Form I-600A Application for advance processing of orphan petition

Application for
Advance Processing of an Orphan Petition
Department of Homeland Security
U.S. Citizenship and Immigration Services

USCIS
Form I-600A
OMB No. 1615-0028
Expires 02/28/2026

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For USCIS Use Only

The applicant is:
Married

Action Block

Receipt/Fee Stamp

Unmarried

The applicant is approved to adopt an
orphan from (if specified):
(Name of non-Hague Convention Country)

Remarks

Approval Valid Until (mm/dd/yyyy):

Final Adjudicating Office:

To be completed by
an Attorney or
Accredited
Representative (if any).

Select this box if
Form G-28 or G-28I
is attached.

Attorney State Bar Number
(if applicable)

Attorney or Accredited Representative
USCIS Online Account Number (if any)

► START HERE - Type or print in black ink. This application is used to determine whether you (and your spouse, if married) are
suitable and eligible to adopt a child from a non-Hague Convention country, who has been or will be adopted and who qualifies as
an orphan under U.S. immigration law.
You must be a U.S. citizen in order to file this application. See the What Are the Eligibility Requirements section of the
Form I-600A Instructions for more information.

Part 1. Basis of Filing
You are a U.S. citizen who plans to adopt or has adopted a child from a country that is not party to the Hague Adoption
Convention.
You previously filed a Form I-600A; AND your marital status changed while your Form I-600A application was pending.

Part 2. Information About You (Applicant)
1.

Family Name (Last Name)

2.

Other Names Used (if any)

Given Name (First Name)

Middle Name (if applicable)

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 9. Additional Information.
Family Name (Last Name)

Form I-600A Edition 04/01/24

Given Name (First Name)

Middle Name (if applicable)

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Part 2. Information About You (Applicant) (continued)
Your Contact Information
3.

U.S. Mailing Address (if any)

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In Care Of Name (if any)

4.

Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

ZIP Code

Is your current U.S. mailing address the same as your U.S. physical address?

Yes

No

If you answered “No,” provide your U.S. physical address in Item Number 5. or your address abroad in Item Number 6., as
appropriate.
5.

U.S. Physical Address (if any)
In Care Of Name (if any)

6.

Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Address Abroad (if any)
Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Province

7.

Daytime Telephone Number

9.

Email Address (if any)

Postal Code

ZIP Code

Country

8.

Mobile Telephone Number (if any)

Information About Your U.S. Citizenship
10.

USCIS Online Account Number (if any)

11.

Date of Birth (mm/dd/yyyy)

►
12.

City/Town/Village of Birth

State or Province of Birth

Country of Birth

Form I-600A Edition 04/01/24

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Part 2. Information About You (Applicant) (continued)
13.a. How did you obtain your U.S. citizenship?

Birth

Parents

Naturalization

13.b. If you obtained your citizenship through your parents, have you obtained a Certificate of Citizenship in
your own name?

Yes

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No

If you answered “Yes,” provide the following information about your Certificate of Citizenship:
Your Name On the Certificate of Citizenship
Family Name (Last Name)

Given Name (First Name)

Alien Registration Number (A-Number) (if any)
►

Middle Name (if applicable)

Certificate of Citizenship Number

A-

Date of Issuance (mm/dd/yyyy)

Place of Issuance

13.c. If you obtained your citizenship through naturalization, provide the following information about your Certificate of
Naturalization:
Your Name On The Certificate of Naturalization
Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Certificate of Naturalization Number

A-Number (if any)
► A-

Date of Naturalization (mm/dd/yyyy)

14.

Place of Naturalization

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 9. Additional Information.
15.

What is your marital status?

Married

16.

How many times have you been married (including your current marriage, if applicable)?

Single

Separated

Divorced

Widowed

If you are not currently married, skip to Item Number 28.

Information About Your Current Marriage
17.

Date of Current Marriage (mm/dd/yyyy)

19.

Name of Your Current Spouse
Family Name (Last Name)

Form I-600A Edition 04/01/24

18.

