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Form Number and Name
OMB Number
Form Edition Date:
Form Expiration Date:
PRA Project:
I-134A, Online Request to be a Supporter and Declaration of Financial Support
1615-0157
11/16/2023
5/31/2024
I-134A-004
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Copydeck Version Info
FILE A FORM: I-134A
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Select the form you want to file online
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
beneficiary of the request has sufficient financial resources or financial support to pay for
expenses during the temporary stay. The individual who submits Form I-134A must establish
that they have 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 the United
States.
Alert
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:
https://www.uscis.gov/i-134
[b]
• Cuba
• Colombia
• El Salvador
• Ecuador
• Guatemala
• Haiti
• Honduras
• Nicaragua
• Ukraine
• Venezuela
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, 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.
If you are agreeing to support a beneficiary who is not seeking consideration for parole under one of these programs or processes, you must file a
paper Form I-134 through the appropriate Lockbox location.
File-A-Form
APPLICATION OVERVIEW: I-134A
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Sub-Heading
Revised
Conditional Logic
I-134A, Online Request To Be
A Supporter And Declaration
Of Financial Support
Body Text
Revised
Alert
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
beneficiary of the request has sufficient financial resources or financial support to pay for expenses during the temporary stay. The individual who submits Form I-134A must
establish that they have 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
the United States.
[yellow alert]
[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
• Colombia
• Ecuador
• 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 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, 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.
If you are agreeing to support a beneficiary who is not seeking consideration for parole under one of these programs or processes, you must file a paper
Form I-134 through the appropriate Lockbox location.
Before You Start Your
Declaration
Eligibility
Whether 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 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.
There is no fee to file Form I-134A.
As the beneficiary's financial supporter, you must show you have sufficient income or financial resources to support the beneficiary.
Fee
Documents you may need
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 letterhead 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
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 I130, 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.
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.
USCIS' determination to confirm or not to confirm your Form I-134A is based on whether you have established you have sufficient resources to support the beneficiary for the
duration of their parole period in the United States. USCIS will notify you of the determination in writing.
Submitting your declaration online is the same as mailing in a completed paper form. They both gather the same information.
Respond to requests for
information
Receive your decision
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
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.
USCIS Compliance Review and
Monitoring
By signing this form, you have stated under penalty of perjury (28 U.S.C. section 1746) that all information and documentation submitted with this form is true and correct.
You have also authorized the release of any information from your records that USCIS may need to determine your ability to provide financial support for a beneficiary
who may be paroled into the United States and consented to USCIS’ verification of such information.
The Department of Homeland Security has the legal authority to verify any information you submit to support your declaration of financial support for a beneficiary who
may be paroled into the United States. USCIS’s legal authority to verify this information is in 8 U.S.C. Sections 1103, 1182, and 1357, and 8 CFR Parts 103, 223, and
287. To ensure compliance with applicable laws and authorities, USCIS may verify information before or after your case has been decided. Agency verification methods
may include, but are not limited to: review of public records and information; contact via written correspondence, the Internet, facsimile, or other electronic transmission,
or telephone; unannounced physical site inspections of residences and places of employment; and interviews. Information obtained through verification will be used to
assess your compliance with the laws and to determine your ability to provide financial support for a beneficiary who may be paroled into the United States.
DHS Privacy Notice
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
agencies and authorized organizations. DHS follows approved routine uses described in the associated published system of records notices [DHS/USCIS/ICE/CBP-001 Alien File,
Index, and National File Tracking System, DHS/USCIS-007 Benefits Information System, and DHS/USCIS-018 Immigration Biometric and Background Check, and U.S. Customs and
Border Protection (CBP) DHS/CBP/PIA-024 Arrival and Departure Information System and DHS/CBP/PIA-068 CBP One Mobile Application] and the published privacy impact
assessments [DHS/USCIS/PIA-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.
Paperwork Reduction Act
https://www.dhs.gov/topics/pr
ivacy
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 Management and Budget (OMB) control number. The public reporting burden for this collection of information is estimated at 2.11 hours per response, including the time for
reviewing instructions, gathering the required documentation and information, 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
5900 Capital Gateway Drive, Mail Stop #2140
Camp Springs, MD 20588-0009
Do not mail your completed Form I-134A to this address.
