The USCIS I-134 form, known as the Affidavit of Support, is a document used by individuals to demonstrate their financial ability to support a visa applicant. This form is essential for ensuring that the applicant will not become a public charge while in the United States. To learn more about filling out the form, click the button below.
When filling out and using the USCIS I-134 form, keep these key takeaways in mind:
The USCIS I-134 form, known as the Affidavit of Support, is often accompanied by several other forms and documents that help demonstrate the financial capability of the sponsor. These additional documents provide essential information and support the application process for those seeking visas or other immigration benefits.
Including these documents alongside the USCIS I-134 form can significantly enhance the application. They provide a comprehensive view of the sponsor's financial situation and commitment to supporting the immigrant. Ensuring all relevant documents are included can lead to a smoother review process.
Printable Return to Work Doctors Note - Designed to minimize disruption during work transitions.
Printable Bol - Ensure all details are accurately filled in to validate the effectiveness of the Straight Bill of Lading.
Odometer Disclosure Texas - It is also advisable to consult legal advice regarding any concerns with the odometer disclosure.
Incomplete Information: Many individuals fail to provide all the necessary details required on the form. This can include missing sections about personal information, financial details, or information about the beneficiary. Ensuring that every section is filled out completely is crucial.
Incorrect Financial Documentation: Applicants often overlook the importance of attaching the correct financial documents. This may involve not providing recent tax returns, pay stubs, or bank statements that accurately reflect their financial situation. Accurate and up-to-date documentation is essential for the form's approval.
Failure to Sign the Form: It may seem simple, but some people forget to sign the I-134 form. Without a signature, the application is considered incomplete. Always double-check to ensure that the form is signed before submission.
Using Outdated Versions: Some applicants mistakenly use an outdated version of the I-134 form. USCIS updates forms periodically, and using an old version can lead to delays or rejections. Always verify that you are using the most current version available on the USCIS website.
Affidavit of Support
USCIS
Department of Homeland Security
Form I-134
OMB No. 1615-0014
U.S. Citizenship and Immigration Services
Expires 02/28/2021
►START HERE - Type or print in black ink.
Part 1. Information About You (the Sponsor)
Your Full Name
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name
Other Names Used
List all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 7.
Additional Information.
2.a. Family Name
2.b. Given Name
2.c. Middle Name
Sponsor's Mailing Address
(USPS ZIP Code Lookup)
3.a. In Care Of Name
3.b. Street Number
and Name
3.c. Apt. Ste. Flr.
3.d. City or Town
3.e. State
3.f. ZIP Code
3.g. Province
3.h. Postal Code
3.i. Country
4.Are your mailing address and physical address the same?
Yes No
If you answered "No" to Item Number 4., provide your physical address in Item Numbers 5.a. - 5.h.
Sponsor's Physical Address
5.a. Street Number
5.b. Apt. Ste. Flr.
5.c. City or Town
5.d. State
5.e. ZIP Code
5.f. Province
5.g. Postal Code
5.h. Country
Other Information
6.Date of Birth (mm/dd/yyyy)
7.a. Town or City of Birth
7.b. Country of Birth
8.Alien Registration Number (A-Number) (if any)
► A-
9.U.S. Social Security Number (if any)
►
10.USCIS Online Account Number (if any)
Citizenship or Residency or Status
If you are not a U.S. citizen based on your birth in the United States, or a non-citizen U.S. national based on your birth in American Samoa (including Swains Island), answer the following as appropriate:
11.a. I am a U.S. citizen through naturalization. My Certificate of Naturalization number is
11.b. I am a U.S. citizen through parent(s) or marriage. My Certificate of Citizenship number is
Form I-134 02/13/19
Page 1 of 8
(continued)
11.c.
I derived my U.S. citizenship by another method.
(Provide an explain in Part 7. Additional
Information.)
11.d.
I am a lawful permanent resident of the
United States. My A-Number is
11.e.
