I-485 Frm Toc

TABLE OF CHANGES – FORM

Form I-485, Application to Register Permanent Residence or Adjust Status

OMB Number: 1615-0023

03/08/2021

Reason for Revision: SSA + LRIF Revision

Project Phase: 60 Day

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 10/31/2020

Edition Date 10/15/2019

Current Page Number and Section	Current Text	Proposed Text
Page 1-3, Part 1. Information About You (Person applying for lawful permanent residence)	[Page 1] Part 1. Information About You (Individual applying for lawful permanent residence) … Alternate and/or Safe Mailing Address If you are applying based on the Violence Against Women Act (VAWA) or as a special immigrant juvenile, human trafficking victim (T nonimmigrant), or victim of a qualifying criminal activity (U nonimmigrant) and you do not want USCIS to send notices about this application to your home, you may provide an alternative and/or safe mailing address. 14.a. In Care Of Name (if any) 14.b. Street Number and Name 14.c. Apt./Ste./Flr. [Fillable field] 14.d. City or Town 14.e. State 14.f. ZIP Code Recent Immigration History Provide the information for Item Numbers 15. - 19. if you last entered the United States using a passport or travel document. 15. Passport Number Used at Last Arrival 16. Travel Document Number Used at Last Arrival 17. Expiration Date of this Passport or Travel Document (mm/dd/yyyy) 18. Country that Issued this Passport or Travel Document 19. Nonimmigrant Visa Number from this Passport (if any) Place of Last Arrival into the United States 20.a. City or Town 20.b. State 21. Date of Last Arrival (mm/dd/yyyy) When I last arrived in the United States, I: 22.a. Was inspected at a port of entry and admitted as (for example, exchange visitor; visitor, waived through; temporary worker; student): [Fillable field] 22.b. Was inspected at a port of entry and paroled as (for example, humanitarian parole, Cuban parole): [Fillable field] 22.c. Came into the United States without admission or parole. 22.d. Other: [Fillable field] If you were issued a Form I-94 Arrival-Departure Record Number: 23.a. Form I-94 Arrival-Departure Record Number 23.b. Expiration Date of Authorized Stay Shown on Form I-94 (mm/dd/yyyy) 23.c. Status on Form I-94 (for example, class of admission, or paroled, if paroled) [Page 3] 24. What is your current immigration status (if it has changed since your arrival)? Provide your name exactly as it appears on your Form I-94 (if any) 25.a. Family Name (Last Name) 25.b. Given Name (First Name) 25.c. Middle Name	Page 1] Part 1. Information About You (Individual applying for lawful permanent residence) … [no change] Social Security Card 15. Has the Social Security Administration (SSA) ever officially issued a Social Security card to you? Yes No If you answered “Yes,” provide the information requested in Item Number 16. 16. Provide your U.S. Social Security Number (SSN). 17. Do you want the SSA to issue you a Social Security card? (You must also answer “Yes” to Item Number 18. Consent for Disclosure, to receive a card). Yes No If you answered “Yes,” you must also answer “Yes” to Item Number 18. 18. Consent for Disclosure: I authorize disclosure of information from this application to the SSA as required for the purpose of assigning me an SSN and issuing me a Social Security Card. Yes No Recent Immigration History Provide the information for Item Numbers 19. - 23. if you last entered the United States using a passport or travel document. 19. Passport Number Used at Last Arrival 20. Travel Document Number Used at Last Arrival 21. Expiration Date of this Passport or Travel Document (mm/dd/yyyy) 22. Country that Issued this Passport or Travel Document 23. Nonimmigrant Visa Number from this Passport (if any) Place of Last Arrival into the United States 24.a. City or Town 24.b. State 25. Date of Last Arrival (mm/dd/yyyy) When I last arrived in the United States, I: 26.a. Was inspected at a port of entry and admitted as (for example, exchange visitor; visitor, waived through; temporary worker; student): [Fillable field] 26.b. Was inspected at a port of entry and paroled as (for example, humanitarian parole, Cuban parole): [Fillable field] 26.c. Came into the United States without admission or parole. 26.d. Other: [Fillable field] If you were issued a Form I-94 Arrival-Departure Record Number: 27.a. Form I-94 Arrival-Departure Record Number 27.b. Expiration Date of Authorized Stay Shown on Form I-94 (mm/dd/yyyy) 27.c. Status on Form I-94 (for example, class of admission, or paroled, if paroled) [Page 3] 28. What is your current immigration status (if it has changed since your arrival)? Provide your name exactly as it appears on your Form I-94 (if any) 29.a. Family Name (Last Name) 29.b. Given Name (First Name) 29.c. Middle Name

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