OMB No. 1615-0157
Expires: 05/31/2024
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.
Start
Overview
Notes
GETTING STARTED: I-134A
Column Header Descriptions
Primary Nav
Secondary Nav
Getting Started
Basis for filing
Tertiary Nav
Conditional Logic
Paper Form
Question
1.1
1.2
Field Type
On whose behalf are you filing this
form?
I am filing this form under one of the
following:
Another individual who is the beneficiary
Radio
Parole Process
Radio
Help Text
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.
Alert
Required?
Notes
Yes
For online filing, this is the only
option available
Yes
Yes
Dropdown
Yes
Text
The Invitation Number can be found on the Form I-130
beneficiary's Family Reunification Parole Process Invitation
Letter.
Yes
How many total family members will
be included in this family reunification
group who all share the same
invitation number?
Is someone assisting you with
Yes/No
completing this declaration?
Text
Entering "1" indicates no derivative beneficiaries share the
same invitation number.
Yes
(IF YES)
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
What is your preparer's full name?
Given name (first name)
Text
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
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.
1.3
[If "Family Reunification 1.4
Program" selected in
1.2]
[If "Family Reunification 1.5
Program" selected in
1.2]
(IF YES TO PREPARER)
7.1
7.2
7.3
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
7.5
What is your preparer's contact
information?
(IF YES TO
INTERPRETER)
6.1
6.2
6.3
(If non-USA use Province
and text field)
Radio
What is your interpreter's full name?
What is your interpreter's business or
organization name?
What is your interpreter's mailing
address?
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.
Dropdown
My preparer does not have a mobile
Checkbox
telephone number.
Email address
Text
My preparer does not have an email address. Checkbox
7.6
Interpreter
information
Instructional Text
Radio
Dropdown
[If "Family Reunification 1.3
Program" selected in
1.2]
Preparer information
Sub-Question
Family Reunification Parole Process
I am filing for an individual under the Cuba
parole process for the following
Haiti
country:
Nicaragua
Ukraine
Venezuela
I am filing for my relative who is
Colombia
associated with an approved I-130 and Cuba
a national of:
Ecuador
El Salvador
Guatemala
Haiti
Honduras
Invitation Number:
[If "Parole Process"
selected in 1.2]
Preparer and
interpreter
information
Question
Given name (first name)
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
Example: [email protected]
Dropdown
Street number and name
Apartment, suite, unit, or floor
Getting Started
GETTING STARTED: I-134A
Column Header Descriptions
Primary Nav
Secondary Nav
Tertiary Nav
Conditional Logic
(If non-USA use Postal
code and remove help
text)
Paper Form
Question
6.4
6.5
Question
What is your interpreter's contact
information?
6.6
What language is your interpreter
using to interpret this declaration for
you?
Instructional Text
Help Text
Sub-Question
Field Type
ZIP 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 interpreter does not have a mobile
telephone number
Email address
My interpreter does not have an email
address.
Checkbox
Text
Checkbox
Alert
Required?
Notes
Example: [email protected]
Text
Getting Started
ABOUT THE INDIVIDUAL AGREEING TO FINANCIALLY SUPPORT THE BENEFICIARY: I-134A
Column Header Descriptions
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
Paper Form Question
Question
Sub-Question
Field Type
Instructional Text
3.1
What is your current legal name?
Given name (first name)
Text
Your current legal name is the name on your
birth certificate, unless it changed after birth
by a legal action such as marriage or court
order. Do not provide any nicknames here.
Have you used any other names since birth?
Middle name
Family name (last name)
Yes/No
Text
Text
Radio
Given name (first name)
Text
3.2
[If yes to 3.2]
Middle name
Family name (last name)
Provide the name of the organization, group, or individual that Organization, Group, Individual Name
is providing support to the beneficiary with you (if any).
Text
Text
Text
[If "Family Reunification Parole
Process" selected in 1.2]
3.3
Provide the name of the individual co-supporter(s) joining you
to provide financial support to the beneficiary (if any).
Individual Co-supporter(s) Name(s)
Text
5.3
How may we contact you?
