Fillable I-918 (Visa Pro)

Fill Online, Printable, Fillable, Blank I-918 (Visa Pro) Form

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

I-918 (Visa Pro)

On average this form takes 43 minutes to complete

The I-918 (Visa Pro) form is 8 pages long and contains:

  • 0 signatures
  • 161 check-boxes
  • 96 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Visa Pro forms online.

BROWSE VISA PRO 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
 
Family Name
START HERE - Please type or print in black ink.
Given Name Middle Name
Apt. No.
Remarks
Action Block
Returned
Date
Date
Date
Date
Date
Date
Date
Date
Resubmitted
Reloc Sent
Reloc Rec'd
Receipt
For USCIS Use Only
Safe Mailing Address (if other than above) - Street Number and Name
A-No. (if any)
C/O (in care of):
Home Address - Street Number and Name
Apt. No.
E-Mail Address
(optional)
U.S. Social Security No. (if any)
ATTY State License Number
To Be Completed by Attorney or
Representative, if any.
Fill in box if G-28 is attached to
represent the applicant.
Other Names Use (Include maiden name/nickname)
State/Province
City
Zip/Postal Code
Home Telephone No.
(with area code)
Single DivorcedMarried Widowed
Marital Status
Male Female
Gender
Date of Birth (mm/dd/yyyy)
Country of Birth
Place of Issuance
Date of Issue (mm/dd/yyyy)
Place of Last Entry
Validity Dates
U.S. Embassy/Consulate:
From:
To:
Conditional Approval
Stamp No.: Date
Safe Daytime Phone
No. (with area code)
Current Immigration StatusI-94 No. (Arrival/Departure Document)
State/Province
City
Zip/Postal Code
Date of Last Entry (mm/dd/yyyy)
Passport No.Country of Citizenship
Part 1. Information about you. (Person filing this petition as a victim)
Form I-918, Petition for
U Nonimmigrant Status
Department of Homeland Security
U.S. Citizenship and Immigration Services
OMB No. 1615-0104; Expires 01/31/2016
Form I-918 (01/15/13) Y Page 1
1. I am a victim of criminal activity listed in the INA at section 101(a)(15)(U).
2. I have suffered substantial physical or mental abuse as a result of having been a victim of this
criminal activity.
Answers to the questions below require explanations and supporting documentation. Attach relevant documents in support of your
claims that you are a victim of criminal activity listed in the Immigration and Nationality Act (INA), section 101(a)(15)(U). You must
also attach a personal narrative statement describing the criminal activity of which you were the victim. If you are only petitioning for
U derivative status for a qualifying family member(s) subsequent to your (the principal petitioner) initial filing, evidence supporting
the original petition is not required to be submitted with the new Form I-918.
Attach additional sheets of paper as needed. Write your name and Alien Registration Number (A #), if any, at the top of each sheet
and indicate the number of the item that refers to your answer. Include the Part and letter or number relating to the additional
information you provided (example: Part 2, Z).
Check either "Yes" or "No" as appropriate to each of the following questions.
4. I am submitting a certification from a certifying official on Form I-918 Supplement
B, U Nonimmigrant Status Certification.
5. The crime of which I am a victim occurred in the United States including Indian
country and military installations) or violated the laws of the United States.
6. I am under the age of 16 years.
7. I want an Employment Authorization Document.
9. List each date, place of entry and status under which you entered the United States during the five years preceding the filing of
this petition.
8. Have you ever been in immigration proceedings?
If "Yes," what type of proceedings? (Check all that apply.)
Exclusion Date
(mm/dd/yyyy)
Recission Date
(mm/dd/yyyy)
Deportation Date
(mm/dd/yyyy)
Judicial Date
(mm/dd/yyyy)
3. I possess information concerning the criminal activity of which I was a victim.
Removal Date
(mm/dd/yyyy)
Part 2. Additional information.
Form I-918 (01/15/13) Y Page 2
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Date of Entry (mm/dd/yyyy) Place of Entry Status at Entry
If you answered “Yes” to any of the above questions, complete the following table. If you need more space, use a separate
sheet of paper to give the same information.
e. Been placed in an alternative sentencing or a rehabilitative program (for example: diversion,
deferred prosecution, withheld adjudication, deferred adjudication)?
Safe Foreign Address Where You Want Notification Sent - Street Number and Name
10. If you are outside the United States, give the U.S. Consulate or inspection facility you want notified if this petition is approved.
Type of Office (Check one):
Office Address (City) U.S. State or Foreign Country
Apt. No.
CountryCity Zip/Postal CodeState/Province
g. Been in jail or prison?
1. Have you EVER:
Please answer the following questions about yourself. For the purposes of this petition, you must answer “Yes” to the following
questions, if applicable, even if your records were sealed or otherwise cleared or if anyone, including a judge, law enforcement officer
or attorney, told you that you no longer have a record. (Answering “Yes” does not necessarily mean that you will be denied U
nonimmigrant status.)
b. Been arrested, cited or detained by any law enforcement officer (including DHS, former
INS and military officers) for any reason?
a. Committed a crime or offense for which you have not been arrested?
d. Been convicted of a crime or offense (even if violation was subsequently expunged or
pardoned)?
c. Been charged with committing any crime or offense?
f. Received a suspended sentence, been placed on probation or been paroled?
h. Been the beneficiary of a pardon, amnesty, rehabilitation, or other act of clemency or
similar action?
