Petition to Remove Conditions on Residence

• Legal Form Number: I-751
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Form I-751 Edition 12/02/19 N Page 1 of 11

For

USCIS

Use

Only

Approved under INA 216(c)(4)(C) Battered Spouse/Child

Petition to Remove Conditions on Residence

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-751

OMB No. 1615-0038

Expires 12/31/2019

Receipt Action Block Remarks

Reloc Sent

Date (mm/dd/yyyy)

/ / /

Reloc Received

Date (mm/dd/yyyy)

/ / / Date (mm/dd/yyyy)

/ / /

Date (mm/dd/yyyy)

/ / /

Petitioner interviewed on (mm/dd/yyyy) / / /

Select this box if

Form G-28 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).

START HERE - Type or print in black ink.►

Part 1. Information About You, the Conditional

Resident

1.a. Family Name

(Last Name)

1.b. Given Name

(First Name)

1.c. Middle Name

Other Names Used

2.a. Family Name

(Last Name)

2.b. Given Name

(First Name)

2.c. Middle Name

3.a. Family Name

(Last Name)

3.b. Given Name

(First Name)

3.c. Middle Name

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

10.

Marital Status

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

12. Place of Marriage

13. If the marriage through which you gained conditional

residence has ended, provide the date it ended (date of

divorce or date of death) (mm/dd/yyyy)

14.

Conditional Residence Expires On (mm/dd/yyyy)

►

U.S. Social Security Number (if any)

8.

Other Information

►A-

Alien Registration Number (A-Number) (if any)7.

Married WidowedSingle Divorced

Marital Status

USCIS Online Account Number (if any)9.

►

6. Country of Citizenship or Nationality (provide all that

apply)

List 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 11.

Additional Information.

5. Country of Birth