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Application for Asylum and for Withholding of Removal (I-589)

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US · 1 year from last U.S. arrival

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    What is I-589?

    USCIS Form I-589 lets a noncitizen physically present in the United States ask for asylum, withholding of removal, or protection under the Convention Against Torture. The wizard walks through the applicant block (Part A.I), the spouse and children block (Part A.II), background (Part A.III), the persecution narrative (Part B), additional information (Part C), the applicant signature (Part D), and the optional preparer block (Part E).

    What happens if you miss the deadline: If more than one year has passed since your last entry, USCIS or the immigration judge can still consider your case under INA section 208(a)(2)(D) if you can show changed circumstances (changes in your country, changes to your status, a maturing claim) or extraordinary circumstances (serious illness, legal disability, ineffective lawyer, the death of a family member). Even if those exceptions do not apply, you remain eligible for withholding of removal under INA section 241(b)(3) and Convention Against Torture protection, both of which have no filing deadline.

    How to file

    Filing fee
    $0. USCIS does not charge a filing fee for I-589 (asylum, withholding, or CAT).
    Filing method
    mail to USCIS lockbox or service center (affirmative), file with the immigration court (defensive, if in removal proceedings), online filing pilot for select affirmative cases
    Filing deadline
    Affirmative asylum: file within one year of last U.S. arrival per INA section 208(a)(2)(B). Defensive asylum (in immigration court): no statutory bar but the one-year deadline applies and IJs and BIA enforce it. Withholding of removal under INA section 241(b)(3) and Convention Against Torture protection have no filing deadline.
    How to serve
    Affirmative cases mail the I-589 directly to USCIS; no party-to-party service required. Defensive cases follow the immigration court's local Operating Procedures (usually file the original with the immigration court and serve a copy on DHS counsel).
    Wet signature
    Yes, sign in pen after printing.
    Notarization
    No
    Original and copies
    Affirmative: 1 original + 1 copy of I-589, plus supporting documents (Form G-28 if represented, identity evidence, country conditions, declarations). Defensive: original to the immigration court, served copy to DHS counsel.

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    You'll likely also file

    Other Ezel-supported forms that commonly file alongside I-589. Each one has its own guided fill, AI review, and PDF render.

    I-765
    Application for Employment Authorization
    Application for Employment Authorization. An asylum applicant with a pending I-589 cannot file for an EAD until the 'asylum clock' reaches 150 days from the I-589 receipt date under 8 CFR 208.7(a)(1) and INA section 208(d)(2); USCIS may then issue the (c)(8) EAD once the clock hits 180 days (the 30-day adjudication window that converts the 150-day filing eligibility into a usable EAD). The asylum clock stops on applicant-caused delays under 8 CFR 208.7(a)(2): failure to appear at biometrics under 8 CFR 208.10, applicant-requested continuances, applicant amendments to I-589 in immigration court, applicant rejection of interview scheduling. The clock also stops on referral to EOIR if the applicant has caused the delay (Asylum Officer referrals do not stop the clock automatically, but applicant-requested EOIR continuances do). A (c)(8) I-765 filed with a pending I-589 is fee-exempt under 8 CFR 208.7(a)(1) and 8 CFR 106.2(a)(34); the I-912 fee waiver is not required (and may be rejected as duplicative since c.8 is already fee-exempt). After asylum is granted, the asylee files I-765 under category (a)(5) for ongoing EAD; (a)(5) is also fee-exempt under 8 CFR 274a.12(a)(5) and 8 CFR 106.2(a)(34), and the (a)(5) EAD validity tracks the asylee's underlying status. Withholding of removal grantees use (a)(10) (also fee-exempt under 8 CFR 106.2(a)(34)); CAT relief grantees use (a)(10) as well. Each EAD is typically valid 2 years on initial issuance and 2-5 years on renewal depending on category; renew at least 180 days before expiration to claim the 540-day automatic extension under 8 CFR 274a.13(d)(3) and avoid I-9 reverification gaps. Asylum applicants who DEPART the U.S. before grant trigger I-589 abandonment unless they have advance parole on I-131 (refugee travel document or humanitarian parole); a c.8 EAD by itself does NOT authorize travel.
    I-131
    Application for Travel Document
    Application for Travel Document (Refugee Travel Document path). Granted asylees under INA section 208(b) / 8 USC 1158(b) and asylee-derived LPRs use I-131 Part 1 to obtain a Refugee Travel Document (RTD) for international travel issued under INA section 208(c)(1)(C) (granted asylees may receive travel documents) and 8 CFR 223.2 (asylee/refugee travel document, the U.S. equivalent of the 1951 Refugee Convention 28 July 1951 Article 28 travel-document obligation that the U.S. honors as a signatory to the 1967 Protocol Relating to the Status of Refugees), with item 2 for asylees still in asylee status under 8 USC 1158(c) and item 3 for LPRs who obtained the green card via asylum (CR-1 / IR-6 derived from asylee adjustment under INA 209(b) and 8 USC 1159(b) and 8 CFR 209.2). An asylee who travels on the home-country passport, or who applies for or renews the home-country passport, can be deemed to have re-availed of that country's protection under the Refugee Convention's voluntary-re-availment doctrine (1951 Convention Art. 1C(1)) and may lose asylum status under INA section 208(c)(2)(D) and 8 CFR 208.24(a)(1) (asylum may be terminated if applicant 'voluntarily availed himself or herself of the protection of the country of nationality'); the RTD is the safe travel mechanism because the document is issued by USCIS and travels in lieu of any home-country passport, and a properly issued RTD specifically states that the holder may not travel to the country of claimed persecution (8 CFR 223.3(d)(1)(ii) excludes country of claimed persecution from RTD validity unless USCIS specifically authorizes such travel after a 8 CFR 223.3(d)(2) Director-of-USCIS approval). Travel back to the home country of feared persecution is the highest-risk action a granted asylee can take and is presumptively re-availment grounds for asylum termination under 8 CFR 208.24(a)(1) and Matter of A-S-J- 25 I&N Dec. 893 (BIA 2012) (return to home country after asylum grant raises rebuttable presumption of re-availment), even with an RTD specifically authorized under 8 CFR 223.3(d)(2); the asylee must rebut the presumption with documented compelling reasons (visiting dying relative under government safe-conduct, attending parent's funeral, escorting a U.S. citizen child who is the subject of a critical-medical evacuation, etc., applying the Matter of N-A-M- 24 I&N Dec. 336 (BIA 2007) compelling-circumstances analysis), and even successful rebuttal does not insulate the asylee from a future credibility challenge if asylum termination proceedings are opened under 8 CFR 208.24. The RTD application fee under the 04/01/24 fee rule at 89 Fed. Reg. 6194 (01/31/24) is $165 for applicants age 16 and older and $135 for applicants under 16 per 8 CFR 106.2(a)(7)(i)-(ii) (with $30 online-filing discount under 8 CFR 106.1(c) for online filings to $135 / $105 respectively); the prior fee-exempt RTD path at the old 8 CFR 103.7(c)(3) was eliminated in the fee-rule reorganization at 89 FR 6235-6236. Biometrics fee at $30 (asylee biometrics retained from I-589 adjudication is typically reused; USCIS may waive biometrics for RTD applicants who recently completed biometrics for I-485). RTDs are issued for 1 year for asylees in asylee status under 8 CFR 223.2(c)(1) and up to 2 years for asylee-derived LPRs under 8 CFR 223.2(c)(2); renewal is filed with a new I-131 (the RTD may not be renewed while the holder is outside the U.S.; USCIS can issue a Refugee Travel Document via consular delivery under 8 CFR 223.2(b)(2)(ii) limited circumstances). Travel must occur within RTD validity; an expired RTD abroad strands the asylee at the U.S. port-of-entry under INA 235 (no admission of an asylee without valid RTD or U.S. LPR card), with the only recovery option being a 'boarding foil' (DOS-issued document under 22 CFR 41.122) requested through the U.S. embassy. For asylees not yet adjusted to LPR status, RTD-based reentry is governed by INA 209(a) / 8 USC 1159(a) (asylees seeking adjustment must apply for adjustment of status under I-485 within 1 year of grant under 8 CFR 209.2(a)(1) and the now-vacated 1-year deadline under the BIA pre-rescission Matter of Avetisyan precedent); RTD reentry does not toll the 1-year I-485 filing window. For asylee-derived LPRs, RTD-based reentry is preferable to traveling on the LPR card alone because asylee origin status carries continuing risk of re-availment termination under 8 CFR 208.24(a) even after LPR adjustment; an asylee-derived LPR who travels on a foreign passport has effectively re-availed under the Refugee Convention Article 1C(2) doctrine even if not yet termed by USCIS, and that conduct can later support an INA 237(a)(1)(A) deportability charge if asylum is retroactively terminated. The I-131 RTD application is distinct from I-131 Advance Parole (item 5) for pending I-485 applicants and from I-131 Reentry Permit (item 1) for LPRs who are not asylee-derived; only items 2 and 3 are correct for the asylee path.
    I-485
    Application to Register Permanent Residence or Adjust Status
    Application to Register Permanent Residence. Granted asylees become eligible to adjust to LPR after one year of physical presence in the U.S. as an asylee under INA section 209(b) and 8 CFR 209.2. The one-year clock runs from the date asylum was granted (the approval date stamped on the asylum decision or, for IJ-granted cases, the date the order became final), NOT from the date the I-589 was filed; an I-485 filed before the one-year mark is rejected for early filing under 8 CFR 209.2(a)(1)(ii). The asylee selects Part 2 item 3.d (Asylee or Refugee, Asylum Status under INA section 208) on I-485 and writes the asylum approval date in the date-granted line directly under 3.d so the adjudicator can confirm the one-year eligibility math. Asylee I-485 filings are fee-exempt under 8 CFR 106.3(a)(1) (no I-912 needed for the principal; I-912 waiver remains available for any companion filings that do carry a fee). Required attachments: copy of the I-589 approval / IJ order, I-94 reflecting asylee status, I-693 medical exam (Vaccination Supplement and panel-physician civil-surgeon report), two passport photos, and biographic evidence. The spouse and unmarried children under 21 who were derivative beneficiaries on the I-589 (Part A.II) or who were brought as derivatives through I-730 each file their own I-485 in the asylee category. Asylum status continues after I-485 filing until adjustment is granted; the asylee should avoid home-country travel during the pendency to prevent termination of asylum under INA section 208(c)(2)(D), and uses I-131 Refugee Travel Document for any necessary travel. After LPR adjustment, the rollback rule applies: LPR date is back-dated one year to the date one year before adjustment under INA section 209(b), which accelerates the N-400 naturalization eligibility clock.
    I-912
    Request for Fee Waiver
    Anti-recommendation. Do not file I-912 with I-589. The Application for Asylum and Withholding of Removal has no USCIS filing fee under INA section 208 and 8 CFR 208.4 (asylum applications are fee-exempt as a statutory matter, not as a discretionary waiver), so there is nothing for I-912 to waive on the I-589 itself. The I-589 is not on the I-912 fee-waiver eligibility list in the I-912 instructions for that reason; filing I-912 with I-589 results in I-912 being denied as moot, not in any improved processing. The downstream c.8 I-765 EAD that an asylum applicant may file after the 150-day asylum-application clock under 8 CFR 208.7(a)(1) (originally 180 days but reduced by Asylumworks v. Mayorkas, then USCIS Policy Manual updates to the current 150-day rule for filers with no application-decision delays attributable to the applicant) is also fee-exempt by regulation at 8 CFR 106.2(a)(15) and does not require I-912. I-589 itself remains fee-free even for applicants in removal proceedings under INA 240 (the I-589 is filed with the immigration court when defensive, but USCIS-jurisdiction affirmative I-589s under 8 CFR 208.2(a) are also free). I-912 becomes relevant only later in the asylum lifecycle: (a) once asylum is granted, the asylee files I-485 to adjust status one year after grant under INA 209(b) and 8 CFR 209.2, and an asylee I-485 is on the I-912 fee-waiver eligible list under 8 CFR 106.3 (humanitarian carve-out); (b) the asylee may also file I-131 (refugee travel document) and I-730 (asylee relative petition), with I-131 fee-exempt for refugees / asylees under INA 209(b) policy and I-730 fee-exempt under 8 CFR 207.3.

