Form I-212 - Application For Permission To Reapply For Admission Into The United States After Deportation Or Removal - 2005
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4OMB No. 1615-0018; Exp. 11-30-05
I-212, Application for Permission to Reapply for Admission
Department of Homeland Security
Into the United States After Deportation or Removal
U.S. Citizenship and Immigration Services
Instructions
Submit application in duplicate.
III. What Must Accompany Your Application?
I. Persons Permitted to Reapply for
Admission Without Filing This Application.
A.
Attach all correspondence that you have in your
A.
Persons who were excluded from admission and
possession relating to your deportation or removal.
removed or deported more than one year ago.
B.
If you have listed any relative under Item 18 on the form,
B.
Persons who voluntarily departed from the United
you must submit documentary evidence of your
States without expense to the U.S. Government and
relationship to that person. In addition, if such person is a
without an order of removal or deportation having
U.S. citizen, you must submit proof of his or her
been entered.
citizenship. If he or she is not a U S. citizen, you must
furnish such person's full name, date and place of birth
C.
Persons who have been outside the United States for
and place of admission to the United States, and his or her
five successive years following their last removal or
Alien Registration Number (A#), if known.
deportation.
If you wish, you may attach a statement giving the facts
C.
II. Where to Submit Your Application.
that you believe USCIS should consider in making a
decision on your application. You may attach any
A.
If you are abroad and intend to apply for an immigrant
evidence in support of your statement.
visa, submit the application to the District Director of
the U.S. Immigration and Citizenship Services (USCIS)
of the district where your removal or deportation
IV.
What Is the Fee?
proceedings were held, unless you are concurrently
applying for a waiver of inadmissability under section
You must pay a fee of $265.00 for filing this application.
212 (g), (h) or (i) of the Immigration and Nationality Act
(INA), as amended. USCIS is comprised of offices of
The fee cannot be refunded, regardless of the action taken
the former Immigration and Naturalization Service
on the application. Do not mail cash. All fees must be
(INS).
submitted in the exact amount.
B.
In the latter event, this application should be filed with
Payment by check or money order must be drawn on a
the American Consul with whom you are filing your
bank or other institution located in the United States and
application for a waiver of the grounds of
be payable in United States currency, unless:
inadmissability. If you are abroad and intend to apply to
an American Consul for a nonimmigrant visa or a border
If you reside in Guam and are filing your
crossing card, this application should be filed with the
application there, the check or money order must
American Consul with whom you are also filing your
be payable to the "Treasurer, Guam."
application for a nonimmigrant visa or border crossing
card, if requested to do so by the Consul.
If you reside in the U.S. Virgin Islands and you are
filing you application there, the check or money
C.
If you are at a port of entry applying for admission into
order must be payable to the "Commissioner of
the United States, submit the application to the
Finance of the Virgin Islands."
Department of Homeland Security (DHS) field office
having jurisdiction over that port.
All other applicants must make the check or money order
payable to the Department of Homeland Security.
If you are in the United States and will file an
When a check is drawn on account of a person other than
application for waiver under section 212 (g), (h) or (i) of
yourself, your name must be entered on the face of the
the INA with an American Consul, you should file this
check. If application is submitted from outside of the
application and the application for the waiver
United States, remittance may be made by bank
simultaneously with the American Consul.
international money order or foreign draft drawn on a
financial institution in the United States and payable to the
If you are in the United States and are applying for
Department of Homeland Security in U.S. currency.
adjustment of your status under section 245 of the INA,
Personal checks are accepted subject to collection. An
or are seeking to be granted advance permission to
uncollectible check will render the application and any
reapply prior to your departure from the United States,
document issued pursuant thereto invalid. A charge of
submit the application to the USCIS District Director
$30.00 will be imposed if a check in payment of a fee is
having jurisdiction over the place where you are
not honored by the bank on which it is drawn.
residing.
Form I-212 (Rev. 10/26/05)Y
f
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