Form I-914 Instructions For Application For T Nonimmigrant Status (Page 14 of 14) in pdf

Form I-914 Instructions For Application For T Nonimmigrant Status Page 14

Checklist

Fill out the checkboxes. This will ensure that you have completed the form properly.

1. I completely filled out and signed the form.

2. I have attached evidence that:

A. I am or have been a victim of a severe form of trafficking;

B. I am physically present in the United States, American Samoa, or the Commonwealth of the Northern

Mariana Islands, or at a port of entry, on account of trafficking, or I have been allowed entry into

the United States to participate in investigative or judicial processes associated with the an act or

perpetrator of trafficking;

C. I am cooperating with Federal, State, or local law enforcement authorities in the investigation or

prosecution of the trafficker(s) (unless under 18 years of age or I am unable to cooperate with such

requests due to physical or psychological trauma); and

D. I would suffer extreme hardship involving unusual and severe harm upon removal from the United

States.

3. I have included a personal narrative statement.

If I am applying for one or more family members:

1. I have completed Form I-914, Supplement A for each family member for whom I am now applying and, if he or

she is in the United States, each family member has signed that Form I-914, Supplement A.

2. I have submitted the required evidence, including evidence of:

A. My relationship to the family member for whom I am applying;

B. My age, if I am applying for my parent or unmarried sibling under the age of 18;

C. My child’s age, if I am applying for my child;

D. My sibling’s age, if I am applying for my unmarried sibling; and

E. If applicable, present danger of retaliation as a result of my escape from trafficking or my cooperation

with law enforcement.

3. I will or have filed Form I-765 with the appropriate fee or request for fee waiver, for each family member

requesting an Employment Authorization Document (EAD).

Form I-914 Instructions 02/27/17 Y

Page 14 of 14

Form I-914 Instructions For Application For T Nonimmigrant Status Page 14