Form I-918 A I-918 A Petition for Qualifying Family Member of U-1 Recipient

Supplement A, Petition for Qualifying Family Member
of U-1 Recipient
Department of Homeland Security
U.S. Citizenship and Immigration Services
Remarks

For
USCIS
Use
Only

USCIS
Form I-918 SupA
OMB No. 1615-0104
Expires 02/28/2026

Action Block

Receipt

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Validity Dates (mm/dd/yyyy) Wait Listed
U.S.
/
/
/
Embassy From:
Consulate To:
/
/
/
Stamp Number

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

To be completed by an
attorney or accredited
representative.

Date (mm/dd/yyyy)

Attorney State Bar Number

Attorney or Accredited Representative
USCIS Online Account Number

► START HERE - Type or print in black ink.
NOTE: The recipient of the U-1 nonimmigrant classification is referred to as the “principal petitioner.” The principal should
complete Supplement A.

Part 1. Filing Information

Spouse

Parent

Child

Unmarried sibling under 18 years of age

1.

The family member I am filing for is my:

2.

Are you filing this supplement together with your Form I-918, Petition for U Nonimmigrant Status?

3.

If you answered “No” to Item Number 2., is your Form I-918 petition:
Pending

Received Bona Fide Determination

Placed on the Waiting List

Yes

No

Approved

Part 2. General Information About You (Principal Petitioner (Victim))
1.

Your Full Legal Name (Do not provide a nickname)
Family Name (Last Name)

2.

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 Sup A Edition 04/01/24

Postal Code
(foreign address only)

ZIP Code

Country
(foreign address only)

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Part 2. General Information About You (Principal Petitioner (Victim)) (continued)
3.

Current Mailing Address (Safe Mailing Address)
If you do not want USCIS to send notices about this supplement 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 2.

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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)

4.

Postal Code
(foreign address only)

ZIP Code

Country
(foreign address only)

U.S. Consular or Inspection Facility Notification
Type of Office (Select only one box):
City or Town

U.S. Consulate
State

Pre-Flight Inspection

Port-of-Entry

Country

Other Information About You (Principal Petitioner (Victim))
5.

Date of Birth (mm/dd/yyyy)

6.

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

7.

USCIS Online Account Number (if any)
►

► A-

Part 3. Information About Your Qualifying Family Member
1.

Your Qualifying Family Member's 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 your qualifying family member has used, including aliases, maiden names, and nicknames. If you need
extra space to complete this section, use the space provided in Part 10. Additional Information.
Family Name (Last Name)

3.

Given Name (First Name)

Middle Name (if applicable)

Current or Intended Physical Address in the United States
Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Form I-918 Sup A Edition 04/01/24

ZIP Code

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Part 3. Information About Your Qualifying Family Member (continued)
Other Information About Your Qualifying Family Member
4.

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

5.

►

► A6.

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U.S. Social Security Number (if any)
►

USCIS Online Account Number (if any)

8.

Date of Birth (mm/dd/yyyy)

9.

City or Town of Birth

7.

Gender
Male

Female

Another Gender Identity

State or Province of Birth

Country of Birth

10.

Country of Citizenship or Nationality

11.

Marital Status

12.

Does your qualifying family member have a currently valid passport or travel document?
Please provide a copy of the biographical page(s) of their passport or travel document, even if it has expired.

Yes

No

13.

Does your qualifying family member have a Form I-94, Arrival/Departure Record?
If you answered “Yes,” provide a copy of the document with the Form I-918A.

Yes

No

Single, Never Married

Married

Divorced

Widowed

Part 4. Additional Information About Your Qualifying Family Member
Information About Your Qualifying Family Member's Prior Marriage(s)
1.

Your Qualifying Family Member's Prior Spouse 1
Family Name (Last Name)

2.

Date Marriage Ended
(mm/dd/yyyy)

4.

How did this marriage end?

Given Name (First Name)

3.

Annulled

Middle Name (if applicable)

Country Where Marriage Ended

Divorced

Spouse Deceased

Other (Explain)

Employment Authorization Document
5.

