Form I-821 - Application For Temporary Protected Status - U.s. Citizenship And Immigration Services Page 9
Download a blank fillable Form I-821 - Application For Temporary Protected Status - U.s. Citizenship And Immigration Services in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form I-821 - Application For Temporary Protected Status - U.s. Citizenship And Immigration Services with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
1129.d.
Are you NOW the spouse or child of, or are you yourself,
Part 4. Eligibility Standards (continued)
an alien who knowingly aided, abetted, assisted,
23.
Have you EVER been a member of, assisted in, or
conspired, or colluded with a human trafficker?
participated in any group, unit, or organization of any
Yes
No
kind in which you or other persons used any type of
weapon against any person or threatened to do so?
29.e.
Within the previous 5 years, have you EVER obtained
any financial or other benefit from the human trafficking
Yes
No
activity of your spouse (including former spouses) or
24.
Have you EVER assisted with or participated in selling or
parents, and
knew,
or reasonably should have
known,
that
providing weapons to any person who to your knowledge
the financial or other benefit was the product of such
used them against another person, or in transporting
illicit activity?
Yes
No
weapons to any person who to your knowledge used them
against another person?
30.a.
Are you NOW or have you EVER engaged in money
Yes
No
laundering as described in section 1956 or 1957 of Title
25.
Have you EVER received any type of military,
18, United States Code?
Yes
No
paramilitary, or weapons training?
Yes
No
30.b.
Are you NOW or have you EVER been a knowing aider,
26.
Have you EVER unlawfully voted in a United States
abettor, assister, conspirator, or colluder with others in
Federal, state, or local election?
money laundering?
Yes
No
Yes
No
27.
Have you EVER claimed to be a United States citizen (in
31.
Have you EVER been responsible for or directly carried
writing or in any other way)?
out particularly severe violations of religious freedom, as
Yes
No
defined in section 3 of the International Religious Freedom
28.a.
Have you EVER recruited, enlisted, conscripted, or used
Act of 1998 (22 U.S.C. section 6402) while serving as a
any person under age 15 to serve in or help an armed
foreign government official?
Yes
No
force or group?
Yes
No
32.
Has an immigration judge or the Board of Immigration
28.b. Have you EVER used any person under age 15 to take
Appeals EVER determined that you filed a frivolous
asylum application in the past?
part in hostilities or to help or provide services to people
Yes
No
in combat?
Yes
No
NOTE ABOUT WAIVERS: A TPS applicant must be
29.a.
Have you EVER committed or conspired to commit
admissible under the applicable grounds in section 212 of the
human trafficking offenses, as defined in the section 103
Immigration and Nationality Act (INA). USCIS may grant a
of the Victims of Trafficking and Violence Protection Act
discretionary waiver for some, but not all, of the applicable
of 2000, in the United States or outside the United States?
inadmissibility grounds based on humanitarian, family unity, or
Yes
No
public interest reasons.
29.b.
Have you EVER knowingly aided, abetted, assisted,
If you answered “Yes” to certain Item Numbers in Part 4., you
conspired, or colluded with a human trafficker?
may be eligible for a waiver of some of the grounds of
inadmissibility. Please see the General Requirements section
Yes
No
of Form I-821 instructions for further information.
29.c. Are you NOW the spouse or child of an alien who
Form I-601, Application for Waiver of Grounds of
committed or conspired to commit human trafficking
Inadmissibility, is the application used to request a waiver.
offenses?
Yes
No
Please read the special instructions related to TPS applicants
on Form I-601. The form is available at local USCIS offices,
on our Web site at , or by calling the
USCIS toll-free forms line at 1-800-870-3676. For TDD (deaf
or hard of hearing) call: 1-800-767-1833.
For USCIS Use Only
Form I-821 12/23/16 Y
Page 9 of 11
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form I-914 - Supplement A, Application For Family Member Of T-1 Recipient - U.s. Citizenship And Immigration Services
Legal
Form I-601 - Application For Waiver Of Grounds Of Inadmissibility - U.s. Citizenship And Immigration Services
Legal
Form I-102 - Application For Replacement/initial Nonimmigrant Arrival-departure Document - U.s. Citizenship And Immigration Services
Legal
Form I-864a - Contract Between Sponsor And Household Member - U.s. Citizenship And Immigration Services
Legal
Related Categories
Parent category: Legal