Part 6: Petitioner's Statement, Contact Information, Declaration, and Signature

Select the petitioner's statement, provide contact information, and add an optional signature.

Petitioner's Statement

Select the box for either Item Number 1.a. or 1.b. If applicable, select the box for Item Number 2.

Interpreter language is required when interpreter help is selected.
Preparer name is required when preparer help is selected.

Petitioner's Contact Information

Enter a valid daytime telephone number.
Enter a valid mobile telephone number, or leave it blank.
Enter a valid email address, or leave it blank.

Petitioner's Declaration and Certification

Copies of any documents submitted are exact photocopies of unaltered, original documents, and USCIS may require original documents at a later date.

I authorize release of information contained in this petition, supporting documents, and USCIS records as necessary for administration and enforcement of U.S. immigration laws.

I certify, under penalty of perjury, that I reviewed and understand all of the information contained in and submitted with my petition, and that all of this information is complete, true, and correct.

Petitioner's Signature