دستورالعمل های فرم I-945، Public Charge Bond
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- فرم I-945، Public Charge Bond - شارژ عمومی باند
Instructions for Public Charge Bond
USCIS
Form I-945
Department of Homeland Security
U.S. Citizenship and Immigration Services
What Is the Purpose of Form I-945?
You should use this form to submit a public charge bond. Aliens determined to be inadmissible under section 212(a)(4) of
the Immigration and Nationality Act may, if otherwise admissible, be admitted to the United States upon posting a suitable
and proper public charge bond in the amount and under the conditions set by the Department of Homeland Security
(DHS). This public charge bond is posted as security for performance and fulfillment of the financial obligations of a
bonded alien to the U.S. government.
General Instructions
How to Fill Out Form I-945
1. Type or print legibly in black ink.
2. Answer all questions fully and accurately. If you do not completely fill out this application or fail to submit required
documents listed in the Instructions, U.S. Citizenship and Immigration Services (USCIS) may reject your application,
or it may create delays. Answer all questions fully and accurately. If a question does not apply to you (for example,
if you have never been married and the question asks, “Provide the name of your current spouse”), type or print
“N/A” unless otherwise directed. If your answer to a question which requires a numeric response is zero or none (for
example, “How many children do you have” or “How many times have you departed the United States”), type or print
“None” unless otherwise directed.
Part 1. Obligor and Agent/Co-Obligor Information
Please read the Obligor and Agent/Co-Obligor descriptions provided in Part 1. and then complete Item Numbers 1. -
15. with the information requested. For Surety Bonds, please include the name of the surety company in the “Name of
Obligor” field.
Part 2. Information About the Alien for Whom the Bond Is Furnished
Provide the biographic information of the alien requested in Part 2.
Item Number 2. Alien Registration Number (A-Number) (if any). Provide your A-Number. We use your A-Number to
identify your immigration records. It begins with an “A” and can be found on correspondence you have received from the
Department of Homeland Security (DHS) or USCIS. If you do not have an A-Number, type or print “N/A.”
Item Number 3. USCIS Online Account Number. Providing the applicant’s unique USCIS Online Account Number
(OAN) helps them manage their online account. You have an Online Account Number if you previously filed an
application, petition, or request online or by mail and received a receipt number that begins with IOE. If you filed a form
online, you can find your OAN in your USCIS Online Account profile. If you mailed your form, we still created an OAN
for you. You can find the number at the top of the USCIS Account Access Notice we sent you. The OAN is not the same
as an A-Number. If you do not have a receipt number beginning with IOE, you do not have an OAN.
Item Number 4. Form I-485 Receipt Number. Provide the alien’s receipt number for the pending Form I-485,
Application to Register Permanent Residence or Adjust Status.
Item Number 5. Mailing Address. Provide the address where you would like to receive written correspondence
regarding your form.
Item Number 6. Physical Address. Provide the alien’s physical address if it is different from the alien’s mailing address.
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Item Number 7. Date of Birth. Enter the alien’s date of birth in mm/dd/yyyy format in the space provided. For
example, type or print October 5, 1967 as 10/05/1967.
Item Number 8. Place of Birth. Enter the name of the city or town, and country where the alien was born. Type or print
the name of the country as it was named when the alien was born, even if the country’s name has changed or the country
no longer exists.
Item Number 9. Country of Citizenship or Nationality. Enter the name of the country where the alien is a citizen.
This is not necessarily the country where the alien was born. If the alien was not stateless, type or print the name of the
country where the alien was last a citizen or national. If the alien is a citizen or national of more than one country, type or
print the name of the foreign country that issued the last passport.
Item Number 10. Alien’s Daytime Telephone Number. Provide the alien’s daytime telephone number.
Item Number 11. Obligor’s Email Address (if any). Provide the alien’s email address.
Item Number 12. Information About the Alien’s Attorney or Accredited Representative. If the alien is represented
by an attorney or accredited representative, the alien’s attorney or accredited representative must submit a new Form
G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, for purposes of the bond. If the attorney
or accredited representative does not submit Form G-28, USCIS will not be able to communicate with the attorney or
accredited representative on behalf of the bonded alien or send a copy of the communication concerning bonds to the
alien’s attorney or accredited representative (as outlined in the Public Charge Bond, Form I-945).
Part 4. Obligor’s or Agent/Co-Obligor’s Statement, Declaration, Certification, and Signature
Every form MUST contain the signature of the obligor or the agent/co-obligor. A stamped or typewritten name in place of
a signature is not acceptable.
Part 5. Additional Information
If you need extra space to provide any additional information within this form, use the space provided in Part 5.
Additional Information. If you need more space than what is provided in Part 5., you may make copies of Part 5.
to complete and file with Form I-945. Type or print the name of the obligor, the power of attorney number, and the
A-Number of the bonded alien at the top of each sheet; indicate the Page Number, Part Number, and Item Number to
which your answer refers; and sign and date each sheet. Do not use Part 5. to amend the terms of Parts 3. or 4. If you
alter the text of Parts 3. or 4. by adding terms and conditions in Part 5., USCIS will reject the bond.
