I-485 EB

Employment Green Card Application
Please fill out the following information that is needed for your Green Card application. Your information will be sent securely to our office and we will verify the information with you before we submit your case to the USCIS.

If you have any questions regarding this form, please contact our office.
- Your name:*
  
  First NameLast Name
- Your name:*
  
  First NameMiddle NameLast Name
- NoYes
- NoYes
- Prior Name
  
  First NameMiddle NameLast Name
- YesNo
- Prior Name
  
  First NameMiddle NameLast Name
- YesNo
- Prior Name
  
  First NameMiddle NameLast Name
- NoYes
- List all of your citizenships
- At which Airport or Port of Entry did you last enter the United States?*
- YesNo
- WhiteAsianBlackOther
- Height (in feet) *
- Weight (in pounds) *
- BlackBlueBrownGrayGreenHazelMaroonPinkOther
- No HairBlackBlondBrownGrayRedSandyWhiteOther
- Address history in the past 5 years:
- Current Address *
  
  Street number and name
  
  Apartment / Floor
  
  City or TownState
  
  Zip Code
- From*
  
  MonthDayYear
- To
  
  MonthDayYear
- Today's date
  
  MonthDayYear
- 5 years from today
  
  MonthDayYear
- NoYes
- Prior Address*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From*
  
  MonthDayYear
- To*
  
  MonthDayYear
- Day Counter for residence abroad
- Prior Address*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From*
  
  MonthDayYear
- To*
  
  MonthDayYear
- Day Counter for residence abroad
- Prior Address*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From*
  
  MonthDayYear
- To*
  
  MonthDayYear
- Day Counter for residence abroad
- Prior Address*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From *
  
  MonthDayYear
- To*
  
  MonthDayYear
- Day Counter for residence abroad
- Prior Address*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From *
  
  MonthDayYear
- To*
  
  MonthDayYear
- Day Counter for residence abroad
- Prior Address*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From *
  
  MonthDayYear
- To*
  
  MonthDayYear
- Day Counter for residence abroad
- Prior Address*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From *
  
  MonthDayYear
- To*
  
  MonthDayYear
- Day Counter for residence abroad
- Prior Address*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From *
  
  MonthDayYear
- To*
  
  MonthDayYear
- Day Counter for residence abroad
- Prior Address*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From *
  
  MonthDayYear
- To*
  
  MonthDayYear
- Day Counter for residence abroad
- Prior Address*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From *
  
  MonthDayYear
- To*
  
  MonthDayYear
- Day Counter for residence abroad
- Prior Address*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From *
  
  MonthDayYear
- To*
  
  MonthDayYear
- Day Counter for residence abroad
- Prior Address*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From *
  
  MonthDayYear
- To*
  
  MonthDayYear
- Day Counter for residence abroad
- Your last address outside of the US where you lived for 1 year or more:
- Address outside of the US*
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- From *
  
  MonthDayYear
- To (leave blank if still live / visit there)
  
  MonthDayYear
- Single (never married)MarriedDivorcedWidowed
- Your Spouse's Name*
  
  First NameMiddle NameLast Name
- YesNo
- Other Name used by your Spouse
  
  First NameMiddle NameLast Name
- YesNo
- Other Name used by your Spouse
  
  First NameMiddle NameLast Name
- Your Spouse's Date of Birth:*
  
  MonthDayYear
- City or Place your Spouse was born*
- Country where your Spouse was born*
- Date of Marriage:*
  
  MonthDayYear
- City or Place you got married*
- Country where you got married *
- YesNo
- Address where your Spouse lives
  
  Street number and name
  
  Apartment / Floor
  
  CityState / Province
  
  Postal / Zip CodeCountry
- NoYes
- Your Prior Spouse's Name (before marriage)
  
  First NameMiddle NameLast Name
- Your Prior Spouse’s Date of Birth:
  
  MonthDayYear
- Country where your Prior Spouse was born*
- Country of your Prior Spouse Citizenship*
- Date of Marriage with your Prior Spouse:
  
  MonthDayYear
- City or Place you got married
- Country where you got married
- Date Marriage Ended with your Prior Spouse:
  
  MonthDayYear
- City or Place your marriage ended
- Country where your marriage ended
- NoYes
- Your Prior Spouse's Name (before marriage)
  
  First NameMiddle NameLast Name
- Your Prior Spouse’s Date of Birth:
  
  MonthDayYear
- Country where your Prior Spouse was born*
- Country of your Prior Spouse Citizenship*
- Date of Marriage with your Prior Spouse:
  
  MonthDayYear
- City or Place you got married
- Country where you got married
- Date Marriage Ended with your Prior Spouse:
  
  MonthDayYear
- City or Place your marriage ended
- Country where your marriage ended
- YesNo
- Name of your Child
  
  First NameMiddle NameLast Name
- Date of Birth:
  
  MonthDayYear
- Your Child's Country of Birth
- YesNo
- Name of your Child
  
  First NameMiddle NameLast Name
- Date of Birth:
  
  MonthDayYear
- Your Child's Country of Birth
- YesNo
- Name of your Child
  
  First NameMiddle NameLast Name
- Date of Birth:
  
  MonthDayYear
- Your Child's Country of Birth
- YesNo
- Name of your Child
  
  First NameMiddle NameLast Name
- Date of Birth:
  
  MonthDayYear
- Your Child's Country of Birth
- Your Mother's Information
- Your Mother's Full Name*
  
  First NameMiddle NameLast Name
- YesNo
- Your Mother's Full Name at Birth
  
  First NameMiddle NameLast Name
- Your Mother's Date of Birth:
  
  MonthDayYear
- Your Mother's City or Place of Birth
- Your Mother's Country of Birth
- YesNo
- City or place where your mother lives
- Country where your mother lives
- Your Father's Information
- Your Father's Full Name*
  
  First NameMiddle NameLast Name
- Your Father's Date of Birth:
  
  MonthDayYear
- Your Father's City or Place of Birth
- Your Father's Country of Birth
- YesNo
- City or place where your Father lives
- Country where your Father lives
- The following questions are intended to determine the likelihood of your future dependency on the government assistance (Public Charge).
  
  You don't need to provide any documents, just answer these questions to the best of your knowledge.
- How many people (including you) are or will be on your tax return?*
- $0 - 27,000$27,001 - 52,000$52,001 - 85,000$85,001 - 141,000Over $141,000
- $0 - 18,400$18,401 - 136,000$136,001 - 321,4000$321,401 - 707,100Over $707,100
- $0$1 - 10,100$10,101 - 57,700$57,701 - 186,000Over $186,000
- Less than High SchoolHigh School DiplomaSome college - No DiplomaAssociate's DegreeBachelor's DegreeMaster's DegreePhD or similar
- YesNo
- YesNo
- Please explain (what type of visa was denied, where, why and when?)
- YesNo
- Please explain (where, when and why?)
- YesNo
- Please explain (what type of training, where and when?)
- YesNo
- Please provide any additional information
- Your Email Address*
- Form Name (hidden)
- Dropbox Folder Name (hidden)
- Should be Empty:

Employment Green Card Application