Form I-526 Edition 04/01/24 Page 1 of 18

For 

USCIS 

Use 

Only

 Immigrant Petition by Standalone Investor 

Department of Homeland Security 

U.S. Citizenship and Immigration Services

USCIS 

Form I-526 

OMB No. 1615-0026 

Expires 02/28/2026

► START HERE - Type or print in black ink.

Part 1. Information About You

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

Your Full Name

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

1. 2. USCIS Online Account Number (if any)

A- ►

Provide the following information about yourself.

►

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

Other Names Used

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 10. Additional Information.

Fee Receipt Classification Action Block

Resubmitted

Received 

Priority Date 

►

Relocated Sent 

Received 

Remarks

Select this box if Form G-28 is 

attached to represent the 

petitioner.

Attorney or Accredited Representative 

To be completed by an attorney or USCIS Online Account Number (if any)

BIA-accredited representative (if any).

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

7. Gender

Male Female

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

 Other Information
Form I-526 Edition 04/01/24 Page 2 of 18

Street Number and Name

Mailing Address

12. In Care Of Name (if any)

(USPS ZIP Code Lookup)

NOTE: If you are a citizen of more than one country or your nationality differs from your citizenship, provide the information in 

Part 10. Additional Information.

Part 1. Information About You (continued)

City or Town State ZIP Code

Apt. Ste. Flr. Number

Province Postal Code Country

If you answered "No" to Item Number 13., provide your physical address in Item Numbers 14. - 16.

13. Is your current mailing address the same as your physical address? Yes No

Physical Address 

Present

From (mm/dd/yyyy) To (mm/dd/yyyy)

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

City or Town State ZIP Code

Province Postal Code Country

Provide your physical addresses for the last five years. Provide your present address first. If you need extra space to complete this 

section, use the space provided in Part 10. Additional Information.

9. Country(ies) of Citizenship or Nationality (current)

11. Country of Last Foreign Residence

10. Country(ies) of Citizenship and Nationality (relinquished)

City or Town of Birth State or Province of Birth

8. Place of Birth

Country of Birth
Form I-526 Edition 04/01/24 Page 3 of 18

State ZIP Code

Postal Code Country

From (mm/dd/yyyy) To (mm/dd/yyyy)

Province

City or Town

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

Part 1. Information About You (continued)

Employment History

Provide the last 20 years of your employment history. Also provide any government or military positions held at any time (i.e. even if 

older than 20 years). List present employment first. If you need extra space to complete this section, use the space provided in 

Part 10. Additional Information.

18. Employer Name

Job Title

Apt. Ste. Flr. Number

Province Postal Code Country

City or Town

Street Number and Name

From (mm/dd/yyyy) To (mm/dd/yyyy)

State ZIP Code

17. Have you ever been employed? Yes No

If you answered “Yes” to Item Number 16., provide the following information for any previous employment.

15.

From (mm/dd/yyyy)

Province

City or Town

Street Number and Name

To (mm/dd/yyyy)

Apt. Ste. Flr. Number

State ZIP Code

Postal Code Country
Form I-526 Edition 04/01/24 Page 4 of 18

Part 1. Information About You (continued)

ZIP Code

Apt. Ste. Flr. Number

State

Postal Code Country

To (mm/dd/yyyy)

Job Title

From (mm/dd/yyyy)

Province

City or Town

Street Number and Name

19. Employer Name

Apt. Ste. Flr. Number

State ZIP Code

Postal Code Country

From (mm/dd/yyyy) To (mm/dd/yyyy)

Job Title

Province

City or Town

Street Number and Name

20. Employer Name

Place of Arrival or Port-of-Entry

City or Town State

21. Date of Arrival (mm/dd/yyyy)

Your Entry Into the United States

22.

If you are currently in the United States, you must answer questions 21-23. If you are not currently in the United States, skip to Part 3.
Form I-526 Edition 04/01/24 Page 5 of 18

Part 1. Information About You (continued)

Date Period of Authorized Stay Expires/Expired

Date Current Nonimmigrant Status Expires

Date Passport or Travel Document Expires

Passport Number

Current Nonimmigrant Status (if applicable)

Country That Issued Passport or Travel Document

Travel Document Number

►

23. I-94 Arrival-Departure Record Number

Part 2. Information About Your Spouse and Children

List your spouse and all of your children. Also, note if the individual will be applying for a visa abroad or for adjustment of status 

as your dependent. If you need additional space to list other children, use Part 10. Additional Information.