i. Exercised diplomatic immunity to avoid prosecution for a criminal offense in the United States?
Part 2. Additional information. (Continued.)
Part 3. Processing information.
Consulate Pre-flight inspection Port of Entry
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Why were you arrested, cited,
detained or charged?
Date of arrest, citation,
detention, charge.
(mm/dd/yyyy)
Where were you arrested, cited,
detained or charged?
(City, State, Country)
Outcome or disposition.
(e.g., no charges filed, charges
dismissed, jail, probation, etc.)
Form I-918 (01/15/13) Y Page 3
d. Seizing or detaining, and threatening to kill, injure, or continue to detain, another individual in
order to compel a third person (including a governmental organization) to do or abstain from
doing any act as an explicit or implicit condition for the release of the individual seized or
detained?
5. Have you ever been a member of, solicited money or members for, provided support for, attended military training (as defined in
section 2339D(c)(1) of title 18, United States Code) by or on behalf of, or been associated with an organization that is:
2. Have you ever received public assistance in the United States from any source, including the U.S.
government or any State, county, city or other municipality (other than emergency medical
treatment), or are you likely to receive public assistance in the future?
e. The use of any biological agent, chemical agent, or nuclear weapon or device, or explosive,
or other weapon or dangerous device, with intent to endanger, directly or indirectly, the
safety of one or more individuals or to cause substantial damage to property?
3. Have you:
a. Engaged in prostitution or procurement of prostitution or do you intend to engage in
prostitution or procurement of prostitution?
b. Ever engaged in any unlawful commercialized vice, including, but not limited to illegal gambling?
c. Ever knowingly encouraged, induced, assisted, abetted or aided any alien to try to enter the
United States illegally?
4. Have you ever committed, planned or prepared, participated in, threatened to, attempted to, or conspired to commit, gathered
information for, solicited funds for any of the following:
c. Assassination?
a. Highjacking or sabotage of any conveyance (including an aircraft, vessel, or vehicle?
b. Seizing or detaining, and threatening to kill, injure, or continue to detain, another individual
in order to compel a third person (including a governmental organization) to do or abstain
from doing any act as an explicit or implicit condition for the release of the individual
seized or detained?
d. The use of any firearm with intent to endanger, directly or indirectly, the safety of one or
more individual or to cause substantial damage to property?
b. Any other group of two or more individuals, whether organized or not, which has engaged
in or has a subgroup which has engaged in:
a. Designated as a terrorist organization under section 219 of the Immigration and Nationality Act?
c. Highjacking or sabotage of any conveyance (including an aircraft, vessel, or vehicle?
e. Assassination?
f. The use of any firearm with intent to endanger, directly or indirectly, the safety of one or
more individual or to cause substantial damage to property?
Part 3. Processing information. (Continued.)
Form I-918 (01/15/13) Y Page 4
d. Ever illicitly trafficked in any controlled substance, or knowingly assisted, abetted or
colluded in the illicit trafficking of any controlled substance?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
f. The persecution of any person because of race, religion, national origin, membership in a
particular social group, or political opinion?
d. Engaging in any kind of sexual contact or relations with any person who was being subjected
to force, threat of force, compulsion, or duress?
g. The use of any biological agent, chemical agent, or nuclear weapon or device, or explosive, or
other weapon or dangerous device, with intent to endanger, directly or indirectly, the safety of
one or more individuals or to cause substantial damage to property?
h. Soliciting money or members or otherwise providing material support to a terrorist
organization?
9. Have you EVER ordered, committed, assisted, helped with, or otherwise participated in any act that involved:
6. Do you intend to engage in the United States in:
b. Any unlawful activity, or any activity the purpose of which is in opposition to, or the
control or overthrow of the government of the United States?
a. Espionage?
c. Solely, principally, or incidentally in any activity related to espionage or sabotage or to
violate any law involving the export of goods, technology, or sensitive information?
7. Have you ever been or do you continue to be a member of the Communist or other totalitarian
party, except when membership was involuntary?
8. Have you, during the period of March 23, 1933 to May 8, 1945, in association with either the
Nazi Government of Germany or any organization or government associated or allied with the
Nazi Government of Germany, ever ordered, incited, assisted or otherwise participated in the
persecution of any person because of race, religion, nationality, membership in a particular
social group or political opinion?
a. Torture or genocide?
b. Killing, beating, or injuring any person?
c. Displacing or moving any persons from their residence by force, threat of force, compulsion,
or duress?
e. Limiting or denying any person's ability to exercise religious beliefs?
10. Have you EVER advocated that another person commit any of the acts described in the
preceding question, urged, or encouraged another person, to commit such acts? (If you answer
“Yes,” describe the circumstances on a separate sheet(s) of paper.)
Part 3. Processing information. (Continued.)
