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Form Number and Name
OMB Number
Form Edition Date:
Form Expiration Date:
Baseline Copydeck:
I-134A Online Request to be a Supporter and Declaration of Financial Sup
1615-0157
4/25/2022
7/31/2023
I-134A Production Copydeck v2.0.3
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Copydeck Version Info
FILE A FORM: I-134A
Column Header Descriptions
Header: If needed, a header is located directly under the dropdown menu and above the body text.
Body Text: Based on the purpose of the form found in the paper form instructions.
Link: A reference column to include any URLs that appear as hyperlinks in the body text.
CTA: Copy to include for a button.
Heading
Body Text
Select the form you want to file online
Some immigration benefits that involve a temporary stay in the United
Some immigration benefits that involve a temporary stay in the United
States require U.S. Citizenship and Immigration Services (USCIS) to
States require U.S. Citizenship and Immigration Services (USCIS) to
determine whether the applicant or beneficiary of the request has
determine whether the applicant or beneficiary of the request has
sufficient financial resources or financial support to pay for expenses
sufficient financial resources or financial support to pay for expenses
during the temporary stay. The individual who signs and submits Form I‐ during the temporary stay. The individual who signs and submits Form I‐
134A must establish that he or she has both sufficient financial resources 134A must establish that he or she has they have both sufficient
and access to those funds to support the beneficiary listed on Form I‐134A financial resources and access to those funds to support the beneficiary
for the duration of the beneficiary’s stay in the United States.
listed on Form I‐134A for the duration of the beneficiary’s stay in the
United States.
Revisions
Alert
Revisions
Link
CTA
Notes
Start form
[yellow alert]
[h] We are only accepting online filing of Form I‐134A from individuals agreeing to financially
support eligible beneficiaries from the following countries:
[yellow alert]
[h] We are only accepting online filing of Form I‐134A from individuals agreeing to financially
support eligible beneficiaries from the following countries:
https://www.uscis.gov/i‐134
[b]
• Cuba
• Haiti
• Nicaragua
• Ukraine
• Venezuela
[b]
• Cuba
• Colombia
• El Salvador
• Guatemala
• Haiti
• Honduras
You must be located in the United States to file Form I‐134A online. Individuals seeking parole • Nicaragua
• Ukraine
may not file Form I‐134A on their own behalf. Supporters must include the name of the
• Venezuela
beneficiary on Form I‐134A.
Supporters must file a separate Form I‐134A for each beneficiary they are planning to
support, including minor children.
You must be located in the United States to file Form I‐134A online. Individuals seeking parole
through these processes may not file Form I‐134A on their own behalf. Supporters must
include the name of the beneficiary on Form I‐134A.
To be eligible for this process, children under the age of 18 must be traveling to the United
States in the care and custody of their parent or legal guardian and be able to provide
documentation to confirm the relationship.
Supporters must file a separate Form I‐134A for each beneficiary they are planning to
support, including minor children.
If you are agreeing to support a beneficiary seeking parole who is not applying under
Venezuela or Uniting for Ukraine, or a beneficiary seeking any other immigration benefit, you
must file a paper Form I-134 through the appropriate Lockbox location.
To be eligible for this process, children under the age of 18 must be traveling to the United
States in the care and custody of their parent or legal guardian and be able to provide
documentation to confirm the relationship.
If you are agreeing to support a beneficiary who is not seeking consideration for parole
under one of these programs or processes, seeking parole who is not applying under
Venezuela or Uniting for Ukraine, or a beneficiary seeking any other immigration
benefit, you must file a paper Form I-134 through the appropriate Lockbox location.
File‐A‐Form
APPLICATION OVERVIEW: I‐134A
Column Header Descriptions
Heading: The primary heading on a page, typically the first part of a section of the page.
Sub-Heading: The secondary header typically directly underneath the Heading
Heading
Sub‐Heading
Conditional Logic
I‐134A, Online Request To Be
A Supporter And Declaration
Of Financial Support
Revisions
Body Text
Revisions
Alert
Revisions
[yellow alert]
[yellow alert]
[h] We are only accepting online filing of Form I‐134A from individuals agreeing to financially support eligible
Required?
Link
CTA
Some immigration benefits that involve a temporary stay in the United States require U.S. Citizenship and Immigration Services (USCIS) to determine whether the applicant or
Some immigration benefits that involve a temporary stay in the United States require U.S. Citizenship and Immigration Services (USCIS) to determine
beneficiary of the request has sufficient financial resources or financial support to pay for expenses during the temporary stay. The individual who signs and submits Form I‐134A must whether the applicant or beneficiary of the request has sufficient financial resources or financial support to pay for expenses during the temporary
establish that he or she has both sufficient financial resources and access to those funds to support the beneficiary listed on Form I‐134A for the duration of the beneficiary’s stay in stay. The individual who signs and submits Form I‐134A must establish that he or she has they have both sufficient financial resources and access
the United States.
to those funds to support the beneficiary listed on Form I‐134A for the duration of the beneficiary’s stay in the United States.
[yellow alert]
https://www.uscis.gov/i‐134
[h] We are only accepting online filing of Form I‐134A from individuals beneficiaries from the following countries:
agreeing to financially support eligible beneficiaries from the following
[b]
countries:
[b]
• Cuba
• Haiti
• Nicaragua
• Ukraine
• Venezuela
• Cuba
• Colombia
• El Salvador
• Guatemala
• Haiti
• Honduras
• Nicaragua
• Ukraine
• Venezuela
You must be located in the United States to file Form I‐134A online.
You must be located in the United States to file Form I‐134A online. Individuals seeking parole
through these
Individuals seeking parole may not file Form I‐134A on their own
behalf. Supporters must include the name of the beneficiary on Form I‐ processes may not file Form I‐134A on their own behalf. Supporters must include the name of the beneficiary
on Form I‐134A.
134A.
Supporters must file a separate Form I‐134A for each beneficiary they are planning to support, including
Supporters must file a separate Form I‐134A for each beneficiary they minor children.
are planning to support, including minor children.
To be eligible for this process, children under the age of 18 must be traveling to the United States in the care an
To be eligible for this process, children under the age of 18 must be
custody of their parent or legal guardian and be able to provide documentation to confirm the relationship.
traveling to the United States in the care and custody of their parent or
legal guardian and be able to provide documentation to confirm the If you are agreeing to support a beneficiary who is not seeking consideration for parole under one of these
programs or processes, seeking parole who is not applying under Venezuela or Uniting for Ukraine, or
relationship.
a beneficiary seeking any other immigration benefit,you must file a paper Form I-134 through the
Before You Start Your
Declaration
Eligibility
If you are agreeing to support a beneficiary seeking parole who is not appropriate Lockbox location.
applying under Venezuela or Uniting for Ukraine, or a beneficiary
seeking any other immigration benefit, you must file a paper Form I‐
Certain individuals applying for parole based on urgent humanitarian reasons or significant public benefit filed on Form I‐131, Application for Travel Document, must submit this form Certain individuals applying for parole based on urgent humanitarian reasons or significant public benefit filed on Form I-131, Application for
Travel Document, must submit this form with Form I-131. Form I-134A is filed either by the applicant for parole on his or her own behalf, or
with Form I‐131. Form I‐134A is filed either by the applicant for parole on his or her own behalf, or by another individual on the parole applicant’s behalf.
by another individual on the parole applicant’s behalf.
Certain individuals applying for parole into the United States for urgent humanitarian reasons or significant public benefit who are not filing Form I‐131 may also be required to submit
Certain individuals applying for parole into the United States for urgent humanitarian reasons or significant public benefit who are not filing
this form. In such cases, Form I‐134A is completed by an individual other than the beneficiary who is agreeing to financially support the beneficiary for the period of his or her
Form I-131 may also be required to submit this form. In such cases, Form I-134A is completed by an individual other than the beneficiary
temporary stay in the United States.
who is agreeing to financially support the beneficiary for the period of his or her temporary stay in the United States.
Note: Whether or not the beneficiary of this Form I‐134A will have sufficient means of support while in the United States is an important factor in determining whether to exercise
discretion to authorize parole. We require evidence that the beneficiary of this Form I‐134A has financial support for the duration of his or her stay in the United States. Lack of
evidence of financial support while in the United States is a strong negative factor that may lead to a denial of parole.
Form I‐134A may also be requested by Department of State in certain instances.
Do not use Form I‐134A if the beneficiary you are agreeing to financially support must have Form I‐864, Affidavit of Support Under Section 213A of the INA, filed on his or her behalf
instead.
Fee
Documents you may need
There is no filing fee to file Form I‐134A.
https://www.uscis.gov/i‐864
Note: Whether or not the beneficiary of this Form I‐134A will have sufficient means of support while in the United States is an important factor in
determining whether to exercise discretion to authorize parole. We require evidence that the beneficiary of this Form I‐134A has financial support
for the duration of their his or her stay in the United States. Lack of evidence of financial support while in the United States is a strong negative
factor that may lead to a denial of parole.
