TABLE OF CHANGES – FORM
Form I-600, Petition to Classify Orphan as an Immediate Relative
OMB Number: 1615-0028
10/23/2023
Reason for Revision: Final Fee Rule Project Phase: OPS Review
Legend for Proposed Text:
Expires 12/31/2021 Edition Date 12/21/2019 E |
Current Page Number and Section |
Current Text |
Proposed Text |
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Part 1. Basis of Filing
1. Petition Filing Basis
Select the appropriate option below. See USCIS Form G-1055, Fee Schedule, available at www.uscis.gov/g-1055, for information on filing fees. You filed Form I-600A and it is pending or was approved and remains valid, and you are filing Form I-600 for:
[ ] One child [ ] Multiple children who are birth siblings. This petition is for the first sibling. [ ] Multiple children who are birth siblings. This petition is for an additional sibling. [ ] Multiple children who are not birth siblings. This petition is for the first child. [ ] Multiple children who are not birth siblings. This petition is for an additional child.
You do not have a valid Form I-600A approval (because you did not file a Form I-600A, your Form I-600A approval expired or is no longer valid, etc.). You are requesting a suitability and eligibility determination as part of your Form I-600 (combination filing), and you are filing Form I-600 for:
[ ] One child [ ] Multiple children who are birth siblings. This petition is for the first sibling. [ ] Multiple children who are birth siblings. This petition is for an additional sibling. [ ] Multiple children who are not birth siblings. This petition is for the first child. [ ] Multiple children who are not birth siblings. This petition is for an additional child.
2. Any Change in Marital Status
Complete this section if you filed Form I-600A or a Form I-600 combination filing and have had a change in marital status since you filed your application or petition.
[ ] Your marital status changed while your Form I-600A or Form I-600 combination filing was pending, and you are submitting a combination filing with a new basis marital status.
[ ] Your marital status changed after your Form I-600A or Form I-600 combination filing was approved, and you are submitting a combination filing with a new basis marital status.
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Pages 1-6, Part 1. Information About You (Petitioner) |
[Page 1]
Part 1. Information About You (Petitioner)
1. Family Name (Last
Name)
2. Other Names Used (if any)
Provide all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 10. Additional Information.
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16. Have you EVER renounced or lost U.S. citizenship or has anyone you obtained citizenship through (such as your parent or grandparent) EVER lost U.S. citizenship? Yes/No
NOTE: If you answered “Yes,” provide a detailed explanation in the space provided in Part 10. Additional Information.
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22. Other Names Your Current Spouse Has Used (if any)
Provide all other names your spouse has ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 10. Additional Information.
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31. List all of your children who are under 18 years of age. Also include any other children under 18 years of age who reside in your household, regardless of your relationship to those children. If you need extra space to complete this table, use the space provided in Part 10. Additional Information.
[Table 5 entries] Name (First/Middle/Last) Date of Birth (mm/dd/yyyy) Country of Birth A-Number (if any) Relationship to You
[Page 5]
Information About Prior Filings or Adoptions
If you need extra space to complete Item Numbers 32. - 37., use the space provided in Part 10. Additional Information.
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Duty of Disclosure
You and your spouse (if married) must answer the following questions. See the Duty of Disclosure section in the Form I-600 Instructions concerning your ongoing duty to disclose information in response to these questions. If you or your spouse answer "Yes" to any of the questions in Item Numbers 38. and 39., provide a certified copy of the documentation showing the final disposition of each incident which resulted in arrest, indictment, conviction, and/or any other judicial or administrative action and a written statement giving details, including any mitigating circumstances about each arrest, signed by you and/or your spouse (if married) under penalty of perjury under U.S. law. The written statement must show the date of each incident; place incident occurred (city/town, state/province, country); name of police department or other law enforcement administration or other entity involved; date of incarceration and name of facility, if applicable. Provide a description of any type of counseling, rehabilitation, or other information that you and your spouse (if married) would like considered in light of this history in the space provided in Part 10. Additional Information.
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Part 2. Information About You (Petitioner)
1. Family Name (Last
Name)
2. Other Names Used (if any)
Provide all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
[no change]
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16. Have you EVER renounced or lost U.S. citizenship or has anyone you obtained citizenship through (such as your parent or grandparent) EVER lost U.S. citizenship? Yes/No
NOTE: If you answered “Yes,” provide a detailed explanation in the space provided in Part 11. Additional Information.
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22. Other Names Your Current Spouse Has Used (if any)
Provide all other names your spouse has ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
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31. List all of your children who are under 18 years of age. Also include any other children under 18 years of age who reside in your household, regardless of your relationship to those children. If you need extra space to complete this table, use the space provided in Part 11. Additional Information.
[Table 5 entries] Name (First/Middle/Last) Date of Birth (mm/dd/yyyy) Country of Birth A-Number (if any) Relationship to You
Information About Prior Filings or Adoptions
If you need extra space to complete Item Numbers 32. - 37., use the space provided in Part 11. Additional Information.
