I-589 Form
Language
  • English (US)
  • Español

  • I-589, Application for Asylum and for Withholding of Removal

  • Part A.I. Information About You

    • 8. Residence in the U.S. (where you physically reside) 
    • Format: 000.
    • Format: 000-0000.
    • 9. Mailing Address in the U.S. (if different than the address in Item Number 8) 
    • Format: (000).
    • Format: 000-0000.
    •  
    • 10. Gender:
    • 11. Marital Status:
    • 12. Date of Birth (mm/dd/yyyy)
       / /
    • 18. Check the box, a through c, that applies

    • 19. Complete a through c.

    • a. When did you last leave your country? (mm/dd/yyyy)
       / /

    • c. List each entry into the U.S. beginning with your most recent entry. List date (mm/dd/yyyy), place, and your status for each entry. (Attach additional sheets as needed)

    • Most recent 
    • Date
       / /
    • Date Status Expires
       / /
    • Second entry 
    • Date
       / /
    • Other entry 
    • Date
       / /
    •  
    • 22. Expiration Date (mm/dd/yyyy)
       / /
    • 24. Are you fluent in English?

  • Part A.II. Information About Your Spouse and Children

  • 3. Date of Birth (mm/dd/yyyy)
     / /
  • 9. Date of Marriage (mm/dd/yyyy)
     / /
  • 14. Gender
  • 15. Is this person in the U.S.?
  • 17. Date of last entry into the U.S. (mm/dd/yyyy)
     / /
  • 21. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)
     / /
  • 22. Is your spouse in Immigration Court proceedings?
  • 23. If previously in the U.S., date of previous arrival (mm/dd/yyyy)
     / /
  • 24. If in the U.S., is your spouse to be included in this application? Check the appropriate box

  • Your Children. List all of your children, regardless of age, location, or marital status.

  • (NOTE: Use Form I-589 Supplement A or attach additional sheets of paper and documentation if you have more than four children

    • Child 1 
    • 8. Date of Birth (mm/dd/yyyy)
       / /
    • 12. Gender
    • 13. Is this child in the U.S. ?
    • 15. Date of last entry into the U.S. (mm/dd/yyyy)
       / /
    • 19. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)
       / /
    • 20. Is your child in Immigration Court proceedings?
    • 21. If in the U.S., is this child to be included in this application? Check the appropriate box
    • Child 2 
    • 8. Date of Birth (mm/dd/yyyy)
       / /
    • 12. Gender
    • 13. Is this child in the U.S. ?
    • 15. Date of last entry into the U.S. (mm/dd/yyyy)
       / /
    • 19. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)
       / /
    • 20. Is your child in Immigration Court proceedings?
    • 21. If in the U.S., is this child to be included in this application? Check the appropriate box
    • Child 3 
    • 8. Date of Birth (mm/dd/yyyy)
       / /
    • 12. Gender
    • 13. Is this child in the U.S. ?
    • 15. Date of last entry into the U.S. (mm/dd/yyyy)
       / /
    • 19. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)
       / /
    • 20. Is your child in Immigration Court proceedings?
    • 21. If in the U.S., is this child to be included in this application? Check the appropriate box
    • Child 4 
    • 8. Date of Birth (mm/dd/yyyy)
       / /
    • 12. Gender
    • 13. Is this child in the U.S. ?
    • 15. Date of last entry into the U.S. (mm/dd/yyyy)
       / /
    • 19. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)
       / /
    • 20. Is your child in Immigration Court proceedings?
    • 21. If in the U.S., is this child to be included in this application? Check the appropriate box
    •  

  • Part A.III. Information About Your Background

  • Rows
  • Rows
  • Rows
  • Rows

  • 5. Provide the following information about your parents and siblings (brothers and sisters Check the box if the person is deceased. (NOTE: Use Form I-589 Supplement B, or additional sheets of paper, if necessary)

    • Mother 
    • Father 
    • Sibling 
    • Sibling 
    • Sibling 
    • Sibling 

  • Part B. Information About Your Application

    (NOTE: Use Form I-589 Supplement B, or attach additional sheets of paper as needed to complete your responses to the questions contained in Part B

    When answering the following questions about your asylum or other protection claim (withholding of removal under 241(b3) of the INA or withholding of removal under the Convention Against Torture), you must provide a detailed and specific account of the basis of your claim to asylum or other protection. To the best of your ability, provide specific dates, places, and descriptions about each event or action described. You must attach documents evidencing the general conditions in the country from which you are seeking asylum or other protection and the specific facts on which you are relying to support your claim. If this documentation is unavailable or you are not providing this documentation with your application, explain why in your responses to the following questions.

