Form I-600 Edition 04/01/24 Page 1 of 18

Petition to 

Classify Orphan as an Immediate Relative 

Department of Homeland Security 

U.S. Citizenship and Immigration Services

USCIS 

Form I-600 

OMB No. 1615-0028 

Expires 02/28/2026 

START HERE - Type or print in black ink. Complete a separate petition for each child. This petition is made to classify an 

orphan as your immediate relative.

►

You must be a U.S. citizen in order to file this petition. See the What Are the Eligibility Requirements section of the Form 

I-600 Instructions for more information.

Married Unmarried

For U.S. Government Use Only

The petitioner is: Action Block Receipt/Fee Stamp

Approved

Department of State Actions:

Transfer to USCIS as Not Clearly 

Approvable

Transfer to USCIS as Consular Return

Form I-600A Approval

The petitioner is approved to adopt an 

orphan from (if specified):

Approval Valid Until (mm/dd/yyyy):

PAIR Letter Issued Date (if applicable) 

(mm/dd/yyyy):

(Name of non-Hague Convention Country)

Final Adjudicating Office/Post:

Officer Signature and Date:

Child's Legal Name after Adoption:

Select this box if 

Form G-28 or G-28I 

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)

Part 1. Basis of Filing 

Petition Filing Basis

One child

Multiple children who are birth siblings. This petition is for the first sibling.

Multiple children who are not birth siblings. This petition is for the first child.

Multiple children who are not birth siblings. This petition is for an additional child.

Multiple children who are birth siblings. This petition is for an additional sibling.

One child

Multiple children who are birth siblings. This petition is for an additional sibling.

Multiple children who are not birth siblings. This petition is for an additional child.

Multiple children who are not birth siblings. This petition is for the first child.

Multiple children who are birth siblings. This petition is for the first sibling.

Select the appropriate option below. See USCIS Form G-1055, Fee Schedule, available at www.uscis.gov/g-1055, for 

information on filing fees.

You filed Form I-600A and it is pending or was approved and remains valid, and you are filing Form I-600 for:

You do not have a valid Form I-600A approval (because you did not file a Form I-600A, your Form I-600A approval expired or is 

no longer valid, etc.). You are requesting a suitability and eligibility determination as part of your Form I-600 (combination 

filing), and you are filing Form I-600 for:

1.
Form I-600 Edition 04/01/24 Page 2 of 18

Part 2. Information About You (Petitioner) 

Family Name (Last Name)

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

Given Name (First Name) Middle Name (if applicable)

Other Names Used (if any)

1.

2.

Provide 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.

Your Contact Information

City or Town State ZIP Code

Street Number and Name Apt. Ste. Flr. Number

3. U.S. Mailing Address (if any)

In Care Of Name (if any)

Part 1. Basis of Filing (continued)

2. Any Change in Marital Status

Your marital status changed while your Form I-600A or Form I-600 combination filing was pending, and you are 

submitting a combination filing with a new basis marital status.

Your marital status changed after your Form I-600A or Form I-600 combination filing was approved, and you are 

submitting a combination filing with a new basis marital status.

Complete this section if you filed Form I-600A or a Form I-600 combination filing and have had a change in marital status since 

you filed your application or petition.

Is your current U.S. mailing address the same as your U.S. physical address?

If you answered "No," provide your U.S. physical address in Item Number 5. or your address abroad in Item Number 6., as 

appropriate.

4. Yes No

Number

U.S. Physical Address (if any)

Street Number and Name

City or Town State ZIP Code

Apt. Ste. Flr.

5.
Form I-600 Edition 04/01/24 Page 3 of 18

Part 2. Information About You (Petitioner) (continued)

Number

Address Abroad (if any)

Street Number and Name

City or Town State

Apt. Ste. Flr.

Province Postal Code Country

6. 

7. Daytime Telephone Number 8. Mobile Telephone Number (if any)

9. Email Address (if any)

Information About Your U.S. Citizenship

10. USCIS Online Account Number (if any)

►

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

12. City/Town/Village of Birth 13. State or Province of Birth

14. Country of Birth

How did you obtain your U.S. citizenship?