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
In care of name (if any)
Country
Text
Text
Text
Dropdown
Text
Radio
Text
Dropdown
Street number and name
Apartment, suite, unit, or floor
Address line 1
Address line 2
City or town
State
ZIP code
MM/DD/YYYY
Text
Text
Text
Dropdown
Text
Date
Street number and name
Apartment, suite, unit, or floor
5.5
3.4
3.4
[If NO]
Immigration
information for the
individual agreeing to
financially support the
beneficiary
3.4
3.4
3.4
3.4
3.4
3.5
3.6
What is your current mailing address?
Is your mailing address the same as the physical address?
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]
3.14
[If Nonimmigrant]
3.14
(if Lawful Permanent Resident, then A- 3.1
Number is required)
What is your Form I-94 Arrival-Departure Record Number?
What is your A-Number?
Male
Female
X
U.S. Citizen
U.S. National
Lawful Permanent Resident
Nonimmigrant
Other
Please provide an explanation.
A-
I do not have or know my A-Number.
3.12
What is your Social Security Number?
3.11
What is your USCIS Online Account Number?
I do not have a U.S. Social Security number.
Text
Text
Dropdown
Radio
Required?
Notes
Table
Add another name button
3.3
5.4
Alert
Other names used may include aliases,
maiden name, and nicknames.
Provide the other names you have used.
[If "Parole Process" selected in 1.2]
Contact information
for the individual
agreeing to financially
support the
beneficiary
When and where the
individual agreeing to
financially support the
beneficiary was born
Help Text
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.
Provide a 5 or 9-digit ZIP code.
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.
Yes
Radio
Textbox
Text
Text
Checkbox
Text
Checkbox
Text
Provide an 11 character I-94 Number.
Provide a 7, 8, or 9-digit number. If your ANumber 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
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.
Provide a 12-digit Online Account Number.
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.)
I do not have or know my USCIS Online Account Number.
3.13
What is your relationship to the beneficiary?
Checkbox
Dropdown
Yes
About the IATFSTB
ABOUT THE INDIVIDUAL AGREEING TO FINANCIALLY SUPPORT THE BENEFICIARY: I-134A
Column Header Descriptions
Primary Nav
Secondary Nav
Tertiary Nav Conditional Logic
Employment
information for the
individual agreeing to
financially support the
beneficiary
[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)
Paper Form Question
Question
Sub-Question
Field Type
3.15
What is your employment status?
Employed (full-time, part-time, seasonal, self-employed)
Radio
Unemployed or not employed
Retired
Other
Country
Address line 1
Address line 2
City or town
State/Province
Radio
Radio
Radio
Textbox
Radio
Radio
Text
Text
Text
Dropdown
Text
Text
Text
Dropdown/Text
ZIP code/Postal code
Text
3.15
3.16
3.16
3.16A
3.16A
3.16B
3.17
Please provide an explanation.
What is your type of employment?
Employed as
Name of employer
Self-employed as
What is your current employer's address?
I am currently employed as a/an
I am currently self-employed as a/an
Instructional Text
Help Text
Alert
Required?
Notes
Street number and name
Apartment, suite, unit, or floor
Provide a 5 or 9-digit ZIP code.
About the IATFSTB
FINANCIAL INFORMATION ABOUT THE PERSON AGREEING TO FINANCIALLY SUPPORT THE BENEFICIARY: I-134A
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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
3.18
3.18
Additional income
information for the
individual agreeing
to financially
support the
beneficiary
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?
How much income will this individual contribute to the
beneficiary annually?
Save entry
Cancel
What is the total number of dependents?
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
$
Checkbox
Text
CTA
CTA
Text
3.18
3.20
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)?
$
Yes/No
Text
Radio
[If YES to 3.19]
3.21
3.22
$
Yes/No
Text
Radio
[IF YES TO 3.20]
3.23
What amount of income comes from an illegal activity?
Does any of the income listed above come from means-tested
public benefits as defined in 8 CFR 213a.1?
What amount of income is from means-tested public benefits?
$
Text
Specific
contributions to the
beneficiary
If the income contribution is none, type in "0".
Provide the total number of dependents.
Number must be between 0 and 100.
