Form I-751 Edition 04/01/24 Page 1 of 11

For 

USCIS 

Use 

Only

Approved under INA 216(c)(4)(C) Battered Spouse/Child

Petition to Remove Conditions on Residence 

Department of Homeland Security 

U.S. Citizenship and Immigration Services 

USCIS 

Form I-751 

OMB No. 1615-0038 

Expires 02/28/2026

Receipt Action Block Remarks

Reloc Sent

Date (mm/dd/yyyy) 

 / / /

Reloc Received

Date (mm/dd/yyyy) 

 / / /

Date (mm/dd/yyyy) 

 / / /

Date (mm/dd/yyyy) 

 / / /

Petitioner interviewed on (mm/dd/yyyy) / / /

Select this box if 

Form G-28 is 

attached.

Attorney State Bar Number 

(if applicable)

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.

Part 1. Information About You, the Conditional 

Resident

1.a. Family Name 

(Last Name) 

1.b. Given Name 

(First Name)

1.c. Middle Name

Other Names Used

2.a. Family Name 

(Last Name) 

2.b. Given Name 

(First Name) 

2.c. Middle Name

3.a. Family Name 

(Last Name)

3.b. Given Name 

(First Name) 

3.c. Middle Name

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

10.

Marital Status

11. Date of Marriage (mm/dd/yyyy)

12. Place of Marriage

13. If the marriage through which you gained conditional 

residence has ended, provide the date it ended (date of 

divorce or date of death) (mm/dd/yyyy)

14. Conditional Residence Expires On (mm/dd/yyyy)

►

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

Other Information

► A7. Alien Registration Number (A-Number) (if any)

Single Married Divorced Widowed

Marital Status

9. USCIS Online Account Number (if any)

►

6. Country of Citizenship or Nationality (provide all that 

apply)

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

maiden name, and nicknames. If you need extra space to 

complete this section, use the space provided in Part 11. 

Additional Information.

5. Country of Birth 
Form I-751 Edition 04/01/24 Page 2 of 11

Part 1. Information About You, the Conditional 

Resident (continued)

 Mailing Address 

15.a. In Care Of Name 

15.d. City or Town

Street Number 

and Name

15.b.

15.c. Ste. Flr.

15.e. State 15.f. ZIP Code

Apt.

 Physical Address 

16. Is your physical address different than your mailing 

address? Yes No

If you answered “Yes” to Item Number 16., provide your 

physical address below.

20. Have you ever been arrested, detained, charged, indicted, 

fined, or imprisoned for breaking or violating any law or 

ordinance (excluding traffic regulations), or committed 

any crime which you were not arrested in the United 

States or abroad?

18.

19. Was a fee paid to anyone other than an attorney in 

connection with this petition?

Are you in removal, deportation, or rescission 

proceedings?

Additional Information About You

Yes

No

Yes No

Yes

No

17.a. In Care Of Name 

17.e. State 17.f. ZIP Code

17.d. City or Town

Street Number 

and Name

17.b.

17.c. Apt. Ste. Flr.

If you answered "Yes" to Item Number 20., provide a detailed 

explanation in Part 11. Additional Information or on a 

separate sheet of paper, and refer to the What Initial Evidence 

Is Required section of the Form I-751 instructions to determine 

what criminal history document to include with your petition.

21. If you are married, is this a different marriage than the 

one through which you gained conditional resident status?

Yes No

22. Have you resided at any other address since you became a 

permanent resident? Yes No

If you answered “Yes” to Item Number 22., provide a list of all 

addresses where you have resided since becoming a permanent 

resident and the dates you resided at those locations in the space 

provided in Part 11. Additional Information.

23. Is your spouse or parent's spouse currently serving with or 

employed by the U.S. Government and serving outside 

the United States? Yes No

Part 2. Biographic Information

1.

2.

Height

4. Weight 

3. Feet Inches

Pounds

Not Hispanic or Latino

Hispanic or Latino

Ethnicity (Select only one box)

Race (Select all applicable boxes)

Native Hawaiian or Other Pacific Islander

American Indian or Alaska Native

White

Asian

Black or African American

Black Brown

Maroon Pink

Green Hazel

Blue

5. Eye Color (Select only one box) 

Unknown/Other

Gray

White

6. Hair Color (Select only one box) 

Black

Brown Red

Sandy Unknown/Other

Gray

Bald (No hair) Blond
Form I-751 Edition 04/01/24 Page 3 of 11

Part 3. Basis for Petition

1.a.

