Templates Immigration Affidavit of Support (Form I-864) Cover Letter

Affidavit of Support (Form I-864) Cover Letter

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FORM I-864 AFFIDAVIT OF SUPPORT

COVER LETTER AND DOCUMENT PACKAGE


[DATE]

[SPONSOR NAME]
[ADDRESS]
[CITY, STATE ZIP]
[TELEPHONE]
[EMAIL]


VIA [USPS / FEDEX / INCLUDED WITH I-485 PACKAGE]

U.S. Citizenship and Immigration Services
[USCIS ADDRESS]

OR

U.S. Department of State
National Visa Center
[NVC ADDRESS]


RE: Form I-864, Affidavit of Support Under Section 213A of the INA
Sponsor: [SPONSOR FULL NAME]
Intending Immigrant(s): [IMMIGRANT NAME(S)]
Underlying Petition: [I-130/I-140] Receipt Number: [NUMBER]
Case Type: ☐ Adjustment of Status ☐ Consular Processing
NVC Case Number (if applicable): [NUMBER]


Dear Immigration Officer / Consular Officer:

Enclosed please find Form I-864, Affidavit of Support Under Section 213A of the INA, executed by [SPONSOR NAME] on behalf of [INTENDING IMMIGRANT NAME(S)]. This Affidavit of Support demonstrates that the intending immigrant(s) will not become a public charge as required by INA § 212(a)(4).


I. SPONSOR INFORMATION

Field Information
Full Legal Name [SPONSOR FULL NAME]
Date of Birth [DOB]
Immigration Status ☐ U.S. Citizen ☐ LPR ☐ U.S. National
Social Security Number [XXX-XX-XXXX]
Current Address [FULL ADDRESS]
Telephone [PHONE]
Email [EMAIL]
Relationship to Immigrant [PETITIONER / JOINT SPONSOR / SUBSTITUTE SPONSOR]

II. INTENDING IMMIGRANT(S)

Name Relationship to Sponsor Date of Birth Country of Birth
[NAME] [PRINCIPAL BENEFICIARY] [DOB] [COUNTRY]
[NAME] [SPOUSE OF BENEFICIARY] [DOB] [COUNTRY]
[NAME] [CHILD OF BENEFICIARY] [DOB] [COUNTRY]

III. TYPE OF AFFIDAVIT OF SUPPORT

Form I-864 - Standard Affidavit of Support
☐ Petitioner as Sponsor
☐ Joint Sponsor (income combined with petitioner)
☐ Substitute Sponsor (petitioner died after approval)

Form I-864A - Contract Between Sponsor and Household Member
(Used when household member's income is needed to meet requirements)

Form I-864EZ - Simplified Affidavit
(Only available if sponsor is petitioner, using only own income, no household members needed)

Form I-864W - Intending Immigrant's Affidavit of Support Exemption
(For immigrants exempt from affidavit requirement)


IV. HOUSEHOLD SIZE CALCULATION

A. Sponsor's Household

Category Number
Sponsor 1
Sponsor's spouse (if living with sponsor) [0 or 1]
Sponsor's dependent children [NUMBER]
Other dependents claimed on sponsor's tax return [NUMBER]
Persons sponsored on prior I-864 still obligated [NUMBER]
Intending immigrants in this case [NUMBER]
TOTAL HOUSEHOLD SIZE [TOTAL]

B. Poverty Guidelines (2026)

Using [YEAR] HHS Poverty Guidelines (48 Contiguous States)

Household Size 100% Poverty Line 125% Required
2 $[AMOUNT] $[AMOUNT]
3 $[AMOUNT] $[AMOUNT]
4 $[AMOUNT] $[AMOUNT]
5 $[AMOUNT] $[AMOUNT]
6 $[AMOUNT] $[AMOUNT]
7 $[AMOUNT] $[AMOUNT]
8 $[AMOUNT] $[AMOUNT]
Each additional +$[AMOUNT] +$[AMOUNT]

Note: For Alaska and Hawaii, different poverty guidelines apply.

