Form I-864ez - Affidavit Of Support Under Section 213a Of The Act
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11OMB No. 1615-0075; Expires 09/30/2012
I-864EZ, Affidavit of Support
Department of Homeland Security
Under Section 213A of the Act
U.S. Citizenship and Immigration Services
Instructions
2.
You filed or are filing a Form I-140, Immigrant Petition
How Should I Complete This Form?
for Alien Worker, for the immigrant you are sponsoring;
Print clearly or type your answers using CAPITAL letters.
3.
You are a joint sponsor;
Use black ink.
If you need extra space to answer any item:
4.
You are a "substitute sponsor" filing because the original
--
Attach a separate sheet of paper (or more sheets if
I-130 petitioner is deceased.
necessary);
--
How Is This Form Used?
Write your name, Social Security number and the words
"Form I-864EZ" on the top right corner of the sheet; and
This form is a contract between a sponsor and the U.S.
--
Write the number and subject of each question for which
Government. The person completing and signing this form is
you are providing additional information.
the sponsor. By signing Form I-864EZ, you are agreeing to
use your income and resources to support the intending
What Is the Purpose of This Form?
immigrant named in this form, if it becomes necessary. You
must show on this form that you have enough income to
Form I-864EZ is a shorter version of Form I-864 designed for
ensure that the sponsored immigrant will not have to rely on
cases that meet certain criteria. Form I-864 or Form I-864EZ
means-tested public benefits for support in the United States.
is legally required for many family-based immigrants to show
that the intending immigrant has adequate means of financial
In most cases, the submission of this form will make the
support and is unlikely to become a public charge. For more
sponsored immigrant ineligible for Federal, State, or local
information about Form I-864EZ, or to obtain related forms
means-tested public benefits, because an agency that provides
please contact:
means-tested public benefits will consider your income and
resources as available to the sponsored immigrant in
The USCIS website ( );
determining eligibility for the program.
The National Customer Service Center (NCSC) telephone
If the immigrant sponsored in this affidavit does receive a
line at 1-800-375-5283 TTY: (1-800-767-1833); or
Federal, State, or local means-tested public benefit, the agency
Your local USCIS office by using Infopass.
providing the benefit may require you to repay the cost of
those benefits. That agency can sue you if you do not repay
Who May Use Form I-864EZ?
the cost of the benefits provided.
You may use Form I-864EZ IF ALL the following conditions
Who Is Required to File a Form I-864W
apply:
Instead of a Form I-864 or I-864EZ?
1. You are the person who filed or is filing the Form I-130,
The following types of intending immigrants must properly
Petition for Alien Relative, for a relative being sponsored;
complete and submit Form I-864W, Intending Immigrant's
2. The relative you are sponsoring is the only person listed on
Affidavit of Support Exemption, instead of a Form I-864 or
the Form I-130 petition;
Form I-864EZ:
An intending immigrant who has or can be credited with 40
3. The income you are using to qualify is based entirely on
quarters of work. The Social Security Administration
your salary or pension and is shown on one or more Forms
(SSA) can provide information on how to count and provide
W-2 provided by your employer(s) or former employer(s).
evidence of quarters of work.
Who May Not Use Form I-864EZ?
An intending immigrant who will, upon admission, acquire
U.S. citizenship under section 320 of the Immigration and
You must complete Form I-864 (and not Form I-864EZ) if
Nationality Act, as amended by the Child Citizehship Act of
any of the following conditions apply:
2000 (CCA); and
1. The relative you are sponsoring is not the only person
A self-petitioning widow(er) or qualifying battered spouse
immigrating based upon the underlying visa petition;
or child.
Form I-864EZ Instructions (09/19/11) Y
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