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Instructions for Supplement A to Form I-485,

Adjustment of Status Under Section 245(i)

USCIS

Form I-485

OMB No. 1615-0023

Expires 02/28/2026

Department of Homeland Security

U.S. Citizenship and Immigration Services

If you are ﬁling Supplement A to Form I-485, Adjustment of Status Under Section 245(i) (Supplement A), together

with Form I-485, Application to Register Permanent Residence or Adjust Status, in order to apply for lawful permanent

residence under the Immigration and Nationality Act (INA) section 245(i), you must read these Supplement A Instructions

and the Form I-485 Instructions. Carefully review the Additional Instructions section in the Form I-485 Instructions

for information that relates to your family-based, employment-based, special immigrant, or Diversity Visa immigrant

category.

What Is the Purpose of Supplement A?

If you are disqualiﬁed from adjusting status under INA section 245(a), you may be eligible to adjust status under INA

section 245(i). For more information on who may be disqualiﬁed from adjusting under INA section 245(a), see the Bars

to Adjustment and Grounds of Inadmissibility section below.

You should use Supplement A if you seek to adjust status under INA section 245(i).

You cannot adjust status based on ﬁling Supplement A alone. You must also ﬁle Form I-485 and be eligible for a visa

under a family-based, employment-based, special immigrant, or Diversity Visa immigrant category. Supplement A and

Form I-485 are used to determine whether you qualify for INA section 245(i) adjustment.

Who May File to Adjust Status Under INA Section 245(i) Using Supplement A?

Use Supplement A if you are applying to adjust status under INA section 245(i). You may ﬁle Supplement A when:

1. You are ﬁling your Form I-485 at the same time; or

2. You previously ﬁled your Form I-485 and it remains pending.

You may ﬁle Supplement A only if:

1. ONE of the following applies to you:

A. You are or were the principal beneﬁciary of an immigrant petition or application for permanent labor

certiﬁcation properly ﬁled on or before January 14, 1998, which was approvable when ﬁled;

B. You are or were the principal beneﬁciary of an immigrant petition or application for permanent labor

certiﬁcation properly ﬁled on or after January 15, 1998, but on or before April 30, 2001, which was approvable

when ﬁled and you were physically present in the United States on December 21, 2000;

C. You are or were the derivative beneﬁciary of an immigrant petition or application for permanent labor

certiﬁcation properly ﬁled on or before January 14, 1998, which was approvable when ﬁled;

D. You are or were the derivative beneﬁciary of an immigrant petition or application for permanent labor

certiﬁcation properly ﬁled on or after January 15, 1998, but on or before April 30, 2001, which was approvable

when ﬁled and the principal beneﬁciary was physically present in the United States on December 21, 2000; or

E. You are currently the spouse or child (unmarried and under 21 years of age) eligible to accompany or follow-

to-join a principal or derivative beneﬁciary described in Items A. - D. above.

NOTE: “Properly ﬁled” and “approvable when ﬁled” are explained in the What Evidence Must You Submit to

Establish Your Eligibility for Adjustment of Status under INA Section 245(i) section of these Instructions.

Form I-485 Supplement A Instructions 02/21/23

Page 1 of 11

AND

2. ALL of the following apply to you:

A. You are physically present in the United States;

B. You are eligible to receive an immigrant visa because you are the current beneﬁciary of an immigrant petition or

you were selected for a Diversity Visa for the current ﬁscal year (or because you are the spouse or child described

in Item 1.E. above);

C. An immigrant visa is immediately available to you at the time you ﬁle your application;

NOTE: Visit the Visa Availability and Priority Dates website at www.uscis.gov/green-card/green-card-

processes-and-procedures/visa-availability-priority-dates to determine whether an immigrant visa is

immediately available.

D. You are admissible to the United States for lawful permanent residence or eligible for a waiver of inadmissibility

or other form of relief; and

E. You are paying the required ﬁling fee as described in the What Is the Filing Fee section of these Instructions.

Current Family Member of Principal Applicant

If you qualify to ﬁle under INA section 245(i) because you are the current spouse or child (unmarried and under 21 years

of age) who is eligible to accompany or follow-to-join a principal applicant for adjustment of status under INA section

245(i), you must ﬁle Form I-485:

1. At the same time as the principal applicant ﬁles Form I-485;

2. After the principal applicant ﬁled a Form I-485 that remains pending a ﬁnal decision by U.S. Citizenship and

Immigration Services (USCIS); or

3. After the principal applicant was granted lawful permanent residence under INA section 245(i) (as long as the

principal applicant is still currently a lawful permanent resident) and at the time of that approval, you were the

principal applicant’s spouse or child.