Form I-134A may also be requested by Department of State in certain instances.
Do not use Form I-134A if the beneficiary you are agreeing to financially support must have
Form I-864, Affidavit of Support Under Section
213A of the INA, filed on his or her behalf instead.
There is no filing fee to file Form I‐134A.
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. For TTY (deaf or hard of hearing) 800‐ Please refer to the instructions for the form(s) you are filing for additional information or you may call the USCIS Contact Center at 800-3755283. For TTY (deaf or hard of hearing) 800-767-1833.
767‐1833.
You must be located in the United States in order to file Form I‐134A on behalf of beneficiaries and their immediate family members. Beneficiaries and their immediate family
You must be located in the United States in order to file Form I‐134A on behalf of beneficiaries and their immediate family members. Beneficiaries
members requesting parole may not file Form I‐134A on their own behalf.
and their immediate family members requesting parole may not file Form I‐134A on their own behalf.
As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources to support the beneficiary.
As the person who agrees to financially support the beneficiary's financial supporter, you must show you have sufficient income or financial
resources to support the beneficiary.
Evidence should consist of copies of any of the documents listed below that apply.
Evidence should consist of copies of any of the documents listed below that apply.
Failure to provide evidence of sufficient income or financial resources may result in the denial of the foreign national's application for a visa or his or her removal from the United
States.
Failure to provide evidence of sufficient income or financial resources may result in the denial of the foreign national's application for a visa or his or
her removal from the United States.
Submit in duplicate evidence of income and resources, appropriate:
Submit in duplicate evidence of income and resources, appropriate:
1. Statement from an officer of the bank or other financial institutions with deposits, identifying the following details regarding the account:
‐ Date account opened
‐ Total amount deposited for the past year; and
‐ Present balance.
2. Statement(s) from your employer on business stationery showing:
‐ Date and nature of employment;
‐ Salary paid; and
‐ Whether the position is temporary or permanent
3. Copy of last U.S. federal income tax return filed (tax transcript); or
Evidence should consist of any of the applicable documents listed below:
1. Statement from an officer of the bank or other financial institutions with deposits, identifying the following details regarding the account:
• Date account opened;
• Total amount deposited for the past year; and
• Present balance.
2. Statement(s) from your employer on business stationery letterhead showing:
• Date and nature of employment;
• Salary paid; and
• Whether the position is temporary or permanent
4. List containing serial numbers and denominations of bonds and name of record owner(s).
3. Copy of last U.S. federal income tax return filed (tax transcript); or
4. List containing serial numbers and denominations of bonds and name of record owner(s).
If you are filing for a beneficiary under the Family Reunification Parole (FRP) process and they are a derivative of the principal beneficiary listed on
the approved USCIS Form I‐130, Petition for Alien Relative, provide documentation showing the relationship between the USCIS Form I‐130 principle
beneficiary and the beneficiary listed in this form. Evidence could include: marriage certificate, birth certificate, adoption certificate, divorce decree,
and death certificate when applicable.
Biometric services
appointment
USCIS may require that you appear for an interview or provide biometrics (fingerprints, photograph, and/or signature) at any time to verify your identity, obtain additional information,
and conduct background and security checks, including a check of criminal history records maintained by the Federal Bureau of Investigation (FBI), before making a decision on your
application or petition. After USCIS receives your declaration and ensures it is complete, we will inform you if you need to attend a biometric services appointment. If an appointment
is necessary, the notice will provide you the location of you local or designated USCIS application Support Center (ASC) and the date and time of your appointment or, if you are
currently overseas, instruct you to contact a U.S. Embassy, U.S. Consulate, or USCIS office outside the United States to set up an appointment.
If you are required to provide biometrics, at your appointment you must sign an oath reaffirming that:
1. You provided or authorized all information in the declaration;
2. You reviewed and understood all of the information contained in, and submitted with your declaration; and;
3. All of this information was complete, true, and correct at the time of filing.
After You Submit Your
Declaration
Track your case online
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.
Respond to requests for
information
Receive your decision
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.
The decision on the Form I‐134A involves a determination of whether you have established a basis of support for the beneficiary seeking an immigration benefit. USCIS will notify you The decision on the USCIS' determination to confirm or not to confirm yourForm I‐134A involves a determination of is based on whether you
of the decision in writing.
have established a basis of you have sufficient resources to support for the beneficiary for the duration of their parole period in the United
States seeking an immigration benefit. USCIS will notify you of the decision determination in writing.
Submitting your declaration online is the same as mailing in a completed paper form. They both gather the same information.
Completing Your Form Online Filing online
Complete the Getting Started
section first
Provide as many responses as
you can
We will automatically save
your responses
How to continue filling out
your form
DHS Privacy Notice
Next
You should answer all questions in the Getting Started section first so we can best customize the rest of your online form experience.
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.
We will automatically save your information when you select next to go to a new page or navigate to another section of the form. We will save your information for 30 days from
today, or from the last time you worked on the form.
After you start your form, you can sign in to your account to continue your form.
AUTHORITIES: The information requested on this declaration, and the associated evidence, is collected under the Immigration and Nationality Act sections 212(d)(5), 214 and 248.
PURPOSE: The primary purpose for providing the requested information on this declaration of financial support is to determine whether the beneficiary of this declaration has
adequate financial means to support themselves and that, if this individual is admitted or paroled into the United States, this individual has sufficient financial resources available to
them for the duration of their temporary stay in the United States. DHS uses the information you provide to grant or deny the immigration benefit the beneficiary of Form I‐134A is
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 the beneficiary’s benefit request.
ROUTINE USES: DHS may share the information you provide on this declaration and any additional requested evidence with other Federal, state, local, and foreign government
ROUTINE USES: DHS may share the information you provide on this declaration and any additional requested evidence with other Federal, state,
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, local, and foreign government agencies and authorized organizations. DHS follows approved routine uses described in the associated published
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 system of records notices [DHS/USCIS/ICE/CBP‐001 Alien File, Index, and National File Tracking System, DHS/USCIS‐007 Benefits Information System,
assessments [DHS/USCIS/PIA‐003 Integrated Digitization Document Management Program (IDDMP), DHS/USCIS/PIA‐056 USCIS Electronic Immigration System, DHS/USCIS/PIA‐071
and DHS/USCIS‐018 Immigration Biometric and Background Check, and U.S. Customs and Border Protection (CBP) DHS/CBP/PIA‐024 Arrival and
myUSCIS Account Experience, and DHS/USCIS/PIA‐051 Case and Activity Management for International Operations] which you can find at www.dhs.gov/privacy. DHS may also share Departure Information System and DHS/CBP/PIA‐068 CBP One Mobile Application] and the published privacy impact assessments [DHS/USCIS/PIA‐
this information, as appropriate, for law enforcement purposes or in the interest of national security.
003 Integrated Digitization Document Management Program (IDDMP), DHS/USCIS/PIA‐051 Case and Activity Management for International
Operations, DHS/USCIS/PIA‐056 USCIS Electronic Immigration System, and DHS/USCIS/PIA‐071 myUSCIS Account Experience] which you can find at
www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the interest of national security.
https://www.dhs.gov/topics/privacy
Overview
Notes
APPLICATION OVERVIEW: I‐134A
Column Header Descriptions
Heading: The primary heading on a page, typically the first part of a section of the page.
Sub-Heading: The secondary header typically directly underneath the Heading
Heading
Sub‐Heading
Conditional Logic
Revisions
Body Text
Revisions
Paperwork Reduction Act
An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection of information, unless it displays a currently valid Office of
An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection of information, unless it
Management and Budget (OMB) control number. The public reporting burden for this collection of information is estimated at 1.83 hours per response, including the time for
displays a currently valid Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information is
reviewing instructions, gathering the required documentation and information, completing the declaration, preparing statements, attaching necessary documentation, and submitting estimated at 2.00 hours per response, including the time for reviewing instructions, gathering the required documentation and information,
the declaration. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to:
completing the declaration, preparing statements, attaching necessary documentation, and submitting the declaration. 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
Office of Policy and Strategy, Regulatory Coordination Division
U.S. Citizenship and Immigration Services
5900 Capital Gateway Drive, Mail Stop #2140
Office of Policy and Strategy, Regulatory Coordination Division
Camp Springs, MD 20588‐0009
5900 Capital Gateway Drive, Mail Stop #2140
Camp Springs, MD 20588‐0009
Do not mail your completed Form I‐134A to this address.
Do not mail your completed Form I‐134A to this address.
OMB No. 1615‐0157
OMB No. 1615‐0157
Expires: 07/31/2023
Expires: 07/31/2023
Security Reminder
If you do not work on your declaration for more than 30 days, we will delete your data in order to prevent storing personal information indefinitely.