A.

Your Name On the Certificate of Citizenship

If you answered "Yes," provide the following information about your Certificate of Citizenship:

If you obtained your citizenship through your parents, have you obtained a Certificate of Citizenship in 

your own name?

15. Birth Parents Naturalization

Yes No

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

Certificate of Citizenship Number

► AAlien Registration Number (A-Number) (if any)

Date of Issuance Place of Issuance

(mm/dd/yyyy)

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

A-Number (if any)

► ADate of Naturalization Place of Naturalization

Certificate of Naturalization Number

B.

Your Name On the Certificate of Naturalization

If you obtained your citizenship through naturalization, provide the following information about your Certificate of Naturalization:

(mm/dd/yyyy)
Form I-600 Edition 04/01/24 Page 4 of 18

Part 2. Information About You (Petitioner) (continued)

Have you EVER renounced or lost U.S. citizenship or has anyone you obtained citizenship through (such as 

your parent or grandparent) EVER lost U.S. citizenship?

16. Yes No

NOTE: If you answered "Yes," provide a detailed explanation in the space provided in Part 11. Additional Information.

17. What is your marital status? Single Married Separated Divorced Widowed

18. How many times have you been married (including your current marriage, if applicable)?

NOTE: If you are not currently married, skip to Item Number 30.

Information About Your Current Marriage

21.

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

Name of Your Current Spouse

Other Names Your Current Spouse Has Used (if any)

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

Spouse's A-Number (if any) 

► ASpouse's Country of Birth

Spouse's State or Province of Birth

Spouse's Date of Birth (mm/dd/yyyy)

Spouse's City/Town/Village of Birth 

Provide all other names your spouse has 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.

Spouse's USCIS Online Account Number (if any)

►

22.

19. Date of Current Marriage (mm/dd/yyyy) 20. Place Where Current Marriage Occurred

23. Information About Your Current Spouse

24. How many times has your current spouse been married (including your current marriage, if applicable)?

If you answered "No," provide your spouse's current U.S. immigration status:

Is your spouse a U.S. citizen? Yes No

If you answered "Yes," how did your spouse obtain U.S. citizenship? Birth Naturalization Parents
Form I-600 Edition 04/01/24 Page 5 of 18

Part 2. Information About You (Petitioner) (continued)

25. Does your current spouse reside with you? 

If you answered "No," provide your current spouse's physical address in Item Number 26.

Yes No

Your Current Spouse's Physical Address (if applicable)

Street Number and Name Apt. Ste. Flr. Number

State ZIP Code

Province

City or Town

Postal Code Country

26.

Spouse's Daytime Telephone Number

Spouse's Email Address (if any)

27. 28. Spouse's Mobile Telephone Number

29.

Your Spouse's Contact Information

Additional Household Members

How many persons 18 years of age or older (other than your spouse, if married) reside with you?

If you answered "1" or more, you MUST complete Form I-600A/I-600 Supplement 1, Listing of Adult Member of the Household, 

for each person.

30.

Name (First/Middle/Last) Date of Birth 

(mm/dd/yyyy) Country of Birth A-Number (if any) Relationship to You

List all of your children who are under 18 years of age. Also include any other children under 18 years of age who reside in your 

household, regardless of your relationship to those children. If you need extra space to complete this table, use the space provided 

in Part 11. Additional Information.

31.
Form I-600 Edition 04/01/24 Page 6 of 18

Part 2. Information About You (Petitioner) (continued)

Information About Prior Filings or Adoptions

If you need extra space to complete Item Numbers 32. - 37., use the space provided in Part 11. Additional Information.

Have you ever previously filed Form I-600, Form I-600A, Application for Advance Processing of an Orphan 

Petition, Form I-800A, Application for Determination of Suitability to Adopt a Child From a Convention 

Country, Form I-800, Petition to Classify Convention Adoptee as an Immediate Relative, or Form I-130, 

Petition for Alien Relative, for an adopted child?

