I-589 Form Table of Changes

I589-011-FRM-TOC-GlobalAsylumRule-FinalRule-12072020.pdf

Application for Asylum and for Withholding of Removal

I-589 Form Table of Changes

OMB: 1615-0067

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1615-0067 can be found here:

Document [pdf]

Download: pdf | pdf

TABLE OF CHANGES – FORM
Form I-589, Application for Asylum and for Withholding of Removal
OMB Number: 1615-0067
12/07/2020
Reason for Revision: Global Asylum Rule
Project Phase: Final Rule
Legend for Proposed Text:
• Black font = Current text
• Red font = Changes
Expires 07/31/2022
Edition Date 08/25/2020
Current Page Number
and Section
Page 1,
Start Here

Current Text

Proposed Text

[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
Convention Against Torture.

NOTE: Check this box if you also want to
apply for withholding of removal under the
Convention Against Torture (CAT) regulations.
Refer to Instructions, Part 1: Filing
Instructions, Section II, Basis of Eligibility,
Part B for more information.

Pages 2-3,

[Page 2]

Part A.II. Information
About Your Spouse and
Children

Part A.II. Information About Your Spouse
and Children

…

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

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 14 on the extra
copy of the application submitted for this
person)
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

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 14 on the extra copy

of the application submitted for this person.)
No

of the application submitted for this person.)
No
[Page 3]

…

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

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 14 on the extra copy
of the application submitted for this person.)
No

…

Page 5-6,

[Page 5]

Part B. Information
About Your Application

Part B. Information About Your Application

(NOTE: Use Form I-589 Supplement B, or
attach additional sheets of paper as needed to
complete your responses to the questions
contained in Part B.)

When answering the following questions about
your asylum or other protection claim
(withholding of removal under 241(b)(3) of the
INA or withholding of removal under the
Convention Against Torture), you must provide
a detailed and specific account of the basis of
your claim to asylum or other protection. To
the best of your ability, provide specific dates,
places, and descriptions about each event or
action described. You must attach documents
evidencing the general conditions in the country
from which you are seeking asylum or other
protection and the specific facts on which you
are relying to support your claim. If this
documentation is unavailable or you are not
providing this documentation with your

When answering the following questions about
your asylum or other protection claim
(withholding of removal under 241(b)(3) of the
INA (statutory withholding of removal) or
withholding of removal under the CAT
regulations), you must provide a detailed and
specific account of the basis of your claim to
asylum or other protection. To the best of your
ability, provide specific dates, places, and
descriptions about each event or action
described. You must attach documents
evidencing the general conditions in the country
from which you are seeking asylum or other
protection and the specific facts on which you
are relying to support your claim. If this
documentation is unavailable or you are not

application, explain why in your responses to
the following questions.

providing this documentation with your
application, explain why in your responses to
the following questions.

Refer to Instructions, Part 1. Filing
Instructions, Section II. Basis of Eligibility,
Parts A. – D.; Section V., Completing the
Form, Part B.; and Section VII. Additional
Evidence That You Should Submit, for more
information on completing this section of the
form.

1. Why are you applying for asylum or
withholding of removal under section 241(b)(3)
of the INA, or for withholding of removal under
the Convention Against Torture? Check the
appropriate box(es) below and then provide
detailed answers to questions A and B below.

1. Why are you applying for asylum and for
statutory withholding of removal, or for
withholding of removal under the CAT
regulations? Check the appropriate box(es)
below and then provide detailed answers to the
questions below.

I am seeking asylum or withholding of removal
based on:

Race
Religion
Nationality
Political opinion
Membership in a particular social group
Torture Convention

[new]

If you are claiming membership in a particular
social group(s), identify or describe the
particular social group(s), or provide any
information that shows your membership in a
particular social group(s):
[Fillable Field]

A. Have you, your family, or close friends or
colleagues ever experienced harm or
mistreatment or threats in the past by anyone?
No
Yes

A. Have you, your family, friends, or
colleagues ever experienced harm,
mistreatment, or threats in the past by anyone?
No
Yes

If “Yes,” explain in detail:
1. What happened;

If “Yes,” explain in detail:
1. What happened.
[Fillable field]

2. When the harm or mistreatment or threats
occurred;

2. When the harm, mistreatment, or threats
occurred.
[Fillable field]
[Page 6]

3. Who caused the harm or mistreatment or
threats; and

3. Who caused the harm, mistreatment, or
threats.
[Fillable field]

4. Why you believe the harm or mistreatment
or threats occurred.

4. Why you believe the harm, mistreatment, or
threats occurred. If you are seeking asylum or
statutory withholding of removal based on one
or more of the protected grounds listed above
(race, religion, nationality, political opinion, or
membership in a particular social group), you
must explain why you believe the harm,
mistreatment, or threats you experienced were
on account of one or more of the protected
grounds.

