United States Adjustment of Status to Lawful Permanent Resident (Form I-485)

Personal identifier; handle as sensitive data. Do not provide a nickname.

Personal identifier; handle as sensitive data.

Personal identifier; handle as sensitive data.

Personal identifier; handle as sensitive data. Includes family name at birth, other legal names, nicknames, aliases, and assumed names. The form provides a single entry line; additional names use Part 14. Additional Information.

Personal identifier; handle as sensitive data.

Personal identifier; handle as sensitive data.

If true, give otherDatesOfBirth.

Personal identifier; handle as sensitive data. Required when everUsedOtherDateOfBirth is true. Comma-separated list of YYYY-MM-DD dates if more than one.

If true, give alienRegistrationNumber.

Personal identifier; handle as sensitive data. Digits only (the form prefixes a printed "A-").

If true, give otherANumbersUsed.

Personal identifier; handle as sensitive data. Required when everUsedOtherANumber is true. Comma-separated list if more than one.

Personal identifier; handle as sensitive data.

Personal identifier; handle as sensitive data. Not a separately numbered item; grouped with item 6 on the source form.

Personal identifier; handle as sensitive data.

Personal identifier; handle as sensitive data.

Personal identifier; handle as sensitive data. If one has been assigned, it appears on a notice USCIS may have sent.

Personal identifier; handle as sensitive data. The extracted source text interleaves this field and the following passport/visa fields with item 8 (USCIS Online Account Number) without a distinct printed item number of their own; see VERIFICATION.md.

YYYY-MM-DD.

Country that Issued this Passport or Travel Document

Personal identifier; handle as sensitive data.

YYYY-MM-DD.

Select only one.

Required when lastArrivalManner is 'inspected_and_admitted'.

Required when lastArrivalManner is 'inspected_and_paroled'.

Given only if last entry was with a passport or travel document.

Place of Last Arrival into the United States — state

YYYY-MM-DD.

Personal identifier; handle as sensitive data. Only if a Form I-94 was issued.

Personal identifier; handle as sensitive data.

Personal identifier; handle as sensitive data.

Immigration Status on Form I-94 (e.g. class of admission, or paroled, if paroled)

YYYY-MM-DD, or the literal text D/S.

Was your last arrival the first time you were physically present in the United States?

The source text does not attach a distinct printed item number to this field and the following expiration-date/alien-crewman-visa cluster (items 13-17 are not individually disambiguated in the extracted text); see VERIFICATION.md.

YYYY-MM-DD, or the literal text D/S.

Have you ever been issued an "alien crewman" visa?

Did you last arrive in the United States to join a vessel as a seaman or crewman, or while serving in any capacity aboard a vessel or aircraft?

If applicable.

Current U.S. Physical Address — street number and name

If applicable.

Current U.S. Physical Address — city or town

Current U.S. Physical Address — state

Current U.S. Physical Address — ZIP code

YYYY-MM-DD.

If false, give the mailingAddress* fields.

If applicable.

Required when physicalAddressIsCurrentMailingAddress is false.

If applicable.

Required when physicalAddressIsCurrentMailingAddress is false.

Current Mailing Address — state

Current Mailing Address — ZIP code

If false, give the priorAddress* fields (use Part 14. Additional Information for further prior addresses).

If applicable. Required when residedAtCurrentAddressAtLeast5Years is false.

Required when residedAtCurrentAddressAtLeast5Years is false.

Required when residedAtCurrentAddressAtLeast5Years is false.

Prior Address — state

Prior Address — ZIP code

For a foreign address.

For a foreign address.

Required when residedAtCurrentAddressAtLeast5Years is false.

YYYY-MM-DD. Required when residedAtCurrentAddressAtLeast5Years is false.

YYYY-MM-DD.

Given only if lived there more than one year and not already listed above.

Most Recent Address Outside the United States — city or town

Most Recent Address Outside the United States — province

Most Recent Address Outside the United States — postal code

Most Recent Address Outside the United States — country

YYYY-MM-DD.