32. Yes No

If you answered "Yes," provide the following information for EACH petition and/or application:

Type of Petition/Application Filed:

Form I-600A Form I-600 Form I-800A Form I-130 (for an adopted child)

Result: Approved Denied Withdrawn

Other (please explain):

Date (mm/dd/yyyy)

Revoked

33. Have you previously completed a domestic adoption of a child within the U.S.? Yes No

If you answered "Yes," provide the following information for each completed domestic adoption of a child.

State And County Where Adoption Was Finalized Date Adoption Was Finalized (mm/dd/yyyy)

Have you ever previously attempted to adopt a child internationally or domestically, but the adoption was 

disrupted before it was finalized? An adoption is disrupted if you (or a custodian escorting the child on your 

behalf) are granted legal custody or guardianship of the child, but the adoptive placement is interrupted before 

the adoption was finalized.

34. Yes No

If you answered "Yes," provide a detailed description of the disruption.

Have you ever previously completed an adoption, either in the United States or abroad, that was later dissolved?

An adoption is dissolved if your parental rights over the adopted child are terminated at any time after the 

adoption was finalized. 

35. Yes No

If you answered "Yes," provide a detailed description of the dissolution.

Have you ever previously placed a child in the care of another person with the intent to transfer permanent 

custody of the child?

36. Yes No

If you answered "Yes," provide a detailed description of the placement.

Have you ever received a child with the intent to gain permanent custody, but without involving child welfare 

or other state/local authorities or following a the state/local process?

37. Yes No

If you answered "Yes," provide a detailed description of the custody transfer.
Form I-600 Edition 04/01/24 Page 7 of 18

Part 2. Information About You (Petitioner) (continued)

You and your spouse (if married) must answer the following questions. See the Duty of Disclosure section in the Form I-600 

Instructions concerning your ongoing duty to disclose information in response to these questions. If you or your spouse answer "Yes" to 

any of the questions in Item Number 38. and 39., provide a certified copy of the documentation showing the final disposition of each 

incident which resulted in arrest, indictment, conviction, and/or any other judicial or administrative action and a written statement giving 

details, including any mitigating circumstances about each arrest, signed by you and/or your spouse (if married) under penalty of perjury 

under U.S. law. The written statement must show the date of each incident; place incident occurred (city/town, state/province, country); 

name of police department or other law enforcement administration or other entity involved; date of incarceration and name of facility, if 

applicable. Provide a description of any type of counseling, rehabilitation, or other information that you and your spouse (if married) 

would like considered in light of this history in the space provided in Part 11. Additional Information.

Duty of Disclosure

38. Have you EVER, whether in or outside the United States:

A. Been investigated, arrested, cited, charged, indicted, convicted, fined, or imprisoned for breaking or 

violating any law or ordinance? (Answer "Yes," even if the record of the arrest, conviction, or other 

adverse criminal history was expunged, sealed, pardoned, or the subject of any other amelioration. Do 

not include traffic violations, except for violations for driving or operating a vehicle while intoxicated 

or while impaired by or under the influence of alcohol or other intoxicant.)

Yes No

B. Received a pardon, amnesty, rehabilitation decree, other act of clemency, or similar action? Yes No

C. Received a suspended sentence, been placed on probation or parole, or been in an alternative 

sentencing or rehabilitation program, such as diversion, deferred prosecution, deferred or withheld 

adjudication, or expungement of a criminal charge?

Yes No

Been the subject of any investigation at any time, even if closed or unsubstantiated, by any child 

welfare agency, court, or other official authority in any state or foreign country concerning the abuse or 

neglect of any child?

D. Yes No

39. Has your spouse EVER, whether in or outside the United States:

A. Been investigated, arrested, cited, charged, indicted, convicted, fined, or imprisoned for breaking or 

violating any law or ordinance? (Answer "Yes," even if the record of the arrest, conviction, or other 

adverse criminal history was expunged, sealed, pardoned, or the subject of any other amelioration. 

Do not include traffic violations, except for violations for driving or operating a vehicle while 

intoxicated or while impaired by or under the influence of alcohol or other intoxicant.)