I am a lawfully admitted nonimmigrant. My
Form I-94, Arrival-Departure Record Number is
12.
I am
years of age and have resided in the United
States since (Date) (mm/dd/yyyy)
Part 2. Information About the Beneficiary
This affidavit is executed on behalf of the following person:
2.Date of Birth (mm/dd/yyyy)
3. Gender Male Female
4.A-Number (if any)
5.Country of Citizenship or Nationality
6.Marital Status
Single or Single, Never Married
Married
Divorced
Widowed
Legally Separated
Marriage Annulled
Other
7.Relationship to Sponsor
Beneficiary's Physical Address
8.a.
Street Number
Apt.
8.b.
Ste.
Flr.
8.c.
City or Town
8.d.
State
8.e.
ZIP Code
8.f.
Province
8.g.
Postal Code
8.h.
Country
Beneficiary's Spouse (accompanying or following to join beneficiary)
9.a. Family Name
9.b. Given Name
9.c. Middle Name
10.Date of Birth (mm/dd/yyyy)
11.Gender Male Female
Beneficiary's Children
Child 1
12.a. Family Name
12.b. Given Name
12.c. Middle Name
13.Date of Birth (mm/dd/yyyy)
14.Gender Male Female
Child 2
15.a. Family Name
15.b. Given Name
15.c. Middle Name
16.Date of Birth (mm/dd/yyyy)
17. Gender Male Female
If you need additional space to complete this section, use the
space provided in Part 7. Additional Information.
Page 2 of 8
Part 3. Other Information About the Sponsor
7.a. I have life insurance in the sum of $
Employment Information
I am currently:
1.a. Employed as a/an
1.a.1. Name of Employer (if applicable)
1.b.
Self employed as a/an
Current Employer Address (if employed)
2.a. Street Number
2.b. Apt. Ste. Flr.
2.c. City or Town
2.d. State
2.e. ZIP Code
2.f. Province
2.g. Postal Code
2.h. Country
Income and Asset Information
3. My annual income is
$
(If self-employed, I have attached a copy of my last income tax return or report of commercial rating concern which I certify to be true and correct to the best of my knowledge and belief. See Instructions for nature of evidence of net worth to be submitted.)
4.Balance of all my savings and checking accounts in United States-based financial institutions
5.Value of my other personal property
6.Market value of my stocks and bonds
I have listed my stocks and bonds in Part 7. Additional Information (or attached a list of them), which I certify to be true and correct to the best of my knowledge and belief.
7.b. With a cash surrender value of
Real Estate Information
8.a. I own real estate valued at
8.b. I have mortgages or other debts amounting to
My real estate is located at:
9.a. Street Number
9.b. Apt. Ste. Flr.
9.c. City or Town
9.d. State
9.e. ZIP Code
Dependents' Information
The following persons are dependent upon me for support. If you need extra space to complete this section, use the space provided in Part 7. Additional Information.
10.a. Family Name
10.b. Given Name
10.c. Middle Name
11.Relationship to Me:
12.Date of Birth (mm/dd/yyyy)
13.This person is:
Wholly Dependent On Me For Support
Partially Dependent On Me For Support
14.a. Family Name
14.b. Given Name
14.c. Middle Name
15.Relationship to Me:
Page 3 of 8
17.This person is:
18.a. Family Name
18.b. Given Name
18.c. Middle Name
19.Relationship to Me:
20.Date of Birth (mm/dd/yyyy)
21.This person is:
I have previously submitted affidavit(s) of support for the following person(s). (If none, write "None" in the space for name below.)
22.a. Family Name
22.b. Given Name
22.c. Middle Name
23.Date Submitted (mm/dd/yyyy)
24.a. Family Name
24.b. Given Name
24.c. Middle Name
25.Date Submitted (mm/dd/yyyy)
I have submitted a visa petition(s) to U.S. Citizenship and Immigration Services on behalf of the following persons. (If none, write “None” in the space for name below.)