1.b. My parent's spouse because I am unable to be 

included in a joint petition filed by my parent and my 

parent's spouse.

My spouse.

Joint Filing

My conditional residence is based on my marriage or my 

parent's marriage to a U.S. citizen or lawful permanent resident, 

and I am filing this joint petition together with (Select only one 

box):

OR (Select all applicable boxes in the next section.)

1.c. My spouse is deceased.

My conditional residence is based on my marriage or my 

parent's marriage to a U.S. citizen or lawful permanent resident, 

I am unable to file a joint petition with my spouse or my 

parent's spouse, because:

Waiver or Individual Filing Request

1.d. My marriage was entered in good faith, but the 

marriage was terminated through divorce or 

annulment.

1.e.

1.f.

1.g. The termination of my status and removal from the 

United States would result in an extreme hardship.

My parent entered the marriage in good faith, and, 

during the marriage, I was battered, or was subjected 

to extreme cruelty, by my parent's U.S. citizen or 

lawful permanent resident spouse or by my 

conditional resident parent.

I entered the marriage in good faith, and, during the 

marriage, I was battered, or was the subject of 

extreme cruelty, by my U.S. citizen or lawful 

permanent resident spouse.

1.a.

Relationship

1.b.

Part 4. Information About the U.S. Citizen or 

Lawful Permanent Resident Spouse. If Filing as 

a Child Separately, Information About the U.S. 

Citizen or Lawful Permanent Resident 

Stepparent Through Whom You Gained Your 

Conditional Residence.

Spouse or Former Spouse

Parent's Spouse or Former Spouse

►

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

Given Name 

(First Name) 

2.b. 

Family Name 

(Last Name) 

2.a.

2.c. Middle Name

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

► A5. A-Number (if any)

Other Information

6.d. State 6.e. ZIP Code

6.c. City or Town

Street Number 

and Name

6.a.

6.b. Apt. Ste. Flr.

6.f.

6.g. Postal Code 

6.h. Country 

Province

Physical Address

Part 5. Information About Your Children

Given Name 

(First Name) 

1.b. 

Family Name 

(Last Name) 

1.a.

1.c. Middle Name

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

Child 1

Provide information on all of your children. If you need extra 

space to complete this section, use the space provided in 

Part 11. Additional Information.

► A3. A-Number (if any)

4. Is this child living with you?

5. Is this child applying with you?

No

Yes No

Yes
Form I-751 Edition 04/01/24 Page 4 of 11

Part 5. Information About Your Children 

(continued)

6.c. City or Town

Street Number 

and Name

6.a.

6.b. Apt. Ste. Flr.

6.d. State 6.e. ZIP Code

6.f.

6.g. Postal Code 

6.h. Country 

Province

Physical Address

Given Name 

(First Name) 

7.b. 

Family Name 

(Last Name)

7.a.

7.c. Middle Name

Child 2

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

► A9. A-Number (if any)

10. Is this child living with you?

11. Is this child applying with you?

Yes

Yes No

No

12.a. 

12.b.

12.c. City or Town

Street Number 

and Name

Apt. Ste. Flr.

12.d. State 12.e. ZIP Code

12.f.

12.g. Postal Code 

12.h. Country 

Province

Physical Address

Given Name 

(First Name) 

13.b. 

Family Name 

(Last Name)

13.a.

13.c. Middle Name

Child 3

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

► A15. A-Number (if any)

16. Is this child living with you?

17. Is this child applying with you?

Yes

Yes No

No

18.a. 

18.b.

18.c. City or Town

Street Number 

and Name

Apt. Ste. Flr.

18.d. State 18.e. ZIP Code

18.f.

18.g. Postal Code 

18.h. Country 

Province

Physical Address

Given Name 

(First Name) 

19.b. 

Family Name 

(Last Name)

19.a.

19.c. Middle Name

Child 4

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

► A21. A-Number (if any)

22. Is this child living with you?

23. Is this child applying with you?

Yes

Yes No

No
Form I-751 Edition 04/01/24 Page 5 of 11

Part 5. Information About Your Children 

(continued)

24.a. 

24.b.

24.c. City or Town

Street Number 

and Name

Apt. Ste. Flr.

24.d. State 24.e. ZIP Code

24.f.