Bars to Adjustment and Grounds of Inadmissibility

Bars to Adjustment

In general, you are not eligible for adjustment of status based on INA section 245(a) if any of the adjustment bars apply

to you. See INA section 245(a) and (c) for more information on these adjustment bars, including whether an exemption

might apply to you.

If one or more of the below adjustment bars applies to you and you are not exempt under INA sections 245(a), (c), or (k),

you must qualify under INA section 245(i) to adjust.

1. You last entered the United States without being admitted or paroled after inspection by an immigration oﬃcer.

2. You last entered the United States as a nonimmigrant crewman.

3. You are now employed or have ever been employed in the United States without authorization.

4. You are not in lawful immigration status on the date of ﬁling your application for adjustment of status.

Form I-485 Supplement A Instructions 02/21/23

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5. You have ever failed to continuously maintain a lawful status since entry into the United States, unless your failure to

maintain status was through no fault of your own or for technical reasons.

6. You were last admitted to the United States in transit without a visa.

7. You were last admitted to the United States as a nonimmigrant visitor without a visa, under the Guam and

Commonwealth of the Northern Mariana Islands Visa Waiver Program, and you are not a Canadian citizen.

8. You were last admitted to the United States as a nonimmigrant visitor without a visa under the Visa Waiver Program

(see http://travel.state.gov/content/visas/english/visit/visa-waiver-program.html).

9. You are seeking employment-based adjustment of status, and you are not maintaining a lawful nonimmigrant status on

the date of ﬁling your application for adjustment of status.

10. You have ever violated the terms of your nonimmigrant status.

If the bars do not apply to you or you are exempt, then you do not need to adjust under INA section 245(i) and you should

not ﬁle Supplement A.

Grounds of Inadmissibility

If you are inadmissible to the United States, you may not adjust to lawful permanent resident status. You can ﬁnd the

grounds of inadmissibility listed in INA section 212(a) at www.uscis.gov.

If you are inadmissible, you may be eligible for a waiver or other form of relief. If your waiver application or other form

of relief is granted, USCIS may approve your application to adjust status.

You can learn more about waivers and other forms of relief by reading the Instructions for Form I-601, Application for

Waiver of Grounds of Inadmissibility, at www.uscis.gov/I-601 and Form I-212, Application for Permission to Reapply for

Admission into the United States After Deportation or Removal, at www.uscis.gov/I-212.

What Immigrant Petitions and Permanent Labor Certiﬁcation Applications Qualify Under INA

Section 245(i)?

You may use one of the following petitions and applications to qualify under INA section 245(i), if it was properly ﬁled

and approvable when ﬁled on or before April 30, 2001:

1. Form I-130, Petition for Alien Relative;

2. Form I-140, Immigrant Petition for Alien Worker;

3. Form I-360, Petition for Amerasian, Widow(er), or Special Immigrant (including VAWA self-petitioners);

4. Form I-526, Immigrant Petition by Alien Entrepreneur; or

5. Form ETA-750, Application for Alien Employment Certiﬁcation, Parts A and B.

If you are using an immigrant petition to show that you qualify for adjustment under INA section 245(i), provide the

receipt number of the petition in Part 2. Eligibility, Item Number 2. (if available). If you are using a permanent labor

certiﬁcation application to qualify, you do not need to complete Item Number 2.

NOTE: If you use one of the petitions listed above to qualify to apply under INA section 245(i), you may be able to use

the same petition to establish eligibility for an immigrant visa, or you may establish eligibility for an immigrant visa based

on another petition or on being selected for a Diversity Visa for the current ﬁscal year.

Form I-485 Supplement A Instructions 02/21/23

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What Evidence Must You Submit to Establish Your Eligibility for Adjustment of Status under INA

Section 245(i)?