    Field-by-field guidance

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    Wants Cat Withholding
    info

    Top-of-page checkbox asking whether the applicant also wants Convention Against Torture protection. Most applicants check it; CAT has no one-year deadline and asking for it does not weaken the asylum or withholding claim.

    • Applicants leave it blank thinking it costs them something. Asking for CAT in addition to asylum is essentially free; the adjudicator considers all three forms of relief.
    • Applicants check it but write nothing in Part B about torture. CAT requires showing it is more likely than not the applicant will be tortured by, or with the consent of, a public official. Without facts, CAT will be denied even if checked.
    Last Us Arrival Date
    blocker

    Driver field for the one-year filing deadline at INA section 208(a)(2)(B). The wizard uses this to compute days since arrival and warn if outside the one-year window.

    • Filers use the date they entered the U.S. years ago when they actually re-entered more recently. Use the most recent arrival.
    • Filers report visa-issuance date instead of physical arrival date. The deadline runs from physical arrival, not visa issuance.
    In Immigration Court
    blocker

    Drives whether the applicant files affirmatively (with USCIS) or defensively (with the immigration court). Same form; different filing path. The Notice to Appear (NTA) is the document that places someone into immigration court proceedings.

    • Applicants who got an NTA assume they file with USCIS. They do not; they file with the immigration court.
    • Applicants confuse a USCIS Request for Evidence with an NTA. RFEs do not put you in proceedings; an NTA does.
    Applicant A Number
    info

    USCIS-issued unique identifier (8 or 9 digits, sometimes prefixed 'A'). Required if you have one; leave blank if you do not.

    • Filers invent or guess. A wrong A-Number routes the file to the wrong record and creates RFEs.
    • Filers use someone else's A-Number from a household member's papers.
    Applicant Last Name
    blocker

    Family name as it appears on identity documents.

    • Spelling drift across filings; use the exact spelling that appears on the passport or birth certificate.
    Applicant First Name
    blocker

    Given name as it appears on identity documents.

    • Use the legal first name, not a nickname; nicknames go in 'other names'.
    • Filers list initials only; use full first name.
    Applicant Other Names
    warning

    All variants of the applicant's name across documents and history. USCIS runs background checks against these.

    • Forgetting to list a maiden name, transliteration, or aliases used during transit.
    • Listing nicknames that never appeared on official documents (not necessary).
    Residence Street
    blocker

    Where the applicant physically lives in the U.S. The form text says you must reside in the U.S. to file.

    • Use the address where you actually live, not the mailing address. USCIS, IJ, and EOIR use this for hearing notices.
    • Filers list a shelter address without flagging it; that is fine, but make sure mail will reach you.
    Residence City
    blocker

    U.S. residence city.

    • Use the legal city name, not a neighborhood (e.g., 'Los Angeles' not 'Hollywood').
    Residence State
    blocker

    U.S. residence state.

    • Two-letter state abbreviation.
    Residence Zip
    blocker

    U.S. residence ZIP code.

    • 5 digits; ZIP+4 is acceptable if the form box has space.
    Applicant Sex
    blocker

    Form lists Male and Female. If neither matches, pick the option that matches the sex on identity documents to keep the file consistent.

    • The form's options reflect the form revision; pick the closest match. The choice is biographic; a separate gender-identity narrative goes in Part B if relevant to the claim.
    Applicant Marital Status
    blocker

    Single, Married, Divorced, or Widowed. Drives whether Part A.II spouse block is filled.

    • If you are religiously married but not legally married, marital status depends on the laws of the country where you married; pick the option closest to your legal status.
    • Common-law marriages count if recognized in the jurisdiction where formed.
    • Filers in long-term separation often pick 'married'; if there is no divorce, you are legally still married.
    Applicant Dob
    blocker

    Applicant's date of birth.

    • Use the date on your passport or birth certificate; if you have a corrected date later, attach an explanation but use the original document date here.
    • Some countries do not record exact dates; if your document shows only a year, write the first day of the year (01/01/YYYY) and explain in Supplement B.
    Applicant Birth City Country
    blocker

    City and country of birth. Often anchors the country-of-feared-persecution analysis if the applicant is still a citizen of that country.

    • Use the country name as it existed when you were born (e.g., 'Soviet Union' for someone born in 1985 Ukraine, then add note about current country).
    • City + country format; do not write only the country.
    Applicant Present Nationality
    blocker

    Current citizenship as of signing. Stateless is a valid answer; dual citizens list both.

    • List every nationality you currently hold; dual citizenship is common and matters for asylum (asylum is unavailable if you can be safe in your other country of nationality).
    • Stateless applicants write 'stateless' and explain in Supplement B.
    Applicant Nationality At Birth
    warning

    Nationality at time of birth. May differ from present if the applicant naturalized elsewhere or if the country dissolved.

    • Different from present if you naturalized later; if you only ever held one nationality, use the same as present.
    • Stateless at birth is an important fact; note it explicitly.
    Applicant Race Ethnic Tribal
    info

    Race, ethnic, or tribal group. Material if persecution is grounded in race or ethnicity (a protected ground under INA section 101(a)(42)).

    • If your asylum claim is based on race, ethnicity, or tribal membership, this field connects to the basis on Part B; spell consistently across the form.
    • Do not list 'human' or 'mixed'; specific identification helps adjudication.
    Applicant Religion
    info

    Religion. Material if persecution is grounded in religion.

    • If your asylum claim is based on religion, this field connects to Part B; be specific about denomination or sect (e.g., 'Sunni Muslim' not just 'Muslim'; 'Pentecostal Christian' not just 'Christian').
    • Atheism, apostasy, and conversion can be a basis; state the current religion or 'none' if atheist or non-believing.
    • Filers leave blank for privacy; that weakens religion-based claims.
    Immigration Court Status
    blocker

    Three-option status: never in proceedings, currently in proceedings, previously in proceedings. Drives filing path.

    • Applicants pick 'never' when an NTA was actually issued. Check Department of Justice EOIR Automated Case Information at acis.eoir.justice.gov to verify.
    Date Last Left Country
    blocker

    Most recent departure from the country of feared persecution. Returns to that country between persecution and filing can affect credibility; the AI review flags repeat returns.

    • Use the date you last left the country you are claiming asylum from, not the date you entered the United States.
    • If you traveled to a third country first, use the date you left the home country, not the date you left the third country.
    Us Entry 1 Date
    blocker

    Date of most recent U.S. entry. Must be on or before the one-year filing deadline (with narrow exceptions).

    • Use your most recent entry, even if you have re-entered multiple times.
    • Visa-issuance date is not the entry date; use the date you physically entered the U.S.
    Us Entry 1 Place
    blocker

    Place of most recent entry: city + state, or port of entry.

    • List the city + state of port of entry, or write 'EWI' (entered without inspection) if you crossed without contact with CBP.
    • Common ports: 'San Ysidro, CA', 'Laredo, TX', 'JFK Airport, NY'.
    Us Entry 1 Status
    blocker

    Status when admitted: visa class (B-2, F-1, etc.), parole class, or 'EWI' if entered without inspection. Drives the lawful-presence and one-year analysis.

    • Use the visa class (B-1, B-2, F-1, H-1B, K-1, etc.); 'tourist' is too informal.
    • EWI for entry without inspection.
    • VWP / ESTA: write 'VWP' or 'ESTA'.
    • Parole: 'parole' or 'humanitarian parole'.
    Applicant Native Language
    blocker

    Native language with dialect. Asylum interview is conducted in English; the asylum officer uses this to plan accommodations.

    • Include dialect when relevant ('Mandarin', 'Cantonese', 'Pashto-Kandahari'); the asylum officer or IJ may want to confirm interpreter compatibility.
    • Some applicants list English as native because they speak it well; native language is the language you grew up speaking, not the language you are most fluent in now.
    Applicant Fluent In English
    blocker

    Yes/No. Picking No is not a weakness; it tells the asylum officer to slow down. Applicant must still bring own qualified interpreter to the interview.

    • If you check no, USCIS / EOIR will provide an interpreter for the interview / hearing.
    • Be honest; overstating English fluency leads to misunderstandings under oath.
    Applicant Ssn
    info

    U.S. Social Security Number, if any

    • Filers invent a number; never invent. Leave blank if you do not have a U.S. SSN.
    • Filers use ITIN (taxpayer ID) thinking it counts as SSN; ITIN is not SSN.
    Applicant Uscis Online Account
    info

    USCIS Online Account Number, if any

    • Pro se filers without a myUSCIS account leave blank, which is fine.
    • Filers confuse this with the A-Number; the online account number is shown in the upper-left of the myUSCIS dashboard.
    Applicant Middle Name
    info

    Your middle name, if any

    • Leave blank if you have no middle name; do not write 'NMN' (no middle name).
    • If you have multiple middle names, list all separated by spaces.
    Residence Apt
    info

    Apartment number

    • Leave blank if your address has no apartment / unit number; do not write 'NA'.
    Residence Phone Area
    info

    Telephone area code

    • Use the area code without parentheses; the form has separate boxes for area code and number.
    Residence Phone Number
    info

    Telephone number

    • 7 digits without area code; the form splits area code into a separate field.
    • Filers list a phone they share with someone who could compromise the case; use a phone you control alone.
    Has Separate Mailing Address
    blocker

    Do you receive mail at a different address than where you live?

