Instructions For Form I-817 - Application For Family Unity Benefits (Page 10 of 14) in pdf

As noted above, if all forms of primary and secondary evidence are unavailable, you must file your application with

evidence from those authorities stating that such evidence is not available. In such case, you may submit at least two

affidavits sworn to or affirmed by persons who are not parties to the application who have direct personal knowledge

of the events or circumstances. The persons making the affidavits do not have to be U.S. citizens.

Each affidavit must contain the full name, address, date and place of birth, and signature of the person attesting to the

events. The affidavit must also explain the person’s relationship to you, full information concerning the events, and

complete details of how the person acquired the information.

4. Evidence of Continuous Residence Requirements for Family Unity Applicants Under Section 301 of IMMACT 90

You must submit at least three documents that prove residence in the United States since May 5, 1988, or December 1,

1988. Such evidence may include but is not limited to:

A. Employment records, pay stubs, Form W-2s, Federal and/or state tax returns, letters from employers, or, if you are

self-employed, letters from banks and other firms with which you have done business. Your name and the name

of the employer or other interested organization must appear on the form or letter;

B. Employment letters must be in affidavit form and must be signed by the employer under penalty of perjury. The

letters must include dates of employment, your home address at the time of employment, and your duties with the

company;

C. Hospital or medical records showing treatment or hospitalization of you or your children in the United States. The

records must show the name of the medical facility or physician and the dates of the treatment or hospitalization;

D. Attestations by an official of a church, union, or other organization indicating your residence, dates of

membership, and attendance. The statement must include the organization’s seal and be on official letterhead

stationery, if available;

E. Rent receipts, utility bills, or letters from companies showing the dates when you received service;

F. School records (for example, letters and report cards) from schools you or your children have attended in the

United States that show the name of the school and periods of attendance; or

G. Any other relevant documents such as money order receipts, passport entries, insurance documents, birth

certificates of children born in the United States, correspondence between you and another person or organization,

automobile license receipts, deeds, mortgages, contracts to which you have been a party, insurance policies, etc.

5. Evidence Requirements for Family Unity Applicants Under Section 1504 of Public Law 106-554, the LIFE Act

Amendments

You must submit documents that prove entry into the United States before December 1, 1988, and residence on that

date. Such evidence may include but is not limited to:

A. At least three documents that prove entry into the United States before December 1, 1988. For example: a

photocopy of your Form I-94 Arrival-Departure Record; Form I-862, Notice to Appear; Form I-122, Notice to

Applicant for Admission Detained for Hearing Before an Immigration Judge; Form I-221, Order to Show Cause;

photocopies of other Department of Homeland Security (DHS) (including USCIS) documents, including any

application or petition for benefits under the INA filed by you or on your behalf on or prior to December 1, 1988;

or a fee receipt issued for such application or petition;

B. Other government documentation issued by a Federal, state, or local authority, provided such documentation

bears the signature, seal, or other authenticating authority; was dated at the time of issuance; and bears the date

of issuance not later than November 30, 1988, when proving entry. For example: a state driver’s license, a state

identification card issued in lieu of a driver’s license, a county or municipal hospital record, a public college or

public school transcript, income tax records, property tax payment, private or religious school transcripts (the

school having been registered with, or approved or licensed by appropriate state or local authorities, or having

been accredited by the state or regional accrediting body, or by the appropriate private school association);

Form I-817 Instructions 12/23/16 N

Page 10 of 14

Instructions For Form I-817 - Application For Family Unity Benefits Page 10

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