Instructions for Supplement B, Declaration of Law Enforcement
Officer for Victim of Trafficking in Persons
USCIS
Form I-914B
Department of Homeland Security
OMB No. 1615-0099
U.S. Citizenship and Immigration Services
Expires 01/31/2019
What Is the Purpose of This Form?
Federal, State, and local law enforcement officials should use Form I-914, Supplement B, Declaration of Law
Enforcement Officer for Victim of Trafficking in Persons, to provide evidence to United States Citizenship and
Immigration Services (USCIS) that you believe an individual (the applicant) submitting Form I-914, Application for
T Nonimmigrant Status, is a victim of a severe form of trafficking in persons and has cooperated with your reasonable
requests for assistance in an investigation or prosecution of a crime where trafficking is at least one central reason for the
commission of that crime. USCIS (not the Federal, State, or local law enforcement official) will make the decision if the
applicant meets the eligibility requirements for T nonimmigrant status.
By signing the Form I-914, Supplement B, you are not conferring an immigration benefit. USCIS is the only agency that
can approve the applicant’s Form I-914. USCIS requires fingerprints and police clearances from the victim and conducts
background and security checks. The applicant must submit other evidence in addition to the Form I-914, Supplement B.
USCIS may contact you if USCIS has any questions about the information provided in the supplement form.
When Should I Use Form I-914, Supplement B?
If you, the certifying Federal, State, or local law enforcement official, believe that this individual is or has been a
victim of a severe form of trafficking in persons and has cooperated with your reasonable requests for assistance in
your investigation or prosecution, you may complete this supplement form. You should complete all fields of this form
yourself. Supplement B must be signed with an original signature. A photocopy of a signed application or a typewritten
name in place of a signature is not acceptable. The applicant will then submit Form I-914, Supplement B, to USCIS with
his or her application for T nonimmigrant status.
You must complete the form based upon your knowledge of the case, including evidence developed by other law
enforcement officers involved with the case.
You do not need to formally launch an investigation or file charges to complete Form I-914, Supplement B. You may
complete Form I-914, Supplement B, if an investigation does not lead to an arrest or a prosecution. Completing Form
I-914, Supplement B, is not contingent on the outcome of a prosecution or investigation. Completing Form I-914,
Supplement B, is at your discretion. There is no statute of limitations related to completing Form I-914, Supplement B.
Your agency may have its own procedures related to completing Form I-914, Supplement B.
To be eligible for T nonimmigrant status, the applicant must demonstrate to USCIS that he or she:
1. Is or was a victim of a severe form of trafficking in persons (see Form, Part C. Statement of Claim, for a definition);
2. Is present in the United States as a result of being a victim of a severe form of trafficking in persons (including
physical presence based on having been allowed entry into the United States to participate in investigative or judicial
processes associated with an act or perpetrator of trafficking);
3. Has complied with any reasonable requests from Federal, State or local law enforcement in the investigation or
prosecution of the trafficking crime of which he or she was a victim; unless
A. The applicant is under 18 years of age; or
B. He or she is unable to cooperate due to physical or psychological trauma; and
4. Would suffer extreme hardship involving unusual and severe harm upon removal from the United States.
Form I-914, Supplement B Instructions 02/27/17 Y
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