You must submit all evidence requested in these Instructions with your Supplement A. If you fail to submit required

evidence, USCIS may reject or deny Form I-485 and Supplement A for failure to submit requested evidence or supporting

documents in accordance with 8 CFR 103.2(b)(1) and these Instructions.

You must submit documentation to prove Items 1. - 4. below.

1. You:

A. Are or were the principal beneﬁciary of an immigrant petition or application for permanent labor certiﬁcation

that was properly ﬁled on or before April 30, 2001, and which was approvable when ﬁled;

B. Are or were a derivative beneﬁciary (the principal beneﬁciary’s spouse or unmarried child under 21 years of age

at the time the qualifying petition or application was ﬁled) of an immigrant petition or application for permanent

labor certiﬁcation that was properly ﬁled on or before April 30, 2001, and which was approvable when ﬁled; or

C. Are currently the spouse or an unmarried child under 21 years of age who is eligible to accompany or follow-

to-join a principal or derivative beneﬁciary described in Items A. or B. above, and the principal or derivative

beneﬁciary is currently applying for or was granted adjustment of status under INA section 245(i).

Documentation. To prove the existence of a qualifying petition or application, submit an oﬃcial document showing

either:

A. The ﬁling or approval of the immigrant petition (Form I-797, Notice of Action), which contains the principal

beneﬁciary’s name; or

B. The ﬁling or approval of the permanent labor certiﬁcation application (Form ETA-750), which contains the

principal beneﬁciary’s name.

If you qualify to apply for adjustment of status under INA section 245(i) because you are or were a derivative

beneﬁciary of a qualifying petition or application, you must prove the required relationship to the principal beneﬁciary

by submitting a marriage certiﬁcate (for spouse) or birth certiﬁcate (for child). This evidence must show that the

claimed relationship existed at the time the qualifying petition or application was properly ﬁled. You do not need to

show that the relationship still exists.

If you qualify to apply for adjustment of status under INA section 245(i) because you are the current spouse or an

unmarried child under 21 years of age of a person who is or was the principal or derivative beneﬁciary of a qualifying

petition or application, you must submit evidence of your current relationship to the principal applicant.

2. The qualifying immigrant petition or application for permanent labor certiﬁcation was properly ﬁled.

An immigrant petition is considered properly ﬁled if the:

A. Petitioner properly signed the petition;

B. Petitioner submitted the correct ﬁling fee; and

C. Petition was physically received at a designated USCIS oﬃce (then known as the Immigration and Naturalization

Service (INS)) on or before April 30, 2001, or was mailed with a postmark on or before April 30, 2001 (regardless

of when INS received it).

A permanent labor certiﬁcation application is considered properly ﬁled if the U.S. Department of Labor (or a

designated state workforce agency) accepted the application on or before April 30, 2001, under applicable Federal

regulations at the time.

Form I-485 Supplement A Instructions 02/21/23

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Documentation. To show that your immigrant petition or permanent labor certiﬁcation application was properly

ﬁled, you must submit either:

A. Form I-797 showing a qualifying date of ﬁling. (Form I-797 showing a ﬁling date indicates the U.S. Government

accepted the petition and implies that the U.S. Government determined the petition was signed and submitted with

the appropriate ﬁling fee); or

B. Form ETA-750 bearing a state workforce agency’s date stamp, an agency letter, or other document specifying the

date of receipt/ﬁling.

3. The qualifying petition or application was approvable when ﬁled.

An immigrant petition or labor certiﬁcation application is considered approvable when ﬁled if:

A. The petition or application was properly ﬁled;

B. The petition or application was meritorious in fact; and

C. The petition or application was not frivolous (“frivolous” meaning patently without substance).

Documentation. Unless contradictory evidence exists, a ﬁnal decision approving the required petition or application

shows that the petition or application was approvable when ﬁled. Such an approval consists of either:

A. An INS approval notice (on Form I-797) for the immigrant petition; or

B. A U.S. Department of Labor certiﬁcation stamp (on Form ETA-750) for the permanent labor certiﬁcation application.

Absent an approved petition or application, you may submit any relevant evidence to show the petition or application

was properly ﬁled and approvable when ﬁled. USCIS makes this determination based on the circumstances that

existed at the time the qualifying petition or application was ﬁled. A petition or application that was approvable when

ﬁled but was later withdrawn, denied, or revoked due to circumstances that arose after the time of ﬁling may still

qualify you for INA section 245(i) adjustment if you are otherwise eligible.

