Form I-817 Instructions 04/01/24 Page 11 of 13
A. At least three documents that prove entry into the United States before December 1, 1988. For example: a
photocopy of your Form I-94 Arrival-Departure Record; Form I-862, Notice to Appear; Form I-122, Notice to
Applicant for Admission Detained for Hearing Before an Immigration Judge; Form I-221, Order to Show Cause;
photocopies of other Department of Homeland Security (DHS) (including USCIS) documents, including any
application or petition for benets under the INA led by you or on your behalf on or prior to December 1, 1988;
or a fee receipt issued for such application or petition;
B. Other government documentation issued by a Federal, state, or local authority, provided such documentation
bears the signature, seal, or other authenticating authority; was dated at the time of issuance; and bears the date
of issuance not later than November 30, 1988, when proving entry. For example: a state driver’s license, a state
identication card issued in lieu of a driver’s license, a county or municipal hospital record, a public college or
public school transcript, income tax records, property tax payment, private or religious school transcripts (the
school having been registered with, or approved or licensed by appropriate state or local authorities, or having
been accredited by the state or regional accrediting body, or by the appropriate private school association);
C. Non-governmental documents that include actual dates. For example: employment records, pay stubs, employer
letters, or if self-employed, letters from banks and other rms with which you have done business (your name
and the name of the employer or interested organization must appear on the form or letter and must be in adavit
form, signed by the employer, under penalty of perjury, and must include dates of employment, home address
at the time of employment, and duties with the company); hospital or medical records showing hospitalization
or treatment showing the name of the medical facility or physician and dates of the treatment; and attestation by
a church ocial, union, or other organization indicating your residence, dates of membership, and attendance,
including the organization’s seal and letterhead; or
D. Other relevant documents, including but not limited to: rent receipts, credit card statements, utility bills, money
orders, passport entries, insurance documents, birth certicate of child born in the United States, automobile
license receipts, deeds, mortgages, and contracts to which you have been a party.
6. Request for Extension of Family Unity Benets
The following documents are evidence that the required relationship existed on May 5, 1988 or December 1, 1988,
and that you may be eligible to le an application for extension of Family Unity benets:
A. A copy of the front and back of the document issued by USCIS to your legalized alien spouse or parent (for
example, Form I-551, Permanent Resident Card, or N-550, Certicate of Naturalization);
B. If the legalized alien through whom Family Unity benets were obtained is a lawful permanent resident or
naturalized U.S. citizen, evidence that Form I-130, Petition for Alien Relative, was led on your behalf;
NOTE: This evidence is only required if the relationship to the legalized alien still exists.
C. Evidence that you were granted Family Unity benets in the past;
D. A list of all trips you made outside the United States since you were last granted Family Unity benets. This
statement must include the dates and reason for each absence. If you have not been outside the United States
since your last Form I-817 was approved, provide a statement arming this fact;
E. A list of all your residences in the United States since your last Form I-817 was approved; and
F. Fingerprints, if you were under 14 years of age when your last Form I-817 was approved, but are now 14 years of
age or older, or if USCIS requests them, as part of the biometric services.
Where To File?
Please see our website at www.uscis.gov/I-817 for the most current information about where to le this application.