[Your Full Name]
[Your Address]
[City, State, ZIP]
[Phone] | [Email]
Date: [Date]
To: [USCIS / Immigration Court / Consulate / Agency Name]
[Office Address (if known)]
Re: Witness Statement in Support of [Applicant Full Name] (A-Number: [A-Number], if known)
1. Introduction
My name is [Your Full Name]. I am writing this letter in support of [Applicant Full Name]. I understand this letter may be submitted in connection with an immigration matter and may be reviewed by an immigration officer or judge.
2. How I Know the Applicant
I have known [Applicant Name] since [Month/Year]. I know them as [friend/family member/employer/neighbor/etc.]. We have been in contact: ☐ daily ☐ weekly ☐ monthly ☐ other: [Frequency].
3. Facts I Can Confirm
Based on my personal knowledge, I can confirm the following:
3.1 Relationship / Household (If Applicable).
-
I know that [Applicant] and [Other Person] have been in a relationship since [Date], and I have observed: [Events, visits, holidays, shared residence].
-
They live(ed) together at: [Address] from [Date] to [Date], to the best of my knowledge.
I know that [Applicant] and [Other Person] have been in a relationship since [Date], and I have observed: [Events, visits, holidays, shared residence].
They live(ed) together at: [Address] from [Date] to [Date], to the best of my knowledge.
3.2 Character and Conduct.
In my experience, [Applicant] is [honest/reliable/responsible]. Examples:
[Example with date/context]
3.3 Employment / Community Ties (Optional).
I know [Applicant] to work at: [Employer] as [Role] since [Date], or to be involved in: [Community/faith/volunteering]. Examples: [Details].
3.4 Hardship / Support (Optional).
If applicable, I have observed that [Applicant’s removal/denial] would cause hardship to: [Family], because: [Facts you personally know].
4. Statement of Truth
I declare that the information in this letter is true and correct to the best of my knowledge and based on my personal observations. I am willing to be contacted if additional information is needed.
Sincerely,
[Your Full Name]
Signatures
[Your Full Name]
Date: [Date]
Signature: ___________________________
Notary / Notarization (Optional)
Subscribed and sworn (or affirmed) before me on [Date], by [Your Full Name], who is personally known to me or has produced identification.
Notary Public Signature: _______________________
My Commission Expires: _______________________