Alert
Revisions
Required?
Link
CTA
Start
Overview
Notes
GETTING STARTED: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria
Primary Nav
Secondary Nav
Getting Started
Basis for filing
Tertiary Nav
Conditional Logic
Revisions
Paper Form
Question
Revisions
1.1
1.2
Sub‐Question
Revisions
Another individual who is the beneficiary
Cuba
Haiti
Nicaragua
Ukraine
Venezuela
Field Type
Parole Process
Cuba
Haiti
Nicaragua
Ukraine
Venezuela
Family Reunification Parole Process
Cuba
Haiti
Nicaragua
Ukraine
Venezuela
Colombia
Cuba
El Salvador
Guatemala
Haiti
Honduras
Dropdown
Revisions
Help Text
Alert
Required?
Dropdown
Radio
Revisions
Notes
Yes
For online filing, this is the only
option available
Yes
Select "Parole Process" for the Uniting for Ukraine and
CHNV parole processes. Select "Family Reunification
Parole Process" only if you have received personalized
invitation letters inviting you to participate in the Family
Reunification Parole Process.
Radio
Dropdown
Yes
Dropdown
Yes
[If "Family Reunification
Program" selected in
1.2]
1.3
I am filing for my relative who is
associated with an approved I‐130
and a national of:
[If "Family Reunification
Program" selected in
1.2]
1.4
Invitation Number:
Text
The Invitation Number can be found on the I‐130
beneficiary's Family Reunification Parole Process
Invitation Letter.
Yes
[If "Family Reunification
Program" selected in
1.2]
1.5
How many total family members will
be included in this family
reunification group who all share the
same invitation number?
Text
Entering "1" indicates no derivative beneficiaries share
the same invitation number.
Yes
Is someone assisting you with
completing this declaration?
Yes/No
Is a preparer assisting you with
completing this declaration?
Yes/No
Radio
(IF YES)
Is an interpreter assisting you with
completing this declaration?
Yes/No
Radio
7.1
What is your preparer's full name?
Given name (first name)
Text
7.2
What is your preparer's business or
organization name?
What is your preparer's mailing
address?
(If non‐USA use
Province and text field)
(If non‐USA use Postal
code and remove help
text)
7.4
What is your preparer's contact
information?
7.5
7.6
(IF YES TO
INTERPRETER)
Instructional Text
I am filing for an individual under the
parole process for the following
country:
(IF YES)
(IF YES TO PREPARER)
Revisions
Radio
1.3
7.3
Interpreter
information
Revisions
[If "Parole Process"
selected in 1.2]
Preparer and
interpreter
information
Preparer information
Question
On whose behalf are you filing this
form?
I am filing this form under one of the
following:
6.1
What is your interpreter's full name?
6.2
What is your interpreter's business or
organization name?
Radio
A preparer is anyone who completes or helps you
complete all or part of your declaration using information
and answers that you provide.
An interpreter is anyone who translates or helps you
translate all or part of your declaration using information
and answers that you provide.
Family name (last name)
Text
Text
My preparer is not part of a business or
organization.
Country
Checkbox
Address line 1
Address line 2
City or town
State/Province
Text
Text
Text
Dropdown/ Text
Street number and name
Apartment, suite, unit, or floor
Dropdown
ZIP code/Postal code
Text
Provide a 5 or 9‐digit ZIP code.
Daytime telephone number
Text
Provide a 10‐digit phone number.
Mobile telephone number
Text
Provide a 10‐digit phone number.
My preparer does not have a mobile
telephone number.
Email address
My preparer does not have an email
address.
Given name (first name)
Checkbox
Text
Checkbox
Example: [email protected]
Text
Family name (last name)
Text
Text
My interpreter is not part of a business or
organization.
Country
Checkbox
Address line 1
Address line 2
City or town
State/Province
Text
Text
Text
Dropdown/Text
Street number and name
Apartment, suite, unit, or floor
ZIP code
Text
Provide a 5 or 9‐digit ZIP code.
Daytime telephone number
Text
Provide a 10‐digit phone number.
6.5
Mobile telephone number
Text
Provide a 10‐digit phone number.
6.6
My interpreter does not have a mobile
telephone number
Email address
My interpreter does not have an email
address.
6.3
What is your interpreter's mailing
address?
(If non‐USA use
Province and text field)
(If non‐USA use Postal
code and remove help
text)
6.4
What is your interpreter's contact
information?
What language is your interpreter
using to interpret this declaration for
you?
Dropdown
Checkbox
Text
Checkbox
Example: [email protected]
Text
Getting Started
ABOUT THE INDIVIDUAL AGREEING TO FINANCIALLY SUPPORT THE BENEFICIARY: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria.
Primary Nav
Secondary Nav
About the Individual
Agreeing to Financially
Support the Beneficiary
Name of the
individual agreeing to
financially support the
beneficiary
Tertiary Nav
Conditional Logic
Revisions
Paper Form Question
Revisions
Question
Revisions
Text
3.2
Have you used any other names since birth?
Middle name
Family name (last name)
Yes/No
Text
Text
Radio
3.3
3.3
5.3
Provide the name of the organization, group, or entity that Provide the name of the organization, group, or entity
is providing support to the beneficiary with you (if any).
individual that is providing support to the beneficiary with
you (if any).
Provide the name of the individual(s) or co‐sponsor(s) that
is providing support to the beneficiary with you (if any).
How may we contact you?
5.4
5.5
3.4
3.4
[If NO]
When and where the
individual agreeing to
financially support the
beneficiary was born
Immigration
information for the
individual agreeing to
financially support the
beneficiary
Field Type
Given name (first name)
[If "Family Reunification
Parole Process" selected
in 1.2]
Contact information
for the individual
agreeing to financially
support the
beneficiary
Revisions
What is your current legal name?
[If yes to 3.2]
[If "Parole Process"
selected in 1.2]
Sub‐Question
3.1
What is your current mailing address?
3.4
3.4
3.4
3.4
3.4
3.5
Is your mailing address the same as the physical address?
3.6
What is your physical address?
3.7
What is your date of birth?
3.9
3.9
3.9
3.8
What is your city or town of birth?
What is your state or province of birth?
What is your country of birth?
What is your sex?
3.14
What is your current immigration status?
[If Other]
[If Nonimmigrant]
3.14
3.14
What is your Form I‐94 Arrival‐Departure Record Number?
(if Lawful Permanent
Resident, then A‐
Number is required)
3.1
What is your A‐Number?
3.12
What is your Social Security Number?
3.11
What is your USCIS Online Account Number?
Given name (first name)
Text
Middle name
Family name (last name)
Organization, Group, Entity Name
Text
Text
Text
Organization, Group, Entity Individual Name
Revisions
Instructional Text
Help Text
Other names used may include aliases,
maiden name, and nicknames.
Provide the other names you have used.
Notes
Table
Add another name button
Daytime telephone number
Text
Provide a 10‐digit phone number.
Mobile telephone number (if any)
This is the same as my daytime telephone number.
Email address
In care of name (if any)
Country
Text
Checkbox
Text
Text
Dropdown
Provide a 10‐digit phone number.
Address line 1
Address line 2
City or town
State
ZIP code
Yes/No
Text
Text
Text
Dropdown
Text
Radio
Street number and name
Apartment, suite, unit, or floor
In care of name (if any)
Country
Text
Dropdown
Address line 1
Address line 2
City or town
State
ZIP code
MM/DD/YYYY
Text
Text
Text
Dropdown
Text
Date
Text
Text
Dropdown
Radio
U.S. Citizen
U.S. National
Lawful Permanent Resident
Nonimmigrant
Other
Please provide an explanation.
Radio
A‐
Text
I do not have or know my A‐Number.
Checkbox
Text
Checkbox
Text
I do not have a U.S. Social Security number.
Required?
Text
Individual(s) or Co‐sponsor(s) Name
Male
Female
X
Alert
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.
Example: [email protected]
[yellow alert]
[b] You must be located in the
United States in order to file at
this time.
Provide a 5 or 9‐digit ZIP code.
[yellow alert]
[b] You must be located in the
United States in order to file at
this time.
Street number and name
Apartment, suite, unit, or floor
Provide a 5 or 9‐digit ZIP code.
Yes
Please select the sex that is shown on your
passport or other government‐issued
identity document. For any value other than
“Male” (“M”) or “Female” (“F”) that appears
on your identity document, please choose
"X” (Unspecified or another gender identity).
USCIS requires this information to conduct
accurate background checks and security
screening.
Textbox
Text
Provide an 11 character I‐94 Number.
Provide a 7, 8, or 9‐digit number. If your A‐
Number is fewer than 9 digits, the system will
automatically add zero(s) after the "A" and
before the first digit so there is a total of 9
digits, for example: A‐001234567.
