Instructions For Form I-912 - Request For Fee Waiver (Page 3 of 11) in pdf

How to File Form I-912

You must file this fee waiver request with all applications and petitions for which you are requesting a fee waiver. You

do not have to file a separate Form I-912 for the filing fee and the biometric services fee. If USCIS approves your Form

I-912, we will waive both the filing fee and biometric services fee.

You may file one Form I-912 for all family-related applications or petitions filed at the same time. For example, if you file

Form I-765, Application for Employment Authorization, and your spouse and children are filing separate Form I-765s at

the same time, you only need to file one Form I-912 for all Form I-765s. You must send all forms together.

General Instructions

USCIS provides all forms free of charge. The latest versions are available at In order to best

view, print, or fill out our forms, you should use the latest version of Adobe Reader, which you can download for free at

If you do not have Internet access or have questions about this request, you may call the USCIS

National Customer Service Center at 1-800-375-5283 and ask that we mail a form to you. For TTY (deaf or hard of

hearing) call: 1-800-767-1833.

Signature. Each request must be properly signed and filed. For all signatures on this request, USCIS will not accept a

stamped or typewritten name in place of a signature. If you are under 14 years of age, your parent or legal guardian may

sign the request on your behalf. A legal guardian may also sign for a mentally incompetent person.

Evidence. At the time of filing, you must submit all evidence and supporting documentation required under the Specific

Instructions section of these Instructions.

Copies. You may submit legible photocopies of documents requested, unless these Instructions specifically state that you

must submit an original document. USCIS may request an original document at the time of filing or at any time during

processing of an application, petition, or request. If you submit original documents when not required, the documents

may remain a part of the record, and USCIS will not automatically return them to you.

Translations. If you submit a document with information in a foreign language, you must also submit a full English

translation. The translator must sign a certification that the English language translation is complete and accurate, and that

he or she is competent to translate from the foreign language into English.

How To Fill Out Form I-912

1. Type or print legibly in black or dark blue ink. If a section does not apply to you, type or print “N/A,” which stands

for “not applicable.” Fully and accurately answer all questions that apply to the basis for your request.

2. If you need extra space to complete any item within this request, use the space provided in Part 11. Additional

Information. You may also attach as many separate sheets of paper as needed; type or print your name and Alien

Registration Number (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.

Specific Instructions

Part 1. Basis for Your Request

Item Numbers 1. - 3. Select a basis for your request. You are not required to complete the entire section of this request.

Rather, select one basis or more for which you may qualify and complete the corresponding section as explained below in

Parts 4., 5., and 6.

Part 2. Information About You (Requestor)

Form I-912 Instructions 04/25/16 Y

Page 3 of 11

Instructions For Form I-912 - Request For Fee Waiver Page 3