Form I-130 Edition 04/01/24 Page 1 of 12

Petition for Alien Relative 

Department of Homeland Security 

U.S. Citizenship and Immigration Services 

For USCIS Use Only

Did you gain lawful permanent resident status or 

citizenship through adoption?

USCIS 

Form I-130 

OMB No. 1615-0012

Expires 02/28/2027

Attorney State Bar Number 

(if applicable)

Select this box if 

Form G-28 is 

attached.

Volag Number 

(if any) 

Attorney or Accredited Representative 

USCIS Online Account Number (if any)

To be completed by an attorney or accredited representative (if any).

► START HERE - Type or print in black ink.

A-Number

Remarks

Fee Stamp Action Stamp

Petition was filed on (Priority Date mm/dd/yyyy):

PDR request granted/denied - New priority date (mm/dd/yyyy): Previously Forwarded I-485 Filed Simultaneously

Ben. A-File Reviewed

204(a)(2)(A) Resolved

203(g) Resolved 204(g) Resolved

Field Investigation

201(b) Spouse - IR-1/CR-1

201(b) Child - IR-2/CR-2

201(b) Parent - IR-5

203(a)(1) Unm. S/D - F1-1

203(a)(2)(A) Spouse - F2-1

203(a)(2)(A) Child - F2-2

203(a)(2)(B) Unm. S/D - F2-4

203(a)(3) Married S/D - F3-1

203(a)(4) Brother/Sister - F4-1

Section of Law/Visa Category

Resubmitted

Initial Receipt

Completed

Sent

Received

Approved

Returned

Relocated

Part 1. Relationship (You are the Petitioner. Your 

relative is the Beneficiary)

1. I am filing this petition for my (Select only one box):

Child was adopted (not an Orphan or Hague 

Convention adoptee)

Stepchild/Stepparent

3.

4.

If the beneficiary is your brother/sister, are you related by 

adoption?

2. If you are filing this petition for your child or parent, 

select the box that describes your relationship (Select only 

one box):

Child was born to parents who were married to each 

other at the time of the child's birth 

Child was born to parents who were not married to 

each other at the time of the child's birth

AYour Full Name

4.a. Family Name 

(Last Name) 

4.b. Given Name 

(First Name) 

4.c. Middle Name

3. U.S. Social Security Number (if any)

Personal Interview

Pet. A-File Reviewed

Spouse Parent Brother/Sister Child

Yes

Yes No

No

►

Part 2. Information About You (Petitioner)

1. Alien Registration Number (A-Number) (if any)

2. USCIS Online Account Number (if any)

► A-

►

If you need extra space to complete any section of this petition, use the space provided in Part 9. Additional Information. 

Complete and submit as many copies of Part 9., as necessary, with your petition.

At which USCIS office (e.g., NBC, VSC, LOS, CRO) was Form I-130 adjudicated?
Form I-130 Edition 04/01/24 Page 2 of 12

Part 2. Information About You (Petitioner) 

(continued)

7. Country of Birth 

8. Date of Birth (mm/dd/yyyy)

9. Sex Male Female

Mailing Address

10.b. 

10.c.

10.d. 

10.e.

10.g.

10.i.

10.h.

11. Is your current mailing address the same as your physical 

address? Yes No

10.a.

City or Town

Province

Country 

Postal Code 

State 10.f. ZIP Code

Street Number 

and Name

Apt. Ste. Flr.

In Care Of Name 

14.c.

14.f.

14.h.

14.g.

14.d.

14.a.

14.b.

Street Number 

and Name

Apt. Ste. Flr.

City or Town

State 14.e. ZIP Code

Province

Country

Postal Code

Physical Address 2

If you answered "No" to Item Number 11., provide 

information on your physical address in Item Numbers 12.a. - 

13.b.

13.a. Date From (mm/dd/yyyy)

13.b. Date To (mm/dd/yyyy)

15.a. Date From (mm/dd/yyyy)

15.b. Date To (mm/dd/yyyy)

12.c.

12.f.

12.h.

12.g.

12.d.

12.a.

12.b.

Street Number 

and Name

Apt. Ste. Flr.

