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pdfPetition for U Nonimmigrant Status
Department of Homeland Security
U.S. Citizenship and Immigration Services
Remarks
For
USCIS
Use
Only
USCIS
Form I-918
OMB No. 1615-0104
Expires 02/28/2026
Action Block
Receipt
DRAFT
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09/06/2024
Validity Dates (mm/dd/yyyy) Wait Listed
U.S.
/
/
/
Embassy From:
Consulate To:
/
/
/
Stamp Number
To be completed by an
attorney or accredited
representative.
Select this box if
Form G-28 or
G-28I is attached.
Date (mm/dd/yyyy)
Attorney State Bar Number
Attorney or Accredited Representative
USCIS Online Account Number
► START HERE - Type or print in black ink.
Part 1. Information About You (Person filing this petition as a victim)
1.
Your Full Legal Name (Do not provide a nickname)
Family Name (Last Name)
2.
Given Name (First Name)
Middle Name (if applicable)
Other Names Used
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 8. Additional Information.
Family Name (Last Name)
3.
Given Name (First Name)
Middle Name (if applicable)
Current Physical Address
In Care Of Name (if any)
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
Province or Region
(foreign address only)
Form I-918 Edition 04/01/24
Postal Code
(foreign address only)
ZIP Code
Country
(foreign address only)
Page 1 of 10
Part 1. Information About You (Person filing this petition as a victim) (continued)
4.
Current Mailing Address (Safe Mailing Address)
If you do not want USCIS to send notices about this petition to your physical address, you may provide a safe mailing address. If
you do not provide a mailing address below, USCIS may send correspondence to the physical address listed in Item Number 3.
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In Care Of Name (if any)
Street Number and Name
Apt. Ste. Flr. Number
City or Town
State
Province or Region
(foreign address only)
5.
Postal Code
(foreign address only)
ZIP Code
Country
(foreign address only)
Consular or Inspection Facility Information
If you are outside of the United States, provide the U.S. Consulate or inspection facility to which you would like notification
about this petition sent.
Type of Office (Select only one box):
U.S. Consulate
Pre-Flight Inspection
Port-of-Entry
City or Town
State
Country
Other Information
6.
Alien Registration Number (A-Number) (if any)
7.
► A8.
►
U.S. Social Security Number (if any)
►
9.
USCIS Online Account Number (if any)
Gender
Male
Female
Another Gender Identity
10.
Date of Birth (mm/dd/yyyy)
11.
City or Town of Birth
State or Province of Birth
Country of Birth
12.
Country of Citizenship or Nationality
13.
Marital Status
14.
Do you have a currently valid passport or travel document?
Please provide a copy of the biographical page of your passport or travel document, even if it has expired.
Yes
No
15.
Do you have a Form I-94 Arrival/Departure Record?
If you answered “Yes,” provide a copy of the document(s) with your petition.
Yes
No
Single, Never Married
Form I-918 Edition 04/01/24
Married
Divorced
Widowed
Page 2 of 10
Part 2. Additional Information and General Inadmissibility Grounds
NOTE: If you answer “Yes” to any of the below inadmissibility questions, please refer to the Form I-918 Instructions, Waiver of
Grounds of Inadmissibility section, as you may be required to file a Form I-192 waiver.
Answer Item Numbers 1. - 31. about yourself. If you answer “Yes” to any questions (or if you answer “No,” but are unsure of your
answer), provide an explanation of the events and circumstances in the space provided in Part 8. Additional Information.
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1.
Have you EVER been denied a visa or denied admission to the United States?
2.
Are you now or have you EVER been in exclusion, deportation, removal, or rescission
proceedings?
Yes
Yes
No
No
Unknown
If you answered “Yes,” to Item Number 2., select the type of proceedings. If you were in proceedings in the past and are no
longer in proceedings, provide the date of action. If you are currently in proceedings, select the box next to “Present.” If you
answered "Unknown" to Item Number 2., use the space provided in Part 8. Additional Information to provide an explanation.
