I-864W, Request for Exemption for Intending Immigrant's Affidavit of Support

Use this form to establish that applicant is exempt from the Form I-864 requirements.

Number of Pages

Form 5; instructions 5.

Edition Date

03/06/18. You can find the edition date at the bottom of the page on the form and instructions.

Where to File

File with all required documentation to either:

  • A consular officer with a completed Form OF-230, Application for Immigrant Visa and Alien Registration, or
  • An immigration officer with a completed Form I-485, Application to Register Permanent Residence or Adjust Status.

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

Filing Fee

There is no fee if you file this form with USCIS or abroad with the Department of State (DOS); however DOS does charge a fee if you file in the U.S. For more information, please visit the Department of State website.

Checklist of Required Initial Evidence (for informational purposes only)

Please do not submit this checklist with your Form I-864W. It is an optional tool to use as you prepare your form, but does not replace statutory, regulatory, and form instruction requirements. We recommend that you review these requirements before completing and submitting your form. Do not send original documents unless specifically requested in the form instructions or applicable regulations.

If you submit any documents (copies or original documents, if requested) in a foreign language, you must include a full English translation along with a certification from the translator verifying that the translation is complete and accurate, and that they are competent to translate from the foreign language to English.

Did you provide the following?

  • All Social Security Act (SSA) forms necessary to establish that you have or can receive credit for 40 quarters of work under the SSA (if applicable)

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