I-485 Adjust Status / Permanent Residence Application Template

I-485 Application to Register Permanent Residence or Adjust Status Cover Letter Template

[Your Full Name]

[A-Number (if any)]

[Your Street Address]

[City, State, ZIP Code]

[Phone Number]

[Email Address]

[Date]

U.S. Citizenship and Immigration Services

[USCIS Office / Service Center / Lockbox Name]

[USCIS Address Line 1]

[USCIS Address Line 2]

Re: Form I-485, Application to Register Permanent Residence or Adjust Status

Applicant: [Your Full Name], A-Number: [A-Number, if any]

Category: [Adjustment Category]

1. Introduction and Purpose of This Letter

I, [Your Full Name], submit this cover letter in support of my Form I-485, Application to Register Permanent Residence or Adjust Status. This letter introduces my case, identifies my adjustment category, and lists the forms and supporting documents included in my application packet.

2. Personal and Immigration Background

Full Name: [Your Full Name]

Other Names Used: [Other Names or “None”]

Date of Birth: [MM/DD/YYYY]

Place of Birth: [City, Country]

Country of Citizenship/Nationality: [Country]

Current U.S. Mailing Address: [Street, City, State, ZIP Code]

Current U.S. Physical Address: [Street, City, State, ZIP Code]

I-94 Number: [I-94 Number or “None”]

First Entry to the United States: [Date of First Entry]

Class of Admission at First Entry: [Class of Admission]

Most Recent Entry to the United States: [Date of Most Recent Entry]

Class of Admission at Most Recent Entry: [Class of Admission]

Current Immigration Status: [Current Status or “No Current Lawful Status”]

Status Expiration Date: [Date or “N/A”]

3. Basis for Adjustment of Status

Adjustment Category: [For Example: Immediate Relative (Spouse) of U.S. Citizen / Family-Sponsored Preference / Employment-Based / Asylee or Refugee / Other]

Underlying Petition or Basis:

Petition Type: [Form I-130 / Form I-140 / Form I-360 / Other]

Petitioner or Employer Name: [Name]

Petition Receipt Number: [Receipt Number]

Petition Priority Date: [Priority Date, if any]

Petition Approval Date: [Approval Date, if approved]

Derivative Family Members Filing with Me:

[Name of Spouse], A-Number: [A-Number or “None”], Date of Birth: [MM/DD/YYYY]

[Name of Child], A-Number: [A-Number or “None”], Date of Birth: [MM/DD/YYYY]

[Name of Child], A-Number: [A-Number or “None”], Date of Birth: [MM/DD/YYYY]

4. Immigration History Summary

Date of First Entry: [Date]

Manner of First Entry: [With Visa / Visa Waiver / Without Inspection / Other]

Immigration History Details:

– Prior Entries: [Dates, Locations, Status or “None”]

– Departures from the United States: [Dates and Destinations or “None”]

– Reentries to the United States: [Dates, Ports of Entry, Status or “None”]

– Status Changes or Extensions: [Form Type, Filing Date, Approval Date or “None”]

– Prior Applications Filed with USCIS: [Form Type, Receipt Number, Filing Date or “None”]

– Prior Removal, Voluntary Departure, or Immigration Proceedings: [Details or “None”]

5. Family and Personal Information

Marital Status: [Single / Married / Divorced / Widowed]

Spouse’s Information (if applicable):

Spouse’s Full Name: [Spouse’s Full Name]

Spouse’s Date of Birth: [MM/DD/YYYY]

Spouse’s Country of Birth: [Country]

Spouse’s Status: [U.S. Citizen / Lawful Permanent Resident / Other]

Date of Marriage: [MM/DD/YYYY]

Place of Marriage: [City, State/Country]

Children’s Information (if applicable):

[Child’s Full Name] – Date of Birth: [MM/DD/YYYY] – Place of Birth: [City, Country] – Status: [Status]

[Child’s Full Name] – Date of Birth: [MM/DD/YYYY] – Place of Birth: [City, Country] – Status: [Status]

Brief Family and Personal Background:

[Short Paragraph Describing Family, Residence, and Personal Situation]

6. List of Enclosed Forms

The following USCIS forms are enclosed with this adjustment of status packet:

1. Form I-485, Application to Register Permanent Residence or Adjust Status, for [Your Full Name]

2. Form I-130, Petition for Alien Relative, for [Your Full Name], filed by [Petitioner Name] [if enclosed]

3. Form I-864 or Other Required Affidavit of Support, with supporting financial evidence

4. Form I-765, Application for Employment Authorization [if enclosed]

5. Form I-131, Application for Travel Document (Advance Parole) [if enclosed]

6. Form G-1145, E-Notification of Application/Petition Acceptance [if enclosed]

7. Additional Forms: [Form Number and Title]

Form I-485, Application to Register Permanent Residence or Adjust Status, for [Your Full Name]

Form I-130, Petition for Alien Relative, for [Your Full Name], filed by [Petitioner Name] [if enclosed]

Form I-864 or Other Required Affidavit of Support, with supporting financial evidence

Form I-765, Application for Employment Authorization [if enclosed]

Form I-131, Application for Travel Document (Advance Parole) [if enclosed]

Form G-1145, E-Notification of Application/Petition Acceptance [if enclosed]

Additional Forms: [Form Number and Title]

7. List of Supporting Documents

The following supporting documents are enclosed in support of my Form I-485:

Identity and Civil Documents

– Copy of passport biographical page

– Copy of all U.S. visa pages and entry stamps

– Copy of most recent I-94 record

– Birth certificate and certified English translation

– Government-issued photo identification

Relationship and Category Evidence

– Marriage certificate and certified translation

– Divorce decrees or death certificates from prior marriages

– Birth certificates of children

– Evidence of bona fide marital relationship: [Joint Bank Statements / Lease or Mortgage / Joint Bills / Insurance Policies / Photographs / Correspondence]

– Other relationship evidence: [Details]

Status and Eligibility Evidence

– I-130 / I-140 / I-360 or other petition receipt and/or approval notices

– Evidence of lawful admission or parole: [I-94, Entry Stamp, Parole Documents]

– Asylum or refugee approval notices, if applicable

– Documentation for special immigrant or humanitarian category, if applicable

Financial and Support Evidence

– Completed and signed Affidavit of Support (Form I-864 or other required form)

– Petitioner’s federal tax returns and W-2s

– Recent pay stubs

– Employment verification letter

– Bank statements or other financial records

Medical and Background Evidence

– Form I-693, Report of Medical Examination and Vaccination Record [if enclosed]

– Police certificates or court records, if any

– Other background documentation: [Details]

Additional Supporting Documents

– Passport-style photographs in required quantity

– Letters of support: [From Family / Friends / Employers / Community or Religious Organizations]

– Any other documents supporting my eligibility for adjustment of status: [Details]

8. Statement and Request

I respectfully request that USCIS accept and approve my Form I-485, Application to Register Permanent Residence or Adjust Status, based on the information and documentation provided. To the best of my knowledge and belief, all statements in my application, supporting forms, and this cover letter are true, correct, and complete.

9. Closing

Thank you for your time and consideration in reviewing my application and supporting documents.

Respectfully submitted,

[Your Full Name]

[Signature, if printed]

[Date]