yes/No

Textarea
Radio

Yes/No

Textarea
Radio

4.7.b

4.7.c

4.7.d

Have you, or any other person included on this
application, EVER ordered, incited, called for,
committed, assisted, helped with, or otherwise
participated in acts involving torture or genocide?
(IF YES) Provide an explanation.
Have you, or any other person included on this
application, EVER ordered, incited, called for,
committed, assisted, helped with, or otherwise
participated in killing any person?
(IF YES) Provide an explanation.
Have you, or any other person included on this
application, EVER ordered, incited, called for,
committed, assisted, helped with, or otherwise
participated in intentionally and severely injuring
any person?
(IF YES) Provide an explanation.
Have you, or any other person included on this
application, EVER ordered, incited, called for,
committed, assisted, helped with, or otherwise
participated in engaging in any kind of sexual
contact or relations with any person who did not
consent or was unable to consent, or was being
forced or threatened?
(IF YES) Provide an explanation.

Instructional Text

Textarea

Moral Character

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Step

Section

Paper Form Question
Question #
4.7.e

4.8.a

4.8.b

4.9

Have you, or any other person included on this
application, EVER ordered, incited, called for,
committed, assisted, helped with, or otherwise
participated in limiting or denying any person's
ability to exercise religious beliefs?
(IF YES) Provide an explanation.
Have you, or any person included on the application,
EVER served in, been a member of, assisted, or
participated in any military unit, paramilitary unit,
police unit, self-defense unit, vigilante unit, rebel
group, guerrilla group, militia, insurgent
organization, or any other armed group?
(IF YES) Provide an explanation.

Sub-Question

Field Type

Yes/No

Radio

Yes/No

Textarea
Radio

Yes/No

Textarea
Radio

Have you, or any person included in this application,
EVER worked, volunteered, or otherwise served in
any prison, jail, prison camp, detention facility, labor
camp, or any other situation that involved detaining
persons?
(IF YES) Provide an explanation.
Have you, or any other person included in this
Yes/No
application, EVER been a member of, assisted, 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?

Instructional Text

Textarea
Radio

Moral Character

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Step

Section

Paper Form Question
Question #

4.10

4.11

Immigration
Proceedings

4.12

4.13

(IF YES) Provide an explanation.

Sub-Question

Field Type

Yes/No

Textarea
Radio

Have you, or any person included in this application,
EVER assisted or participated in selling, providing, or
transporting weapons to any person who, to your
knowledge, used them against another person?
(IF YES) Provide an explanation.
Have you, or any person included in this application Yes/No
EVER received any type of military, paramilitary, or
weapons training?
(IF YES) Provide an explanation.
Yes/No
Have you, or any person included in this application,
done anything that violated the terms of the
nonimmigrant status you now hold?
(IF YES) Provide an explanation.
Are you, or any other person included in this
Yes/No
application, now in removal proceedings?
(IF YES) Provide an explanation with the name of the
person in removal proceedings, and information on
jurisdiction, date proceedings began, and status of
proceedings.

Instructional Text

Textarea
Radio
Textarea
Radio

Textarea
Radio
Textarea

Moral Character

Biometrics Rule NPRM - no edits

I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Section

Paper Form Question
Question #

Your
Application

Information about request

3.2.a.
3.2.b

3.3.a

Sub-Question

Is this application based on an extension or change yes/no
of status already granted to your spouse, child, or
parent?
(IF YES) Provide the USCIS receipt number for the
extension or change already granted to your spouse,
child, or parent.

Is this application based on a separate petition or
application to give your spouse, child, or parent an
extension or change if status?

Yes, filed
previously and
pending with
USCIS
No

(IF YES PENDING) Provide the USCIS receipt number
for the pending case.

3.4

(IF YES PENDING) What is the name of the petitioner Given name (first
or applicant for the pending application?
name)

What date was the petition or application filed?

Instructional Text

radio
number

The USCIS receipt number is a unique 13character identifier that consists of three
capital letters followed by 10 numbers (for
example, ABC1234567890). You can find it
on notices of action USCIS has sent your
spouse, child or parent.

Yes, filed with this checkbox
I-539

3.3.b

3.5

Field Type

checkbox

checkbox
number

Text

Family name (last Text
name)
Month/day/year date

Your Application

Biometrics Rule NPRM - no edits

I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Section

Paper Form Question
Question #

Additional information about
request

4.3

4.4

4.5

4.6

4.14

Are you, or any other person included on the
application, an applicant for an immigrant visa?

Sub-Question

Field Type

Yes/No

radio

(IF YES) Provide an explanation.
Has an immigrant petition EVER been filed for you yes/no
or for any other person included in this application?

text area
radio

(IF YES) Provide an explanation.
Has an Application to Register Permanent Resident
or Adjust Status (I-485), EVER been filed by you or
by any other person included in this application?

text area
radio

yes/no

(IF YES) Provide an explanation.
Have you, or any other person included in this
yes/no
application, EVER been arrested or convicted of any
criminal offense since last entering the United
States?
(IF YES) Provide an explanation.
Have you, or any other person included in this
yes/no
application, been employed in the United States
since last admitted or granted an extension or
change of status?
(IF YES)Describe the employment and include the
name of the person employed, name and address of
the employer, weekly income, and whether the
employment was specifically authorized by USCIS.

Instructional Text

text area
radio

text area

Your Application

Biometrics Rule NPRM - no edits

I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Section

Paper Form Question
Question #

Field Type

Instructional Text

(IF NO)Describe how you are supporting yourself.
Include any documentary evidence of the source,
amount, and basis for any income.

text area

Such evidence may include, but is not
limited to:
• complete bank statements for checking
and/or savings accounts showing all
transactions,
• other cash assets, or
• affidavits of support from a sponsor.

Are you, or any other person included on the
yes/no
application, currently or have you ever been a J-1
exchange visitor or a J-2 dependent of a J-1
exchange visitor?
(IF YES)Provide the dates you maintained status as a
J-1 exchange visitor or J-2 dependent.

radio

2.4/2.5.a

Are you the only applicant applying with this form? Yes/No

Radio button

2.5.b

(IF NO) What is the total number of people
(including yourself) in this application?

