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If you believe that you need USCIS to accommodate your disabilities and/or impairments, select “Yes” and then any

applicable box in Item Number 1. of Part 4. that describes the nature of your disabilities and/or impairments. Also,

describe the types of accommodations you are requesting on the lines provided. If you are requesting a sign-language

interpreter, indicate for which language. If you need extra space to complete this section, use the space provided in

Part 8. Additional Information or attach a separate sheet of paper; type or print your name and Alien Registration

Number (A-Number) (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to

which your answer refers; and sign and date each sheet.

NOTE: All domestic USCIS facilities meet the Accessibility Guidelines of the Americans with Disabilities Act, so you

do not need to contact USCIS to request an accommodation for physical access to a domestic USCIS office. However,

in Part 4. of the application, you can indicate whether you use a wheelchair. This will allow USCIS to better prepare for

your visit.

USCIS also ensures that limited English proficient (LEP) individuals are provided meaningful access at an interview or

other immigration benefit-related appointment, unless otherwise prohibited by law. LEP individuals may bring a qualified

interpreter to the interview.

USCIS considers requests for reasonable accommodations on a case-by-case basis and we will make our best efforts to

reasonably accommodate your disabilities and/or impairments. USCIS will not exclude you from participating in USCIS

programs or deny your application because of your disabilities and/or impairments. Requesting and/or receiving an

accommodation will not affect your eligibility for an immigration benefit.

Penalties

If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-698, we will

deny your Form I-698 and may deny any other immigration benefit. In addition, you will face severe penalties provided

by law and may be subject to criminal prosecution.

USCIS Compliance Review and Monitoring

By signing this application, you have stated under penalty of perjury (28 U.S.C. section 1746) that all information and

documentation submitted with this application is complete, true, and correct. You also authorized the release of any

information from your records that USCIS may need to determine eligibility for the immigration benefit you are seeking

and consent to USCIS verifying such information.

DHS has the authority to verify any information you submit to establish eligibility for the immigration benefit you are

seeking at any time. USCIS’ legal right to verify this information is in 8 U.S.C. sections 1103, 1155, and 1184, and 8 CFR

Parts 103, 204, 205, and 214. To ensure compliance with applicable laws and authorities, USCIS may verify information

before or after your case is decided.

Agency verification methods may include, but are not limited to: review of public records and information; contact via

written correspondence, the Internet, facsimile, other electronic transmission, or telephone; unannounced physical site

inspections of residences and locations of employment; and interviews. USCIS will use the information obtained through

verification to assess your compliance with the laws and to determine your eligibility for an immigration benefit.

Subject to the restrictions under 8 CFR 103.2(b)(16), USCIS will provide you with an opportunity to address any adverse

or derogatory information that may result from a USCIS compliance review, verification, or site visit after a formal

decision is made on your case or after the agency has initiated an adverse action which may result in revocation or

termination of an approval.

Form I-698 Instructions 03/03/17 Y

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Instructions For Form I-698 - Application To Adjust Status From Temporary To Permanent Resident (Under Section 245a Of The Ina) Page 7