I-912 Form PDF 2023 Download Request for Fee Waiver

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The United States Citizenship and Immigration Services (USCIS) provides a lifeline to individuals who may be financially challenged in pursuing immigration benefits and services through the I-912 Form, officially known as the "Request for Fee Waiver." This form plays a critical role in ensuring that financial constraints do not hinder individuals from accessing essential immigration benefits and services

The Purpose of Form I-912

Form I-912 serves as a tool for individuals to request a fee waiver for certain immigration forms and services. It's important to note that not all immigration forms are eligible for fee waivers, and eligibility criteria can vary depending on the type of application or petition. Some common immigration benefits that may be eligible for fee waivers include:

Adjustment of Status: Individuals seeking to change their immigration status within the United States.
Naturalization: Aspiring U.S. citizens looking to apply for citizenship.
Humanitarian Applications: Certain applications based on humanitarian grounds may qualify for fee waivers.

How to File Form I-912

To request a fee waiver, individuals must complete and file Form I-912 along with their application or petition for the specific immigration benefit they are seeking. It's important to follow these steps:

Complete Form I-912: Fill out the most current version of Form I-912 accurately. Ensure you provide all requested information, including your basis for requesting a fee waiver.
Sign the Form: Both the applicant and any eligible family members who are requesting the fee waiver must sign the form. If the applicant is under 14 years of age or mentally incompetent, a legal guardian may sign on their behalf.
Gather Supporting Documents: Attach any necessary supporting documentation that demonstrates your eligibility for a fee waiver. This may include proof of receiving means-tested benefits, evidence of financial hardship, or other relevant documents.
Submit with the Application or Petition: Send your completed Form I-912 along with your application or petition for the specific immigration benefit you are seeking. Do not submit Form I-912 on its own.

Eligibility Criteria for Fee Waivers

To qualify for a fee waiver, you must meet specific criteria. The eligibility criteria may include:

Means-Tested Benefits: If you, your spouse, or the head of your household receives a means-tested benefit, you may qualify for a fee waiver. Means-tested benefits are public benefits based on income and resources.
Income Below 150% of Federal Poverty Guidelines: Your household income should be at or below 150% of the Federal Poverty Guidelines at the time of filing. These guidelines are updated annually.
Financial Hardship: If you are facing financial hardship, such as unexpected medical bills or emergencies, that prevents you from paying the filing fee, you may be eligible for a fee waiver.

Common Means-Tested Benefits

Means-tested benefits are public benefits where eligibility and benefit amounts are determined based on income and resources. Some examples of means-tested benefit programs include:

Medicaid
Supplemental Nutrition Assistance Program (SNAP)
Temporary Assistance to Needy Families (TANF)
Supplemental Security Income (SSI)

It's important to note that not all benefits qualify for fee waivers, and USCIS carefully reviews each request. Other benefits like Medicare, unemployment benefits, and Social Security retirement benefits are not considered means-tested benefits for fee waiver purposes.

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overview I-912 Form PDF Download Request for Fee Waiver

Section	Details
Purpose of Form I-912	Request a fee waiver for certain immigration forms and services
Eligible Immigration Benefits	Adjustment of Status, Naturalization, Humanitarian Applications, among others
Filing Process	Complete Form I-912 with accurate information and sign it. Gather supporting documents. Submit it along with the application or petition for the specific benefit.
Eligibility Criteria	1. Receiving means-tested benefits 2. Income below 150% of Federal Poverty Guidelines 3. Financial hardship due to unforeseen circumstances
Means-Tested Benefits	Medicaid, SNAP, TANF, SSI, among others
Ineligible Benefits	Medicare, unemployment benefits, Social Security retirement benefits, SSDI, RSDI, student financial aid
Where to File	Submit Form I-912 with the corresponding application or petition to the appropriate USCIS address

Where to File Form I-912

You should submit Form I-912 along with the relevant application or petition to the appropriate USCIS address. Ensure that your fee waiver request is filed together with the corresponding immigration benefit application or petition.

I-912 Form PDF 2023 Download Request for Fee Waiver

what is form i-912 used for

Use this form to request a fee waiver (or submit a written request) for certain immigration forms and services based on a demonstrated inability to pay.

Part 1. Basis for Your Request

Item Numbers 1. – 3. Select a basis for your request. You are not required to complete the entire section of this request. Rather, select one basis or more for which you may qualify and complete the corresponding section as explained below in Parts 4., 5., and 6.