We recommend that you print or save a copy of your completed form to review in the future and for your
records.
What Evidence Must You Submit with Form I-945?
You need to include a copy of the communication that USCIS sent to you instructing you to file Form I-945, when you
submit the Form I-945. If you do not include it, we will reject your Form I-945.
How to Pay The Bond Amount For Cash Bonds
Please see our website at www.uscis.gov/I-945 or call our USCIS Contact Center at 1-800-375-5283 for the most current
information about how to pay the bond amount in case of a cash bond. For TTY (deaf or hard of hearing) call:
1-800-767-1833.
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What Is the Filing Fee?
There is no filing fee for the Form I-945.
Where to File?
Please see our website at www.uscis.gov/I-945 for the most current information about where to file this form.
Processing Information
USCIS will reject any Form I-945 that is not signed or is incomplete.
USCIS Forms and Information
Penalties
If you, the obligor, or agent/co-obligor, knowingly and willfully falsify or conceal a material fact or submit a false
document with your Form I-945, we may reject the bond. In addition, you will face severe penalties provided by law and
may be subject to criminal prosecution.
USCIS Compliance Review and Monitoring
By signing this form, you, the obligor or agent/co-obligor acting on the obligor’s behalf, has stated under penalty of
perjury (28 U.S.C. section 1746) that all information and documentation submitted with this form are complete, true, and
correct. You also authorize the release of any information from your records that USCIS may need to process the bond
and consent to USCIS verifying such information.
The Department of Homeland Security (DHS) has the authority to verify any information you submit to establish that the
bond should be accepted. Our legal authority to verify this information is in Title 8 U.S.C. sections 1103, 1182, and 1183,
and 8 CFR Parts 103 and 213, as well as Title 26 U.S.C. 6109, Title 31 U.S.C. 7701 and Executive Order 9397. To ensure
compliance with applicable laws and authorities, we may verify information before or after accepting and processing the
bond, including verifying information as part of the adjudication of a cancellation request or a breach determination.
Agency verification methods may include, but are not limited to: reviewing public records and information; contacting
through written correspondence, using the internet, fax, other electronic transmission, or telephone; making unannounced
physical site inspections of residences and locations of employment; and interviewing people. USCIS will use the
information we obtain to assess compliance with the laws and to determine whether the bond should be cancelled.
Subject to the restrictions under 8 CFR 103.2(b)(16), USCIS will provide you with an opportunity to address any adverse
or derogatory information that may result from a compliance review, verification, or site visit before a decision is made
on your request. For a visit after your request is approved, USCIS will provide you with an opportunity to address any
adverse or derogatory information which may result in revocation or termination of an approval.
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DHS Privacy Notice
AUTHORITIES: USCIS is collecting the information requested on this form, and the associated evidence, under the
Immigration and Nationality Act (INA) sections 103, 212(a)(4) and 213 ((8 U.S.C. 1103, 1183) and Title 31 U.S.C. 7701.
The collection of the Taxpayer Identification Number (TIN) (including Individual Taxpayer Identification Number (ITIN),
Employer Identification Number (EIN) or the Social Security Number (SSN)) is authorized by Internal Revenue Code (26
U.S.C. 6109) and Executive Order 9397.
PURPOSE: The primary purpose for collecting this information is to provide for the posting, maintenance, cancellation,
and breach determination of a public charge bond, and for the associated financial management activities, including
collection of unpaid monies, and the calculation, payment, and reporting of interest.
DISCLOSURE: The information you provide is voluntary; however, a public charge bond cannot be accepted unless you
provide the information requested on this form. For bonds secured by cash equivalents such as money orders or cashier’s
checks, your deposit must equal the face amount of the bond and your TIN is necessary to pay interest through the U.S.
Treasury Department and to comply with Internal Revenue Service requirements to report interest payments. Your TIN
will also be used for the purposes of collecting and reporting information on any delinquent accounts arising out of your
relationship with the Government.
ROUTINE USES: DHS may, where allowable under relevant confidentiality provisions, share the information you
provide on this form and any additional requested evidence with other Federal, state, local, and foreign government
agencies and authorized organizations. DHS follows approved routine uses described in the associated published system
of records notices [DHS/USCIS-001 - Alien File, Index, and National File Tracking System and DHS/USCIS-007 -
Benefits Information System] and the published privacy impact assessments [DHS/USCIS/PIA-016a Computer Linked
Application Information Management System and Associated Systems,] which you can find at www.dhs.gov/privacy.
DHS may also share this information, as appropriate, for law enforcement purposes or in the interest of national security.
For all others, as appropriate under United States law and DHS policy, the information you provide may be shared
internally within DHS, as well as with Federal, State, local, tribal, territorial, and foreign law enforcement; other
government agencies; and other parties as appropriate for collection, enforcement, investigatory, litigation, or other
purposes.
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