    Refer to Instructions, Part 1: Filing Instructions, Section II, "Basis of Eligibility," Parts A - D, Section V, Completing the Form," Part B, and Section VII, "Additional Evidence That You Should Submit," for more information on completing this section of the form.

    1. Why are you applying for asylum or withholding of removal under section 241(b3) of the INA, or for withholding of removal under the Convention Against Torture? Check the appropriate box(es) below and then provide detailed answers to questions A and B below.

  • I am seeking asylum or withholding of removal based on
  • A. Have you, your family, or close friends or colleagues ever experienced harm or mistreatment or threats in the past by anyone?
  • B. Do you fear harm or mistreatment if you return to your home country?
  • 2. Have you or your family members ever been accused, charged, arrested, detained, interrogated, convicted and sentenced, or imprisoned in any country other than the United States (including for an immigration law violation)?
  • 3.A. Have you or your family members ever belonged to or been associated with any organizations or groups in your home country, such as, but not limited to, a political party, student group, labor union, religious organization, military or paramilitary group, civil patrol, guerrilla organization, ethnic group, human rights group, or the press or media?
  • 3.B. Do you or your family members continue to participate in any way in these organizations or groups?
  • 4. Are you afraid of being subjected to torture in your home country or any other country to which you may be returned?

  • Part C. Additional Information About Your Application

    (NOTE: Use Form I-589 Supplement B, or attach additional sheets of paper as needed to complete your responses to the questions contained in Part C.)

  • 1. Have you, your spouse, your child(ren), your parents or your siblings ever applied to the U.S. Government for refugee status, asylum, or withholding of removal?
  • 2.A. After leaving the country from which you are claiming asylum, did you or your spouse or child(ren) who are now in the United States travel through or reside in any other country before entering the United States?
  • 2.B. Have you, your spouse, your child(ren), or other family members, such as your parents or siblings, ever applied for or received any lawful status in any country other than the one from which you are now claiming asylum?
  • 3. Have you, your spouse or your child(ren) ever ordered, incited, assisted or otherwise participated in causing harm or suffering to any person because of his or her race, religion, nationality, membership in a particular social group or belief in a particular political opinion?
  • 4. After you left the country where you were harmed or fear harm, did you return to that country?
  • 5. Are you filing this application more than 1 year after your last arrival in the United States?
  • 6. Have you or any member of your family included in the application ever committed any crime and/or been arrested, charged, convicted, or sentenced for any crimes in the United States (including for an immigration law violation)?

  • Part D. Your Signature

    I certify, under penalty of perjury under the laws of the United States of America, that this application and the evidence submitted with it are all true and correct. Title 18, United States Code, Section 1546(a), provides in part: Whoever knowingly makes under oath, or as permitted under penalty of perjury under Section 1746 of Title 28, United States Code, knowingly subscribes as true, any false statement with respect to a material fact in any application, affidavit, or other document required by the immigration laws or regulations prescribed thereunder, or knowingly presents any such application, affidavit, or other document containing any such false statement or which fails to contain any reasonable basis in law or fact - shall be fined in accordance with this title or imprisoned for up to 25 years. I certify that I am physically present in the United States or seeking admission at a Port of Entry when I execute this application. I authorize the release of any information from my immigration record that U.S. Citizenship and Immigration Services (USCIS) needs to determine eligibility for the benefit I am seeking.