Textfield

4.15

Co-Applicants

Sub-Question

text area

Your Application

Biometrics Rule NPRM - no edits

I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Section

Public Benefit Public benefit information

Paper Form Question
Question #
5.1

Sub-Question

Since obtaining the nonimmigrant status Yes, I have received or I am currently
that you seek to extend or from which
certified to receive public benefits.
you seek to change, have you ever
received, or are you currently certified to
receive in the future any of the following
public benefits? (See below and select all
that apply)

No, I have not received any of the
public benefits listed above

Field Type

Instructional Text

checkbox

1. Any Federal, state, local, or tribal cash
assistance for income maintenance
including:
a. Supplemental Security Income (SSI);
b. Temporary Assistance for Needy
Families (TANF); or
c. Federal, state, or local cash benefit
programs for income maintenance (often
called “General Assistance” in the state
context, but which may exist under other
names);
2. Supplemental Nutrition Assistance
Program (SNAP, formerly called “Food
Stamps”);
3. Section 8 Housing Assistance under the
Housing Choice Voucher Program;
4. Section 8 Project-Based Rental Assistance
(including Moderate Rehabilitation);

checkbox

Help Text

No, I am not certified to receive any of checkbox
the public benefits listed above
(IF 5.1 = Yes) Public benefit
information to

(if Yes) Select all of the public benefits
which you received or are currently
certified to receive:

Any federal, state, local or tribal cash
assistance for income maintenance

checkbox

Supplemental Security Income (SSI)
Temporary Assistance for Needy
Families (TANF)
General Assistance (GA)
Supplemental Nutrition Assistance
Program (SNAP, formerly called “Food
Stamps”)
Section 8 Housing Assistance under
the Housing Choice Voucher Program

checkbox
checkbox

Section 8 Project-Based Rental
Assistance (including Moderate
Rehabilitation)
Public Housing under the Housing Act
of 1937, 42 U.S.C. 1437 et seq.

checkbox

checkbox
checkbox
checkbox

checkbox

Public Benefit

Biometrics Rule NPRM - no edits

I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Section

Paper Form Question
Question #

(IF 5.1 = Yes) Public benefit
history

Public benefit additional
information

Your public benefits

Sub-Question

Field Type

Federally-funded Medicaid

checkbox

5.2.a-d What type of public benefit have you
received?

5.4.a.

dropdown

What Agency Granted You the Benefit?
What date did you start receiving the
benefit?

text area
date

What date did the benefit or coverage
end or what is the date it expires?
Have you received, applied for, or have
been certified to receive federally-funded
Medicaid in connection with any of the
following? (Select all that apply)

date

Instructional Text

List all of the public benefits which you
received or are set to receive below.
This dropdown list is based on the public
benefits you indicated you are currently
receiving or certified to receive. Select from
the public benefits listed in the dropdown
menu to provide the additional information
about that public benefit.

Help Text

Add Public Benefit History Information

Date You Started Receiving the Benefit or if
Certified, Date You Will Start Receiving the
Benefit or Date Your Coverage Starts

text area

An emergency medical condition.
For a service under the Individuals
with Disabilities Education Act (IDEA).

checkbox
checkbox

Other school-based benefits or
checkbox
services available up to the oldest age
eligible for secondary education under
state law.
While you were under the age of 21. checkbox

5.4.b.

5.3

While you were pregnant or during the checkbox
60-day period following the last day of
pregnancy.
None of the above statements apply to checkbox
me.
(IF 5.4.a ≠ None of the above) Provide the From
date
applicable start and end dates for
federally-funded Medicaid.
To
date
(If Yes to 5.1) Do any of the following
I am enlisted in the Armed Forces, or checkbox
apply to you?
am serving in active duty or in the
Ready Reserve Component of the U.S.
Armed Forces.
Public Benefit

Biometrics Rule NPRM - no edits

I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Section

Paper Form Question
Question #

Sub-Question

Field Type

Instructional Text

Help Text

I am the spouse or the child of an
checkbox
individual who is enlisted in the Armed
Forces, or who is serving in active duty
or in the Ready Reserve Component of
the U.S. Armed Forces.
At the time I received the public
checkbox
benefits, I (or my spouse or parent)
was enlisted in the Armed Forces, or
was serving in active duty or in the
Ready Reserve Component of the U.S.
Armed Forces.
At the time I received the public
checkbox
benefits, I was present in the United
States in a status exempt from the
public charge ground of inadmissibility.
At the time I received the public
checkbox
benefits, I was present in the United
States after being granted a waiver off
the public charge ground of
inadmissibility.
I am a child currently residing abroad checkbox
who entered the United States with a
nonimmigrant visa to attend an N600K, Application for Citizenship and
Issuance of Certificate under INA
Section 322 interview.
None of the above statements apply to checkbox
me.

Public Benefit

Biometrics Rule NPRM - no edits

I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Section

Paper Form Question
Question #

Sub-Question

Field Type

Instructional Text

Additional
Explanation

Additional
explanation

9.1.a-9.7.d

Additional
information

Textbox

If you need to provide any additional
information for any of your answers to
the questions in this form, enter it into
the space below. You should include
the questions that you are referencing.

You may provide additional
information for your application

If you do not need to provide any
additional information, you may leave
this section blank.

Additional Explanation

Biometrics Rule NPRM - no edits

I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY
Copy in gray boxes is approved copy from previous forms and should not be edited
Step: Indicates the form navigation element.
Section: Indicates the form sub-navigation element. Copy for questions should be grouped by appropriate section.
Questions/Sub-Questions: Based on the questions from the paper form.
Instructional text: Text that appears directly below a question and provides instructions for answering the question or completing this step/section of the form.
Help text: Text that appears below or next to an input field, partially hidden. Users can click to expand. Provides additional contextual or clarifying information about a question.
CTA: copy for button
Page breaks are indicated by a horizontal line (the same sub-navigation can have multiple pages)
Conditional question logic is indicated in ( ) before question

Step
Evidence

Section
Required
evidence

Evidence Title
Your Nonimmigrant Arrival/Departure Record (I-94)

Field Type Instructional Text
Upload
Upload an image or copy of both sides of your Nonimmigrant Arrival/Departure
Record (I-94).

