Form I-881 - Application For Suspension Of Deportation Or Special Rule Cancellation Of Removal (Pursuant To Section 203 Of Public Law 105-100 (Nacara))
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8OMB No. 1615-0072; Exp. 03/31/2019
Department of Homeland Security
I-881, Application for Suspension of Deportation
U.S. Citizenship and Immigration Services
or Special Rule Cancellation of Removal
Department of Justice
(Pursuant to Section 203 of Public Law 105-100, NACARA)
U.S. Executive Office for Immigration Review
START HERE - Type or print in black ink. If any question does not apply to you,
For USCIS Use Only
write "None" or "N/A" in the appropriate space.
Returned
Receipt
Part 1. Background Information About YOU
Alien Registration Number(s), if any (List every A-Number you have been given)
Family Name(s)
Given Name
Middle Name
Resubmitted
What other names have you used? (include maiden name and aliases)
Address - Street Number and Name (or P.O. Box)
Apartment Number
Reloc Sent
City
State
ZIP Code
Date of Birth (mm/dd/yyyy)
Place of Birth (City or Town and Country)
Reloc Rec'd
U.S. Social Security Number
Gender
Male
Female
Present Nationality (Citizenship)
Home Telephone Number (with area code)
Decision
Part 2. Application (Check all that apply to you)
Suspension of Deportation or Special
Rule Cancellation of Removal and
I am eligible to apply for suspension of deportation or special rule cancellation of removal
Adjustment of Status granted
under the Nicaraguan Adjustment and Central American Relief Act (NACARA) because I
have not been convicted of an aggravated felony and:
Referred to Immigration Judge in
(a)
I am a national of El Salvador who first entered the United States on or before September
accordance with 8 CFR Section 240.70
19, 1990, or a national of Guatemala who first entered the United States on or before
October 1, 1990. I also timely registered for benefits under the settlement agreement in
American Baptist Churches v. Thornburgh (ABC), 760 F. Supp. 796 (N.D. Cal. 1991), either
(Adjudicating Officer's Signature)
directly or, if Salvadoran, by applying for Temporary Protected Status (TPS), and I have not
been apprehended at time of entry after December 19, 1990.
(Date of Action)
(Office Location)
(b)
I am a national of Guatemala or El Salvador who filed an application for asylum on or
before April 1, 1990.
EOIR Actions
(c)
I entered the United States on or before December 31, 1990; filed an application for asylum
on or before December 31, 1991; and at the time of filing was a national of the Soviet Union
(USSR), Russia, any Republic of the former Soviet Union, Latvia, Estonia, Lithuania,
Poland, Czechoslovakia, Romania, Hungary, Bulgaria, Albania, East Germany, Yugoslavia
(including Bosnia and Herzegovina, Croatia, Kosovo, Macedonia, Montenegro, Slovenia,
and Serbia).
(d)
I am the spouse, child (unmarried and under 21 years of age), unmarried son or unmarried
daughter of someone who has already applied, or is presently filing with me, for suspension
of deportation or special rule cancellation of removal under NACARA. If I am an unmarried
son or unmarried daughter, I entered the United States on or before October 1, 1990, or my
parent was granted suspension of deportation or special rule cancellation of removal when I
was less than 21 years of age. Attach proof of relationship and provide the following
information about that spouse or parent:
Attorney or Representative, if any
Name:
Check Box if G-28 is attached.
A-Number(s):
The person who has applied for suspension of deportation or special rule cancellation of
Attorney State License Number:
removal is your:
Spouse
Parent
(e)
I am or was the
spouse or
child of an individual described in Part 2(a), (b), or (c)
on Page 1, and I or my child has been battered or subjected to extreme cruelty by that
individual described in Part 2(a), (b), or (c).
Form I-881 03/21/17 Y Page 1
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