24.g. Postal Code 

24.h. Country 

Province

Physical Address

Given Name 

(First Name) 

25.b. 

Family Name 

(Last Name)

25.a.

25.c. Middle Name

Child 5

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

► A27. A-Number (if any)

28. Is this child living with you?

29. Is this child applying with you?

Yes

Yes No

No

30.a. 

30.b.

30.c. City or Town

Street Number 

and Name

Apt. Ste. Flr.

30.d. State 30.e. ZIP Code

30.f.

30.g. Postal Code 

30.h. Country 

Province

Physical Address

Part 6. Accommodations for Individuals With 

Disabilities and/or Impairments 

Are you requesting an accommodation because of your 

included children's disabilities and/or impairments?

3.

1. Are you requesting an accommodation because of your 

disabilities and/or impairments?

2. Are you requesting an accommodation because of your 

spouse's disabilities and/or impairments?

No

Yes

Yes No

No

Yes

NOTE: Read the information in the Form I-751 Instructions 

before completing this part. 

4.a. I am deaf or hard of hearing and request the 

following accommodation. (If you are requesting a 

sign-language interpreter, indicate for which 

language (for example, American Sign Language).): 

I am blind or have low vision and request the 

following accommodation:

4.b.

I have another type of disability and/or impairment. 

(Describe the nature of your disability and/or 

impairment and the accommodation you are 

requesting.):

4.c.

If you answered "Yes" to Item Numbers 1. - 3., select any 

applicable box for Item Numbers 4.a. - 4.c. Provide 

information on the disabilities and/or impairments for each 

person.
Form I-751 Edition 04/01/24 Page 6 of 11

Part 7. Petitioner's Statement, Contact 

Information, Acknowledgement of Appointment 

at USCIS Application Support Center, 

Certification, and Signature

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

applicable, select the box for Item Number 2.

1.a. I can read and understand English, and have read and 

understand every question and instruction on this 

petition, as well as my answer to every question. I 

have read and understand the Acknowledgement of 

Appointment at USCIS Application Support 

Center.

NOTE: If you selected Box 1.a. in Part 3., your spouse must 

also read and sign the petition in Part 8. Signature of a 

conditional resident child under 14 years of age is not required; 

a parent may sign for a child.

 Petitioner's Statement

NOTE: Read the information on penalties in the Penalties

section of the Form I-751 Instructions before completing this 

part.

1.b. The interpreter named in Part 9. has also read to me 

every question and instruction on this petition, as well 

as my answer to every question, in 

a language in which I am fluent. I understand every 

question and instruction on this petition as translated 

to me by my interpreter, and have provided complete, 

true, and correct responses in the language indicated 

above. The interpreter named in Part 9. has also 

read the Acknowledgement of Appointment at 

USCIS Application Support Center to me, in the 

language in which I am fluent, and I understand this 

Application Support Center (ASC) 

Acknowledgement as read to me by my interpreter.

,

2. I have requested the services of and consented to 

 is is not an attorney or accredited

representative, preparing this petition for me. This 

person who assisted me in preparing my petition has 

reviewed the Acknowledgement of Appointment at 

USCIS Application Support Center with me, and I 

understand the ASC Acknowledgement.

,

who

 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)

Acknowledgement of Appointment at USCIS 

Application Support Center

I, ,

understand that the purpose of a USCIS ASC appointment is for 

me to provide fingerprints, photograph, and/or signature and to 

re-affirm that all of the information in my petition is complete, 

true, and correct and was provided by me. I understand that I 

will sign my name to the following declaration which USCIS 

will display to me at the time I provide my fingerprints, 

photograph, and/or signature during my ASC appointment.

I also understand that when I sign my name, provide my 

fingerprints, and am photographed at the USCIS ASC, I will be 

re-affirming that I willingly submit this petition; I have reviewed 

the contents of this petition; all of the information in my petition 

and all supporting documents submitted with my petition were 

provided by me and are complete, true, and correct; and if I was 

assisted in completing this petition, the person assisting me also 

reviewed this Acknowledgement of Appointment at USCIS 

Application Support Center with me.

By signing here, I declare under penalty of perjury 

that I have reviewed and understand my application, 

petition, or request as identified by the receipt 

number displayed on the screen above, and all 

supporting documents, applications, petitions, or 

requests filed with my application, petition, or request 

that I (or my attorney or accredited representative) 

filed with USCIS, and that all of the information in 

these materials is complete, true, and correct.