City or Town

State 12.e. ZIP Code

Province

Country

Postal Code

Physical Address 1

Address History

Provide your physical addresses for the last five years, whether 

inside or outside the United States. Provide your current 

address first if it is different from your mailing address in Item 

Numbers 10.a. - 10.i. 

Other Information

6. City/Town/Village of Birth 

Other Names Used (if any)

Provide all other names you have ever used, including aliases, 

maiden name, and nicknames. 

5.a. Family Name 

(Last Name) 

5.b. Given Name 

(First Name) 

5.c. Middle Name

17.

16. How many times have you been married?

Current Marital Status

Your Marital Information

►

Widowed Separated Annulled

Single, Never Married Married Divorced

(USPS ZIP Code Lookup)
Form I-130 Edition 04/01/24 Page 3 of 12

20.a. Family Name 

(Last Name) 

20.b. Given Name 

(First Name) 

20.c. Middle Name

Names of All Your Spouses (if any)

Spouse 1

Provide information on your current spouse (if currently married) 

first and then list all your prior spouses (if any).

Place of Your Current Marriage (if married)

Part 2. Information About You (Petitioner) 

(continued)

23. Date Marriage Ended (mm/dd/yyyy)

24.c.

22.c. Middle Name

Given Name 

(First Name) 

22.b. 

Family Name 

(Last Name) 

22.a.

Spouse 2

21. Date Marriage Ended (mm/dd/yyyy)

18. Date of Current Marriage (if currently married) 

(mm/dd/yyyy)

Parent 1's Information

Information About Your Parents

Given Name 

(First Name) 

Middle Name

Family Name 

(Last Name) 

25. Date of Birth (mm/dd/yyyy)

28.

Country of Residence

City/Town/Village of Residence

29.

Country of Birth 

30.a.

Parent 2's Information

Given Name 

(First Name) 

Middle Name

Family Name 

(Last Name) 

31. Date of Birth (mm/dd/yyyy)

33.

34.

Country of Residence

City/Town/Village of Residence

35.

Country of Birth 

Additional Information About You (Petitioner)

36. I am a (Select only one box):

U.S. Citizen Lawful Permanent Resident

If you are a U.S. citizen, complete Item Number 37.

My citizenship was acquired through (Select only one

box):

Birth in the United States

Naturalization 

Parents

If you answered "Yes" to Item Number 38., complete the 

following:

39.a. Certificate Number

Have you obtained a Certificate of Naturalization or a 

Certificate of Citizenship?

38.

Yes No

27.

37.

39.c. Date of Issuance (mm/dd/yyyy)

39.b. Place of Issuance

Full Name of Parent 1

Full Name of Parent 2

24.a.

24.b.

30.b.

30.c.

26. Sex Male Female

32. Sex Male Female

19.a. City or Town

19.b. State

19.c. Province

19.d. Country
Form I-130 Edition 04/01/24 Page 4 of 12

If you are a lawful permanent resident, complete Item 

Numbers 40.a. - 41.

40.a. Class of Admission

40.b. Date of Admission (mm/dd/yyyy)

Place of Admission

40.c. City or Town

Did you gain lawful permanent resident status through 

marriage to a U.S. citizen or lawful permanent resident?

41.

Yes No

Part 2. Information About You (Petitioner) 

(continued)

Employment History

Provide your employment history for the last five years, whether 

inside or outside the United States. Provide your current 

employment first. If you are currently unemployed, type or print 

"Unemployed" in Item Number 42. 

43.c. City or Town

43.f.

43.h.

Province

Country 

43.g. Postal Code 

43.d. State 43.e. ZIP Code

Street Number 

and Name

43.a.

43.b. Apt. Ste. Flr.

Employer 1

42. Name of Employer/Company

47.c. City or Town

47.f.

47.h.

Province

Country 

47.g. Postal Code 

47.d. State 47.e. ZIP Code

Street Number 

and Name

47.a.

47.b. Apt. Ste. Flr.

48. Your Occupation

49.a. Date From (mm/dd/yyyy)

49.b. Date To (mm/dd/yyyy)

1.

Not Hispanic or Latino

Hispanic or Latino

Ethnicity (Select only one box)

Race (Select all applicable boxes)

Native Hawaiian or Other Pacific Islander

Black or African American

American Indian or Alaska Native

2.