Sponsor's Household Size: [NUMBER]
Required Income (125% of Poverty): $[AMOUNT]
Sponsor's Qualifying Income: $[AMOUNT]

☐ Sponsor meets income requirement independently
☐ Household member income needed (Form I-864A)
☐ Joint sponsor required
☐ Assets used to supplement income


V. INCOME QUALIFICATION

A. Sponsor's Income

Income Type Amount (Annual)
Employment Income $[AMOUNT]
Self-Employment Income $[AMOUNT]
Retirement/Pension $[AMOUNT]
Social Security $[AMOUNT]
Other Income $[AMOUNT]
TOTAL ANNUAL INCOME $[AMOUNT]

B. Household Member Income (If Using Form I-864A)

Household Member Relationship Annual Income
[NAME] [RELATIONSHIP] $[AMOUNT]
[NAME] [RELATIONSHIP] $[AMOUNT]

☐ Form I-864A enclosed for each household member

C. Joint Sponsor Income (If Applicable)

Joint Sponsor Annual Income Household Size
[NAME] $[AMOUNT] [SIZE]

☐ Separate Form I-864 enclosed for joint sponsor

D. Combined Qualifying Income

Source Amount
Sponsor's Income $[AMOUNT]
Household Member Income $[AMOUNT]
Joint Sponsor Income $[AMOUNT]
TOTAL QUALIFYING INCOME $[AMOUNT]

☐ Total meets 125% of poverty guidelines for household size


VI. ASSET QUALIFICATION (If Income Insufficient)

If income alone does not meet the 125% requirement, assets may be used:

Asset Multiplier:

  • Spouse or child of U.S. citizen: Assets must equal 3x the difference
  • All other relationships: Assets must equal 5x the difference

Calculation:

  • Required income (125%): $[AMOUNT]
  • Available income: $[AMOUNT]
  • Shortfall: $[AMOUNT]
  • Asset requirement ([3x or 5x]): $[AMOUNT]

A. Sponsor's Assets

Asset Type Value Documentation
Cash/Savings $[AMOUNT] Bank statements
Stocks/Bonds $[AMOUNT] Brokerage statements
Real Estate Equity $[AMOUNT] Appraisal, mortgage statement
Other $[AMOUNT] [DESCRIBE]
TOTAL ASSETS $[AMOUNT]

☐ Total assets meet requirement of $[AMOUNT]


VII. FORMS ENCLOSED

☐ Form I-864, Affidavit of Support (signed original)
☐ Form I-864A, Contract Between Sponsor and Household Member (if applicable)
☐ Form I-864 for Joint Sponsor (if applicable)
☐ Form I-864A for Joint Sponsor's Household Member (if applicable)


VIII. SUPPORTING DOCUMENTS CHECKLIST

A. Proof of Sponsor's Status (Required)

☐ Copy of U.S. Passport OR
☐ Copy of Naturalization Certificate OR
☐ Copy of Certificate of Citizenship OR
☐ Copy of U.S. Birth Certificate OR
☐ Copy of Permanent Resident Card (if LPR sponsor)

B. Tax Documentation (Required)

Option 1: IRS Tax Transcripts (Preferred)
☐ IRS Tax Return Transcript for most recent year
☐ IRS Tax Return Transcript for 2nd most recent year (if requested)
☐ IRS Tax Return Transcript for 3rd most recent year (if requested)

Option 2: Tax Returns with W-2s/1099s
☐ Complete Federal Tax Return (Form 1040) for most recent year
☐ All W-2 forms for most recent year
☐ All 1099 forms for most recent year
☐ Complete Federal Tax Returns for 2 prior years (if requested)

Note: Tax transcripts are free from IRS and cannot be altered, making them preferred by USCIS.

C. Evidence of Current Income (Required)

☐ Employment verification letter on company letterhead stating:

  • Job title
  • Date of hire
  • Current salary/hourly wage
  • Full-time/part-time status
  • Likelihood of continued employment

☐ Recent pay stubs (last 6 months)

☐ Self-employment documentation (if applicable):

  • Business license
  • Profit/loss statement
  • 1099 forms received
  • Contracts/invoices

D. Asset Documentation (If Using Assets)

Bank Accounts:
☐ Bank statements (last 12 months)
☐ Certificate of deposit statements

Investments:
☐ Brokerage account statements
☐ Stock certificates
☐ Bond statements
☐ Retirement account statements (IRA, 401k)

Real Estate:
☐ Property deed
☐ Current mortgage statement
☐ Property appraisal (within 12 months)
☐ Property tax assessment

Other Assets:
☐ Vehicle titles and valuations
☐ Life insurance cash value statements
☐ Other asset documentation