[Fillable field]

B. Do you fear harm or mistreatment if you
return to your home country?
No
Yes

If "Yes," explain in detail:
1. What harm or mistreatment you fear;

If "Yes," explain in detail:
1. What harm or mistreatment you fear.
[Fillable field]

2. Who you believe would harm or mistreat
you; and

2. Who you believe would harm or mistreat
you.
[Fillable field]

3. Why you believe you would or could be
harmed or mistreated.

[Fillable field]

3. Why you believe you would or could be
harmed or mistreated. If you are seeking asylum
or statutory withholding of removal based on
one or more of the protected grounds listed
above (race, religion, nationality, political
opinion, or membership in a particular social
group), you must explain why you believe the
harm or mistreatment you fear are on account of
one or more of the protected grounds.
[Fillable field]

[Page 6]
C. Have you, your family, friends, or colleagues
ever been subjected to torture in the past?
No
Yes

[new]

If “Yes,” explain in detail:
1. What happened.
[Fillable field]
2. When the torture occurred.
[Fillable field]
3. Who caused the harm, which, along with
other factors, amounted to torture.
[Fillable field]
4

4. Why you believe the torture occurred.
[Fillable field]
[Page 7]
D. Are you afraid of being subjected to torture
in your home country or any other country to
which you may be returned?
No
Yes

[moved up from below]

If "Yes," explain in detail:
1. The nature of the harm you fear.

[new]

[Fillable field]
2. Who would harm you.
[Fillable field]
3. Why you believe you would be tortured.
[Fillable field]
2. Have you or your family members ever been
accused, charged, arrested, detained,
interrogated, convicted and sentenced, or
imprisoned in any country other than the United
States (including for an immigration law
violation)?
No
Yes

2. Have you or your family members ever been
accused, charged, arrested, detained,
interrogated, convicted and sentenced, or
imprisoned in any country other than the United
States (including for an immigration law
violation)?
No
Yes

If "Yes," explain the circumstances and reasons
for the action.
[Fillable field]

3.A. Have you or your family members ever
belonged to or been associated with any
organizations or groups in your home country,
such as, but not limited to, a political party,
student group, labor union, religious
organization, military or paramilitary group,
civil patrol, guerrilla organization, ethnic group,
human rights group, or the press or media?
No
Yes

If "Yes," describe for each person the level of
participation, any leadership or other positions
held, and the length of time you or your family
members were involved in each organization or
activity.
[Fillable field]

3.B. Do you or your family members continue
to participate in any way in these organizations

or groups?
No
Yes

If "Yes," describe for each person your or your
family members' current level of participation,
any leadership or other positions currently held,
and the length of time you or your family
members have been involved in each
organization or group.
[Fillable field]

4. Are you afraid of being subjected to torture
in your home country or any other country to
which you may be returned?
No
Yes

[moved up]

If "Yes," explain why you are afraid and
describe the nature of torture you fear, by
whom, and why it would be inflicted.
[Fillable field]

Page 7-8,

[Page 7]

[Page 8]

Part C. Additional
Information About Your
Application

Part C. Additional Information About Your
Application

(NOTE: Use Form I-589 Supplement B, or
attach additional sheets of paper as needed to
complete your responses to the questions
contained in Part C.)

[new]

1. Have you ever applied to the U.S.
Government for refugee status or for asylum
and withholding of removal?
No
Yes

1. Have you, your spouse, your child(ren), your
parents or your siblings ever applied to the U.S.
Government for refugee status, asylum, or
withholding of removal?
No
Yes

2. Have your spouse, your child(ren), your
parent(s), or your sibling(s) ever applied to the
U.S. Government for refugee status or for
asylum and withholding of removal?
No
Yes

[new]

3. Have you ever been included as a dependent
in a spouse’s or parent’s application to the U.S.
Government for refugee status or for asylum
and withholding of removal?
No
Yes

If "Yes," explain the decision and what
happened to any status you, your spouse, your
child(ren), your parents, or your siblings
received as a result of that decision. Indicate
whether or not you were included in a parent or
spouse's application. If so, include your parent
or spouse's A-number in your response.
[new]

If you answered "Yes" to Item Number 1.,
Item Number 2. and/or Item Number 3.,
explain the decision and what happened to any
status you, your spouse, your child(ren), your
parent(s), or your sibling(s) received as a result
of that decision.