4. The principal beneﬁciary of the qualifying petition or application was physically present in the United States on

December 21, 2000 (if applicable).

If you qualify to apply for adjustment of status under INA section 245(i) based on an immigrant petition or application

for permanent labor certiﬁcation ﬁled on or after January 15, 1998, you must prove that the principal beneﬁciary of

that petition or application was physically present in the United States on December 21, 2000.

Documentation. In some cases, a single document may suﬃce to prove physical presence, but often you will need

to submit several documents. USCIS will ordinarily place the greatest weight on government-issued documents. The

following list gives examples of documents that you may submit as evidence of physical presence:

A. Form I-94 Arrival-Departure Record, the nonimmigrant visa page of the principal beneﬁciary’s passport, Form

I-512L, or other U.S. Government-issued document showing admission or parole into the United States after

inspection by an immigration oﬃcer;

B. A Notice to Appear in Immigration Court;

C. Oﬃcial correspondence or other notices from a U.S. Government agency;

D. A state driver’s license;

E. Income tax or property tax records, returns, or payments;

F. School or college transcripts and records;

G. Hospital or doctor’s records;

Form I-485 Supplement A Instructions 02/21/23

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H. Lease agreements and rental receipts;

I. Utility bill receipts;

J. Employment records, such as payroll statements or pay stubs; or

K. Bank and credit card statements and records.

NOTE: If you submit a personal aﬃdavit attesting to physical presence, you must also submit other supporting

documentation. USCIS will evaluate all documentation on a case-by-case basis.

If you qualify to apply for adjustment of status under INA section 245(i) based on an immigrant petition or application

for permanent labor certiﬁcation ﬁled on or before January 14, 1998, you do NOT need to submit any evidence of

physical presence.

General Instructions

USCIS provides forms free of charge through the USCIS website. In order to view, print, or ﬁll out our forms, you should

use the latest version of Adobe Reader, which you can download for free at http://get.adobe.com/reader/. If you do not

have Internet access, you may call the USCIS Contact Center at 1-800-375-5283 and ask that we mail a form to you. For

TTY (deaf or hard of hearing) call: 1-800-767-1833.

Signature. Each supplement must be properly signed and ﬁled. For all signatures on this supplement, USCIS will not

accept a stamped or typewritten name in place of a signature. If you are under 14 years of age, your parent or legal

guardian may sign the supplement on your behalf. A legal guardian may also sign for a mentally incompetent person.

Filing Fee. Each supplement must be accompanied by the appropriate ﬁling fee. (See the What Is the Filing Fee section

of these Instructions.)

Evidence. At the time of ﬁling, you must submit all evidence and supporting documentation listed in the What Evidence

Must You Submit to Establish Your Eligibility for Adjustment of Status under INA Section 245(i) section of these

Instructions.

Biometric Services Appointment. USCIS may require that you appear for an interview or provide ﬁngerprints,

photograph, and/or signature at any time to verify your identity, obtain additional information, and conduct background

and security checks, including a check of criminal history records maintained by the Federal Bureau of Investigation

(FBI), before making a decision on your application, petition, or request. After USCIS receives your supplement and

ensures it is complete, we will inform you in writing if you need to attend a biometric services appointment. If an

appointment is necessary, the notice will provide you the location of your local or designated USCIS Application Support

Center (ASC) and the date and time of your appointment.

If you are required to provide biometrics, at your appointment you must sign an oath reaﬃrming that:

1. You provided or authorized all information in the supplement;

2. You reviewed and understood all of the information contained in, and submitted with, your supplement; and

3. All of this information was complete, true, and correct at the time of ﬁling.

If you fail to attend your biometric services appointment, USCIS may deny your supplement. For applicants and

dependents who appear before an immigration judge, failure to attend a biometric services appointment, without good

cause, may result in the immigration judge ﬁnding that your application was abandoned, and USCIS may also deny any

other application, petition, or request you ﬁled with USCIS.

