フォームI-508、特定の権利の放棄、特権、免除、および免除のための指示
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Instructions for Waiver of Certain Rights,
Privileges, Exemptions, and Immunities
USCIS
Form I-508
OMB No. 1615-0025
Expires 12/31/2023
Department of Homeland Security
U.S. Citizenship and Immigration Services
What Is the Purpose of Form I-508?
Form I-508 is used by lawful permanent residents of the United States, or applicants for lawful permanent residence in the
United States, whose occupational status or that of their family members, entitles them to nonimmigrant status under the
Immigration and Nationality Act (INA) section 101(a)(15)(A), (E), or (G) as a
(a) Government official,
(b) Taipei Economic and Cultural Representative Office employee,
(c) International organization representative or employee, respectively; or
(d) A dependent member of such household.
In order to retain or obtain lawful permanent residence status, they are required to use Form I-508 to waive diplomatic or
similar rights, privileges, exemptions, and immunities that may be granted to them under any law or Executive Order. The
form also informs such persons that as lawful permanent residents of the U.S., they are or will be ineligible for any and all
such diplomatic rights, privileges, exemptions, and immunities previously held on their behalf by their sending country,
office, or organization.
Note Regarding former USCIS Form I-508F
Form I-508F is no longer required to be submitted by French nationals.
USCIS Forms and Information
USCIS provides forms and instructions free of charge through the USCIS website at uscis.gov. To view, print, or
complete our forms, you should use the latest version of Adobe Reader, which you can download for free at
Instead of waiting in line for help at your local USCIS office, you can schedule an appointment on our website at
uscis.gov. Select “Make an Appointment” and follow the screen prompts. Once you finish, the system will generate an
appointment notice for you.
Where To File
Please see our website for the most current information about where to file this form.
Filing Fee
There is no filing fee for Form I-508.
Completing the Form
•
Type or print legibly in black ink.
Form I-508 Instructions 12/08/21
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•
•
If you need extra space to complete any item within this waiver form, use the space provided in Part 6. Additional
Information or 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.
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 a question requires a numerical response and your answer is zero/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.
Supporting Documents
•
Evidence. At the time of filing, you must submit all evidence and supporting documentation listed in the specific
instructions.
•
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 also include the
translator’s signature, printed name, the signature date, and the translator’s contact information.
•
Copies. You should submit legible photocopies of documents requested, unless the instructions specifically state
that you must submit an original document. We may request an original document at the time of filing or at any time
during processing of your form. If we request an original document, we will return it to you when we are done.
Signature
•
You must sign each form before you submit it. For all signatures on this form, we will not accept a stamped or
typewritten name in place of a signature. We will consider a photocopied, faxed, or scanned copy of the original
handwritten signature as valid for filing purposes. The photocopy, fax, or scan must be of the original document
containing the handwritten ink signature.
•
If you are under 14 years of age, your parent or legal guardian may sign the form on your behalf. A legal guardian
may also sign for a mentally incompetent person.
Contact Information, Certification, and Signature for the Person Executing This Waiver Form
Select the appropriate box to indicate whether you read this waiver form yourself or whether you had an interpreter assist
you. If someone assisted you in completing the waiver form, select the box indicating that you used a preparer. Further,
you must sign and date your waiver form and provide your daytime telephone number, mobile telephone number (if any),
and email address (if any). Every waiver form MUST contain the signature of the person executing this waiver form
(or parent or legal guardian, if applicable). A stamped or typewritten name in place of a signature is not acceptable.
Interpreter’s Contact Information, Certification, and Signature
If you used anyone as an interpreter to read the instructions and questions on this waiver form 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 also sign and date the waiver form.
Form I-508 Instructions 12/08/21
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Contact Information and Signature of the Person Preparing this Form, if Other Than the Person
Executing This Waiver Form
This section must contain the signature of the person who completed your waiver form, if other than you, the person
executing this waiver form. If the same individual acted as your interpreter and your preparer, that person should
complete both applicable sections. If the person who completed this form 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 waiver form MUST sign and date the waiver form. A stamped or typewritten name in place of a signature
is not acceptable. If the person who helped you prepare your waiver form is an attorney or accredited representative,
he or she may also need to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited
Representative, or Form G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines
of the United States, along with your waiver form.
Additional Information
If you need extra space to provide any additional information within this waiver form, use the space provided in Part 6.
Additional Information. If you need more space than what is provided in Part 6., you may make copies of Part 6. to
complete and file with your waiver form or attach a separate sheet of paper. Include your name and 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.
We recommend that you print or save a copy of your completed waiver form to review in the future and for your
records.
DHS Privacy Notice
AUTHORITIES: The information requested on this waiver form, and the associated evidence, is collected under INA
section 247, 8 U.S.C. 1257, and 8 CFR sections 245.1 and 247.
PURPOSE: The primary purpose for the requested information on this waiver form is to determine whether you have
waived diplomatic or similar rights, privileges, exemptions, and immunities that may have accrued to you under any law
or Executive Order. This waiver form also informs you that as a lawful permanent resident of the United States, you are
or will be ineligible for any and all such diplomatic rights, privileges, exemptions, and immunities previously held on
your behalf by your sending country, office, or organization. DHS uses the information you provide to grant or deny the
immigration benefit you are seeking.
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 or result in
denial of your waiver form.
ROUTINE USES: The Department of Homeland Security (DHS) may share the information you provide on this
waiver 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/ICE/CBP-001 Alien File, Index, and National File Tracking System of Records and DHS/
USCIS-007 Benefits Information System] and the published privacy impact assessment [DHS/USCIS/PIA-003 Integrated
Digitization Document Management Program] which you can find at www.dhs.gov/privacy. DHS may also make the
information available, as appropriate, for law enforcement purposes or in the interest of national security.
Form I-508 Instructions 12/08/21
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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 OMB control number. The public reporting burden for this collection of
information is estimated at 45 minutes per response, including the time for reviewing instructions, gathering the required
documentation and information, completing the form, preparing statements, attaching necessary documentation, and
submitting the form. 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 1615-0025. Do not mail your completed Form I-508 to this address.
Form I-508 Instructions 12/08/21
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