I-912 Form PDF 2024 Download Request for Fee Waiver

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I-912 Form PDF 2023: The USCIS Form I-912, officially known as the “Request for Fee Waiver,” is a form used by individuals who are unable to pay the filing fees for certain immigration benefits and services offered by the United States Citizenship and Immigration Services (USCIS). This form allows eligible applicants to request a waiver of the fees associated with their application or petition. The form aims to ensure that individuals with limited financial means are not prevented from accessing immigration benefits and services due to their inability to pay the required fees.

It’s important to note that not all immigration forms are eligible for fee waivers, and eligibility criteria can vary based on the type of application or petition you’re submitting. Some common types of immigration benefits that may be eligible for fee waivers include adjustment of status, naturalization, and certain humanitarian applications.

When filling out Form I-912, you’ll need to provide information about your financial situation and explain why you believe you qualify for a fee waiver. USCIS will review your form and the supporting documentation you provide to determine whether you meet the criteria for a fee waiver. If your fee waiver request is approved, you may be exempt from paying the associated filing fees for the specified immigration benefit.

It’s important to thoroughly read the instructions provided with Form I-912 and ensure that you meet the eligibility criteria before submitting your request for a fee waiver. Additionally, USCIS forms and policies can change over time, so I recommend visiting the official USCIS website or contacting USCIS directly for the most up-to-date and accurate information about the I-912 form and fee waiver process.

What Is the Purpose of Form I-912?

You may request a fee waiver if you are unable to pay the filing fees or biometric services fees for an application or petition that is eligible for a fee waiver. When you request a fee waiver, you must clearly demonstrate that you are unable to pay the fees. You can find the list of applications and petitions that are eligible for a fee waiver at www.uscis.gov/I-912 or refer to 8 CFR 103.7(c)(3).

You do not need to submit Form I-912 for an application or petition that does not require a filing fee or if you qualify for a fee exemption based on your immigration status. Refer to the Instructions for each application or petition to see whether you are exempt from paying the fees.

How to File Form I-912

You must file this fee waiver request with all applications and petitions for which you are requesting a fee waiver. You do not have to file a separate Form I-912 for the filing fee and the biometric services fee. If USCIS approves your Form I-912, we will waive both the filing fee and biometric services fee.

You may file one Form I-912 for all family-related applications or petitions filed at the same time. For example, if you file Form I-765, Application for Employment Authorization, and your spouse and children are filing separate Form I-765s at the same time, you only need to file one Form I-912 for all Form I-765s. You must send all forms together.

How To Fill Out Form I-912

• Type or print legibly in black or dark blue ink. If a section does not apply to you, type or print “N/A,” which stands for “not applicable.” Fully and accurately answer all questions that apply to the basis for your request.
• If you need extra space to complete any item within this request, use the space provided in Part 11. Additional Information. You may also attach as many separate sheets of paper as needed; type or print your name and Alien Registration Number (A-Number) (if any) at the top of each sheet and indicate the Page Number, Part Number, and Item Number to which your answer refers.

How to Download I-912 Form PDF 2023

what is form i-912 used for

Use this form to request a fee waiver (or submit a written request) for certain immigration forms and services based on a demonstrated inability to pay.

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Specific Instructions

Part 1. Basis for Your Request

Item Numbers 1. – 3. Select a basis for your request. You are not required to complete the entire section of this request. Rather, select one basis or more for which you may qualify and complete the corresponding section as explained below in Parts 4., 5., and 6.

Part 2. Information About You (Requestor)

Item Number 1. Full Name. Provide your full name. If you have two last names, include both in the Family Name box and use a hyphen (-) if appropriate. If you do not have a middle name, type or print “N/A.”

Item Number 2. Other Names Used (if any). Provide all other names you have used, including your maiden name.

Item Number 3. Alien Registration Number (A-Number) (if any). An A-Number is a number assigned by USCIS or the former Immigration and Naturalization Service (INS). People with A-Numbers can locate the number on their USCIS-issued or INS-issued documentation. If the intending immigrants you are sponsoring were not previously in the United States or were only in the United States as tourists, they may not have A-Numbers.