Yes No

B. Received a pardon, amnesty, rehabilitation decree, other act of clemency, or similar action? Yes No

C. Received a suspended sentence, been placed on probation or parole, or been in an alternative 

sentencing or rehabilitation program, such as diversion, deferred prosecution, deferred or withheld 

adjudication, or expungement of a criminal charge?

Yes No

Been the subject of any investigation at any time even if closed or unsubstantiated, by any child 

welfare agency, court, or other official authority in any state or foreign country concerning the abuse 

or neglect of any child?

D. Yes No

Part 3. Information About the Orphan Beneficiary

Name at Birth

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

1.

Current Name

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

2.
Form I-600 Edition 04/01/24 Page 8 of 18

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

3. Other Names the Orphan Has Used 

Provide all other names the orphan has ever used, including aliases and nicknames. If you need extra space to complete this 

section, use the space provided in Part 11. Additional Information.

4. Gender 5. Date of Birth (mm/dd/yyyy)

Male Female

6. City/Town/Village of Birth 

7. State or Province of Birth 8. Country of Birth

The beneficiary is an orphan because (select only one box):

A.

He or she has a sole or surviving parent who is incapable of providing proper care and who has in writing irrevocably 

released the child for emigration and adoption.

B.

He or she has no parents due to the death or disappearance of, abandonment or desertion by, or separation or loss from 

both parents.

9.

If the orphan has a sole or surviving parent, answer the following:

A. What happened to the other birth or previous parent?

B. Is the remaining parent capable of providing proper care for the orphan?

10.

C. Has the remaining parent irrevocably released the orphan for emigration and adoption, in writing? Yes No

Yes No

11. Did you adopt the orphan abroad? Yes No

12. Did your spouse (if married) adopt the orphan abroad? Yes No

Part 3. Information About the Orphan Beneficiary (continued)

Did you or your spouse (if married) personally see and observe the child before or during the adoption 

proceedings? (This does not include the visa interview and issuance.)

A.

13. If you answered "Yes" to Item Number 11. or Item Number 12., provide the following information:

Yes No

B. Date of Adoption (mm/dd/yyyy) C. Place of Adoption

If you answered "No" to either Item Number 11., Item Number 12., or Item A. in Item Number 13., provide the following 

information:

A. Do you and your spouse (if married) intend to adopt the orphan in the United States?

B.

14.

Yes No

Provide a written description of all the pre-adoption requirements of the state of the orphan's proposed residence and cite any 

relevant state statutes and regulations. If the state of the orphan's proposed residence does not have any pre-adoption 

requirements, indicate "not applicable."

NOTE: If you need extra space to complete Items A. - D., use the space provided in Part 11. Additional Information.
Form I-600 Edition 04/01/24 Page 9 of 18

Part 3. Information About the Orphan Beneficiary (continued)

C.

D. Will any pre-adoption requirements be met at a later time? Yes No

Have any pre-adoption requirements of the orphan's proposed state of residence already been met? Yes No

If you answered "Yes," provide which requirements have been met.

If you answered "Yes," describe the steps you will take to comply with these requirements.

If you answered "No," provide each pre-adoption requirement that will not be met and explain why.

15. To your knowledge:

A.

B.

Does the orphan have any special need, disability, and/or impairment?

If you answered "Yes," name or describe the special need, disability, and/or impairment.

16. The orphan's legal custodian is (select only one box):

Yes No

An individual or entity other than the orphan's birth parents.

Both of the orphan's living birth parents.

One of the orphan's living birth parents. The living birth parent is the (select only one box): Mother Father

Name of the individual or entity: 

17. Information About the Attorney Abroad Representing You and/or Your Spouse (if married) in this Case (if any)

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

Street Number and Name Apt. Ste. Flr. Number

Province Postal Code Country

City or Town State ZIP Code
Form I-600 Edition 04/01/24 Page 10 of 18

Part 3. Information About the Orphan Beneficiary (continued)

19. Current Address of the Orphan

City or Town State ZIP Code

In Care Of Name 

Street Number and Name Apt. Ste. Flr. Number

Province Postal Code Country

20. If the orphan resides in an institution, provide the full name of the institution.

21. If the orphan does not reside in an institution, provide the full name of the person with whom the orphan is residing or the name 

of the orphan's caretaker.