Form I-485 Supplement A Instructions 02/21/23

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Copies. You should submit legible photocopies of documents requested, unless the Instructions speciﬁcally state that you

must submit an original document. USCIS may request an original document at the time of ﬁling or at any time during

processing of an application, petition, or request. If USCIS requests an original document from you, it will be returned to

you after USCIS determines it no longer needs your original.

NOTE: If you submit original documents when not required or requested by USCIS, your original documents may

remain a part of the record, USCIS will not automatically return them to you, and your original documents may be

immediately destroyed upon receipt.

Translations. If you submit a document with information in a foreign language, you must also submit a full English

translation. The translator must sign a certiﬁcation that the English language translation is complete and accurate, and that

he or she is competent to translate from the foreign language into English. The certiﬁcation must include the translator’s

signature. The Department of Homeland Security (DHS) recommends the certiﬁcation contain the translator’s printed

name and the date and the translator’s contact information.

How To Fill Out Supplement A

1. Type or print legibly in black ink.

2. If you need extra space to complete any item within this supplement, attach a separate sheet of paper; type or print

your name and Alien Registration Number (A-Number) (if any) 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.

3. 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.

4. USCIS Online Account Number (if any). If you have previously ﬁled an application, petition, or request using the

USCIS online ﬁling system (previously called USCIS Electronic Immigration System (USCIS ELIS)), provide the

USCIS Online Account Number you were issued by the system. You can ﬁnd your USCIS Online Account Number

by logging in to your account and going to the proﬁle page. If you previously ﬁled certain applications, petitions,

or requests on a paper form via a USCIS Lockbox facility, you may have received a USCIS Online Account Access

Notice issuing you a USCIS Online Account Number. If you received such a notice, your USCIS Online Account

Number can be found at the top of the notice. If you were issued a USCIS Online Account Number, enter it in the

space provided. The USCIS Online Account Number is not the same as an A-Number.

5. Immigrant Category for Adjustment of Status. When you ﬁled your Form I-485, you selected an immigrant

category in Part 2., Item Number 1. as the basis of your eligibility to adjust status. Insert the full title of that

immigrant category in Part 2., Item Number 5.

6. Part 4. Applicant’s Statement, Contact Information, Declaration, Certiﬁcation, and Signature. Select the

appropriate box to indicate whether you read this supplement yourself or whether you had an interpreter assist you.

If someone assisted you in completing the supplement, select the box indicating that you used a preparer. Further,

you must sign and date your supplement and provide your daytime telephone number, mobile telephone number (if

any), and email address (if any). Every supplement MUST contain the signature of the applicant (or parent or legal

guardian, if applicable). A stamped or typewritten name in place of a signature is not acceptable.

7. Part 5. Interpreter’s Contact Information, Certiﬁcation, and Signature. If you used anyone as an interpreter to

read the Instructions and questions on this supplement to you in a language in which you are ﬂuent, the interpreter

must ﬁll out this section, provide his or her name, the name and address of his or her business or organization (if any),

his or her daytime telephone number, his or her mobile telephone number (if any), and his or her email address (if

any). The interpreter must sign and date the supplement.

Form I-485 Supplement A Instructions 02/21/23

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8. Part 6. Contact Information, Declaration, and Signature of the Person Preparing this Supplement, if Other

Than the Applicant. This section must contain the signature of the person who completed your supplement, if

other than you, the applicant. If the same individual acted as your interpreter and your preparer, that person should

complete both Part 5. and Part 6. If the person who completed this supplement is associated with a business or

organization, that person should complete the business or organization name and address information. Anyone who

helped you complete this supplement MUST sign and date the supplement. A stamped or typewritten name in place

of a signature is not acceptable. If the person who helped you prepare your supplement is an attorney or accredited

representative, he or she may be obliged to also submit a completed Form G-28, Notice of Entry of Appearance as

Attorney or Accredited Representative, along with your supplement.

We recommend that you print or save a copy of your completed supplement to review in the future and for

your records.

What Is the Filing Fee?

The ﬁling fee for Supplement A is $1,000. USCIS cannot waive the ﬁling fee.

You may ﬁle Supplement A and its $1,000 ﬁling fee together with Form I-485 and its applicable fees. If you previously ﬁled

Form I-485 and it remains pending, attach a copy of your ﬁling receipt and pay only the $1,000 Supplement A ﬁling fee.