Item Number 4. USCIS ELIS Account Number (if any). If you were issued a USCIS Electronic Immigration System (USCIS ELIS) Account Number, enter it in the space provided. The USCIS ELIS Account Number is not the same as an A-Number.

Item Number 5. Date of Birth (mm/dd/yyyy). Provide your date of birth in mm/dd/yyyy format. For example, enter May 1, 1979, as 05/01/1979.

tem Number 6. U.S. Social Security Number (if any). Provide your U.S. Social Security number.

Item Number 7. Marital Status. Indicate your current marital status.

Part 3. Applications and Petitions for Which You are Requesting a Fee Waiver

Item Number 1. Complete the table for yourself and each person requesting a fee waiver with you. Provide the form numbers and the total number of applications and petitions for which you and any family members are requesting a fee waiver.

Part 4. Means-Tested Benefits

Item Number 1. If you, your spouse, or the head of household living with you receives a means-tested benefit, complete the table. You must attach supporting documentation. If you provide sufficient proof that you receive a means-tested benefit, your fee waiver will generally be approved.

A means-tested benefit is a public benefit where a person’s eligibility for the benefit, the amount of the benefit, or both, is based on the person’s income and resources. USCIS will consider means-tested benefits that are Federally, state, or locally funded and granted by the benefit agency.

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Examples of means-tested benefit programs are Medicaid, Supplemental Nutrition Assistance Program (known as “SNAP” and formerly called Food Stamps), Temporary Assistance to Needy Families (TANF), and Supplemental Security Income (SSI), among others. Consult with your benefit-granting agency or your legal advisor to determine whether any Federal, state, or local public benefit that you may receive qualifies as a means-tested benefit.

For the purposes of determining an inability to pay the filing fee of the petition or application, the following are not considered means-tested benefits: Medicare; unemployment benefits; Social Security retirement benefits; Social Security Disability Insurance (SSDI); Social Security Retirement, Survivors, and Disability Insurance (RSDI); or student financial aid.

1. Individual Receipt of a Means-Tested Benefit
   A. The individual may demonstrate that he or she is personally receiving a means-tested benefit.
   B. Is a child is the sole applicant, he or she may provide an individual means-tested benefit or a custodial parent’s means-tested benefit, if living in the same household.
   C. If multiple children are filing at the same time, each child must have an individual receipt of a means-tested benefit or be under the parent’s household who is receiving a means-tested benefit.
2. Family Member’ Means-Tested Benefits
   A. Your spouse and unmarried children under 21 years of age living with you will normally qualify for a fee waiver as part of your household if you are receiving means-tested benefits.

I-912 Form PDF 2023 Edition Date

09/03/21. We will also accept prior editions (or a written request). You can find the edition date at the bottom of the page on the form and instructions.

Dates are listed in mm/dd/yy format.

If you complete and print this form to mail it, make sure that the form edition date and page numbers are visible at the bottom of all pages and that all pages are from the same form edition. If any of the form’s pages are missing or are from a different form edition, we may reject your form.

Where to File I-912 Form PDF 2023

To file your completed Form I-912, attach it and all supporting documentation to the application or petition for which you are requesting a fee waiver. For example, if you are requesting a fee waiver for Form N-400, Application for Naturalization, you must mail your Form N-400, Form I-912, and supporting documentation to the address listed in the Form N-400 Instructions.

Do not submit your Form I-912 without a completed application or petition. You cannot submit Form I-912 after we have received the application or petition for which you are requesting the fee waiver. For example, if you are requesting a fee waiver for Form N-400, you cannot submit Form I-912 after we receive your Form N-400.

You cannot file online if you are requesting a fee waiver. You must file paper versions of Form I-912 and the form for which you are requesting a fee waiver.

I-912 Form Filing Tips | I-912 Form PDF 2023

Filing Tips: Go to our Tips for Filing Forms by Mail page for information on how to help ensure we will accept your application.

Don’t forget to sign your form. We will reject and return any unsigned form.

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• Your Form I-912 must be signed. We will reject your Form I-912 if it is not signed either by you or an eligible representative if you are under 14 years of age or mentally incompetent.
• If you submit documentation containing information in a foreign language, you must include a full English translation. The translator must sign a certification that the English language translation is complete and accurate, and that they are competent to translate from the foreign language into English.

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form i-912 Eligible for Fee Waiver

Under current fee waiver regulations, we may only approve fee waivers for certain forms or certain types of requests on a form.

You may file Form I-912 to request a fee waiver for any of the following benefit requests or services:

• Biometric services fee, except for the biometric services fee required for Form I-601A, Application for Provisional Unlawful Presence Waiver, filed under 8 CFR 212.7(e);
• Form I-90, Application to Replace Permanent Resident Card;
• Form I-129, Petition for a Nonimmigrant Worker, if you are applying for E-2 CNMI investor nonimmigrant status under 8 CFR 214.2(e)(23);
• Form I-131, Application for Travel Document, if you are applying for humanitarian parole;
• Form I-191, Application for Advance Permission to Return to Unrelinquished Domicile;
• Form I-192, Application for Advance Permission to Enter as Nonimmigrant, but only if you are exempt from the public charge grounds of inadmissibility;
• Form I-193, Application for Waiver for Passport and/or Visa, if you are exempt from the public charge grounds of inadmissibility (Please note you must pay all fees when applying for a U.S. passport from the U.S. Department of State.);
• Form I-290B, Notice of Appeal or Motion, if your underlying application was fee exempt, the fee was waived, or it was eligible for a fee waiver;
• Form I-485, Application to Register Permanent Residence or Adjust Status, if you are applying for lawful permanent resident status based on:
  • An eligibility category that is exempt from the public charge grounds of inadmissibility of section 212(a)(4) of the INA, such as the Cuban Adjustment Act, the Haitian Refugee Immigration Fairness Act;
  • Continuous residence in the United States since before Jan. 1, 1972 (“Registry”);
  • Asylum status; or
  • Special Immigrant Juvenile status or similar categories;
• Form I-539, Application to Extend/Change Nonimmigrant Status, if you are applying for any benefit request specified by section 245(l)(7) of the INA or applying for E-2 CNMI investor nonimmigrant status under 8 CFR 214.2(e)(23);
• Form I-601, Application for Waiver of Grounds of Inadmissibility, if you are exempt from the public charge grounds of inadmissibility in section 212(a)(4) of the INA;
• Form I-694, Notice of Appeal of Decision Under Sections 245A or 210 of the Immigration and Nationality Act, if your underlying application or petition was fee exempt, the fee was waived, or was eligible for a fee waiver;
• Form I-751, Petition to Remove Conditions on Residence;
• Form I-765, Application for Employment Authorization, unless you are filing under category (c)(33), Deferred Action for Childhood Arrivals;
• Form I-817, Application for Family Unity Benefits;
• Form I-821, Application for Temporary Protected Status;
• Form I-881, Application for Suspension of Deportation or Special Rule Cancellation of Removal;
• Form N-300, Application to File Declaration of Intention;
• Form N-336, Request for a Hearing on a Decision in Naturalization Proceedings;
• Form N-400, Application for Naturalization;
• Form N-470, Application to Preserve Residence for Naturalization Purposes;
• Form N-565, Application for Replacement of Naturalization/Citizenship Document;
• Form N-600, Application for Certification of Citizenship; and
• Form N-600K, Application for Citizenship and Issuance of Certificate under Section 322.

You may also apply for a fee waiver for any application or petition that is related to your status as a:

• Battered spouse of an A, G, E-3, or H nonimmigrant (such as Forms I-485, I-601, and I-212);
• Battered spouse or child of a lawful permanent resident or U.S. citizen under INA 240A(b)(2);
• T nonimmigrant (such as Forms I-192, I-485, and I-601);
• Temporary Protected Status recipient (such as Forms I-131, I-821, and I-601);
• U nonimmigrant (such as Forms I-192, I-485, and I-929); or
• VAWA self-petitioner (such as Forms I-485, I-601, and I-212).

You may not file Form I-912 if you are requesting consideration of Deferred Action for Childhood Arrivals (DACA). There are no fee waivers for DACA. Fee exemptions will be available in limited circumstances.

You do not need to file Form I-912 for applications and petitions that do not require a filing fee. Other USCIS applications and petitions have fee exemption requirements for certain types of benefit requestors. In most cases, the USCIS form and instructions outline the fee exemption and submission requirements if a separate Form I-912 is not required. If your form is not listed in the Forms Eligible for Fee Waiver section, please see the specific form instructions for additional information or visit our USCIS Contact Center page to get answers to your questions and connect with a live USCIS representative.

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Additional Information on Filing a Fee Waiver | I-912 Form PDF

USCIS is funded largely by application and petition fees. Recognizing that some applicants cannot pay the filing fees, USCIS established a fee waiver process for certain forms and benefit types. We will approve a fee waiver only if you clearly demonstrate that you are unable to pay the filing fees. USCIS carefully considers the merits of each fee waiver request before making a decision.

Eligibility

You can request a fee waiver if:

• The form you are filing is eligible for a fee waiver (See the list available on the Form I-912, Request for Fee Waiver web page or the regulations at 8 CFR 103.7(c)(3)); AND
• You provide documentation showing that you qualify based upon one of the following criteria:

• You, your spouse, or the head of household living with you, are currently receiving a means-tested benefit.
• Your household income is at or below 150 percent of the Federal Poverty Guidelines at the time you file. Check the current Federal Poverty Guidelines for this year at Form I-912P, HHS Poverty Guidelines for Fee Waiver Requests.
• You are currently experiencing financial hardship that prevents you from paying the filing fee, including unexpected medical bills or emergencies.

Requesting a fee waiver | I-912 Form PDF 2023

• Complete the most current version of Form I-912, Request for Fee Waiver. Instead of the form, we will also accept a letter with all the necessary information that states your request for a fee waiver, is signed by everyone requesting the fee waiver, and includes all the necessary supporting evidence. 
• – It is important that you provide all of the information requested about each basis of eligibility that you have selected on Form I-912. If you do not provide enough information and documents to support your request, there will be a considerable delay in processing your request. Please read the form instructions carefully to avoid common mistakes. 
• – You can check more than one box in Part 1, Basis for Your Request, on Form I-912. Select at least one basis for which you may qualify and complete the relevant sections as instructed in the form and provide supporting documentation for any basis you select. You only need to qualify and provide documentation for one basis for USCIS to grant your fee waiver. If you choose, you may select more than one basis; you must provide supporting documentation for each basis you want considered. You are not required to select more than one basis or complete all sections of the form. 
• – You must include a full English translation for all documents that have information in a foreign language. 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. USCIS does not regulate who may translate and does not require professional translation of documents. 
• Sign your fee waiver request. Each person requesting a fee waiver must sign the fee waiver request. If you are under 14 years of age, your parent or legal guardian may sign the request for you. A legal guardian may also sign for a person with a physical disability or mental impairment.
• Send your fee waiver request with the petition or application for which you are requesting the fee be waived. Do not send a fee waiver request by itself.

Note: If you are requesting a fee waiver, you cannot submit any petition or application online. You will need to file paper versions of the fee waiver request and the form for which you are requesting a fee waiver.

How to show that you receive a means-tested benefit

• A means-tested benefit is a public benefit where the agency granting the benefit considers your income and resources.
• Means-tested benefits may be federally, state, or locally funded. In general, if you receive a benefit that was granted based on your income, we consider it a means-tested benefit.
• The table below lists some examples of what USCIS considers a means-tested benefit for eligibility of fee waivers.

Identifying Federal Means-Tested Programs

Means-tested benefit programs	NOT means-tested benefit programs
Examples include: Medicaid Supplemental Nutrition Assistance Program (SNAP, formerly called Food Stamps) Temporary Assistance to Needy Families (TANF) Supplemental Security Income (SSI)	Examples include: Medicare Unemployment benefits Social Security benefits Social Security Disability Insurance (SSDI) Retirement, Survivors and Disability Insurance (RSDI) Student financial aid/loans/grants

• If you are receiving a means-tested benefit that is not well known outside of your area, please provide as much information as you can about the benefit. This may include a brochure, contact information, or the website address of the agency granting the benefit.
• You must provide evidence that you are currently receiving a means-tested benefit. Computer printouts are acceptable as long as they include the required information. This evidence should be in the form of a letter, notice, or other official document that contains the required information, including:
  • Your name,
  • The name of the agency granting you the public benefit,
  • The type of benefit, and
  • An indication that you are currently receiving the benefit (for example, the date granted, expiration date, and/or date of renewal, if available).
• A benefit card by itself is not acceptable evidence of a means-tested benefit, unless it contains all four of the requirements above.
• If you are filing on behalf of a child, provide the information and documentation of the means-tested benefit that the child receives.

Who may use your means-tested benefits to qualify

• Your spouse may use your means-tested benefit to qualify for a fee waiver as long as you are residing with your spouse and are not legally separated.
• If you have a child under 21 years of age, that child may use your means-tested benefit to qualify for a fee waiver. The person filing for the child must provide evidence of the parent-child relationship, such as a photocopy of a birth certificate.

Who may use your child’s means-tested benefit to qualify

• USCIS has never allowed a parent to use a child’s means-tested benefit to qualify for a fee waiver. However, as with all fee waiver adjudications, USCIS reviews all the information and documentation received to determine if an applicant qualifies under any basis of eligibility. Therefore, while we will consider your child’s means-tested benefit when determining your eligibility, we will not approve your application under Option 1 of Part 1. Basis for Request of Form I-912 based only on your child’s means-tested benefit.
• A child’s means-tested benefit cannot be used by anyone else as the basis for eligibility under Part 5. Means-Tested Benefits of Form I-912. However, if the child’s means-tested benefit document or agency approval letter states the total household income in which the child is a member, other household members may use the document to qualify for a fee waiver under “Part 5. Income at or Below 150 Percent of the Federal Poverty Guidelines” or “Part 6. Financial Hardship.”

If you have children (under the age of 21) who receive means-tested benefits and want to file together

• If multiple children (siblings) are filing at the same time, each child must be receiving an individual means-tested benefit or be in the household of the parent or guardian who is receiving a means-tested benefit.

If you have an adult disabled child (21 years of age or older)

• Although USCIS does not accept a parent’s means-tested benefit for adult children, an adult child or legal ward who is physically or developmentally disabled or mentally impaired (and who is unmarried and cannot adequately care for themselves, or establish, maintain, or re-establish their own household) may qualify based on his or her own means-tested benefit.
• The adult child may have an assigned representative for the means-tested benefit. In addition, the parent or legal guardian may provide the information about the custody and the disability in the financial hardship section.

If you have a child (21 years of age or older) who is going to college and is dependent on your household

• A college student (21 years of age or older) may not use a parent’s means-tested benefit. However, a college student can independently qualify for a fee waiver based on either financial hardship or income below 150% of the Federal Poverty Guidelines.
• Any information about the parent’s means-tested benefit can be included under the financial hardship or income below 150% of the Federal Poverty Guidelines parts of Form I-912.

How to show you are currently receiving a means-tested benefit

You must provide evidence that you are currently receiving a means-tested benefit. Computer printouts are acceptable as long as they include the required information. This evidence should be in the form of a letter, notice, or other official document that contains the required information including:

• Your name (or the name of the person receiving the benefit),
• The name of the agency granting the public benefit,
• The type of benefit, and
• An indication that you are currently receiving the benefit (for example, the date granted, expiration date, and/or date of renewal, if available.)

If your document does not show an expiration date for the means-tested benefit you currently receive

• If the document does not have an expiration date, USCIS will review the date on the letter or issuance date to confirm it is within 12 months of the date you filed your Form I-912.
• The documentation provided should not be dated more than 12 months from the date you file Form I-912. If the documentation is more than 12 months old and you are still receiving the benefit, provide additional evidence that shows you are currently receiving the benefit.

Benefit cards are not accepted as evidence

Benefit cards by themselves are not acceptable evidence of a means-tested benefit, unless they contain your name, the name of the agency granting you the public benefit, the type of benefit, and an indication that you currently receive the benefit (for example, the date you were granted the benefit and the date it expires or was renewed). States usually do not require applicants to return cards, without any value, after the expiration of benefits.

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How to show that your household income is at or below 150 percent of the Federal Poverty Guidelines

• You may qualify for a fee waiver if your household income is at or below 150 percent of the Federal Poverty Guidelines at the time you file. Check the current poverty levels for this year at Form I-912P, HHS Poverty Guidelines for Fee Waiver Requests.
• You must list the head of household’s income on your fee waiver request. For the fee waiver request, the head of household includes, but is not limited to, the head of household as determined by the IRS for filing an IRS Form 1040 or the person that earns the majority of the income for your household. You can find more information about head of household when filing the IRS Form 1040 at http://www.irs.gov/publications/p501.
• If you are requesting a fee waiver based on household income that is at or below 150 percent of the Federal Poverty Guidelines and your spouse lives overseas and provides support to your household, include your spouse’s contributions to your household in the total additional income or financial support section. If your spouse living overseas is unemployed and is supported by you, state that on the form. If your spouse lives overseas and provides no support to your household, please include a statement explaining the situation.
• We will consider homelessness when reviewing a fee waiver request. If you receive services from a homeless shelter, please include a currently dated letter from the shelter.  The letter should be on the shelter’s letterhead, include a statement that you receive services from the shelter, and be signed by a shelter employee attesting to your situation. If you are homeless but do not reside in a shelter, please include an affidavit from a member of good standing in your community who knows you and can support your claim that you are homeless and unable to pay the fee(s).

How to show that you have a financial hardship

• Include a detailed description of why you have financial hardship on the form and provide evidence.
• If you cannot provide evidence of financial hardship, include in your description an explanation of why you cannot provide evidence. It is always advisable to include an affidavit from a member of good standing in your community who knows you and can provide more insight into your situation.
• If you lost all forms of evidence in a natural disaster, fire, robbery, or through other means, include an explanation in your description. Please provide a copy of a police report, insurance claim or other report, if available, to support your claim.

Determining who counts toward your household size and income

• You count someone as part of your household size if that person is:
  • You;
  • The head of your household (if not you). If the child (under 21 years of age) is applying individually, provide the information of the primary custodial parent;
  • Your spouse living with you (if you are separated or your spouse is not living with you, do not include your spouse); or
  • Any of the following family members who live with you:
    • Your children or legal wards, who are unmarried and under 21 years of age;
    • Your children or legal wards, who are unmarried and are at least 21 years of age but under 24 years of age, are full-time students, and who live with you when not at school;
    • Your children or legal wards, who are unmarried and for whom you are the legal guardian because they are physically or developmentally disabled or mentally impaired to the extent that they cannot adequately care for themselves and cannot establish, maintain, or re-establish their own household;
    • Your parents; and
    • Any other dependents listed on your federal tax return, or on your spouse’s or head of household’s federal tax returns.
• You must include the annual income of your household members as part of your household income.

My relative or roommate lives with me, does their income count toward my household income?

• If someone lives with you but does not meet the definition of a household member as described above, do not count that person’s income as part of your household income. You should count the specific amount of any financial contribution that you receive from them only if that money was used to support your household. You would list that amount under the additional income or financial support section.
  • Example 1: If your uncle lives in your house (which you own) and paid $1,000 towards your mortgage, that $1,000 would be included under additional income or financial support because it was financial support provided to your household.
  • Example 2: You share an apartment with a roommate who is not a household member. You pay your own expenses, and your roommate pays his expenses. Your roommate’s income is not part of your household income because the roommate is not financially supporting you. Therefore, you do not include the roommate’s income as part of your household income.