Part 2. Information About You (Requestor)

Item Number 1. Full Name. Provide your full name. If you have two last names, include both in the Family Name box and use a hyphen (-) if appropriate. If you do not have a middle name, type or print “N/A.”
Item Number 2. Other Names Used (if any). Provide all other names you have used, including your maiden name.
Item Number 3. Alien Registration Number (A-Number) (if any). An A-Number is a number assigned by USCIS or the former Immigration and Naturalization Service (INS). People with A-Numbers can locate the number on their USCIS-issued or INS-issued documentation. If the intending immigrants you are sponsoring were not previously in the United States or were only in the United States as tourists, they may not have A-Numbers.
Item Number 4. USCIS ELIS Account Number (if any). If you were issued a USCIS Electronic Immigration System (USCIS ELIS) Account Number, enter it in the space provided. The USCIS ELIS Account Number is not the same as an A-Number.
Item Number 5. Date of Birth (mm/dd/yyyy). Provide your date of birth in mm/dd/yyyy format. For example, enter May 1, 1979, as 05/01/1979.
tem Number 6. U.S. Social Security Number (if any). Provide your U.S. Social Security number.
Item Number 7. Marital Status. Indicate your current marital status.

Part 3. Applications and Petitions for Which You are Requesting a Fee Waiver

Item Number 1. Complete the table for yourself and each person requesting a fee waiver with you. Provide the form numbers and the total number of applications and petitions for which you and any family members are requesting a fee waiver.

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Part 4. Means-Tested Benefits

Item Number 1. If you, your spouse, or the head of household living with you receives a means-tested benefit, complete the table. You must attach supporting documentation. If you provide sufficient proof that you receive a means-tested benefit, your fee waiver will generally be approved.

A means-tested benefit is a public benefit where a person’s eligibility for the benefit, the amount of the benefit, or both, is based on the person’s income and resources. USCIS will consider means-tested benefits that are Federally, state, or locally funded and granted by the benefit agency.

Individual Receipt of a Means-Tested Benefit
A. The individual may demonstrate that he or she is personally receiving a means-tested benefit.
B. Is a child is the sole applicant, he or she may provide an individual means-tested benefit or a custodial parent’s means-tested benefit, if living in the same household.
C. If multiple children are filing at the same time, each child must have an individual receipt of a means-tested benefit or be under the parent’s household who is receiving a means-tested benefit.
Family Member’ Means-Tested Benefits
A. Your spouse and unmarried children under 21 years of age living with you will normally qualify for a fee waiver as part of your household if you are receiving means-tested benefits.

I-912 Form PDF 2023 Edition Date

We will also accept prior editions (or a written request). You can find the edition date at the bottom of the page on the form and instructions.

Dates are listed in mm/dd/yy format. If you complete and print this form to mail it, make sure that the form edition date and page numbers are visible at the bottom of all pages and that all pages are from the same form edition. If any of the form’s pages are missing or are from a different form edition, we may reject your form.

Where to File I-912 Form PDF 2023

To file your completed Form I-912, attach it and all supporting documentation to the application or petition for which you are requesting a fee waiver. For example, if you are requesting a fee waiver for Form N-400, Application for Naturalization, you must mail your Form N-400, Form I-912, and supporting documentation to the address listed in the Form N-400 Instructions.

Do not submit your Form I-912 without a completed application or petition. You cannot submit Form I-912 after we have received the application or petition for which you are requesting the fee waiver. For example, if you are requesting a fee waiver for Form N-400, you cannot submit Form I-912 after we receive your Form N-400. You cannot file online if you are requesting a fee waiver. You must file paper versions of Form I-912 and the form for which you are requesting a fee waiver.

