Family Based Immigration Checklist for Other Relatives

Family Based Immigration Checklist for Other Relatives

I. Information About You (US Citizen or Permanent Resident)

1. Family Name______Given Name______Middle Initial__

2. Address

3. Place of Birth ______

4. Date of Birth______

5. Sex ____Male _____Female

6. Marital Status __Married __Single __Windowed __Divorced

7. Other name used (including maiden name)

8. Date and place of present marriage______

9. Social Security Number ______A#______

10. Name of prior husbands/wives______

11. Birth Date of your prior husband/wives______Date of Marriage____

11. Date(s) Marriage(s) Ended______

12. If you are filing for your wife/husband, please provide the following information:

a. Information about your parents including their name, birth date, city & country of birth, city and country of residence.

b. Your residence lat five years, list present address first
Address from (month/year) to (month/year)

c. Your last address outside of US for more than one year

d. Your employment last five years, list present employment first
Name and Address of Employer From(mon/yr) To(mon/yr)

e. Your last occupation abroad

II.Information About Your Alien Relative

1. Family Name___Given Name______Middle Initial:______

2. Address

3. Date of Birth ______Country of Birth______

4. Social Security Number ______A# (if any)______

5. Date of Last Arrival ______I-94#______

6. Current INS Status _____ Expires on ______

7. Sex ___Male ____Female

8. Marital Status __Married __Single __Widowed__Divorced__

9. Names of Prior Husbands/Wives______

11.Birth Date of Prior Husbands/Wives______Date of Marriage_____

12. Date(s) Marriages(s) Ended______

13. Name and address of present employer______

14. Date this employment began ______

15. Your alien relative's address abroad

16. If filing for your husband/wife, give last address at which you both lived together

17. Address in the United States where your relative intends to live

18. List your alien relative's present husband/wife, all of his/her sons and daughters (if none, write ‘None” )

Family Name______Given ______Middle Initial______
Date of Birth______Country of Birth______
Relationship ______
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Family Name______Given ______Middle Initial______
Date of Birth______Country of Birth______
Relationship ______
======

Family Name______Given ______Middle Initial______
Date of Birth______Country of Birth______
Relationship ______
======

Family Name______Given ______Middle Initial______
Date of Birth______Country of Birth______
Relationship ______
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Family Name______Given ______Middle Initial______
Date of Birth______Country of Birth______
Relationship ______
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19. If filing for husband/wife, Please provide the following information

a. Information about your alien husband/wife's parents including their name, birth date, city & country of birth, city and country of residence.

b. Your alien husband/wife's residence lat five years, list present address first
Address from(month/year) to (month/year)

c. Your alien husband/wife's last address outside of US for more than one year

d. Your alien husband/wife's employment last five years, list present employment first
Name and Address of Employer From(mon/yr) To(mon/yr)

e. Your alien husband/wife's last occupation abroad

IV. Documents Required

1. A copy of your US certificate of birth or US passport or certificate of naturalization or your green card.
2. Evidence of your relationship with your alien relative (marriage certificate, birth certificate etc.)
3. If filing for wife/ husband, one immigration photo from each of you