Asian

White

3. Height Feet Inches

4. Weight Pounds

Part 3. Biographic Information

NOTE: Provide the biographic information about you, the 

petitioner.

Employer 2

46. Name of Employer/Company

44. Your Occupation

45.a. Date From (mm/dd/yyyy)

45.b. Date To (mm/dd/yyyy)

Black

Gray Green

Maroon Pink

Hazel

Blue Brown

5. Eye Color (Select only one box)

Unknown/Other

40.d State
Form I-130 Edition 04/01/24 Page 5 of 12

Part 4. Information About Beneficiary

1. Alien Registration Number (A-Number) (if any)

► A2. USCIS Online Account Number (if any)

►

3. U.S. Social Security Number (if any)

►

Beneficiary's Full Name

4.a. Family Name 

(Last Name) 

4.b. Given Name 

(First Name) 

4.c. Middle Name

5.a. Family Name 

(Last Name) 

5.b. Given Name 

(First Name) 

5.c. Middle Name

Other Names Used (if any)

Provide all other names the beneficiary has ever used, including 

aliases, maiden name, and nicknames.

 Other Information About Beneficiary

6. City/Town/Village of Birth 

7. Country of Birth 

11.f.

11.h.

11.g.

Province

Country 

Postal Code 

Provide the address in the United States where the beneficiary 

intends to live, if different from Item Numbers 11.a. - 11.h. If 

the address is the same, type or print "SAME" in Item Number 

12.a. 

12.c. 

12.d.

City or Town

State 12.e. ZIP Code

Street Number 

and Name

12.a 

12.b. Apt. Ste. Flr.

Other Address and Contact Information

13.c. City or Town

13.e. Postal Code

13.f. Country

Provide the beneficiary's address outside the United States, if 

different from Item Numbers 11.a. - 11.h. If the address is the 

same, type or print "SAME" in Item Number 13.a.

Street Number 

and Name

13.a. 

13.b. Apt. Ste. Flr.

13.d. Province

Beneficiary's Physical Address

11.a.

11.b.

If the beneficiary lives outside the United States in a home 

without a street number or name, leave Item Numbers 11.a. 

and 11.b. blank.

Street Number 

and Name

Apt. Ste. Flr.

11.c.

11.d.

City or Town

State 11.e. ZIP Code

8. Date of Birth (mm/dd/yyyy)

9. Sex Male Female

Hair Color (Select only one box)

Black

Brown Red

Sandy White Unknown/Other

Gray

Bald (No hair) Blond

6.

Part 3. Biographic Information (continued)

10. Has anyone else ever filed a petition for the beneficiary?

Yes No Unknown

14. Daytime Telephone Number (if any)

NOTE: Select "Unknown" only if you do not know, and 

the beneficiary also does not know, if anyone else has 

ever filed a petition for the beneficiary.
Form I-130 Edition 04/01/24 Page 6 of 12

18.

17.

Current Marital Status

►

Widowed Separated Annulled

Single, Never Married Married Divorced

How many times has the beneficiary been married?

Part 4. Information About Beneficiary 

(continued)

16. Email Address (if any)

15. Mobile Telephone Number (if any)

Beneficiary's Marital Information 

20.a. 

20.b.

20.c.

20.d.

Place of Beneficiary's Current Marriage 

(if married)

19. Date of Current Marriage (if currently married) 

(mm/dd/yyyy)

Names of Beneficiary's Spouses (if any)

Provide information on the beneficiary's current spouse (if 

currently married) first and then list all the beneficiary's prior 

spouses (if any).

23.a. Family Name 

(Last Name) 

23.b. Given Name 

(First Name) 

23.c. Middle Name

Spouse 2

21.a. Family Name 

(Last Name) 

21.b. Given Name 

(First Name) 

21.c. Middle Name

22. Date Marriage Ended (mm/dd/yyyy)

Spouse 1

24. Date Marriage Ended (mm/dd/yyyy)

Provide information about the beneficiary's spouse and 

children. 

26. Relationship

Person 1

25.a. Family Name 

(Last Name) 

25.b. Given Name 

(First Name) 

25.c. Middle Name

Information About Beneficiary's Family

27. Date of Birth (mm/dd/yyyy)

28. Country of Birth

Relationship

Date of Birth (mm/dd/yyyy)

Country of Birth

30.

