Form I-485 - Supplement A - Adjustment Of Status Under Section 245(I) Page 3
Download a blank fillable Form I-485 - Supplement A - Adjustment Of Status Under Section 245(I) 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-485 - Supplement A - Adjustment Of Status Under Section 245(I) 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
4Interpreter's Mailing Address
Part 4. Applicant's Statement, Contact
Information, Declaration, Certification, and
3.a.
Street Number
Signature (continued)
and Name
3.b.
Apt.
Ste.
Flr.
Applicant's Declaration and Certification
3.c. City or Town
Copies of any documents I have submitted are exact
photocopies of unaltered, original documents, and I understand
3.d. State
3.e. ZIP Code
that U.S. Citizenship and Immigration Services (USCIS) may
require that I submit original documents to USCIS at a later
3.f.
Province
date. Furthermore, I authorize the release of any information
from any and all of my records that USCIS may need to
3.g.
Postal Code
determine my eligibility for the immigration benefit that I seek.
3.h. Country
I furthermore authorize release of information contained in this
supplement, in supporting documents, and in my USCIS
records, to other entities and persons where necessary for the
administration and enforcement of U.S. immigration law.
Interpreter's Contact Information
I certify, under penalty of perjury, that all of the information in
4.
Interpreter's Daytime Telephone Number
my supplement and any document submitted with it were
provided or authorized by me, that I reviewed and understand
all of the information contained in, and submitted with, my
5.
Interpreter's Mobile Telephone Number (if any)
supplement and that all of this information is complete, true,
and correct.
6.
Interpreter's Email Address (if any)
Applicant's Signature
6.a.
Applicant's Signature (sign in ink)
Interpreter's Certification
I certify, under penalty of perjury, that:
6.b.
Date of Signature (mm/dd/yyyy)
I am fluent in English and
,
NOTE TO ALL APPLICANTS: If you do not completely fill
which is the same language specified in Part 4., Item Number
out this supplement or fail to submit required documents listed
1.b., and I have read to this applicant in the identified language
in the Instructions, USCIS may deny your Form I-485.
every question and instruction on this supplement and his or her
answer to every question. The applicant informed me that he or
she understands every instruction, question, and answer on the
Part 5. Interpreter's Contact Information,
supplement, including the Applicant's Declaration and
Certification, and Signature
Certification, and has verified the accuracy of every answer.
Provide the following information about the interpreter.
Interpreter's Signature
Interpreter's Full Name
Interpreter's Signature (sign in ink)
7.a.
1.a.
Interpreter's Family Name (Last Name)
7.b.
Date of Signature (mm/dd/yyyy)
1.b.
Interpreter's Given Name (First Name)
2.
Interpreter's Business or Organization Name (if any)
Page 3 of 4
Form I-485 Supplement A 06/26/17 N
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form I-485 - Supplement J - Confirmation Of Bona Fide Job Offer Or Request For Job Portability Under Ina Section 204(j)
Legal
Form 15/a - Certification And Notice Of Termination Of Registration Under Section 12(g) Of The Securities Exchange Act Of 1934 Or Suspension Of Duty To File Reports Under Sections 13 And 15(d) Of The Securities Exchange Act Of 1934
Legal
Form I-694 - Notice Of Appeal Of Decision Under Sections 245a Or 210 Of The Immigration And Nationality Act
Legal
Related Categories
Parent category: Legal