    • If yes, fill in the mailing block; if no, leave the mailing block blank.
    • Filers list the same address as residence in the mailing block; do not, the form expects 'same as above' to be left blank.
    Mailing In Care Of
    info

    In care of (if mailed to someone else's address)

    • Use 'in care of' (c/o) when the mailing address belongs to someone else (attorney, family, sponsor); list their name.
    • Without c/o, mail addressed only to your name at the third party's address may be returned by the post office.
    Mailing Phone Area
    info

    Mailing telephone area code

    • Same area code conventions as residence.
    Mailing Phone Number
    info

    Mailing telephone number

    • 7 digits; do not include area code here.
    Mailing Street
    info

    Mailing address: street number and name

    • Fill only when has_separate_mailing_address is true.
    Mailing Apt
    info

    Mailing apartment number

    • Blank if none.
    Mailing City
    info

    Mailing city

    • Legal city name.
    Mailing State
    info

    Mailing state

    • Two-letter abbreviation.
    Mailing Zip
    info

    Mailing ZIP code

    • 5 digits.
    Current I94 Number
    info

    Your current I-94 number, if any

    • I-94 numbers are 11 digits; check at i94.cbp.dhs.gov/I94 for the most recent record.
    • Filers without a current I-94 (e.g., entered without inspection) leave blank.
    • Old paper I-94 cards have a different number than electronic ones; use the most recent.
    Us Entry 1 Expires
    info

    Most recent entry: date status expires

    • Use the date stamped on your I-94 (or visa for visa-only stays); if you overstayed, the expiration date is still the original one.
    • EWI entrants have no authorized stay; leave blank.
    Us Entry 2 Date
    info

    Prior U.S. entry: date

    • Same as entry 1; use physical entry date.
    Us Entry 2 Place
    info

    Prior U.S. entry: place

    • City + state of port of entry, or 'EWI'.
    Us Entry 2 Status
    info

    Prior U.S. entry: status (visa class or 'EWI')

    • Visa class or 'EWI'.
    Us Entry 3 Date
    info

    Earlier U.S. entry: date

    • Earliest known U.S. entry; use Supplement B for additional entries.
    Us Entry 3 Place
    info

    Earlier U.S. entry: place

    • City + state, or 'EWI'.
    Us Entry 3 Status
    info

    Earlier U.S. entry: status (visa class or 'EWI')

    • Visa class or 'EWI'.
    Passport Issuing Country
    info

    What country issued your last passport or travel document?

    • Use the country that issued your most recent passport, not the country where you are a citizen if different (e.g., refugee travel document).
    • Stateless applicants who used a refugee travel document or laissez-passer write the issuing country.
    Passport Number
    info

    Passport number

    • Use the most recent passport number; if expired, still list it and the expiration.
    • Some countries renumber after renewal; use the number on the document you actually used to travel.
    Travel Document Number
    info

    Travel document number (if you used a non-passport document)

    • Only fill if you used a non-passport travel document (refugee travel doc, laissez-passer, transit doc); otherwise leave blank.
    Passport Expiration Date
    info

    Passport / travel document expiration date

    • Use MM/DD/YYYY from the document; if your country uses DD/MM/YYYY, convert to U.S. format.
    • Filers with expired passports still list the expiration date; do not write 'expired'.
    Applicant Other Languages
    info

    What other languages do you speak fluently?

    • List languages you speak fluently, comma-separated.
    • Distinguish 'fluent' from 'understand a little'; only list languages you can give testimony in.
    Applicant Is Not Married
    warning

    Confirm: are you currently unmarried? (computed from your marital status)

    • This is computed from your marital status; if you are legally separated but not divorced, you are still married.
    • If you are religiously but not legally married in a country that does not recognize religious marriage, you are unmarried.
    Spouse A Number
    warning

    Spouse's A-Number, if any

    • Leave blank if your spouse has no A-Number; do not invent.
    Spouse Passport Or Id Number
    warning

    Spouse's passport or national ID card number, if any

    • Use spouse's passport number; national ID acceptable if no passport.
    Spouse Dob
    warning

    Spouse's date of birth

    • MM/DD/YYYY; if spouse's document only shows year, use 01/01/YYYY and explain in Supplement B.
    Spouse Ssn
    warning

    Spouse's U.S. Social Security Number, if any

    • Blank if no U.S. SSN.
    Spouse Last Name
    warning

    Spouse's last name

    • Match spouse's identity-document spelling; transliterations should be consistent.
    Spouse First Name
    warning

    Spouse's first name

    • Legal first name; not nickname.
    Spouse Middle Name
    warning

    Spouse's middle name

    • Blank if none.
    Spouse Other Names
    warning

    Spouse's other names (maiden name, aliases)

    • List spouse's maiden / prior married names and aliases.
    Spouse Marriage Date
    warning

    Date of marriage

    • Use the legal marriage date; if you had a religious ceremony first and a legal one later, use the legal one (and explain in Supplement B).
    • For derivative asylum, marriage must have existed before grant of asylum; later marriages cannot derive.
    Spouse Marriage Place
    warning

    Place of marriage

    • City + country where the legal marriage was registered.
    Spouse Birth City Country
    warning

    Spouse's city and country of birth

    • City + country of birth.
    Spouse Nationality
    warning

    Spouse's nationality (citizenship)

    • List all nationalities held; matters for derivative eligibility if spouse holds another safe nationality.
    Spouse Race Ethnic Tribal
    warning

    Spouse's race, ethnic, or tribal group

    • Specific identification; matters for spouse's own potential claim if added later.
    Spouse Sex
    warning

    Spouse's sex

    • Choice from the listed options.
    Spouse In Us
    warning

    Is your spouse in the United States?

    • If spouse is in the U.S., they may be derivative on this application; if they are abroad, they cannot derive but can be petitioned via I-730 after asylum is granted.
    • Spouse in detention or removal proceedings is still 'in the U.S.'.
    Spouse Location If Not In Us
    warning

    If not in the U.S., spouse's current location

    • City + country where spouse currently is, including third countries of refuge.
    Spouse Us Entry Place
    warning

    Spouse's place of last entry into the U.S.

    • Port of entry + state, or 'EWI'.
    Spouse Us Entry Date
    warning

    Spouse's date of last entry into the U.S.

    • Most recent entry date.
    Spouse Us I94 Number
    warning

    Spouse's I-94 number, if any

    • 11 digits; check i94.cbp.dhs.gov/I94.
    Spouse Us Status At Admission
    warning

    Spouse's status when last admitted (visa type, if any)

    • Visa class on entry, or 'EWI', or 'parole'.
    Spouse Current Status
    warning

    Spouse's current immigration status

    • Use a specific status (e.g., 'pending I-589 derivative', 'F-2 dependent', 'no current status / EWI', 'TPS for [country]').
    • If spouse has a separate immigration application pending, note its receipt number in Supplement B.
    Spouse Authorized Stay Expires
    warning

    Spouse's expiration date of authorized stay, if any

    • Use I-94 expiration; blank if no authorized stay.
    Spouse In Immigration Court
    warning

    Is your spouse in immigration court proceedings?

    • If spouse is in court proceedings, you can include them as a derivative on this asylum application but the immigration court will need to consolidate the cases.
    • If spouse is in court but you are with USCIS (or vice versa), file the asylum application with the office handling your case and consult counsel about consolidating.
    Spouse Previous Arrival Date
    warning

    If previously in the U.S., date of previous arrival

    • Use date of any prior U.S. entry before the most recent.
    Spouse To Be Included
    warning

    If in the U.S., is your spouse to be included in this asylum application as a derivative?

    • Including spouse as a derivative grants them asylum if you win, without a separate filing fee or I-589.
    • Spouse must have entered into the marriage before grant of asylum to derive.
    • Spouse must be included now or via I-730 after grant; cannot be added at the IJ hearing if not in proceedings.
    Applicant Has Children
    blocker

    Do you have any children? List all children regardless of age, location, or marital status.

    • List ALL children regardless of age, location, marital status, citizenship, or whether they are derivative; the form expressly requires this.
    • Children born to a non-current spouse still count.
    • Adopted children count as children.
    • Step-children: list if you have a legal step-parent / step-child relationship.
    Total Number Of Children
    warning

    Total number of children

    • Numeric; the form has space for 4 children, then Supplement A for children 5 and 6.
    • If you have more than 6 children, use Supplement B for additional children.
    • Count all biological, adopted, and step-children.
    Child1 A Number
    warning

    Child 1: A-Number, if any

    • Child 1: leave blank if no A-Number; do not invent.
    • Child 1: A-Number is on USCIS notices, not on the SSA card.
    Child1 Passport Or Id
    warning

    Child 1: Passport or ID card number, if any

    • Child 1: passport number preferred; national ID or birth-certificate number acceptable if no passport.
    • List one number; if multiple documents, use the most recent.
    Child1 Marital Status
    warning

    Child 1: Marital status (Married, Single, Divorced, Widowed)

    • Child 1: 'Single' for unmarried minors; 'Married' even if very young in countries that allow it.
    • Married children are not eligible derivatives under INA section 208(b)(3)(A); list them but understand they cannot derive.
    Child1 Ssn
    warning

    Child 1: U.S. Social Security Number, if any

    • Child 1: blank if no U.S. SSN; do not invent.
    Child1 Last Name
    warning

    Child 1: Last name

    • Child 1: match the spelling on the child's birth certificate.
    • Some countries put surname first; check passport order.
    Child1 First Name
    warning

    Child 1: First name

    • Child 1: legal first name; not nickname.
    Child1 Middle Name
    warning

    Child 1: Middle name

    • Child 1: blank if none.
    Child1 Dob
    warning

    Child 1: Date of birth

    • Child 1: must be under 21 and unmarried at time of asylum grant to derive (INA section 208(b)(3)(A)).
    • Use child's birth-certificate date; if only year is recorded, use 01/01/YYYY and explain in Supplement B.
    Child1 Birth City Country
    warning

    Child 1: City and country of birth

    • Child 1: city + country of birth; matters for child's own potential nationality.
    Child1 Nationality
    warning

    Child 1: Nationality (citizenship)

    • Child 1: list all nationalities held; child holding U.S. citizenship cannot derive (and does not need to).
    • Child holding the country-feared nationality is the typical case.
    Child1 Race Ethnic Tribal
    warning

    Child 1: Race, ethnic, or tribal group

    • Child 1: specific identification; matters if child is targeted on race / ethnicity grounds.
    Child1 Sex
    warning

    Child 1: Sex

    • Child 1: choice from listed options.
    Child1 In Us
    warning

    Child 1: Is this child in the U.S.?

