USCIS Form I-134 "Affidavit of Support"

What Is Form I-134?

USCIS Form I-134, Affidavit of Support, is a statement completed by U.S. citizens and lawful permanent residents (green card holders) to show their intent to support non-U.S. citizens financially during their visit in the U.S. This document is often used for visitor visas and tourist visas where the beneficiary's financial situation does not avoid the risk of being found inadmissible to the U.S. as a likely public charge. The U.S. government needs to see the foreign visitor will not become a liability, will not need to find a job, or seek public benefits - however, approval of the affidavit does not guarantee the issuance of the visa.

Alternate Name:

  • Affidavit of Support Form.

This form was released by the U.S. Citizenship and Immigration Services (USCIS), a component of the Department of Homeland Security. The latest version of the form was issued in February 2019 with all previous editions obsolete. You can download a fillable I-134 sample through the link below.

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How to Fill Out an Affidavit of Support Form?

Provide the following information in the I-134 Form:

  1. Provide your personal information - full name, other names you used, date, and place of birth. Indicate your mailing and physical addresses - if you change them, notify the USCIS of your new address within ten days of moving. If you have an alien registration number (A-number), social security number, and USCIS online account number, record them. Check the appropriate box to show the way you obtained U.S. citizenship unless you were born in the U.S. - you may be a citizen through naturalization, through parents, or marriage. If you are a lawful permanent resident or lawfully admitted nonimmigrant, enter your A-number or Arrival-Departure record number. State your age and the time you have resided in the U.S.;
  2. Write down personal details of the beneficiary, including their gender, country of citizenship or nationality, and marital status. Describe your relationship to the visitor. Add the beneficiary's physical address. Name the beneficiary's spouse (who will accompany or follow beneficiary) and children;
  3. Provide your employment details - name and address of the employer. Indicate your annual income, the balance of your savings and checking accounts, the value of your property, stocks, and bonds. If you have life insurance or own real estate, state its value as well. Name individuals who depend upon you for support and explain their relationship to you;
  4. Confirm you have read and understood the form, provide your contact information, and certify the statements in the affidavit are true and correct. Sign and date the form. Signing this affidavit, you show you are prepared to receive, maintain, and support the individual named in the form;
  5. If you were helped by the interpreter or preparer when filling out the affidavit, they also need to add their full names, mailing addresses, contact details, and signatures to the form;
  6. If you need extra space to submit more information, you may use Part 7 of the form. Make copies of the last page of the form and attach them to the affidavit. In case you wish to learn more about this affidavit, you may consult with the official Form I-134 Instructions, also issued by the USCIS.

Where to File I-134?

You need to send a properly signed Affidavit of Support to the foreign visitor it is prepared for. Then, this individual submits Form I-134 to their U.S. consulate with a visa request. The USCIS does not charge any filing fee for I-134 Form. The sponsor must also provide the visitor with evidence to show sufficient income and financial resources.

Form I-134 supporting documents include bank statements, employer letter that states the sponsor's position and salary, copy of the last income tax return, list of bonds, etc. Additionally, you need to present a copy of the document that shows your citizenship or immigration status - a copy of a U.S. passport, green card, or naturalization certificate. Without these documents, your affidavit may be rejected or denied.

How to Withdraw Affidavit of Support I-134?

If you change your mind and no longer can or want to support your foreign national family member or friend, you may withdraw Form I-134. Whether the USCIS approved your affidavit or did not, you may easily withdraw the support. Write the USCIS office that is currently reviewing your affidavit. Request the withdrawal, provide your full name, date of birth, personal details of the beneficiary, and the identifying number for your affidavit that you can find on the receipt notice - Form I-797, Notice of Action. If you wish, you may disclose the basis for withdrawal - if you do not, it will not affect any future petitions or affidavits you will file in the future. Once the request for the cancellation of an affidavit is received, the USCIS will review it and mail you a confirmation of the withdrawal.

