USCIS
Petition for U Nonimmigrant Status
Form I-918
Department of Homeland Security
OMB No. 1615-0104
U.S. Citizenship and Immigration Services
Expires 02/28/2019
Action Block
Remarks
Receipt
For
USCIS
Use
Only
Validity Dates (mm/dd/yyyy)
Wait Listed
U.S.
From:
/
/
/
Embassy
Consulate
To:
/
/
/
Stamp Number
Date (mm/dd/yyyy)
Attorney State Bar Number
Attorney or Accredited Representative
Select this box if
To be completed by an
(if applicable)
USCIS Online Account Number (if any)
Form G-28 is
attorney or accredited
attached.
representative (if any).
►
START HERE - Type or print in black or blue ink.
Part 1. Information About You (Person filing this
Safe Mailing Address (if other than Home Address)
petition as a victim)
4.a.
In Care Of Name
1.a. Family Name
(Last Name)
1.b. Given Name
4.b.
Street Number
(First Name)
and Name
1.c. Middle Name
4.c.
Apt.
Ste.
Flr.
4.d. City or Town
Other Names Used (Include maiden name, nicknames, and
aliases, if applicable)
4.e. State
4.f.
ZIP Code
2.a. Family Name
(Last Name)
4.g.
Province
2.b. Given Name
(First Name)
4.h.
Postal Code
2.c. Middle Name
4.i.
Country
Home Address
3.a.
Street Number
Other Information
and Name
5.
Alien Registration Number (A-Number) (if any)
3.b.
Apt.
Ste.
Flr.
►
A-
3.c. City or Town
6.
U.S. Social Security Number (if any)
3.d. State
3.e. ZIP Code
►
3.f.
Province
7.
USCIS Online Account Number (if any)
►
3.g.
Postal Code
8.
Marital Status
3.h. Country
Single
Married
Divorced
Widowed
Page 1 of 11
Form I-918 02/07/17 N