3.27
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.
Text box
Yes
3.28
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.
Text box
Yes
3.29
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.
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
[If YES to 3.24,
conditional "Financial
responsibility for other
beneficiaries" section
displays]
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 I134A?
Dropdown
Text
CTA
CTA
Text
Radio
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?
Given name (first name)
Middle name
Family name (last name)
Text
Text
Text
Financial Info ATIATFSTP
FINANCIAL INFORMATION ABOUT THE PERSON AGREEING TO FINANCIALLY SUPPORT THE BENEFICIARY: I-134A
C l
H
Primary Nav
d
D
i ti
Secondary Nav
Tertiary Nav
Conditional Logic
Paper Form Question
Question
Sub-Question
Field Type
What is the person's A-number?
A-
Text
I do not have or know the person's A-Number. Checkbox
Date submitted
MM/DD/YYYY
Instructional Text
Help Text
Alert
Required?
Notes
Provide a 7, 8, or 9-digit number. If your ANumber 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.
Date
Financial Info ATIATFSTP
ABOUT THE BENEFICIARY: I-134A
Column Header Descriptions
Primary Nav
Secondary Nav
About the Beneficiary
Beneficiary name
Tertiary Nav
Conditional Logic
Paper Form Question
Question
Sub-Question
Field Type
Instructional Text
2.1
What is the beneficiary's current
legal name?
Given name (first name)
Text
Middle name
Family name (last name)
Yes/No
Text
Text
Radio
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.
Given name (first name)
Text
Middle name
Family name (last name)
Yes/No
Text
Text
Radio
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.
2.1
2.1
2.2
[If yes to 2.2]
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
Has the beneficiary used any other
names since birth?
[LIST]
2.13
2.14
How may we contact the
beneficiary?
2.15
[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
2.10
[If United States mailing 2.11
address, default to 'No']
[If no]
2.12
[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
Other Information
about the
Benefiiciary
2.4
2.9
[If OTHER]
[If selected "Parole
Process" in 1.2, show
yellow alert]
2.9
2.7
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?
What is the beneficiary's date of
birth?
What is the beneficiary's marital
status?
What is the beneficiary's country of
citizenship or nationality?
Required?
Notes
Table
Add another name button
Yes
[blue alert]
[b] You must provide a valid email address for the beneficiary. If your Form I-134A is
confirmed, we will send important information to the beneficiary at this email address. If
you do 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.
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
Single, Never Married
Married
Divorced
Widowed
Legally Separated
Marriage Annulled
Other
Provide an explanation
Alert
Other names used may include aliases, maiden
name, and nicknames.
Provide the other names the beneficiary has used.
Example: [email protected]
Example: [email protected]
Email address
Text
Confirm the beneficiary's email address Text
In care of name (if any)
Text
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?
A grant of parole is a discretionary
determination granted on a case-bycase basis for urgent humanitarian
reasons or significant public benefit.
Please explain why a favorable
exercise of discretion is merited for
this individual.
What is the beneficiary's sex?
Male
Female
X
Help Text
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
Street number and name
Apartment, suite, unit, or floor
Yes
Text
Text
Dropdown/Text
Text Box
Radio
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.
Yes
Radio
Text box
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.
About the Beneficiary
ABOUT THE BENEFICIARY: I-134A
Column Header Descriptions
Primary Nav
Secondary Nav
Tertiary Nav
Conditional Logic
Paper Form Question
Question
Sub-Question
Field Type
Instructional Text
Help Text
[If selected "Family
Reunification Parole
Process" in 1.2 show
yellow alert]
Alert
Required?
Notes
[yellow alert]
[h] We are only accepting online filing of Form I-134A from individuals agreeing to financially
support Cuban, Colombian, Haitian, Honduran, Ecuadorian, Salvadoran, and Guatamalan
citizens and their immediate family
[b] Immediate family members are:
• The spouse or common-law partner of the primary beneficiary who is a citizen of a
qualifying country; 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.
[yellow alert]
[h] We are only accepting online filing of Form I-134A from individuals agreeing to financially
support Cuban, Colombian, Haitian, Honduran, Ecuadorian, 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:
• The spouse or common-law partner of the primary beneficiary who is a citizen of a
qualifying country; 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.