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Duty of Disclosure
You and your spouse (if married) must answer the following questions. See the Duty of Disclosure section in the Form I-600 Instructions concerning your ongoing duty to disclose information in response to these questions. If you or your spouse answer "Yes" to any of the questions in Item Numbers 38. and 39., provide a certified copy of the documentation showing the final disposition of each incident which resulted in arrest, indictment, conviction, and/or any other judicial or administrative action and a written statement giving details, including any mitigating circumstances about each arrest, signed by you and/or your spouse (if married) under penalty of perjury under U.S. law. The written statement must show the date of each incident; place incident occurred (city/town, state/province, country); name of police department or other law enforcement administration or other entity involved; date of incarceration and name of facility, if applicable. Provide a description of any type of counseling, rehabilitation, or other information that you and your spouse (if married) would like considered in light of this history in the space provided in Part 11. Additional Information.
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Pages 6-9, Part 2. Information About the Orphan Beneficiary |
[Page 6]
Part 2. Information About the Orphan Beneficiary
1. Name at Birth
2. Current Name
[Page 7]
3. Other Names the Orphan Has Used
Provide all other names the orphan has ever used, including aliases and nicknames. If you need extra space to complete this section, use the space provided in Part 10. Additional Information.
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14. If you answered "No" to either Item Number 11., Item Number 12., or Item A. in Item Number 13., provide the following information:
NOTE: If you need extra space to complete Items A. - D., use the space provided in Part 11. Additional Information.
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Part 3. Information About the Orphan Beneficiary
1. Name at Birth
2. Current Name
3. Other Names the Orphan Has Used
Provide all other names the orphan has ever used, including aliases and nicknames. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
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14. If you answered "No" to either Item Number 11., Item Number 12., or Item A. in Item Number 13., provide the following information:
NOTE: If you need extra space to complete Items A. - D., use the space provided in Part 11. Additional Information.
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Page 10, Part 3. Information About Your Home Study and Primary Adoption Service Provider |
[Page 10]
Part 3. Information About Your Home Study and Primary Adoption Service Provider
1. Your home study:
A. Was previously submitted
with your approved Form I-600A application (please attach a
copy of your Form I-600A approval notice). B. Was previously submitted with your pending Form I-600A application (please attach a copy of your Form I-600A fee receipt notice).
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C. IS attached to this Form I-600.
D. IS NOT attached
to this Form I-600 because of state requirements necessitating
review and documentation. The appropriate state authority has
indicated that it will submit the home study directly to U.S.
Citizenship and Immigration Services (USCIS). (Do not submit your
Form I-600 to USCIS until the state authority is ready to send
your home study to USCIS.)
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Part 4. Information About Your Home Study and Primary Adoption Service Provider
1. Your home study:
A. Was previously submitted
with your approved Form I-600A application (please attach a
copy of your Form I-600A approval notice). B. Was previously submitted with your pending Form I-600A application (please attach a copy of your Form I-600A receipt notice).
C. Was previously submitted with a Form I-600A/I-600, Supplement 3 (please attach a copy of your Form I-600A/I-600, Supplement 3 receipt notice).
D. IS attached to this Form I-600.
E.
IS NOT attached to this Form I-600 because of state
requirements necessitating review and documentation. The
appropriate state authority has indicated that it will submit the
home study directly to U.S. Citizenship and Immigration Services
(USCIS). (Do not submit your Form I-600 to USCIS until the state
authority is ready to send your home study to USCIS.)
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Pages 11-12, Part 4. Information About Fees, Expenses, and Other Compensation |
[Page 11]
Part 4. Information About Fees, Expenses, and Other Compensation
If you need extra space to complete the tables in Item Numbers 1. or 2., use the space provided in Part 10. Additional Information.
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Part 5. Information About Fees, Expenses, and Other Compensation
If you need extra space to complete the tables in Item Numbers 1. or 2., use the space provided in Part 11. Additional Information.
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Page 12, Part 5. Accommodations for Individuals With Disabilities and/or Impairments |
[Page 12]
Part 5. Accommodations for Individuals With Disabilities and/or Impairments
NOTE: Read the information in the Form I-600 Instructions before completing this section.
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Part 6. Accommodations for Individuals With Disabilities and/or Impairments
[no change]
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Pages 12-13, Part 6. Petitioner’s Statement, Certification, Duty of Disclosure, and Signature |
[Page 12]
Part 6. Petitioner’s Statement, Certification, Duty of Disclosure, and Signature
NOTE: Read the Penalties section of the Form I-600 Instructions before completing this section.
Petitioner’s Statement
1. Petitioner’s Statement Regarding the Interpreter (Select the box for either Item A. or B.)
A. I can read and understand English, and I have read and understand every question and instruction on this petition and my answer to every question.
B. The interpreter named in Part 8. read to me every question and instruction on this petition and my answer to every question in [Fillable field], a language in which I am fluent, and I understood everything.
