Form I-881 - Application For Suspension Of Deportation Or Special Rule Cancellation Of Removal
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8OMB No. 1615-0072; Exp. 07/31/2012
I-881, Application for Suspension of Deportation
Department of Homeland Security
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, write "None" or "N/A" in the appropriate space.
For USCIS Use Only.
Receipt
Returned
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 No.
Reloc Sent
City
State
Zip Code
Date of Birth
Place of Birth (City or Town and Country)
(mm/dd/yyyy)
Reloc Rec'd
Gender
U.S. Social Security Number
Male
Female
Present Nationality (Citizenship)
Home Phone Number (with area code)
Part 2. Application (Check all that apply to you)
Decision
I am eligible to apply for suspension of deportation or special rule cancellation of
Suspension of Deportation or Special
removal under the Nicaraguan Adjustment and Central American Relief Act
Rule Cancellation of Removal and
(NACARA) because I have not been convicted of an aggravated felony and:
Adjustment of Status granted
(a) I am a national of El Salvador who first entered the United States on or before
September 19, 1990, or a national of Guatemala who first entered the United States on or
Referred to Immigration Judge in
before October 1, 1990. I also timely registered for benefits under the settlement agreement
accordance with 8 CFR Section 240.70
in American Baptist Churches v. Thornburgh (ABC), 760 F. Supp. 796 (N.D. Cal. 1991),
either 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.
(Adjudicating Officer's Signature)
(b) I am a national of Guatemala or El Salvador who filed an application for asylum on
or before April 1, 1990.
(Date of Action)
(Office Location)
(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
EOIR Actions
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
Attorney or Representative, if any
and provide the following information about that spouse or parent:
Name:
Check Box if G-28 is attached.
A-Number(s):
Attorney State License Number:
The person who has applied for suspension of deportation or special rule
cancellation of removal is your:
Spouse
Parent
ATTY State License #
(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 07/08/11 Y
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