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

Provide any additional information necessary to locate the orphan, such as the name of a district, section, zone, or locality in 

which the orphan resides:

22.

Where do you wish to file your visa application (if applicable)?

The U.S. Embassy or U.S. Consulate located at:

23.

Address Where the Orphan Will Reside After the Adoption (or after you obtain legal custody)

Street Number and Name Apt. Ste. Flr. Number

City or Town State ZIP Code

18.

Province Postal Code Country

24.

After you obtain an adoption or legal custody of the orphan, do you intend to:

A. Seek an immigrant visa because the child will reside with you in the United States? Yes No

B. Seek a non-immigrant visa for the child to travel to the United States temporarily for the purpose of 

naturalization, because you will continue to reside abroad with the child immediately following the 

adoption?

Yes No
Form I-600 Edition 04/01/24 Page 11 of 18

NOTE: A primary adoption service provider is the accredited agency or approved person who is responsible under 22 CFR 96 for 

ensuring all six adoption services defined in 22 CFR 96.2 are provided according to the law, for supervising and being responsible for 

supervised providers when used (see 22 CFR 96.14), and for developing and implementing a service plan in accordance with 22 CFR 

96.44.

Name of Primary Adoption Service Provider

Primary Adoption Service Provider's Mailing Address

Street Number and Name

City or Town State ZIP Code

Apt. Ste. Flr. Number

Point of Contact Within the Organization

Family Name (Last Name) Given Name (First Name) 

Primary Adoption Service Provider's Daytime Telephone Number Primary Adoption Service Provider's Fax Number (if any)

Primary Adoption Service Provider's Email Address (if any)

B. An approved person in the United States. Yes No

The primary adoption service provider named above is one of the following:

A.

8.

An accredited agency in the United States. Yes No

2.

3.

4.

5. 6.

7.

Information About Your Primary Adoption Service Provider

Part 4. Information About Your Home Study and Primary Adoption Service Provider

1. Your home study:

IS NOT attached to this Form I-600 because of state requirements necessitating review and documentation. The 

appropriate state authority has indicated that it will submit the home study directly to U.S. Citizenship and Immigration 

Services (USCIS). (Do not submit your Form I-600 to USCIS until the state authority is ready to send your home study 

to USCIS.)

B.

D. IS attached to this Form I-600.

Was previously submitted with your pending Form I-600A application (please attach a copy of your Form I-600A 

receipt notice).

Was previously submitted with your approved Form I-600A application (please attach a copy of your Form I-600A 

approval notice).

E.

A.

C. Was previously submitted with a Form I-600A/I-600, Supplement 3 (please attach a copy of your Form I-600A/I-600, 

Supplement 3 receipt notice).
Form I-600 Edition 04/01/24 Page 12 of 18

Date 

(mm/dd/yyyy) Payee Relationship to 

Child (if any)

Purpose of Payment Amount of Payment (or description 

and value of in kind consideration)

Information on payments already made. In the following table, provide all payments, including in-kind contributions that you 

and your spouse (if married) have made in relation to the adoption of the child identified in this Form I-600. The information 

you provide in this table must include all fees, expenses, in-kind contributions, and other compensation that you and your spouse 

(if married) or anyone on behalf of you and your spouse, have directly or indirectly made, to any individual, agency, entity, 

governmental authority, or other payee or recipient. The information below should include all payments made as of the date of 

your signing this Form I-600.

Part 5. Information About Fees, Expenses, and Other Compensation

If you need extra space to complete the tables in Item Numbers 1. or 2., use the space provided in Part 11. Additional Information.

1.

Information on anticipated future payments. In the following table, provide all fees, expenses, in-kind contributions, and other 

compensation that you and your spouse (if married) or anyone on behalf of you and your spouse, reasonably expect to pay or 

make, either directly or indirectly, to any individual, agency, entity, governmental authority, or other payee or recipient.

