Instructions For Request For Reduced Fee (Form I-942) (Page 5 of 7) in pdf

Item Number 8. Change in Income. Indicate whether any information (including marital status, income, and list of

dependents) in your Federal tax returns is different from what you indicate in Form I-942. Provide the reasons for any

changes in circumstances and any differences between the tax returns and information in your Form I-942.

Part 4. Requestor’s Statement, Contact Information, Certification, and Signature

Item Numbers 1. - 6. Select the appropriate box to indicate whether you read this request yourself or whether you had

an interpreter assist you. If someone assisted you in completing the request, select the box indicating that you used a

preparer. Further, you must sign and date your request and provide your daytime telephone number, mobile telephone

number (if any), and email address (if any). Every request MUST contain the signature of the requestor (or parent or

legal guardian, if applicable). A stamped or typewritten name in place of a signature is not acceptable.

Item Numbers 7. - 10. Each person applying for a reduced fee must sign and date Form I-942. This includes family

members identified in Part 2. A legal guardian may sign the request on behalf of the applicant. USCIS will reject any

Form I-942 that is not signed by all individuals requesting a reduced fee.

If the information provided by the requestor in Part 4. is not applicable to a family member identified in Part 2. (for

example, the family member used a different interpreter or speaks a different language), that individual should complete

Part 5.

Part 5. Family Member’s Statement, Contact Information, Certification, and Signature

NOTE: If the information provided by the requestor in Part 4. is not applicable to a family member identified in

Part 2., (for example, the family member used a different interpreter or speaks a different language) that individual should

complete Part 5. Make additional copies of Part 5. for each family member to sign, as applicable, and include the pages

with your completed Form I-942. USCIS will reject any Form I-942 that is not signed by all individuals requesting a

reduced fee.

Item Numbers 1. - 6. Select the appropriate box to indicate that you, the family member, either read this request yourself

or someone interpreted this request for you from English to a language in which you are fluent. If applicable, select the

box to indicate if someone prepared this request for you. Further, you must sign and date your request and provide your

daytime telephone number, mobile telephone number (if any), and email address (if any). Every request MUST contain

the signature of the requestor (or parent or legal guardian, if applicable). A stamped or typewritten name in place of a

signature is not acceptable.

Part 6. Interpreter’s Contact Information, Certification, and Signature

NOTE for Family Members: If you used a different interpreter than the one used by the requestor, make additional

copies of Part 6., provide the following information, and include the pages with your completed Form I-942.

Item Numbers 1. - 9. If you used anyone as an interpreter to read the Instructions and questions on this request to you in

a language in which you are fluent, the interpreter must fill out this section, provide his or her name, the name and address

of his or her business or organization (if any), his or her daytime telephone number, his or her mobile telephone number

(if any), and his or her email address (if any). The interpreter must sign and date the request.

Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Request, if Other Than the

Requestor

NOTE for Family Members: If you used a different preparer than the one used by the requestor, make additional copies

of Part 7., provide the following information, and include the pages with your completed Form I-942.

Form I-942 Instructions 12/23/16

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Instructions For Request For Reduced Fee (Form I-942) Page 5