Form I-918 - Supplement A - Petition For Qualifying Family Member Of U-1 Recipient Page 4
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12Information About Arrests, Citations, Detentions, or Charges
Part 5. Processing Information
2.a
Why was your family member arrested, cited, detained, or
Answer the following questions about the family member for
charged?
whom you are filing this supplement. For the purposes of this
supplement, you must answer "Yes" to the following questions,
if applicable, even if your family member's records were sealed
2.b.
Date of arrest, citation, detention, or charge (mm/dd/yyyy)
or otherwise cleared or if anyone, including a judge, law
enforcement officer, or attorney, told your family member that
he or she no longer has a record.
Where was your family member arrested, cited, detained, or
NOTE: If you answer “Yes” to ANY question in Part 5.,
charged?
provide an explanation in the space provided in Part 11.
2.c.
City or Town
Additional Information.
NOTE: Answering "Yes" does not necessarily mean that U.S.
2.d.
State
Citizenship and Immigration Services (USCIS) will deny your
Supplement A, Petition for Qualifying Family Member of U-1
2.e.
Country
Recipient.
Has your family member EVER:
2.f.
Outcome or disposition (for example, no charges filed,
1.a.
Committed a crime or offense for which he or she has not
charges dismissed, jail, probation)
been arrested?
Yes
No
Been arrested, cited, or detained by any law enforcement
1.b.
officer (including Department of Homeland Security
3.a
Why was your family member arrested, cited, detained, or
(DHS), former Immigration and Nationalization Service
charged?
(INS), and military officers) for any reason?
Yes
No
3.b.
Date of arrest, citation, detention, or charge (mm/dd/yyyy)
1.c.
Been charged with committing any crime or offense?
Yes
No
Where was your family member arrested, cited, detained, or
Been convicted of a crime or offense (even if the violation
1.d.
charged?
was subsequently expunged or pardoned)?
3.c.
City or Town
Yes
No
3.d.
State
Been placed in an alternative sentencing or a rehabilitative
1.e.
program (for example, diversion, deferred prosecution,
3.e.
Country
withheld adjudication, deferred adjudication)?
Yes
No
3.f.
Outcome or disposition (for example, no charges filed,
1.f.
Received a suspended sentence, been placed on probation,
charges dismissed, jail, probation)
or been paroled?
Yes
No
1.g.
Been held in jail or prison?
Yes
No
1.h.
Been the beneficiary of a pardon, amnesty, rehabilitation,
or other act of clemency or similar action?
Yes
No
1.i.
Exercised diplomatic immunity to avoid prosecution for a
criminal offense in the United States?
Yes
No
Page 4 of 12
Form I-918 Supplement A 02/07/17 N
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