Instructions For Form I-854 - Inter-Agency Alien Witness And Informant Record Page 2

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USCIS will consider only qualifying relatives identified at the time of filing
as
accompanying or following to join the alien
witness or informant.
The LEA must attach proof
of family relationship, biological data, and grounds of inadmissibility
for
each named qualifying relative.
Request for an S Nonimmigrant to File for Adjustment of Status to Lawful Permanent Resident (Form I-854B)
The LEA that originally requested the S classification must submit a request to allow a nonimmigrant in an S classification
to file for adjustment to lawful permanent resident status, pursuant to INA section 245(j) and 8CFR 245.11, and may file the
request until the alien has fulfilled the terms and conditions of his or her S classification.
The sponsoring LEA must attach all relevant documentation establishing that the alien has fulfilled the terms and conditions
of his or her S classification and related recommendations to the request on Form I-854B.
Only the derivative beneficiaries named on the request for S classification are eligible to adjust status pursuant to
8 CFR 245.11.
General Instructions
USCIS provides forms free of charge through the USCIS Web site. In order to view, print, or fill out our forms, you should
use the latest version of Adobe Reader, which you can download for free at
Each form must be properly signed and filed. USCIS will not accept a photocopy of a signed form or a typewritten name in
place of a signature. If you are under 14 years of age, your parent or legal guardian may sign the form on your behalf.
Read the instructions and carefully complete all relevant parts of this form. You must use a separate form for each alien
witness and/or informant requested.
Evidence. At the time of filing, you must submit all evidence and supporting documentation listed in the Required Docu-
mentation section of these instructions.
Copies. You may submit a legible photocopy of documents requested, unless the instructions specifically state that you
must submit an original document. If you submit original documents when not required, the documents may remain a part
of the record, and USCIS will not automatically return them to you.
Translations. If you submit a document with information in a foreign language, you must also submit a full English
translation. The translator must certify that the English language translation is complete and accurate, and that he or she is
competent to translate from the foreign language into English.
How To Fill Out Forms I-854A and I-854B
1.
Type or print legibly in black ink. Failure to answer all questions will delay the processing of this form and may result
in its denial.
2.
If you need extra space to complete any item within this form, attach a separate sheet of paper; type or print your
name, the name of the alien, and the LEA requestor 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. You should make copies of
these completed forms for your records.
3.
Answer all questions fully and accurately. If an item is not applicable or the answer is “none,” type or print “N/A,”
unless otherwise directed.
Provide exact information about the request you are making (e.g., for S classification waivers of grounds of
inadmissibility or adjustment of status) and complete and attach all necessary certifications and documentation.
4.
Form I-94 Arrival-Departure Record. If U.S. Customs and Border Protection (CBP) or USCIS issued the alien a
Form I-94, Arrival-Departure Record, provide his or her I-94 admission number and date that his or her authorized
period of stay expires or expired (as shown on the Form I-94). The I-94 admission number also is known as the
Departure Number on some versions of Form I-94.
Form I-854AB Instructions 07/13/17 N
Page 2 of 6

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