Form I-914 Instructions For Application For T Nonimmigrant Status (Page 6 of 14) in pdf

19. Family Member’s Prior Marriage(s) Information. If your family member was previously married, list the names

of his or her prior spouse(s), the dates the previous marriage terminated, the location where and how the marriage(s)

terminated.

20. U.S. Consulate or Inspection Facility Where You Want Notification Sent. If your family member is outside the

United States, indicate the U.S. Consulate or inspection facility you want notified if the Form I-914, Supplement A, is

approved.

21. Foreign Address Where You Want Notification Sent. If your family member is outside the United States, indicate

the address where you want notification sent if the Form I-914, Supplement A, is approved.

22. Immigration History. Give your family member’s immigration proceedings history, if any.

23. Employment Authorization. If the Form I-914, Supplement A, is approved for your family member, he or she

is authorized to work. Check the box to indicate if you are applying for an Employment Authorization Document

(EAD) as evidence of your family member’s authorization to work. If you indicate “Yes,” each family member must

also file Form I-765 with the appropriate fee or request for fee waiver. The Form I-765 can be filed with the Form

I-914, Supplement A, or at a later time. If your family member is living outside the United States, he or she is not

eligible to receive employment authorization until he or she is lawfully admitted to the United States. Do not file

Form I-765 for a family who is living outside of the United States.

Part E. Processing Information

You must answer each question about your family member. If you answer “Yes” to any of the questions, explain on a

separate sheet of paper.

Part F. Applicant’s Statement, Contact Information, Declaration, Certification, and Signature

Select the appropriate box to indicate whether you read this application yourself or whether you had an interpreter assist

you. If someone assisted you in completing the application, select the box indicating that you used a preparer. Further,

you must sign and date your application and provide your daytime telephone number, mobile telephone number (if any),

and email address (if any). Every application MUST contain the signature of the applicant (or parent or legal guardian, if

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

NOTE: If the family member for whom you are filing is in the United States, he or she must sign and date the

application. If he or she does not sign or date the application, then Form I-914, Supplement A, will be returned as

incomplete.

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

If you used anyone as an interpreter to read the instructions and questions on this application 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 application.

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

the Applicant

This section must contain the signature of the person who completed your application, if other than you, the applicant. If

the same individual acted as your interpreter and your preparer, that person should complete both Part G. and Part H.

If the person who completed this application is associated with a business or organization, that person should complete

the business or organization name and address information. Anyone who helped you complete this application MUST

sign and date the application. A stamped or typewritten name in place of a signature is not acceptable. If the person

who helped you prepare your application is an attorney or accredited representative, he or she may be obliged to also

submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, along with your

application.

Form I-914 Instructions 02/27/17 Y

Page 6 of 14

Form I-914 Instructions For Application For T Nonimmigrant Status Page 6

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