Petition for Alien RelativeFile Online

• Legal Form Number: I-130
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Form I-130 Edition 07/20/21 Page 1 of 12

Petition for Alien Relative

Department of Homeland Security

U.S. Citizenship and Immigration Services

For USCIS Use Only

Did you gain lawful permanent resident status or

citizenship through adoption?

USCIS

Form I-130

OMB No. 1615-0012

Expires 07/31/2024

Attorney State Bar Number

(if applicable)

Select this box if

Form G-28 is

attached.

Volag Number

(if any) Attorney or Accredited Representative

USCIS Online Account Number (if any)

To be completed by an attorney or accredited representative (if any).

START HERE - Type or print in black ink.►

A-Number

Remarks

Action StampFee Stamp

Petition was filed on (Priority Date mm/dd/yyyy):

PDR request granted/denied - New priority date (mm/dd/yyyy):

Previously Forwarded

I-485 Filed Simultaneously

Ben. A-File Reviewed

204(a)(2)(A) Resolved

203(g) Resolved 204(g) Resolved

Field Investigation

201(b) Spouse - IR-1/CR-1

201(b) Child - IR-2/CR-2

201(b) Parent - IR-5

203(a)(1) Unm. S/D - F1-1

203(a)(2)(A) Spouse - F2-1

203(a)(2)(A) Child - F2-2

203(a)(2)(B) Unm. S/D - F2-4

203(a)(3) Married S/D - F3-1

203(a)(4) Brother/Sister - F4-1

Section of Law/Visa Category

Resubmitted

Initial Receipt

Completed

Sent

Received

Approved

Returned

Relocated

Part 1. Relationship (You are the Petitioner. Your

relative is the Beneficiary)

1. I am filing this petition for my (Select only one box):

Child was adopted (not an Orphan or Hague

Convention adoptee)

Stepchild/Stepparent

3.

4.

If the beneficiary is your brother/sister, are you related by

adoption?

2. If you are filing this petition for your child or parent,

select the box that describes your relationship (Select only

one box):

Child was born to parents who were married to each

other at the time of the child's birth

Child was born to parents who were not married to

each other at the time of the child's birth

A-

Your Full Name

4.a. Family Name

(Last Name)

4.b. Given Name

(First Name)

4.c. Middle Name

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

Personal Interview

Pet. A-File Reviewed

Spouse Brother/SisterParent Child

Yes

NoYes

No

►

Part 2. Information About You (Petitioner)

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

USCIS Online Account Number (if any)2.

►A-

►

If you need extra space to complete any section of this petition, use the space provided in Part 9. Additional Information.

Complete and submit as many copies of Part 9., as necessary, with your petition.

At which USCIS office (e.g., NBC, VSC, LOS, CRO) was Form I-130 adjudicated?

Form I-130 Edition 07/20/21 Page 2 of 12

Part 2. Information About You (Petitioner)

(continued)

7. Country of Birth

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

9. Sex Male Female

Mailing Address

10.b.

10.c.

10.d.

10.e.

10.g.

10.i.

10.h.

11. Is your current mailing address the same as your physical

address? Yes No

10.a.

City or Town

Province

Country

Postal Code

ZIP Code10.f.State

Street Number

and Name

Apt. Ste. Flr.

In Care Of Name

14.c.

14.f.

14.h.

14.g.

14.d.

14.a.

14.b.

Street Number

and Name

Apt. Ste. Flr.

City or Town

State 14.e. ZIP Code

Province

Country

Postal Code

Physical Address 2

If you answered "No" to Item Number 11., provide

information on your physical address in Item Numbers 12.a. -

13.b.

Date From (mm/dd/yyyy)13.a.

Date To (mm/dd/yyyy)13.b.

Date From (mm/dd/yyyy)15.a.

Date To (mm/dd/yyyy)15.b.

12.c.

12.f.

12.h.

12.g.

12.d.

12.a.

12.b.

Street Number

and Name

Apt. Ste. Flr.

City or Town

State 12.e. ZIP Code

Province

Country

Postal Code

Physical Address 1

Address History

Provide your physical addresses for the last five years, whether

inside or outside the United States. Provide your current

address first if it is different from your mailing address in Item

Numbers 10.a. - 10.i.

Other Information

6. City/Town/Village of Birth

Other Names Used (if any)

Provide all other names you have ever used, including aliases,

maiden name, and nicknames.

5.a. Family Name

(Last Name)

5.b. Given Name

(First Name)

5.c. Middle Name

17.

How many times have you been married?16.

Current Marital Status

Your Marital Information

►

Widowed AnnulledSeparated

Single, Never Married Married Divorced

(USPS ZIP Code Lookup)

PRESENT