NOTE: The ﬁling fee is not refundable, regardless of any action USCIS takes on this supplement. DO NOT MAIL

CASH. You must submit all fees in the exact amounts.

You do NOT need to pay the Supplement A $1,000 ﬁling fee if at the time of ﬁling you are:

1. Under 17 years of age; or

2. The spouse or child (unmarried and under 21 years of age) of a legalized alien, and have attached a copy of a USCIS

receipt or approval notice for a properly ﬁled Form I-817, Application for Family Unity Beneﬁts.

Use the following guidelines when you prepare your check or money order for the Supplement A ﬁling fee:

1. The check or money order must be drawn on a bank or other ﬁnancial institution located in the United States and must

be payable in U.S. currency; and

2. Make the check or money order payable to U.S. Department of Homeland Security.

NOTE: Spell out U.S. Department of Homeland Security; do not use the initials “USDHS” or “DHS.”

Notice to Those Making Payment by Check. If you send us a check, USCIS will convert it into an electronic funds

transfer (EFT). This means we will copy your check and use the account information on it to electronically debit your

account for the amount of the check. The debit from your account will usually take 24 hours and your bank will show it

on your regular account statement.

You will not receive your original check back. We will destroy your original check, but will keep a copy of it. If USCIS

cannot process the EFT for technical reasons, you authorize us to process the copy in place of your original check. If

USCIS cannot complete the EFT because of insuﬃcient funds, we may try to make the transfer two additional times.

Form I-485 Supplement A Instructions 02/21/23

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How to Check If the Fees Are Correct

Supplement A’s ﬁling fee is current as of the edition date in the lower left corner of this page. However, because USCIS

fees change periodically, you can verify that the fees are correct by following one of the steps below.

1. Visit the USCIS website at www.uscis.gov, select “FORMS,” and check the appropriate fee; or

2. Call the USCIS Contact Center at 1-800-375-5283 and ask for the fee information. For TTY (deaf or hard of hearing)

call: 1-800-767-1833.

Where to File?

Please see our website at www.uscis.gov/I-485 or call the USCIS Contact Center at 1-800-375-5283 for the most current

information about where to ﬁle this supplement. For TTY (deaf or hard of hearing) call: 1-800-767-1833.

If you are in proceedings in Immigration Court (that is, if you have been served with Form I-221, Order to

Show Cause and Notice of Hearing; Form I-122, Notice to Applicant for Admission Detained for Hearing

Before an Immigration Judge; Form I-862, Notice to Appear; or Form I-863, Notice of Referral to Immigration

Judge, that DHS ﬁled with the Immigration Court), you should ﬁle this supplement with the appropriate

Immigration Court. Pre-Order Filing Instructions regarding background and security investigations will be

p r o v i d e d t o y o u b y t h e D H S a t t o r n e y. Yo u m u s t a l s o s u b m i t a c o p y t o U S C I S . P l e a s e s e e o u r w e b s i t e a t

www.uscis.gov/laws/immigration-beneﬁts-eoir-removal-proceedings or call the USCIS Contact Center for the most

current information about where to ﬁle the copy of the application that you ﬁle with the Immigration Court.

Address Change

An applicant who is not a U.S. citizen must notify USCIS of his or her new address within 10 days of moving from his or her

previous residence. For information on ﬁling a change of address, go to the USCIS website at www.uscis.gov/addresschange

or contact the USCIS Contact Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call: 1-800-767-1833.

If you are already in proceedings in Immigration Court, you must also notify the Immigration Court on EOIR Form 33/IC,

Alien’s Change of Address Form/Immigration Court, of any changes of address within ﬁve days of the change in address.

The EOIR Form 33/IC is available on the EOIR website at www.justice.gov/eoir/formslist.htm.

NOTE: Do not submit a change of address request to the USCIS Lockbox facilities because the Lockbox does not

process change of address requests.

Processing Information

USCIS will reject any Supplement A that is not signed or accompanied by the correct ﬁling fee and will send you

a notice that Supplement A is incomplete. You may ﬁx the problem and resubmit Supplement A. Supplement A is not

considered properly ﬁled until USCIS accepts it.

