Form I-918 - Supplement A - Petition For Qualifying Family Member Of U-1 Recipient Page 8
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12I understand that USCIS may require me to appear for an
Part 7. Petitioner's Statement, Contact
appointment to take my biometrics (fingerprints, photograph,
Information, Declaration, and Signature
and/or signature) and, at that time, if I am required to provide
NOTE: Read the Penalties section of the Form I-918
biometrics, I will be required to sign an oath reaffirming that:
Instructions before completing this part.
1) I provided or authorized all of the information
contained in, and submitted with, my supplement;
Petitioner's Statement
2) I reviewed and understood all of the information in,
and submitted with, my supplement; and
NOTE: Select the box for either Item Number 1.a. or 1.b.
3) All of this information was complete, true, and
If applicable, select the box for Item Number 2.
correct at the time of filing.
I can read and understand English, and I have read and
1.a.
I certify, under penalty of perjury, that all of the information in
understand every question and instruction on this
my supplement and any document submitted with it were
supplement and my answer to every question.
provided or authorized by me, that I reviewed and understand
The interpreter named in Part 9. read to me every
1.b.
all of the information contained in, and submitted with, my
question and instruction on this supplement and my
supplement, and that all of this information is complete, true,
answer to every question in
and correct.
,
Petitioner's Signature
a language in which I am fluent, and I understood
everything.
6.a.
Petitioner's Signature (sign in ink)
2.
At my request, the preparer named in Part 10.,
,
6.b. Date of Signature (mm/dd/yyyy)
prepared this supplement for me based only upon
information I provided or authorized.
NOTE TO ALL PETITIONERS: If you do not completely
fill out this supplement or fail to submit required documents
Petitioner's Contact Information
listed in the Instructions, USCIS may deny your supplement.
3.
Petitioner's Daytime Telephone Number
Part 8. Qualifying Family Member's Statement,
Contact Information, Declaration, and Signature
4.
Petitioner's Mobile Telephone Number (if any)
NOTE: Read the Penalties section of the Form I-918
Instructions before completing this part.
Petitioner's Email Address (if any)
5.
Qualifying Family Member's Statement
NOTE: Select the box for either Item Number 1.a. or 1.b. If
Petitioner's Declaration and Certification
applicable, select the box for Item Number 2.
Copies of any documents I have submitted are exact photocopies
I can read and understand English, and I have read and
1.a.
of unaltered, original documents, and I understand that USCIS
understand every question and instruction on this
may require that I submit original documents to USCIS at a later
supplement and my answer to every question.
date. Furthermore, I authorize the release of any information
The interpreter named in Part 9. read to me every
1.b.
from any of my records that USCIS may need to determine my
question and instruction on this supplement and my
eligibility for the immigration benefit I seek.
answer to every question in
I further authorize release of information contained in this
,
supplement, in supporting documents, and in my USCIS records
a language in which I am fluent, and I understood
to other entities and persons where necessary for the
everything.
administration and enforcement of U.S. immigration laws.
2.
At my request, the preparer named in Part 10.,
,
prepared this supplement for me based only upon
information I provided or authorized.
Page 8 of 12
Form I-918 Supplement A 02/07/17 N
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