Instructions For Form I-601a - Application For Provisional Unlawful Presence Waiver (Page 16 of 21) in pdf

You may, however, provide secondary evidence (records maintained in the ordinary course of business by any individual

or organization other than DHS) to support your claim that you were admitted or paroled.

If no secondary evidence is available, you may submit written statements, signed under penalty of perjury under United

States law, from yourself and from any other individuals who have personal knowledge of the circumstances of your

claimed admission or parole.

Extreme Hardship

You may submit any evidence to support your claim that your qualifying relative would experience extreme hardship if

you are refused admission to the United States and your U.S. citizen or LPR spouse or parent must remain in the United

States without you or relocate abroad to reside with you outside of the United States. Factors USCIS considers when

determining extreme hardship include, but are not limited to:

1. Health. Examples include: Ongoing or specialized treatment required for a physical or mental condition, availability

or quality of such treatment in the foreign country, anticipated treatment duration, whether the condition is long term,

and whether it is chronic or acute;

2. Financial considerations. Examples include: Future employability, loss due to sale of home or business or

termination of a professional practice, a decline in standard of living, ability to recoup short-term losses, cost of

extraordinary needs (such as special education or training for children with special needs), or the cost of care for

family members such as elderly or sick parents;

3. Education. Examples include: Loss of opportunity for higher education, lower quality or limited scope of education

options, disruption of a current program, requirement to be educated in a foreign language or culture with ensuing loss

of time or grade, and availability of special requirements, such as training programs or internships in specific fields;

4. Personal considerations. Examples include: Close relatives in the United States and country of birth or citizenship,

separation from spouse or children, ages of involved parties, and length of residence and community ties in the United

States; and

5. Special factors. Examples include: Cultural, language-related, religious, and ethnic obstacles; valid fears of

persecution, physical harm, or injury; social ostracism or stigma; and lack of access to social institutions or structures

(official or unofficial) that provide support, guidance, or protection.

Evidence of extreme hardship includes, but is not limited to:

1. Expert opinions;

2. Evidence of employment or business ties (for example, payroll records or tax statements);

3. Evidence of monthly expenditures (for example, receipts from mortgage, rental or bill payments);

4. Other financial records that support any claimed financial hardships;

5. Medical documentation or evaluations by medical professionals that support any claimed medical hardships;

6. Records of membership in community organizations or confirmation of volunteer service, and evidence of cultural

affiliations;

7. Certificates of birth, marriage, or adoption that support any claimed family ties;

8. Affidavits or statements signed under the penalty of perjury (as permitted by 28 USC 1746), or letters from the

qualifying relative or other individuals with personal knowledge of the claimed hardships.

9. Country condition reports; and

10. Any other evidence you believe supports the claimed extreme hardships.

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

Page 16 of 21

Instructions For Form I-601a - Application For Provisional Unlawful Presence Waiver Page 16