I-130A

INTAKE FORM

Published

Part of package: I-130 Workflow

I-130A

DeepDocket System

Part 1. Information About You (Spouse Beneficiary)

Part 2. Information About Your Employment

Part 3. Information About Your Employment Outside the United States

Part 4. Spouse Beneficiary's Statement, Contact Information, and Certification

Part 7.) Additional Information

Review & Submit

Part 1. Information About You (Spouse Beneficiary)

1.) Alien Registration Number (A-Number) (if any)

Max length: 9 characters

2.) USCIS Online Account Number (if any)

Max length: 12 characters

Your Full Name

3.a.) Family Name (Last Name)

3.b.) Given Name (First Name)

3.c.) Middle Name

Address History

Provide your physical addresses for the last five years, whether inside or outside the United States. Provide your current address first. If you need extra space to complete this section, use the space provided in Part 7.

Physical Address 1

4.a.) Street Number and Name

Max length: 34 characters

4.b.) Physical Address Type

Apartment Suite Floor

4.b) Apartment, Suite or Floor Number

Max length: 6 characters

4.c) City or Town

Max length: 20 characters

4.d.) State

4.e) Zip Code

Max length: 5 characters

4.f) Province

Max length: 20 characters

4.g) Postal Code

Max length: 9 characters

4.h.) Country

5.a.) Date From

5.b.) Date To

Physical Address 2

6.a.) Street Number and Name

Max length: 34 characters

6.b.) Physical Address 2 Type

Apartment Suite Floor

6.b) Apartment, Suite or Floor Number

Max length: 6 characters

6.c.) City or Town

Max length: 20 characters

6.d.) State

6.e.) Zip Code

Max length: 5 characters

6.f.) Province

Max length: 20 characters

6.g.) Postal Code

Max length: 9 characters

6.h.) Country

7. a.) Date From

7.b.) Date To

Last Physical Address Outside the United States

Provide your last address outside the United States of more than one year (even if listed above)

8.a.) Street Number and Name

Max length: 34 characters

4.b.) Last Foreign Address Type

Apartment Suite Floor

8.b) Apartment, Suite or Floor Number

Max length: 6 characters

8.c.) City or Town

Max length: 20 characters

8.d.) Province

Max length: 20 characters

8.e.) Postal Code

Max length: 9 characters

8.f.) Country

9.a.) Date From

9.b.) Date To

Information About Parent 1

10.a.) Family Name (Maiden Name)

10.b.) Given Name (First Name)

10.c.) Middle Name

11.) Date of Birth

12) Sex

Male Female

13.) City / Town / Village of Birth

Max length: 38 characters

14.) Country of Birth

15.) City / Town / Village of Residence

16.) Country of Residence

Information About Parent 2

17.a.) Family Name (Last Name)

17.b.) Given Name (First Name)

17.c.) Middle Name

18.) Date of Birth

19.) Sex

Male Female

20.) City / Town / Village of Birth

Max length: 20 characters

21.) Country of Birth

22.) City / Town / Village of Residence

23.) Country of Residence

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I-130A

I-130A (Preview)

I-130A

I-130A

Part 1. Information About You (Spouse Beneficiary)

Your Full Name

Address History

Physical Address 1

Physical Address 2

Last Physical Address Outside the United States

Information About Parent 1

Information About Parent 2

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