Instructions For Form I-800 - Petition To Classify Convention Adoptee As An Immediate Relative - Department Of Homeland Security Page 4

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Mailing Address - Give your mailing address, if different
General Instructions
from your home address. Include province and postal
code, if applicable.
Step 1. Fill Out Form I-800
Number 4 - Provide the requested information about your
1. Type or print legibly in black ink.
marital status and your spouse, if married.
2. If extra space is needed to complete any item, attach a
Part 2. Processing Information
continuation sheet, indicate the part and the number of the
item, and date and sign each sheet. In addition, write your
Numbers 1 through 5 - Provide the requested information.
name and USCIS Account Number, and the child's current
legal name at the top of each sheet of paper.
Part 3. Information About Beneficiary
3. Answer all questions fully and accurately. State that an
(Convention adoptee)
item is not applicable with "N/A." If the answer is none,
write "None."
Numbers 1 through 8 - Provide the requested information. If
you need more space to complete an answer, use a separate
This form is divided into Parts 1 through 6 as well as one
sheet of paper.
supplement. Form I-800, Supplement 1, must be completed
if you wish to give written consent for USCIS to disclose
Number 9 - Check the box to indicate which documents are
information about your case to your primary adoption service
being submitted with your application.
provider.
Numbers 10 through 27 - Provide the requested information.
The following information will help you fill out the form.
If you need more space to complete an answer, use a separate
sheet of paper.
Part 1. Information About You
Number 1 - Provide the requested information about you.
Part 4. Information About Fees, Expenses, and
Other Compensation
Family Name (Last Name) - Use your legal name. If you
have two last names, include both and use a hyphen (-)
Numbers 1 and 2 - Provide the requested information. If you
between the names, if appropriate.
need more space to complete an answer, use a separate
Other Names Used - Give any other names used or by
sheet of paper.
which you have been known. Include maiden names,
aliases, etc.
Part 5. Certification and Signature of You, the
Prospective Adoptive Parent(s)
USCIS Account # - This is the unique USCIS Account
Number assigned to you when you filed your original
The "Signature" block of Form I-800 must be executed by
Form I-800A. This number can be found on the Notice of
you, the petitioner. If married, your spouse must execute the
Approval of your Form I-800A and on any correspondence
"Signature of Spouse." Failure to do so will result in the
sent to you by USCIS pertaining to the Convention
rejection of Form I-800.
adoption. If married, your spouse will have his or her own
Account Number assigned by USCIS.
NOTE: One spouse cannot sign for the other, even under a
Date of Birth - Use eight numbers to show your date of
power of attorney or similar agency arrangement.
birth. (Example: May 1, 1979, must be written
05/01/1979).
Part 6. Signature of Person Preparing Form, if
Other Than Petitioner
Place of Birth - Give the name of the place where you
were born. Include the city, State or province, and
1. If you did not complete Form I-800, the preparer who filled
country.
out the petition must also sign, date, and give his or her
Home Address - Give your physical street address where
address.
you actually reside. This must include a street number and
name or a rural route number. Do not put a post office box
2. If the preparer is a business or organization, its name must
(P.O. Box) number here.
be included on the petition.
Form I-800 Instructions 03/10/17 N Page 4

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