26.a. Family Name
26.b. Given Name
26.c. Middle Name
27.Relationship to Me:
28. Date of Birth (mm/dd/yyyy)
29. Date of Filing (mm/dd/yyyy)
30.a. Family Name
30.b. Given Name
30.c. Middle Name
31.Relationship to Me:
32. Date of Birth (mm/dd/yyyy)
33. Date of Filing (mm/dd/yyyy)
34.a. Family Name
34.b. Given Name
34.c. Middle Name
35.Relationship to Me:
36. Date of Birth (mm/dd/yyyy)
37. Date of Filing (mm/dd/yyyy)
38.I intend do not intend to make specific contributions to the support of the person(s) named in Part 2.
(If you select "intend," indicate the exact nature and duration of the contributions you intend to make in Part 7. Additional Information. For example, if you intend to furnish room and board, state for how long and, if money, state the amount in U.S. dollars and whether it is to be given in a lump sum, weekly or monthly, and for how long.)
Page 4 of 8
Part 4. Sponsor's Statement, Contact Information, Certification, and Signature
NOTE: Read the Penalties section of the Form I-134 Instructions before completing this part.
Sponsor's Statement
NOTE: Select the box for either Item Number 1.a. or 1.b. If applicable, select the box for Item Number 2.
1.a.
I can read and understand English, and I have read and
understand every question and instruction on this
affidavit and my answer to every question.
The interpreter named in Part 5. read to me every
question and instruction on this affidavit and my
answer to every question in
,
a language in which I am fluent and I understood
everything.
2.
At my request, the preparer named in Part 6.,
prepared this affidavit for me based only upon information I provided or authorized.
Sponsor's Contact Information
3.Sponsor's Daytime Telephone Number
4.Sponsor's Mobile Telephone Number (if any)
5.Sponsor's Email Address (if any)
Sponsor's Certification
Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS or the Department of State may require that I submit original documents to USCIS or the Department of State at a later date. Furthermore, I authorize the release of any information from any of my records that USCIS or the Department of State may need to determine my eligibility for the immigration benefit I seek.
I further authorize release of information contained in this affidavit, in supporting documents, and in my USCIS or the Department of State records to other entities and persons where necessary for the administration and enforcement of U.S. immigration laws.
I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that:
1)I reviewed and provided or authorized all of the information in my affidavit;
2)I understood all of the information contained in, and submitted with, my affidavit; and
3)All of this information was complete, true, and correct at the time of filing.
I certify, under penalty of perjury, that I provided or authorized all of the information in my affidavit, I understand all of the information contained in, and submitted with, my affidavit, and that all of this information is complete, true, and correct.
That this affidavit is made by me to assure the U.S. Government that the person named in Part 2. will not become a public charge in the United States.
That I am willing and able to receive, maintain, and support the person named in Part 2. I am ready and willing to deposit a bond, if necessary, to guarantee that such persons will not become a public charge during his or her stay in the United States, or to guarantee that the above named persons will maintain his or her nonimmigrant status, if admitted temporarily, and will depart prior to the expiration of his or her authorized stay in the United States.
That I understand that Form I-134 is an "undertaking" under section 213 of the Immigration and Nationality Act, and I may be sued if the persons named in Part 2. become a public charge after admission to the United States.
That I understand that Form I-134 may be made available to any Federal, State, or local agency that may receive an application from the persons named in Part 2. for Food Stamps, Supplemental Security Income, or Temporary Assistance to Needy Families.
That I understand that if the person named in Part 2. does apply for Food Stamps, Supplemental Security Income, or Temporary Assistance for Needy Families, my own income and assets may be considered in deciding the person's application. How long my income and assets may be attributed to the persons named in Part 2. is determined under the statutes and rules governing each specific program.
I acknowledge that I have read the section entitled Sponsor and Beneficiary Liability in the Instructions for this affidavit, and am aware of my responsibilities as a sponsor under the Social Security Act, as amended, and the Food Stamp Act, as amended.