    • Child 1: yes if child is physically in the U.S. (including detention).
    • Children abroad cannot derive on Form I-589; petition via I-730 after asylum is granted.
    Child1 Location If Not In Us
    warning

    Child 1: If not in the U.S., specify location

    • Child 1: city + country; if child is in hiding or detention, explain in Supplement B.
    Child1 Us Entry Place
    warning

    Child 1: Place of last entry into the U.S.

    • Child 1: port of entry + state, or 'EWI'.
    Child1 Us Entry Date
    warning

    Child 1: Date of last entry into the U.S.

    • Child 1: most recent U.S. entry.
    Child1 Us I94 Number
    warning

    Child 1: I-94 number, if any

    • Child 1: 11 digits; check i94.cbp.dhs.gov/I94.
    Child1 Us Status At Admission
    warning

    Child 1: Status when last admitted (visa type, if any)

    • Child 1: visa class on entry, or 'EWI'.
    Child1 Current Status
    warning

    Child 1: Current immigration status

    • Child 1: specific current status (pending I-589 derivative, F-2, no current status / EWI, etc.).
    • If child has a separate immigration application pending, note its receipt number.
    Child1 Authorized Stay Expires
    warning

    Child 1: Expiration date of authorized stay

    • Child 1: I-94 expiration; blank if no authorized stay.
    Child1 In Immigration Court
    warning

    Child 1: Is this child in immigration court proceedings?

    • Child 1: yes if child has an NTA or pending case in immigration court.
    • Children in proceedings have tighter procedures; consult counsel about consolidation.
    Child1 To Be Included
    warning

    Child 1: If in the U.S., is this child to be included in this asylum application as a derivative?

    • Child 1: include now or via I-730 after grant; cannot be added later if not in proceedings.
    • Child must be unmarried and under 21 at time of grant to derive.
    Child2 A Number
    warning

    Child 2: A-Number, if any

    • Child 2: leave blank if no A-Number; do not invent.
    • Child 2: A-Number is on USCIS notices, not on the SSA card.
    Child2 Passport Or Id
    warning

    Child 2: Passport or ID card number, if any

    • Child 2: passport number preferred; national ID or birth-certificate number acceptable if no passport.
    • List one number; if multiple documents, use the most recent.
    Child2 Marital Status
    warning

    Child 2: Marital status (Married, Single, Divorced, Widowed)

    • Child 2: 'Single' for unmarried minors; 'Married' even if very young in countries that allow it.
    • Married children are not eligible derivatives under INA section 208(b)(3)(A); list them but understand they cannot derive.
    Child2 Ssn
    warning

    Child 2: U.S. Social Security Number, if any

    • Child 2: blank if no U.S. SSN; do not invent.
    Child2 Last Name
    warning

    Child 2: Last name

    • Child 2: match the spelling on the child's birth certificate.
    • Some countries put surname first; check passport order.
    Child2 First Name
    warning

    Child 2: First name

    • Child 2: legal first name; not nickname.
    Child2 Middle Name
    warning

    Child 2: Middle name

    • Child 2: blank if none.
    Child2 Dob
    warning

    Child 2: Date of birth

    • Child 2: must be under 21 and unmarried at time of asylum grant to derive (INA section 208(b)(3)(A)).
    • Use child's birth-certificate date; if only year is recorded, use 01/01/YYYY and explain in Supplement B.
    Child2 Birth City Country
    warning

    Child 2: City and country of birth

    • Child 2: city + country of birth; matters for child's own potential nationality.
    Child2 Nationality
    warning

    Child 2: Nationality (citizenship)

    • Child 2: list all nationalities held; child holding U.S. citizenship cannot derive (and does not need to).
    • Child holding the country-feared nationality is the typical case.
    Child2 Race Ethnic Tribal
    warning

    Child 2: Race, ethnic, or tribal group

    • Child 2: specific identification; matters if child is targeted on race / ethnicity grounds.
    Child2 Sex
    warning

    Child 2: Sex

    • Child 2: choice from listed options.
    Child2 In Us
    warning

    Child 2: Is this child in the U.S.?

    • Child 2: yes if child is physically in the U.S. (including detention).
    • Children abroad cannot derive on Form I-589; petition via I-730 after asylum is granted.
    Child2 Location If Not In Us
    warning

    Child 2: If not in the U.S., specify location

    • Child 2: city + country; if child is in hiding or detention, explain in Supplement B.
    Child2 Us Entry Place
    warning

    Child 2: Place of last entry into the U.S.

    • Child 2: port of entry + state, or 'EWI'.
    Child2 Us Entry Date
    warning

    Child 2: Date of last entry into the U.S.

    • Child 2: most recent U.S. entry.
    Child2 Us I94 Number
    warning

    Child 2: I-94 number, if any

    • Child 2: 11 digits; check i94.cbp.dhs.gov/I94.
    Child2 Us Status At Admission
    warning

    Child 2: Status when last admitted (visa type, if any)

    • Child 2: visa class on entry, or 'EWI'.
    Child2 Current Status
    warning

    Child 2: Current immigration status

    • Child 2: specific current status (pending I-589 derivative, F-2, no current status / EWI, etc.).
    • If child has a separate immigration application pending, note its receipt number.
    Child2 Authorized Stay Expires
    warning

    Child 2: Expiration date of authorized stay

    • Child 2: I-94 expiration; blank if no authorized stay.
    Child2 In Immigration Court
    warning

    Child 2: Is this child in immigration court proceedings?

    • Child 2: yes if child has an NTA or pending case in immigration court.
    • Children in proceedings have tighter procedures; consult counsel about consolidation.
    Child2 To Be Included
    warning

    Child 2: If in the U.S., is this child to be included as a derivative?

    • Child 2: include now or via I-730 after grant; cannot be added later if not in proceedings.
    • Child must be unmarried and under 21 at time of grant to derive.
    Child3 A Number
    warning

    Child 3: A-Number, if any

    • Child 3: leave blank if no A-Number; do not invent.
    • Child 3: A-Number is on USCIS notices, not on the SSA card.
    Child3 Passport Or Id
    warning

    Child 3: Passport or ID card number, if any

    • Child 3: passport number preferred; national ID or birth-certificate number acceptable if no passport.
    • List one number; if multiple documents, use the most recent.
    Child3 Marital Status
    warning

    Child 3: Marital status (Married, Single, Divorced, Widowed)

    • Child 3: 'Single' for unmarried minors; 'Married' even if very young in countries that allow it.
    • Married children are not eligible derivatives under INA section 208(b)(3)(A); list them but understand they cannot derive.
    Child3 Ssn
    warning

    Child 3: U.S. Social Security Number, if any

    • Child 3: blank if no U.S. SSN; do not invent.
    Child3 Last Name
    warning

    Child 3: Last name

    • Child 3: match the spelling on the child's birth certificate.
    • Some countries put surname first; check passport order.
    Child3 First Name
    warning

    Child 3: First name

    • Child 3: legal first name; not nickname.
    Child3 Middle Name
    warning

    Child 3: Middle name

    • Child 3: blank if none.
    Child3 Dob
    warning

    Child 3: Date of birth

    • Child 3: must be under 21 and unmarried at time of asylum grant to derive (INA section 208(b)(3)(A)).
    • Use child's birth-certificate date; if only year is recorded, use 01/01/YYYY and explain in Supplement B.
    Child3 Birth City Country
    warning

    Child 3: City and country of birth

    • Child 3: city + country of birth; matters for child's own potential nationality.
    Child3 Nationality
    warning

    Child 3: Nationality (citizenship)

    • Child 3: list all nationalities held; child holding U.S. citizenship cannot derive (and does not need to).
    • Child holding the country-feared nationality is the typical case.
    Child3 Race Ethnic Tribal
    warning

    Child 3: Race, ethnic, or tribal group

    • Child 3: specific identification; matters if child is targeted on race / ethnicity grounds.
    Child3 Sex
    warning

    Child 3: Sex

    • Child 3: choice from listed options.
    Child3 In Us
    warning

    Child 3: Is this child in the U.S.?

    • Child 3: yes if child is physically in the U.S. (including detention).
    • Children abroad cannot derive on Form I-589; petition via I-730 after asylum is granted.
    Child3 Location If Not In Us
    warning

    Child 3: If not in the U.S., specify location

    • Child 3: city + country; if child is in hiding or detention, explain in Supplement B.
    Child3 Us Entry Place
    warning

    Child 3: Place of last entry into the U.S.

    • Child 3: port of entry + state, or 'EWI'.
    Child3 Us Entry Date
    warning

    Child 3: Date of last entry into the U.S.

    • Child 3: most recent U.S. entry.
    Child3 Us I94 Number
    warning

    Child 3: I-94 number, if any

    • Child 3: 11 digits; check i94.cbp.dhs.gov/I94.
    Child3 Us Status At Admission
    warning

    Child 3: Status when last admitted (visa type, if any)

    • Child 3: visa class on entry, or 'EWI'.
    Child3 Current Status
    warning

    Child 3: Current immigration status

    • Child 3: specific current status (pending I-589 derivative, F-2, no current status / EWI, etc.).
    • If child has a separate immigration application pending, note its receipt number.
    Child3 Authorized Stay Expires
    warning

    Child 3: Expiration date of authorized stay

    • Child 3: I-94 expiration; blank if no authorized stay.
    Child3 In Immigration Court
    warning

    Child 3: Is this child in immigration court proceedings?

    • Child 3: yes if child has an NTA or pending case in immigration court.
    • Children in proceedings have tighter procedures; consult counsel about consolidation.
    Child3 To Be Included
    warning

    Child 3: If in the U.S., is this child to be included as a derivative?

