Form I-881 - Application For Suspension Of Deportation Or Special Rule Cancellation Of Removal (Pursuant To Section 203 Of Public Law 105-100 (Nacara)) Page 7

Download a blank fillable Form I-881 - Application For Suspension Of Deportation Or Special Rule Cancellation Of Removal (Pursuant To Section 203 Of Public Law 105-100 (Nacara)) in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form I-881 - Application For Suspension Of Deportation Or Special Rule Cancellation Of Removal (Pursuant To Section 203 Of Public Law 105-100 (Nacara)) with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Part 10. Signature

After reading the information on penalties in the instructions, complete and sign below. If someone helped you prepare this application, he or she

must complete Part 11.

I certify, under penalty of perjury under the laws of the United States of America, that this

application and the evidence submitted with it are all true and correct. Title 18, United States Code,

Section 1546, provides in part: "Whoever knowingly makes under oath, or as permitted under

penalty of perjury under Section 1746 of Title 28, United States Code, knowingly subscribes as

true, any false statement with respect to a material fact in any application, affidavit, or other

Staple your

document required by the immigration laws or regulations prescribed thereunder, or knowingly

photographs

presents any such application, affidavit, or other document which contains any such false

here

statements or which fails to contain any reasonable basis in law or fact" shall be fined in accordance

with this title or imprisoned not more than ten years, or both.

I authorize the release of any information from my record that U.S. Citizenship and Immigration

Services needs to determine eligibility for the benefit I am seeking.

WARNING: Applicants who are in the United States illegally are subject to deportation or removal if their applications are not granted by

an asylum officer or an immigration judge. Any information provided in completing this application may be used as a basis for the

institution of, or as evidence in, deportation or removal proceedings, even if the application is later withdrawn. Applicants and eligible

dependents in removal proceedings who fail to provide DHS with their biometrics or other biographical information as required within the

time allowed, except for good cause, may have their applications found abandoned by the immigration judge. If filing with USCIS,

unexcused failure to appear for an appointment to provide biometrics and other biographical information within the time allowed may

result in the dismissal or referral of your application to an Immigration Judge.

Signature of Applicant (sign in ink):

Date: (mm/dd/yyyy)

Print Name:

Write your name in your native alphabet:

Part 11. Signature of Person Preparing Form, If Other Than Above

(Read the following information and sign below.)

I declare that I have prepared this application at the request of the person named in Part 10, that the responses provided are based on all information

of which I have knowledge, or which was provided to me by the applicant, and that the completed application was read to the applicant in a language

the applicant speaks fluently for verification before he or she signed the application in my presence. I am aware that the knowing placement of false

information on the Form I-881 may subject me to civil penalties under 8 U.S.C. 1324c.

Signature of Preparer:

Print Name:

Date: (mm/dd/yyyy)

Daytime Telephone Number:

Address of Preparer: (Street Number and Name, City or Town, State, ZIP Code)

Part 12. To Be Completed at Interview or Hearing

You will be asked to complete this Part when you are before an Asylum Officer of U.S. Citizenship and Immigration Services or an immigration

judge of the Executive Office for Immigration Review (EOIR) for examination.

I swear (affirm) that I know the contents of this application that I am signing, including the attached documents and supplements, are