Logic
Required for all applicants (exclude T and U
nonimmigrants)

If you were admitted to the United States by U.S. Customs and Border Protection
(CBP) at an airport or seaport after April 30, 2013, you may have been issued an
electronic I-94 by CBP, instead of a paper form. Visit CBP to obtain a copy of your I-94.
If you are unable to obtain a copy of your I-94 from CBP, go to USCIS I-102 to find additional I-94
Replacement Information.
Additional applicants' Nonimmigrant Arrival/Departure
Record (I-94)

Upload

Upload an image or copy of both sides of the Nonimmigrant Arrival/Departure
Record (I-94) for each person included in your application.

Required for all additional applicants (exclude T and U
nonimmigrants)

If they were admitted to the United States by CBP at an airport or seaport after
April 30, 2013, they may have been issued an electronic Nonimmigrant
Arrival/Departure Record by CBP, instead of a paper form. Visit the CBP website to obtain a paper version of
their Nonimmigrant Arrival/Departure Record.
If you are unable to obtain a copy of their I-94 from CBP, go to the USCIS I-102 page to find additional I-94
Replacement Information.
Your Nonimmigrant Arrival/Departure Record (I-94) or
Approval Notice (I-797)

Upload

Upload an image or copy of both sides of your Nonimmigrant Arrival/Departure
Record (I-94). If you do not have your Nonimmigrant Arrival/Departure Record,
you can upload a copy of your Approval Notice (I-797) or an image of your
passport that shows you have already been granted status.

If nonimmigrant status = T (law enforcement OR
exceptional circumstances), T derivative (T-2, T-3, T-4, T-5,
T-6), U (law enforcement OR exceptional circumstances), U1, U-2, U-3, U-4, U-5

If you were admitted to the United States by CBP at an airport or seaport after
April 30, 2013, you may have been issued an electronic Nonimmigrant
Arrival/Departure Record by CBP, instead of a paper form. Visit the CBP website to obtain a paper version of
your Nonimmigrant Arrival/Departure Record.
If you are unable to obtain a copy of your I-94 from CBP, go to the USCIS I-102 page to find additional I-94
Replacement Information.

Evidence

Biometrics Rule NPRM - no edits

Step

Section

Evidence Title
Additional applicants' Nonimmigrant Arrival/Departure
Record (I-94) or Approval Notice (I-797)

Field Type Instructional Text
Upload
Upload an image or copy of both sides of the Nonimmigrant Arrival/Departure
Record (I-94) for each person included in your application. If you do not have
your Nonimmigrant Arrival/Departure Record, you can upload a copy of your
Approval Notice (I-797) or an image of your passport that shows you have
already been granted status.

Logic
If nonimmigrant status = T (law enforcement OR
exceptional circumstances), T derivative (T-2, T-3, T-4, T-5,
T-6), U (law enforcement OR exceptional circumstances), U1, U-2, U-3, U-4, U-5

If they were admitted to the United States by CBP at an airport or seaport after
April 30, 2013, they may have been issued an electronic Nonimmigrant
Arrival/Departure Record by CBP, instead of a paper form. Visit the CBP website to obtain a paper version of
their Nonimmigrant Arrival/Departure Record.
If you are unable to obtain a copy of their I-94 from CBP, go to the USCIS I-102 page to find additional I-94
Replacement Information.
Your Interagency Record of Request - A, G, or NATO
Dependent Employment, Authorization, or
Change/Adjustment to/from A, G, or NATO Status (I-566)
Your employer's Nonimmigrant Arrival/Departure Record
(I-94)

Upload

Upload
Your employer's Nonimmigrant Arrival/Departure Record
(I-94)
Letter from your employer
Upload

Your employer's Interagency Record of Request - A, G, or Upload
NATO Dependent Employment, Authorization, or
Change/Adjustment to/from A, G, or NATO Status (I-566)
Your written statement

Upload

Upload an image or copy of the Iteragency Record of Request - A, G, or NATO
Dependent Employment, Authorization, or Change/Adjustment to/from A, G, or
NATO Status (I-566) that is certified by the Department of State and indicates
your accredited status.
Upload an image or copy of your employer's Nonimmigrant Arrival/Departure
Record (I-94) or an approval notice demonstrating their A status.

If nonimmigrant status = A, G

Upload an image or copy of your employer's Nonimmigrant Arrival/Departure
Record (I-94) or an approval notice demonstrating their G status.

If nonimmigrant status = G-5

If nonimmigrant status = A-3

Upload an image or copy of a letter from your employer stating:
If nonimmigrant status = A-3, G-5
・Your duties
・That the employer intends to personally employ you for the entirety of your
contract
・Arrangements you have made to depart from the United States
Upload an image or copy of your employer's Interagency Record of Request - A, If nonimmigrant status = A-3, G-5
G, or NATO Dependent Employment, Authorization, or Change/Adjustment
to/from A, G, or NATO Status (I-566) that is certified by the Department of State
and indicates your employer's continuing accredited status.
Upload a written statement explaining in detail:
・The reasons for your request for an extension or change
・The reasons why your extended stay would be temporary, including what
arrangements you have made to depart from the United States
・Any effect the extended stay may have on your foreign employment or
residency

If nonimmigrant status = B-1 or B-2

Evidence

Biometrics Rule NPRM - no edits

Step

Section

Evidence Title
Evidence of your lawful residence in Commonwealth of
Northern Mariana Islands

Field Type Instructional Text
Logic
Upload
Upload an image or copy of proof of your lawful presence in the Commonwealth If nonimmigrant status = CW-2 (Dependent of CW-1)
of the Northern Mariana Islands (CNMI) as defined in 8 CFR 214.2(w)(l)(v).

Evidence of your relationship with the CW-1 transitional
worker

Upload

Upload an image or copy of any evidence that shows each applicant's
If nonimmigrant status = CW-2
relationship to the CW-1 transitional worker. This may include a birth certificate,
marriage certificate, or proof of termination of any prior marriages.