2.8
(if Cuban)
What is the number of the
beneficiary's most recently issued
passport?
Text
Provide a 7 to 12-character passport number.
Provide a 7-character passport number,
beginning with 1 letter followed by 6 digits.
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.
(If Haitian)
(if Nicaraguan)
(if Ukrainian)
Provide an 8-character passport number,
beginning with 2 letters followed by 6 digits.
(if Venezuelan)
(if Colombia)
Provide a 9-digit passport number.
Provide an 8-character passport number,
beginning with 2 letters followed by 6 digits.
(if Honduras
Provide a 7 to 8-character passport number,
beginning with 1 letter followed by 6-7 digits.
(if Ecuador)
Provide a 9-character passport number,
beginning with 1 letter followed by 8 digits.
Provide a 9-character passport number,
beginning with 1 letter followed by 8 digits.
Provide a 9-digit passport number.
Provide a 9-digit passport number.
(if El Salvador)
(if Guatemala)
(if Russian)
2.8
(if Venezuelan is most
recent passport show
tooltip)
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
2.16
What is the beneficiary's A-Number? A-
Text
I do not have or know the beneficiary's ANumber.
What is the beneficiary's anticipated From (MM/DD/YYYY)
period of stay in the United States?
Checkbox
To (MM/DD/YYYY)
No End Date
Provide a 7, 8, or 9-digit number. If your ANumber 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.
Date
Date
Checkbox
About the Beneficiary
BENEFICIARY'S FINANCIAL INFORMATION: I-134A
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
Beneficiary
additional income
information
Text
2.17
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
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?
Text
What amount of the beneficiary's total
income comes from means-tested public
benefits?
Text
2.19
2.21
$
If the income contribution is none, type in "0".
CTA
CTA
What is the beneficiary's total number of
dependents?
2.20
[If YES to 2.20]
Text
2.17
2.18
[If YES to 2.18]
Text
Text
Text
Date
Dropdown
Provide the total number of
dependents. Number must be
between 0 and 100.
Radio
Radio
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?
What is the type of asset?
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 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
Tertiary Nav
Conditional Logic
Evidence
Bank officer
statement
Paper Form
Evidence Title
Form I-134 instructions (pg 5) Bank Officer Statement
Field Type
Upload
Instructional Text
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.
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
Form I-134 instructions (pg 5) Employer Statement
Upload
Provide statement(s) from your employer on business stationery showing:
• 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
Item #10: Immigration Status) 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.
Proof of assets of
individual
agreeing to
financially
support the
beneficiary
Form I-134 instructions (pg 5 Proof Of Assets Of
Item #19: Assets
Individual Agreeing To
Financially Support The
Beneficiary
Upload
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.
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 include 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.
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.
Document type
Bank officer
statement
Other documents
File Requirements
• 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
Employer
• Clear and readable
statement
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
Other documents • 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 • Clear and readable
Other documents • 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
• Clear and readable
Other documents • 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 • Clear and readable
Other documents • 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
• Clear and readable
Other documents • 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
Alerts
Required?
Links Notes
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.
Proof of
beneficiary's
assets
Form I-134 instructions (pg 4 Proof Of Beneficiary's
Item #22: Beneficiary's Assets Assets
Upload
Provide information about any assets available to the beneficiary for the anticipated period of his or her stay. List only assets that Beneficiary asset
can be converted into cash within 12 months and that will be used to support the beneficiary while the beneficiary is in the United Other documents
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.
• 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
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 Upload
Status
Provide evidence of the beneficiary’s marital status.
Marriage certificate
Divorce decree
Annulment decree
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 Death certificate
were terminated (if applicable).
• 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
EVIDENCE: I-134A
Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Primary Nav
Secondary Nav
Tertiary Nav
Conditional Logic
Proof of the
beneficiary's family
relationship
[If "Family Reunification Parole Process"
selected in 1.2]
Paper Form
Evidence Title
Field Type
Proof Of Beneficiary's Family Upload
Relationship
Instructional Text
Document type
File Requirements
Provide evidence of the beneficiary’s age and family relationship with the principal beneficiary of an approved Form I-130.
