Petition to Classify Orphan as an Immediate Relative

• Legal Form Number: I-600
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Page 1 of 17Form I-600 Edition 12/21/19 E

Petition to

Classify Orphan as an Immediate Relative

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-600

OMB No. 1615-0028

Expires 07/31/2025

START HERE - Type or print in black ink. Complete a separate petition for each child. This petition is made to classify an

orphan as your immediate relative.

Part 1. Information About You (Petitioner)

Family Name (Last Name)

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

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

Other Names Used (if any)

►

1.

2.

You must be a U.S. citizen in order to file this petition. See the What Are the Eligibility Requirements section of the Form

I-600 Instructions for more information.

Married Unmarried

For U.S. Government Use Only

The petitioner is: Action Block

Provide 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.

Receipt/Fee Stamp

Approved

Department of State Actions:

Transfer to USCIS as Not Clearly

Approvable

Transfer to USCIS as Consular Return

Form I-600A Approval

The petitioner is approved to adopt an

orphan from (if specified):

Approval Valid Until (mm/dd/yyyy):

PAIR Letter Issued Date (if applicable)

(mm/dd/yyyy):

(Name of non-Hague Convention Country)

Final Adjudicating Office/Post:

Officer Signature and Date:

Child's Legal Name after Adoption:

Your Contact Information

City or Town State ZIP Code

Street Number and Name Apt. Flr. NumberSte.

3. U.S. Mailing Address (if any)

In Care Of Name (if any)

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)

To be Completed By

an Attorney or

Accredited

Representative (if any)

Page 2 of 17Form I-600 Edition 12/21/19 E

Part 1. Information About You (Petitioner) (continued)

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 5. or your address abroad in Item Number 6., as

appropriate.

4. NoYes

Number

Address Abroad (if any)

Street Number and Name

City or Town State

Apt. Flr.Ste.

Postal CodeProvince Country

6.

Number

U.S. Physical Address (if any)

Street Number and Name

City or Town State ZIP Code

Apt. Flr.Ste.

5.

Daytime Telephone Number7. Mobile Telephone Number (if any)8.

Email Address (if any)9.

Information About Your U.S. Citizenship

10. USCIS Online Account Number (if any)

►

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

City/Town/Village of Birth 12. State or Province of Birth13.

Country of Birth14.

How did you obtain your U.S. citizenship?

A.

Your Name On the Certificate of Citizenship

If you answered "Yes," provide the following information about your Certificate of Citizenship:

If you obtained your citizenship through your parents, have you obtained a Certificate of Citizenship in

your own name?

15. Birth Parents Naturalization

Yes No

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

Certificate of Citizenship Number

►A-

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

Place of IssuanceDate of Issuance

(mm/dd/yyyy)