Instructions For Supplement A To Form I-485, Adjustment Of Status Under Section 245(I) Page 4

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What Evidence Must You Submit to Establish Your Eligibility for Adjustment of Status under INA
Section 245(i)?
You must submit all evidence requested in these Instructions with your Supplement A. If you fail to submit required
evidence, USCIS may reject or deny Form I-485 and Supplement A for failure to submit requested evidence or supporting
documents in accordance with 8 CFR 103.2(b)(1) and these Instructions.
You must submit documentation to prove Items 1. - 4. below.
1. You:
A. Are or were the principal beneficiary of an immigrant petition or application for permanent labor certification
that was properly filed on or before April 30, 2001, and which was approvable when filed;
B. Are or were a derivative beneficiary (the principal beneficiary’s spouse or unmarried child under 21 years of age
at the time the qualifying petition or application was filed) of an immigrant petition or application for permanent
labor certification that was properly filed on or before April 30, 2001, and which was approvable when filed; or
C. Are currently the spouse or an unmarried child under 21 years of age who is eligible to accompany or follow-
to-join a principal or derivative beneficiary described in Items A. or B. above, and the principal or derivative
beneficiary is currently applying for or was granted adjustment of status under INA section 245(i).
Documentation. To prove the existence of a qualifying petition or application, submit an official document showing
either:
A. The filing or approval of the immigrant petition (Form I-797, Notice of Action), which contains the principal
beneficiary’s name; or
B. The filing or approval of the permanent labor certification application (Form ETA-750), which contains the
principal beneficiary’s name.
If you qualify to apply for adjustment of status under INA section 245(i) because you are or were a derivative
beneficiary of a qualifying petition or application, you must prove the required relationship to the principal beneficiary
by submitting a marriage certificate (for spouse) or birth certificate (for child). This evidence must show that the
claimed relationship existed at the time the qualifying petition or application was properly filed. You do not need to
show that the relationship still exists.
If you qualify to apply for adjustment of status under INA section 245(i) because you are the current spouse or an
unmarried child under 21 years of age of a person who is or was the principal or derivative beneficiary of a qualifying
petition or application, you must submit evidence of your current relationship to the principal applicant.
2. The qualifying immigrant petition or application for permanent labor certification was properly filed.
An immigrant petition is considered properly filed if the:
A. Petitioner properly signed the petition;
B. Petitioner submitted the correct filing fee; and
C. Petition was physically received at a designated USCIS office (then known as the Immigration and Naturalization
Service (INS)) on or before April 30, 2001, or was mailed with a postmark on or before April 30, 2001 (regardless
of when INS received it).
A permanent labor certification application is considered properly filed if the U.S. Department of Labor (or a
designated state workforce agency) accepted the application on or before April 30, 2001, under applicable Federal
regulations at the time.
Form I-485 Supplement A Instructions 12/13/17 N
Page 4 of 11

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