YYYY-MM-DD.

If true, give socialSecurityNumber.

Personal identifier; handle as sensitive data. Required when ssaEverIssuedSocialSecurityCard is true.

If true, consentForSsaDisclosure must also be true.

Required (and must be true) when wantSsaToIssueSocialSecurityCard is true.

Are you filing for adjustment of status with the Executive Office for Immigration Review (EOIR) while in removal, exclusion, rescission, or deportation proceedings?

Receipt Number of Underlying Petition (if any)

YYYY-MM-DD.

If 'derivative_applicant', give the principalApplicant* fields.

Personal identifier; handle as sensitive data. Required when filingAs is 'derivative_applicant'.

Personal identifier; handle as sensitive data.

Personal identifier; handle as sensitive data.

Personal identifier; handle as sensitive data. YYYY-MM-DD.

Personal identifier; handle as sensitive data.

The immigrant classification basis for adjustment of status. See the Form I-485 Instructions for the full description of each category and any additional questions it triggers.

Required when applicationCategory is 'diversity_visa_program'.

Required when applicationCategory is one of the employment-based categories (Form I-140).

Required when relativeFiledOrOwnsI140Business is 'yes'.

Required when relativeFiledOrOwnsI140Business is 'yes'.

If you selected a family-based, employment-based, special immigrant, or Diversity Visa immigrant category as the basis for your application, are you applying for adjustment based on INA section 245(i)?

Are you 21 years of age or older and applying for adjustment based on classification as a child, under the provisions of the Child Status Protection Act (CSPA)?

'not_exempt_required_to_submit' means no exemption is requested and Form I-864/I-864EZ is required.

If true, give embassyConsulateCity/Country, embassyApplicationDecision, and embassyApplicationDecisionDate.

Required when everAppliedForImmigrantVisaAbroad is true.

Required when everAppliedForImmigrantVisaAbroad is true.

Required when everAppliedForImmigrantVisaAbroad is true.

YYYY-MM-DD.

Have you previously applied for permanent residence while in the United States?

Have you EVER held lawful permanent resident status which was later rescinded under INA section 246?

Employer or School (current or most recent) — your occupation (if unemployed or retired, so state)

Employer or School (current or most recent) — name of employer, company, or school

Required.

If applicable.

Required.

Required for a U.S. address; leave blank for a foreign address (use currentEmployerProvince instead).

Required for a U.S. address.

For a foreign address.

For a foreign address.

Required.

YYYY-MM-DD.

YYYY-MM-DD. Leave blank if current.

If unemployed or retired, source of financial support

Most recent employer or school outside the United States (if not already listed above) — your occupation

Most recent employer or school outside the United States — name of employer, company, or school

If applicable.

If applicable.

If applicable.

Required for a U.S. address; leave blank for a foreign address (use priorForeignEmployerProvince instead).

Required for a U.S. address.

For a foreign address.

For a foreign address.

For a foreign address.

YYYY-MM-DD.

YYYY-MM-DD.

If unemployed or retired, source of financial support

Parent 1's Legal Name — family name (last name)

Parent 1's Legal Name — given name (first name)

Parent 1's Legal Name — middle name (if applicable)

Parent 1's Name at Birth (if different than above) — family name (last name)

Parent 1's Name at Birth — given name (first name)

Parent 1's Name at Birth — middle name (if applicable)

YYYY-MM-DD.

Parent 1's Country of Birth

Parent 2's Legal Name — family name (last name)

Parent 2's Legal Name — given name (first name)

Parent 2's Legal Name — middle name (if applicable)

Parent 2's Name at Birth (if different than above) — family name (last name)

Parent 2's Name at Birth — given name (first name)

Parent 2's Name at Birth — middle name (if applicable)

YYYY-MM-DD.

Parent 2's Country of Birth

What is your current marital status?

Required when currentMaritalStatus is 'married'.

How many times have you been married (including your current marriage, marriages abroad, annulled marriages, and marriages to the same person)?