I-912 Form Filing Tips | I-912 Form PDF 2023

Filing Tips: Go to our Tips for Filing Forms by Mail page for information on how to help ensure we will accept your application. Don’t forget to sign your form. We will reject and return any unsigned form.

form i-912 instructions pdf | I-912 Form PDF Download 2023

Your Form I-912 must be signed. We will reject your Form I-912 if it is not signed either by you or an eligible representative if you are under 14 years of age or mentally incompetent.
If you submit documentation containing information in a foreign language, you must include a full English translation. The translator must sign a certification that the English language translation is complete and accurate, and that they are competent to translate from the foreign language into English

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form i-912 Eligible for Fee Waiver

Biometric services fee, except for the biometric services fee required for Form I-601A, Application for Provisional Unlawful Presence Waiver, filed under 8 CFR 212.7(e);
Form I-90, Application to Replace Permanent Resident Card;
Form I-129, Petition for a Nonimmigrant Worker, if you are applying for E-2 CNMI investor nonimmigrant status under 8 CFR 214.2(e)(23);
Form I-131, Application for Travel Document, if you are applying for humanitarian parole;
Form I-191, Application for Advance Permission to Return to Unrelinquished Domicile;
Form I-192, Application for Advance Permission to Enter as Nonimmigrant, but only if you are exempt from the public charge grounds of inadmissibility;
Form I-193, Application for Waiver for Passport and/or Visa, if you are exempt from the public charge grounds of inadmissibility (Please note you must pay all fees when applying for a U.S. passport from the U.S. Department of State.);
Form I-290B, Notice of Appeal or Motion, if your underlying application was fee exempt, the fee was waived, or it was eligible for a fee waiver;
Form I-485, Application to Register Permanent Residence or Adjust Status, if you are applying for lawful permanent resident status based on:
An eligibility category that is exempt from the public charge grounds of inadmissibility of section 212(a)(4) of the INA, such as the Cuban Adjustment Act, the Haitian Refugee Immigration Fairness Act;
Continuous residence in the United States since before Jan. 1, 1972 (“Registry”);
Asylum status; or
Special Immigrant Juvenile status or similar categories;
Form I-539, Application to Extend/Change Nonimmigrant Status, if you are applying for any benefit request specified by section 245(l)(7) of the INA or applying for E-2 CNMI investor nonimmigrant status under 8 CFR 214.2(e)(23);
Form I-601, Application for Waiver of Grounds of Inadmissibility, if you are exempt from the public charge grounds of inadmissibility in section 212(a)(4) of the INA;
Form I-694, Notice of Appeal of Decision Under Sections 245A or 210 of the Immigration and Nationality Act, if your underlying application or petition was fee exempt, the fee was waived, or was eligible for a fee waiver;
Form I-751, Petition to Remove Conditions on Residence;
Form I-765, Application for Employment Authorization, unless you are filing under category (c)(33), Deferred Action for Childhood Arrivals;
Form I-817, Application for Family Unity Benefits;
Form I-821, Application for Temporary Protected Status;
Form I-881, Application for Suspension of Deportation or Special Rule Cancellation of Removal;
Form N-300, Application to File Declaration of Intention;
Form N-336, Request for a Hearing on a Decision in Naturalization Proceedings;
Form N-400, Application for Naturalization;
Form N-470, Application to Preserve Residence for Naturalization Purposes;
Form N-565, Application for Replacement of Naturalization/Citizenship Document;
Form N-600, Application for Certification of Citizenship; and
Form N-600K, Application for Citizenship and Issuance of Certificate under Section 322.

You may also apply for a fee waiver for any application or petition that is related to your status as a:

Battered spouse of an A, G, E-3, or H nonimmigrant (such as Forms I-485, I-601, and I-212);
Battered spouse or child of a lawful permanent resident or U.S. citizen under INA 240A(b)(2);
T nonimmigrant (such as Forms I-192, I-485, and I-601);
Temporary Protected Status recipient (such as Forms I-131, I-821, and I-601);
U nonimmigrant (such as Forms I-192, I-485, and I-929); or
VAWA self-petitioner (such as Forms I-485, I-601, and I-212)

Additional Information on Filing a Fee Waiver | I-912 Form PDF

USCIS is funded largely by application and petition fees. Recognizing that some applicants cannot pay the filing fees, USCIS established a fee waiver process for certain forms and benefit types. We will approve a fee waiver only if you clearly demonstrate that you are unable to pay the filing fees. USCIS carefully considers the merits of each fee waiver request before making a decision.

Eligibility

The form you are filing is eligible for a fee waiver (See the list available on the Form I-912, Request for Fee Waiver web page or the regulations at 8 CFR 103.7(c)(3)); AND
You provide documentation showing that you qualify based upon one of the following criteria:
You, your spouse, or the head of household living with you, are currently receiving a means-tested benefit.
Your household income is at or below 150 percent of the Federal Poverty Guidelines at the time you file. Check the current Federal Poverty Guidelines for this year at Form I-912P, HHS Poverty Guidelines for Fee Waiver Requests.
You are currently experiencing financial hardship that prevents you from paying the filing fee, including unexpected medical bills or emergencies.