If conditional residence was based on a marriage, I further 

certify that the marriage was entered into in accordance with the 

laws of the place where the marriage took place and was not for 

the purpose of procuring an immigration benefit.
Form I-751 Edition 04/01/24 Page 7 of 11

Part 7. Petitioner's Statement, Contact 

Information, Acknowledgement of Appointment 

at USCIS Application Support Center, 

Certification, and Signature (continued)

 Petitioner's 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 and all of my records that USCIS may need to determine my 

eligibility for the immigration benefit that I seek.

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

petition, my responses to each question, and any document 

submitted with my petition were provided by me and are 

complete, true, and correct. 

I furthermore 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.

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

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.a.

 Petitioner's Signature

NOTE: If you are filing based on claims of having been 

battered or subjected to extreme cruelty waiver or individual 

filing, you are not required to have the spouse's or individual 

listed in Part 4's signature.

Part 8. Spouse's or Individual Listed in Part 4.'s 

Statement, Contact Information, 

Acknowledgement of Appointment USCIS 

Application Support Center, Certification, and 

Signature (if applicable)

Provide the following information about the spouse or 

individual listed in Part 4.

NOTE: Read the information on penalties in the Penalties

section of the Form I-751 Instructions before completing this 

part.

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

applicable, select the box for Item Number 2.

1.a. I can read and understand English, and have read and 

understand every question and instruction on this 

petition, as well as the petitioner's answer to every 

question. I have read and understand the 

Acknowledgement of Appointment at USCIS 

Application Support Center.

 Spouse's or Individual's Statement

1.b. The interpreter named in Part 9. has also read to me 

every question and instruction on this petition, as 

well as the petitioner's answer to every question, in

a language in which I am fluent. I understand every 

question and instruction on this petition as translated 

to me by my interpreter, and have provided complete, 

true, and correct responses in the language indicated 

above. The interpreter named in Part 9. has also 

read the Acknowledgement of Appointment at 

USCIS Application Support Center to me, in the 

language in which I am fluent, and I understand this 

Application Support Center (ASC) 

Acknowledgement as read to me by my interpreter.

,

2. I have requested the services of and consented to 

 is is not an attorney or accredited

representative, preparing this petition for me. This 

person who assisted me in preparing my petition has 

reviewed the Acknowledgement of Appointment at 

USCIS Application Support Center with me, and I 

understand the ASC Acknowledgement.

,

who

5. Spouse's or Individual's Email Address (if any)

4. Spouse's or Individual's Mobile Telephone Number (if any)

 Spouse's or Individual's Contact Information

3. Spouse's or Individual's Daytime Telephone Number
Form I-751 Edition 04/01/24 Page 8 of 11

Part 8. Spouse's or Individual Listed in Part 4.'s 

Statement, Contact Information, 

Acknowledgement of Appointment USCIS 

Application Support Center, Certification, and 

Signature (if applicable) (continued)

Acknowledgement of Appointment at USCIS 

Application Support Center

I, ,

understand that the purpose of a USCIS ASC appointment is 

for me to provide my fingerprints, photograph, and/or 

signature and to re-affirm that all of the information in my 

petition is complete, true, and correct and was provided by me. 

I understand that I will sign my name to the following 

declaration which USCIS will display to me at the time I 

provide my fingerprints, photograph, and/or signature during 

my ASC appointment.

I also understand that when I sign my name, provide my 

fingerprints, and am photographed at the USCIS ASC, I will be 

re-affirming that I willingly submit this petition; I have reviewed 

the contents of this petition; all of the information in my petition 

and all supporting documents submitted with my petition were 

provided by me and are complete, true, and correct; and if I was 

assisted in completing this petition, the person assisting me also 

reviewed this Acknowledgement of Appointment at USCIS 

Application Support Center with me. 

By signing here, I declare under penalty of perjury 

that I have reviewed and understand my application, 

petition, or request as identified by the receipt 

number displayed on the screen above, and all 

supporting documents, applications, petitions, or 

requests filed with my application, petition, or request 

that I (or my attorney or accredited representative) 

filed with USCIS, and that all of the information in 

these materials is complete, true, and correct. 

 Spouse's or Individual's 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 and all of my records that USCIS may need to determine my 

eligibility for the immigration benefit that I seek.