    • Child 3: include now or via I-730 after grant; cannot be added later if not in proceedings.
    • Child must be unmarried and under 21 at time of grant to derive.
    Child4 A Number
    warning

    Child 4: A-Number, if any

    • Child 4: leave blank if no A-Number; do not invent.
    • Child 4: A-Number is on USCIS notices, not on the SSA card.
    Child4 Passport Or Id
    warning

    Child 4: Passport or ID card number, if any

    • Child 4: passport number preferred; national ID or birth-certificate number acceptable if no passport.
    • List one number; if multiple documents, use the most recent.
    Child4 Marital Status
    warning

    Child 4: Marital status (Married, Single, Divorced, Widowed)

    • Child 4: 'Single' for unmarried minors; 'Married' even if very young in countries that allow it.
    • Married children are not eligible derivatives under INA section 208(b)(3)(A); list them but understand they cannot derive.
    Child4 Ssn
    warning

    Child 4: U.S. Social Security Number, if any

    • Child 4: blank if no U.S. SSN; do not invent.
    Child4 Last Name
    warning

    Child 4: Last name

    • Child 4: match the spelling on the child's birth certificate.
    • Some countries put surname first; check passport order.
    Child4 First Name
    warning

    Child 4: First name

    • Child 4: legal first name; not nickname.
    Child4 Middle Name
    warning

    Child 4: Middle name

    • Child 4: blank if none.
    Child4 Dob
    warning

    Child 4: Date of birth

    • Child 4: must be under 21 and unmarried at time of asylum grant to derive (INA section 208(b)(3)(A)).
    • Use child's birth-certificate date; if only year is recorded, use 01/01/YYYY and explain in Supplement B.
    Child4 Birth City Country
    warning

    Child 4: City and country of birth

    • Child 4: city + country of birth; matters for child's own potential nationality.
    Child4 Nationality
    warning

    Child 4: Nationality (citizenship)

    • Child 4: list all nationalities held; child holding U.S. citizenship cannot derive (and does not need to).
    • Child holding the country-feared nationality is the typical case.
    Child4 Race Ethnic Tribal
    warning

    Child 4: Race, ethnic, or tribal group

    • Child 4: specific identification; matters if child is targeted on race / ethnicity grounds.
    Child4 Sex
    warning

    Child 4: Sex

    • Child 4: choice from listed options.
    Child4 In Us
    warning

    Child 4: Is this child in the U.S.?

    • Child 4: yes if child is physically in the U.S. (including detention).
    • Children abroad cannot derive on Form I-589; petition via I-730 after asylum is granted.
    Child4 Location If Not In Us
    warning

    Child 4: If not in the U.S., specify location

    • Child 4: city + country; if child is in hiding or detention, explain in Supplement B.
    Child4 Us Entry Place
    warning

    Child 4: Place of last entry into the U.S.

    • Child 4: port of entry + state, or 'EWI'.
    Child4 Us Entry Date
    warning

    Child 4: Date of last entry into the U.S.

    • Child 4: most recent U.S. entry.
    Child4 Us I94 Number
    warning

    Child 4: I-94 number, if any

    • Child 4: 11 digits; check i94.cbp.dhs.gov/I94.
    Child4 Us Status At Admission
    warning

    Child 4: Status when last admitted (visa type, if any)

    • Child 4: visa class on entry, or 'EWI'.
    Child4 Current Status
    warning

    Child 4: Current immigration status

    • Child 4: specific current status (pending I-589 derivative, F-2, no current status / EWI, etc.).
    • If child has a separate immigration application pending, note its receipt number.
    Child4 Authorized Stay Expires
    warning

    Child 4: Expiration date of authorized stay

    • Child 4: I-94 expiration; blank if no authorized stay.
    Child4 In Immigration Court
    warning

    Child 4: Is this child in immigration court proceedings?

    • Child 4: yes if child has an NTA or pending case in immigration court.
    • Children in proceedings have tighter procedures; consult counsel about consolidation.
    Child4 To Be Included
    warning

    Child 4: If in the U.S., is this child to be included as a derivative?

    • Child 4: include now or via I-730 after grant; cannot be added later if not in proceedings.
    • Child must be unmarried and under 21 at time of grant to derive.
    Supplement A A Number
    info

    Supplement A header: A-Number (mirror of Part A.I item 1)

    • Same A-Number as Part A.I item 1.
    Supplement A Date
    info

    Supplement A header: Date

    • Date you complete Supplement A; should match filing date.
    Supplement A Applicant Name
    info

    Supplement A header: Applicant's name (mirror of Part A.I)

    • Same name as Part A.I.
    Child5 A Number
    warning

    Child 5: A-Number, if any

    • Child 5: leave blank if no A-Number; do not invent.
    • Child 5: A-Number is on USCIS notices, not on the SSA card.
    Child5 Passport Or Id
    warning

    Child 5: Passport or ID card number, if any

    • Child 5: passport number preferred; national ID or birth-certificate number acceptable if no passport.
    • List one number; if multiple documents, use the most recent.
    Child5 Marital Status
    warning

    Child 5: Marital status

    • Child 5: 'Single' for unmarried minors; 'Married' even if very young in countries that allow it.
    • Married children are not eligible derivatives under INA section 208(b)(3)(A); list them but understand they cannot derive.
    Child5 Ssn
    warning

    Child 5: U.S. Social Security Number, if any

    • Child 5: blank if no U.S. SSN; do not invent.
    Child5 Last Name
    warning

    Child 5: Last name

    • Child 5: match the spelling on the child's birth certificate.
    • Some countries put surname first; check passport order.
    Child5 First Name
    warning

    Child 5: First name

    • Child 5: legal first name; not nickname.
    Child5 Middle Name
    warning

    Child 5: Middle name

    • Child 5: blank if none.
    Child5 Dob
    warning

    Child 5: Date of birth

    • Child 5: must be under 21 and unmarried at time of asylum grant to derive (INA section 208(b)(3)(A)).
    • Use child's birth-certificate date; if only year is recorded, use 01/01/YYYY and explain in Supplement B.
    Child5 Birth City Country
    warning

    Child 5: City and country of birth

    • Child 5: city + country of birth; matters for child's own potential nationality.
    Child5 Nationality
    warning

    Child 5: Nationality (citizenship)

    • Child 5: list all nationalities held; child holding U.S. citizenship cannot derive (and does not need to).
    • Child holding the country-feared nationality is the typical case.
    Child5 Race Ethnic Tribal
    warning

    Child 5: Race, ethnic, or tribal group

    • Child 5: specific identification; matters if child is targeted on race / ethnicity grounds.
    Child5 Sex
    warning

    Child 5: Sex

    • Child 5: choice from listed options.
    Child5 In Us
    warning

    Child 5: Is this child in the U.S.?

    • Child 5: yes if child is physically in the U.S. (including detention).
    • Children abroad cannot derive on Form I-589; petition via I-730 after asylum is granted.
    Child5 Location If Not In Us
    warning

    Child 5: If not in the U.S., specify location

    • Child 5: city + country; if child is in hiding or detention, explain in Supplement B.
    Child5 Us Entry Place
    warning

    Child 5: Place of last entry into the U.S.

    • Child 5: port of entry + state, or 'EWI'.
    Child5 Us Entry Date
    warning

    Child 5: Date of last entry into the U.S.

    • Child 5: most recent U.S. entry.
    Child5 Us I94 Number
    warning

    Child 5: I-94 number, if any

    • Child 5: 11 digits; check i94.cbp.dhs.gov/I94.
    Child5 Us Status At Admission
    warning

    Child 5: Status when last admitted (visa type, if any)

    • Child 5: visa class on entry, or 'EWI'.
    Child5 Current Status
    warning

    Child 5: Current immigration status

    • Child 5: specific current status (pending I-589 derivative, F-2, no current status / EWI, etc.).
    • If child has a separate immigration application pending, note its receipt number.
    Child5 Authorized Stay Expires
    warning

    Child 5: Expiration date of authorized stay

    • Child 5: I-94 expiration; blank if no authorized stay.
    Child5 In Immigration Court
    warning

    Child 5: Is this child in immigration court proceedings?

    • Child 5: yes if child has an NTA or pending case in immigration court.
    • Children in proceedings have tighter procedures; consult counsel about consolidation.
    Child5 To Be Included
    warning

    Child 5: If in the U.S., is this child to be included as a derivative?

    • Child 5: include now or via I-730 after grant; cannot be added later if not in proceedings.
    • Child must be unmarried and under 21 at time of grant to derive.
    Last Residence Before Us Street
    blocker

    Last address before coming to the U.S.: street

    • Use the address where you actually lived just before leaving the home country.
    • Approximate address acceptable if street numbering is informal in your country (write neighborhood + landmark).
    Last Residence Before Us City
    blocker

    Last address before coming to the U.S.: city or town

    • City or town where you lived.
    Last Residence Before Us Dept
    info

    Last address before coming to the U.S.: department, province, or state

    • Province / department / state in your country.
    Last Residence Before Us Country
    blocker

    Last address before coming to the U.S.: country

    • Country where you lived; usually the country you fear.
    Last Residence Before Us From
    blocker

    Last address before coming to the U.S.: from (Mo/Yr)

    • Mo/Yr format; e.g., '03/2018' (or '03/18' if the box is small).
    • If you cannot remember the exact month, use 01 or the closest month.
    Last Residence Before Us To
    blocker

    Last address before coming to the U.S.: to (Mo/Yr)

    • Mo/Yr when you left this address.
    Last Residence In Feared Country Street
    info

    Last address in the country you fear (if different): street

    • Fill only if your last address before the U.S. was different from your last address in the country you fear (e.g., you fled to a third country first).
    • Same address as 'last residence before US' if you came directly to the U.S. from the home country; in that case leave this row blank.
    Last Residence In Feared Country City
    info

    Last address in the country you fear (if different): city or town

    • City or town.
    Last Residence In Feared Country Dept
    info

    Last address in the country you fear (if different): dept / province

    • Province / department.
    Last Residence In Feared Country Country
    info

    Last address in the country you fear (if different): country

    • Country you fear.
    Last Residence In Feared Country From
    info

    Last address in the country you fear (if different): from (Mo/Yr)

    • MM/YYYY.
    Last Residence In Feared Country To
    info

    Last address in the country you fear (if different): to (Mo/Yr)

    • MM/YYYY when you left.
    Residence 5yr 1 Street
    blocker

    Residence 1 (current): street

    • Residence 1: U.S. addresses get specific street numbers; addresses abroad with informal street numbering can use neighborhood + landmark.
    • Approximate is acceptable abroad; precision is expected for U.S. addresses.
    Residence 5yr 1 City
    blocker

    Residence 1 (current): city / town

    • Residence 1: city or town.
    Residence 5yr 1 Dept
    info

    Residence 1 (current): department / province / state

    • Residence 1: state, province, or department.
    Residence 5yr 1 Country
    blocker