[Fillable field]

If you answered “Yes” to Item Number 2.
and/or Item Number 3., also provide the name,
date of birth, and A-Number, if available, of
your spouse, child(ren), parent(s), or sibling(s)
referenced in Item Number 2. and/or Item
Number 3.
Family Name (Last Name)
Given Name (First Name)
Middle Name
Date of Birth (mm/dd/yyyy)
Alien Registration Number (A-Number)
If you were previously denied asylum by
USCIS, an immigration judge, or the Board of
Immigration Appeals, describe any change(s) in
conditions in your country or your own personal
circumstances since the date of the denial that
may affect your eligibility for asylum.
[Fillable field]

If you were previously denied asylum by
USCIS, an immigration judge, or the Board of
Immigration Appeals, you must describe in this
application any change(s) in conditions in your
country or your own personal circumstances
since the date of the denial that may affect your
eligibility for asylum. For guidance in
answering this question, see Instructions, Part
1: Filing Instructions, Section I. Who May
Apply and Filing Deadlines and Part 1: Filing
Instructions, Section V. Completing the
Form, Part C.
[Fillable field]

2.A. After leaving the country from which you
are claiming asylum, did you or your spouse or
child(ren) who are now in the United States
travel through or reside in any other country
before entering the United States?
No
Yes

4.A. After leaving the country from which you
are claiming asylum, did you, your spouse, or
child(ren) included in the application, or your
parents (if applicable) who are now in the
United States travel through or reside in any
other country before entering the United States?
No
Yes
If you answered "Yes" to Item Number 4.A.,
provide the following: the name of every
country you, your spouse, your child(ren), or
parents traveled through or resided in before
entering the United States, the dates you, he or
she traveled through or resided in those
countries, the length of stay, the person's status
while there, and the reasons for leaving.
[Fillable Field]
If you answered “Yes” to Item Number 4.A.,
indicate whether you, your spouse, your
child(ren), or your parents ever applied for
protection from persecution or torture, including
refugee status or asylum, while in any country
that you, your spouse, your child(ren), or your
parents traveled through or resided in before
entering the United States, and if not, why you,
he, or she did not do so.

[Fillable Field]
[Page 9]
If you answered “Yes” to Item Number 4.A.,
indicate whether you, your spouse, your
child(ren), or your parents applied to, were
offered the opportunity to apply to, or had the
opportunity available to reside in any permanent
legal immigration status or any non-permanent,
indefinitely renewable legal immigration status
(including asylee, refugee, or similar status, but
excluding status such as of a tourist), in any
country through which you, your spouse, your
child(ren), or your parents traveled before
entering the United States.
[Fillable field]
2.B. Have you, your spouse, your child(ren), or
other family members, such as your parents or
siblings, ever applied for or received any lawful
status in any country other than the one from
which you are now claiming asylum?
No
Yes

4.B. Have you, your spouse, your child(ren), or
other family members, such as your parents or
siblings, ever applied for, received, or could
have applied for, but did not, any lawful status
in any country other than the one from which
you are now claiming asylum?
No
Yes
If you answered “Yes” to Item Number 4.B.,
explain the circumstances, outcome of the
application, and whether or not the person is
entitled to return for lawful residence purposes.
[Fillable field]

If "Yes" to either or both questions (2A and/or
2B), provide for each person the following: the
name of each country and the length of stay, the
person's status while there, the reasons for
leaving, whether or not the person is entitled to
return for lawful residence purposes, and
whether the person applied for refugee status or
for asylum while there, and if not, why he or
she did not do so.
[Fillable field]

[deleted]

3. Have you, your spouse or your child(ren)
ever ordered, incited, assisted or otherwise
participated in causing harm or suffering to any
person because of his or her race, religion,
nationality, membership in a particular social
group or belief in a particular political opinion?
No
Yes

[moved down to become Item Number 8.]