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
If the beneficiary is the principal beneficiary of an approved Form I-130, only evidence of the beneficiary’s age is required.
Alerts
Required?
Links Notes
Evidence
ADDITIONAL INFORMATION: I-134A
Column Header Descriptions
Primary Nav
Secondary Nav
Additional Information
Additional
Information
Tertiary Nav
Conditional Logic
Paper Form Question
Question
Sub-Question
Field Type
Instructional Text
Large table
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referencing.
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REVIEW AND SUBMIT: I-134A
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Review and Submit
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Review your declaration
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Check your declaration before you submit
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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 I134A ~12/21]
[blue alert header for active drafts]
[h] The name of this form has changed
[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.
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
Here is a summary of all the information you provided in your declaration.
Review the I-134A form information
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.
We also prepared a draft case snapshot with your responses, which you can download below.
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
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
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
Radio
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 Radio
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.
Your preparer must read and agree to the certification below.
As the declarant's preparer, you must sign on paper and provide your signature page to the declarant. Follow these steps:
Next
1. Download the Preparer Signature page
2. Print the Preparer Signature page
3. Read and sign the Preparer Signature page
4. Give the signed Preparer Signature page to the declarant
The declarant will need to scan and upload your completed signature page on the next screen.
Preparer signature
Interpreter certification
(IF PREPARER)
(IF INTERPRETER)
7.8
6.7
Preparer's Signature Upload
Interpreter's certification and signature
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 they 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
(IF INTERPRETER)
Statement of the individual
agreeing to financially
support the beneficiary
(IF NO INTERPRETER)
5.1.A
Individual agreeing to financially support the
beneficiary's statement
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.
(IF PREPARER)
5.2
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.
(IF INTERPRETER)
5.1.B
You must read and agree to the statement below.
5.6
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
(If "Statement of the
Individual agreeing to
financially support the
beneficiary" is complete)
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
Signature of the individual
agreeing to financially
support the beneficiary
Interpreter's Signature Upload
Upload
Next
Next
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)
(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)
Submit the I-134A
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.
Yes
Next
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.
Submit the I-134A
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.
Go to my cases
Review & Submit
WARNINGS, ALERTS, NOTICES, AND ERRORS: I-134A
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File-A-Form
Overview
Type
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Link
Yellow alert
Always show
[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
Notes
[b]
• Cuba
• Colombia
• Ecuador
• 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 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, 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.
If you are agreeing to support a beneficiary who is not seeking consideration for parole under one of these programs or processes, you must file a paper Form I-134 through the
appropriate Lockbox location.
About the IATFSTB
Contact information for the individual agreeing Yellow alert
to financially support the beneficiary
About the IATFSTB
When and where the individual agreeing to
financially support the beneficiary was born
About the IATFSTB
Red alert
Immigration information for the individual
Red alert
agreeing to financially support the beneficiary
Always show under "What is your current mailing
[b] You must be located in the United States in order to file at this time.
address?" question and "What is your physical
address?" question
If date of birth is different than the date of birth of the h5. This account has already been verified with a different date of birth
applicant's profile, the following red alert is shown.
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.
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/
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/
Financial Info
Financial responsibility for other beneficiaries
ATIATFSTP
About the Beneficiary Beneficiary contact information
Red alert
If no entries are entered and 3.24 is yes
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.
Blue alert
Always show
About the Beneficiary Other information about the beneficiary
Yellow alert
[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 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.
[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
if user selected "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?" [b] Immediate family members are:
question
• Their spouse or common-law partner; and
• Unmarried children under the age of 21.
About the Beneficiary Other information about the beneficiary
Yellow alert
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
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, Ecuadorian, Salvadoran, and Guatamalan
citizens and their immediate family
[b] Immediate family members are:
• The spouse or common-law partner of the primary beneficiary who is a citizen of a qualifying country; 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 [h] The name of this form has changed
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.
Alerts
| File Type | application/pdf |
| File Title | Copy of I-130 Form Copydeck 6.18.19- acaOCC 062719 |
| Author | Microsoft Office User |
| File Modified | 2024-04-05 |
| File Created | 2024-04-05 |