Petition for Alien Relative

USCIS
Form I-130

Department of Homeland Security
U.S. Citizenship and Immigration Services
For USCIS Use Only

OMB No. 1615-0012
Expires 07/31/2018

Fee Stamp

Action Stamp

A-Number
AInitial Receipt
Resubmitted
Relocated

Section of Law/Visa Category

Received

201(b) Spouse - IR-1/CR-1

203(a)(1) Unm. S/D - F1-1

Sent

201(b) Child - IR-2/CR-2

203(a)(2)(A) Spouse - F2-1

203(a)(3) Married S/D - F3-1

Completed

201(b) Parent - IR-5

203(a)(2)(A) Child - F2-2

203(a)(4) Brother/Sister - F4-1

Approved

Petition was filed on (Priority Date mm/dd/yyyy):

Returned

PDR request granted/denied - New priority date (mm/dd/yyyy):

203(a)(2)(B) Unm. S/D - F2-4

Field Investigation

Personal Interview

204(a)(2)(A) Resolved

Previously Forwarded

Pet. A-File Reviewed

I-485 Filed Simultaneously

203(g) Resolved

Ben. A-File Reviewed

204(g) Resolved

Remarks
At which USCIS office (e.g., NBC, VSC, LOS, CRO) was Form I-130 adjudicated?

To be completed by an attorney or accredited representative (if any).
Select this box if
Form G-28 is
attached.

Attorney State Bar Number
(if applicable)

Volag Number
(if any)

Attorney or Accredited Representative
USCIS Online Account Number (if any)

► START HERE - Type or print in black ink.
If you need extra space to complete any section of this petition, use the space provided in Part 9. Additional Information.
Complete and submit as many copies of Part 9., as necessary, with your petition.

Part 1. Relationship (You are the Petitioner. Your
relative is the Beneficiary)
1.

I am filing this petition for my (Select only one box):
Spouse

2.

Parent

Brother/Sister

Child

If you are filing this petition for your child or parent,
select the box that describes your relationship (Select only
one box):

Part 2. Information About You (Petitioner)
1.

Alien Registration Number (A-Number) (if any)
► A-

2.

USCIS Online Account Number (if any)
►

3.

U.S. Social Security Number (if any)
►

Child was born to parents who were married to each
other at the time of the child's birth

Your Full Name

Stepchild/Stepparent
Child was born to parents who were not married to
each other at the time of the child's birth
Child was adopted (not an Orphan or Hague
Convention adoptee)
3.

If the beneficiary is your brother/sister, are you related by
adoption?
Yes
No

4.

Did you gain lawful permanent resident status or
citizenship through adoption?
Yes

Form I-130 02/27/17 N

4.a. Family Name
(Last Name)
4.b. Given Name
(First Name)
4.c. Middle Name

No

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