Instructions For Application To Register Permanent Residence Or Adjust Status (Form I-485) Page 36

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Evidence of Nationality
You must submit evidence of your Haitian nationality. If you acquired Haitian nationality other than through birth in
Haiti, provide a copy of the certificate of naturalization or certificate of citizenship issued by the Haitian government.
Evidence of Battery or Extreme Cruelty
Evidence of battery should show that your spouse or parent committed an intentional, non-consensual, harmful, or
offensive physical act of violence towards you or your child. Some examples include, but are not limited to, rape,
molestation, forced prostitution, punching, biting, kidnapping, kicking, choking, and sexual abuse.
Evidence of extreme cruelty should show that your spouse or parent committed non-physical acts of violence or threats
of violence demonstrating a pattern or intent to control you or gain your compliance. Some examples include, but are
not limited to, controlling what you do and who you see and talk to; denying access to food, family, or medical treatment;
threats of physical harm to you or your family; threats to commit suicide; or threats of deportation.
You must submit documentation demonstrating your HRIFA-eligible spouse or parent subjected you to battery or extreme
cruelty during the qualifying relationship. Evidence may include:
1. Reports and affidavits from police, judges, or other court officials;
2. Copies of legal documents relating to orders of protection or other legal processes addressing the abuse;
3. Affidavits from persons who witnessed or have knowledge of the abusive acts;
4. Reports or affidavits from medical personnel, school officials, and clergy;
5. Reports or affidavits from social workers or other social service agency personnel;
6. Documentation to show you sought safe-haven in a family violence shelter or similar place; or
7. Photographs of injuries.
Former Soviet Union and Indochinese Parolee (Lautenberg Parolees)
If you are or were a national of the former Soviet Union, Vietnam, Cambodia, or Laos who was previously denied refugee
status but then was inspected and paroled into the United States for humanitarian reasons before September 30, 2012,
you may apply for adjustment of status if you have been physically present in the United States for one year after being
paroled.
Derivative applicants are not allowed in this category.
Evidence of Financial Support
If you are filing Form I-485 as a Lautenberg parolee, you do not need to submit evidence of financial support.
Report of Medical Examination and Vaccination Record (Form I-693)
You only need to submit the full Form I-693 if your medical examination was not completed overseas or you had a Class
A condition at the time of the overseas exam. If your medical examination was completed overseas, you did not have a
Class A condition at the time of the exam, and you are applying for adjustment within two years of parole into the United
States, then you only need to submit the vaccination portion of Form I-693. (You may submit Form I-693 with your Form
I-485 or at a later time. See the Report of Medical Examination and Vaccination Record (Form I-693) section in the
What Evidence Must You Submit with Form I-485 for more information.)
Form I-485 Instructions 06/26/17 N
Page 36 of 42

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