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Download USCIS Form I-134 "Affidavit of Support"

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USCIS
Affidavit of Support
Form I-134
Department of Homeland Security
OMB No. 1615-0014
U.S. Citizenship and Immigration Services
Expires 02/28/2021
► START HERE - Type or print in black ink.
Part 1. Information About You (the Sponsor)
Sponsor's Physical Address
5.a.
Street Number
Your Full Name
and Name
1.a. Family Name
5.b.
Apt.
Ste.
Flr.
(Last Name)
1.b. Given Name
5.c.
City or Town
(First Name)
1.c. Middle Name
5.d.
State
5.e. ZIP Code
5.f.
Province
Other Names Used
5.g.
Postal Code
List all other names you have ever used, including aliases,
maiden name, and nicknames. If you need extra space to
5.h.
Country
complete this section, use the space provided in Part 7.
Additional Information.
2.a. Family Name
Other Information
(Last Name)
2.b. Given Name
(First Name)
6.
Date of Birth (mm/dd/yyyy)
2.c. Middle Name
7.a. Town or City of Birth
Sponsor's Mailing Address
(USPS ZIP Code Lookup)
7.b. Country of Birth
3.a.
In Care Of Name
8.
Alien Registration Number (A-Number) (if any)
3.b.
Street Number
A-
and Name
9.
U.S. Social Security Number (if any)
3.c.
Apt.
Ste.
Flr.
3.d.
City or Town
10.
USCIS Online Account Number (if any)
3.e.
State
3.f.
ZIP Code
3.g.
Province
Citizenship or Residency or Status
3.h.
Postal Code
If you are not a U.S. citizen based on your birth in the United
States, or a non-citizen U.S. national based on your birth in
3.i.
Country
American Samoa (including Swains Island), answer the
following as appropriate:
4.
Are your mailing address and physical address the same?
11.a.
I am a U.S. citizen through naturalization. My
Certificate of Naturalization number is
Yes
No
If you answered "No" to Item Number 4., provide your
physical address in Item Numbers 5.a. - 5.h.
11.b.
I am a U.S. citizen through parent(s) or marriage.
My Certificate of Citizenship number is
Form I-134 02/13/19
Page 1 of 8
USCIS
Affidavit of Support
Form I-134
Department of Homeland Security
OMB No. 1615-0014
U.S. Citizenship and Immigration Services
Expires 02/28/2021
► START HERE - Type or print in black ink.
Part 1. Information About You (the Sponsor)
Sponsor's Physical Address
5.a.
Street Number
Your Full Name
and Name
1.a. Family Name
5.b.
Apt.
Ste.
Flr.
(Last Name)
1.b. Given Name
5.c.
City or Town
(First Name)
1.c. Middle Name
5.d.
State
5.e. ZIP Code
5.f.
Province
Other Names Used
5.g.
Postal Code
List all other names you have ever used, including aliases,
maiden name, and nicknames. If you need extra space to
5.h.
Country
complete this section, use the space provided in Part 7.
Additional Information.
2.a. Family Name
Other Information
(Last Name)
2.b. Given Name
(First Name)
6.
Date of Birth (mm/dd/yyyy)
2.c. Middle Name
7.a. Town or City of Birth
Sponsor's Mailing Address
(USPS ZIP Code Lookup)
7.b. Country of Birth
3.a.
In Care Of Name
8.
Alien Registration Number (A-Number) (if any)
3.b.
Street Number
A-
and Name
9.
U.S. Social Security Number (if any)
3.c.
Apt.
Ste.
Flr.
3.d.
City or Town
10.
USCIS Online Account Number (if any)
3.e.
State
3.f.
ZIP Code
3.g.
Province
Citizenship or Residency or Status
3.h.
Postal Code
If you are not a U.S. citizen based on your birth in the United
States, or a non-citizen U.S. national based on your birth in
3.i.
Country
American Samoa (including Swains Island), answer the
following as appropriate:
4.
Are your mailing address and physical address the same?
11.a.
I am a U.S. citizen through naturalization. My
Certificate of Naturalization number is
Yes
No
If you answered "No" to Item Number 4., provide your
physical address in Item Numbers 5.a. - 5.h.
11.b.
I am a U.S. citizen through parent(s) or marriage.
My Certificate of Citizenship number is
Form I-134 02/13/19
Page 1 of 8
Part 1. Information About You (the Sponsor)
Beneficiary's Physical Address
(continued)
8.a.
Street Number
and Name
11.c.
I derived my U.S. citizenship by another method.
(Provide an explain in Part 7. Additional
8.b.
Apt.
Ste.
Flr.
Information.)
8.c.
City or Town
11.d.
I am a lawful permanent resident of the
United States. My A-Number is
8.d.
State
8.e. ZIP Code
A-
8.f.
Province
11.e.
I am a lawfully admitted nonimmigrant. My
Form I-94, Arrival-Departure Record Number is
8.g.
Postal Code
8.h.
Country
12.
I am
years of age and have resided in the United
States since (Date) (mm/dd/yyyy)
Beneficiary's Spouse (accompanying or following
to join beneficiary)
Part 2. Information About the Beneficiary