A‐Number is
required if
Lawful
Permanent
Resident is
selected.
Provide a 9‐digit Social Security number.
You will only have an OAN if you previously Provide a 12‐digit Online Account Number.
filed a form that has a receipt number that
begins with IOE. If you filed the form online,
you can find your OAN in your account
profile. If you mailed us the form, you can
find your OAN at the top of the Account
Access Notice we sent you.
If you do not have receipt number that
begins with IOE, you do not have an OAN.
(The OAN is not the same as an A‐Number.)
Employment
information for the
individual agreeing to
financially support the
beneficiary
3.13
3.15
What is your relationship to the beneficiary?
What is your employment status?
3.15
3.16
3.16
3.16A
Please provide an explanation.
What is your type of employment?
3.16A
Name of employer
3.16B
3.17
Self‐employed as
What is your current employer's address?
I do not have or know my USCIS Online Account Number.
Checkbox
Employed (full‐time, part‐time, seasonal, self‐employed)
Dropdown
Radio
Unemployed or not employed
Retired
Other
[If Other]
[If EMPLOYED to 3.15]
[If EMPLOYED to 3.15]
[IF EMPLOYER IS NOT
SELF]
[IF EMPLOYER IS NOT
SELF]
[IF EMPLOYER IS SELF]
(If non‐USA use
Province and text field)
(If non‐USA use Postal
code and remove help
text)
I am currently employed as a/an
I am currently self‐employed as a/an
Employed as
Yes
Radio
Radio
Radio
Textbox
Radio
Radio
Text
Text
Country
Address line 1
Address line 2
City or town
State/Province
Text
Dropdown
Text
Text
Text
Dropdown/Text
Street number and name
Apartment, suite, unit, or floor
ZIP code/Postal code
Text
Provide a 5 or 9-digit ZIP code.
About the IATFSTB
FINANCIAL INFORMATION ABOUT THE PERSON AGREEING TO FINANCIALLY SUPPORT THE BENEFICIARY: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria.
Primary Nav
Secondary Nav
Financial Information
About the Individual
Agreeing to Financially
Support the Beneficiary
Income information
for the individual
agreeing to
financially support
the beneficiary
Tertiary Nav
Conditional Logic
Paper Form Question
Question
Sub‐Question
Field Type
Instructional Text
Help Text
Alert
Required?
Notes
Provide all of the information requested in the table below
about yourself, all of your dependents, and any other
individuals you financially support. Do not include any
individuals listed in the "Beneficiary's Financial Information"
section.
Information about assets that are not based on employment
should be added in the "Assets of the individual agreeing to
financially support the beneficiary" section below.
3.18 [LARGE TABLE]
3.18
3.18
Add entry
What is the individual's full name?
What is the individual's date of birth?
What is the individual's relationship to the individual agreeing to
financially support the beneficiary?
Given name (first name)
Middle name
Family name (last name)
MM/DD/YYYY
CTA
Text
Text
Text
Date
Dropdown
I'm entering my own financial information
How much income will this individual contribute to the beneficiary $
annually?
Save entry
Cancel
What is the total number of dependents?
Checkbox
Text
3.18
3.19
What is the total income?
Does any of the income listed come from an illegal activity or
source (such as proceeds from illegal gambling or illegal drug
sales)?
Text
Radio
[If YES to 3.19]
3.2
3.21
[IF YES TO 3.20]
3.22
3.27
What amount of income comes from an illegal activity?
$
Does any of the income listed above come from means‐tested
Yes/No
public benefits as defined in 8 CFR 213a.1?
What amount of income is from means‐tested public benefits?
$
You are responsible for receiving, maintaining, and supporting the
beneficiary for the duration of their temporary stay in the United
States. Describe the resources you plan to use or provide to ensure
the beneficiary has adequate financial support to cover their basic
living needs.
You are responsible for ensuring the beneficiary has safe and
appropriate housing for the duration of their parole in the United
States. Describe how you will ensure that the beneficiary's housing
needs are met, including where the beneficiary will reside during
their temporary stay in the United States, if known.
3.18
3.18
Additional income
information for the
individual agreeing
to financially support
the beneficiary
Specific
contributions to the
beneficiary
3.28
3.29
$
Yes/No
You are responsible for assisting the beneficiary's access to
available services and benefits such as learning English, securing
employment opportunities once authorized to work, enrolling
children in school, and helping to enroll for benefits for which they
are eligible. Describe what steps you plan to take as part of these
responsibilities.
"If you are the individual agreeing to financially support the
beneficiary, type in "Self"" instructions TBD based on feedback
from Adi.
If the income contribution is none, type in "0".
CTA
CTA
Text
Provide the total number of dependents.
Number must be between 0 and 100.
Text
Radio
Text
Text box
Yes
Text box
Yes
Text box
Yes
Assets of the
individual agreeing
to financially support
the beneficiary
Provide information about any assets you will use to support
the beneficiary for the anticipated period of his or her stay. List
only assets that can be converted into cash within 12 months
and that will be used to support the beneficiary while the
beneficiary is in the United States. Provide the value of all
assets listed in U.S. dollars, regardless of whether they are held
in the United States or outside of the United States. Do not
include assets from any individuals in the “Beneficiary’s
Financial Information” section.
You may also include your household members’ assets below.
Attach evidence in the "Evidence" section under "Proof of
assets" and "Bonds" showing that you, or your dependents,
have these assets.
3.23 [LARGE TABLE]
Add entry
What is the asset holder's full name?
What is the type of asset?
3.23
3.24
Financial
responsibility for
other beneficiaries
CTA
Given name (first name)
Middle name
Family name (last name)
Checking ‐ Bank Account
Savings ‐ Bank Account
Annuities
Stocks, Bonds, Certificates of Deposit
Retirement or Educational Account
Real Estate Holdings
Personal Property (net value)
$
What is the cash value in U.S. dollars?
Save entry
Cancel
What is the total amount (U.S. dollars)?
$
Have you previously submitted a Form I‐134 or a Form I‐134A on Yes/No
behalf of a person other than the beneficiary listed on this Form I‐
134A?
Dropdown
Text
CTA
CTA
Text
Radio
[If YES to 3.24,
conditional "Financial
responsibility for other
beneficiaries" section
displays]
Provide the information about the people for whom you have
previously submitted a Form I‐134 or Form I‐134A, other than
the beneficiary listed on this Form I‐134A.
Add entry
CTA
[red alert]
You must include at least one person for
whom you have previously submitted a
Form I-134 or Form I-134A, other than the
beneficiary listed on this Form I-134A.
[red alert] [If no entries
are entered and 3.24 is
yes]
3.25, 3.26 [LARGE TABLE]
What is the person's name?
What is the person's A‐number?
Given name (first name)
Middle name
Family name (last name)
A‐
Text
Text
Text
Text
Provide a 7, 8, or 9‐digit number. If your A‐
Number is fewer than 9 digits, the system will
automatically add zero(s) after the "A" and
before the first digit so there is a total of 9 digits,
for example: A‐001234567.
Financial Info ATIATFSTP
FINANCIAL INFORMATION ABOUT THE PERSON AGREEING TO FINANCIALLY SUPPORT THE BENEFICIARY: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria.
Primary Nav
Secondary Nav
Tertiary Nav
Conditional Logic
Paper Form Question
Question
Date submitted
Sub‐Question
Field Type
I do not have or know the person's A‐Number.
Checkbox
MM/DD/YYYY
Date
Instructional Text
Help Text
Alert
Required?
Notes
Financial Info ATIATFSTP
ABOUT THE BENEFICIARY: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria.
Primary Nav
Secondary Nav
About the Beneficiary
Beneficiary name
Tertiary Nav
Conditional Logic
Revisions
Paper Form Question
2.1
2.1
2.1
2.2
[If yes to 2.2]
Revisions
Question
Has the beneficiary used any other
names since birth?
[LIST]
Sub‐Question
2.13
How may we contact the beneficiary?
2.14
Revisions
Field Type
Given name (first name)
Text
Middle name
Family name (last name)
Yes/No
Text
Text
Radio
Given name (first name)
Text
Middle name
Family name (last name)
Text
Text
Yes/No
Is this the individual listed as the
principal beneficiary in your Family
Reunification Parole Process
invitation letter?
[If "Family Reunification
Program" selected in
1.2]
Beneficiary contact
information
Revisions
What is the beneficiary's current legal
name?
Revisions
Instructional Text
Revisions
Help Text
Revisions
Alert
Revisions
Required?
Revisions
Notes
The beneficiary's current legal name is the name on
their birth certificate, unless it changed after birth
by a legal action such as marriage or court order.
Do not provide any nicknames here.
Other names used may include aliases, maiden
name, and nicknames.
Provide the other names the beneficiary has used.