    Residence 1 (current): country

    • Residence 1: country.
    Residence 5yr 1 From
    blocker

    Residence 1 (current): from (Mo/Yr)

    • Residence 1: month + year you started living there.
    Residence 5yr 1 To
    blocker

    Residence 1 (current): to (Mo/Yr or 'Present')

    • Residence 1: Mo/Yr or 'Present' if you still live there.
    Residence 5yr 2 Street
    info

    Residence 2: street

    • Residence 2: U.S. addresses get specific street numbers; addresses abroad with informal street numbering can use neighborhood + landmark.
    • Approximate is acceptable abroad; precision is expected for U.S. addresses.
    Residence 5yr 2 City
    info

    Residence 2: city / town

    • Residence 2: city or town.
    Residence 5yr 2 Dept
    info

    Residence 2: department / province / state

    • Residence 2: state, province, or department.
    Residence 5yr 2 Country
    info

    Residence 2: country

    • Residence 2: country.
    Residence 5yr 2 From
    info

    Residence 2: from (Mo/Yr)

    • Residence 2: month + year you started living there.
    Residence 5yr 2 To
    info

    Residence 2: to (Mo/Yr)

    • Residence 2: Mo/Yr when you left.
    Residence 5yr 3 Street
    info

    Residence 3: street

    • Residence 3: U.S. addresses get specific street numbers; addresses abroad with informal street numbering can use neighborhood + landmark.
    • Approximate is acceptable abroad; precision is expected for U.S. addresses.
    Residence 5yr 3 City
    info

    Residence 3: city / town

    • Residence 3: city or town.
    Residence 5yr 3 Dept
    info

    Residence 3: department / province / state

    • Residence 3: state, province, or department.
    Residence 5yr 3 Country
    info

    Residence 3: country

    • Residence 3: country.
    Residence 5yr 3 From
    info

    Residence 3: from (Mo/Yr)

    • Residence 3: month + year you started living there.
    Residence 5yr 3 To
    info

    Residence 3: to (Mo/Yr)

    • Residence 3: Mo/Yr when you left.
    Residence 5yr 4 Street
    info

    Residence 4: street

    • Residence 4: U.S. addresses get specific street numbers; addresses abroad with informal street numbering can use neighborhood + landmark.
    • Approximate is acceptable abroad; precision is expected for U.S. addresses.
    Residence 5yr 4 City
    info

    Residence 4: city / town

    • Residence 4: city or town.
    Residence 5yr 4 Dept
    info

    Residence 4: department / province / state

    • Residence 4: state, province, or department.
    Residence 5yr 4 Country
    info

    Residence 4: country

    • Residence 4: country.
    Residence 5yr 4 From
    info

    Residence 4: from (Mo/Yr)

    • Residence 4: month + year you started living there.
    Residence 5yr 4 To
    info

    Residence 4: to (Mo/Yr)

    • Residence 4: Mo/Yr when you left.
    Residence 5yr 5 Street
    info

    Residence 5: street

    • Residence 5: U.S. addresses get specific street numbers; addresses abroad with informal street numbering can use neighborhood + landmark.
    • Approximate is acceptable abroad; precision is expected for U.S. addresses.
    Residence 5yr 5 City
    info

    Residence 5: city / town

    • Residence 5: city or town.
    Residence 5yr 5 Dept
    info

    Residence 5: department / province / state

    • Residence 5: state, province, or department.
    Residence 5yr 5 Country
    info

    Residence 5: country

    • Residence 5: country.
    Residence 5yr 5 From
    info

    Residence 5: from (Mo/Yr)

    • Residence 5: month + year you started living there.
    Residence 5yr 5 To
    info

    Residence 5: to (Mo/Yr)

    • Residence 5: Mo/Yr when you left.
    Education 1 Name
    blocker

    Education 1 (most recent): name of school

    • Education 1: full school name (not abbreviation).
    • List most recent first; if you only attended one school, list it as Education 1.
    Education 1 Type
    blocker

    Education 1: type of school

    • Education 1: type of school (e.g., 'Primary', 'Secondary', 'University', 'Vocational', 'Religious').
    • Use English type names even if the school is in another language.
    Education 1 Location
    blocker

    Education 1: location (address)

    • Education 1: city + country of the school.
    Education 1 From
    blocker

    Education 1: attended from (Mo/Yr)

    • Education 1: month/year started.
    Education 1 To
    blocker

    Education 1: attended to (Mo/Yr)

    • Education 1: month/year ended; 'Present' if still attending.
    Education 2 Name
    info

    Education 2: name of school

    • Education 2: full school name (not abbreviation).
    • List most recent first; if you only attended one school, list it as Education 1.
    Education 2 Type
    info

    Education 2: type of school

    • Education 2: type of school (e.g., 'Primary', 'Secondary', 'University', 'Vocational', 'Religious').
    • Use English type names even if the school is in another language.
    Education 2 Location
    info

    Education 2: location (address)

    • Education 2: city + country of the school.
    Education 2 From
    info

    Education 2: attended from (Mo/Yr)

    • Education 2: month/year started.
    Education 2 To
    info

    Education 2: attended to (Mo/Yr)

    • Education 2: month/year ended; 'Present' if still attending.
    Education 3 Name
    info

    Education 3: name of school

    • Education 3: full school name (not abbreviation).
    • List most recent first; if you only attended one school, list it as Education 1.
    Education 3 Type
    info

    Education 3: type of school

    • Education 3: type of school (e.g., 'Primary', 'Secondary', 'University', 'Vocational', 'Religious').
    • Use English type names even if the school is in another language.
    Education 3 Location
    info

    Education 3: location (address)

    • Education 3: city + country of the school.
    Education 3 From
    info

    Education 3: attended from (Mo/Yr)

    • Education 3: month/year started.
    Education 3 To
    info

    Education 3: attended to (Mo/Yr)

    • Education 3: month/year ended; 'Present' if still attending.
    Education 4 Name
    info

    Education 4: name of school

    • Education 4: full school name (not abbreviation).
    • List most recent first; if you only attended one school, list it as Education 1.
    Education 4 Type
    info

    Education 4: type of school

    • Education 4: type of school (e.g., 'Primary', 'Secondary', 'University', 'Vocational', 'Religious').
    • Use English type names even if the school is in another language.
    Education 4 Location
    info

    Education 4: location (address)

    • Education 4: city + country of the school.
    Education 4 From
    info

    Education 4: attended from (Mo/Yr)

    • Education 4: month/year started.
    Education 4 To
    info

    Education 4: attended to (Mo/Yr)

    • Education 4: month/year ended; 'Present' if still attending.
    Employment 1 Employer
    blocker

    Employment 1 (most recent): name and address of employer

    • Employment 1: name and address of employer.
    • If you were self-employed, write 'self-employed' + business name + address.
    • If unemployed during a stretch, leave the row blank and use Supplement B to explain.
    Employment 1 Occupation
    blocker

    Employment 1: your occupation

    • Employment 1: your specific role (e.g., 'taxi driver', 'middle-school teacher', 'software developer').
    • Generic 'worker' is too vague.
    Employment 1 From
    blocker

    Employment 1: from (Mo/Yr)

    • Employment 1: month/year started.
    Employment 1 To
    blocker

    Employment 1: to (Mo/Yr or 'Present')

    • Employment 1: month/year ended; 'Present' if current job.
    Employment 2 Employer
    info

    Employment 2: name and address of employer

    • Employment 2: name and address of employer.
    • If you were self-employed, write 'self-employed' + business name + address.
    • If unemployed during a stretch, leave the row blank and use Supplement B to explain.
    Employment 2 Occupation
    info

    Employment 2: your occupation

    • Employment 2: your specific role (e.g., 'taxi driver', 'middle-school teacher', 'software developer').
    • Generic 'worker' is too vague.
    Employment 2 From
    info

    Employment 2: from (Mo/Yr)

    • Employment 2: month/year started.
    Employment 2 To
    info

    Employment 2: to (Mo/Yr)

    • Employment 2: month/year ended; 'Present' if current job.
    Employment 3 Employer
    info

    Employment 3: name and address of employer

    • Employment 3: name and address of employer.
    • If you were self-employed, write 'self-employed' + business name + address.
    • If unemployed during a stretch, leave the row blank and use Supplement B to explain.
    Employment 3 Occupation
    info

    Employment 3: your occupation

    • Employment 3: your specific role (e.g., 'taxi driver', 'middle-school teacher', 'software developer').
    • Generic 'worker' is too vague.
    Employment 3 From
    info

    Employment 3: from (Mo/Yr)

    • Employment 3: month/year started.
    Employment 3 To
    info

    Employment 3: to (Mo/Yr)

    • Employment 3: month/year ended; 'Present' if current job.
    Prior Asylum Yn
    blocker

    Item 1: Have you, your spouse, your child(ren), your parents, or your siblings ever applied to the U.S. Government for refugee status, asylum, or withholding of removal?

    • Filers say no when they had a prior application denied; that is a hard mistake. If you, your spouse, your children, your parents, or your siblings ever applied for asylum, the answer is yes.
    • Failed credible fear interviews and reasonable fear interviews count.
    • Withdrawn applications count.
    Prior Asylum Explanation
    warning

    Item 1 explanation: prior decisions and what happened to status; whether you were a derivative; A-Numbers of related filers

    • Be specific: who applied, when, where, the outcome (approved / denied / withdrawn / pending).
    • If denied, list the reasons given; res judicata may bar re-filing same facts.
    • If approved, ask why you are filing again; usually status was lost or facts changed.
    Third Country Travel Yn
    blocker

    Item 2.A: After leaving the country from which you are claiming asylum, did you or your spouse or child(ren) who are now in the United States travel through or reside in any other country before entering the United States?

    • If you traveled through a third country and could have stayed there safely, this can bar asylum (firm-resettlement bar at 8 USC 1158(b)(2)(A)(vi)).
    • Transit through a country (e.g., flight layover) generally does not count; living in a country does.
    Third Country Status Yn
    blocker

    Item 2.B: Have you, your spouse, your child(ren), or other family members ever applied for or received any lawful status in any country other than the one from which you are now claiming asylum?

