1/ Warning: 18 U.S.C. 1001 provides, among other things, that whoever knowingly and willfully makes or usesaor writing containing any false, fictitious, or fraudulent statement or entry, in any matter within the jurisdiction of any department or agency of the United States, shall be fined not more than $10,000, imprisoned for not more than five years, or both.
The following footnotes pertain to noncitizens who declare eligible immigration status in one of the following categories:
2/ Eligible Immigration status and 62 years of age or older. For noncitizens who are 62 years of age or older or who will be 62 years of age or older and receiving assistance under a Section 214 covered program on June 19, 1995. If you are eligible and elect to select this category, you must include a document providing evidence of proof of age. No further documentation eligible immigration status is required.
3/Immigrant status under $$101(a15) or 101(a20) of INA. A noncitizen lawfully admitted for permanent residence, as definedby 101(a20) of the Immigration and Nationality Act (INA), as an immigrant, as defined by 101(a15) of the INA (8 U.S.C. 110(a20) and 110(a15), respectively [immigrant status]. This category includes a noncitizen admitted under §§210 or 210a of the INA (8 U.S.C. 1160 or 1161), [special agricultural worker status], who has been granted lawful temporary resident
4/Permanent residence under §249 of INA. A noncitizen who entered the U.S. before January1, 1092, or such later date as enacted by law, and has continuously maintained residence in the U.S. since then, and who is not ineligible for citizenship, but who is deemed to be lawfully admitted for permanent residence as a result of an exercise of discretion by the Attorney General under §249 of the INA (8 U.S.C. 1259) [amnesty granted under INA 249]
5/ Refugee,asylum, or conditional entry status under $§207c 208 or 203 of INA. A noncitizen who is lawfully present in the U.S. pursuant to an admission under §207 of the INA (8 U.S.C. 1157) [refugee status]; pursuant to the granting of asylum (whichhas not been terminated) under §208 of the INA (8 U.S.C. 1158) [asylum status]; or as a result of being granted conditional entry under §203 (a7) of the INA (U.S.C. 1153(a7 before April 1, 1980, because of persecution or fear of persecution on account of race, religion, or political opinion or because of being uprooted by catastrophic national calamity [conditional entry status].
6/status under $212(d5) of INA. A noncitizen who is lawfully present in the U.S. as a result of an exercise of discretion Parole by the Attorney General for emergent reasons or reasons deemed strictly in the public interest under $212(d5) of the INA (8 U.S.C. 1182(d5 [parole status].
7/ Threat to life or freedom under $243(h) of INA. A noncitizen who is lawfully present in the U.S. as a result of the Attorney General's withholding deportation under $243(h) of the INA (8 U.S.C. 1253(h [threat to life or freedom]. permanent residence under §245A of 8/ Amnesty under §245A of INA. A noncitizen lawfully admitted for temporary or the INA (8 U.S.C. 1255a) [amnesty granted under INA 245A]