Instructions for Supplemental Information for Application to 

Extend/Change Nonimmigrant Status

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

 Form I-539A

OMB No. 1615-0003

Expires 02/28/2027

Form I-539 Supplement A Instructions 04/01/24 Page 1 of 3

What Is the Purpose of Form I-539A?

I-539A is part of Form I-539. If you are applying for more than one person using your I-539 application, use a separate 

Form I-539A to provide all of the requested information for each additional applicant listed. Each Form I-539A must 

include the signature of the individual applicant. If you are under 14 years of age, your parent or legal guardian may sign 

the application on your behalf. A legal guardian may also sign for a mentally incompetent person.

Special Instructions for V Nonimmigrants

If you are physically present in the United States and are applying for V nonimmigrant status, see the Who Is Eligible for 

V Nonimmigrant Status section below.

NOTE: If you are filing Form I-539A, you do not necessarily have to be in valid nonimmigrant status to obtain V 

nonimmigrant status in the United States. See the Who Is Eligible for V Nonimmigrant Status section for more 

information.

Who Is Eligible for V Nonimmigrant Status?

To be eligible for V nonimmigrant status, you must be the spouse or child of a lawful permanent resident and be the 

beneficiary of a properly filed Form I-130, Petition for Alien Relative, filed on or before December 21, 2000. In addition, 

Form I-130 must have been filed three or more years prior to the date of filing Supplement A to Form I-539, and be:

1. Still pending; or

2. Approved, and your beneficiary must either:

A. Wait for an immigrant visa number to become available; or

B. If the visa number is immediately available, you must have pending an application for adjustment of status or an 

application for an immigrant visa.

In addition, you must be admissible to the United States, except where the grounds of inadmissibility do not apply or have 

been waived. The grounds of inadmissibility that do not apply are Immigration and Nationality Act (INA) sections:

1. 212(a)(6)(A) -- Aliens present without admission or parole;

2. 212(a)(7) -- Aliens without valid passports, visas, or other entry documents; and

3. 212(a)(9)(B) -- Aliens who were unlawfully present for more than 180 days, then departed, and seek admission while 

barred from doing so.

Additional Instructions

1. Select Part 2. Application Type, Item Number 3.a. of Form I-539, and indicate “V” in Item Number 3.c.

2. Use information from the qualifying Form I-130 for your response to Part 3., Item Number 3.a. of Form I-539.
Form I-539 Supplement A Instructions 04/01/24 Page 2 of 3

Additional Evidence Requirements for V Nonimmigrants

In addition to the General Filing Instructions and Initial Evidence required by the Form I-539 Instructions, you must 

submit:

1. Form I-693, Report of Medical Examination and Vaccination Record, without the vaccination supplement; and

2. Proof of filing of the immigrant petition that qualifies you for V nonimmigrant status, and if necessary, proof of filing 

of Form I-485, Application to Register Permanent Residence or Adjust Status. Proof of filing may be in the form of 

Form I-797, Notice of Action, that serves as a receipt or as a notice of approval, or a receipt for a filed Form I-130 or 

Form I-485, or notice of approval issued by a local district/field office.

If you do not have such proof, USCIS will review other forms of evidence, such as correspondence to or from USCIS 

regarding a pending petition.

If you do not have any of the above items, but believe you are eligible for V nonimmigrant status, you must state 

where and when the petition was filed, the name and alien registration number of the petitioner, and the names of all 

beneficiaries.

Where to File?

See the Form I-539 Instructions for filing instructions.

Penalties

If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-539, we will 

deny your Form I-539 and may deny any other immigration benefit. In addition, you will face severe penalties provided 

by law and may be subject to criminal prosecution.

USCIS Compliance Review and Monitoring

By signing this request, you have stated under penalty of perjury (28 U.S.C. section 1746) that all information and 

documentation submitted with this request is complete, true, and correct. You also authorize the release of any 

information from your records that USCIS may need to determine your eligibility for the immigration benefit you are 

seeking and consent to USCIS verifying such information.

The Department of Homeland Security (DHS) has the authority to verify any information you submit to establish 

eligibility for the immigration benefit you are seeking at any time. Our legal authority to verify this information is in 

8 U.S.C. sections 1103 and 1184, and 8 CFR parts 103, 214, and 248. To ensure compliance with applicable laws and 

authorities, we may verify information before or after your case is decided. 

Agency verification methods may include, but are not limited to: reviewing public records; contacting through written 

correspondence; using the internet, fax, other electronic transmission, or telephone; making unannounced physical site 

inspections of residences and locations of employment; and interviewing people. USCIS will use the information we 

obtain to assess your compliance with the laws and to determine your eligibility for an immigration benefit. 

Subject to the restrictions under 8 CFR 103.2(b)(16), we will provide you with an opportunity to address any adverse 

or derogatory information that may result from a compliance review, verification, or site visit before a decision is made 

on your request. For a visit after your request is approved, USCIS will provide you with an opportunity to address any 

adverse or derogatory information which may result in revocation or termination of an approval.
Form I-539 Supplement A Instructions 04/01/24 Page 3 of 3

DHS Privacy Notice

AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the 

Immigration and Nationality Act sections 1103 and 1184, and Title 8 of the Code of Federal Regulations (CFR) parts 103, 

214, and 248. 

PURPOSE: The primary purpose for providing the requested information on this form is to apply for an extension of 

stay or a change from one nonimmigrant category to another nonimmigrant category. DHS will use the information you 

provide to grant or deny the immigration benefit you are seeking.

DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, 

including your Social Security number (if applicable), and any requested evidence, may delay a final decision or result in 

denial of your form. 

ROUTINE USES: DHS may share the information you provide on this form and any additional requested evidence with 

other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved routine 

uses described in the associated published system of records notices [DHS/USCIS-001 - Alien File, Index, and National 

File Tracking System and DHS/USCIS-007 - Benefits Information System] and the published privacy impact assessment 

[DHS/USCIS/PIA-016(a) Computer Linked Application Information Management System and Associated Systems], 

which can be found at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement 

purposes or in the interest of national security.

Paperwork Reduction Act

USCIS may not conduct or sponsor an information collection, and you are not required to respond to a collection of 

information, unless it displays a currently valid Office of Management and Budget (OMB) control number. The public 

reporting burden for this collection of information is estimated at 30 minutes per response, including the time for 

reviewing instructions, gathering the required documentation and information, completing the application, preparing 

statements, attaching necessary documentation, and submitting the application. Send comments regarding this burden 

estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. 

Citizenship and Immigration Services, Office of Policy and Strategy, Regulatory Coordination Division, 5900 Capital 

Gateway Drive, Mail Stop #2140, Camp Springs, MD 20588-0009; OMB No. 1615-0004. Do not mail your completed 

Form I-539A to this address.