Family Member 1

7. Applying for Adjustment of Status? Yes No

8. Applying for Visa Abroad? Yes No

6. Relationship to You

3. Country of Birth

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

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

4. If spouse, Country(ies) of Citizenship (current)

5. If spouse, Country(ies) of Citizenship (relinquished)

Spouse Child

Family Member 2

Yes No

14. Applying for Visa Abroad? Yes No

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

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

12. Relationship to You Spouse Child 13. Applying for Adjustment of Status?

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)
Form I-526 Edition 04/01/24 Page 6 of 18

Part 2. Information About Your Spouse and Children (continued)

Family Member 3

20. Applying for Visa Abroad?

18. Relationship to You 19. Applying for Adjustment of Status?

16. Date of Birth (mm/dd/yyyy) 17. Country of Birth

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

Yes No

Yes No

Family Member 4

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

24. Relationship to You

22. Date of Birth (mm/dd/yyyy) 23. Country of Birth

Spouse Child

Yes No

26. Applying for Visa Abroad? Yes No

25. Applying for Adjustment of Status?

Family Member 5

30. Relationship to You

28. Date of Birth (mm/dd/yyyy) 29. Country of Birth

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

32. Applying for Visa Abroad?

31. Applying for Adjustment of Status?

Yes No

Yes No

Spouse Child

Spouse Child

Family Member 6

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

38. Applying for Visa Abroad?

36. Relationship to You 37. Applying for Adjustment of Status?

34. Date of Birth (mm/dd/yyyy) 35. Country of Birth

Yes No

Spouse Child Yes No
Form I-526 Edition 04/01/24 Page 7 of 18

Part 3. Information About the New Commercial Enterprise (NCE)

Corporation

1. Legal name of NCE (Required Field - Do Not Leave Blank)

Information About the NCE

A.

B. Other name(s) the NCE is authorized to use or do business as (d/b/a)

2. A. Select the organizational structure. If the organizational structure is different from the examples listed below, select 

“Other” and describe the nature of the organizational structure.

Partnership (including Limited Partnerships)

Limited Liability Company

Other (Describe below). 

If you need extra space to complete this section, use the space provided in Part 10. Additional Information.

If you answered “Yes,” describe the overall organizational structure of the NCE and list each wholly owned subsidiary 

along with its date and jurisdiction of formation. If you need additional space, use the space provided in Part 10. 

Additional information.

B. Is the NCE comprised of a holding company and its wholly owned subsidiaries? Yes No

Subsidiary Name Date of Formation Jurisdiction of Formation

3. Date NCE Formed (mm/dd/yyyy)

4. A. State or Territory Where the NCE Was Established

B. List any other State or Territory Where the NCE is Registered to do Business

5. Federal Employer Identification Number ►

NCE Mailing Address (and Physical Address when Applicable)

Mailing Address same as Physical Address

Apt. Ste. Flr. Number

City or Town State ZIP Code

6. Street Number and Name
Form I-526 Edition 04/01/24 Page 8 of 18

Part 3. Information About the New Commercial Enterprise (NCE) (continued)

7. Telephone Number of NCE

NCE Contact Information

8. Email address

9. Website address

Address and Census Tract(s) where the NCE Is Principally Doing Business (See Instruction)

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

City or Town State ZIP Code

Census Tract(s)

11. Nature of Activity 

(for example, furniture manufacturer)

12. Included Industries (provide North American Industry 

Classification System (NAICS) codes)

Type of NCE (Select only one)

13. NCE formed after November 29, 1990.

NCE resulting from the purchase of a business formed on or before November 29, 1990, that is restructured or 

reorganized.

A.

NCE resulting from a capital investment in and substantial expansion of a business formed on or before November 

29, 1990.

B.

C.

