Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act

• Legal Form Number: I-690
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Form I-690 Edition 12/02/21 Page 1 of 8

To be completed by an

Attorney or Accredited

Representative (if any).

Application for Waiver of Grounds of Inadmissibility Under

Sections 245A or 210 of the Immigration and Nationality Act

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-690

OMB No. 1615-0032

Expires 12/31/2023

Action Block

Fee Receipt Number (This application):

Alien Registration Number (A-Number of This Applicant):

A-

Part 1. Information About You (Applicant)

START HERE - Type or print in black ink. ►

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

City or Town State ZIP Code

In Care Of Name (if any)

Street Number and Name Apt. Flr. NumberSte.

Postal CodeProvince Country

NoYesIs your current mailing address the same as your physical address?3.

If you answered "No" to Item Number 3., provide your physical address in Item Number 4.

For Government Use Only

2.

Mailing Address

Your Current Legal Name

1.

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)

Read the Instructions before completing this application.

(USPS ZIP Code Lookup)