Required when currentMaritalStatus is 'married' or 'legally_separated'.

Current Spouse's Legal Name — given name (first name)

Current Spouse's Legal Name — middle name (if applicable)

Current Spouse's A-Number (if any)

YYYY-MM-DD.

Current Spouse's Country of Birth

If applicable.

If applicable.

If applicable.

Required for a U.S. address; leave blank for a foreign address (use currentSpouseAddressProvince instead).

Required for a U.S. address.

For a foreign address.

For a foreign address.

For a foreign address.

Place of Marriage to Current Spouse — city or town

Place of Marriage to Current Spouse — state or province

Place of Marriage to Current Spouse — country

YYYY-MM-DD.

Is your current spouse applying with you?

If any prior marriages.

Prior Spouse's Legal Name — given name (first name)

Prior Spouse's Legal Name — middle name (if applicable)

YYYY-MM-DD.

Prior Spouse's Country of Birth

Prior Spouse's Country of Citizenship or Nationality

YYYY-MM-DD.

Place of Marriage to Prior Spouse — city or town

Place of Marriage to Prior Spouse — state or province

Place of Marriage to Prior Spouse — country

Place Where Marriage with Prior Spouse Legally Ended — city or town

Place Where Marriage with Prior Spouse Legally Ended — state or province

Place Where Marriage with Prior Spouse Legally Ended — country

YYYY-MM-DD.

How Marriage Ended with Prior Spouse (select one)

Required when howPriorMarriageEnded is 'other'.

Includes biological or legally adopted children and current stepchildren of any age, whether or not living with you, plus any missing children and those born outside of marriage.

The form provides two child entry blocks; additional children use Part 14. Additional Information.

Child 1 — current legal name, given name (first name)

Child 1 — current legal name, middle name (if applicable)

Child 1 — A-Number (if any)

YYYY-MM-DD.

Child 1 — country of birth

Child 1 — is this child also applying now on a separate Form I-485?

Child 1 — relationship to you (e.g. biological child, stepchild, legally adopted child)

The form provides two child entry blocks; additional children use Part 14. Additional Information.

Child 2 — current legal name, given name (first name)

Child 2 — current legal name, middle name (if applicable)

Child 2 — A-Number (if any)

YYYY-MM-DD.

Child 2 — country of birth

Child 2 — is this child also applying now on a separate Form I-485?

Child 2 — relationship to you (e.g. biological child, stepchild, legally adopted child)

Ethnicity (select only one box)

Modeled as a comma-separated list of: american_indian_or_alaska_native, asian, black_or_african_american, native_hawaiian_or_other_pacific_islander, white. v0.3 has no native multi-select field type (GSP-0009).

Height — feet

Height — inches

Weight — pounds

Eye Color (select only one box)

Hair Color (select only one box)

If true, complete the organization1*/organization2* fields (the form provides two entry blocks; additional organizations use Part 14. Additional Information).

Required when everMemberOfOrganization is true.

Organization 1 — city or town

Organization 1 — state or province

Organization 1 — country

Organization 1 — nature of organization, including its purposes and activities, whether illicit or legitimate

Organization 1 — nature of involvement in organization, including role or position(s) held, whether illicit or legitimate

YYYY-MM-DD.

YYYY-MM-DD.

Organization 2 — name of organization

The extracted source text does not attach an explicit item number to this field; inferred as item 7 by position between items 6 and 8. See VERIFICATION.md.

Organization 2 — state or province

Organization 2 — country

Organization 2 — nature of organization, including its purposes and activities, whether illicit or legitimate

Organization 2 — nature of involvement in organization, including role or position(s) held, whether illicit or legitimate

YYYY-MM-DD.

YYYY-MM-DD.

Have you EVER been denied admission to the United States?

Have you EVER worked in the United States without authorization?

Have you EVER been denied a visa to the United States?

Have you EVER violated the terms or conditions of your nonimmigrant status?