31.

32.

Person 2

29.a. Family Name 

(Last Name) 

29.b. Given Name 

(First Name) 

29.c. Middle Name

Country of Birth

33.c. Middle Name

Given Name 

(First Name) 

33.b. 

Family Name 

(Last Name) 

33.a.

Person 3

36.

35.

34.

Date of Birth (mm/dd/yyyy)

Relationship

City or Town

State

Country

Province
Form I-130 Edition 04/01/24 Page 7 of 12

37.c. Middle Name

Given Name 

(First Name) 

37.b. 

Family Name 

(Last Name) 

37.a.

Person 4

40.

39.

38.

Country of Birth

Date of Birth (mm/dd/yyyy)

Relationship

Person 5

41.a. Family Name 

(Last Name) 

41.b. Given Name 

(First Name) 

41.c. Middle Name

42. Relationship

Part 4. Information About Beneficiary 

(continued)

44. Country of Birth

43. Date of Birth (mm/dd/yyyy)

Beneficiary's Entry Information

45. Was the beneficiary EVER in the United States?

Yes No

If the beneficiary is currently in the United States, complete 

Items Numbers 46.a. - 46.d.

Date authorized stay expired, or will expire, as shown on 

Form I-94 or Form I-95 (mm/dd/yyyy) or type or print 

"D/S" for Duration of Status

46.d.

46.a. He or she arrived as a (Class of Admission):

46.b. Form I-94 Arrival-Departure Record Number

►

46.c. Date of Arrival (mm/dd/yyyy)

47. Passport Number

48. Travel Document Number

49. Country of Issuance for Passport or Travel Document

50. Expiration Date for Passport or Travel Document 

(mm/dd/yyyy)

Beneficiary's Employment Information

Provide the beneficiary's current employment information (if 

applicable), even if they are employed outside of the United 

States. If the beneficiary is currently unemployed, type or print 

"Unemployed" in Item Number 51.a.

51.c. 

City or Town

51.e. State 51.f. ZIP Code

Name of Current Employer (if applicable)

51.d.

Street Number 

and Name

51.a. 

51.b.

Apt. Ste. Flr.

51.g. Province

52. Date Employment Began (mm/dd/yyyy)

53. Was the beneficiary EVER in immigration proceedings?

Yes No

City or Town

Removal Exclusion/Deportation

Rescission Other Judicial Proceedings

If you answered "Yes," select the type of proceedings and 

provide the location and date of the proceedings.

54.

55.a.

51.h. Postal Code

51.i. Country

Additional Information About Beneficiary

55.b. State

56. Date (mm/dd/yyyy)
Form I-130 Edition 04/01/24 Page 8 of 12

Part 4. Information About Beneficiary 

(continued)

If the beneficiary's native written language does not use 

Roman letters, type or print his or her name and foreign 

address in their native written language.

57.c. Middle Name

57.a. 

57.b. 

Family Name 

(Last Name) 

Given Name 

(First Name) 

58.c. City or Town

58.f. Country

58.d. Province

Street Number 

and Name

58.a.

58.b. Apt. Ste. Flr.

58.e. Postal Code

If filing for your spouse, provide the last address at which 

you physically lived together. If you never lived together, 

type or print, "Never lived together" in Item Number 59.a.

59.c. City or Town

59.d. State 59.e. ZIP Code

Street Number 

and Name

59.a.

59.b. Apt. Ste. Flr.

59.h. Country

59.f. Province

60.a. Date From (mm/dd/yyyy)

60.b. Date To (mm/dd/yyyy)

59.g. Postal Code

The beneficiary will not apply for adjustment of status in 

the United States, but he or she will apply for an immigrant 

visa abroad at the U.S. Embassy or U.S. Consulate in:

City or Town

Country

Province

NOTE: Choosing a U.S. Embassy or U.S. Consulate outside 

the country of the beneficiary's last residence does not 

guarantee that it will accept the beneficiary's case for 

processing. In these situations, the designated U.S. Embassy or 

U.S. Consulate has discretion over whether or not to accept the 

beneficiary's case.

62.a.

62.b.

62.c.