Place Where Current Marriage Occurred

Given Name (First Name)

Middle Name (if applicable)

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Part 2. Information About You (Applicant) (continued)
20.

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 9. Additional Information.

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Given Name (First Name)

Family Name (Last Name)

21.

Middle Name (if applicable)

Information About Your Current Spouse

Spouse's Date of Birth (mm/dd/yyyy) Spouse's A-Number (if any)

Spouse's USCIS Online Account Number (if any)
►

► A-

Spouse's City/Town/Village of Birth

Spouse's State or Province of Birth

Spouse's Country of Birth

Is your spouse a U.S. citizen?

If you answered “Yes,” how did your spouse obtain citizenship?

Birth

Yes

No

Yes

No

Parents

Naturalization

If you answered “No,” provide your spouse's current U.S. immigration status:

22.

How many times has your current spouse been married (including your current marriage, if applicable)?

Your Spouse's Contact Information
23.

Does your current spouse reside with you?
If you answered "No," provide your current spouse's physical address in Item Number 24.

24.

Your Current Spouse's Physical Address (if applicable)
Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Province

25.

Your Spouse's Daytime Telephone Number

27.

Your Spouse's Email Address (if any)

Form I-600A Edition 04/01/24

Postal Code

ZIP Code

Country

26.

Your Spouse's Mobile Telephone Number (If any)

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Part 2. Information About You (Applicant) (continued)
Additional Household Members
28.

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How many persons 18 years of age or older (other than your spouse if married) reside with you?

If you answered "1" or more, you MUST complete Form I-600A/I-600 Supplement 1, Listing of Adult Member of the
Household, for each person.
29.

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 9. Additional Information.
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 30. - 35., use the space provided in Part 9. Additional Information.
30.

Have you ever previously filed Form I-600A, Form I-600, Petition to Classify Orphan as an Immediate
Relative, Form I-800A, Application for Determination of Suitability to Adopt a Child From a
Convention Country, or Form I-800, Petition to Classify Convention Adoptee as an Immediate Relative?

Yes

No

If you answered "Yes," provide the following information for EACH petition and/or application:
Type of Petition/Application Filed:
Form I-600A
Result:

Approved

Form I-600

Form I-800A

Form I-800

Denied

Withdrawn

Revoked

Form I-130 (for an adopted child)

Other (please explain):
Date (mm/dd/yyyy)

31.

Have you previously completed a domestic adoption of a child within the U.S.?

Yes

No

If you answered “Yes,” provide the following information for each completed domestic adoption of a child.
State And Country Where Adoption Was Finalized

Form I-600A Edition 04/01/24

Date Adoption Was Finalized (mm/dd/yyyy)

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Part 2. Information About You (Applicant) (continued)
32.

Have you ever previously attempted to adopt a child internationally or domestically, but the adoption
was disrupted before it was finalized? An adoption is disrupted if you (or a custodian escorting the
child on your behalf) are granted legal custody or guardianship of the child but the adoptive placement
is interrupted before the adoption was finalized.

Yes

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No

If you answered “Yes,” provide a detailed description of the disruption.

33.

Have you ever previously completed an adoption, either in the United States or abroad, that was later
dissolved? An adoption is dissolved if your parental rights over the adopted child are terminated at any
time after the adoption was finalized.

Yes

No

Yes

No

Yes

No

If you answered “Yes,” provide a detailed description of the dissolution.

34.

Have you ever previously placed a child in the care of another person with the intent to transfer permanent
custody of the child?
If you answered “Yes,” provide a detailed description of the placement.

35.

Have you ever received a child with the intent to gain permanent custody but without involving child
welfare or other state/local authorities or following a state/local process?
If you answered “Yes,” provide a detailed description of the custody transfer.