14. Have you invested or are you actively in the process of investing in a troubled business? Yes No

NOTE: If you answered "Yes" to Item Number 14., you must provide an explanation in Part 10. Additional Information of how 

the NCE qualifies as a troubled business.
Form I-526 Edition 04/01/24 Page 9 of 18

Part 3. Information About the New Commercial Enterprise (NCE) (continued)

NCE Ownership and Capital Investment

15. What percentage of the NCE do you own? %

Additional Non-EB-5 Investors. If you are not the sole owner/investor in the NCE, list the name of any other person (including both 

individuals and organizations) that holds an ownership interest or has invested capital in the NCE. Also indicate the percentage of 

ownership and amount of capital invested by each person. Note that an alien seeking to pool his or her investment with 1 or more 

additional aliens seeking classification under the Immigration and Nationality Act (INA) section 203(b)(5) must file for such 

classification in accordance with INA section 203(b)(5)(E) (the Regional Center Program). If you need additional space, provide the 

information in Part 10. Additional Information.

16. Total amount of all capital invested into NCE by Non-EB-5 Investors. $

17. Name of Person Percentage of Ownership

%

A. B. C. Amount of capital invested

$

18. Name of Person Percentage of Ownership

%

A. B. C. Amount of capital invested

$

19. Name of Person Percentage of Ownership

%

A. B. C. Amount of capital invested

$

Part 4. Information About Your Investment

Investment Type and Required Capital Investment

Select the appropriate box to indicate the type of investment you are making (select all that apply).

1. Rural Area

This petition is based on an investment in a rural area.

A. Is the NCE principally doing business in an area outside a metropolitan statistical area 

(as designated by the Director of the Office of Management and Budget)?

Yes No

B. Is the NCE principally doing business in an area outside the outer boundary of a city or town having 

a population of 20,000 or more (based on the most recent decennial census of the United States)?

Yes No

I have submitted the required initial evidence with my Form I-526 filing. 

I will submit the required initial evidence through myUSCIS account. 

Select one box:
Form I-526 Edition 04/01/24 Page 10 of 18

Part 4. Information About Your Investment (continued)

3. High Employment Area

This petition is based on an investment in a high employment area.

4. Non-TEA/Non-High Employment

This petition is based on an investment in an area that is not in a targeted employment area or high employment area.

Composition of Your Investment, Administrative Costs and Fees, and Your Net Worth

Enter the amount and date of your investment(s) in the NCE. If you are actively in the process of investing capital in the NCE, 

enter the amount and date you anticipate making the investment. If you need additional space, use the space provided in 

Part 10. Additional Information.

5.

Date of Investment (mm/dd/yyyy) Amount of Investment

$

$

$

$

Total $

Composition of Investment

Total Amount of Money Deposited or Committed to Deposit into U.S. Business Accounts for NCE, $

including qualified escrow accounts

6.

7. Total Value of Assets Purchased for Use in NCE $

8. Total Value of All Property Transferred From Abroad for Use in NCE $

9. Total of All Debt Financing $

10. Total Stock or Other Equity Purchases $

11. Other Capital $

2. High Unemployment Area

This petition is based on an investment in a high unemployment area.

A. In addition to the census tract(s) where the NCE is principally doing business identified in Part 3., Item Number 10., 

list any other directly adjacent census tract(s) that you are requesting to be included in designation as an area of high 

unemployment (Enter the 11-digit FIPS codes).

What is the weighted average of the unemployment rate for the census tracts you are requesting to be designated as an area 

of high unemployment, based on the labor force unemployment measure for each applicable census tract?

B.

C. What was the national average unemployment rate at the time of your investment (or the date you filed this petition if you 

are actively in the process of investing)?

D. What data source(s) and time frames did you use to calculate the unemployment rate for the applicable census tract(s) and 

the national average unemployment rate?
Form I-526 Edition 04/01/24 Page 11 of 18

Part 4. Information About Your Investment (continued)

Your Sources of Investment Capital

Please identify the sources of the capital you have invested or are actively in the process of investing into the NCE, as well as any 

funds used to pay administrative costs and fees associated with your investment. (Select all that apply.)

Income

Other (Specify in the space below)

In the space below, describe the documentation included with this petition to demonstrate that the capital you have 

invested or are actively in the process of investing, as well as any funds used to pay administrative costs and fees 

associated with your investment, was obtained through lawful means. Read the Lawful Capital section of the Form I-526 

Instructions for a list of documents that must be included with the petition.

