Instructions For Form I-821 - Application For Temporary Protected Status (Page 9 of 18) in pdf

Part 9. Interpreter’s Contact Information, Certification, and Signature

Item Numbers 1.a. - 7.b. If you used anyone as an interpreter to read the Instructions and questions on this application to

you in a language in which you are fluent, the interpreter must fill out this section, provide his or her name, the name and

address of his or her business or organization (if any), his or her daytime telephone number, his or her mobile telephone

number (if any), and his or her email address (if any). The interpreter must sign and date the application.

Part 10. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than

the Applicant

Item Numbers 1.a. - 8.b. This section must contain the signature of the person who completed your application, if other

than you, the applicant. If the same individual acted as your interpreter and your preparer, that person should complete

both Part 8. and Part 9. If the person who completed this application is associated with a business or organization, that

person should complete the business or organization name and address information. Anyone who helped you complete

this application MUST sign and date the application. A stamped or typewritten name in place of a signature is not

acceptable. If the individual person who helped you prepare your application is an attorney or accredited representative

whose representation extends beyond preparation of this application, he or she may be obliged to also submit a completed

Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, or G-28I, Notice of Entry of

Appearance as Attorney In Matters Outside the Geographical Confines of the United States along with your application.

Part 11. Additional Information

Item Numbers 1.a. - 7.d. If you need extra space to provide any additional information within this application, use the

space provided in Part 11. Additional Information. If you need more space than what is provided in Part 11., you may

make copies of Part 11. to complete and file with your application, or attach a separate sheet of paper. Type or print your

name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to

which your answer refers; and sign and date each sheet.

We recommend that you print or save a copy of your completed application to review in the future and

for your records. We recommend that you review your copy of your completed application before you

come to your biometric services appointment at a USCIS ASC. At your appointment, USCIS will permit

you to complete the application process only if you are able to confirm, under penalty of perjury, that all of

the information in your application is complete, true, and correct. If you are not able to make that attestation

in good faith at that time, USCIS will require you to return for another appointment.

General Requirements

1. What documents should you submit?

NOTE: You do not need to provide original documents with this application unless USCIS requests that you provide

the originals of any copies you submit.

You must provide USCIS copies of documents to prove you are a national of a country designated for TPS (or have no

nationality and last habitually resided in a country designated for TPS), your date of entry into the United States, and

your U.S. residence. In addition:

Documentation Exception: If you are filing this application for re-registration (Part 1., Item Number 1.b., of

Form I-821), you do not have to submit any copies of documentation. However, USCIS may ask you for additional

information and/or documentation in certain circumstances.

Form I-821 Instructions 10/19/17 N

Page 9 of 18

Instructions For Form I-821 - Application For Temporary Protected Status Page 9