Form I-918 (01/15/13) Y Page 5
If you answer “Yes,” please describe the circumstances on a separate sheet(s) of paper.
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
15. Are you under a final order or civil penalty for violating section 274C (producing and/or using
false documentation to unlawfully satisfy a requirement of the Immigration and Nationality
Act)?
f. Have you EVER been granted voluntary departure by an immigration officer or an
immigration judge and failed to depart within the allotted time?
a. Intentionally killed, tortured, beaten, or injured?
11. Have you EVER been present or nearby when any person was:
b. Displaced or moved from his or her residence by force, compulsion or duress?
a. Are removal, exclusion, rescission or deportation proceedings pending against you?
b. Have removal, exclusion, rescission or deportation proceedings EVER been initiated against you?
14.
c. Have you EVER been removed, excluded or deported from the United States?
d. Have you EVER been ordered to be removed, excluded or deported from the United States?
e. Have you EVER been denied a visa or denied admission to the United States? (If a visa was
denied, explain why on a separate sheet of paper.)
16. Have you ever, by fraud or willful misrepresentation of a material fact, sought to procure, or
procured, a visa or other documentation, for entry into the United States or any immigration
benefit?
17. Have you ever left the United States to avoid being drafted into the U.S. Armed Forces?
Part 3. Processing information. (Continued.)
Form I-918 (01/15/13) Y Page 6
c. In any way compelled or forced to engage in any kind of sexual contact or relations?
If you answer “Yes,” please describe the circumstances on a separate sheet(s) of paper.
a. Any military unit, paramilitary unit, police unit, self-defense unit, vigilante unit, rebel group,
guerrilla group, or insurgent organization?
12. Have you (or has any member of your family) EVER served in, been a member of, or been involved in any way with:
b. Any prison, jail, prison camp, detention camp, labor camp, or any other situation that
involved guarding prisoners?
c. Any group, unit, or organization of any kind in which you or other persons possessed,
transported, or used any type of weapon?
If you answer “Yes,” please describe the circumstances on a separate sheet(s) of paper.
13. Have your EVER received any type of military, paramilitary or weapons training? (If you
answer “Yes,” please describe the circumstances on a separate sheet(s) of paper.)
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Part 3. Processing information. (Continued.)
Form I-918 (01/15/13) Y Page 7
18. Have you ever been a J nonimmigrant exchange visitor who was subject to the two-year foreign
residence requirement and not yet complied with that requirement or obtained a waiver of such?
19. Have you ever detained, retained, or withheld the custody of a child, having a lawful claim to
United States citizenship, outside the United States from a United States citizen granted custody?
20. Do you plan to practice polygamy in the United States?
21. Have you entered the United States as a stowaway?
a. Do you have a communicable disease of public health significance?
22.
b. Do you have or have you had a physical or mental disorder and behavior (or a history of
behavior that is likely to recur) associated with the disorder which has posed or may pose a
threat to the property, safety, or welfare of yourself or others?
c. Are you now or have you been a drug abuser or drug addict?
2. Children
(If more space is needed, attach additional sheet(s) of paper.)
Part 4. Information about spouse and/or children.
Relationship
1. Spouse
Family Name Given Name Middle Name
Date of Birth (mm/dd/yyyy)
Country of Birth
Current Location
Current Location
Relationship
Family Name Given Name Middle Name
Date of Birth (mm/dd/yyyy)
Country of Birth
Current Location
Relationship
Family Name Given Name Middle Name
Date of Birth (mm/dd/yyyy)
Country of Birth
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Form I-918 (01/15/13) Y Page 8
I certify, under penalty of perjury under the laws of the United States of America, that the information provided with this petition is all
true and correct. I certify also that I have not withheld any information that would affect the outcome of this petition.
NOTE: If you do not completely fill out this form or fail to submit required documents listed in the instructions, you may not be found
eligible for the benefit sought and this petition will be denied.
Signature Date (mm/dd/yyyy)
I declare that I prepared this petition at the request of the above person, and it is based on all information of which I have knowledge.
I have not knowingly withheld any material information that would affect the outcome of this petition.
Attorney or Representative:
In the event of a Request for Evidence, may USCIS contact you by Fax or E-Mail?
Preparer's Firm Name (if applicable)
Preparer's Signature
Preparer's Printed Name
Daytime Phone Number (with area code) Fax Number (if any) E-Mail Address (if any)
Preparer's Address
Date (mm/dd/yyyy)
( )
Part 6. Attestation, release and signature. (Read information on penalties in the instructions before completing this
part.)
Part 7. Signature of person preparing form, if other than above. (Sign below.)
I am now petitioning for one or more qualifying family member(s). (If "Yes," complete and include
Form I-918, Supplement A and Supplement B, for each family member for whom you are petitioning.)
Part 5. Filing on behalf of family members.
( )
Yes No
Yes No
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-918 (Visa Pro)

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 16 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document