Additional evidence for CW-2 applicants

Upload

Upload an image or copy of one of the following:
1. Petition for a Nonimmigrant Worker in the CNMI (I-129CW) that was filed on
behalf of the CW-1 transitional worker
2. A copy of the Receipt Notice (I-797) related to the transitional worker's
already pending petition
3. A copy of the front and back of the transitional worker's most recent
Nonimmigrant Arrival/Departure Record (I-94)
4. A copy of the Approval Notice (I-797) showing the transitional worker has
already been granted status for the period requested on your application

Evidence of your relationship with the principal E
nonimmigrant

Additional evidence for dependents of principal E
nonimmigrants

If nonimmigrant status = CW-2

Upload an image or copy of any evidence that shows each applicant's
If nonimmigrant status = E-1 Treaty Traders, E-1
relationship to the principal E nonimmigrant. This may include a birth certificate, employees, E-2 Treaty Investors, E-2 employees, E-2 CNMI
marriage certificate, or proof of termination of any prior marriages.
Investors, E-3 Australian Specialty Occupation Professionals

Upload

Upload an image or copy of one of the following:
1. Petition for a Nonimmigrant Worker (I-129) that was filed on behalf of the
principal E nonimmigrant
2. A copy of the Receipt Notice (I-797) related to the principal E nonimmigrant's
already pending Petition for a Nonimmigrant Worker (I-129)
3. A copy of the front and back of the principal E nonimmigrant's most recent
Nonimmigrant Arrival/Departure Record (I-94)
4. A copy of the Approval Notice (I-797) showing the principal E nonimmigrant
has already been granted status for the period requested on your application.

If nonimmigrant status = E-1 Treaty Traders, E-1
employees, E-2 Treaty Investors, E-2 employees, E-2 CNMI
Investors, E-3 Australian Specialty Occupation Professionals

Evidence

Biometrics Rule NPRM - no edits

Step

Section

Evidence Title
Field Type
Your Certificate of Eligibility for Nonimmigrant Student (I- Upload
20)
Proof of ability to pay
Upload

Instructional Text
Upload an image or copy of your Certificate of Eligibility for Nonimmigrant
Student (I-20), issued by the school where you will study.
Upload an image or copy of any documentation that demonstrates your ability to
pay for your studies and support yourself, and any accompanying dependent
family members, while you are in the United States.

Evidence for reinstatement

Upload an image or copy of any documentation that shows that your violation of If nonimmigrant status = F-1 (requesting reinstatement), Mstatus resulted from circumstances beyond your control or that your violation
1 (requesting reinstatement)
relates to a reduction in your course load that would have been within a
Designated Schools Official's (DSO's) power to authorize, and that failure to
approve reinstatement would result in extreme hardship for you.

Upload

Logic
If nonimmigrant status = F-1 (and requesting change or
reinstatement), M-1
If nonimmigrant status = F-1 (and requesting change or
reinstatement), M-1

If you have been out of status for more than 5 months at the time of filing your
request for reinstatement, you must also provide evidence that your failure to
file within the 5 month period was the result of exceptional circumstances and
that you filed your request for reinstatement as promptly as possible under
these exceptional circumstances.
Evidence of your relationship with the H temporary
worker

Upload

Upload an image or copy of any evidence that shows each applicant's
relationship to the H temporary worker. This may include a birth certificate,
marriage certificate, or proof of termination of any prior marriages.

If nonimmigrant status = H-4

Additional evidence for dependents of an H temporary
worker

Upload

Upload an image or copy of one of the following:
1. Petition for a Nonimmigrant Worker (I-129) that was filed on behalf of the H
temporary worker
2. A copy of the Receipt Notice (I-797) related to the H temporary worker's
already pending Petition for a Nonimmigrant Worker (I-129)
3. A copy of the front and back of the H temporary worker's most recent
Nonimmigrant Arrival/Departure Record (I-94)
4. A copy of the Approval Notice (I-797) showing the H temporary worker has
already been granted status for the period requested on your application.

If nonimmigrant status = H-4

Letter from your employer

Upload

Upload an image or copy of a letter from the employing media organization that: If nonimmigrant status = I
・Verifies your employment
・Establishes that you are a representative of that media organization
・Describes your compensation and work to be performed

Evidence of your relationship with the principal
nonimmigrant

Upload

Upload an image or copy of any evidence that shows each applicant's
relationship to the principal nonimmigrant. This may include a birth certificate,
marriage certificate, or proof of termination of any prior marriages.

If nonimmigrant status = I (dependent)

Your Certificate of Eligibility for Exchange Visitor Status
(DS-2019)

Upload

Upload an image or copy of your Certificate of Eligibility for Exchange Visitor
Status (DS-2019).

If nonimmigrant status = J-1 (changing to J-1)

Evidence

Biometrics Rule NPRM - no edits

Step

Section

Evidence Title
Evidence of your relationship with the L intracompany
transferee

Field Type Instructional Text
Upload
Upload an image or copy of any evidence that shows each applicant's
relationship to the L intracompany transferee. This may include a birth
certificate, marriage certificate, or proof of termination of any prior marriages.

Logic
If nonimmigrant status = L-2

Additional evidence for dependents of an L intracompany Upload
transferee

Upload an image or copy of one of the following:
If nonimmigrant status = L-2
1. Petition for a Nonimmigrant Worker (I-129) that was filed on behalf of the L
intracompany transferee
2. A copy of the Receipt Notice (I-797) related to the L intracompany transferee's
already pending Petition for a Nonimmigrant Worker (I-129)
3. A copy of the front and back of the L intracompany transferee's most recent
Nonimmigrant Arrival/Departure Record (I-94)
4. A copy of the Approval Notice (I-797) showing the L intracompany transferee
has already been granted status for the period requested on your application.

Evidence supporting your reason for an extension

Upload an image or copy of any evidence supporting your reason for requesting
an extension. You may request an extension if:
・Compelling educational or medical reasons have resulted in a delay of your
course of study
・You are applying for a post-completion optional practical training
・You are transferring to a different school

Upload

if nonimmigrant status = M-1 (extension)

If you are transferring schools 6 months, or more, after the date you first
admitted, you will need to upload evidence showing you are unable to remain at
the school you were initially admitted to attend due to circumstances beyond
your control.
Upload an image or copy of any evidence that shows each applicant's
If nonimmigrant status = O-3
relationship to the O nonimmigrant worker. This may include a birth certificate,
marriage certificate, or proof of termination of any prior marriages.

