Instructions For Form I-821 - Application For Temporary Protected Status (Page 6 of 18) in pdf

NOTE: If you were admitted to the United States by CBP at an airport or seaport after April 30, 2013, you may have

been issued an electronic Form I-94 by CBP, instead of a paper Form I-94. You may visit the CBP website at

to obtain a paper version of an electronic Form I-94. CBP does not charge a fee for this service. Some

travelers admitted to the United States at a land border, airport, or seaport, after April 30, 2013, with a passport or travel

document, who were issued a paper Form I-94 by CBP, may also be able to obtain a replacement Form I-94 from the CBP

website without charge. If your Form I-94 cannot be obtained from the CBP website, it may be obtained by filing Form

I-102, Application for Replacement/Initial Nonimmigrant Arrival-Departure Record, with USCIS. USCIS does charge a

fee for this service.

Item Number 24. Date Your Authorized Period of Stay in the United States Expired or Will Expire. Provide the

date your authorized period of stay expired or will expire in mm/dd/yyyy format. You can locate the date on your Arrival

Departure Record or Crewman’s Landing Permit. If you were admitted for Duration of Status (D/S), please note “D/S” in

the space provided.

Item Numbers 25. - 28. Passport and Travel Document Numbers. If you used a passport or travel document to travel

to the United States, enter either the passport or travel document information in the appropriate spaces on the application,

even if the passport or travel document is currently expired. If you have other valid passports, please list all of them and

provide all of the requested information about each document. If you need additional space to complete this section, use

the space provided in Part 11. Additional Information.

Item Number 29. Country of Issuance for Passport or Travel Document. Provide the country of issuance for passport

or travel document.

Item Number 30. Expiration Date for Passport or Travel Document. Provide the expiration date for passport or travel

document.

Item Number 31. Current Immigration Status (or Lack of Status). Provide your current immigration status (or lack of

status) and indicate whether or not you are now in status. For example, visitor, student, visa overstay, and no status.

Item Numbers 32. - 36.c. Immigration Proceedings. If you have ever been in any type of immigration proceeding

before the Department of Justice (DOJ), including an Immigration Court or the Board of Immigration Appeals (BIA),

or administrative removal proceedings conducted by the former Immigration and Naturalization Service (INS) or the

Department of Homeland Security (DHS), provide details. Also respond if you have been involved in any federal court

proceeding involving immigration issues. Indicate which entities conducted your proceedings, as requested on the form.

Provide all applicable responses, even if your cases involved the same immigration matter, such as when your case may

have been on appeal to the BIA or in federal court. Also provide the locations where your proceedings occurred or are

currently being held and the dates of your proceedings.

NOTE: Even if your removal, exclusion, or deportation proceedings are administratively closed, you are still “in

proceedings” until EOIR terminates or dismisses your case.

Part 3. Biographic Information

Provide the biographic information requested in Part 3., Item Numbers 1. - 6. Providing this information as part of

your application may reduce the time you spend at your USCIS ASC appointment as described in the Biometric Services

Appointment section of these Instructions.

Item Numbers 1. - 2. Ethnicity and Race. Select the boxes that best describe your ethnicity and race.

Categories and Definitions for Ethnicity and Race

(1) Hispanic or Latino. A person of Cuban, Mexican, Puerto Rican, South or Central American, or other

Spanish culture or origin, regardless of race. (NOTE: This category is only included under Ethnicity in Part

3., Item Number 1.)

(2) White. A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Form I-821 Instructions 10/19/17 N

Page 6 of 18

Instructions For Form I-821 - Application For Temporary Protected Status Page 6

Related Articles

Related forms

Related Categories