Are you presently or have you EVER been in removal, exclusion, rescission, or deportation proceedings, including expedited removal proceedings?

Have you EVER been issued a final order of exclusion, deportation, or removal?

Have you EVER had a prior final order of exclusion, deportation, or removal reinstated?

Have you EVER been granted voluntary departure by an immigration officer or an immigration judge but failed to depart within the allotted time?

Have you EVER applied for any kind of relief or protection from removal, exclusion, or deportation?

Have you EVER been a J nonimmigrant exchange visitor who was subject to the two-year foreign residence requirement?

Required when everJNonimmigrantSubjectToTwoYearRequirement is true.

Required when everJNonimmigrantSubjectToTwoYearRequirement is true and compliedWithForeignResidenceRequirement is false.

Answer 'Yes' even if records were sealed or cleared. If true, explain each offense using Part 14. Additional Information.

Have you EVER committed a crime of any kind (even if you were not arrested, cited, charged with, or tried for that crime, or convicted)?

Have you EVER pled guilty to or been convicted of a crime or offense (even if subsequently expunged, sealed, pardoned, or granted amnesty, a rehabilitation decree, or other act of clemency)?

Have you EVER been ordered punished by a judge or had conditions imposed on you that restrained your liberty (such as a prison sentence, suspended sentence, house arrest, parole, alternative sentencing, drug or alcohol treatment, rehabilitative programs or classes, probation, or community service)?

Have you EVER violated (or attempted or conspired to violate) any controlled substance law or regulation of a state, the United States, or a foreign country?

Have you EVER trafficked in or benefited from, or knowingly aided, abetted, assisted, conspired or colluded in the illegal trafficking of any controlled substances, such as chemicals, illegal drugs, or narcotics?

Are you the spouse, son, or daughter of an alien who illicitly trafficked or aided in the illicit trafficking of a controlled substance, and you obtained, within the last 5 years, any financial or other benefit from this activity of your spouse or parent?

Required when isSpouseOrChildOfControlledSubstanceTraffickerWithBenefit is true.

Have you EVER engaged in prostitution or are you coming to the United States to engage in prostitution?

Have you EVER directly or indirectly procured or attempted to procure, or imported prostitutes or persons for the purpose of prostitution?

Have you EVER received any proceeds or money from prostitution?

Do you intend to engage in illegal gambling or any other form of commercialized vice, such as prostitution, bootlegging, or the sale of child pornography, while in the United States?

Have you EVER exercised immunity (diplomatic or otherwise) to avoid being prosecuted for a criminal offense in the United States?

Have you EVER served as a foreign government official?

Required when everServedAsForeignGovernmentOfficial is true.

Have you EVER induced by force, fraud, or coercion (or otherwise been involved in) the trafficking of another person for commercial sex acts (sex trafficking)?

Have you EVER trafficked a person into involuntary servitude, peonage, debt bondage, or slavery?

Have you EVER knowingly aided, abetted, assisted, conspired, or colluded with others in trafficking in persons for commercial sex acts or involuntary servitude, peonage, debt bondage, or slavery?

Are you the spouse, son, or daughter of an alien who engaged in the trafficking in persons and have received or obtained, within the last 5 years, any financial or other benefits from this activity of your spouse or parent?

Required when isSpouseOrChildOfTraffickerWithBenefit is true.

Have you EVER engaged in money laundering or have you EVER knowingly aided, assisted, abetted, conspired, or colluded with others in money laundering or do you seek to enter the United States to engage in such activity?

Do you intend to engage in any activity that violates or evades any law relating to espionage (including spying) or sabotage in the United States?

Do you intend to engage in any activity in the United States that violates or evades any law prohibiting the export from the United States of goods, technology, or sensitive information?

Do you intend to engage in any activity whose purpose includes opposing, controlling, or overthrowing the U.S. Government by force, violence, or other unlawful means while in the United States?

Do you intend to engage in any other unlawful activity?