Evidence of your relationship with the O nonimmigrant
worker

Upload

Additional evidence for dependents of an O
nonimmigrant worker

Upload

Upload an image or copy of one of the following:
If nonimmigrant status = O-3
1. Petition for a Nonimmigrant Worker (I-129) that was filed on behalf of the O
nonimmigrant worker
2. A copy of the Receipt Notice (I-797) related to the O nonimmigrant worker's
already pending Petition for a Nonimmigrant Worker (I-129)
3. A copy of the front and back of the O nonimmigrant worker's most recent
Nonimmigrant Arrival/Departure Record (I-94)
4. A copy of the Approval Notice (I-797) showing the O nonimmigrant worker has
already been granted status for the period requested on your application.

Evidence of your relationship with the P nonimmigrant
worker

Upload

Upload an image or copy of any evidence that shows each applicant's
relationship to the P nonimmigrant worker. This may include a birth certificate,
marriage certificate, or proof of termination of any prior marriages.

If nonimmigrant status = P-4

Evidence

Biometrics Rule NPRM - no edits

Step

Section

Evidence Title
Field Type Instructional Text
Logic
Additional evidence for dependents of an P nonimmigrant Upload
Upload an image or copy of one of the following:
If nonimmigrant status = P-4
worker
1. Petition for a Nonimmigrant Worker (I-129) that was filed on behalf of the P
nonimmigrant worker
2. A copy of the Receipt Notice (I-797) related to the P nonimmigrant worker's
already pending Petition for a Nonimmigrant Worker (I-129)
3. A copy of the front and back of the P nonimmigrant worker's most recent
Nonimmigrant Arrival/Departure Record (I-94)
4. A copy of the Approval Notice (I-797) showing the P nonimmigrant worker has
already been granted status for the period requested on your application.
Evidence of your relationship with the R religious worker Upload

Upload an image or copy of any evidence that shows each applicant's
relationship to the R religious worker. This may include a birth certificate,
marriage certificate, or proof of termination of any prior marriages.

If nonimmigrant status = R-2

Additional evidence for dependents of an R religious
worker

Upload

Upload an image or copy of one of the following:
If nonimmigrant status = R-2
1. Petition for a Nonimmigrant Worker (I-129) that was filed on behalf of the R
religious worker
2. A copy of the Receipt Notice (I-797) related to the R religious worker's already
pending Petition for a Nonimmigrant Worker (I-129)
3. A copy of the front and back of the R religious worker's most recent
Nonimmigrant Arrival/Departure Record (I-94)
4. A copy of the Approval Notice (I-797) showing the R religious worker has
already been granted status for the period requested on your application.

Evidence of your relationship with the TN professional
worker

Upload

Upload an image or copy of any evidence that shows each applicant's
relationship to the TN professional worker. This may include a birth certificate,
marriage certificate, or proof of termination of any prior marriages.

Additional evidence for dependents of a TN professional
worker

Upload

Upload an image or copy of one of the following:
If nonimmigrant status = TD
1. Petition for a Nonimmigrant Worker (I-129) that was filed on behalf of the TN
professional worker
2. A copy of the Receipt Notice (I-797) related to the TN professional worker's
already pending Petition for a Nonimmigrant Worker (I-129)
3. A copy of the front and back of the TN professional worker's most recent
Nonimmigrant Arrival/Departure Record (I-94)
4. A copy of the Approval Notice (I-797) showing the TN professional worker has
already been granted status for the period requested on your application.

Evidence demonstrating law enforcement need

Upload

Upload an image or copy of any evidence demonstrating law enforcement need. If nonimmigrant status = T (law enforcement need)
This may include a Declaration of Law Enforcement Officer for Victims or
Trafficking in Persons (I-914, Supplement B) or other evidence from law
enforcement explaining that your presence is necessary, and any other credible
evidence.

If nonimmigrant status = TD

Evidence

Biometrics Rule NPRM - no edits

Step

Section

Evidence Title
Evidence demonstrating exceptional circumstances
Evidence supporting your reason for an extension

Evidence of your relationship with the T-1 nonimmigrant
principal
Evidence demonstrating law enforcement need

Field Type Instructional Text
Upload
Upload an image or copy of any evidence that demonstrates your exceptional
circumstances. This may include an affirmative statement or any other credible
evidence.
Upload
Upload a written statement explaining the need and reason for your request for
an extension.
Upload
Upload an image or copy of any evidence that shows each applicant's
relationship to the T-1 nonimmigrant principal. This may include a birth
certificate, marriage certificate, or proof of termination of any prior marriages.
Upload

Logic
If nonimmigrant status = T (exceptional circumstances), U
(exceptional circumstances)
If nonimmigrant status = T-2, T-3, T-4, T-5, T-6, U-2, U-3, U4, U-5
If nonimmigrant status = T-2, T-3, T-4, T-5, T-6

Upload an image or copy of any evidence demonstrating law enforcement need. If nonimmigrant status = U (law enforcement need)
This may include a U Nonimmigrant Status Certification (I-918, Supplement B) or
other evidence from law enforcement explaining that your presence is
necessary, and any other credible evidence.

Evidence of your relationship with the U-1 nonimmigrant Upload
principal

Upload an image or copy of any evidence that shows each applicant's
relationship to the U-1 nonimmigrant principal. This may include a birth
certificate, marriage certificate, or proof of termination of any prior marriages.

If nonimmigrant status = U-2, U-3, U-4, U-5

Evidence you received any public benefits.

Upload

Upload evidence in the form of a letter, notice, certification, or other agency
documents that contain the following:
1. Your name;
2. Name and contact information for the public benefit granting agency;
3. Type of benefit;
4. Date you started receiving the benefit or if certified, date you will start
receiving the benefit; and
5. Date benefit or coverage ended or expires (mm/dd/yyyy) (if applicable)

If selected 5.1: “Yes, I have received or I am currently
certified to receive public benefits."

Evidence of public benefit disenrollment request.

Upload

Upload evidence of your request to disenroll if the public benefit-granting agency
has not processed your request (if applicable).
Upload certified evidence of alien’s enlistment/service issued by the authorizing
official of the executive department in which service member is serving.