If "Yes," describe in detail each such incident
and your own, your spouse's, or your
child(ren)'s involvement.
[Fillable field]
8

[Page 8]
4. After you left the country where you were
harmed or fear harm, did you return to that
country?
No
Yes

5. After you left the country where you were
harmed or fear harm, did you return to that
country?
No
Yes

If "Yes," describe in detail the circumstances of
your visit(s) (for example, the date(s) of the
trip(s), the purpose(s) of the trip(s), and the
length of time you remained in that country for
the visit(s).)
[Fillable field]

5. Are you filing this application more than 1
year after your last arrival in the United States?
No
Yes

6. Are you filing this application more than 1
year after your last arrival in the United States?
No
Yes

If "Yes," explain why you did not file within the
first year after you arrived. You must be
prepared to explain at your interview or hearing
why you did not file your asylum application
within the first year after you arrived. For
guidance in answering this question, see
Instructions, Part 1. Filing Instructions,
Section V. Completing the Form, Part C.
[Fillable field]

If "Yes," explain why you did not file within the
first year after you arrived. You must be
prepared to explain at your interview or hearing
why you did not file your asylum application
within the first year after you arrived. For
guidance in answering this question, see
Instructions, Part 1: Filing Instructions, Section
V. "Completing the Form," Part C.
[Fillable field]

6. Have you or any member of your family
included in the application ever committed any
crime and/or been arrested, charged, convicted,
or sentenced for any crimes in the United States
(including for an immigration law violation)?
No
Yes

7. Have you or any member of your family
included in the application ever committed any
crime and/or been arrested, charged, convicted,
or sentenced for any crime (including for an
immigration law violation)?
No
Yes

If "Yes," for each instance, specify in your
response: what occurred and the circumstances,
dates, length of sentence received, location, the
duration of the detention or imprisonment,
reason(s) for the detention or conviction, any
formal charges that were lodged against you or
your relatives included in your application, and
the reason(s) for release.

If you have been arrested in the United States,
you must submit a certified copy of all arrest
reports, court dispositions, sentencing
documents, and any other relevant documents.
[Fillable field]

[moved from earlier]

8. Have you, your spouse or your child(ren)
ever ordered, incited, assisted or otherwise
participated in causing harm or suffering to any
person because of his or her race, religion,
9

nationality, membership in a particular social
group or belief in a particular political opinion?
No
Yes
If "Yes," describe in detail each such incident
and your own, your spouse's, or your
child(ren)'s involvement.
[Fillable field]
9. Have you or any member of your family
included in the application EVER ordered,
incited, called for, committed, assisted, helped
with, or otherwise participated in any of the
following:
A. Acts involving torture or genocide?
No
Yes
B. Killing any person?
No
Yes
C. Intentionally and severely injuring any
person?
No
Yes
D. Any kind of sexual contact or activity (by
you, your family member, or another person)
with any person who did not consent, was
unable to consent, or was being forced or
threatened by you, your family member, or by
someone else?
No
Yes
E. Limiting or denying any person’s ability to
exercise religious beliefs?
No
Yes
If you answered “Yes” to any part of Item
Number 9., explain what occurred and describe
the circumstances, including the dates and
location of the circumstances.
[Fillable field]
10. Have you or any member of your family
included in the application EVER:
A. 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, or
insurgent organization, or any other armed
group?
No
Yes
10

B. Worked, volunteered, or otherwise served in
any prison, jail, prison camp, detention facility,
labor camp, or any other situation that involved
detaining persons?
No
Yes
If you answered “Yes” to any part of Item
Number 10., explain what occurred and
describe the circumstances, including the dates
and location of the circumstances.
[Fillable field]
[Page 11]
11. Have you or any member of your family
included in the application EVER been a
member of, assisted in, or participated in any
group, unit, or organization of any kind in
which you, your family member, or other
persons used any type of weapon against any
person or threatened to do so?
No
Yes
If “Yes,” explain what occurred and describe
the circumstances, including the dates and
location of the circumstances.
[Fillable field]
12. Have you or any member of your family
included in the application EVER sold,
provided, or transported weapons, or assisted
any person in selling, providing, or transporting
weapons, which you or your family member
knew or believed would be used against another
person?
No
Yes
If “Yes,” explain what occurred and describe
the circumstances, including the dates and
location of the circumstances.
[Fillable field]
13. Have you or any member of your family
included in the application EVER received any
weapons training, paramilitary training, or other
military-type training?
No
Yes
If “Yes,” explain what occurred and describe
the circumstances, including the dates and
location of the circumstances.
[Fillable field]
11