Table
Add another name button
Radio
Yes
Daytime telephone number
Text
Provide a 10 to 20‐digit number.
Mobile telephone number (if any)
This is the same as the beneficiary's daytime
telephone number.
Text
Checkbox
Provide a 10 to 20‐digit number.
[blue alert]
[delete previous copy]
[b] Please ensure that you provide a valid email address for [blue alert]
the beneficiary. We will use this email address to notify the [b] You must provide a valid email address for the
beneficiary about the status of this Form I‐134A. Failure to beneficiary. If your Form I-134A is confirmed, we will
provide a email address for the beneficiary will prevent them send important information to the beneficiary at this email
address. If you do not provide an email address that the
from completing the parole process, if this Form I‐134A is
beneficiary can access, they will not be able to complete
confirmed. Do not use your email address as the
the parole process. DO NOT enter your email address in
beneficiary's email address.
this field.
2.15
Email address
Text
Confirm the beneficiary's email address
2.10
[If selected "Family
Reunification Parole
Process" in 1.2," show
United States in
dropdown]
2.10
2.10
2.10
2.10
2.10
2.10
[If United States mailing 2.11
address, default to 'No']
[If no]
[If no]
2.12
What is the beneficiary's current
mailing address?
Is the beneficiary's mailing address
the same as the physical address?
What is the beneficiary's physical
address?
Example: [email protected]
Text
In care of name (if any)
Text
Country
Address line 1
Address line 2
City or town
Province
Postal code
Yes/No
Dropdown
Text
Text
Text
Dropdown/Text
Text
Radio
In care of name (if any)
Text
Country
Address line 1
Address line 2
City or town
Province
Postal code
MM/DD/YYYY
Dropdown
Text
Text
Text
Dropdown/Text
Text
Date
Example: [email protected]
Yes
Street number and name
Apartment, suite, unit, or floor
Yes
The beneficiary's physical address must be outside
of the United States.
Instructional text conditional based on selection of FRP
in 1.2
[If selected "Family
Reunification Parole
Process" in 1.2," show
instructional text]
2.12
2.12
2.12
2.12
2.12
2.3
When and where
beneficiary was born
2.6
2.6
2.6
What is the beneficiary's date of
birth?
What is the beneficiary's city or town
of birth?
What is the beneficiary's state or
province of birth?
What is the beneficiary's country of
birth?
Other Information
about the
Benefiiciary
[If selected "Parole
Process" in 1.2, show
yellow alert]
Text
Dropdown/Text
Text Box
2.4
What is the beneficiary's sex?
Male
Female
X
Radio
2.9
What is the beneficiary's marital
status?
Single, Never Married
Married
Divorced
Widowed
Legally Separated
Marriage Annulled
Other
Provide an explanation
Radio
2.9
2.7
What is the beneficiary's country of
citizenship or nationality?
Yes
Text
A grant of parole is a discretionary
determination granted on a case‐by‐
case basis for urgent humanitarian
reasons or significant public benefit.
Please explain why a favorable
exercise of discretion is merited for
this individual.
[If OTHER]
Street number and name
Apartment, suite, unit, or floor
Text box
Dropdown
yes
yes
Please select the sex that is shown on your
passport or other government‐issued identity
document. For any value other than “Male”
(“M”) or “Female” (“F”) that appears on your
identity document, please choose “X”
(Unspecified or another gender identity). USCIS
requires this information to conduct accurate
background checks and security screening.
[yellow alert]
[h] We are only accepting online filing of Form I-134A
from individuals agreeing to financially support Cuban,
Haitian, Nicaraguan, Ukrainian, and Venezuelan citizens
and their immediate family
[b] Immediate family members are:
• Their spouse or common-law partner; and
• Unmarried children under the age of 21.
Note: Individuals only eligible as immediate family
members and children under age 18 must travel with
their beneficiary spouse, common law partner, parent, or
legal guardian to be eligible for parole.
[yellow alert]
[h] We are only accepting online filing of Form I-134A
from individuals agreeing to financially support Cuban,
Colombian, Haitian, Honduran, Salvadoran, and
Guatamalan citizens and their immediate family
[If selected "Family
Reunification Parole
Process" in 1.2 show
yellow alert]
[b] Immediate family members are:
• Their spouse or common-law partner; and
• Unmarried children under the age of 21.
Note: Individuals only eligible as immediate family
members and children under age 18 must travel with
their beneficiary spouse, common law partner, parent, or
legal guardian to be eligible for parole.
[If selected "Parole
Process" in 1.2, show
yellow alert]
2.8
What country issued the beneficiary's
most recently issued passport?
Dropdown
[yellow alert]
[h] We are only accepting online filing of Form I-134A
from individuals agreeing to financially support Cuban,
Haitian, Nicaraguan, Ukrainian, and Venezuelan citizens
and their immediate family
[b] Immediate family members are:
• Their spouse or common-law partner; and
• Unmarried children under the age of 21.
Note: Individuals only eligible as immediate family
members and children under age 18 must travel with
their beneficiary spouse, common law partner, parent, or
legal guardian to be eligible for parole.
[If selected "Family
Reunification Parole
Process" in 1.2 show
yellow alert]
[yellow alert]
[h] We are only accepting online filing of Form I-134A
from individuals agreeing to financially support Cuban,
Colombian, Haitian, Honduran, Salvadoran, and
Guatamalan citizens and their immediate family
[b] Immediate family members are:
• Their spouse or common-law partner; and
• Unmarried children under the age of 21.
Note: Individuals only eligible as immediate family
members and children under age 18 must travel with
their beneficiary spouse, common law partner, parent, or
legal guardian to be eligible for parole.
About the Beneficiary
ABOUT THE BENEFICIARY: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria.
Primary Nav
Secondary Nav
Tertiary Nav
Conditional Logic
Revisions
Paper Form Question
Revisions
2.8
Question
Revisions
Sub‐Question
Revisions
What is the number of the
beneficiary's most recently issued
passport?
Field Type
Revisions
Instructional Text
Text
Revisions
Help Text
(if Cuban)
Provide a 7‐character passport number,
beginning with 1 letter followed by 6 digits.
(If Haitian)
Provide a 9‐character passport number,
beginning with 1‐3 letters followed by 6‐8
digits.
Provide a 8 to 9‐character passport
number, beginning with 1 letter followed by
7‐8 digits.
Provide an 8‐character passport number,
beginning with 2 letters followed by 6
digits.
Provide a 9‐digit passport number.
(if Nicaraguan)
(if Ukrainian)
(if Venezuelan)
(if Colombia)
Alert
Revisions
Required?
Revisions
Notes
Provide an 8‐character passport number,
beginning with 2 letters followed by 6
digits.
Provide a 7 to 8‐character passport
number, beginning with 1 letter followed by
6‐7 digits.
Provide a 9‐character passport number,
beginning with 1 letter followed by 8 digits.
(if Honduras
(if El Salvador)
(if Guatemala)
Provide a 9‐digit passport number.
(if Russian)
Provide a 9‐digit passport number.
2.8
(if Venezuelan is most
recent passport show
tooltip)
Revisions
Provide a 7 to 12‐character passport
number.
2.8
Confirm the beneficiary's passport number
What is the expiration date of the
beneficiary's most recently issued
passport?
MM/DD/YYYY
Date
Expiration Date (MM/DD/YYYY)
Note: The beneficiary must have a valid,
unexpired passport. CBP will not approve
travel if the beneficiary's passport is
expired.
Tooltip only shows if Venezuelan is selected for country
that issued the beneficiary's most recent passport:
If the beneficiary has received a passport extension,
then enter the extension’s expiration date. For more
information visit the Process for Venezuelans
webpage.
Link: https://www.uscis.gov/CHNV
2.5
What is the beneficiary's A‐Number?
2.16
What is the beneficiary's anticipated
period of stay in the United States?
A‐
Text
I do not have or know the beneficiary's A‐
Number.
From (MM/DD/YYYY)
Date
To (MM/DD/YYYY)
No End Date
Date
Checkbox
Provide a 7, 8, or 9‐digit number. If your A‐
Number is fewer than 9 digits, the system
will automatically add zero(s) after the "A"
and before the first digit so there is a total
of 9 digits, for example: A‐001234567.
Checkbox
About the Beneficiary
BENEFICIARY'S FINANCIAL INFORMATION: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria.
Primary Nav
Secondary Nav
Beneficiary's Financial
Information
Beneficiary income
information
Tertiary Nav
Conditional Logic
Paper Form Question
Question
Sub‐Question
Field Type
Instructional Text
Help Text
Alert
Required?
Notes
Provide information about the income of the beneficiary, all of the beneficiary's dependents, and any other individuals the beneficiary
financially supports. Do not include any individuals named in the "Financial Information About the Individual Agreeing to Financially
Support the Beneficiary" section.