Duty of Disclosure
You and your spouse (if married), must answer the following questions. See the Duty of Disclosure section in the Form I-600A
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 36. and 37., 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 9. Additional
Information.
Have you EVER, whether in or outside the United States:
36.a. Been investigated, arrested, cited, charged, indicted, convicted, fined, or imprisoned for breaking or
violating any law or ordinance? (Answer “Yes” even if the record of the arrest, conviction, or other
adverse criminal history was expunged, sealed, pardoned, or the subject of any other amelioration. Do
not include traffic violations, except for violations for driving or operating a vehicle while intoxicated or
while impaired by or under the influence of alcohol or other intoxicant.)

Yes

No

36.b. Received a pardon, amnesty, rehabilitation decree, other act of clemency, or similar action?

Yes

No

Form I-600A Edition 04/01/24

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Part 2. Information About You (Applicant) (continued)
36.c. Received a suspended sentence, been placed on probation or parole, or been in an alternative sentencing
or rehabilitation program, such as diversion, deferred prosecution, deferred or withheld adjudication, or
expungement of a criminal charge?

Yes

36.d. Been the subject of any investigation at any time, even if closed or unsubstantiated, by any child welfare
agency, court, or other official authority in any state or foreign country concerning the abuse or neglect
of any child?

Yes

No

37.a. Been investigated, arrested, cited, charged, indicted, convicted, fined, or imprisoned for breaking or
violating any law or ordinance? (Answer “Yes” even if the record of the arrest, conviction, or other
adverse criminal history was expunged, sealed, pardoned, or the subject of any other amelioration. Do
not include traffic violations, except for violations for driving or operating a vehicle while intoxicated or
while impaired by or under the influence of alcohol or other intoxicant.)

Yes

No

37.b. Received a pardon, amnesty, rehabilitation decree, other act of clemency, or similar action?

Yes

No

37.c. Received a suspended sentence, been placed on probation or parole, or been in an alternative sentencing
or rehabilitation program, such as diversion, deferred prosecution, deferred or withheld adjudication, or
expungement of a criminal charge?

Yes

No

37.d. Been the subject of any investigation at any time, even if closed or unsubstantiated, by any child welfare
agency, court, or other official authority in any state or foreign country concerning the abuse or neglect
of any child?

Yes

No

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No

Has your spouse EVER, whether in or outside the United States:

Part 3. Information About Your Home Study Preparer and/or Adoption Service Provider
Your home study:
1.a.
1.b.

IS attached to this Form I-600A.

IS NOT attached to this Form I-600A, but will be submitted within one year from the date you file this Form I-600A. (If
your home study is not received within one year, U.S. Citizenship and Immigration Services (USCIS) will deny your Form
I-600A under 8 CFR 204.3(c)(2) and (h)(5).)

Information About Your Home Study Preparer
Information About Who Prepared or Will Prepare Your Home Study
2.a. Name of Home Study Preparer

2.b. Point of Contact Within the Organization (if applicable)
Family Name (Last Name)

Given Name (First Name)

2.c. Home Study Preparer's Mailing Address and Contact Information
Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Province

Form I-600A Edition 04/01/24

Postal Code

ZIP Code

Country

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Part 3. Information About Your Home Study Preparer and/or Adoption Service Provider (continued)
2.d. Home Study Preparer's Daytime Telephone Number

2.f.

2.e. Home Study Preparer's Fax Number (if any)

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Home Study Preparer's Email Address (if any)

Information About Your Home Study Reviewer and Approver (if applicable)

If your home study was not performed by an accredited agency, an accredited agency must review and approve your home study
before you submit it to USCIS. This requirement does not apply to a home study that was prepared by a public domestic authority or a
public foreign authority.
Information About Who Reviewed And Approved (or will review and approve) Your Home Study (if applicable)
3.a. Name of Home Study Reviewer/Approver

3.b. Point of Contact Within the Organization (if applicable)
Family Name (Last Name)

Given Name (First Name)

3.c. Reviewer's/Approver's Mailing Address and Contact Information
Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Province

Postal Code

3.d. Home Study Reviewer's/Approver's Daytime Telephone
Number

3.f.