9.a. Family Name
This affidavit is executed on behalf of the following person:
(Last Name)
1.a. Family Name
9.b. Given Name
(Last Name)
(First Name)
1.b. Given Name
9.c. Middle Name
(First Name)
1.c. Middle Name
10.
Date of Birth (mm/dd/yyyy)
2.
Date of Birth (mm/dd/yyyy)
11.
Gender
Male
Female
3.
Gender
Male
Female
Beneficiary's Children
4.
A-Number (if any)
Child 1
A-
12.a. Family Name
(Last Name)
5.
Country of Citizenship or Nationality
12.b. Given Name
(First Name)
6.
Marital Status
12.c. Middle Name
Single or Single, Never Married
13.
Date of Birth (mm/dd/yyyy)
Married
Divorced
14.
Gender
Male
Female
Widowed
Child 2
Legally Separated
15.a. Family Name
Marriage Annulled
(Last Name)
15.b. Given Name
Other
(First Name)
Relationship to Sponsor
7.
15.c. Middle Name
16.
Date of Birth (mm/dd/yyyy)
17.
Gender
Male
Female
If you need additional space to complete this section, use the
space provided in Part 7. Additional Information.
Form I-134 02/13/19
Page 2 of 8
Part 3. Other Information About the Sponsor
7.a.
I have life insurance in the sum of
$
7.b. With a cash surrender value of
Employment Information
$
I am currently:
Real Estate Information
1.a.
Employed as a/an
1.a.1. Name of Employer (if applicable)
8.a.
I own real estate valued at
$
8.b. I have mortgages or other debts amounting to
1.b.
Self employed as a/an
$
My real estate is located at:
9.a.
Street Number
Current Employer Address (if employed)
and Name
2.a.
Street Number
9.b.
Apt.
Ste.
Flr.
and Name
2.b.
Apt.
Ste.
Flr.
9.c.
City or Town
2.c.
City or Town
9.d.
State
9.e. ZIP Code
2.d.
State
2.e. ZIP Code
Dependents' Information
2.f.
Province
The following persons are dependent upon me for support. If
you need extra space to complete this section, use the space
2.g.
Postal Code
provided in Part 7. Additional Information.
10.a. Family Name
2.h.
Country
(Last Name)
10.b. Given Name
(First Name)
Income and Asset Information
10.c. Middle Name
3.
My annual income is
$
11.
Relationship to Me:
(If self-employed, I have attached a copy of my last income tax
return or report of commercial rating concern which I certify to
12.
Date of Birth (mm/dd/yyyy)
be true and correct to the best of my knowledge and belief. See
Instructions for nature of evidence of net worth to be submitted.)
13.
This person is:
4.
Balance of all my savings and checking accounts in
Wholly Dependent On Me For Support
United States-based financial institutions
Partially Dependent On Me For Support
$
5.
Value of my other personal property
14.a. Family Name
(Last Name)
$
14.b. Given Name
(First Name)
6.
Market value of my stocks and bonds
$
14.c. Middle Name
15.
Relationship to Me:
I have listed my stocks and bonds in Part 7. Additional
Information (or attached a list of them), which I certify to be
true and correct to the best of my knowledge and belief.
16.
Date of Birth (mm/dd/yyyy)
Form I-134 02/13/19
Page 3 of 8
Part 3. Other Information About the Sponsor
28.
Date of Birth (mm/dd/yyyy)
(continued)
29.
Date of Filing (mm/dd/yyyy)
17.
This person is:
Wholly Dependent On Me For Support
30.a.
Family Name
(Last Name)
Partially Dependent On Me For Support
30.b.
Given Name
(First Name)
18.a. Family Name
(Last Name)
30.c.
Middle Name
18.b. Given Name
31.
Relationship to Me:
(First Name)
18.c. Middle Name
32.
Date of Birth (mm/dd/yyyy)
19.
Relationship to Me:
33.
Date of Filing (mm/dd/yyyy)
20.
Date of Birth (mm/dd/yyyy)
34.a.
Family Name
(Last Name)
21.
This person is:
34.b.
Given Name
Wholly Dependent On Me For Support
(First Name)
Partially Dependent On Me For Support
34.c.
Middle Name
I have previously submitted affidavit(s) of support for the
35.
Relationship to Me:
following person(s). (If none, write "None" in the space for
name below.)
22.a. Family Name
36.
Date of Birth (mm/dd/yyyy)
(Last Name)
22.b. Given Name
37.
Date of Filing (mm/dd/yyyy)
(First Name)
38.
I
intend
do not intend to make specific
22.c. Middle Name
contributions to the support of the person(s) named in
Part 2.
23.
Date Submitted (mm/dd/yyyy)
(If you select "intend," indicate the exact nature and
24.a. Family Name
duration of the contributions you intend to make in
(Last Name)
Part 7. Additional Information. For example, if you
24.b. Given Name
intend to furnish room and board, state for how long and,
(First Name)
if money, state the amount in U.S. dollars and whether it
is to be given in a lump sum, weekly or monthly, and for
24.c. Middle Name
how long.)
25.
Date Submitted (mm/dd/yyyy)
I have submitted a visa petition(s) to U.S. Citizenship and
