- a copy of your Form EOIR-42B, Application for Cancellation of Removal, with all supporting docu-
ments and additional sheets;
- a copy of the USCIS ASC notice of fee receipt and biometrics appointment instructions;
- the original Biographical Information Form G-325A; and
- a photograph of you which meets the requirements of instruction #6 above.
You must file the following documents with the appropriate Immigration Court:
- the original Form EOIR-42B with all supporting documents and additional sheets;
- a copy of the USCIS ASC notice of fee receipt and biometrics appointment instructions;
- a copy of Biographical Information Form G-325A;
- a photograph of you which meets the requirements of instruction #6 above; and
- a completed certificate showing service of these documents (See Part 10 of the Application on page 8)
on the ICE Assistant Chief Counsel, unless service is made on the record at the hearing.
Retain your USCIS ASC biometrics confirmation document or a copy of your Fingerprint Card, FD-258, if applicable,
as proof that your biometrics were taken, and bring it to your future Immigration Court hearings.
9. PENALTIES.
You must answer all questions on Form EOIR-42B truthfully and submit only genuine documents in support of your
application. You will be required to swear or affirm that the contents of your application and the supporting docu-
ments are true to the best of your knowledge. Your answer to the questions on this form and the supporting documents
you present will be used to determine whether your removal should be cancelled and whether you should be permitted to
adjust your status. Any answer you give and any supporting document you present may also be used as evidence in any
proceeding to determine your right to be admitted or readmitted, re-enter, pass through, or reside in the United States. Your
application may be denied if any of your answers or supporting documents are found to be false.
Presenting false answers or false documents may also subject you to criminal prosecution under 18 U.S.C. section 1546
and/or subject you to civil penalties under 8 U.S.C. section 1324c if you submit your application knowing that the appli-
cation, or any supporting document, contains any false statement with respect to a material fact, or if you swear or affirm
that the contents of your application and the supporting documents are true, knowing that the application or any support-
ing documents contain any false statement with respect to a material fact. If convicted, you could be fined up to
$250,000, imprisoned for up to ten (10) years, or both. 18 U.S.C. sections 1546(a), 3559(a)(4), 3571(b)(3). If it is deter-
mined you have violated the prohibition against document fraud and a final order is entered against you, you could be
subject to a civil penalty up to $2,000 for each document used or created for the first offense, and up to $5,000 for any
second,
or subsequent offense. In addition, if you are the subject of a final order for violating 8 U.S.C. section 1324c,
relating to civil penalties for document fraud, you will be removable from the United States.
10. PAPERWORK REDUCTION ACT NOTICE.
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays
a currently valid OMB control number. We try to create forms and instructions that are accurate, can easily be under-
stood, and which impose the least possible burden on you to provide us with information. Often, this process is difficult
because some immigration laws are very complex. The reporting burden for this collection of information is computed
as follows: (1) learning about the form, 50 minutes, (2) completing the form, 2 hours, and (3) assembling and filing the
form, 3 hours, for an average of 5 hours, 50 minutes per application. If you have comments regarding the accuracy of
this burden estimate, or any other aspect of this collection of information, including suggestions for reducing this bur-
den, you may write to the U.S. Department of Justice, Executive Office for Immigration Review, Office of the General
Counsel, 5107 Leesburg Pike, Suite 2600, Falls Church, Virginia 20530.
U.S. Department of Justice
Executive Office for Immigration Review
OMB#ll25-0001
Application for Cancellation of Removal and Adjustment
of Status for Certain Nonpermanent Residents
Form EOIR-42B
Revised July 2014