Sponsor's Signature
6.a. Sponsor's Signature
6.b. Date of Signature (mm/dd/yyyy)
Page 5 of 8
NOTE TO ALL SPONSORS: If you do not completely fill out this affidavit or fail to submit required documents listed in the Instructions, USCIS or the Department of State may deny your affidavit.
Part 5. Interpreter's Contact Information, Certification, and Signature
Provide the following information about the interpreter.
Interpreter's Full Name
1.a. Interpreter's Family Name (Last Name)
1.b. Interpreter's Given Name (First Name)
2.Interpreter's Business or Organization Name (if any)
Interpreter's Mailing Address
3.a. Street Number
3.b. Apt. Ste. Flr.
3.c. City or Town
3.d. State
3.e. ZIP Code
3.f. Province
3.g. Postal Code
3.h. Country
Interpreter's Certification
I certify, under penalty of perjury, that:
I am fluent in English and
which is the same language provided in Part 4., Item Number 1.b., and I have read to this sponsor in the identified language every question and instruction on this affidavit and his or her answer to every question. The sponsor informed me that he or she understands every instruction, question, and answer on the affidavit, including the Sponsor's Certification, and has verified the accuracy of every answer.
Interpreter's Signature
7.a. Interpreter's Signature
7.b. Date of Signature (mm/dd/yyyy)
Part 6. Contact Information, Statement, Declaration, and Signature of the Person Preparing this Affidavit, if Other Than the Sponsor
Provide the following information about the preparer.
Preparer's Full Name
1.a. Preparer's Family Name (Last Name)
1.b. Preparer's Given Name (First Name)
2.Preparer's Business or Organization Name (if any)
Interpreter's Contact Information
4.Interpreter's Daytime Telephone Number
5.Interpreter's Mobile Telephone Number (if any)
6.Interpreter's Email Address (if any)
Preparer's Mailing Address
Page 6 of 8
Part 6. Contact Information, Statement, Declaration, and Signature of the Person Preparing this Affidavit, if Other Than the
Sponsor (continued)
Preparer's Contact Information
4.Preparer's Daytime Telephone Number
5.Preparer's Fax Number
6.Preparer's Email Address (if any)
Preparer's Statement
7.a.
I am not an attorney or accredited representative but have prepared this affidavit on behalf of the sponsor and with the sponsor's consent.
7.b. I am an attorney or accredited representative and my representation of the sponsor in this case
extends does not extend beyond the preparation of this affidavit.
NOTE: If you are an attorney or accredited representative whose representation extends beyond preparation of this affidavit, you may be obliged to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, with this application.
Preparer's Certification
By my signature, I certify, under penalty of perjury, that I prepared this affidavit at the request of the sponsor. The sponsor then reviewed this completed affidavit and informed me that he or she understands all of the information contained in, and submitted with, his or her affidavit, including the Sponsor's Certification, and that all of this information is complete, true, and correct. I completed this affidavit based only on information that the sponsor provided to me or authorized me to obtain or use.
Preparer's Signature
8.a. Preparer's Signature
8.b. Date of Signature (mm/dd/yyyy)
Page 7 of 8
Part 7. Additional Information
If you need extra space to provide any additional information within this affidavit, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this affidavit or attach a separate sheet of paper. Type or print your name and A-Number (if any) at the top of each sheet; type or print the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.
5.a. Page Number 5.b. Part Number 5.c. Item Number
5.d.
Family Name
Given Name
1.c.
Middle Name
A-Number (if any)
6.a. Page Number 6.b. Part Number 6.c. Item Number
3.a.
Page Number 3.b. Part Number
3.c. Item Number
6.d.
3.d.
7.a. Page Number 7.b. Part Number 7.c. Item Number
4.a. Page Number 4.b. Part Number
4.c. Item Number
7.d.
4.d.
Page 8 of 8