I furthermore 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 certify under penalty of perjury, that the information in my 

petition, my responses to each question, and any document 

submitted with my petition were provided by me and are 

complete, true, and correct.

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

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

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

Interpreter's Full Name

Part 9. Interpreter's Contact Information, 

Certification, and Signature

Provide the following information about the interpreter.

3.h.

 Interpreter's Mailing Address

3.c. City or Town

3.d. State 3.e. ZIP Code

3.f. Province 

Street Number 

and Name

3.a.

Country 

3.b. Apt. Ste. Flr.

3.g. Postal Code 

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

Spouse's or Individual's Signature

NOTE TO ALL SPOUSES OR INDIVIDUALS: 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.a.

 Spouse's or Individual's Signature

 Interpreter's Contact Information

4. Interpreter's Daytime Telephone Number

5. Interpreter's Email Address (if any)
Form I-751 Edition 04/01/24 Page 9 of 11

Part 9. Interpreter's Contact Information, 

Certification, and Signature (continued)

I have read the Acknowledgement of Appointment at USCIS 

Application Support Center to the petitioner in the same 

language provided in Part 7., Item Number 1.b. 

The petitioner has informed me that he or she understands every 

instruction and question on the petition, as well as the answer to 

every question, and the petitioner verified the accuracy of every 

answer; and

The petitioner has also informed me that he or she understands 

the ASC Acknowledgement and that by appearing for a USCIS 

ASC biometric services appointment and providing his or her 

fingerprints, photograph, and/or signature, he or she is 

re-affirming that the contents of this petition and all supporting 

documentation are complete, true, and correct. 

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

6.a. Interpreter's Signature

Interpreter's Signature

Interpreter's Certification

I certify that:

is the same language provided in Part 7., Item Number 1.b.;

I am fluent in English and , which

I have read to this petitioner every question and instruction on 

this petition, as well as the answer to every question, in the 

language provided in Part 7., Item Number 1.b.; and

Part 10. Contact Information, Statement, 

Certification, and Signature of the Person 

Preparing this Petition, If Other Than the 

Petitioner 

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)

Provide the following information about the preparer.

 Preparer's Contact Information

4. Preparer's Daytime Telephone Number

6. Preparer's Email Address (if any)

5. Preparer's Fax Number

 Preparer's Mailing Address

3.h.

3.c. City or Town

3.d. State 3.e. ZIP Code

3.f. Province 

Street Number 

and Name

3.a.

Country 

3.b. Apt. Ste. Flr.

3.g. Postal Code 

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.

7.b.

preparation of this petition.

I am an attorney or accredited representative and 

my representation of the petitioner in this case

extends does not extend beyond the 

 Preparer's Statement

NOTE: If you are an attorney or accredited 

representative whose representation extends 

beyond preparation of this petition, you must 

submit a completed Form G-28, Notice of Entry 

of Appearance as Attorney or Accredited 

Representative, with this petition.
Form I-751 Edition 04/01/24 Page 10 of 11

Part 10. Contact Information, Statement, 

Certification, and Signature of the Person 

Preparing this Petition, If Other Than the 

Petitioner (continued)

8.a. Preparer's Signature

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

Preparer's Certification

By my signature, I certify, swear, or affirm, under penalty of 

perjury, that I prepared this petition on behalf of, at the request 

of, and with the express consent of the petitioner. I completed 

this petition based only on responses the petitioner provided to 

me. After completing the petition, I reviewed it and all of the 

petitioner's responses with the petitioner, who agreed with every 

answer on the petition. If the petitioner supplied additional 

information concerning a question on the petition, I recorded it 

on the petition. I have also read the Acknowledgement of 

Appointment at USCIS Application Support Center to the 

petitioner and the petitioner has informed me that he or she 

understands the ASC Acknowledgement

Preparer's Signature
Form I-751 Edition 04/01/24 Page 11 of 11

3.d.

Part 11. 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.

 Your Full Name

1.a. Family Name 

(Last Name) 

1.b. Given Name 

(First Name) 

1.c. Middle Name

2. A-Number (if any) 

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

A4.d.

4.a. Page Number 4.b. Part Number 4.c. Item Number

7.a. Page Number 7.b. Part Number 7.c. Item Number

7.d.

5.d.

5.a. Page Number 5.b. Part Number 5.c. Item Number

6.d.

6.a. Page Number 6.b. Part Number 6.c. Item Number