43.b-43.i's cross-references to each other (e.g. "described in Item Numbers 43.b.-43.e.") appear inconsistently in the extracted source text (sometimes "43.b.-43.c."); the individual activity descriptions below are transcribed as printed, but see VERIFICATION.md for the range-reference caveat.

Have you EVER committed kidnapping, assassination, or hijacking or sabotage of a conveyance (including an aircraft, vessel, vehicle, or train)?

Have you EVER used a weapon or explosive or any dangerous device with the intent to endanger the safety of another person or people or cause damage to property?

Have you EVER threatened, attempted, conspired, prepared, or planned to do any of the things described in Item Numbers 43.b.-43.c.?

Have you EVER incited, under circumstances indicating an intention to cause death or serious bodily harm/injury, any of the activities described in Item Numbers 43.b.-43.c.?

Have you EVER participated in, or been a member of, a group or organization that did any of the activities described in Item Numbers 43.b.-43.e.?

Have you EVER recruited members or asked for money or things of value for a group or organization that did any of the activities described in Item Numbers 43.b.-43.e.?

Have you EVER provided money, a thing of value, services or labor, or any other assistance or support for any of the activities described in Item Numbers 43.b.-43.e.?

Have you EVER provided money, a thing of value, services or labor, or any other assistance or support for an individual, group, or organization who did any of the activities described in Item Numbers 43.b.-43.e.?

Do you intend to engage in any of the activities listed in any part of Item Numbers 43.b.-43.i.?

Do you intend to engage in any activity that could endanger the welfare, safety, or security of the United States?

Are you the spouse or child of an individual who EVER engaged in any of the activities listed in Item Numbers 43.b.-43.i.?

Have you EVER sold, provided, or transported weapons, or assisted any person in selling, providing, or transporting weapons, which you knew or believed would be used against another person?

Have you EVER worked, volunteered, or otherwise served in any prison, jail, prison camp, detention facility, labor camp, or any other place where people were detained, or have you EVER directed or participated in any other activity that involved detaining people?

Have you EVER served in, been a member of, assisted (helped), or participated in any military or police unit?

Have you EVER been a member of, assisted, or participated in any group, unit, or organization of any kind in which you or other persons used any type of weapon against any person or threatened to do so?

Have you EVER been a member of, or in any way affiliated with, the Communist Party or any totalitarian party (in the United States or abroad)?

Have you EVER served in, been a member of, assisted (helped), or participated in any armed group (e.g. paramilitary unit, self-defense unit, vigilante unit, rebel group, or guerrilla group)?

Have you EVER ordered, incited, called for, committed, assisted, helped with, or otherwise participated in torture?

Have you EVER ordered, incited, called for, committed, assisted, helped with, or otherwise participated in genocide?

Have you EVER ordered, incited, called for, committed, assisted, helped with, or otherwise participated in killing, or trying to kill, any person?

Have you EVER ordered, incited, called for, committed, assisted, helped with, or otherwise participated in intentionally and severely injuring or trying to injure any person?

Have you EVER recruited, enlisted, conscripted, or used any person under 15 years of age to take part in hostilities or to serve in or help an armed force or group, or attempted or worked with others to do so?

Have you EVER used any person under 15 years of age to take part in hostilities (e.g. participating in combat, providing services related to combat such as sabotage or serving as a courier, or providing support services such as transporting supplies), or attempted or worked with others to do so?

If 'not_exempt' is selected, complete Item Numbers 57-66 (the publicCharge* fields below); otherwise skip to Item Number 67.

Required when publicChargeExemptCategory is 'not_exempt'.

Required when publicChargeExemptCategory is 'not_exempt'.

Required when publicChargeExemptCategory is 'not_exempt'.

Required when publicChargeExemptCategory is 'not_exempt'.

Required when publicChargeExemptCategory is 'not_exempt'.

Required when highestEducationCompleted is 'less_than_high_school'.

Required when publicChargeExemptCategory is 'not_exempt'.