Add entry
CTA
Opens up large table once clicked
Provide all of the information requested in the table below about the beneficiary, all of the beneficiary's dependents, and any other
individuals the beneficiary financially supports (do not include information about the individual agreeing to financially support the
beneficiary). Information about assets that are not based on employment should not be included here but may be added under
"Beneficiary Assets" below.
2.17 [LARGE TABLE]
What is the individual's full name?
Given name (first name)
Middle name
Family name (last name)
MM/DD/YYYY
What is individual's date of birth?
What is the individual's relationship to the
beneficiary?
$
How much income will this individual
contribute to the beneficiary annually?
Save entry
Cancel
[If YES to 2.18]
What is the beneficiary's total number of
dependents?
Text
How much income will the beneficiary's $
dependents contribute to the beneficiary
annually?
Does any of the beneficiary's total income Yes/No
(including income from dependents and
other individuals who contribute to the
beneficiary's income, excluding any
individuals named in the "Financial
Information About the Person Agreeing to
Financially Support the Beneficiary"
section) come from an illegal activity or
source (such as proceeds from illegal
gambling or illegal drug sales)?
Text
2.19
2.21
$
What amount of the beneficiary's total
income comes from an illegal activity or
source?
Does any of the beneficiary's total income Yes/No
come from means‐tested public benefits
as defined in 8 CFR 213a.1?
$
What amount of the beneficiary's total
income comes from means‐tested public
benefits?
If the income contribution is none, type in "0".
CTA
CTA
2.17
2.20
[If YES to 2.20]
Text
2.17
2.18
Beneficiary
additional income
information
Text
Text
Text
Date
Dropdown
Provide the total number of
dependents. Number must be
between 0 and 100.
Radio
Text
Radio
Text
Beneficiary assets
Provide the current cash value of any assets available to the beneficiary for the expected period of his or her stay. List only assets that
can be converted to cash within 12 months and that will be used to support the beneficiary while the beneficiary is in the United
States. Provide the value of all assets listed in U.S. dollars, regardless of whether the assets are held in the United States or outside of
the United States. Do not include assets from any individuals named in the "Financial Information About the Individual Agreeing to
Financially Support the Beneficiary" section.
You may include the net value of the beneficiary’s home as an asset. The net value of the home is the appraised value of the home,
minus the sum of all loans secured by a mortgage, trust deed, or other lien on the home. If you list the net value of the beneficiary’s
home, then you must include documentation demonstrating that the beneficiary owns the home, a recent appraisal by a licensed
appraiser, and evidence of the amount of all loans secured by a mortgage, trust deed, or other lien on the home.
You may not include the net value of the beneficiary’s automobile unless the beneficiary has more than one automobile, and at least
one automobile is not included as an asset. Submit evidence of the value of the assets listed. Evidence must include the name of the
asset holder, a description of the asset, proof of ownership, and the basis for the owner’s claim of its net cash value.
Attach evidence in the "Evidence" section under "Proof of beneficiary’s assets" and "Bonds" showing that the beneficiary has these
assets.
2.22 [LARGE TABLE]
Add entry
What is the asset holder's full name?
Given name (first name)
Middle name
Family name (last name)
What is the type of asset?
Checking ‐ Bank Account
Savings ‐ Bank Account
Annuities
Stocks, Bonds, Certificates of Deposit
Retirement or Educational Account
Real Estate Holdings
Personal Property (net value)
What is the cash value of the asset in U.S. $
dollars?
Save entry
Cancel
What is the total amount (U.S. dollars)?
$
CTA
Text
Text
Text
Dropdown
Text
CTA
CTA
Text
Beneficiary's Financial Info
EVIDENCE: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Primary Nav
Secondary Nav
Evidence
Bank officer
statement
Revisions
Tertiary Nav
Conditional Logic
Revisions
Paper Form
Evidence Title
Revisions
Form I-134 instructions (pg 5) Bank Officer Statement
Field Type
Revisions
Upload
Instructional Text
Revisions
Provide a statement from an officer of the bank or other financial institutions with deposits, identifying the following details:
• Date account opened
• Total amount deposited for the past year; and
• Present balance.
Document type
Revisions
Form I-134 instructions (pg 5) Employer Statement
Upload
Provide statement(s) from your employer on business stationery showing:
Employer statement
Other documents
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
Income tax return
Other documents
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
Bonds
Other documents
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
Immigration status
Other documents
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
Assets
Other documents
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
Beneficiary asset
Other documents
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
• Date and nature of employment
• Salary paid; and
• Whether the position is temporary or permanent.
As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources to
support the beneficiary. Failure to provide evidence of sufficient income or financial resources may result in the denial of the foreign
national's application for a visa or his or her removal from the United States.
Income tax return
Form I-134 instructions (pg 6) Income Tax Return
Upload
Provide a copy of the last U.S. federal income tax return filed (tax transcript).
As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources to
support the beneficiary. Failure to provide evidence of sufficient income or financial resources may result in the denial of the foreign
national's application for a visa or his or her removal from the United States.
Bonds
Form I-134 instructions (pg 6) Bonds
Upload
Provide a list containing serial numbers and denominations of bonds and name of record owner(s).
As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources to
support the beneficiary. Failure to provide evidence of sufficient income or financial resources may result in the denial of the foreign
national's application for a visa or his or her removal from the United States.
Proof of
immigration status
Form I-134 instructions (pg 5 Proof Of Immigration Status
Item #10: Immigration Status)
Upload
Provide evidence of your status.
A U.S. citizen or U.S. national may submit a copy of a birth certificate, certificate of naturalization, certificate of citizenship, consular
report of birth abroad to U.S. parents, or a copy of the biographic data page on your U.S. passport.
Proof of lawful permanent resident status includes a photocopy of both sides of the Permanent Resident Card or Alien Registration
Receipt Card (Form I-551), or a photocopy of an unexpired temporary Form I-551 stamp in either a foreign passport or DHS Form I-94
Arrival Departure Record.
Form I-134 instructions (pg 5
Item #19: Assets
Proof of assets of
individual
agreeing to
financially support
the beneficiary
Proof of lawful nonimmigrant status may include a copy of an unexpired visa in a foreign passport.
Provide information about any assets you will use to support the beneficiary for the anticipated period of his or her stay. List only
assets that can be converted into cash within 12 months and that will be used to support the beneficiary while the beneficiary is in the
United States. Provide the value of all assets listed in U.S. dollars, regardless of whether they are held in the United States or outside
of the United States. Do not include assets from any individuals in the “Beneficiary’s Financial Information” section.
Upload
Proof Of Assets Of
Individual Agreeing To
Financially Support The
Beneficiary
Revisions
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources to
support the beneficiary. Failure to provide evidence of sufficient income or financial resources may result in the denial of the foreign
national's application for a visa or his or her removal from the United States.
Employer
statement
File Requirements
Bank officer
statement
Other documents
You may include the net value of a home as an asset. The net value of the home is the appraised value of the home, minus the sum of
all loans secured by a mortgage, trust deed, or other lien on the home. If you include the net value of your home, then you must inc
documentation demonstrating that you own the home, a recent appraisal by a licensed appraiser, and evidence of the amount of all
loans secured by a mortgage, trust deed, or other lien on the home.
Alerts
Required?
Links Notes
You may not include the net value of an automobile unless you show that you have more than one automobile, and at least one
automobile is not included as an asset.
Submit evidence of the value of your or your household members’ assets. Evidence must include the name of the asset holder, a
description of the asset, proof of ownership, and the basis for the owner’s claim of its net cash value.
As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources to
support the beneficiary. Failure to provide evidence of sufficient income or financial resources may result in the denial of the foreign
national's application for a visa or his or her removal from the United States.
Form I-134 instructions (pg 4 Proof Of Beneficiary's
Item #22: Beneficiary's Assets Assets
Proof of
beneficiary's
assets
Upload
Provide information about any assets available to the beneficiary for the anticipated period of his or her stay. List only assets that can
be converted into cash within 12 months and that will be used to support the beneficiary while the beneficiary is in the United States.
Provide the value of all assets listed in U.S. dollars, regardless of whether the assets are held in the United States or outside the
United States. Do not include assets from any individuals in the “Financial Information About the Person Agreeing to Financially
Support the Beneficiary” section.
You may include the net value of the beneficiary’s home as an asset. The net value of the home is the appraised value of the home,
minus the sum of all loans secured by a mortgage, trust deed, or other lien on the home. If you list the net value of the beneficiary’s
home, then you must include documentation demonstrating that the beneficiary owns the home, a recent appraisal by a licensed
appraiser, and evidence of the amount of all loans secured by a mortgage, trust deed, or other lien on the home.