2.

Anticipated Date 

of Payment 

(mm/dd/yyyy)

Payee Relationship to 

Child (if any)

Purpose of Payment Amount of Payment 

(or description and value of in 

kind consideration)
Form I-600 Edition 04/01/24 Page 13 of 18

3.

Part 5. Information About Fees, Expenses, and Other Compensation (continued)

Have you or your spouse (if married) or anyone on behalf of you and your spouse, given or arranged to 

give money or other consideration either directly or indirectly to the orphan's parent(s), agent(s), other 

individual(s), or entity to induce or encourage the release of the orphan? 

Yes No

If you answered "Yes," provide a detailed description to explain.

Part 6. Accommodations for Individuals With Disabilities and/or Impairments 

1. Are you requesting an accommodation because of disabilities and/or impairments?

2. If you answered "Yes," select all applicable boxes below to indicate who has the disabilities and/or impairments.

Petitioner Spouse Other Adult Household Member

If you answered "Yes" to Item Number 1., select all applicable boxes in Items A. - C. and provide an answer for each person 

with disabilities and/or impairments.

A. Deaf or hard of hearing and request the following accommodation. (If requesting a sign-language interpreter, indicate 

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

3.

Yes No

B. Blind or have low vision and request the following accommodation:

C. Another type of disability and/or impairment. (Describe the nature of the disability and/or impairment and the requested 

accommodation.):

NOTE: Read the information in the Form I-600 Instructions before completing this section.

Part 7. Petitioner's Statement, Certification, Duty of Disclosure, and Signature

Petitioner's Statement

NOTE: Read the Penalties section of the Form I-600 Instructions before completing this section. 

every question in

The interpreter named in Part 9. read to me every question and instruction on this petition and my answer to 

1. Petitioner's Statement Regarding the Interpreter (Select the box for either Item A. or B.)

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.

A. 

B.

I understood everything.

 , a language in which I am fluent, and

2. Petitioner's Statement Regarding the Preparer (if applicable)

At my request, the preparer named in Part 10.,

prepared this application for me based only upon information I provided or authorized.

 ,
Form I-600 Edition 04/01/24 Page 14 of 18

Part 7. Petitioner's Statement, Certification, Duty of Disclosure, 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 suitability and eligibility as an adoptive parent and whether the child I am 

petitioning for is eligible to be classified as my immediate relative.

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 law.

I understand that USCIS will require me to appear for an appointment to take my biometrics (for example, fingerprints, photograph, 

and/or signature) and, at that time, I will be required to sign an oath reaffirming that:

2) I understood all of the information contained in, and submitted with, my petition; and 

1) I reviewed and provided or authorized all of the information in my petition;

I certify, under penalty of perjury, that I provided or authorized all of the information in my petition, I understand all of the 

information contained in and submitted with my petition, and that all of this information is complete, true, and correct.

3) All of this information was complete, true, and correct at the time of filing. 

3. Petitioner's Signature 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.

Part 8. Your Spouse's Statement, Certification, Duty of Disclosure, and Signature 

NOTE: Read the Penalties section of the Form I-600 Instructions before completing this section.

Petitioner's Duty of Disclosure

I understand the ongoing duty to disclose information concerning my suitability and eligibility as an adoptive parent, as described in 

the Form I-600 and/or Form I-600A Instructions, and I agree to notify my home study preparer and USCIS of any new information 

that I am required to disclose.

Your Spouse's Statement

every question in

The interpreter named in Part 9. read to me every question and instruction on this petition and my answer to 

1. Spouse's Statement Regarding the Interpreter (Select the box for either Item A. or B.)

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

answer to every question.

A. 

B.

and I understood everything.

, a language in which I am fluent,

2. Spouse's Statement Regarding the Preparer (if applicable)

At my request, the preparer named in Part 10.,

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

 ,
Form I-600 Edition 04/01/24 Page 15 of 18

Part 8. Your Spouse's Statement, Certification, Duty of Disclosure, and Signature (continued)

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 law.