Is your qualifying family member requesting an Employment Authorization Document (EAD)?

Yes

No

NOTE: If your qualifying family member is living outside the United States, they are NOT eligible to receive employment
authorization until they are lawfully admitted to the United States.

Form I-918 Sup A Edition 04/01/24

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Part 5. Arrival/Departure 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.
Item Numbers 1. - 30., about the qualifying family member for whom you are filing this Supplement A. 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 10. Additional Information.

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For the purposes of this supplement, you must answer “Yes” to the following questions, if applicable, even if your qualifying family
member's records were sealed or otherwise cleared or if anyone, including a judge, law enforcement officer, or attorney, told your
qualifying family member that he or she no longer has a record.
1.

Has your qualifying family member EVER been denied a visa or denied admission to the United States?

2.

Is your qualifying family member presently or has your qualifying family member 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 your qualifying family member was in
proceedings in the past and is no longer in proceedings, provide the date of action. If they are currently in proceedings, select
the box next to “Present.” If you answered “Unknown” to Item Number 2., use the space provided in Part 10. Additional
Information to provide an explanation. You may also use the space provided in Part 10. 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.

Has your qualifying family member EVER been issued a final order of exclusion,
deportation, or removal?

4.

Has your qualifying family member EVER departed the United States on their own after having been
ordered excluded, deported, or removed from the United States?

5.

Since April 1, 1997, has your qualifying family member been unlawfully present in the United States:
A.
B.

Yes

No

Unknown

Yes

No

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

NOTE: Your qualifying family member was unlawfully present in the United States if they entered the United States without
being inspected and admitted or paroled, or if they legally entered the United States but they stayed longer than permitted.
6.

Since April 1, 1997, have they EVER reentered or attempted to reenter the United States without being inspected and admitted
or paroled after:
A.

Having been unlawfully present in the United States for more than one year in the aggregate?

Yes

No

B.

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
10. Additional Information.

Criminal Acts and Violations
For Item Numbers 7. - 30., you must answer “Yes” to any question that applies to your qualifying family member, even if their
records were sealed or otherwise cleared, or even if anyone, including a judge, law enforcement officer, or attorney, told them they no
longer have a record. You must also answer “Yes” to the following questions whether the action or offense occurred here in the
United States or anywhere else in the world. If you answer “Yes” to Item Numbers 7. - 30., use the space provided in Part 10.
Additional Information to provide an explanation that includes why your qualifying family member was arrested, cited, detained, or
charged; where they 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 necessarily mean that U.S. Citizenship and Immigration Services (USCIS) will deny your
Supplement A, Petition for Qualifying Family Member of U-1 Recipient.
Form I-918 Sup A Edition 04/01/24

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Part 5. Arrival/Departure Information and General Inadmissibility Grounds (continued)
7.

Has your qualifying family member 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. armed forces or U.S. Coast Guard or by a similar official of a country other than the United
States)?

Yes

8.

Has your qualifying family member EVER committed a crime of any kind (even if they were not
arrested, cited, charged with, tried for that crime, or convicted)?

Yes

No

9.

Has your qualifying family member 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 answered “Yes,” provide documentation of the
post-conviction action.

Yes

No

10.

Has your qualifying family member EVER been ordered, punished by a judge, or had conditions imposed
on them that restrained their 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.

Has your qualifying family member 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.

Has your qualifying family member EVER exercised immunity (diplomatic or otherwise) to avoid being
prosecuted for a criminal offense in the United States?

Yes

No

13.

Has your qualifying family member EVER, while serving as a foreign government official, been
responsible for or directly carried out violations of religious freedoms?

Yes

No

14.

Has your qualifying family member 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.

Has your qualifying family member EVER engaged in prostitution, or do they 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

16.

Has your qualifying family member EVER engaged in money laundering or has your qualifying family
member EVER knowingly aided, assisted, conspired, or colluded with others in money laundering or are
they seeking to enter the United States to engage in such activity?

Yes

No

17.

