Instructions For Form I-601a - Application For Provisional Unlawful Presence Waiver (Page 13 of 21) in pdf

Part 9. Additional Information

Item Numbers 1.a. - 7.d. If you need extra space to provide any additional information within this application, use the

space provided in Part 9. Additional Information. If you need more space than what is provided in Part 9., you may

make copies of Part 9. 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.

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

your records. We recommend that you review your copy of your completed application before you come to

your biometric services appointment at a USCIS ASC. At your appointment, USCIS will permit you to complete

the application process only if you are able to confirm, under penalty of perjury, that all of the information in your

application is complete, true, and correct. If you are not able to make that attestation in good faith at that time,

USCIS will require you to return for another appointment.

What Evidence Must I Submit With Form I-601A?

You must submit all evidence requested in these Instructions with your application. If you fail to submit required

evidence, USCIS may reject or deny your application for failure to submit requested evidence or supporting documents

in accordance with 8 CFR 103.2(b)(1) and these Instructions.

If you are unable to submit the required primary evidence (for example, a birth certificate or marriage certificate), you

may provide secondary evidence (for example, court orders, church or school records) instead if you can explain why the

primary evidence is unavailable. If you are unable to submit secondary evidence, you may submit two or more affidavits,

sworn to or affirmed by individuals who are not parties to the immigration benefit sought and who have direct personal

knowledge of the event and circumstances. You must also explain why primary and secondary evidence are unavailable.

Immigrant Visa Petition Approval Notice or DOS Electronic Diversity Visa Entrant Status Check Print Out

You must submit a copy (if available) of the USCIS approval notice (Form I-797, Notice of Action) for the immigrant visa

petition (Form I-130, Form I-140, or Form I-360) that was filed on your (or your spouse’s or parent’s) behalf or that you

used to self-petition on your behalf. If the immigrant visa petition was filed on your spouse’s or parent’s behalf, you must

submit evidence establishing your relationship to your spouse or parent. See the Relationship to Qualifying Relative

section in these Instructions for a list of evidence that can be submitted. If you are a DV Program selectee or derivative,

you must submit a printout from the DV Entrant Status Check page of the DOS Electronic Diversity Visa system, that

confirms you (or your spouse or parent) are a DV Program selectee. If you are a DV program derivative spouse or child,

you must also submit evidence establishing your relationship to the DV program selectee. See the Relationship to

Qualifying Relative section in these Instructions for a list of evidence that can be submitted.

Having a copy of the immigrant visa petition approval notice or printout from the DV Entrant Status Check page of the

DOS Electronic Diversity Visa system showing you are a DV Program selectee will assist USCIS in processing your

application for a provisional unlawful presence waiver.

Failure to provide a copy of the petition approval notice or printout from the DV Entrant Status Check page of the DOS

Electronic Diversity Visa system will not, by itself, result in a denial of your application. However, failure to provide

a copy of these documents may result in processing delays or in the rejection of your application. See the Specific

Instructions section of these Instructions for more information.

DOJ EOIR Administrative Closure Order

You must submit a copy (required where applicable) of the administrative closure order issued by EOIR.

Approval Notice (Form I-797, Notice of Action) for Form I-212, Application for Permission to Reapply for

Admission into the United States After Deportation or Removal

Form I-601A Instructions 12/23/16 N

Page 13 of 21

Instructions For Form I-601a - Application For Provisional Unlawful Presence Waiver Page 13