Form I-600 12/23/16 N Page 11 of 14
Part 7. Spouse's Statement, ASC Acknowledgement (if applicable), Certification, Signature, and
Contact Information
Select the box for either Item 1.A. or 1.B. If applicable, select the box for Item Number 2.
1.A.
1.B.
I can read and understand English, and have read and understand each and every question and instruction on this petition, as
well as my answer to each question. I have read and understand the Acknowledgement of Appointment at USCIS
Application Support Center (if applicable).
to each question, in
The interpreter named in Part 9. has read to me each and every question and instruction on this petition, as well as my answer
, a language in which I am fluent.
I understand each and every question and instruction on this petition as translated to me by my interpreter, and have
provided complete, true, and correct responses. The interpreter named in Part 9. also has read the Acknowledgement of
Appointment at USCIS Application Support Center (if applicable) to me, in the language in which I am fluent, and I
understand this ASC Acknowledgement as read to me by my interpreter.
in preparing this petition has reviewed the Acknowledgement of Appointment at USCIS Application Support Center
(if applicable) with me and I understand the ASC Acknowledgement.
I have requested the services of and consented to ,
who is
is not an attorney or accredited representative, preparing this petition for me. This person who assisted me
2.
I, ,
By signing here, I declare under penalty of perjury that I have reviewed and understand this petition as identified by the
receipt number displayed on the screen above, and all supporting documents, applications, petitions, or requests filed with this
petition that I (or my attorney or accredited representative) filed with USCIS, and that all of the information in these materials
is complete, true, and correct.
Acknowledgement of Appointment at USCIS Application Support Center (if applicable)
I also understand that when I sign my name, provide my fingerprints, and am photographed at the USCIS ASC, I will be reverifying
that I willingly submit this petition; I have reviewed the contents of this petition; all of the information in this petition and all
supporting documents submitted with my petition are complete, true, and correct; and if I was assisted in completing this petition, the
person assisting me also reviewed this Acknowledgement of Appointment at USCIS Application Support Center (if applicable)
with me.
understand that the purpose of a USCIS Application Support Center (ASC) appointment is for me to provide my fingerprints,
photograph, and/or signature and to reverify that all of the information in this petition is complete, true, and correct and was provided
by me or my spouse. I understand that I will sign my name to the following declaration which USCIS will display to me at the time I
provide my fingerprints, photograph, and/or signature during my ASC appointment:
Spouse's Certification
I certify, under penalty of perjury under the laws of the United States of America, that the information in this petition and any
document submitted with this petition is complete, true and correct.
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 my
records that USCIS may need to determine whether the child my spouse is petitioning for is eligible to be classified as our immediate
relative.
I furthermore authorize release of information contained in this petition, in supporting documents, and in my USCIS records, to other
entities and persons where necessary for the administration of U.S. immigration laws.
3.
Spouse's Signature
Spouse's Signature Date of Signature
►(mm/dd/yyyy)
Spouse's Statement