14. Have you EVER recruited, enlisted, or
conscripted any person under 15 years of age to
serve in or help an armed force or group, or
attempted or worked with others to do so?
No
Yes
15. Have you EVER used any person under
age 15 to take part in hostilities, for instance,
participating in combat or providing services
related to combat (such as sabotage or serving
as a courier) or providing support services (such
as transporting supplies), or attempted or
worked with others to do so?
No
Yes
16. Has any member of your family included
on this application EVER recruited, enlisted, or
conscripted any person under 15 years of age to
serve in or help an armed force or group, or
attempted or worked with others to do so?
No
Yes
17. Has any member of your family included
on this application EVER used any person
under age 15 to take part in hostilities, such as
participating in combat or providing services
related to combat (such as sabotage or serving
as a courier) or providing support services (such
as transporting supplies), or attempted or
worked with others to do so?
No
Yes
If you answered “Yes” to Item Numbers 14.,
15., 16., and/or 17., specify in your response:
what occurred and the circumstances, dates,
locations, level of involvement, any leadership
or other positions held, reason(s) for the
involvement, and details about your
involvement in any group(s) and/or conflict(s)
referenced above in Item Numbers 14., 15.,
16., and/or 17.
[Fillable field]
[Page 12]
The following questions focus on adverse
discretionary factors related to asylum
eligibility. You must answer Item Numbers
18.A. - 19.J. as it relates to you and any
member of your family included in the
application. For guidance in answering these
questions, see Instructions, Part 1: Filing
Instructions, Section V. Completing the
12

Form, Part C. Additional Information about
your Application.
18.A. Have you or any member of your family
included in the application ever unlawfully
entered or unlawfully attempted to enter into the
United States?
No
Yes
If you answered “Yes” to Item Number 18.A.,
please specify in your response: what occurred,
the circumstances, dates, and the reason(s) for
the circumstances.
[Fillable field]
18.B. Did you or any member of your family
included in the application transit through any
country before entering the United States?
No
Yes
If you answered “Yes” to Item Number 18.B.,
indicate whether you or any member of your
family included in the application sought
protection from persecution or torture, including
refugee status or asylum, in any country through
which you, he, or she transited before entering
the United States, and if not, why you, he, or
she did not do so. Please specify in your
response: what occurred, the circumstances,
dates, and the reason(s) for the circumstances.
[Fillable field]
18.C. Have you or any member of your family
included in the application used fraudulent
documents to enter the United States?
No
Yes
If you answered “Yes” to Item Number 18.C.,
please specify in your response: what occurred,
the circumstances, dates, and the reason(s) for
the circumstances.
[Fillable field]
If you answered “Yes” to Item Numbers 18.A.,
18.B., and/or 18.C., do any of the
corresponding exceptions or situations
described in the exceptions (for example, entry
or attempted entry was made in immediate
flight from persecution or satisfying the
definition of victim of a severe form of
trafficking in persons) apply to you or any
member of your family included in the
application? If so, please specify in your
response: why you believe you or any member
of your family included in the application meet
13

one of the exceptions, what occurred, the
circumstances, dates, and the reason(s) for the
circumstances.
[Fillable Field]
19.A. Did you or any member of your family
included in the application, immediately prior to
arriving in the United States or en route to the
United States from your or their country of
citizenship, nationality, or last lawful habitual
residence, spend more than 14 days in any one
country?
No
Yes
19.B. Did you or any member of your family
included in the application transit through more
than one country between your or their country
of citizenship, nationality, or last habitual
residence and the United States?
No
Yes
19.C. Do you or any member of your family
included in the application have a conviction or
sentence that was reversed, vacated, expunged,
or modified?
No
Yes
19.D. Did you or any member of your family
included in the application accrue more than
one year of unlawful presence in the United
States prior to filing an asylum application?
No
Yes
[Page 13]
19.E. At the time this application is filed, have
you failed to timely file any required federal,
state, or local income taxes, or timely file a
request for an extension of time to file?
No
Yes
19.F. At the time this application is filed, have
you failed to satisfy any outstanding federal,
state, or local income tax obligations?
No
Yes
19.G. At the time this application is filed, do
you have income that would result in tax
liability that has not been reported to the
Internal Revenue Service?
No
Yes
14