ZIP Code

Country

3.e. Home Study Reviewer's/Approver's Fax Number
(if any)

Home Study Reviewer's/Approver's Email Address (if any)

Information About Your Primary Adoption Service Provider (if applicable)
A primary adoption service provider is the accredited agency or approved person who is responsible under 22 CFR 96 for ensuring all
six adoption services defined in 22 CFR 96.2 are provided according to the law, for supervising and being responsible for supervised
providers when used (see 22 CFR 96.14), and for developing and implementing a service plan in accordance with 22 CFR 96.44.
4.

Is your home study preparer or the agency that reviewed and approved your home study also your
primary adoption service provider?

Yes

No

If you answered “Yes,” indicate which individual or organization provided in either Item Numbers 2.a. - 2.f. or Item Numbers
3.a. - 3.f. is serving as your primary adoption service provider.

If you answered “No,” you must answer Item Number 5.

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Part 3. Information About Your Home Study Preparer and/or Adoption Service Provider (continued)
5.

Have you identified another accredited agency or approved person to serve as your primary adoption service provider?
Yes, I have identified a primary adoption service provider that will be responsible for my case. Provide the name and
contact information of your primary adoption service provider in Item Numbers 6.a. - 6.e. below.

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No, I have not yet identified a primary adoption service provider that will be responsible for my case.

NOTE: If you have not identified a different agency to serve as your primary adoption service provider, the individual or
agency that prepared or reviewed and approved your home study must serve as your primary adoption service provider
when you file your Form I-600 petition on behalf of a specific child. See the General Instructions section of the Form
I-600A's Instructions for more information.

Provide the name and contact information of the primary adoption service provider that will be responsible for your case.
6.a. Name of Primary Adoption Service Provider

6.b. Point of Contact Within the Organization
Family Name (Last Name)

Given Name (First Name)

6.c. Primary Adoption Service Provider's Daytime Telephone
Number

6.d. Primary Adoption Service Provider's Fax Number
(if any)

6.e. Primary Adoption Service Provider's Email Address
(if any)

Part 4. Information About Your Intended Adoption(s)
1.

What country do you intend to adopt from (if known)?

2.

Do you or your spouse (if married) plan to travel abroad to locate or adopt a child?

Yes

No

Yes

No

If you answered “Yes” to Item Number 2., provide the following information (if available):
3.a. Your Intended Departure Date
(mm/dd/yyyy)

3.b. Your Spouse's Intended Departure Date
(mm/dd/yyyy)

3.c. Place to Which You or Your Spouse (if married) Are Traveling
City or Town

Province

Country

4.

Will you and your spouse (if married) adopt the child abroad after either you or your spouse (if married)
have personally seen and observed the child before or during the adoption proceedings?

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Part 4. Information About Your Intended Adoption(s) (continued)
5.

If you know that the child will be adopted in the United States, provide a written description of all the pre-adoption requirements
of the state of the child's proposed residence. Cite any relevant state statutes and regulations, and describe the steps you have
already taken or will take to comply with these requirements. Identify and explain any pre-adoption requirements that you
cannot meet at this time as a result of state law. If you need extra space to complete this Item Number., use the space provided
in Part 9. Additional Information.

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Where do you wish to file your Form I-600 orphan petition? (Complete one of the options below)
6.a. The USCIS office located at:
OR

6.b. The U.S. Embassy or U.S. Consulate located at:
7.

Do you plan to adopt more than one child?

8.

If you answered “Yes,” enter the number of children you plan to adopt.

Yes

No

Part 5. Applicant's Certification, Duty of Disclosure, and Signature
Applicant's Certification

I certify, under penalty of perjury, that I provided or authorized all of the responses and information contained in and submitted with
my application, I read and understand or, if interpreted to me in a language in which I am fluent by the interpreter listed in Part 7.,
understood, all of the responses and information contained in, and submitted with, my application, and that all of the responses and the
information are complete, true, and correct. Furthermore, I authorize the release of any information from any and all of my records
that USCIS may need to determine my eligibility for an immigration request and to other entities and persons where necessary for the
administration and enforcement of U.S. immigration law.

