Street Number and Name: Apt. Number

State or Province:

Country:

Lawful Permanent Resident based on previous Refugee status

Lawful Permanent Resident based on previous Asylee status

Telephone Number including Country and City/Area Code: 

Department of Homeland Security 

U.S. Citizenship and Immigration Services I-730, Refugee/Asylee Relative Petition

START HERE - Type or print legibly in black ink.

Address of Residence (Where you physically reside)

City:

Refugee

Asylee

Zip/Postal Code:

OMB No. 1615-0037; Expires 02/28/2027

FOR USCIS OFFICE ONLY

Section of Law

207 (c)(2) Spouse

207 (c)(2) Child

208 (b)(3) Spouse

208 (b)(3) Child

Action Stamp

Part 2. Information About Your Alien Relative, the Beneficiary

Family Name (Last name), Given Name (First name), Middle Name:

Street Number and Name:

City: State or Province:

Country:

Reserved

Receipt

Remarks

My Status:

The beneficiary is my: Spouse

Unmarried child who is a (n):

Number of relatives for whom I am filing separate Form I-730s: ( of )

Family Name (Last name), Given Name (First name), Middle Name:

Mailing Address (If different from residence) - C/O:

Street Number and Name: Apt. Number:

 City: State or Province:

 Country: Zip/Postal Code:

Your E-Mail Address, if available: 

a.

b.

Gender: Date of Birth (mm/dd/yyyy):

Country of Birth: Country of Citizenship/Nationality:

U.S. Social Security Number 

(If applicable): 

Address of Residence (Where the beneficiary physically resides)

Zip/Postal Code:

Mailing Address (If different from residence) - C/O:

Street Number and Name:

 City: State or Province:

 Country: Zip/Postal Code:

Telephone Number including Country and City/Area Code: 

The Beneficiary's E-Mail Address, if available: 

Gender: Date of Birth (mm/dd/yyyy):

Country of Birth: Country of Citizenship/Nationality:

U.S. Alien Registration Number: U.S. Social Security Number 

(If applicable): 

Beneficiary Not Previously Claimed

Beneficiary Previously Claimed On: (e.g., Form I-590, Form I-589, etc.) CSPA Eligible: Yes No N/A

Apt. Number

Apt. Number

Male

Female Female

Male

b.

a.

Biological Child Stepchild Adopted Child

A- AU.S. Alien Registration Number:

Part 1. Information About You, the Petitioner (USPS ZIP 

Code Lookup)

Form I-730 Edition (02/02/24) Page 1
Other Names Used (Including maiden name):

If previously married, names of prior spouses:

Dates (mm/dd/yyyy) and Places Previous Marriages Ended: 

Please provide documentation indicating how marriages ended 

(e.g., death certificate, divorce certificate, etc.):

Date (mm/dd/yyyy) and Place Asylee Status was granted in the 

United States

If You Were Approved for Refugee Status, Date (mm/dd/yyyy) 

and Place Admitted to the United States as a Refugee:

If married, Name of Spouse, Date (mm/dd/yyyy), and Place of 

Present Marriage:

Part 1. Information About You, the Petitioner 

(Continued)

If married, Name of Spouse, Date (mm/dd/yyyy), and Place of 

Present Marriage:

If previously married, names of prior spouses:

Dates (mm/dd/yyyy) and Places Previous Marriages Ended: Please 

provide documentation indicating how marriages ended (e.g., 

death certificate, divorce certificate, etc.):

Beneficiary is outside the United States and will apply for 

travel authorization at a USCIS Office or a U.S. Embassy or 

consulate in:

Beneficiary is currently in the United States.

To Be Completed By 

 Attorney or Representative, if any. 

Fill in box if G-28 is attached to represent the petitioner.

Part 2. Information About Your Alien Relative, the 

Beneficiary (Continued)

Other Names Used (Including maiden name):

City and Country

Part 2. Information About Your Alien Relative, the Beneficiary (Continued)

Name and mailing address of the beneficiary written in the language of the country where he or she now resides:

Family Name: Given Name: Middle Name:

Address - C/O:

Street Number and Name:

City/State or Province:

Check the box, a. through d., that applies:

a.

b.

c.

The beneficiary has never been in the United States

The beneficiary is now in immigration court proceedings in the 

United States Where?

The beneficiary has never been in immigration court proceedings in the United States

Apt. Number:

Zip/Postal Code:

d. The beneficiary is not now in immigration court proceedings in the 

United States, but has been in the past. Where?