    • Permanent residence, citizenship, or other lawful status in a third country can bar asylum.
    • Includes refugee status in a third country if you could return there safely.
    Third Country Explanation
    warning

    Items 2.A / 2.B explanation: for each person and country, length of stay, status, reasons for leaving, whether person can return for lawful residence, whether person applied for refugee/asylum and if not why

    • For each person and country: dates of stay, status held, why you / they did not stay, whether you could return safely now.
    • Critical because the firm-resettlement bar at 8 CFR 1208.15 looks at whether you received an offer of permanent resettlement.
    Persecutor Bar Yn
    blocker

    Item 3: Have you, your spouse, or your child(ren) ever ordered, incited, assisted, or otherwise participated in causing harm or suffering to any person because of race, religion, nationality, social group membership, or political opinion?

    • Past membership in a persecutor group (military, police, security forces) that committed persecution can bar asylum (INA section 208(b)(2)(A)(i)).
    • Forced conscription with no participation in persecution does not bar; explain the duress.
    • Filers omit prior service hoping it goes away; USCIS / EOIR investigates and inconsistency is fatal.
    Persecutor Bar Explanation
    warning

    Item 3 explanation: each incident and your or your spouse's or child(ren)'s involvement

    • Be detailed: dates, unit, role, whether you participated in any acts, whether you were under duress.
    • Persecutor bar is fact-intensive; consult counsel before answering yes.
    Returned To Country Yn
    blocker

    Item 4: After you left the country where you were harmed or fear harm, did you return to that country?

    • Returns to the country you fear can rebut the well-founded fear (the government argues you would not return if you truly feared persecution).
    • Even short trips count; be honest. Explanations (e.g., 'returned to bury my mother', 'attempted to retrieve children') can preserve credibility.
    Returned To Country Explanation
    warning

    Item 4 explanation: dates of trip(s), purpose, length of time in country

    • Dates of trip(s), purpose, length of stay, whether you experienced harm during the trip.
    • Use Supplement B if more space is needed.
    More Than One Year Yn
    blocker

    Item 5: Are you filing this application more than 1 year after your last arrival in the United States?

    • The 1-year filing deadline at INA section 208(a)(2)(B) bars asylum if you do not file within one year of your last U.S. arrival, unless you show changed or extraordinary circumstances.
    • Withholding of removal and CAT have NO 1-year deadline; if you miss the asylum deadline, you may still pursue those.
    • Pending TPS, parole, or other status does not toll the 1-year clock unless argued as 'extraordinary circumstances'.
    More Than One Year Explanation
    warning

    Item 5 explanation: why you did not file within the first year (changed or extraordinary circumstances)

    • Changed circumstances: changes in conditions in your country, changes in your activities or status that affect eligibility.
    • Extraordinary circumstances: serious illness, ineffective assistance of counsel, prior status that delayed filing.
    • Generic 'I did not know about the deadline' rarely qualifies as extraordinary.
    Us Crimes Yn
    blocker

    Item 6: Have you or any member of your family included in the application ever committed any crime and / or been arrested, charged, convicted, or sentenced for any crimes in the United States (including for an immigration law violation)?

    • All arrests, charges, and convictions count, including dismissed charges and youthful offenses.
    • DUI counts; misdemeanors count.
    • Particularly serious crime (PSC) bars asylum and withholding under INA section 208(b)(2)(A)(ii) and 241(b)(3)(B)(ii).
    Us Crimes Explanation
    warning

    Item 6 explanation: for each instance, what occurred, dates, sentence, location, duration of detention, reasons, charges, reasons for release

    • Dates, charges, dispositions, sentences, locations.
    • Attach certified court records for each (the asylum officer or IJ will require them).
    Applicant Printed Name
    blocker

    Print your complete name

    • Match the spelling on Part A.I exactly.
    • Print in capitals if the form box uses block-letter labeling.
    Applicant Native Alphabet Name
    warning

    Write your name in your native alphabet

    • Write your name in your native alphabet (e.g., Arabic, Cyrillic, Chinese characters); leave blank if your native alphabet is the Latin alphabet.
    • Filers leave blank thinking it is optional; for non-Latin-alphabet names this aids identity verification.
    Spouse Or Family Assist Yn
    blocker

    Did your spouse, parent, or child(ren) assist you in completing this application?

    • If a family member helped you complete the form, list them; this is not the same as a 'preparer' (Part E).
    Family Helper 1 Name
    warning

    Family helper 1: name

    • Full name of family helper.
    Family Helper 1 Relationship
    warning

    Family helper 1: relationship

    • Their relationship to you (spouse, parent, child).
    Family Helper 2 Name
    warning

    Family helper 2: name

    • Full name.
    Family Helper 2 Relationship
    warning

    Family helper 2: relationship

    • Relationship to you.
    Prepared By Other Yn
    blocker

    Did someone other than your spouse, parent, or child(ren) prepare this application?

    • Yes if anyone other than you, spouse, parent, or child completed any part of the form. Prepares include translators, notarios, attorneys, accredited representatives, and friends.
    • If yes, that person must complete Part E.
    Pro Bono List Provided Yn
    blocker

    Asylum applicants may be represented by counsel. Have you been provided with a list of persons who may be available to assist you, at little or no cost, with your asylum claim?

    • USCIS / EOIR provides a list of pro-bono legal service providers; you should be given one when you receive the asylum application materials.
    • If you have not been provided a list, you can find one at justice.gov/eoir/list-pro-bono-legal-service-providers-map.
    Applicant Signature
    blocker

    Applicant signature (typed name; sign on the printed form)

    • Wet-ink signature on the printed form; do not type a signature in the printable PDF.
    • Sign only on the day you file; pre-dated signatures may be rejected.
    Applicant Signature Date
    blocker

    Date of applicant signature

    • Date you sign; should match the filing date.
    • Future dates are not allowed.
    Preparer Signature
    info

    Preparer signature (typed name; sign on the printed form)

    • Wet-ink signature on the printed form.
    Preparer Printed Name
    info

    Preparer's printed complete name

    • Full legal name of preparer.
    Preparer Phone Area
    info

    Preparer's daytime telephone area code

    • 3-digit area code.
    Preparer Phone Number
    info

    Preparer's daytime telephone number

    • 7 digits.
    Preparer Street
    info

    Preparer's street number and name

    • Preparer's office or home address.
    Preparer Apt
    info

    Preparer's apartment number

    • Blank if none.
    Preparer City
    info

    Preparer's city

    • City.
    Preparer State
    info

    Preparer's state

    • Two-letter abbreviation.
    Preparer Zip
    info

    Preparer's ZIP code

    • 5 digits.
    Preparer G28 Attached
    info

    Form G-28 is attached (preparer is an attorney or accredited representative)

    • Attorneys and accredited representatives must file Form G-28 with the asylum application.
    • Notarios and unauthorized practitioners cannot complete Part E as a representative; they can only serve as a 'preparer' without the G-28.
    Preparer Attorney State Bar
    info

    Attorney state bar number, if applicable

    • Attorney's bar number with the state where they are licensed.
    Preparer Uscis Online Account
    info

    Attorney or accredited representative USCIS Online Account Number, if any

    • Attorney's USCIS Online Account Number, if any.
    Basis Race
    blocker

    Race

    • Check this if your harm or fear is based, even in part, on your race.
    • Multiple bases can be checked; courts increasingly accept 'mixed motive' claims.
    Basis Religion
    blocker

    Religion

    • Religion includes apostasy, conversion, and visible religious practice (dress, fasting, public worship).
    • Atheism in a country with state religion can be a religion-based claim.
    Basis Nationality
    blocker

    Nationality

    • Nationality includes ethnic group affiliation in many cases; if your group is targeted, this may apply even if not formally a 'nationality' under your country's law.
    Basis Political Opinion
    blocker

    Political opinion

    • Political opinion includes both actual and imputed political views.
    • Refusing to support a political party, refusing military service for political reasons, and feminist activism in repressive states all fit here.
    • Anti-corruption activism: increasingly recognized as political opinion under Matter of M-A-S- and similar precedent.
    Basis Particular Social Group
    blocker

    Membership in a particular social group

    • PSG must meet three elements: (a) immutable or fundamental characteristic, (b) particular and well-defined, (c) socially distinct in society.
    • Common PSGs: family membership, sexual orientation, gender identity, victims of domestic violence in countries unable to protect, child soldiers, former gang members.
    • Filers articulate PSG too broadly ('young women in El Salvador'); use a tighter formulation that matches the BIA framework.
    Basis Torture Convention
    blocker

    Torture Convention (CAT)

    • CAT requires a likelihood of torture by, or with the consent or acquiescence of, a public official.
    • CAT has no 1-year deadline and no PSG requirement; check this if torture is likely even if asylum is unavailable.
    Past Harm Yn
    blocker

    Question 1.A: Have you, your family, or close friends or colleagues ever experienced harm or mistreatment or threats in the past by anyone?

    • Past harm of any kind to you, your family, or close associates can support a presumption of future fear under 8 CFR 208.13(b)(1).
    • Family harm matters even if you were not personally harmed; the doctrine is 'imputation' or 'shared characteristic' targeting.
    Past Harm Explanation
    warning

    Question 1.A explanation: describe each event of past harm, mistreatment, or threats

    • Specific facts: dates, locations, who harmed you, how, what physical / emotional / financial harm resulted.
    • Cumulative harm matters; even if no single incident was severe, a pattern can rise to persecution.
    • Government complicity counts as state action; private actor harm requires showing the state was unwilling or unable to protect.
    Future Harm Yn
    blocker

    Question 1.B: Do you fear harm or mistreatment if you return to your home country?

    • Even if you have not yet been harmed, a well-founded fear of future harm is sufficient.
    • Past persecution creates a presumption of future fear, but if no past persecution, the burden is on you to show fear is well-founded.
    Future Harm Explanation
    warning

    Question 1.B explanation: describe what harm you fear, who would harm you, and why

    • Identify who would harm you, what the harm would be, and why (link to a protected ground).
    • Country conditions reports, news articles, and human rights group reports support the claim; cite them.
    • Internal-relocation: explain why you cannot reasonably relocate within your country (8 CFR 208.13(b)(3)(ii)).
    Criminal History Outside Us Yn
    blocker

    Question 2: Have you or your family members ever been accused, charged, arrested, detained, interrogated, convicted and sentenced, or imprisoned in any country other than the United States (including for an immigration law violation)?

    • All charges, arrests, convictions outside the U.S. count, including political-prisoner detentions and dismissed charges.
    • Fabricated charges by the persecuting government often appear here; describe them as 'fabricated' and explain in Part B.
    Criminal History Outside Us Explanation
    warning

    Question 2 explanation: circumstances and reasons

    • Date, country, charge, outcome.
    • If charges were political or fabricated, say so explicitly; do not simply list them as if legitimate.
    Organizations Belonged Yn
    blocker

    Question 3.A: Have you or your family members ever belonged to or been associated with any organizations or groups in your home country (political party, student group, labor union, religious organization, military or paramilitary group, civil patrol, guerrilla organization, ethnic group, human rights group, press or media)?

