Form I-360 - Petition For Amerasian, Widow(Er), Or Special Immigrant Page 8
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19Part 7. Complete Only If Filing as a Widow/Widower (continued)
5.
At time of death, your spouse was a (Select only one):
A.
U.S. citizen born in the United States
B.
U.S. citizen born abroad to U.S. citizen parents
C.
U.S. citizen through naturalization
►
(1)
Provide A-Number (if any)
A-
D.
Other (Explain)
6.
How many times have you been married?
7.
How many times was your spouse married?
8.
A.
When did you and your spouse get married (mm/dd/yyyy)?
B.
Where did you and your spouse get married?
9.
A.
Did you remarry after the death of your spouse?
Yes
No
B.
If you answered "Yes" to Item A. in Item Number 9., provide the date that you remarried (mm/dd/yyyy).
10.
If you are filing as a widow(er), were you legally separated at the time of the U.S. citizen's death?
Yes
No
NOTE: If you answered "Yes" to Item Number 10., provide an explanation in the space provided in Part 15. Additional
Information.
Part 8. Complete Only If Filing for a Special Immigrant Juvenile
Information About the Juvenile
1.
List any other names used:
A.
Family Name (Last Name)
Given Name (First Name)
Middle Name
B.
Family Name (Last Name)
Given Name (First Name)
Middle Name
Answer the following questions regarding the person for whom the petition is being filed. If you answer "No" to Item A. in Item
Number 2., provide an explanation in the space provided in Part 15. Additional Information.
Have you been declared dependent on a juvenile court in the United States OR has a juvenile court
2.
A.
Yes
No
legally committed you to, or placed you under the custody of, an agency, department of a state, or an
individual or entity?
B.
Provide the name of the state agency, department, or court-appointed organization or individual with which you are placed
below.
C.
Are you currently under the jurisdiction of the juvenile court that made your placement or custody
Yes
No
determination identified in Item B. in Item Number 2. above?
Form I-360 12/23/16 N
Page 8 of 19
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