You may also use the space provided in Part 8. Additional Information to provide information about more than one type of
proceeding, if necessary.
Removal
Exclusion
Date (mm/dd/yyyy)
Deportation
Rescission
Unknown
Present
3.
Have you EVER been issued a final order of exclusion, deportation, or removal?
Yes
No
4.
Have you EVER departed the United States on your own after having been ordered excluded, deported,
or removed from the United States?
Yes
No
5.
Since April 1, 1997, have you been unlawfully present in the United States:
For more than 180 days but less than a year, and then departed the United States?
Yes
No
For one year or more and then departed the United States?
Yes
No
A.
B.
NOTE: You were unlawfully present in the United States if you entered the United States without being inspected and admitted
or paroled, or if you legally entered the United States but you stayed longer than permitted.
6.
Since April 1, 1997, have you EVER reentered or attempted to reenter the United States without being inspected and admitted
or paroled after:
A.
B.
Having been unlawfully present in the United States for more than one year in the aggregate?
Yes
No
Having been deported, excluded, or removed from the United States?
Yes
No
If your answer is “Yes,” please provide an explanation including the date(s) of departure, re-entry or attempted reentry in Part
8. Additional Information.
Criminal Acts and Violations
For Item Numbers 7. - 31., you must answer “Yes” to any question that applies to you, even if your records were sealed or otherwise
cleared, or even if anyone, including a judge, law enforcement officer, or attorney, told you that you no longer have a record. You
must also answer “Yes” to the following questions whether the action or offense occurred in the United States or anywhere else in the
world. If you answer “Yes” to Item Numbers 7. - 31., use the space provided in Part 8. Additional Information to provide an
explanation that includes why you were arrested, cited, detained, or charged; where you were arrested, cited, detained, or charged;
when (date) the event occurred; and the outcome or disposition (for example, no charges filed, charges dismissed, jail, probation,
community service).
NOTE: Answering “Yes” does not mean that U.S. Citizenship and Immigration Services (USCIS) will automatically deny your
Petition for U Nonimmigrant Status.
7.
Have you EVER been arrested, cited, charged, or detained for any reason by any law enforcement official
(including but not limited to any U.S. immigration official or any official of the U.S. military official,
U.S. Coast Guard or by a similar official of a country other than the United States)?
Yes
No
8.
Have you EVER committed a crime of any kind (even if you were not arrested, cited, charged with, tried
for that crime, or convicted)?
Yes
No
Form I-918 Edition 04/01/24
Page 3 of 10
Part 2. Additional Information and General Inadmissibility Grounds (continued)
9.
Have you EVER pled guilty to or been convicted of a crime or offense (even if the violation was
subsequently expunged or sealed by a court, or if you were granted a pardon, amnesty, a rehabilitation
decree, or other act of clemency)? If you answer “Yes,” provide documentation of the post-conviction
action.
Yes
10.
Have you EVER been ordered, punished by a judge, or had conditions imposed on you that restrained
your liberty (such as a prison sentence, suspended sentence, house arrest, parole, alternative sentencing,
drug or alcohol treatment, rehabilitative programs or classes, probation, or community service)?
Yes
No
11.
Have you EVER been convicted of two or more offenses (other than purely political offenses) for which
the combined sentences to confinement were five years or more?
Yes
No
12.
Have you EVER exercised immunity (diplomatic or otherwise) to avoid being prosecuted for a criminal
offense in the United States?
Yes
No
13.
Have you EVER, while serving as a foreign government official, been responsible for or directly carried
out violations of religious freedoms?
Yes
No
14.
Have you EVER illegally trafficked or benefited from the trafficking of any controlled substances, or
knowingly aided, abetted, assisted, conspired, or colluded in the illegal trafficking of any controlled
substances or chemicals?
Yes
No
15.
Have you EVER engaged in prostitution, or do you intend to engage in any form of commercialized vice
such as prostitution, illegal gambling, bootlegging, or child pornography while in the United States?