    WARNING: Applicants who are in the United States unlawfully are subject to removal if their asylum or withholding claims are not granted by an asylum officer or an immigration judge. Any information provided in completing this application may be used as a basis for the institution of, or as evidence in, removal proceedings even if the application is later withdrawn. Applicants determined to have knowingly made a frivolous application for asylum will be permanently ineligible for any benefits under the Immigration and Nationality Act. You may not avoid a frivolous finding simply because someone advised you to provide false information in your asylum application. If filing with USCIS, unexcused failure to appear for an appointment to provide biometrics (such as fingerprints) and your biographical information within the time allowed may result in an asylum officer dismissing your asylum application or referring it to an immigration judge. Failure without good cause to provide DHS with biometrics or other biographical information while in removal proceedings may result in your application being found abandoned by the immigration judge. See sections 208(d5A) and 208(d6) of the INA and 8 CFR sections 208.10, 1208.10, 208.20, 1003.47(d) and 1208.20.

  • Did your spouse, parent, or child(ren) assist you in completing this application?
  • Did someone other than your spouse, parent, or child(ren) prepare this application?
  • Asylum applicants may be represented by counsel. Have you been provided with a list of persons who may be available to assist you, at little or no cost, with your asylum claim?
  • Date (mm/dd/yyyy)
     / /

  • Part E. Declaration of Person Preparing Form, if Other Than Applicant, Spouse, Parent, or Child

    I declare that I have prepared this application at the request of the person named in Part D, that the responses provided are based on all information of which I have knowledge, or which was provided to me by the applicant, and that the completed application was read to the applicant in his or her native language or a language he or she understands for verification before he or she signed the application in my presence. I am aware that the knowing placement of false information on the Form I-589 may also subject me to civil penalties under 8 U.S.C. 1324c and/or criminal penalties under 18 U.S.C. 1546(a

  • Format: (000).
  • Format: 000-0000.

  • To be completed by an attorney or accredited representative (if any).

  • Part F. To Be Completed at Asylum Interview, if Applicable

    NOTE: You will be asked to complete this part when you appear for examination before an asylum officer of the Department of Homeland Security, U.S. Citizenship and Immigration Services (USCIS)

  • I swear (affirm) that I know the contents of this application that I am signing, including the attached documents and supplements, that they are

  • were made by me or at my request.

    Furthermore, I am aware that if I am determined to have knowingly made a frivolous application for asylum I will be permanently ineligible for any benefits under the Immigration and Nationality Act, and that I may not avoid a frivolous finding simply because someone advised me to provide false information in my asylum application.

  • Signed and sworn to before me by the above named applicant on:

  • Date (mm/dd/yyyy)
     / /

  • Part G. To Be Completed at Removal Hearing, if Applicable

    NOTE: You will be asked to complete this Part when you appear before an immigration judge of the U.S. Department of Justice, Executive Office for Immigration Review (EOIR), for a hearing.

  • I swear (affirm) that I know the contents of this application that I am signing, including the attached documents and supplements, that they are

  • were made by me or at my request.

    Furthermore, I am aware that if I am determined to have knowingly made a frivolous application for asylum I will be permanently ineligible for any benefits under the Immigration and Nationality Act, and that I may not avoid a frivolous finding simply because someone advised me to provide false information in my asylum application.

     

    Signed and sworn to before me by the above named applicant on:

  • Date (mm/dd/yyyy)
     / /

  • Supplements

  • Additional Siblings

    • Sibling 
    • Sibling 
    • Sibling 
    • Sibling 
    • Sibling 
    • Sibling 
    • Sibling 

    • Additional Childrens

    • Child 5 
    • 8. Date of Birth (mm/dd/yyyy)
       / /
    • 12. Gender
    • 13. Is this child in the U.S. ?
    • 15. Date of last entry into the U.S. (mm/dd/yyyy)
       / /
    • 19. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)
       / /
    • 20. Is your child in Immigration Court proceedings?
    • 21. If in the U.S., is this child to be included in this application? Check the appropriate box
    • Child 6 
    • 8. Date of Birth (mm/dd/yyyy)
       / /
    • 12. Gender
    • 13. Is this child in the U.S. ?
    • 15. Date of last entry into the U.S. (mm/dd/yyyy)
       / /
    • 19. What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)
       / /
    • 20. Is your child in Immigration Court proceedings?
    • 21. If in the U.S., is this child to be included in this application? Check the appropriate box
    • Should be Empty: