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Instruksi untuk Bentuk I-508, Peninjau Hak Tertentu, Hak Istimewa, Eksemption, dan Imunitas

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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.  
For more information, visit our website at uscis.gov or visit the USCIS Contact Center webpage at  
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  
Page 1 of 4  
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  
Page 2 of 4  
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  
Page 3 of 4  
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  
Page 4 of 4