Yes
No
Have you EVER engaged in money laundering or have you EVER knowingly aided, assisted, conspired,
or colluded with others in money laundering or do you seek to enter the United States to engage in such
activity?
Yes
No
Have you EVER trafficked, or knowingly aided, abetted, assisted, conspired, or colluded with others in
trafficking persons for commercial sex acts or involuntary servitude, peonage, debt bondage, or slavery?
Trafficking includes recruiting, harboring, transporting, providing, or obtaining a person for labor or
services through force, fraud, or coercion.
Yes
No
18.a. Engage in any activity that violates or evades any law relating to espionage (including spying) or sabotage
in the United States?
Yes
No
18.b. Engage in any activity in the United States that violates or evades any law prohibiting the export from the
United States of goods, technology, or sensitive information?
Yes
No
18.c. Engage in any activity whose purpose includes opposing, controlling, or overthrowing the U.S.
Government by force, violence, or other unlawful means while in the United States?
Yes
No
19.a. Received any weapons training, paramilitary training, or other military-type training?
Yes
No
19.b. Committed hijacking or sabotage of a conveyance (including an aircraft, vessel or vehicle), kidnapping, or
assassination?
Yes
No
19.c. Threatened, attempted, conspired to use, or used a weapon or explosive or any dangerous device with
the intent to endanger the safety of another person or people or cause substantial damage to property?
Yes
No
20.
Have you EVER assisted or participated in selling, providing, or transporting weapons to any person
who, to your knowledge, planned to use them against another person?
Yes
No
21.
Have you EVER worked, volunteered, or otherwise served in any prison, jail, prison camp, detention
facility, labor camp, or any other situation that involved detaining persons?
Yes
No
22.
Have you EVER served in, been a member of, assisted, or participated in any military unit, paramilitary
unit, police unit, self-defense unit, vigilante unit, rebel group, guerilla group, militia, insurgent
organization, or any other armed group?
Yes
No
16.
17.
No
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Security and Related
Do you intend to:
Have you EVER:
Form I-918 Edition 04/01/24
Page 4 of 10
Part 2. Additional Information and General Inadmissibility Grounds (continued)
Have you EVER ordered, incited, called for, committed, assisted, helped with, or otherwise participated in any of the following:
23.a. Acts involving torture or genocide?
Yes
No
23.b. Killing any person?
Yes
No
23.c. Intentionally and severely injuring any person?
Yes
No
23.d. Engaging in any kind of sexual contact or relations with any person who did not consent or was unable to
consent, or was being forced or threatened?
Yes
No
23.e. Limiting or denying any person's ability to exercise religious beliefs?
Yes
No
24.
Have you EVER recruited, enlisted, conscripted, or used any person under 15 years of age to serve in or
help an armed force or group?
Yes
No
25.
Have you EVER used any person under 15 years of age to take part in hostilities, or to help or provide
services to people in combat?
Yes
No
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Fraud and Misrepresentation
26.
Are you NOW under a final order or civil penalty for violating section 274C of the INA (producing and/or
using false documentation to unlawfully satisfy a requirement of the INA)?
Yes
No
27.
Have you EVER lied about, concealed, or misrepresented any information on an application or petition to
obtain a visa, other documentation required for entry into the United States, admission to the United
States, or any other immigration benefit?
Yes
No
28.
Have you EVER falsely claimed to be a U.S. citizen (in writing or any other way)?
Yes
No
Miscellaneous Conduct
29.
Do you NOW have or have you EVER had a physical or mental disorder or behavior (or a history of
behavior that is likely to recur) associated with the disorder which has posed or may pose a threat to the
property, safety, or welfare of yourself or others?
Yes
No
30.
Are you NOW or have you EVER been a drug abuser or drug addict?
Yes
No
31.
Have you EVER been convicted of desertion from the U.S. armed forces?
Yes
No
Part 3. Biographic Information
1.