If selected 5.1: "Yes, I have received or I am currently
certified to receive public benefits."
If 5.3 = "I am enlisted in the Armed Forces, or am serving in
active duty or in the Ready Reserve Component of the U.S.
Armed Forces"
OR;
"At the time I received the public benefits, I (or my spouse
or parent) was enlisted in the Armed Forces, or was serving
in active duty or in the Ready Reserve Component of the
U.S. Armed Forces."

Evidence your enlistment in the U.S. Armed Forces,
Upload
serving in active duty or in the Ready Reserve component
of the U.S. Armed forces.

Evidence

Biometrics Rule NPRM - no edits

Step

Section

Evidence Title
Field Type Instructional Text
Logic
Evidence of your relationship to a service member of the Upload
Upload a copy of Form DD-1173, United States Uniformed Services Identification If 5.3 = "I am the spouse or the child of an individual who is
U.S. Armed forces.
and Privilege Card (Dependent).
enlisted in the Armed Forces, or who is serving in active
duty or in the Ready Reserve Component of the U.S. Armed
Forces."
OR;
"At the time I received the public benefits, I (or my spouse
or parent) was enlisted in the Armed Forces, or was serving
in active duty or in the Ready Reserve Component of the
U.S. Armed Forces."
Evidence of receiving Federal-Funded Medicaid by a child Upload
Upload a copy of the following (if applicable):
If 5.4.a. = "While you were under the age of 21."OR;
under 21 years of age.
1. A statement with information regarding the "emergency medical condition"
"An emergency medical condition." OR;
"For a service under the Individuals with Disabilities
determination (if applicable);
Education Act (IDEA)." OR;
2. Documentation of these payments under the IDEA or school-based service;
and
"Other school-based benefits or services available up to the
3. Pregnancy verification letter from medical professional including estimated
oldest age eligible for secondary education under state
law." OR;
duration of pregnancy.
"While you were pregnant or during the 60-day period
following the last day of pregnancy."
Proof of child's N-600K interview notice.
Upload
Upload a copy of the N-600K interview notice.
If 5.3 = "I am a child currently residing abroad who entered
the United States with a nonimmigrant visa to attend an N600K, Application for Citizenship and Issuance of Certificate
Under INA Section 322 interview."
Evidence you received public benefits while in a category Upload
that is exempt from public charge.

Evidence you received public benefits while in a category Upload
which had received a waiver for public charge.

Additional
evidence

Additional evidence you want to provide

Upload

Upload information that evidences of your status or that you
received a waiver for the public charge ground of
inadmissibility, such as
1. Approval notice (such as Form I-797, Notice of
Action); or
2. Form I-94, Arrival/Departure Record.
Upload information that evidences of your status or that you
received a waiver for the public charge ground of
inadmissibility, such as
1. Approval notice (such as Form I-797, Notice of
Action); or
2. Form I-94, Arrival/Departure Record.

If 5.3 = "At the time I received the public benefits, I was
present in the United States in a status exempt from the
public charge ground of inadmissibility."

If 5.3 = "At the time I received the public benefits, I was
present in the United States after being granted a waiver
off the public charge ground of inadmissibility."

You can provide additional documents that support your application and help
All applicants
explain any of your answers on the application. If you want to provide additional
evidence now, upload any documents below.

Evidence

Biometrics Rule NPRM - edits made

I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Section

Review and Submit

Review your
application

Paper Form Question
Question #

Current Sub-Question

Revised Sub-Question

Field Type

Check your
application before
you submit

Current Instructional Text

Revised Instructional Text

Help Text

We will review your application to check for accuracy and completeness
before you submit it.

Primary CTA
Review my
application

We encourage you to provide as many responses as you can throughout
the application, to the best of your knowledge. Missing information can
slow down the review process after you submit your application.
You can return to this page to review your application as many times as
you want before you submit it.

Your eligibility

You will submit your application using the following basis for eligibility.

Your request reason

Title: Your request reason is: {{Application type}}
Based on the reason for your request, your form filing fee is: {{Dollar
amount}}
You have one or more alerts and warnings based on the information you
provided in your application.

Alerts and warnings

A red alert means you have incomplete or incorrect responses to certain
questions. You cannot submit your application with any alerts.
A yellow warning means you may be missing information or may need
to follow-up with us about your responses. You can still submit your
application, but some warnings may slow down the review process after
you submit your application.
Your application
summary

Here is a summary of all the information you provided in your
application.

Make sure you have provided responses for everything that applies to
you before you submit your application. You can edit your responses by
going to each application section using the site navigation.
Preparer
signature

8.7.a

Preparer's
statement

I am not an attorney or accredited representative but have prepared this application on behalf of the
applicant and with the applicant's consent.

Radio

Your preparer must read the statements below and select the statement
that applies to him or her.
If your preparer is an attorney or accredited representative whose
representation extends beyond preparation of this application, he or she
may be obliged to submit a completed Notice of Entry of Appearance as
Attorney or Accredited Representative (G-28) with your application.

8.7.b
8.7.b
8

Preparer's
certification

I am an attorney or accredited representative and my representation of the applicant in this case does
not extend beyond the preparation of this application.
I am an attorney or accredited representative and my representation of the applicant in this case
extends beyond the preparation of this application.
By my signature, I certify, under penalty of perjury, that I prepared this application at the request of the
applicant. The applicant then reviewed this completed application and informed me that he or she
understands all of the information contained in, and submitted with, his or her application, including
the Applicant's Declaration and Certification, and that all of this information is complete, true, and
correct. I completed this application based only on information that the applicant provided to me or
authorized me to obtain or use.
As the applicant's preparer, you must sign on paper and provide your signature page to the applicant.
Follow these steps:

Radio
Radio
Checkbox

Your preparer must read and agree to the certification below.

Upload

Scan and upload your preparer's completed signature page below.

Checkbox

Your interpreter must read and agree to the certification below.

1. Download the Preparer Signature page
2. Print the Preparer Signature page
3. Read and sign the Preparer Signature page
4. Give the signed Preparer Signature page to the applicant
The applicant will need to scan and upload your completed signature page on the next screen.