Has your qualifying family member 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

No

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Security and Related
Does your qualifying family member intend to:

Has your qualifying family member EVER:

Form I-918 Sup A Edition 04/01/24

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Part 5. Arrival/Departure Information and General Inadmissibility Grounds (continued)
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.

Has your qualifying family member EVER assisted or participated in selling, providing, or transporting
weapons to any person who, to their knowledge, planned to use them against another person?

Yes

No

21.

Has your qualifying family member 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.

Has your qualifying family member 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

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Has your qualifying family member 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.

Has your qualifying family member 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.

Has your qualifying family member 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

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.

Has your qualifying family member 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.

Has your qualifying family member EVER falsely claimed to be a U.S. citizen (in writing or any other
way)?

Yes

No

Miscellaneous Conduct
29.

Has your qualifying family member EVER been convicted of desertion from the U.S. armed forces?

Yes

No

30

Has your qualifying family member NOW or have they EVER been a drug abuser or addict?

Yes

No

Part 6. Biographic Information About Your Qualifying Family Member
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

Form I-918 Sup A Edition 04/01/24

Black or African American
White

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Part 6. Biographic Information About Your Qualifying Family Member (continued)
3.

Height
Feet

5.

4.

Weight

Inches

Pounds

Eye Color (Select only one box)

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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

Part 7. Principal Petitioner's Contact Information, Certification, and Signature
Principal Petitioner's Contact Information

Provide your daytime telephone number, mobile telephone number (if any), and email address (if any).
1.

Principal Petitioner's Daytime Telephone Number

3.

Principal Petitioner's Email Address (if any)

2.

Principal Petitioner's Safe Daytime Telephone Number

Principal 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 supplement, I read and understand or, if interpreted to me in a language in which I am fluent by the interpreter listed in Part 8.,
understood, all of the responses and information contained in, and submitted with, my supplement, 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

Date of Signature (mm/dd/yyyy)

Qualifying Family Member's Signature
NOTE: Principal petitioners and qualifying family members (or parent or legal guardian, if applicable) who are physically present in
the same country must both sign the Supplement A. If principal petitioners and qualifying family members (or parent or legal
guardians) are not both physically present in the same country, just the principal petitioner must sign the Supplement A.
I certify, under penalty of perjury, that all of the information provided about me in this supplement and any document(s) submitted
with it are true and correct.
5.

Qualifying Family Member's Signature

Form I-918 Sup A Edition 04/01/24

Date of Signature (mm/dd/yyyy)

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Part 8. 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)

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Interpreter's Contact Information
3.

Interpreter's Daytime Telephone Number

5.

Interpreter's Email Address

4.

Interpreter's Mobile Telephone Number

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 supplement and Instructions and interpreted the petitioner's answers to the questions in
that language, and the petitioner informed me that they understood every instruction, question, and answer on the supplement.
6.

Interpreter's Signature

Date of Signature (mm/dd/yyyy)

Part 9. Contact Information, Declaration, and Signature of the Person Preparing this Supplement, if
Other Than the Petitioner
Preparer's Full Name
1.

Preparer's Family Name (Last Name)

2.

Preparer's Business or Organization

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 Sup A Edition 04/01/24

4.

Preparer's Mobile Telephone Number (if any)

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Part 9. Contact Information, Declaration, and Signature of the Person Preparing this Supplement, if
Other Than the Petitioner (continued)
Preparer's Certification and Signature
I certify, under penalty of perjury, that I prepared this supplement for the petitioner at their request and with express consent and that
all of the responses and information contained in and submitted with the supplement 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 supplement.
6.

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Preparer's Signature

Form I-918 Sup A Edition 04/01/24

Date of Signature (mm/dd/yyyy)

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Part 10. Additional Information
If you need extra space to provide any additional information within this supplement, 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 supplement or attach a separate sheet of paper.
Type or print your name and A-Number 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)

Given Name (First Name)

2.

A-Number

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

Middle Name (if applicable)

► A-

Form I-918 Sup A Edition 04/01/24

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