Ethnicity (Select only one box)
Hispanic or Latino
2.
Not Hispanic or Latino
Race (Select all applicable boxes)
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
3.
Feet
5.
4.
Height
Inches
Black or African American
White
Weight
Pounds
Eye Color (Select only one box)
Black
Blue
Brown
Gray
Green
Hazel
Maroon
Pink
Unknown/Other
6.
Hair Color (Select only one box)
Bald (No hair)
Black
Blond
Brown
Gray
Red
Sandy
White
Unknown/Other
Form I-918 Edition 04/01/24
Page 5 of 10
Part 4. Victim Personal Statement
Please provide your personal statement in the space below, including specific details describing the qualifying criminal activity, the
harm you have suffered as a result, and your helpfulness to the certifying agency. If you need extra space to complete this section,
use the space provided in Part 9. Additional Information for Victim Personal Statement. If your personal statement is attached,
please type or print “See attached” in the space below.
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Part 5. Petitioner's Contact Information, Certification, and Signature
Petitioner's Contact Information
Provide your daytime telephone number, mobile telephone number (if any), and email address (if any).
1.
Petitioner's Daytime Telephone Number
3.
Petitioner's Email Address (if any)
2.
Petitioner's Mobile Telephone Number (if any)
Petitioner's Certification and Signature
I certify, under penalty of perjury, that I provided or authorized all of the responses and information contained in and submitted with
my petition, I read and understand or, if interpreted to me in a language in which I am fluent by the interpreter listed in Part 6.,
understood, all of the responses and information contained in, and submitted with, my petition, 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.
4.
Petitioner's Signature
Form I-918 Edition 04/01/24
Date of Signature (mm/dd/yyyy)
Page 6 of 10
Part 6. 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 (if any)
Interpreter's Given Name (First Name)
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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 petition and Instructions and interpreted the petitioner's answers to the questions in the
language listed above, and the petitioner informed me that they understood every instruction, question, and answer on the petition.
6.
Interpreter's Signature
,
Date of Signature (mm/dd/yyyy)
Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Petition, if Other
Than the Petitioner
Preparer's Full Name
1.
Preparer's Family Name (Last Name)
2.
Preparer's Business or Organization Name (if any)
Preparer's Given Name (First Name)
Preparer's Contact Information
3.
Preparer's Daytime Telephone Number
5.
Preparer's Email Address (if any)
Form I-918 Edition 04/01/24
4.
Preparer's Mobile Telephone Number (if any)
Page 7 of 10
Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Petition, if Other
Than the Petitioner (continued)
Preparer's Certification and Signature
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I certify, under penalty of perjury, that I prepared this petition for the petitioner at their request and with express consent and that all of
the responses and information contained in and submitted with the petition are complete, true, and correct and reflects only
information provided by the petitioner. The petitioner reviewed the responses and information and informed me that they understand
the responses and information in or submitted with the petition.
6.
Preparer's Signature
Form I-918 Edition 04/01/24
Date of Signature (mm/dd/yyyy)
Page 8 of 10
Part 8. Additional Information
If you need extra space to provide any additional information within this petition, use the space below. If you need more space than
what is provided, you may make copies of this page to complete and file with this petition or attach a separate sheet of paper. Type or
print your 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-918 Edition 04/01/24
Given Name (First Name)
Middle Name
Page 9 of 10
Part 9. Additional Information for Victim Personal Statement
If you need more space than what is provided, you may make copies of this page to complete and file with this petition or attach a
separate sheet of paper. Type or print your name and A-Number (if any) at the top of each sheet.
1.
Family Name (Last Name)
2.
A-Number (if any) ► A-
3.
Victim Personal Statement
Given Name (First Name)
Middle Name
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Form I-918 Edition 04/01/24
Page 10 of 10
| File Type | application/pdf |
| File Title | Form I-918, Petition for U Nonimmigrant Status |
| Author | USCIS |
| File Modified | 2024-09-06 |
| File Created | 2024-09-06 |