I receive child support, but not the full amount as listed in the court order. Do I include the full amount of the child support as additional income or financial support or only what I actually receive?

• Annotate the actual amount of child support received. If there is a difference between what is stated in a court order or documentation, provide an explanation. Examples of documents may include bank statements, copies of checks, court documents, or other documentation indicating the actual income or financial assistance you are receiving.

How marital separation affects eligibility

• If you are requesting a fee waiver based on income at or below 150 percent of the Federal Poverty Guidelines and are not including your spouse’s income because of a marital separation, please provide a signed statement or documentation to establish that your spouse does not live with you and provides no income assistance. Acceptable documents may include a copy of the court order that formalized your legal separation, a formal notarized property settlement agreement, financial support agreement, or separate mortgage, lease, or utility bills that show you and your spouse live apart.
• Even if you are separated from your spouse, your household income includes any monthly support payments that you receive from your spouse.

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• If someone filed a Form I-134, Declaration of Financial Support, or Form I-864, Affidavit of Support under Section 213A of the Act, for you, that person may still be responsible for supporting you. However, we will consider that person’s income or assets in deciding whether you are eligible for a fee waiver only if that person is currently a member of your household.

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How requesting a fee waiver affects your current immigration status

• Relying primarily on public cash assistance for income maintenance can affect your eligibility for some immigration benefits, depending on the totality of the circumstances. You may be inadmissible to the United States (and therefore ineligible for certain immigration benefits like a Green Card) because you are more likely than not to become a public charge. You may also be deportable for already having become a public charge within 5 years of entering the United States for reasons that arose before you entered the country.
• You can find detailed guidance on these issues published in the May 26, 1999, edition of the Federal Register (64 Fed. Reg. 28689) and by searching for “Public Charge” at www.uscis.gov.
• When deciding your fee waiver request, we will not consider the possibility that you might be inadmissible or deportable as a public charge. We decide your fee waiver request separately from making a decision about your eligibility for the immigration benefit. However, being inadmissible as a public charge may make you ineligible for the benefit you seek.
• We will deny your application or petition if we determine that it involves false documentation, misrepresentation of facts, or other fraud, including fraud on this fee waiver request.

Common reasons why we deny fee waiver requests

• The form for which you are making the request is not eligible for a fee waiver.
• You did not sign your Form I-912 or the written request.
• All applicants (those 14 years of age or older) filing the request did not sign Form I-912 or the written request (or, if under 14 years of age, did not have a parent or legal guardian sign for them).
• You did not provide evidence that:
  • You are currently receiving a means-tested benefit;
  • Your household income is at or below 150 percent of the Federal Poverty Guidelines; or
  • You are currently experiencing a financial hardship.
• You submitted evidence in support of your fee waiver request that is not in English, and you did not provide a certified English translation.
• If USCIS denied your fee waiver and you are not sure why, please read the denial notice (Form I-797, Notice of Action). If, after checking the denial notice, you still do not understand why we denied your fee waiver request, you may email us at [email protected].

What is the Filing Fee? | I-912 Form PDF 2023 Download

There is no filing fee for Form I-912.

Where to File?

Mail your Form I-912, along with the completed USCIS applications or petitions, and all supporting documentation according to the Where to File section in the Instructions of the application or petitions for which you are requesting a fee waiver.

Processing Information | I-912 Form PDF 2023 Download

Decision. The decision on Form I-912 involves a determination of whether you have established eligibility for the fee waiver. USCIS will notify you of the decision in writing. If USCIS denies your fee waiver request, the notice will include information on resubmitting your application or petition. For certain immigration benefits, you may have only a limited period of time in which to resubmit your application or petition with the proper filing fee. Please review the Instructions for the application or petition for which you want USCIS to consider a fee waiver to determine when to refile.

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Penalties | I-912 Form PDF 2023 Download

If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-912, USCIS will deny your fee waiver request and may deny any other immigration benefit. In addition, you may face severe penalties provided by law and may be subject to criminal prosecution.