    • Includes political parties, ethnic associations, religious groups, professional associations, military / police service, student groups, and labor unions.
    • Forced conscription or coerced membership counts; explain duress in the explanation field.
    Organizations Belonged Explanation
    warning

    Question 3.A explanation: for each person, level of participation, leadership or other positions, length of involvement

    • For each person and organization: dates of membership, level of participation (member / officer / leader), specific activities.
    Organizations Continue Yn
    blocker

    Question 3.B: Do you or your family members continue to participate in any way in these organizations or groups?

    • Current activity in U.S.-based diaspora groups may be relevant to fear of return (the home government may target diaspora activists).
    • Political activity in the U.S. that is reported back to the home country can create new persecution risk.
    Organizations Continue Explanation
    warning

    Question 3.B explanation: current level of participation, current positions, length of involvement

    • Describe current participation, current positions, and visibility (e.g., social media activity, press appearances, public events).
    Fear Of Torture Yn
    blocker

    Question 4: Are you afraid of being subjected to torture in your home country or any other country to which you may be returned?

    • Torture under CAT is broader than common usage; it includes severe physical or mental pain inflicted by a public official.
    • Threats alone usually do not qualify as torture; actual or imminent severe harm does.
    Fear Of Torture Explanation
    warning

    Question 4 explanation: nature of torture you fear, by whom, and why it would be inflicted

    • Identify torturer (state actor or private with state acquiescence), nature of torture, and likelihood (more likely than not).
    • Country conditions on torture practices support the claim.
    Mother Name
    blocker

    Mother: full name

    • Mother's full legal name; include maiden name and any married names she has used.
    • If mother is unknown to you, write 'unknown' rather than leaving blank.
    Mother Birth City Country
    blocker

    Mother: city / town and country of birth

    • City + country.
    Mother Current Location
    blocker

    Mother: current location

    • City + country where mother currently lives; if she is in detention or hiding, be specific in Supplement B.
    • If she has been killed or disappeared, write 'deceased' or 'disappeared' and provide details in Part B.
    Mother Deceased
    blocker

    Mother: deceased

    • Boolean; if yes, also note in Part B if her death is part of your asylum claim.
    Father Name
    blocker

    Father: full name

    • Father's full legal name; include any aliases.
    Father Birth City Country
    blocker

    Father: city / town and country of birth

    • City + country.
    Father Current Location
    blocker

    Father: current location

    • City + country.
    Father Deceased
    blocker

    Father: deceased

    • Boolean; if yes and his death is relevant to claim, note in Part B.
    Sibling 1 Name
    info

    Sibling 1: full name

    • Sibling 1: full legal name; include any aliases.
    • Half-siblings count; step-siblings list at applicant's discretion.
    Sibling 1 Birth City Country
    info

    Sibling 1: city / town and country of birth

    • Sibling 1: city + country of birth.
    Sibling 1 Current Location
    info

    Sibling 1: current location

    • Sibling 1: city + country; if in detention, hiding, or has fled, explain in Supplement B if relevant to the claim.
    Sibling 1 Deceased
    info

    Sibling 1: deceased

    • Sibling 1: yes if deceased; if death was caused by the persecution, note in Part B.
    Sibling 2 Name
    info

    Sibling 2: full name

    • Sibling 2: full legal name; include any aliases.
    • Half-siblings count; step-siblings list at applicant's discretion.
    Sibling 2 Birth City Country
    info

    Sibling 2: city / town and country of birth

    • Sibling 2: city + country of birth.
    Sibling 2 Current Location
    info

    Sibling 2: current location

    • Sibling 2: city + country; if in detention, hiding, or has fled, explain in Supplement B if relevant to the claim.
    Sibling 2 Deceased
    info

    Sibling 2: deceased

    • Sibling 2: yes if deceased; if death was caused by the persecution, note in Part B.
    Sibling 3 Name
    info

    Sibling 3: full name

    • Sibling 3: full legal name; include any aliases.
    • Half-siblings count; step-siblings list at applicant's discretion.
    Sibling 3 Birth City Country
    info

    Sibling 3: city / town and country of birth

    • Sibling 3: city + country of birth.
    Sibling 3 Current Location
    info

    Sibling 3: current location

    • Sibling 3: city + country; if in detention, hiding, or has fled, explain in Supplement B if relevant to the claim.
    Sibling 3 Deceased
    info

    Sibling 3: deceased

    • Sibling 3: yes if deceased; if death was caused by the persecution, note in Part B.
    Sibling 4 Name
    info

    Sibling 4: full name

    • Sibling 4: full legal name; include any aliases.
    • Half-siblings count; step-siblings list at applicant's discretion.
    Sibling 4 Birth City Country
    info

    Sibling 4: city / town and country of birth

    • Sibling 4: city + country of birth.
    Sibling 4 Current Location
    info

    Sibling 4: current location

    • Sibling 4: city + country; if in detention, hiding, or has fled, explain in Supplement B if relevant to the claim.
    Sibling 4 Deceased
    info

    Sibling 4: deceased

    • Sibling 4: yes if deceased; if death was caused by the persecution, note in Part B.
    Child6 A Number
    warning

    Child 6: A-Number, if any

    • Child 6: leave blank if no A-Number; do not invent.
    • Child 6: A-Number is on USCIS notices, not on the SSA card.
    Child6 Passport Or Id
    warning

    Child 6: Passport or ID card number, if any

    • Child 6: passport number preferred; national ID or birth-certificate number acceptable if no passport.
    • List one number; if multiple documents, use the most recent.
    Child6 Marital Status
    warning

    Child 6: Marital status

    • Child 6: 'Single' for unmarried minors; 'Married' even if very young in countries that allow it.
    • Married children are not eligible derivatives under INA section 208(b)(3)(A); list them but understand they cannot derive.
    Child6 Ssn
    warning

    Child 6: U.S. Social Security Number, if any

    • Child 6: blank if no U.S. SSN; do not invent.
    Child6 Last Name
    warning

    Child 6: Last name

    • Child 6: match the spelling on the child's birth certificate.
    • Some countries put surname first; check passport order.
    Child6 First Name
    warning

    Child 6: First name

    • Child 6: legal first name; not nickname.
    Child6 Middle Name
    warning

    Child 6: Middle name

    • Child 6: blank if none.
    Child6 Dob
    warning

    Child 6: Date of birth

    • Child 6: must be under 21 and unmarried at time of asylum grant to derive (INA section 208(b)(3)(A)).
    • Use child's birth-certificate date; if only year is recorded, use 01/01/YYYY and explain in Supplement B.
    Child6 Birth City Country
    warning

    Child 6: City and country of birth

    • Child 6: city + country of birth; matters for child's own potential nationality.
    Child6 Nationality
    warning

    Child 6: Nationality (citizenship)

    • Child 6: list all nationalities held; child holding U.S. citizenship cannot derive (and does not need to).
    • Child holding the country-feared nationality is the typical case.
    Child6 Race Ethnic Tribal
    warning

    Child 6: Race, ethnic, or tribal group

    • Child 6: specific identification; matters if child is targeted on race / ethnicity grounds.
    Child6 Sex
    warning

    Child 6: Sex

    • Child 6: choice from listed options.
    Child6 In Us
    warning

    Child 6: Is this child in the U.S.?

    • Child 6: yes if child is physically in the U.S. (including detention).
    • Children abroad cannot derive on Form I-589; petition via I-730 after asylum is granted.
    Child6 Location If Not In Us
    warning

    Child 6: If not in the U.S., specify location

    • Child 6: city + country; if child is in hiding or detention, explain in Supplement B.
    Child6 Us Entry Place
    warning

    Child 6: Place of last entry into the U.S.

    • Child 6: port of entry + state, or 'EWI'.
    Child6 Us Entry Date
    warning

    Child 6: Date of last entry into the U.S.

    • Child 6: most recent U.S. entry.
    Child6 Us I94 Number
    warning

    Child 6: I-94 number, if any

    • Child 6: 11 digits; check i94.cbp.dhs.gov/I94.
    Child6 Us Status At Admission
    warning

    Child 6: Status when last admitted (visa type, if any)

    • Child 6: visa class on entry, or 'EWI'.
    Child6 Current Status
    warning

    Child 6: Current immigration status

    • Child 6: specific current status (pending I-589 derivative, F-2, no current status / EWI, etc.).
    • If child has a separate immigration application pending, note its receipt number.
    Child6 Authorized Stay Expires
    warning

    Child 6: Expiration date of authorized stay

    • Child 6: I-94 expiration; blank if no authorized stay.
    Child6 In Immigration Court
    warning

    Child 6: Is this child in immigration court proceedings?

    • Child 6: yes if child has an NTA or pending case in immigration court.
    • Children in proceedings have tighter procedures; consult counsel about consolidation.
    Child6 To Be Included
    warning

    Child 6: If in the U.S., is this child to be included as a derivative?

    • Child 6: include now or via I-730 after grant; cannot be added later if not in proceedings.
    • Child must be unmarried and under 21 at time of grant to derive.
    Supp B A Number
    info

    Supplement B header: A-Number

    • Same A-Number as Part A.I item 1.
    Supp B Date
    info

    Supplement B header: Date

    • Date you complete Supplement B.
    Supp B Applicant Name
    info

    Supplement B header: Applicant's name

    • Same name as Part A.I.
    Supp B Applicant Signature
    info

    Supplement B header: Applicant's signature (typed)

    • Wet-ink signature on the printed form.
    Supp B Part Reference
    info

    Supplement B: which Part (e.g., 'Part A.III, Item 1')

    • Reference the part by its label exactly ('Part A.III, Item 1'); the asylum officer needs to find the related question.
    • Filers reference by page number; reference by part / item label, not page.
    Supp B Question Reference
    info

    Supplement B: which Question

    • Identify the question text or item number.
    Supp B Continuation Text
    info

    Supplement B: continuation narrative

    • Use Supplement B for any narrative that does not fit on the main form, including detailed Part B (basis) explanation, additional children beyond Supplement A, or context for any item.
    • Specific facts win; vague paragraphs lose. Cite dates, places, names, sources whenever possible.

    Ezel is a self-help tool. Ezel is not a law firm and does not provide legal advice. You are the filer. Review the form carefully before submitting it to the court, and consult a licensed attorney if you have questions about your case. For free legal help, contact your local legal aid office or court self-help center.

    Sources

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