Required when publicChargeExemptCategory is 'not_exempt'. If true, give publicChargeBenefitsReceivedDetail.

Required when everReceivedMeansTestedPublicBenefits is true. The source form provides a repeating table (up to 8 rows) not natively representable as of v0.3 (GSP-0009); modeled as free text, one benefit per line.

Required when publicChargeExemptCategory is 'not_exempt'. If true, give institutionalizationDetail.

Required when everReceivedLongTermInstitutionalizationAtGovernmentExpense is true. Repeating table (GSP-0009); modeled as free text, one institutionalization period per line.

If true, attach a written statement explaining the failure or refusal, including any reasonable-cause explanation.

Have you EVER submitted altered, fraudulent, or counterfeit documentation to any U.S. Government official to obtain or attempt to obtain any immigration benefit, including a visa or entry into the United States?

Have you EVER lied about, concealed, or misrepresented any information on an application or petition to obtain a visa, other documentation required for entry into the United States, admission to the United States, or any other kind of immigration benefit?

Have you EVER falsely claimed to be a U.S. citizen (in writing or any other way)?

Have you EVER been a stowaway on a vessel or aircraft arriving in the United States?

Are you under a final order of civil penalty for violating INA section 274C for use of fraudulent documents?

Have you EVER knowingly encouraged, induced, assisted, abetted, or aided any alien to enter or to try to enter the United States illegally (alien smuggling)?

Have you EVER entered the United States without being inspected and admitted or paroled?

Have you EVER been excluded, deported, or removed from the United States, or have you ever departed the United States on your own after having been ordered excluded, deported, or removed from the United States?

Unlawfully present means present after the expiration of the period of stay authorized by DHS, or present without being admitted or paroled.

Required when everUnlawfullyPresentSince1997 is true.

Since April 1, 1997, have you EVER reentered or attempted to reenter the United States without being inspected and admitted or paroled after having been unlawfully present in the United States for more than one year in the aggregate on or after April 1, 1997?

Since April 1, 1997, have you EVER reentered or attempted to reenter the United States without being inspected and admitted or paroled after having been deported, excluded, or removed from the United States?

Have you EVER assisted in detaining, retaining, or withholding custody of a U.S. citizen child outside the United States from a person who has been granted custody of the child?

Have you EVER voted in violation of any Federal, state, or local constitutional provision, statute, ordinance, or regulation in the United States?

Have you EVER renounced U.S. citizenship to avoid being taxed by the United States?

Are you accompanying an alien who is inadmissible and who has been certified by a medical officer as helpless from sickness, mental or physical disability, or infancy, and who requires your protection or guardianship, as described in INA section 232(c)?

Do you plan to practice polygamy in the United States?

Have you EVER applied for exemption or discharge from training or service in the U.S. armed forces or in the U.S. National Security Training Corps on the ground that you are an alien?

Have you EVER been relieved or discharged from such training or service on the ground that you are an alien?

Have you EVER been convicted of desertion from the U.S. armed forces?

Have you EVER left or remained outside the United States to avoid or evade training or service in the U.S. armed forces in time of war or a period declared by the President to be a national emergency?

Required when leftUsToAvoidMilitaryServiceInWartime is true.

In international E.164 format.

In international E.164 format.

Applicant's Email Address (if any)

YYYY-MM-DD. By signing, the applicant certifies under penalty of perjury that all responses and information are complete, true, and correct, and authorizes release of records USCIS may need to determine eligibility.

Complete Part 11 only if an interpreter was used to read the application and Instructions to the applicant.

Interpreter's Given Name (First Name)

If applicable.

In international E.164 format.

In international E.164 format.

Interpreter's Email Address (if any)

Language in which the interpreter is fluent and in which the application and Instructions were interpreted to the applicant

YYYY-MM-DD.

Complete Part 12 only if someone other than the applicant prepared this application.

Preparer's Given Name (First Name)

If applicable.

In international E.164 format.

In international E.164 format.

Preparer's Email Address (if any)

YYYY-MM-DD.