Instructions For Form I-539 - Application To Extend/change Nonimmigrant Status (Page 12 of 16) in pdf

USCIS Online Account Number (if any). If you have previously filed an application, petition, or request using the

USCIS online filing system (previously called USCIS Electronic Immigration System (USCIS ELIS)), provide the

USCIS Online Account Number you were issued by the system. You can find your USCIS Online Account Number

by logging in to your account and going to the profile page. If you previously filed certain applications, petitions, or

requests on a paper form via a USCIS Lockbox facility, you may have received a USCIS Online Account Access

Notice issuing you a USCIS Online Account Number. If you received such a notice, your USCIS Online Account

Number can be found at the top of the notice. If you were issued a USCIS Online Account Number, enter it in the

space provided. The USCIS Online Account Number is not the same as an A-Number.

If you are currently in F or J status and granted Duration of Status (D/S), check the box in Part 1., Item Number 12.c.

of the form.

Part 2., Item Number 2.a. of the form, select the date you want your change of status to occur on. If approved, your

change of status will occur on the date your current nonimmigrant status ends, the date of approval, or the requested

date, whichever occurs later.

If you were granted D/S as an F or J nonimmigrant and are seeking reinstatement or are requesting a change of status

to an F or J nonimmigrant then you should check the box in Part 3., Item Number 1.b. of the form to indicate a

duration of D/S.

NOTE: An F-1 nonimmigrant student who is admitted to attend a public high school is restricted to an aggregate of

12 months of study at any public high school(s) and is not eligible for D/S. Please indicate a specific date for the

duration of your requested status.

Part 5. Statement, Certification, Signature, and Contact Information of the Applicant. Select the box that

indicates if you filled out this form or if someone interpreted this form for you. Additionally, if applicable, select the

box that indicates if someone filled out this form for you. Every application must contain the original signature of the

applicant. A photocopy of a signed application or a typewritten name in place of a signature is not acceptable. If you

are under 14 years of age, your parent or legal guardian may sign the application on your behalf. Sign and date the

form and provide your daytime telephone number, mobile telephone number, and e-mail address.

Part 6. Contact Information, Certification, and Signature of the Interpreter. If you used an interpreter to read

the instructions and complete the questions on this form, the interpreter must fill out this section, provide the name of

his or her business/organization, the business/organization's address, his or her daytime telephone number, and his or

her e-mail address. The interpreter must also sign and date the form.

10.

Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Application, If Other

Than the Applicant. This section must contain the original signature of the person who completed this form, if other

than the person named in Part 5. If the person who completed this form is associated with a business or organization,

you should complete the business/organization name and address sections. If the person completing this form is an

attorney or accredited representative, he or she must submit a completed Form G-28, Notice of Entry of Appearance

or Accredited Representative, along with this application.

General Requirements

Required Documentation - Form I-94, Nonimmigrant Arrival-Departure Record. You are required to submit with

your Form I-539 the original or a copy, front and back, of Form I-94 for each person included in your application. If the

original Form I-94 or required copy cannot be submitted with this application, complete Form I-102, Application for

Replacement/Initial Nonimmigrant Arrival-Departure Document, and submit it with the required fee, with Form I-539.

Form I-94 Arrival-Departure Record. If U.S. Customs and Border Protection (CBP) or USCIS issued you a Form I-94,

Arrival-Departure Record, provide your I-94 admission number and date that your authorized period of stay expires or

expired (as shown on Form I-94). The I-94 admission number also is known as the Departure Number on some versions

of Form I-94.

Form I-539 Instructions 12/23/16 N

Page 12 of 16

Instructions For Form I-539 - Application To Extend/change Nonimmigrant Status Page 12

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