Immigration Services on behalf of the following persons. (If
none, write “None” in the space for name below.)
26.a. Family Name
(Last Name)
26.b. Given Name
(First Name)
26.c. Middle Name
27.
Relationship to Me:
Form I-134 02/13/19
Page 4 of 8
I understand that USCIS may require me to appear for an
Part 4. Sponsor's Statement, Contact
appointment to take my biometrics (fingerprints, photograph,
Information, Certification, and Signature
and/or signature) and, at that time, if I am required to provide
NOTE: Read the Penalties section of the Form I-134
biometrics, I will be required to sign an oath reaffirming that:
Instructions before completing this part.
1) I reviewed and provided or authorized all of the
information in my affidavit;
Sponsor's Statement
2) I understood all of the information contained in, and
NOTE: Select the box for either Item Number 1.a. or 1.b.
submitted with, my affidavit; and
If applicable, select the box for Item Number 2.
3) All of this information was complete, true, and correct at
I can read and understand English, and I have read and
1.a.
the time of filing.
understand every question and instruction on this
I certify, under penalty of perjury, that I provided or authorized
affidavit and my answer to every question.
all of the information in my affidavit, I understand all of the
1.b.
The interpreter named in Part 5. read to me every
information contained in, and submitted with, my affidavit, and
question and instruction on this affidavit and my
that all of this information is complete, true, and correct.
answer to every question in
That this affidavit is made by me to assure the U.S. Government
,
that the person named in Part 2. will not become a public
charge in the United States.
a language in which I am fluent and I understood
everything.
That I am willing and able to receive, maintain, and support the
2.
At my request, the preparer named in Part 6.,
person named in Part 2. I am ready and willing to deposit a
bond, if necessary, to guarantee that such persons will not
,
become a public charge during his or her stay in the United
prepared this affidavit for me based only upon
States, or to guarantee that the above named persons will
information I provided or authorized.
maintain his or her nonimmigrant status, if admitted
temporarily, and will depart prior to the expiration of his or her
Sponsor's Contact Information
authorized stay in the United States.
3.
Sponsor's Daytime Telephone Number
That I understand that Form I-134 is an "undertaking" under
section 213 of the Immigration and Nationality Act, and I may
be sued if the persons named in Part 2. become a public charge
4.
Sponsor's Mobile Telephone Number (if any)
after admission to the United States.
That I understand that Form I-134 may be made available to any
Federal, State, or local agency that may receive an application
Sponsor's Email Address (if any)
5.
from the persons named in Part 2. for Food Stamps,
Supplemental Security Income, or Temporary Assistance to
Needy Families.
Sponsor's Certification
That I understand that if the person named in Part 2. does apply
for Food Stamps, Supplemental Security Income, or Temporary
Copies of any documents I have submitted are exact photocopies
Assistance for Needy Families, my own income and assets may
of unaltered, original documents, and I understand that USCIS or
be considered in deciding the person's application. How long
the Department of State may require that I submit original
my income and assets may be attributed to the persons named in
documents to USCIS or the Department of State at a later date.
Part 2. is determined under the statutes and rules governing
Furthermore, I authorize the release of any information from any
each specific program.
of my records that USCIS or the Department of State may need
to determine my eligibility for the immigration benefit I seek.
I acknowledge that I have read the section entitled Sponsor and
Beneficiary Liability in the Instructions for this affidavit, and am
I further authorize release of information contained in this
aware of my responsibilities as a sponsor under the Social
affidavit, in supporting documents, and in my USCIS or the
Security Act, as amended, and the Food Stamp Act, as amended.
Department of State records to other entities and persons where
necessary for the administration and enforcement of U.S.
Sponsor's Signature
immigration laws.
6.a.
Sponsor's Signature
6.b. Date of Signature (mm/dd/yyyy)
Form I-134 02/13/19
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