Instructions For Form I-817 - Application For Family Unity Benefits (Page 11 of 14) in pdf

C. Non-governmental documents that include actual dates. For example: employment records, pay stubs, employer

letters, or if self-employed, letters from banks and other firms with which you have done business (your name

and the name of the employer or interested organization must appear on the form or letter and must be in affidavit

form, signed by the employer, under penalty of perjury, and must include dates of employment, home address

at the time of employment, and duties with the company); hospital or medical records showing hospitalization

or treatment showing the name of the medical facility or physician and dates of the treatment; and attestation by

a church official, union, or other organization indicating your residence, dates of membership, and attendance,

including the organization’s seal and letterhead; or

D. Other relevant documents, including but not limited to: rent receipts, credit card statements, utility bills, money

orders, passport entries, insurance documents, birth certificate of child born in the United States, automobile

license receipts, deeds, mortgages, and contracts to which you have been a party.

6. Request for Extension of Family Unity Benefits

The following documents are evidence that the required relationship existed on May 5, 1988 or December 1, 1988,

and that you may be eligible to file an application for extension of Family Unity benefits:

A. A copy of the front and back of the document issued by USCIS to your legalized alien spouse or parent (for

example, Form I-551, Permanent Resident Card, or N-550, Certificate of Naturalization);

B. If the legalized alien through whom Family Unity benefits were obtained is a lawful permanent resident or

naturalized U.S. citizen, evidence that Form I-130, Petition for Alien Relative, was filed on your behalf;

NOTE: This evidence is only required if the relationship to the legalized alien still exists.

C. Evidence that you were granted Family Unity benefits in the past;

D. A list of all trips you made outside the United States since you were last granted Family Unity benefits. This

statement must include the dates and reason for each absence. If you have not been outside the United States

since your last Form I-817 was approved, provide a statement affirming this fact;

E. A list of all your residences in the United States since your last Form I-817 was approved; and

F. Fingerprints, if you were under 14 years of age when your last Form I-817 was approved, but are now 14 years of

age or older, or if USCIS requests them, as part of the biometric services.

What Is the Filing Fee?

The filing fee for Form I-817 is $600. A biometric services fee of $85 is also required for applicants 14 years of age or

older.

NOTE: The filing fee and biometric services fee are not refundable, regardless of any action USCIS takes on this

application. DO NOT MAIL CASH. You must submit all fees in the exact amounts.

Use the following guidelines when you prepare your checks or money orders for the Form I-817 filing fee and

biometric services fee:

1. The check or money order must be drawn on a bank or other financial institution located in the United States and must

be payable in U.S. currency; and

2. Make the checks or money orders payable to U.S. Department of Homeland Security.

NOTE: Spell out U.S. Department of Homeland Security; do not use the initials “USDHS” or “DHS.”

Notice to Those Making Payment by Check. If you send us a check, USCIS will convert it into an electronic funds

transfer (EFT). This means we will copy your check and use the account information on it to electronically debit your

account for the amount of the check. The debit from your account will usually take 24 hours and your bank will show it

on your regular account statement.

Form I-817 Instructions 12/23/16 N

Page 11 of 14

Instructions For Form I-817 - Application For Family Unity Benefits Page 11