Instructions For Form I-134, Affidavit Of Support Page 2

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D. List containing serial numbers and denominations of bonds
Translations
and name of record owner(s).
Any document containing a foreign language submitted to
USCIS shall be accompanied by a full English language
Sponsor and Alien Liability
translation which the translator has certified as complete and
Under section 213 of the Act, if the person you are sponsoring
accurate, and by the translator's certification that he or she is
becomes a public charge, the agency that provides assistance
competent to translate from the foreign language into English.
may be able to sue you to recover the cost of the assistance.
Copies
In addition to that provision, your income and assets may be
combined with the income and assets of the person you are
Unless specifically required that an original document be filed
sponsoring in determining whether that person is eligible for
with an application or petition, a legible photocopy may be
Food Stamps, 7 U.S.C. 2014(i)(1), Supplemental Security
submitted. Original documents submitted when not required
Income (SSI), 42 U.S.C. 1382j, and Temporary Assistance for
may remain a part of the record.
Needy Families (TANF), 42 U.S.C. 608.
Documentation of Income and Resources
Where To File?
An alien applying for SSI must make available to the Social
Security Administration documentation concerning his or her
Where you submit the form depends on whether the alien you
income and resources and those of the sponsor, including
are sponsoring is in or outside the United States and what type
information that was provided in the corresponding
of application is being submitted. See the instructions
application.
provided with the corresponding application for detailed
An alien applying for TANF or Food Stamps must make
information on where to submit this affidavit of support.
similar information available to the State public assistance
agency.
What Is the Filing Fee?
The U.S. Secretary of Health and Human Services and the
U.S. Secretary of Agriculture are authorized to obtain copies
of any such documentation submitted to U.S. Citizenship and
There is no filing fee for Form I-134.
Immigration Services, (USCIS) or the U.S. Department of
State and to release such documentation to a State public
assistance agency.
Address Changes
Joint and Several Liability Issues
If you have changed your address, you must inform USCIS of
Sections 1621(e) of the Social Security Act and
your new address. For information on filing a change of
subsection 5(i) of the Food Stamp Act also provide that an
address go to the USCIS Web site at
alien and his or her sponsor shall be "jointly and severally
addresschange
or contact the USCIS National Customer
liable" to repay any SSI, TANF, or Food Stamp benefits that
Service Center at 1-800-375-5283. For TDD (hearing
are incorrectly paid because of misinformation provided by a
impaired) call: 1-800-767-1833.
sponsor or because of a sponsor's failure to provide
information, except where the sponsor was without fault or
NOTE: Do not submit a change of address request to the
where good cause existed. "Jointly and severally liable" means
USCIS Lockbox facilities because the USCIS Lockbox
the alien and sponsors are each liable up to the full amount of
facilities do not process change of address requests.
any repayment due.
Incorrect payments that are not repaid will be withheld from
any subsequent payments for which you or your sponsor are
otherwise eligible under the Social Security Act or Food
Stamp Act.
These provisions do not apply to SSI, TANF, or Food
Stamp eligibility of aliens admitted as refugees, granted
asylum or Cuban/Haitian entrants as defined in section
501(e) of P.L. 96-422, and to dependent children of the
sponsor or sponsor's spouse.
Form I-134 Instructions 12/17/12 Y Page 2

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