Decision
Attorney or Representative, if any
(d)
Middle Name
I am eligible to apply for suspension of deportation or special rule cancellation of removal
under the Nicaraguan Adjustment and Central American Relief Act (NACARA) because I
have not been convicted of an aggravated felony and:
OMB No. 1615-0072; Exp. 03/31/2019
I-881, Application for Suspension of Deportation
or Special Rule Cancellation of Removal
(Pursuant to Section 203 of Public Law 105-100, NACARA)
Department of Homeland Security
U.S. Citizenship and Immigration Services
Department of Justice
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.
Part 1. Background Information About YOU
Alien Registration Number(s), if any (List every A-Number you have been given)
Family Name(s)
What other names have you used? (include maiden name and aliases)
Address - Street Number and Name (or P.O. Box)
City
Given Name
Apartment Number
State ZIP Code
Date of Birth (mm/dd/yyyy)
U.S. Social Security Number
Present Nationality (Citizenship)
Place of Birth (City or Town and Country)
Gender
Male Female
Home Telephone Number (with area code)
Part 2. Application (Check all that apply to you)
Name:
A-Number(s):
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).
(e)
The person who has applied for suspension of deportation or special rule cancellation of
removal is your:
Spouse Parent
Suspension of Deportation or Special
Rule Cancellation of Removal and
Adjustment of Status granted
Referred to Immigration Judge in
accordance with 8 CFR Section 240.70
Check Box if G-28 is attached.
EOIR Actions
Returned
Resubmitted
Reloc Sent
Reloc Rec'd
Receipt
For USCIS Use Only
Attorney State License Number:
(Adjudicating Officer's Signature)
(Office Location)(Date of Action)
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 and provide the following
information about that spouse or parent:
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 before
October 1, 1990. I also timely registered for benefits under the settlement agreement 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.
I am a national of Guatemala or El Salvador who filed an application for asylum on or
before April 1, 1990.
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 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).
(c)
(b)
(a)
Form I-881 03/21/17 Y Page 1