Loan Proceeds (including mortgage of real estate)

Gift (including capital obtained through inheritance)

Tangible Assets (Equipment, Inventory, etc.)

14. A.

B.

C. Sale of Real Estate

D.

E.

F. Insurance Proceeds

G. Sale of Securities

H.

15.

16. If the funds used to make your investment were gifted or loaned to you, identify the donor or lender and describe the 

documentation from the donor or lender (if other than a bank) included with this petition to demonstrate that such funds were 

obtained through lawful means.

17. If any persons transferred capital into the United States on your behalf, provide their identity.

Your Net Worth

13. Your Current Net Worth $

Administrative Costs and Fees

Date (mm/dd/yyyy) Amount 

Total

12. Enter the date and amount of all administrative costs and fees associated with your investment.

$

$

$

$

$
Form I-526 Edition 04/01/24 Page 12 of 18

Part 5. Employment Creation Information

1. Are you employed by the NCE? Yes No

A. If you are employed by the NCE, what is your position, office, or title with the NCE?

B. If you are employed by the NCE, what are your duties, activities, and responsibilities in the NCE?

NOTE: If you need additional space, provide the information in Part 10. Additional Information.

2. Number of Full-Time Direct and Qualifying Employees in the NCE at the Time of Your Initial Investment

3. Current Number of Full-Time Direct and Qualifying Employees in the NCE

4. Difference in Number of Full-Time Direct and Qualifying Employees

Estimated Number of Full-Time Direct and Indirect Positions That Will Be Created During the Relevant 

Time Period

5.

Total Amount of Your Capital That Has Been or Will Be Made Available to the Job-Creating 

Business(es) of the NCE

6. $

Country of Current Residence

Country of Last Permanent Residence Abroad

Part 6. Visa Processing and Immigration Proceedings 

Select the appropriate box to indicate how you will seek lawful permanent resident status.

Country of Citizenship or Nationality

1. A. Immigrant Visa Processing Application for Adjustment of Status

B.

C.

2. A.

B.

Address in Country of Last Permanent Residence Abroad

Postal Code Country

City or Town Province

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

4. Telephone Number 

If your native alphabet is other than Roman letters, type or print the foreign address in your native alphabet, below.

Postal Code

City or Town

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

Province

Country
Form I-526 Edition 04/01/24 Page 13 of 18

Part 6. Visa Processing and Immigration Proceedings (continued)

6. A. Are you filing any other petitions or applications with this Form I-526? Yes No

B. If you answered “Yes” to Item A. in Item Number 6., select all applicable boxes:

Form I-485

Form I-131

Form I-765

Other (Provide an explanation in Part 10. Additional Information)

Immigration Proceedings

Are you currently or ever been in immigration proceedings before the Department of Homeland 

Security (DHS) or Department of Justice (DOJ)?

Exclusion

Type of Proceedings (Select only one) 

8. B. Deportation C. Removal

Please indicate whether you are in exclusion, deportation, or removal proceedings before the Department of Homeland Security 

(DHS) or the Department of Justice's (DOJ), Executive Office for Immigration Review (EOIR) Immigration Court or Board of 

Immigration Appeals. You also must provide an explanation for why you are in proceedings in Part 10. Additional Information.

7. Yes No

A.

Are you currently or ever been subject to a final order of exclusion, deportation, or removal, or 

subject to reinstatement of such an order?

9. City or Town B.

10. Yes No

Location of Proceedings 

A. State

Have you ever worked in the United States without permission?

Employment in the United States

11. Yes No

12. If you answered "Yes" to Item Number 11., provide an explanation below. If you need additional space, use Part 10. 

Additional Information.
Form I-526 Edition 04/01/24 Page 14 of 18

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.

The interpreter named in Part 8. read to me every question and instruction on this petition and my answer to every 

Petitioner's Statement Regarding the Interpreter

2. Petitioner's Statement Regarding the Preparer

At my request, the preparer named in Part 9., 

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

A.

question in 

information as interpreted.

1.

Part 7. Petitioner's Statement, Contact Information, Declaration, and Signature

NOTE: Read the Penalties section of the Form I-526 Instructions before completing this part.