I understand that USCIS will require me to appear for an appointment to take my biometrics (for example, fingerprints, photograph, 

and/or signature) and, at that time, I will be required to sign an oath reaffirming that:

2) I understood all of the information contained in, and submitted with, my petition; and 

1) I reviewed and provided or authorized all of the information in my petition; 

I certify, under penalty of perjury, that I provided or authorized all of the information in my petition, I understand all of the 

information contained in and submitted with my petition, and that all of this information is complete, true, and correct.

3) All of this information was complete, true, and correct at the time of filing. 

Your Spouse's Signature

3. Your Spouse's Signature Date of Signature (mm/dd/yyyy) 

Part 9. Interpreter's Contact Information, Certification, and Signature

If you and/or your spouse (if married) used an interpreter to read and complete this petition, provide the following information about 

the interpreter. 

1. Interpreter's Family Name (Last Name) Interpreter's Given Name (First Name)

 Interpreter's Full Name

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

Your Spouse'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 suitability and eligibility as an adoptive parent and whether the child my 

spouse is petitioning for is eligible to be classified as our immediate relative.

Your Spouse's Duty of Disclosure

I understand the ongoing duty to disclose information concerning my suitability and eligibility as an adoptive parent, as described in 

the Form I-600 and/or Form I-600A Instructions, and I agree to notify the home study preparer and USCIS of any new information 

that I am required to disclose.
Form I-600 Edition 04/01/24 Page 16 of 18

3.

City or Town

Province Postal Code

Street Number and Name Apt. Ste. Flr. Number

Country

Interpreter's Mailing Address

Interpreter's Contact Information

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

6. Interpreter's Email Address (if any)

I am fluent in English and 

Parts 7. and 8., Item B in Item Number 1., and I have read to this petitioner and/or the petitioner's spouse in the identified language 

every question and instruction on this petition and their answer to every question. The petitioner and/or the petitioner's spouse 

informed me that he or she understands every instruction, question, and answer on the petition, including the Petitioner's 

Certification and the Your Spouse's Certification, and has verified the accuracy of every answer.

I certify, under penalty of perjury, that:

Interpreter's Certification

Interpreter's Signature

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

, which is the same language specified in 

Part 9. Interpreter's Contact Information, Certification, and Signature (continued)

Part 10. Contact Information, Declaration, and Signature of the Person Preparing this Petition, If Other 

Than the Petitioner and Spouse

If you and/or your spouse (if married) used a preparer to complete this petition, provide the following information about the preparer.

 Preparer's Full Name

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

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

State ZIP Code
Form I-600 Edition 04/01/24 Page 17 of 18

 Preparer's Mailing Address

3. Street Number and Name Apt. Ste. Flr. Number

City or Town State ZIP Code

Province Postal Code Country

Preparer's Contact Information

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

6. Preparer's Email Address (if any)

Preparer's Statement

Preparer's Certification

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

spouse (if married). The petitioner and the petitioner's spouse (if married) 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 

Certification and the Your Spouse's 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.

B. I am an attorney or accredited representative and my representation of the petitioner and/or the petitioner's spouse 

(if married) in this case does not extend beyond the preparation of this petition.

I am not an attorney or accredited representative but have prepared this petition on behalf of the petitioner and/or the 

petitioner's spouse (if married) with the petitioner's and/or the petitioner's spouse's consent.

7. A.

Preparer's Signature

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

Part 10. Contact Information, Declaration, and Signature of the Person Preparing this Petition, If Other 

Than the Petitioner and Spouse (continued)

extends
Form I-600 Edition 04/01/24 Page 18 of 18

Part 11. Additional Information 

5.

6. Page Number Part Number Item Number

Page Number B. Part Number Item Number

B.

C.

C.

D.

D.

A.

A.

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. If you 

attach a separate sheet of paper, type or print your full 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.

2.

Page Number B. Part Number C. Item Number

1. Family Name (Last Name) Given Name (First Name) Middle Name

D.

A.

Page Number Part Number Item Number

D.

4. A. B. C.