Part 5. Other Information

Have you EVER previously filed a petition for this 

beneficiary or any other alien?

1.

Yes No

If you answered "Yes," provide the name, place, date of filing, 

and the result. 

2.a. 

2.b. 

2.c. 

Family Name 

(Last Name) 

Given Name 

(First Name) 

Middle Name

4. Date Filed (mm/dd/yyyy)

5. Result (for example, approved, denied, withdrawn)

3.b. State

3.a. City or Town

State

61.a. City or Town

The beneficiary is in the United States and will apply for 

adjustment of status to that of a lawful permanent resident 

at the U.S. Citizenship and Immigration Services (USCIS) 

office in:

61.b.

If you are also submitting separate petitions for other relatives, 

provide the names of and your relationship to each relative. 

6.a. 

6.b. 

6.c. 

7. Relationship

Family Name 

(Last Name) 

Given Name 

(First Name) 

Middle Name

Relative 1
Form I-130 Edition 04/01/24 Page 9 of 12

Part 5. Other Information (continued)

3. Petitioner's Daytime Telephone Number

Petitioner's Contact Information

5. Petitioner's Email Address (if any)

4. Petitioner's Mobile Telephone Number (if any)

Middle Name

Given Name 

(First Name) 

Family Name 

(Last Name) 

9. Relationship

8.c. 

8.b. 

8.a. 

WARNING: USCIS investigates the claimed relationships and 

verifies the validity of documents you submit. If you falsify a 

family relationship to obtain a visa, USCIS may seek to have 

you criminally prosecuted.

Relative 2

PENALTIES: By law, you may be imprisoned for up to 5 

years or fined $250,000, or both, for entering into a marriage 

contract in order to evade any U.S. immigration law. In 

addition, you may be fined up to $10,000 and imprisoned for 

up to 5 years, or both, for knowingly and willfully falsifying 

or concealing a material fact or using any false document in 

submitting this petition.

I can read and understand English, and I have read 

and understand every question and instruction on this 

petition and my answer to every question.

1.a.

NOTE: Select the box for either Item Number 1.a. or 1.b. If 

applicable, select the box for Item Number 2.

Part 6. Petitioner's Statement, Contact 

Information, Declaration, and Signature

Petitioner's Statement

NOTE: Read the Penalties section of the Form I-130 

Instructions before completing this part. 

The interpreter named in Part 7. read to me every 

question and instruction on this petition and my 

answer to every question in

1.b.

a language in which I am fluent. I understood all of 

this information as interpreted.

,

2. At my request, the preparer named in Part 8.,

,

prepared this petition for me based only upon 

information I provided or authorized.

Petitioner's Declaration and Certification

Copies of any documents I have submitted are exact 

photocopies of unaltered, original documents, and I understand 

that USCIS may require that I submit original documents to 

USCIS at a later date. Furthermore, I authorize the release of 

any information from any of my records that USCIS may need 

to determine my eligibility for the immigration benefit I seek.

I further authorize release of information contained in this 

petition, in supporting documents, and in my USCIS records to 

other entities and persons where necessary for the administration 

and enforcement of U.S. immigration laws.

I understand that USCIS may require me to appear for an 

appointment to take my biometrics (fingerprints, photograph, 

and/or signature) and, at that time, if I am required to provide 

biometrics, I will be required to sign an oath reaffirming that:

1) I provided or authorized all of the information 

contained in, and submitted with, my petition;

2) I reviewed and understood all of the information in, 

and submitted with, my petition; and

3) All of this information was complete, true, and correct 

at the time of filing.

I certify, under penalty of perjury, that all of the information in 

my petition and any document submitted with it were provided 

or authorized by me, that I reviewed and understand all of the 

information contained in, and submitted with, my petition, and 

that all of this information is complete, true, and correct.

Petitioner's Signature

NOTE TO ALL PETITIONERS: If you do not completely 

fill out this petition or fail to submit required documents listed 

in the Instructions, USCIS may deny your petition.

6.b. Date of Signature (mm/dd/yyyy)

6.a. Petitioner's Signature (sign in ink)
Form I-130 Edition 04/01/24 Page 10 of 12

1.b. Interpreter's Given Name (First Name)

1.a. Interpreter's Family Name (Last Name)

Interpreter's Full Name

Part 7. Interpreter's Contact Information, 

Certification, and Signature 

Provide the following information about the interpreter if you 

used one.