 Petitioner's Statement

NOTE: Select the box for either Item A. or B. in Item Number 1. If applicable, select the box for Item Number 2.

B.

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

, prepared this

Petitioner's Declaration

Copies of any documents submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require 

me to submit original documents 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 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 law.

I recognize the authority of USCIS to conduct audits of this petition using publicly available open source information. I also 

recognize that any supporting evidence submitted in support of this petition may be verified by USCIS through any means determined 

appropriate by USCIS, including but not limited to, on-site audits as authorized by 8 U.S.C. sections 1103, 1155, and 1184; the EB-5 

Reform and Integrity Act of 2022, Div. BB of the Consolidated Appropriations Act, 2022 (Pub. L. 117-103); and 8 CFR parts 103, 

204, 205, and 214.

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:

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

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

1)

2)

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

I certify, under penalty of perjury, that I have reviewed this petition, I understand all of the information contained in, and submitted 

with, my petition, and all of this information is complete, true, and correct.

Select the appropriate box to indicate whether you read this petition yourself or whether you had an interpreter assist you. If someone 

assisted you in completing the petition, select the box indicating that you used a preparer.

Petitioner's Contact Information 

3. 4. 

5. 

Petitioner's Daytime Telephone Number Petitioner's Mobile Telephone Number (if any)

Petitioner's Email Address (if any) 
Form I-526 Edition 04/01/24 Page 15 of 18

Part 8. Interpreter's Contact Information, Certification, and Signature

If you used anyone as an interpreter to read the Instructions and questions on this petition to you in a language in which you are fluent, 

the interpreter must fill out this section.

 Interpreter's Full Name

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

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

 Interpreter's Mailing Address

3.

Province Postal Code Country

City or Town State ZIP Code

Street Number and Name Apt. Ste. Flr. Number

 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 , 

Item Number 1., 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 has verified the accuracy of every answer.

which is the same language specified in Part 7., Item B. in

Part 7. Petitioner's Statement, Contact Information, Declaration, and Signature (continued)

 Petitioner's Signature

6. Petitioner's Signature (sign in ink) Date of Signature (mm/dd/yyyy)

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 delay a decision on or deny your petition.
Form I-526 Edition 04/01/24 Page 16 of 18

Part 9. Contact Information, Certification, and Signature of the Person Preparing this Petition, 

if Other Than the Petitioner

Preparer's Full Name

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

Provide the following information about the preparer. If the same individual acted as your interpreter and your preparer, that person 

should complete both Part 8. and Part 9. 

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

 Preparer's Mailing Address

3.

Province Postal Code Country

City or Town State ZIP Code

Street Number and Name Apt. Ste. Flr. Number

 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 petition on behalf of the petitioner and with 

the petitioner's consent.

7.

B.

 Preparer's Statement

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

does not extend beyond the preparation of this petition.

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, with this petition.

extends

A.

Part 8. Interpreter's Contact Information, Certification, and Signature (continued)

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

Interpreter's Signature

Interpreter's Signature (sign in ink)

The interpreter must sign and date the petition.

If the person who completed this petition is associated with a business or organization, that person should complete the business or 

organization name and address information. 
Form I-526 Edition 04/01/24 Page 17 of 18

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

Preparer's Signature

Part 9. Contact Information, Certification, and Signature of the Person Preparing this Petition, 

if Other Than the Petitioner (continued)

By my signature, I certify, under penalty of perjury, that I prepared this petition at the request of the petitioner. The petitioner has 

reviewed this completed petition, including the Petitioner's Declaration and Certification, and informed me that all of this information 

in the petition and in the supporting documents is complete, true, and correct.

Preparer's Certification

Anyone who helped you complete this petition MUST sign and date the petition. A stamped or typewritten name in place of a 

signature is not acceptable. 
Form I-526 Edition 04/01/24 Page 18 of 18

Part 10. 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.

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

2. A-Number (if any) ► A3. A. Page Number B. Part Number C. Item Number

D.

D.

4. A. Page Number B. Part Number C. Item Number

5. A. Page Number B. Part Number C. Item Number

D.

D.

6. A. Page Number B. Part Number C. Item Number

D.

7. A. Page Number B. Part Number C. Item Number