What is the beneficiary's native language? Is the beneficiary fluent in English? What other languages does the beneficiary speak 

fluently:

Country:

OR 

Date (mm/dd/yyyy) and Place you received your approval for 

Refugee Status while living abroad

Attorney State License 

Number: 

Volag Number: 

No Yes

Form I-730 Edition (02/02/24) Page 2
Part 3. Two-Year Filing Deadline

Part 2. Information About Your Alien Relative, the Beneficiary (Continued)

List Each of the beneficiary's entries into the United States, if any, beginning with the most recent entry. Submit a copy of each I-94 

and/or copy of the beneficiary's passport showing all the entry and exit stamps for each entry. Attach an additional sheet if the 

beneficiary has more than two entries into the United States:

Are you filing this application more than two years after the date you were admitted to the United States as a refugee or granted asylee 

status? Yes No

If you answered "Yes" to the previous question, explain the delay in filing and submit evidence to support your explanation (Attach 

additional sheets of paper if necessary):

WARNING: Any beneficiary who is in the United States illegally is subject to removal if Form I-730 is not granted by USCIS. Any 

information provided in completing this petition may be used as a basis for the institution of, or as evidence in, removal 

proceedings, even if the petition is later withdrawn. Unexcused failure by the beneficiary to appear for an appointment to provide 

biometrics (such as fingerprints and photographs) and biographical information within the time allowed may result in denial of 

Form I-730. Information provided on this form and biometrics and biographical information provided by the beneficiary may also 

be used in producing an Employment Authorization Document if the beneficiary is granted derivative refugee or asylee status.

Part 4. Warning

Place (City and State):

I-94 Number:

Date of Arrival (mm/dd/yyyy):

Date Status Expires (mm/dd/yyyy):

Status:

Passport Number:

Travel Document Number: Expiration Date for Passport Country of Issuance for Passport or Travel Document:

or Travel Document:

Expiration Date for Passport 

or Travel Document:

Travel Document Number: Country of Issuance for Passport or Travel Document:

Passport Number:

Status:

Date Status Expires (mm/dd/yyyy):

Date of Arrival (mm/dd/yyyy):

I-94 Number:

Place (City and State):

Form I-730 Edition (02/02/24) Page 3
Part 5. Petitioner's Statement, Contact Information, Declaration, Certification, and Signature

Form I-730 Edition (02/02/24) Page 4

NOTE: Read the Penalties section of the Form I-730 Instructions before completing this part. 

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

petition for me based only upon information I provided or authorized.

,

a language in which I am fluent, and I understood everything.

1.b. The interpreter named in Part 7. read to me every question and instruction on this petition and my answer to every question 

,

I can read and understand English, and I have read and I understand every question and instruction on this petition and my 

answer to every question.

1.a.

Petitioner's Statement 

NOTE: Select the box for either Item Number 1.a. or 1.b. If applicable, select the box for Item Number 2.

in 

 prepared this

Petitioner's Contact Information

3. Petitioner's Daytime Telephone Number

5. Petitioner's Email Address (if any) 

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

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

6.a. Petitioner's Signature 6.b. Date of Signature (mm/dd/yyyy)

NOTE TO ALL PETITIONERS: If you do not completely fill out this petition or fail to submit required evidence listed in the 

Instructions, USCIS may deny your petition.
NOTE: Read the information on penalties in the Penalties section of the Form I-730 Instructions before completing this part. 

Part 6. Beneficiary's Statement, Contact Information, Declaration, Certification, and Signature if in the 

United States

NOTE: If the beneficiary is not currently in the United States, or is not 14 years of age or older, this section should be left 

blank.

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

petition for me based only upon information I and the petitioner provided or authorized.

,

a language in which I am fluent, and I understood everything.

1.b. The interpreter named in Part 7. read to me every question and instruction on this petition and my answer to every question 

,

I can read and understand English, and I have read and I understand every question and instruction on this petition and my 

answer to every question.

1.a.

Beneficiary's Statement 

NOTE: Select the box for either Item Number 1.a. or 1.b. If applicable, select the box for Item Number 2.

in 

 prepared this

Beneficiary's Contact Information

3. Beneficiary's Daytime Telephone Number

5. Beneficiary's Email Address (if any) 

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

Beneficiary'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.

Beneficiary's Signature

6.a. Beneficiary's Signature 6.b. Date of Signature (mm/dd/yyyy)

NOTE: This petition must be completely filled out and all required evidence submitted or USCIS may deny this petition.