19.H. Have you or any member of your family
included in the application had two or more
prior asylum applications denied for any
reason?
No
Yes
19.I. Have you or any member of your family
included in the application withdrawn a prior
asylum application, been found to have
abandoned a prior asylum application, or failed
to attend an interview regarding an asylum
application?
No
Yes
19.J. Have you or any member of your family
included in the application been subject to a
final order of removal, deportation, or
exclusion, and did not file a motion to reopen to
seek asylum?
No
Yes
If you answered “Yes” to any of the questions
in Item Numbers 19.A. - 19.J., please specify
in your response: what occurred, the
circumstances, dates, and reason(s) for the
circumstances.
[Fillable field]
If you answered “Yes” to any of the questions
in Item Numbers 19.A. - 19.J., do any of the
corresponding exceptions or situations
described in the exceptions (for example,
applying for protection from persecution or
torture in another country or satisfying the
definition of victim of a severe form of
trafficking in persons) apply to you or any
member of your family included in the
application? If so, please specify in your
response: why you believe you or any member
of your family included in the application meet
one of the exceptions, what occurred, the
circumstances, dates, and the reason(s) for the
circumstances.
[Fillable Field]
If you answered “Yes” to any of the questions
in Item Numbers 19.A. - 19.J., if applicable,
provide any information related to extraordinary
circumstances that would warrant a favorable
decision, and explain any exceptional or
extremely unusual hardship that would result
from a referral or denial of your asylum
application.
[Fillable field]
15

Page 9,

[Page 9]

[Page 14]

Part D. Your Signature

Part D. Applicant’s Statement, Contact
Information, Certification, and Signature

I certify, under penalty of perjury under the
laws of the United States of America, that this
application and the evidence submitted with it
are all true and correct. Title 18, United States
Code, Section 1546(a), provides in part:
Whoever knowingly makes under oath, or as
permitted under penalty of perjury under
Section 1746 of Title 28, United States Code,
knowingly subscribes as true, any false
statement with respect to a material fact in any
application, affidavit, or other document
required by the immigration laws or regulations
prescribed thereunder, or knowingly presents
any such application, affidavit, or other
document containing any such false statement
or which fails to contain any reasonable basis in
law or fact - shall be fined in accordance with
this title or imprisoned for up to 25 years. I
authorize the release of any information from
my immigration record that U.S. Citizenship
and Immigration Services (USCIS) needs to
determine eligibility for the benefit I am
seeking.

[deleted]

[Staple your photograph here or the photograph
of the family member to be included on the
extra copy of the application submitted for that
person.]

WARNING: Applicants who are in the
United States unlawfully are subject to
removal if their asylum or withholding
claims are not granted by an asylum officer
or an immigration judge. Any information
provided in completing this application may
be used as a basis for the institution of, or as
evidence in, removal proceedings even if the
application is later withdrawn. Applicants
determined to have knowingly made a
frivolous application for asylum will be
permanently ineligible for any benefits under
the Immigration and Nationality Act. You
may not avoid a frivolous finding simply
because someone advised you to provide false
information in your asylum application. If
filing with USCIS, unexcused failure to
appear for an appointment to provide
biometrics (such as fingerprints) and your
biographical information within the time
allowed may result in an asylum officer
dismissing your asylum application or
referring it to an immigration judge. Failure
without good cause to provide DHS with
biometrics or other biographical information
while in removal proceedings may result in

If an asylum officer determines that you have
knowingly made a frivolous application for
asylum, that determination may be used as a
basis for the institution of, or as evidence in,
removal proceedings. If an immigration
judge or the Board of Immigration Appeals
determines that you have knowingly made a
frivolous application for asylum, you will be
permanently ineligible for any benefits under
the Immigration and Nationality Act. You
may not avoid a frivolous finding simply
because someone advised you to provide false
information in your asylum application.
If filing with USCIS, unexcused failure to
appear for an appointment to provide

your application being found abandoned by
the immigration judge. See sections
208(d)(5)(A) and 208(d)(6) of the INA and 8
CFR sections 208.10, 1208.10, 208.20,
1003.47(d) and 1208.20.

biometrics (such as fingerprints) and your
biographical information within the time
allowed or unexcused failure to appear for
an asylum interview may result in an asylum
officer dismissing your asylum application or
referring it to an immigration judge. Failure
without good cause to provide DHS with
biometrics or other biographical information
while in removal proceedings may result in
your application being found abandoned by
the immigration judge. See sections
208(d)(5)(A) and 208(d)(6) of the INA and 8
CFR sections 208.10, 1208.10, 208.20,
1003.47(d) and 1208.20.

Print your complete name.
Write your name in your native alphabet.