2. Interpreter's Business or Organization Name (if any)

Interpreter's Mailing Address

3.c. City or Town

3.d. State 3.e. ZIP Code

3.f.

Postal Code

Street Number 

and Name

3.a.

3.b. Apt. Ste. Flr.

3.g.

3.h. Country 

Province

Interpreter's Certification

I am fluent in English and 

which is the same language provided in Part 6., Item Number 

1.b., and I have read to this petitioner in the identified language 

every question and instruction on this petition and his or her 

answer to every question. The petitioner informed me that he or 

she understands every instruction, question, and answer on the 

petition, including the Petitioner's Declaration and

Certification, and has verified the accuracy of every answer.

I certify, under penalty of perjury, that:

,

Interpreter's Signature

7.b. Date of Signature (mm/dd/yyyy)

7.a. Interpreter's Signature (sign in ink)

1.b. Preparer's Given Name (First Name)

2. Preparer's Business or Organization Name (if any)

Preparer's Full Name

Provide the following information about the preparer.

1.a. Preparer's Family Name (Last Name)

Part 8. Contact Information, Declaration, and 

Signature of the Person Preparing this Petition, if 

Other Than the Petitioner

Interpreter's Contact Information

4. Interpreter's Daytime Telephone Number

6. Interpreter's Email Address (if any)

5. Interpreter's Mobile Telephone Number (if any)

Preparer's Mailing Address

3.c. City or Town

3.d. State 3.e. ZIP Code

3.f.

Postal Code

Street Number 

and Name

3.a.

3.b. Apt. Ste. Flr.

3.g.

3.h. Country 

Province
Form I-130 Edition 04/01/24 Page 11 of 12

Preparer's Contact Information

5. Preparer's Mobile Telephone Number (if any)

4. Preparer's Daytime Telephone Number

Part 8. Contact Information, Declaration, and 

Signature of the Person Preparing this Petition, if 

Other Than the Petitioner (continued)

6. Preparer's Email Address (if any)

Preparer's Statement

I am not an attorney or accredited representative but 

have prepared this petition on behalf of the petitioner 

and with the petitioner's consent.

7.a.

I am an attorney or accredited representative and my 

representation of the petitioner in this case

7.b.

NOTE: If you are an attorney or accredited 

representative whose representation extends beyond 

preparation of this petition, you may be obliged to 

submit a completed Form G-28, Notice of Entry of 

Appearance as Attorney or Accredited 

Representative, with this petition.

extends does not extend beyond the preparation

of this petition.

By my signature, I certify, under penalty of perjury, that I 

prepared this petition at the request of the petitioner. The 

petitioner then reviewed this completed petition and informed 

me that he or she understands all of the information contained 

in, and submitted with, his or her petition, including the 

Petitioner's Declaration and Certification, and that all of this 

information is complete, true, and correct. I completed this 

petition based only on information that the petitioner provided 

to me or authorized me to obtain or use.

Preparer's Certification

Preparer's Signature

8.a. Preparer's Signature (sign in ink)

8.b. Date of Signature (mm/dd/yyyy)
Form I-130 Edition 04/01/24 Page 12 of 12

Part 9. Additional Information

If you need extra space to provide any additional information 

within this petition, use the space below. If you need more 

space than what is provided, you may make copies of this page 

to complete and file with this petition or attach a separate sheet 

of paper. Type or print your name and A-Number (if any) at the 

top of each sheet; indicate the Page Number, Part Number, 

and Item Number to which your answer refers; and sign and 

date each sheet.

A-Number (if any) ► A3.a.

2.

Page Number 3.b. Part Number 3.c. Item Number

3.d.

Page Number Part Number Item Number

5.a. Page Number Part Number Item Number

Page Number

5.b.

Part Number

5.c.

Item Number

5.d.

1.b. 

1.c.

1.a. Family Name 

(Last Name) 

Given Name 

(First Name) 

Middle Name

4.b. 4.c.

4.d.

4.a.

6.d.

6.a. 6.b. 6.c.

Page Number Part Number Item Number

7.d.

7.a. 7.b. 7.c.