Instructions For Form I-817 - Application For Family Unity Benefits Page 4

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6. On May 5, 1988, I was the unmarried child of a legalized alien who adjusted status under section 202 of the
Immigration Reform and Control Act of 1986 (Cuban/Haitian Adjustment), and I currently meet all of the necessary
residence and other continuous eligibility requirements.
If all of the above are applicable, select Item Number 1.f.
7. I am the spouse of a person who is eligible for and has a pending adjustment of status adjustment of status application
or was granted adjustment of status under section 1104 of Public Law 106-5534, the LIFE Act. I entered the United
States before December 1, 1988, and resided in the United States on that date.
If all of the above are applicable, select Item Number 1.g.
8. I am the unmarried child under 21 years of age of a person who is eligible for and has a pending application or was
granted adjustment of status under section 1104 of Public Law 106-5534, the LIFE Act. I entered the United States
before December 1, 1988, and resided in the United States on that date.
If all of the above are applicable, select Item Number 1.h.
NOTE: When a legalized alien becomes a U.S. citizen, his or her spouse and unmarried children under 21 years of
age will be eligible to apply for an immigrant visa or to adjust status as lawful permanent residents. If you are eligible
to apply for an immigrant visa abroad, you must follow the U.S. Department of State requirements. To apply for
adjustment of status, you must follow the requirements from the INA and 8 CFR.
A. If you are requesting:
(1) Initial Family Unity benefits under section 301 of IMMACT 90. Select Item Number 2.a. if this is your first
application requesting Family Unity benefits;
(2) An extension of Family Unity benefits under section 301 of IMMACT 90. Select Item Number 2.b. if you
already have benefits under the Family Unity Program and are requesting an extension. You must submit the
following:
(a) Evidence that Form I-130, Petition for Alien Relative, was filed on your behalf, if applicable, and that
the legalized alien through whom you obtained Family Unity benefits is a lawful permanent resident or
naturalized U.S. citizen; or
(b) Proof that you no longer have a relationship with your spouse or the legalized alien; and
(c) A copy of your prior Form I-817 approval notice.
(3) Initial Family Unity benefits under section 1504 of Public Law 106-554, the LIFE Act Amendments. Select
Item Number 2.c. if this is your first application requesting Family Unity benefits under the LIFE Act, as
amended; or
(4) An extension of Family Unity benefits under section 1504 of Public Law 106-554, the LIFE Act
Amendments. Select Item Number 2.d. if you already have benefits under section 1504 of Public Law
106-554 and are requesting an extension.
NOTE: If you previously qualified for Family Unity benefit under section 1504, you may be eligible to apply
for benefits under section 301 of IMMACT 90. To determine if you are eligible for Family Unity Benefits
Program, go to Part 2. Basis for Application in the Specific Instructions section of these Instructions.
Specific Instructions
Form I-817 is divided into Parts 1. - 9. The following information will help you fill out the application.
Part 1. Information About You
Item Number 1. Alien Registration Number (A-Number) (if any). This is your 9-digit file number. If you do not have
an A-Number or do not know it, leave this blank. If your A-Number has 8 digits, place a zero before the first number
(example: A12345678 must be written A012345678).
Form I-817 Instructions 12/23/16 N
Page 4 of 14

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