Interpreter
signature

8.8.a/b Preparer's signature
upload
Interpreter's
I certify, under penalty of perjury, that: I am fluent in English and the language provided in the Getting
certification
Started section of this application, and I have read to this applicant in the identified language every
question and instruction on this application and his or her answer to every question. The applicant
informed me that he or she understands every instruction, question, and answer on the application,
including the Applicant's Declaration and Certification, and has verified the accuracy of every answer.
As the applicant's interpreter, you must sign on paper and provide your signature page to the applicant.
Follow these steps:
1. Download the Interpreter Signature page
2. Print the Interpreter Signature page
3. Read and sign the Interpreter Signature page
4. Give the signed Interpreter Signature page to the applicant
The applicant will need to scan and upload your completed signature page on the next screen.

Your signature

7.7.a/b Interpreter's
signature upload
6.1.a
Applicant's
statement
6.2

6.1.b

Applicant's
statement
regarding the
preparer
Applicant's
statement
regarding the
interpreter

Upload

Scan and upload your interpreter's completed signature page below.

I can read and understand English, and I have read and understand every question and instruction on
this application and my answer to every question.

Checkbox

You must read and agree to the statement below.

At my request, the preparer named in the Getting Started section of this application/[preparer name]
prepared this application for me based only upon information I provided or authorized.

Checkbox

You must read and agree to the statement below.

The interpreter named in the Getting Started section of this application read to me every question and
instruction on this application and my answer to every question in the language I specified in the
Getting Started section, a language in which I am fluent, and I understood everything.

Checkbox

You must read and agree to the statement below.

Read the Penalties section of the Form I539 Instructions before completing this
section.

Review and Submit

Biometrics Rule NPRM - edits made

I-539 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY

Step

Section

Paper Form Question
Question #

Current Sub-Question

Revised Sub-Question

Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and
I understand that USCIS may require that I submit original documents to USCIS at a later date.
Furthermore, I authorize the release of any information from any and all of my records that USCIS may
need to determine my eligibility for the immigration benefit that I seek.

I furthermore authorize release of information contained in this application, in supporting documents,
and in my USCIS records, to other entities and persons where necessary for the administration and
enforcement of U.S. immigration law.

I understand that USCIS will require me to appear for an appointment to take my biometrics
(fingerprints, photograph, and/or signature) and, at that time, I will be required to sign an oath
reaffirming that:

[deleted]

Applicant's
declaration,
certification and
signature

Field Type

Current Instructional Text

Revised Instructional Text

You must read and agree to the certification below. If you knowingly and
willfully falsify or conceal a material fact or submit a false document
with your application, we can deny your application and may deny any
other immigration benefit. You may also face criminal prosecution and
penalties provided by the law.

Federal Agency
Disclosure and
Authorizations

Primary CTA

If you are required to provide biometrics, at the 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.

1) I reviewed and understood all of the information contained in, and submitted with, my application;
and
2) All of this information was complete, true, and correct at the time of filing.
I certify, under penalty of perjury, that all of the information in my application and any document
submitted with it were provided or authorized by me, that I reviewed and understand all of the
information contained in, and submitted with, my application and that all of this information is
complete, true, and correct.

Help Text

I certify, under penalty of perjury, that all of the information in my application and any document
submitted with it were provided or authorized by me, that I reviewed and understand all of the
information contained in, and submitted with, my application and that all of this information is
complete, true, and correct.

I authorize, as applicable, the Social Security Administration (SSA) to verify my Social Security number
(to match my name, Social Security number, and date of birth with information in SSA records and
provide the results of the match) to USCIS. I authorize SSA to provide explanatory information to USCIS
as necessary.
I authorize, as applicable, the SSA, U.S. Department of Agriculture (USDA), U.S. Department of Health
and Human Services (HHS), U.S. Department of Housing and Urban Development (HUD), and any other
U.S. Government agency that has received and/or adjudicated a request for a public benefit, as defined
in 8CFR 212.21(b), submitted by me or on my behalf, and/or granted one or more public benefits to me,
to disclose to USCIS that I have applied for, received, or have been certified to receive, a public benefit
from such agency, including the type and amount of benefits, dates of receipt, and any other relevant
information provided to the agency for the purpose of obtaining such as public benefit, to the extent
permitted by law. I also authorize SSA, USDA, HHS, HUD, and any other US. Government agency to
provide any additional data and information to USCIS, to the extent permitted by law.

I authorize, as applicable, custodians of records and other sources of information pertaining to my
request for or receipt of public benefits to release information regarding my request for and/or receipt
of public benefits, upon the request of the investigator, special agents, or other duly accredited
representative of any Federal agency authorized above, regardless of any previous agreement to the
contrary.
I understand that the information released by records custodians and sources of information is for
official use by the Federal Government, that the U.S. Government will use it only to review if I have
received public benefits in regards to my eligibility for immigration benefits and to enforce immigration
laws, and that the U.S. Government may disclose the information only as authorized by law.

6.6.a

Your signature

6.6.b

I have read and agree to the applicant's statement

[Date of signature]

Pay and submit

Pay for and submit
your application

Checkbox

You must provide your digital signature below by typing your full legal
name. We may deny your application if you do not completely fill out
this application or fail to submit required documents. We will record the
date of your signature with your application.

NOTE TO ALL APPLICANTS: If you do
not completely fill out this application
or fail to submit required documents
listed in the Instructions, USCIS may
deny your application.

The final step to submit your I-539 is to pay the required fee.
Your application fee is: [$XXX.00]
Your biometrics fee is: [$XXX.00]
Your total fee is: [$XXX.00]
If you have a form fee, we will send you to Pay.gov — our safe, secure
payment website — to make your payment and submit your application
online.

Pay and submit

Here are the steps in the payment and submission process:
1. Provide your billing information on Pay.gov
2. Provide your information for one of two billing options: credit card or
U.S. bank account
3. Submit your payment
When you have paid your fee, your application will be submitted.
Pay.gov will redirect you to an application confirmation screen. You can
track the status of your application through your USCIS online account.

Review and Submit

Biometrics Rule NPRM - no edits

Heading
Sub-Heading
Before you start your Eligibility
application

Body Text
EXEMPTIONS: The following
are exempted from the public
benefits listed above.

