Instructions For Form I-912 - Request For Fee Waiver (Page 10 of 11) in pdf

Part 11. Additional Information

Item Numbers 1. - 6. If you need extra space to provide any additional information within this request, use the space

provided in Part 11. Additional Information. If you need more space than what is provided in Part 11., you may make

copies of Part 11. to complete and file with your request, or attach a separate sheet of paper. Include your name and

A-Number (if any) at the top of each sheet and indicate the Page Number, Part Number, and Item Number to which

your answer refers.

We recommend that you print or save a copy of your completed request to review in the future

and for your records.

What Is the Filing Fee?

There is no filing fee for Form I-912.

Where To File?

Mail your Form I-912, along with the completed USCIS applications or petitions, and all supporting documentation

according to the Where to File section in the Instructions of the application or petitions for which you are requesting a fee

waiver.

Processing Information

Decision. The decision on Form I-912 involves a determination of whether you have established eligibility for the fee

waiver. USCIS will notify you of the decision in writing. If USCIS denies your fee waiver request, the notice will include

information on resubmitting your application or petition. For certain immigration benefits, you may have only a limited

period of time in which to resubmit your application or petition with the proper filing fee. Please review the Instructions

for the application or petition for which you want USCIS to consider a fee waiver to determine when to refile.

Penalties

If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-912, USCIS

will deny your fee waiver request and may deny any other immigration benefit. In addition, you may face severe penalties

provided by law and may be subject to criminal prosecution.

USCIS Privacy Act Statement

AUTHORITIES: The information requested on this request, and the associated evidence, is collected under the

Immigration and Nationality Act, section 286, and 8 CFR 103.7(c).

PURPOSE: The primary purpose for providing the requested information on this request is to determine if you have

established eligibility for the immigration benefit for which you are filing. The Department of Homeland Security (DHS)

will use the information you provide to grant or deny the immigration benefit you are seeking.

DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and

any requested evidence, may delay a final decision in your case or result in denial of your request and rejection of your

application or petition based on non-payment of the filing fee.

Form I-912 Instructions 04/25/16 Y

Page 10 of 11

Instructions For Form I-912 - Request For Fee Waiver Page 10