Instructions For Form I-817 - Application For Family Unity Benefits Page 8

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This evidence can vary, depending on the circumstances of your relationship.
(1) If your mother is the legalized alien, submit a copy of the front and back of your birth certificate showing
your mother’s name.
(2) If you were born in wedlock and the legalized alien is your natural father, submit a copy of the front and
back of your birth certificate showing your father’s name, your parents’ marriage certificate, and proof of
termination of any of their prior marriages. If your father’s name is not on the birth certificate, please provide
other proof of paternity, such as a court order of acknowledgment/paternity.
(3) If you are the legitimated child of a legalized alien father, submit a copy of the front and back of your birth
certificate and evidence of your legitimation. Legitimation is established by the marriage certificate of your
natural parents or by documents of legitimation issued by civil authorities. The legitimation must have
occurred while you were unmarried and prior to your 18th birthday. You must also submit evidence of any
legal termination of your parents’ prior marriages, if your legitimation resulted from your natural parents’
marriage to each other.
(4) If you were born out of wedlock and the legalized alien is your natural father, submit a copy of the front and
back of your birth certificate showing your father’s name. You must provide evidence showing that a valid
parent-child relationship exists.
Such evidence may include, but is not limited to:
(a) Money order receipts or canceled checks showing your father’s financial support;
(b) Your father’s income tax returns;
(c) Your father’s medical or insurance records showing you as a beneficiary;
(d) Your school records;
(e) Your father’s work documents showing you as a beneficiary; or
(f) Correspondence and/or notarized affidavits from witnesses who are knowledgeable about the relationship.
(5) If the legalized alien is your stepparent, whether or not you were born in wedlock, you must provide
evidence showing that you had not reached 18 years of age at the time of the marriage creating your status
as a stepchild. Submit a copy of the front and back of your birth certificate showing the name of your
natural parent to whom your stepparent is married. You must also provide a copy of the front and back of
the marriage certificate that created the stepparent-stepchild relationship and evidence of termination of any
previous marriages of your natural parent and stepparent.
(6) If you are the adopted child of a legalized alien parent, submit a certified copy of the front and back of your
adoption decree showing that you were adopted while under 16 years of age; a copy of the front and back
of the legal custody decree (including any official stamps or seals on the document) if your custody was
obtained before adoption; and a statement showing the dates and places where you and your adoptive parents
have lived together.
NOTE: If you or your parent had a name change, you must submit the document authorizing the name change.
2. Requesting Initial Family Unity Benefits Under Section 1504 of Public Law 106-554, LIFE Act Amendments
Copies of following documents are evidence that the required relationship exists and that you may be eligible to file
an initial application:
A. If the alien eligible for adjustment under the LIFE Act is your spouse, submit a copy of the front and back of a
registered marriage certificate. If you or your spouse were married previously, submit a copy of a final divorce
decree or death certificate.
B. If the alien eligible for adjustment under the LIFE Act is your parent, provide evidence of a valid parent-child
relationship. This evidence can vary depending on the circumstances of your relationship:
(1) If your mother is the alien eligible for adjustment under the LIFE Act, submit a copy of the front and back of
your birth certificate showing your mother’s name.
Form I-817 Instructions 12/23/16 N
Page 8 of 14

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