Form I-730 Edition (02/02/24) Page 5
Part 7. Contact Information, Certification and Signature of the Person Interpreting this Petition, if 

Other Than the Petitioner or Beneficiary

Provide the following information about the interpreter used to complete this petition. NOTE: If you did not use an interpreter to help 

you complete this petition, leave this section blank.

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

Interpreter's Full Name

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

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

Interpreter's Mailing Address

City or Town State

Province Postal Code

Street Number and Name Apt. Ste. Flr. Number

Country

3.

ZIP Code + 4

-

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)

Interpreter's Certification

I certify, under penalty of perjury, that:

I am fluent in English and , which is the same language specified in Part 5.

or Part 6., Item Number 1.b., and I have read to this petitioner, beneficiary, or to them both (if the beneficiary is in the United States 

and 14 years of age or older) in the identified language, every question and instruction on this petition and the petitioner's or the 

beneficiary's answer to every question. The petitioner and/or beneficiary informed me that he and/or she understand every instruction, 

question, and answer on the petition, including the Petitioner's Declaration and Certification, and the Beneficiary's Declaration 

and Certification, and have verified the accuracy of every answer.

7.a. Interpreter's Signature 7.b. Date of Signature (mm/dd/yyyy)

Interpreter's Signature

Form I-730 Edition (02/02/24) Page 6
Part 8. Contact Information, Certification and Signature of the Person Preparing this Petition, if Other 

Than the Petitioner or Beneficiary

Provide the following information about the preparer. If you filled out this petition yourself (without a preparer), please leave this 

section blank.

Preparer's Full Name

1.a. Preparer's Family Name (Last Name) 1.b. Preparer's Given Name (First Name)

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

Preparer's Mailing Address

City or Town State

Province Postal Code

Street Number and Name Apt. Ste. Flr. Number

Country

3.

ZIP Code + 4

-

Preparer's Contact Information

4. Preparer's Daytime Telephone Number

6. Preparer's Email Address (if any)

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

I am not an attorney or accredited representative but have prepared this application on behalf of 

the applicant and with the applicant's consent.

I am an attorney or accredited representative and my representation of the applicant in this case 

does not extend beyond the preparation of this application.

7.

Preparer's Statement

a.

b.

extends

NOTE: If you are an attorney or accredited representative, you may be obliged to submit a completed Form G-28, 

Notice of Entry of Appearance as Attorney or Accredited Representative, or Form G-28I, Notice of Entry of 

Appearance as Attorney In Matters Outside the Geographical Confines of the United States, with this petition.

By my signature, I certify, under penalty of perjury, that I prepared this petition at the request of the petitioner and/or the beneficiary. 

The petitioner and beneficiary (if the beneficiary is in the United States and 14 years of age or older) then reviewed this completed 

petition and informed me that he and/or she understands all of the information contained in, and submitted with, his and/or her 

petition, including the Petitioner's Declaration and Certification, and the Beneficiary's Declaration and Certification that all of 

this information is complete, true, and correct. I completed this petition based only on information that the petitioner and beneficiary 

provided to me or authorized me to obtain or use.

Preparer's Certification

Form I-730 Edition (02/02/24) Page 7
Part 9. To Be Completed at Interview of Beneficiary, If Applicable (14 years of age or older)

Beneficiaries in the United States will be interviewed by USCIS officers. Their petitioners may also be interviewed. Beneficiaries 

living overseas will be interviewed by a USCIS officer or a Department of State (DOS) consular officer.

Signed and sworn before me by the beneficiary 

named herein on:

Signature of Beneficiary Date (mm/dd/yyyy)

Write your Name in your Native Alphabet Signature of USCIS Officer or DOS Consular Officer

Beneficiary Approved for Travel, Admission 

Code:

Petition Returned to Service Center via NVC

CBP Action Block

I swear (affirm) that I know the contents of this petition that I am signing, including the attached documents and 

supplements, and that they are all true or not all true to the best of my knowledge and that corrections 

numbered to were made by me or at my request. With these corrections, the 

information on this form is now true. 

8.a. Preparer's Signature 8.b. Date of Signature (mm/dd/yyyy)

Preparer's Signature

Part 8. Contact Information, Certification and Signature of the Person Preparing this Petition, if Other 

Than the Petitioner or Beneficiary (Continued)

Form I-730 Edition (02/02/24) Page 8