2. Petitioner’s Statement Regarding the Preparer (if applicable)
At my request, the preparer named in Part 9., [Fillable field], prepared this petition for me based only upon information I provided or authorized.
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Part 7. Petitioner’s Statement, Certification, Duty of Disclosure, and Signature
[no change]
B. The interpreter named in Part 9. read to me every question and instruction on this petition and my answer to every question in [Fillable field], a language in which I am fluent, and I understood everything.
2. Petitioner’s Statement Regarding the Preparer (if applicable)
At my request, the preparer named in Part 10., [Fillable field], prepared this petition for me based only upon information I provided or authorized.
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Pages 13-14, Part 7. Your Spouse’s Statement, Certification, Duty of Disclosure, and Signature |
[Page 13]
Part 7. Your Spouse’s Statement, Certification, Duty of Disclosure, and Signature
NOTE: Read the Penalties section of the Form I-600 Instructions before completing this section.
Your Spouse’s Statement 1. Spouse’s Statement Regarding the Interpreter (Select the box for either Item A. or B.)
A. I can read and understand English, and have read and understand every question and instruction on this petition and my answer to every question.
B. The interpreter named in Part 8. read to me every question and instruction on this petition and my answer to every question in [Fillable field], a language in which I am fluent, and I understood everything.
2. Spouse’s Statement Regarding the Preparer (if applicable)
At my request, the preparer named in Part 9., [Fillable field], prepared this petition for me based only upon information I provided or authorized.
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Part 8. Your Spouse’s Statement, Certification, Duty of Disclosure, and Signature
[no change]
B. The interpreter named in Part 9. read to me every question and instruction on this petition and my answer to every question in [Fillable field], a language in which I am fluent, and I understood everything.
2. Spouse’s Statement Regarding the Preparer (if applicable)
At my request, the preparer named in Part 10., [Fillable field], prepared this petition for me based only upon information I provided or authorized.
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Pages 14-15, Part 8. Interpreter’s Contact Information, Certification, and Signature |
[Page 14]
Part 8. Interpreter’s Contact Information, Certification, and Signature
If you and/or your spouse (if married) used an interpreter to read and complete this petition, provide the following information about the interpreter.
Interpreter’s Full Name 1. Interpreter's Family Name (Last Name) Interpreter's Given Name (First Name)
[Page 15]
Interpreter’s Mailing
Address 3. Street Number and Name Apt. Ste. Flr. City or Town
Interpreter’s Contact
Information 4. Interpreter's Daytime Telephone Number 5. Interpreter’s
Mobile Telephone Number (if any)
I certify, under penalty of perjury, that:
I am fluent in English and [Fillable field], which is the same language specified in Parts 6. and 7., Item B in Item Number 1., and I have read to this petitioner and/or the petitioner’s spouse in the identified language every question and instruction on this petition and their answer to every question. The petitioner and/or the petitioner’s spouse informed me that he or she understands every instruction, question, and answer on the petition, including the Petitioner’s Certification and the Your Spouse’s Certification, and has verified the accuracy of every answer.
Interpreter’s Signature 7. Interpreter's Signature Date of Signature (mm/dd/yyyy) |
Part 9. Interpreter’s Contact Information, Certification, and Signature
[no change]
I certify, under penalty of perjury, that:
I am fluent in English and [Fillable field], which is the same language specified in Parts 7. and 8., Item B. in Item Number 1., and I have read to this petitioner and/or the petitioner’s spouse in the identified language every question and instruction on this petition and their answer to every question. The petitioner and/or the petitioner’s spouse informed me that he or she understands every instruction, question, and answer on the petition, including the Petitioner’s Certification and the Your Spouse’s Certification, and has verified the accuracy of every answer.
[no change]
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Pages 15-16, Part 9. Contact Information, Declaration, and Signature of the Person Preparing this Petition, If Other Than the Petitioner and Spouse |
[Page 15]
Part 9. Contact Information, Declaration, and Signature of the Person Preparing this Petition, If Other Than the Petitioner and Spouse
If you and/or your spouse (if married) used a preparer to complete this petition, provide the following information about the preparer.
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Part 10. Contact Information, Declaration, and Signature of the Person Preparing this Petition, If Other Than the Petitioner and Spouse
If you and/or your spouse (if married) used a preparer to complete this petition, provide the following information about the preparer.
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Page 17, Part 10. Additional Information |
[Page 17]
Part 10. Additional Information
If you need extra space to provide any additional information within this petition, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this petition or attach a separate sheet of paper. If you attach a separate sheet of paper, type or print your full name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.
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Part 11. Additional Information
If you need extra space to provide any additional information within this petition, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this petition or attach a separate sheet of paper. If you attach a separate sheet of paper, type or print your full name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | I-600 |
| Author | Mulvihill, Timothy R |
| File Modified | 0000-00-00 |
| File Created | 2024-07-24 |