You may not include the net value of the beneficiary’s automobile unless the beneficiary has more than one automobile, and at least
one automobile is not included as an asset. Submit evidence of the value of the assets listed. Evidence must include the name of the
asset holder, a description of the asset, proof of ownership, and the basis of the owner’s claim of its net cash value.
You may submit evidence of the value of the beneficiary's household members’ assets. Evidence must include the name of the asset
holder, a description of the asset, proof of ownership, and the basis for the owner’s claim of its net cash value.
As the person who agrees to financially support the beneficiary, you must show you have sufficient income or financial resources to
support the beneficiary. Failure to provide evidence of sufficient income or financial resources may result in the denial of the foreign
national's application for a visa or his or her removal from the United States.
Proof of the
beneficiary's marital
status
[If "Family Reunification
Parole Process" selected in
1.2 AND if user did NOT
select "Single, Never
Married" in 2.9]
Proof Of Beneficiary's Marital
Status
Proof of the
beneficiary's family
relationship
[If "Family Reunification
Parole Process" selected in
1.2]
Proof Of Beneficiary's Family
Relationship
Upload
Provide evidence of the beneficiary’s marital status.
If the beneficiary is married or has had a change in marital status since submission of the USCIS Form I‐130, submit a copy of the beneficiary’s
current marriage certificate and any divorce decree, annulment decree, or death certificate showing that their prior marriages were
terminated (if applicable).
Upload
Provide evidence of the beneficiary’s age and family relationship with the principal beneficiary of an approved Form I-130.
If the beneficiary is the principal beneficiary of an approved Form I-130, only evidence of the beneficiary’s age is required.
Marriage certificate
Divorce decree
Annulment decree
Death certificate
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password‐protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces, periods,
hyphens, underscores, and parentheses
• Maximum size: 12MB per file
Birth certificate
Adoption decree
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password‐protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces, periods,
hyphens, underscores, and parentheses
• Maximum size: 12MB per file
Evidence
ADDITIONAL INFORMATION: I‐134A
Column Header Descriptions
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Secondary Navigation: A single page within a section.
Paper Form Question: The number in the paper form associated with the question
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Additional Information
Additional
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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.
Help Text
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Required?
Notes
No
Large Table
Pattern
Ghost Sub
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If you do not need to provide any additional information, you may leave this section
blank.
Additional Information
REVIEW AND SUBMIT: I‐134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
d
l
l
d
d
h h h
b
Primary Nav
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Revisions
Review and Submit
l
l
Tertiary Nav
f
Revisions
Conditional Logic
Revisions
Paper form question
Review your declaration
Revisions
Question
Revisions
Sub-Question
Revisions
Field Type
Check your declaration before you submit
Revisions
Instructional Text
Revisions
Help Text
Revisions
Alert
Revisions
Required?
CTA
Notes
Please review your declaration and check it for accuracy and completeness before you submit it.
We encourage you to provide as many responses as you can throughout the declaration. Missing
or incomplete information may slow down the review process after you submit your declaration.
You can return to this page to review your declaration as many times as you want before you
submit it.
[blue alert]
[Alert appears only for drafts
started before toggle on of I‐
134A ~12/21]
[blue alert header for active drafts]
[h] The name of this form has changed
Alert appears only for drafts started before
toggle on of I‐134A ~12/21
[b] The name of this form has changed to Form I‐134A, Online Request to be a Supporter and
Declaration of Financial Support.
https://www.uscis.gov/i‐134a
No other changes have been made to your draft. Learn more about Form I-134A.
Your fee
Your form filing fee is: $[xxx]
Refund policy: USCIS does not refund fees, regardless of any action we take on your application, petition or request, or how long USCIS takes to reach a decision. 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.
Alerts and warnings
You have one or more alerts and warnings based on the information you provided in your
declaration.
Next
A red alert means you have incomplete responses or inconsistent data. You cannot submit your
declaration with any alerts.
Green alert: We found no alerts or warnings in your declaration.
Your declaration summary
Review the I‐134A form information
Here is a summary of all the information you provided in your declaration.
Next
Make sure you have provided responses for everything that applies to you before you submit
your declaration. You can edit your responses by going to each declaration section using the site
navigation.
Preparer statement
(IF PREPARER)
7.7
Preparer's statement
I am not an attorney or accredited representative but have prepared this declaration on behalf of the individual agreeing to financially support the beneficiary and with that
individual's consent.
Radio
I am an attorney or accredited representative and my representation of the individual agreeing to financially support the beneficiary in this case does not extend beyond the
preparation of this declaration.
I am an attorney or accredited representative and my representation of the individual agreeing to financially support the beneficiary in this case extends beyond the preparation of
this declaration.
By my signature, I certify, under penalty of perjury, that I prepared this declaration at the request of the individual agreeing to financially support the beneficiary (which is the
beneficiary if on behalf of him or herself). The individual agreeing to financially support the beneficiary then reviewed this completed declaration and informed me that he or she
understands all of the information contained in, and submitted with, his or her declaration, including the Certification of the Individual Agreeing to Financially Support the Beneficiary,
and that all of this information is complete, true, and correct. I completed this declaration based only on filing information that the individual agreeing to financially support the
beneficiary provided to me or authorized me to obtain or use.
As the declarant's preparer, you must sign on paper and provide your signature page to the declarant. Follow these steps:
Radio
As the declarant's preparer, you must sign on paper and provide your signature page to the declarant. Follow these steps:
1. Download the Preparer Signature page
2. Print the Preparer Signature page
3. Read and sign the Preparer Signature page
4. 4. Give the signed Preparer Signature page to the declarant
1. Download the Preparer Signature page
2. Print the Preparer Signature page
3. Read and sign the Preparer Signature page
4. 4. Give the signed Preparer Signature page to the declarant
The declarant will need to scan and upload your completed signature page on the next screen.
The declarant will need to scan and upload your completed signature page on the next screen.
We also prepared a draft case snapshot with your responses, which you can download below.
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 declaration, he or she may be obliged to submit a completed Notice of
Entry of Appearance as Attorney or Accredited Representative (G‐28) with your declaration.
Preparer's certification and signature
Preparer signature
Interpreter certification
(IF PREPARER)
(IF INTERPRETER)
7.8
6.7
Preparer's Signature Upload
Interpreter's certification and signature
Radio
Your preparer must read and agree to the certification below.
Next
Upload
I certify, under penalty of perjury, that: I am fluent in English and the language provided in the Getting Started section of this declaration, and I have read to this individual agreeing to
financially support the beneficiary in the identified language every question and instruction on this declaration and his or her answer to every question. The individual agreeing to
financially support the beneficiary informed me that he or she understands every instruction, question, and answer on the declaration, including the Certification of the Individual
Agreeing to Financially Support the Beneficiary, and has verified the accuracy of every answer.
I certify, under penalty of perjury, that: I am fluent in English and the language provided in the Getting Started section of this declaration, and I have read to this
individual agreeing to financially support the beneficiary in the identified language every question and instruction on this declaration and his or her answer to every
question. The individual agreeing to financially support the beneficiary informed me that he or she understandsthey understand every instruction, question, and
answer on the declaration, including the Certification of the Individual Agreeing to Financially Support the Beneficiary, and has verified the accuracy of every answer.
Scan and upload your preparer's completed signature page below.
Your interpreter must read and agree to the certification below.
Next
As the declarant's interpreter, you must sign on paper and provide your signature page to the declarant. Follow these steps:
Next
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 declarant
The declarant will need to scan and upload your completed signature page on the next screen.
Interpreter signature
Statement of the individual
agreeing to financially
support the beneficiary
Signature of the individual
agreeing to financially
support the beneficiary
(IF INTERPRETER)
(IF NO INTERPRETER)
Interpreter's Signature Upload
5.1.A
Individual agreeing to financially support the
beneficiary's statement
(IF PREPARER)
5.2
(IF INTERPRETER)
5.1.B
(If "Statement of the
Individual agreeing to
financially support the
beneficiary" is complete)
5.6
Individual agreeing to financially support the
beneficiary's statement regarding the preparer
Individual agreeing to financially support the
beneficiary's statement regarding the interpreter
Individual agreeing to financially support the
beneficiary's Certification
I can read and understand English, and have read and understand every question and instruction on this declaration and my answer to every question.
Checkbox
Scan and upload your interpreter's completed signature page below.
I, as the individual agreeing to financially support the beneficiary, certify the following:
You must read and agree to the statement below.
At my request, the preparer named in the Getting Started section of this declaration prepared this declaration for me based only upon the 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 declaration read to me every question and instruction on this declaration 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.
Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS or the Department of State may require that I submit
original documents to USCIS or the Department of State at a later date. Furthermore, I authorize the release of any information from any and all of my records that USCIS or the
Department of State may need to determine my eligibility for the immigration benefit I seek.
Checkbox
Upload
You must read and agree to the statement below.