Requesting a fee waiver | I-912 Form PDF 2023

Complete the most current version of Form I-912, Request for Fee Waiver. Instead of the form, we will also accept a letter with all the necessary information that states your request for a fee waiver, is signed by everyone requesting the fee waiver, and includes all the necessary supporting evidence.

– It is important that you provide all of the information requested about each basis of eligibility that you have selected on Form I-912. If you do not provide enough information and documents to support your request, there will be a considerable delay in processing your request. Please read the form instructions carefully to avoid common mistakes.

– You can check more than one box in Part 1, Basis for Your Request, on Form I-912. Select at least one basis for which you may qualify and complete the relevant sections as instructed in the form and provide supporting documentation for any basis you select. You only need to qualify and provide documentation for one basis for USCIS to grant your fee waiver. If you choose, you may select more than one basis; you must provide supporting documentation for each basis you want considered. You are not required to select more than one basis or complete all sections of the form.

– You must include a full English translation for all documents that have information in a foreign language. The translator must sign a certification that the English language translation is complete and accurate, and that he or she is competent to translate from the foreign language into English. USCIS does not regulate who may translate and does not require professional translation of documents.

Sign your fee waiver request. Each person requesting a fee waiver must sign the fee waiver request. If you are under 14 years of age, your parent or legal guardian may sign the request for you. A legal guardian may also sign for a person with a physical disability or mental impairment.

Send your fee waiver request with the petition or application for which you are requesting the fee be waived. Do not send a fee waiver request by itself.

Here are some frequently asked questions (FAQs) and their corresponding answers regarding the USCIS Form I-912, Request for Fee Waiver

Q1: What is Form I-912 used for?

A1: Form I-912, the "Request for Fee Waiver," is used to request a waiver of filing fees for certain immigration forms and services if you are unable to pay the fees. It ensures that individuals with limited financial means can access immigration benefits and services without being hindered by fees.

Q2: Who is eligible for a fee waiver using Form I-912?

A2: Eligibility for a fee waiver is based on specific criteria, including receiving means-tested benefits, having an income below 150% of the Federal Poverty Guidelines, or experiencing financial hardship due to unexpected circumstances. Check the USCIS guidelines for detailed eligibility information.

Q3: Which immigration forms and services can I request a fee waiver for using Form I-912?

A3: You can request a fee waiver for various immigration benefits, including adjustment of status, naturalization, humanitarian applications, and more. The specific forms eligible for fee waivers can change, so refer to USCIS guidance or the Form I-912 instructions for an updated list.

Q4: Can I submit Form I-912 separately without an immigration application or petition?

A4: No, you must submit Form I-912 along with the corresponding immigration application or petition for which you are requesting the fee waiver. You cannot submit Form I-912 by itself.

Q5: How do I prove that I am currently receiving means-tested benefits?

A5: You must provide official evidence that you are currently receiving means-tested benefits, such as a letter or notice from the agency granting the benefit. The document should include your name, the type of benefit, and an indication that you are currently receiving it.

Q6: Can my spouse or dependent children use my means-tested benefits to qualify for a fee waiver?

A6: Yes, your spouse and unmarried children under 21 years of age living with you may use your means-tested benefits to qualify for a fee waiver, provided you are residing together and not legally separated.

Q7: Can I apply for a fee waiver for my adult disabled child?

A7: Yes, an adult disabled child (21 years of age or older) who is physically or developmentally disabled and unable to care for themselves may independently qualify for a fee waiver based on their own means-tested benefit.

Q8: Are benefit cards alone acceptable as evidence of means-tested benefits?

A8: Benefit cards alone are generally not accepted as evidence of means-tested benefits. You must provide documentation that includes your name, the name of the benefit agency, the type of benefit, and an indication that you are currently receiving it.

Q9: Can I submit Form I-912 online for a fee waiver request?

A9: No, if you are requesting a fee waiver, you cannot submit your petition or application online. You must file paper versions of Form I-912 and the relevant form for which you are requesting the fee waiver.

Q10: How long does it take to process a fee waiver request submitted with Form I-912?

A10: The processing time can vary, but USCIS will carefully review your fee waiver request and the supporting documentation you provide. Be sure to submit complete and accurate information to avoid delays.

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