Application For Relief Under Former Section 212(C) Of The Immigration And Nationality Act (Ina) (Page 8 of 11) in pdf

Favorable factors that USCIS (or an immigration judge if you are in deportation, exclusion, or removal proceedings)

considers include but are not limited to:

1. Family ties in the United States;

2. Length of lawful residence in the United States;

3. Hardship to you or other family members who are living lawfully in the United States;

4. Honorable service in the U.S. Armed Forces;

5. History of lawful employment in the United States;

6. Property or business ties in the United States;

7. Value or service to the community;

8. Proof of genuine rehabilitation or reform;

9. Absence of other violations of U.S. laws (Federal or State); and

10. Good moral character.

You must submit information or documentary evidence showing that you are eligible for this type of relief and why the

application should be approved because the favorable factors in your case outweigh the unfavorable factors.

Part 9. Applicant’s Statement, Contact Information, Certification, and Signature

Item Numbers 1. - 6. 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.

Part 10. Interpreter’s Contact Information, Certification, and Signature

Item Numbers 1. - 7. 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 11. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than

the Applicant

Item Numbers 1. - 8. 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 10. and Part 11. 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 prepare 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.

Part 12. Additional Information

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

space provided in Part 12. Additional Information. If you need more space than what is provided in Part 12., you may

make copies of Part 12. to complete and file with your application, or attach a separate sheet of paper. Type or print your

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

which your answer refers, and sign and date each sheet.

Form I-191 Instructions 12/23/16 N

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Application For Relief Under Former Section 212(C) Of The Immigration And Nationality Act (Ina) Page 8