E. Household Member Documentation (If Using Form I-864A)

For each household member contributing income:
☐ Form I-864A signed by household member and sponsor
☐ Proof of household member's status (if not U.S. citizen)
☐ Household member's tax transcripts or returns
☐ Household member's W-2s
☐ Household member's employment letter
☐ Household member's pay stubs

F. Joint Sponsor Documentation (If Applicable)

☐ Separate complete I-864 package for joint sponsor including all documentation listed above


IX. DOCUMENT INDEX

Tab Document Pages
1 Cover Letter [#]
2 Form I-864 (Sponsor) [#]
3 Proof of Sponsor's U.S. Status [#]
4 IRS Tax Transcripts (3 years) [#]
5 W-2s / 1099s [#]
6 Employment Verification Letter [#]
7 Pay Stubs (last 6 months) [#]
8 Asset Documentation (if applicable) [#]
9 Form I-864A and Supporting Docs (if applicable) [#]
10 Joint Sponsor Package (if applicable) [#]

X. SPECIAL CIRCUMSTANCES

A. Self-Employed Sponsors

☐ Sponsor is self-employed
☐ Business tax returns (Schedule C) enclosed
☐ Profit/loss statements enclosed
☐ Business bank statements enclosed

B. Military Sponsors

☐ Sponsor is active duty U.S. Armed Forces
☐ Only 100% of poverty guidelines required (not 125%)
☐ Military LES (Leave and Earnings Statement) enclosed
☐ DD-214 enclosed (if veteran)

C. Multiple Sponsors

☐ Petitioner qualifies alone
☐ Household member income used (I-864A)
☐ Joint sponsor required
☐ Both petitioner and joint sponsor submitting I-864

D. Prior I-864 Obligations

☐ Sponsor has no prior I-864 obligations
☐ Sponsor has prior I-864 obligations for [NUMBER] persons
These are included in household size calculation


XI. CERTIFICATION

The sponsor(s) certify that:

  1. ☐ The information in Form I-864 and supporting documents is true and correct

  2. ☐ The sponsor understands this creates a legally enforceable contract

  3. ☐ The sponsor's obligation continues until:
    - The immigrant becomes a U.S. citizen
    - The immigrant has worked 40 qualifying quarters
    - The immigrant departs the U.S. permanently
    - The immigrant dies
    - The sponsor dies

  4. ☐ The sponsor may be sued to reimburse government agencies for public benefits provided to the immigrant

  5. ☐ The immigrant may sue the sponsor to enforce support obligations


XII. INCOME REQUIREMENT VERIFICATION

Summary:

Item Amount
Household Size [NUMBER]
Required Income (125%) $[AMOUNT]
Sponsor's Income $[AMOUNT]
Household Member Income $[AMOUNT]
Joint Sponsor Income $[AMOUNT]
Total Qualifying Income $[AMOUNT]
Assets (if needed) $[AMOUNT]

INCOME REQUIREMENT MET


XIII. CONTACT INFORMATION

Sponsor:
[NAME]
[ADDRESS]
[PHONE]
[EMAIL]

Joint Sponsor (if applicable):
[NAME]
[ADDRESS]
[PHONE]
[EMAIL]

Attorney/Representative:
[NAME]
[FIRM]
[ADDRESS]
[PHONE]
[EMAIL]


Respectfully submitted,

_______________________________
[SPONSOR SIGNATURE]

[SPONSOR PRINTED NAME]
[DATE]


REMINDER: SPONSOR'S CONTINUING OBLIGATION

By signing Form I-864, the sponsor enters a legally binding contract. The obligation:

  • Is enforceable by the immigrant AND by government agencies
  • Continues regardless of divorce or separation
  • Cannot be terminated by written agreement
  • Ends ONLY when the immigrant: naturalizes, works 40 quarters, permanently departs, or dies

This template is for informational purposes only and does not constitute legal advice. Affidavit of Support requirements are complex. Consult with a qualified immigration attorney for specific guidance.

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About This Template

Immigration paperwork is federal and unforgiving: one wrong box, one missing document, or one late response can mean a denial, a delay, or loss of status. Petitions, responses to Requests for Evidence, and appeal briefs have to be organized, complete, and backed up by the right supporting evidence. Well-prepared filings move faster through the agency, win more often on appeal, and reduce the chance of getting caught in processing backlogs.

Important Notice

This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Last updated: February 2026

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