Next
MVP
MVP
Next
MVP
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 declaration, we can deny your
declaration and may deny any other immigration benefit. You may also face criminal prosecution
and penalties provided by the law.
I further authorize release of information contained in this declaration, in supporting documents, and in my USCIS or the Department of State records to other entities and persons
where necessary for the administration and enforcement of U.S. immigration laws.
I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) and, at that time, if I am required to provide
biometrics, I will be required to sign an oath reaffirming that:
1. I reviewed and provided or authorized all of the information in my declaration;
2. I understood all of the information contained in, and submitted with, my declaration; and
3. All of this information was complete, true, and correct at the time of filing
I certify, under penalty of perjury, that I provided or authorized all of the information in my declaration, I understand all of the information contained in, and submitted with, my
declaration, and that all of this information is complete, true, and correct.
That this declaration is made by me to assure the U.S. Government that the beneficiary named under the About Beneficiary section will be financially supported while in the United
States.
That I am willing and able to receive, maintain, and support the person named under the About Beneficiary section to better ensure that such persons will have sufficient financial
resources or financial support to pay for necessary expenses for the period of his or her temporary stay in the United States.
I acknowledge that I have read this section, and I am aware of my responsibilities as an individual agreeing to financially support the beneficiary.
I have read and agree to the statement and certification of the individual agreeing to financially support the beneficiary
Individual Agreeing to Financially Support the
Beneficiary's Signature
Submit
(Successful submission) (No
nav)
Submit the I-134A
(If "Statement of the
Individual agreeing to
financially support the
beneficiary" and "Signature
of Individual Agreeing to
Financially Support the
Beneficiary's Signature" are
complete)
You have successfully submitted your Online Request
to be a Supporter and Declaration of Financial Support
(I‐134A)
Checkbox
Text
You must provide your digital signature below by typing your full legal name. If you do not
completely fill out this declaration, or if you do not submit the required documents listed in the
Instructions, we may deny your declaration. We will record the date of your signature with your
declaration.
Once you submit this declaration, you will receive a confirmation with details on any next steps.
We will record the date of your submission with the declaration. Your case status will be updated
on your home page.
We will contact you if we have any questions or need additional information. You can track the
status of your declaration through your USCIS online account.
Yes
Next
Submit the I-134A
Go to my cases
Review & Submit
WARNINGS, ALERTS, NOTICES, AND ERRORS: I‐134A
Column Header Descriptions
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Page: The secondary nav where the alert can be found.
Type: The color of the alert. (Red, Yellow, Blue, Green)
Conditional Logic: A column used to indicate whether the question or subquestion only applies if you meet certain criteria.
Message: The copy that will show on the alert. Use [h] to indicate the header copy, and [b] to indicate the body copy.
Navigation
Revisions
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Type
Revisions
Conditional Logic
File‐A‐Form
Overview
Yellow alert
Revisions
Always show
Message
Revisions
[h] We are only accepting online filing of Form I‐134A from individuals agreeing to financially support eligible beneficiaries from the following
countries:
[h] We are only accepting online filing of Form I‐134A from individuals agreeing to financially support https://www.uscis.gov/i‐134
eligible beneficiaries from the following countries:
[b] • Cuba
• Haiti
• Nicaragua
• Ukraine
• Venezuela
[b]
• Cuba
• Colombia
• El Salvador
• Guatemala
• Haiti
• Honduras
• Nicaragua
• Ukraine
• Venezuela
You must be located in the United States to file Form I‐134A online. Individuals seeking parole may not file Form I‐134A on their own behalf.
Supporters must include the name of the beneficiary on Form I‐134A.
Supporters must file a separate Form I‐134A for each beneficiary they are planning to support, including minor children.
To be eligible for this process, children under the age of 18 must be traveling to the United States in the care and custody of their parent or legal
guardian and be able to provide documentation to confirm the relationship.
Link
Notes
You must be located in the United States to file Form I‐134A online. Individuals seeking parole through
these processes may not file Form I‐134A on their own behalf. Supporters must include the name of
the beneficiary on Form I‐134A.
Supporters must file a separate Form I‐134A for each beneficiary they are planning to support,
If you are agreeing to support a beneficiary seeking parole who is not applying under Venezuela or Uniting for Ukraine, or a beneficiary seeking any including minor children.
other immigration benefit, you must file a paper Form I-134 through the appropriate Lockbox location.
To be eligible for this process, children under the age of 18 must be traveling to the United States in
the care and custody of their parent or legal guardian and be able to provide documentation to
confirm the relationship.
If you are agreeing to support a beneficiary who is not seeking consideration for parole under one of
these programs or processes, seeking parole who is not applying under Venezuela or Uniting for
About the IATFSTB
Contact information for the
individual agreeing to
financially support the
beneficiary
When and where the
individual agreeing to
financially support the
beneficiary was born
About the IATFSTB
About the IATFSTB
Yellow alert
Always show under "What is your
current mailing address?" question and
"What is your physical address?"
question
If date of birth is different than the date
of birth of the applicant's profile, the
following red alert is shown.
Red alert
Immigration information for
the individual agreeing to
financially support the
beneficiary
Red alert
[b] You must be located in the United States in order to file at this time.
The date of birth in this account's profile is [MM/DD/YYYY].
If A‐Number is different than the A‐
Number of the applicant's profile, the
following red alert is shown.
Financial Info
ATIATFSTP
About the Beneficiary
Financial responsibility for
other beneficiaries
Beneficiary contact
information
Red alert
If no entries are entered and 3.24 is yes
Blue alert
Always show
About the Beneficiary
Other information about the
beneficiary
Yellow alert
Always show under "What is the
beneficiary's country of citizenship or
nationality?" question and "What
country issued the beneficiary's most
recently issued passport?" question
https://myaccount.uscis.gov/
h5. This account has already been verified with a different date of birth
If you need to apply for a benefit for someone else using the date of birth you entered, you should sign out of this account and create a new
account for them at https://myaccount.uscis.gov/
h5. This account has already been verified with a different A‐Number
https://myaccount.uscis.gov/
The A‐Number in this account's profile is [xxxxxxxxx].
If you need to apply for a benefit for someone else using the A‐Number you entered, you must sign out of this account and create a new account
for them at https://myaccount.uscis.gov/
You must include at least one person for whom you have previously submitted a Form I-134 or Form I-134A , other than the beneficiary listed
on this Form I-134A.
[b] Please ensure that you provide a valid email address for the beneficiary. We will use this email address to notify the beneficiary about the status [delete previous copy]
of this Form I‐134A. Failure to provide a email address for the beneficiary will prevent them from completing the parole process, if this Form I‐134A [b] You must provide a valid email address for the beneficiary. We will send them
important information at this email address if Form I-134A is confirmed. If you do
is confirmed. Do not use your email address as the beneficiary's email address.
not provide an email address that the beneficiary can access, they will not be able
to complete the parole process. DO NOT enter your email address in this field.
if user selected "Parole Process" in [h] We are only accepting online filing of Form I-134A from individuals agreeing to financially support Cuban, Haitian, Nicaraguan,
question 1.2, show under "What is the Ukrainian, and Venezuelan citizens and their immediate family
beneficiary's country of citizenship or
[b] Immediate family members are:
nationality?" question and "What
country issued the beneficiary's most
• Their spouse or common-law partner; and
recently issued passport?" question
• Unmarried children under the age of 21.
Note: Individuals only eligible as immediate family members and children under age 18 must travel with their beneficiary spouse,
common law partner, parent, or legal guardian to be eligible for parole.
About the Beneficiary
Other information about the
beneficiary
[yellow alert]
[h] We are only accepting online filing of Form I-134A from individuals agreeing to
financially support Cuban, Colombian, Haitian, Honduran, Salvadoran, and
Guatamalan citizens and their immediate family
If user selected "Family Reunification
Parole Process" in question 1.2, show
under "What is the beneficiary's country
of citizenship or nationality?" question
and "What country issued the
beneficiary's most recently issued
passport?" question
Yellow alert
[b] Immediate family members are:
• Their spouse or common-law partner; and
• Unmarried children under the age of 21.
Note: Individuals only eligible as immediate family members and children under
age 18 must travel with their beneficiary spouse, common law partner, parent, or
legal guardian to be eligible for parole.
Review & Submit
Review your declaration
Blue alert
Alert appears only for active drafts
started before toggle on of I‐134A
~12/21
[h] The name of this form has changed
https://www.uscis.gov/i‐134a
[b] The name of this form has changed to Form I‐134A, Online Request to be a Supporter and Declaration of Financial Support.
No other changes have been made to your draft. Learn more about Form I-134A.
Alerts
| File Type | application/pdf |
| File Title | I-134A-003 PRA Revision Copydeck v2.0.14_CLEAN.xlsx |
| Author | mrfrank |
| File Modified | 2023-06-29 |
| File Created | 2023-06-29 |