Fillable I-508f Form I-580F

Fill Online, Printable, Fillable, Blank I-508f Form I-580F Form

Use Fill to complete blank online USCIS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

I-508f Form I-580F

On average this form takes 13 minutes to complete

The I-508f Form I-580F form is 4 pages long and contains:

  • 0 signatures
  • 17 check-boxes
  • 44 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your United States Citizenship and Immigration Services documents online.

U.S. Citizenship and Immigration Services (USCIS) is an office of the U.S. Branch of Homeland Security (DHS) that oversees the nation's naturalization and migration framework. It is a successor to the Immigration and Naturalization Service (INS), which was disintegrated by the Homeland Security Act of 2002 and supplanted by three segments inside the DHS: USCIS, Immigration and Customs Enforcement (ICE), and Customs and Border Protection (CBP).

BROWSE USCIS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Requestor's Initials
Request for Waiver of Certain Rights, Privileges,
Exemptions, and Immunities for French Nationals
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-508F
OMB No. 1615-0025
Expires 05/31/2019
START HERE - Please type or print in black ink.►
Alien Registration Number (A-Number) (if any)
► A-
Part 1. Information About the Person Filing This Request
1.
2.
Given Name (First Name) Family Name (Last Name) Middle Name
Part 2. Waiver Statement
Requestor's Initials
I, , a French national, believe
that I have an occupational status that entitles me to nonimmigrant status under section 101(a)(15)(A) or (G) of the Immigration
and Nationality Act (INA) as a government official or international organization representative, respectively, and I receive a
salary from the French Republic.
You must choose whether to retain or waive your U.S. tax exemptions under The Convention between the Government of the
United States of America and the Government of the French Republic for the Avoidance of Double Taxation and the Prevention
of Fiscal Evasion with Respect to Taxes on Income and Capital, signed at Paris on August 31, 1994, as amended (“Convention”).
Select the box for either Item A. or Item B. and type or print your initials below your selection.
I do not waive the benefits conferred by Articles 16 and 21 of the Convention. This means that I will not be required to
pay U.S. taxes on the salary the French Republic pays me. However, because I have not waived any benefits under the
INA, I understand that I may not use any calendar year or portion of a calendar year under my admission as a lawful
permanent resident in the United States to fulfill the residence or physical presence requirements for naturalization under
U.S. immigration and nationality laws.
I do waive the exemption from taxation provided by Articles 16 and 21 of the Convention. This means that I will be
required to pay U.S. taxes on the salary the French Republic pays me. I understand that this waiver allows me to use the
time during which the waiver is in effect to fulfill residence and physical presence requirements for naturalization under
U.S. immigration and nationality laws.
Waiver Statement
2. Waiver Request
1.
B.
Retaining United States Tax Exemptions
A.
Waiving United States Tax Exemptions
Accordingly, as I seek to acquire or retain lawful permanent resident status, I hereby waive all diplomatic rights, privileges,
exemptions, and immunities that would otherwise accrue to me under any U.S. law or executive order because of my occupational
status.
Form I-508F 05/26/17 N Page 1 of 4
Part 3. Requestor's Statement, Contact Information, Certification, and Signature
NOTE: Select the box for either Item A. or B. in Item Number 1. If applicable, select the box for Item Number 2.
Requestor's Statement Regarding the Interpreter
A.
1.
B.
Requestor's Statement Regarding the Preparer
I have requested the services of and consented to ,
who
is not an attorney or accredited representative, preparing this request for me.
2.
I can read and understand English, and have read and understand every question and instruction on this request, as well
as my answer to every question.
to every question, in
The interpreter named in Part 4. has also read to me every question and instruction on this request, as well as my answer
, a language in which I am fluent.
I understand every question and instruction on this request as translated to me by my interpreter, and have provided
complete, true, and correct responses in the language indicated above.
Requestor's Certification
Requestor's Signature
Requestor's Signature Date of Signature (mm/dd/yyyy) 6.
I certify, under penalty of perjury, that the information in my request and any document submitted with my request were provided by
me and are complete, true, and correct.
I furthermore authorize release of information contained in this request, in supporting documents, and in my USCIS records, to other
entities and persons where necessary for the administration and enforcement of U.S. immigration laws.
Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may
require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any
and all of my records that USCIS may need to determine my eligibility for the immigration benefit that I seek.
Requestor's Daytime Telephone Number Requestor's Mobile Telephone Number (if any)
Requestor's Email Address (if any)
3. 4.
5.
Requestor's Contact Information
Part 4. Interpreter's Contact Information, Certification, and Signature
Interpreter's Given Name (First Name)Interpreter's Family Name (Last Name)1.
Interpreter's Full Name
Interpreter's Business or Organization Name (if any)2.
Provide the following information concerning the interpreter.
is
Form I-508F 05/26/17 N Page 2 of 4
Part 4. Interpreter's Contact Information, Certification, and Signature (continued)
3.
Interpreter's Mailing Address
Date of Signature (mm/dd/yyyy) Interpreter's Signature
The requestor has informed me that he or she understands every instruction and question on the request, as well as the answer to every
question, and the requestor verified the accuracy of every answer.
Interpreter's Certification
I certify that:
I am fluent in English and
, which is the same language provided
I have read to this requestor every question and instruction on this request, as well as the answer to every question, in the language
provided in Part 3., Item B. in Item Number 1.; and
6.
in Part 3., Item B. in Item Number 1.;
Interpreter's Signature
Interpreter's Contact Information
Interpreter's Daytime Telephone Number
Interpreter's Email Address (if any)4. 5.
Country
Ste. NumberFlr.Apt.Street Number and Name
Province Postal Code
ZIP CodeState
City or Town
Part 5. Contact Information, Statement, Certification, and Signature of the Person Preparing this
Request, If Other Than the Requestor
Preparer's Full Name
Preparer's Given Name (First Name)
Preparer's Family Name (Last Name)1.
Preparer's Business or Organization Name (if any)2.
Provide the following information concerning the preparer.
Form I-508F 05/26/17 N Page 3 of 4
3.
Preparer's Mailing Address
Preparer's Contact Information
Preparer's Daytime Telephone Number Preparer's Fax Number
Preparer's Email Address (if any)
4.
6.
5.
Preparer's Statement
Preparer's Signature
Date of Signature (mm/dd/yyyy)
Preparer's Certification
Preparer's Signature
By my signature, I certify, swear, or affirm, under penalty of perjury, that I prepared this request on behalf of, at the request of, and
with the express consent of the requestor. I completed this request based only on responses the requestor provided to me. After
completing the request, I reviewed it and all of the requestor's responses with the requestor, who agreed with every answer on the
request. If the requestor supplied additional information concerning a question on the request, I recorded it on the request.
8.
I am an attorney or accredited representative and my representation of the requestor in this case
extends does not extend beyond the preparation of this request.
I am not an attorney or accredited representative but have prepared this request on behalf of the requestor and with the
requestor's consent.
7.
B.
NOTE: If you are an attorney or accredited representative whose representation extends beyond preparation of this
request, you must submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited
Representative, with this request.
A.
Country
Ste. NumberFlr.Apt.Street Number and Name
Province Postal Code
ZIP CodeState
City or Town
Part 5. Contact Information, Statement, Certification, and Signature of the Person Preparing this
Request, If Other Than the Requestor (continued)
Form I-508F 05/26/17 N Page 4 of 4
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

I-508f Form I-580F

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 30 December 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document