[deleted]

Did your spouse, parent, or child(ren) assist you
in completing this application?
No
Yes (If "Yes," list the name and relationship.)
(Name) [x2]
(Relationship) [x2]
Did someone other than your spouse, parent, or
child(ren) prepare this application?
No
Yes (If "Yes," complete Part E.)
Asylum applicants may be represented by
counsel. Have you been provided with a list of
persons who may be available to assist you, at
little or no cost, with your asylum claim?
No
Yes

[moved into new Part F]

Signature of Applicant (The person in Part A.I.)
Sign your name so it all appears within the
brackets
Date of signature (mm/dd/yyyy)

[deleted]

NOTE: Read the Penalty for Perjury section
of the Form I-589 Instructions before
completing this section. You must file Form I589 while in the United States.
Applicant’s Statement
NOTE: Select the box for either Item A. or B.
in Item Number 1. If applicable, select the box
for Item Number 2.
1. Applicant’s Statement Regarding the
Interpreter
A. 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.
17

B. The interpreter named in Part E. read to me
every question and instruction on this
application and my answer to every question in
[Fillable Field], a language in which I am
fluent, and I understood everything.
2. Applicant’s Statement Regarding the
Preparer
At my request, the preparer named in Part F.,
[Fillable field], prepared this application for me
based only upon information I provided or
authorized.
Applicant’s Contact Information
3. Applicant’s Daytime Telephone Number
4. Applicant’s Mobile Telephone Number (if
any)
5. Applicant’s Email Address (if any)
Applicant’s Certification
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 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 laws.
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:
1) I reviewed and provided or authorized all of
the information in my application;
2) I understood all of the information contained
in, and submitted with, my application; and
3) All of this information was complete, true,
and correct at the time of filing.
[Page 15]
I certify, under penalty of perjury, that I
provided or authorized all of the information in
my application, I understand all of the
18

information contained in, and submitted with,
my application, and that all of this information
is complete, true, and correct.
Applicant’s Signature
6. Applicant’s Signature
Date of Signature (mm/dd/yyyy)
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.

New

[Page 15]
Part E. Interpreter’s Contact Information,
Certification, and Signature
Provide the following information concerning
the interpreter.
Interpreter’s Full Name
1. Interpreter’s Family Name (Last Name)
Interpreter’s Given Name (First Name)
2. Interpreter’s Business or Organization Name
(if any)
Interpreter’s Mailing Address
3. Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Interpreter’s Contact Information
4. Interpreter’s Daytime Telephone Number
5. Interpreter’s Mobile Telephone Number (if
any)
6. Interpreter’s Email Address (if any)
Interpreter’s Certification
I certify, under penalty of perjury, that:
I am fluent in English and [Fillable Field],
which is the same language specified in Part
D., Item B. in Item Number 1., 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
19

Applicant’s Certification, and has verified the
accuracy of every answer.
Interpreter’s Signature
7. Interpreter’s Signature
Date of Signature (mm/dd/yyyy)

Page 9, Part E.
Declaration of Person
Preparing Form, if
Other Than Applicant,
Spouse, Parent, or Child

[Page 9]

[Page 16]

Part E. Declaration of Person Preparing
Form, if Other Than Applicant, Spouse,
Parent, or Child

[deleted]

I declare that I have prepared this application at
the request of the person named in Part D, that
the responses provided are based on all
information of which I have knowledge, or
which was provided to me by the applicant, and
that the completed application was read to the
applicant in his or her native language or a
language he or she understands for verification
before he or she signed the application in my
presence. I am aware that the knowing
placement of false information on the Form I589 may also subject me to civil penalties under
8 U.S.C. 1324c and/or criminal penalties under
18 U.S.C. 1546(a).
Signature of Preparer
Print Complete Name of Preparer
Daytime Telephone Number
Address of Preparer: Street Number and Name
Apt. Number
City
State
Zip Code
To be completed by an attorney or
accredited representative (if any).
Select this box if Form G-28 is attached.
Attorney State Bar Number (if applicable)
Attorney or Accredited Representative
USCIS Online Account Number (if any)
[new]

Part F. Contact Information, Declaration,
and Signature of the Person Preparing this
Application, If Other Than the Applicant

[content from current Part D.]
Asylum applicants may be represented by
counsel. Have you been provided with a list of
persons who may be available to assist you, at
little or no cost, with your asylum claim?
No
Yes

1. Asylum applicants may be represented by
counsel. Have you been provided with a list of
persons who may be available to assist you, at
little or no cost, with your asylum claim?
No
Yes
Provide the following information about the
preparer.

