Application to Adjust Status from Temporary to Permanent Resident (Under Section 245A of the INA)

• Legal Form Number: I-698
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Form I-698 Edition 12/02/21

Application to Adjust Status From Temporary

to Permanent Resident (Under Section 245A of the INA)

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-698

OMB No. 1615-0035

Expires 12/31/2023

START HERE - Type or print in black ink.►

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

1.

Part 1. Information About You

Any Other Names Used

5.

In Care Of Name

U.S. Mailing Address

2.

3.

Name as it Appears on Your Employment Authorization Document (Form I-766)

City or Town State ZIP Code

Street Number and Name Flr.Ste.Apt.

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

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

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

B.

A.

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 7.

6. NoYes

For

USCIS

Use

Only

Date of Adjustment

Applicant Interviewed Action BlockReceipt

Date:

Remarks

Date:

Number

A.

Provide the reason for a difference in the names, if any (marriage, divorce, etc.)

B.

Full Legal Name

If your native alphabet does not use Roman letters, type or print your name in your native alphabet.4.

Language of Your Native Alphabet

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

A.

B.

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