Initial Processing. Once USCIS accepts your supplement we will check it for completeness. If you do not completely

ﬁll out this supplement, you will not establish a basis for your eligibility and USCIS may reject or deny your Form I-485.

Requests for More Information. We may request that you provide more information or evidence to support your

supplement. We may also request that you provide the originals of any copies you submit. If USCIS requests an original

document from you, it will be returned to you after USCIS determines it no longer needs your original.

Form I-485 Supplement A Instructions 02/21/23

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Requests for Interview. We may request that you appear at a USCIS oﬃce for an interview based on your supplement.

At the time of any interview or other appearance at a USCIS oﬃce, we may require that you provide your ﬁngerprints,

photograph, and/or signature to verify your identity and/or update background and security checks.

Decision. The decision on Supplement A involves a determination of whether you have established eligibility for the

immigration beneﬁt you are seeking. USCIS will notify you of the decision in writing.

USCIS Forms and Information

To ensure you are using the latest version of this supplement, visit the USCIS website at www.uscis.gov where you can

obtain the latest USCIS forms and immigration-related information. If you do not have internet access, you may order

USCIS forms by calling the USCIS Contact Center at 1-800-375-5283. The USCIS Contact Center provides information

in English and Spanish. For TTY (deaf or hard of hearing) call: 1-800-767-1833.

Instead of waiting in line for assistance at your local USCIS oﬃce, you can schedule an appointment online at

www.uscis.gov. Select “Schedule an Appointment” and follow the screen prompts to set up your appointment. Once you

ﬁnish scheduling an appointment, the system will generate an appointment notice for you.

Penalties

If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Supplement A, we

will deny your Supplement A and may deny any other immigration beneﬁt. In addition, you will face severe penalties

provided by law and may be subject to criminal prosecution.

DHS Privacy Notice

AUTHORITIES: The information requested on this application, and the associated evidence, is collected under INA

section 245(i).

PURPOSE: The primary purpose for providing the requested information on this application is to determine if you

have established eligibility to adjust status to that of a lawful permanent resident of the United States. DHS will use the

information you provide to grant or deny your application to adjust status to lawful permanent resident.

DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information,

including your Social Security number (if applicable), and any requested evidence, may delay a ﬁnal decision in your case

or result in denial of your application.

ROUTINE USES: DHS may share the information you provide on this application, and any additional requested

evidence, with other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows

approved routine uses, as described in the associated published system of records notices [DHS/USCIS/ICE/CBP- 001

Alien File, Index, and National File Tracking System, DHS/USCIS-007 Beneﬁts Information System, and DHS/USCIS-018

Immigration Biometric and Background Check] and the published privacy impact assessments [DHS/USCIS/PIA-016(a)

Computer Linked Application Information Management System] 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.

Form I-485 Supplement A Instructions 02/21/23

Page 10 of 11

Paperwork Reduction Act

An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection

of information, unless it displays a currently valid Oﬃce of Management and Budget (OMB) control number. The public

reporting burden for this collection of information is estimated at 1 hour and 15 minutes per response, in addition to the

burden for completing Form I-485, including the time for reviewing instructions, gathering the required documentation

and information, completing the supplement, attaching necessary documentation, and submitting the supplement. Send

comments regarding this burden estimate or any other aspect of this collection of information, including suggestions

for reducing this burden, to: U.S. Citizenship and Immigration Services, Oﬃce of Policy and Strategy, Regulatory

Coordination Division, 5900 Capital Gateway Drive, Mail Stop #2140, Camp Springs, MD 20588-0009;

OMB No. 1615-0023. Do not mail your completed Supplement A to this address.

Checklist

I am ﬁling my Form I-485 with this Supplement A, or I previously ﬁled my Form I-485 and it remains pending. (If I

ﬁled previously, I am attaching a copy of my Form I-797 receipt for that ﬁling.)

I signed Supplement A in Part 4. Applicant’s Statement, Contact Information, Declaration, Certiﬁcation, and

Signature.

I included the appropriate $1,000 ﬁling fee for Supplement A, unless exempt.

I included all required supporting documentation listed in the What Evidence Must You Submit to Establish Your

Eligibility for Adjustment of Status under INA Section 245(i) section of these Instructions.

Form I-485 Supplement A Instructions 02/21/23

Page 11 of 11

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