Preparer’s Full Name
2. Preparer’s Family Name (Last Name)
Preparer’s Given Name (First Name)
3. Preparer’s Business or Organization Name (if
any)
Preparer’s Mailing Address
4. Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Preparer’s Contact Information
5. Preparer’s Daytime Telephone Number
6. Preparer’s Mobile Telephone Number (if
any)
7. Preparer’s Email Address (if any)
Preparer’s Statement
8. A. I am not an attorney or accredited
representative but have prepared this
application on behalf of the applicant and with
the applicant’s consent.
B. I am an attorney or accredited representative
and my representation of the applicant in this
case extends/does not extend beyond the
preparation of this application.
NOTE: If you are an attorney or accredited
representative, you may need to submit a
completed Form G-28, Notice of Entry of
Appearance as Attorney or Accredited
Representative, with this application.
Preparer’s Certification
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 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.
[Page 17]
21

Preparer’s Signature
9. Preparer’s Signature
Date of Signature (mm/dd/yyyy)

Page 10,

[Page 10]

[Page 17]

Part F. To Be Completed
at Asylum Interview, if
Applicable

Part F. To Be Completed at Asylum
Interview, if Applicable

Part G. To Be Completed at Asylum
Interview, if Applicable

NOTE: You will be asked to complete this part
when you appear for examination before an
asylum officer of the Department of Homeland
Security, U.S. Citizenship and Immigration
Services (USCIS).

I swear (affirm) that I know the contents of this
application that I am signing, including the
attached documents and supplements, that they
are all true or/not all true to the best of my
knowledge and that correction(s) numbered
[Fillable field] to [Fillable field] were made by
me or at my request. Furthermore, I am aware
that if I am determined to have knowingly made
a frivolous application for asylum I will be
permanently ineligible for any benefits under
the Immigration and Nationality Act, and that I
may not avoid a frivolous finding simply
because someone advised me to provide false
information in my asylum application.

I swear (affirm) and certify, under penalty of
perjury under the laws of the United States of
America, that I know the contents of this
Application for Asylum and for Withholding of
Removal, subscribed by me, including
correction(s) numbered [Fillable field] to
[Fillable field], and that they are complete, true,
and correct. All documentary and other
evidence I have submitted is complete, true, and
correct.
I am aware that if an asylum officer determines
that I knowingly made a frivolous application
for asylum, such determination may be used as
a basis for the institution of, or as evidence in,
removal proceedings. Furthermore, I am aware
that if an immigration judge or the Board of
Immigration Appeals determines that I have
knowingly made a frivolous application for
asylum, I will be permanently ineligible for any
benefits under the Immigration and Nationality
Act, and that I may not avoid a frivolous finding
simply because someone advised me to provide
false information in my asylum application.

Signed and sworn to before me by the above
named applicant on:
Signature of Applicant
Date (mm/dd/yyyy)
Write Your Name in Your Native Alphabet
Signature of Asylum Officer

Page 10,

[Page 10]

[Page 17]

Part G. To Be
Completed at Removal
Hearing, if Applicable

Part G. To Be Completed at Removal
Hearing, if Applicable

Part H. To Be Completed at Removal
Hearing, if Applicable

NOTE: You will be asked to complete this Part
when you appear before an immigration judge
of the U.S. Department of Justice, Executive
Office for Immigration Review (EOIR), for a
hearing.

I swear (affirm) that I know the contents of this
application that I am signing, including the

I swear (affirm) and certify, under penalty of
perjury under the laws of the United States of

Page 11, Supplement A,
Form I-589

attached documents and supplements, that they
are all true or/not all true to the best of my
knowledge and that correction(s) numbered
[Fillable field] to [Fillable field] were made by
me or at my request. Furthermore, I am aware
that if I am determined to have knowingly made
a frivolous application for asylum I will be
permanently ineligible for any benefits under
the Immigration and Nationality Act, and that I
may not avoid a frivolous finding simply
because someone advised me to provide false
information in my asylum application.

America, that I know the contents of this
Application for Asylum and for Withholding of
Removal, subscribed by me, including
correction(s) numbered [Fillable field] to
[Fillable field], and that they are complete, true,
and correct. All documentary and other
evidence I have submitted is complete, true, and
correct.

Signed and sworn to before me by the above
named applicant on:
Signature of Applicant
Date (mm/dd/yyyy)
Write Your Name in Your Native Alphabet
Signature of Immigration Judge

[Page 11]

[Page 18]

Supplement A, Form I-589

Furthermore, I am aware that if an immigration
judge or the Board of Immigration Appeals
determines that I have knowingly made a
frivolous application for asylum, I will be
permanently ineligible for any benefits under
the Immigration and Nationality Act, and that I
may not avoid a frivolous finding simply
because someone advised me to provide false
information in my asylum application.

…
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 14 on the extra copy
of the application submitted for this person.)
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 14 on the extra copy
of the application submitted for this person.)
No

File Type	application/pdf
Author	Hallstrom, Samantha M
File Modified	2020-12-09
File Created	2020-12-09