Accordion Header
Accordion Body
Public benefits received by U.S. Armed An alien enlisted in the U.S. Armed Forces, serving in active duty or in the Ready Reserve component of the U.S. Armed forces; or the spouse or child of the service member.
Forces;
Federal-funded Medicaid;

1. Receipt by a child under 21 years of age;
2. The receipt of Medicaid payment(s) for an "emergency medical condition;"
3. The receipt of Medicaid for services provided under the Individuals with Disabilities Education Act (IDEA);
4. The receipt of Medicaid for school-based benefits for children who are of an age eligible for secondary education as determined under state or local law; or
5. Receipt during pregnancy and during the 60-day period after the last day of pregnancy.
Children who will naturalize under INA Child currently residing abroad who entered the United States with a nonimmigrant visa to attend N-600K, Application for Citizenship and Issuance of Certificate under INA
322;
Section 322 interview.
Public benefits received while in an
Received public benefits while in a category that is exempt from public charge; or received public benefits while in a category had received a waiver for public charge.
immigration category exempt from
public charge;

Exemption Accordion

Biometrics Rule NPRM - no edits

I-539 FORM COPY: WARNINGS, ALERTS, NOTICES, AND ERRORS
Alert: Appears in red box; indicates missing required information or lack of eligibility; user cannot submit application
Warning: Appears in yellow box; indicates potential eligibility issue or follow-up step; user can submit application
Notice: Appears in blue box; indicates potential exemptions or other useful information; user can submit application
Error: Appears in red text below a form field; user can submit application

Number

Type
Logic
1 Yellow alert This alert will show up
during Beta - Beta 2.1

Message
h3. You can file an individual extension request online only for certain
statuses

Where the alert exists
https://qa-my.uscis.dhs.gov/apply/application-to-extend-changenonimmigrant-status/overview

Link goes to: https://www.uscis.gov/i539

1.1 Yellow alert This alert will show up
during Beta 4.

At this time, you cannot file online if you:
* Need to extend your status and your nonimmigrant status is not listed
above,
* Want to reinstate or change your nonimmigrant status, or
* Have additional applicants.
* Have an A, G, NATO, V, T or U nonimmigrant status
* Require a lawyer or accredited representative
You will need to file a paper Form I-539.
h3. You can file an individual extension request online only for certain
statuses

https://qa-my.uscis.dhs.gov/apply/application-to-extend-changenonimmigrant-status/overview

Link goes to: https://www.uscis.gov/i539

1.1 Yellow alert This alert will show up
during Beta 5.

At this time, you cannot file online if you:
* Need to extend your status and your nonimmigrant status is not listed
above,
* Have additional applicants.
* Have an A, G, NATO, V, T or U nonimmigrant status
* Require a lawyer or accredited representative
You will need to file a paper Form I-539.
h3. You can file an individual extension request online only for certain
statuses

https://qa-my.uscis.dhs.gov/apply/application-to-extend-changenonimmigrant-status/overview

Link goes to: https://www.uscis.gov/i539

At this time, you cannot file online if you:
* Need to extend your status and your nonimmigrant status is not listed
above,
* Have additional applicants.
* Have an A, G, NATO, V, T or U nonimmigrant status
2 Yellow alert This alert will show up
during Beta - Beta 2.1

3 Red alert

You will need to file a paper Form I-539.
h3. You can file your extension request online only for certain statuses. https://qa-my.uscis.dhs.gov/apply/application-to-extend-changenonimmigrant-status/2497/basis-for-eligibility
You can complete this online form if your current nonimmigrant status is
listed above and you are requesting an extension of status. You should
submit the paper Form I-539 if your current nonimmigrant status is not
listed above or you want to change or reinstate your nonimmigrant
status.

This alert will show up
h3. Online filing is available only for extension of status requests.
https://qa-my.uscis.dhs.gov/apply/application-to-extend-changeduring Beta - Beta 3. This
nonimmigrant-status/2497/reason-for-request
will go away with Beta 4. You can complete this online form only if you are requesting an extension
of your nonimmigrant status. You should file a paper Form I-539 if you
want to change or reinstate your nonimmigrant status.

Link goes to: https://www.uscis.gov/i539

Alerts

Biometrics Rule NPRM - no edits

Number

Type
4 Red alert

5 Red alert

Logic
Message
h3. You can file Form I-539 online only for yourself and no other
This alert will show up
during Beta - Beta 4. This applicants at this time.
will go away with Beta 5.
You can complete the online version of Form I-539 if you are requesting
an extension for only yourself. If you want to include co-applicants, you
must file the paper Form I-539.
This will show up if I-94 h3. You must upload an image or copy of your Nonimmigrant
is not uploaded
Arrival/Departure Record (I-94).

6 Yellow alert Will show up if the user
has not answered
question about having
Public Benefits

7 Yellow alert Will show up on Public
Benefits Additional
Information page

Where the alert exists
https://qa-my.uscis.dhs.gov/apply/application-to-extend-changenonimmigrant-status/2497/additional-applicants

https://qa-my.uscis.dhs.gov/apply/application-to-extend-changenonimmigrant-status/4870/required-evidence

You cannot submit your application until you upload an image or copy of
your I-94.
h3. There are new question in the form
https://qa-my.uscis.dhs.gov/apply/application-to-extend-changenonimmigrant-status/4870/review-your-application
On October 15, 2019, the Public Benefits section was added to the I-539.
If you started your I-539 before October 15, 2019, you may not have seen
this section. You should fill out the Public Benefits section before
submitting your form.
CTA button link: "Go to Public Benefits section"
h3. There is evidence that you should upload for public benefits
Click on Next to go to the Evidence section.

Link goes to: https://www.uscis.gov/i539

Link goes to: https://qamy.uscis.dhs.gov/apply/application-toextend-change-nonimmigrantstatus/4870/public-benefits-information

https://qa-my.uscis.dhs.gov/apply/application-to-extend-changenonimmigrant-status/4870/public-benefits-additional-information

Alerts

File Type	application/pdf
Author	Taylor-Netzband, JoAnn M (CTR)
File Modified	2020-08-26
File Created	2020-08-26