Applicant's Duty of Disclosure
I understand the ongoing duty to disclose information concerning my suitability and eligibility as an adoptive parent, as described in
the Form I-600A and/or Form I-600 Instructions, and I agree to notify my home study preparer and USCIS of any new information
that I am required to disclose.

Applicant's Signature
1.

Applicant's Signature

Date of Signature (mm/dd/yyyy)

Part 6. Your Spouse's Certification, Duty of Disclosure, and Signature
Your Spouse's Certification
I certify, under penalty of perjury, that I provided or authorized all of the responses and information contained in and submitted with
my application, I read and understand or, if interpreted to me in a language in which I am fluent by the interpreter listed in Part 7.,
understood, all of the responses and information contained in, and submitted with, my application, and that all of the responses and the
information are complete, true, and correct. Furthermore, I authorize the release of any information from any and all of my records
that USCIS may need to determine my eligibility for an immigration request and to other entities and persons where necessary for the
administration and enforcement of U.S. immigration law.

Form I-600A Edition 04/01/24

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Part 6. Your Spouse's Certification, Duty of Disclosure, and Signature (continued)
Your Spouse's Duty of Disclosure
I understand the ongoing duty to disclose information concerning my suitability and eligibility as an adoptive parent, as described in
the Form I-600A and/or Form I-600 Instructions, and I agree to notify the home study preparer and USCIS of any new information
that I am required to disclose.

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Your Spouse's Signature
1.

Your Spouse's Signature

Date of Signature (mm/dd/yyyy)

Part 7. Interpreter's Contact Information, Certification, and Signature
Interpreter's Full Name
1.

Interpreter's Family Name (Last Name)

2.

Interpreter's Business or Organization Name

Interpreter's Given Name (First Name)

Interpreter's Contact Information
3.

Interpreter's Daytime Telephone Number

5.

Interpreter's Email Address (if any)

4.

Interpreter's Mobile Telephone Number (if any)

Interpreter's Certification and Signature
I certify, under penalty of perjury, that I am fluent in English and

, and

I have interpreted every question on the application and Instructions and interpreted the applicant's and/or the applicant's spouse's (if
married) answers to the questions in that language, and the applicant and/or the applicant's spouse informed me that they understood
every instruction, question, and answer on the application.
6.

Interpreter's Signature

Form I-600A Edition 04/01/24

Date of Signature (mm/dd/yyyy)

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Part 8. Contact Information, Declaration, and Signature of the Person Preparing this Application, If
Other Than the Applicant and Spouse
Preparer's Full Name

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1.

Preparer's Family Name (Last Name)

2.

Preparer's Business or Organization Name

Preparer's Given Name (First Name)

Preparer's Contact Information
3.

Preparer's Daytime Telephone Number

5.

Preparer's Email Address (if any)

4.

Preparer's Mobile Telephone Number (if any)

Preparer's Certification and Signature

I certify, under penalty of perjury, that I prepared this application for the applicant and/or the applicant's spouse (if married) at their
request and with express consent and that all of the responses and information contained in and submitted with the application are
complete, true, and correct. The applicant and the applicant's spouse (if married) reviewed the responses and information and informed
me that they understand the responses and information in or submitted with the application.
6.

Preparer's Signature

Form I-600A Edition 04/01/24

Date of Signature (mm/dd/yyyy)

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Part 9. Additional Information
If you need extra space to provide any additional information within this application, 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 application or 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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1.

Family Name (Last Name)

2.

A-Number (if any) ► A-

3.

Page Number

Part Number

Item Number

4.

Page Number

Part Number

Item Number

5.

Page Number

Part Number

Item Number

6.

Page Number

Part Number

Item Number

Form I-600A Edition 04/01/24

Given Name (First Name)

Middle Name (if applicable)

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