How to fill out Form I-864A, Contract Between Sponsor and Household Member

How to fill out Form I-864A

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When the petitioner needs to include income from family members to meet the minimum income requirements, Form I-864A must be completed. 

Qualifying family members include the sponsor’s spouse, married child, unmarried child son or daughter (age 21 or older), sibling, or parent. 

A qualifying relative must be over 18 and immigration status is not requested. 

A qualifying relative is called “Household member”. 

Each household member who wants to help the petitioner to use their income must sign Form I-864A and submit the supporting documentation. 

We discussed Form I-864A and the checklist of required documents in this guide. In this post, we will provide you with step-by-step instructions on how to fill out Form I-864A.

Form I-864A consists of 9 parts. 

Part 1. Information About You (the Household Member)

The household member is the petitioner’s family member who wants to supplement petitioner income for Affidavit of Support (I-864) purposes. Provide the household member’s information in Part 1.

Question 1.a.-1.c. – Full Name: The full legal name of the household member is entered here. Enter the household member’s full legal name as shown on their official documents such as a birth certificate or legal name-change document. 

Question 2.a.-2.i. – Mailing Address: The household member must provide their U.S. mailing address. If you want to receive the correspondence yourself, leave “In Care of Name” field blank. If you want someone to receive the correspondence on your behalf, enter that person’s first and last name.

Question 3 – Is your current mailing address the same as your physical address? If you answered “Yes”, move to Question 5. If you answered “No”, provide your physical address in Question 4.a.-4.h.

Other Information

Provide household member’s information in this section.

Question 5 – Date of Birth – Enter the household member’s date of birth in the (mm/dd/yyyy) format.

Question 6.a.-6.c. – Place of Birth – Enter the household member’s city, state, and country of birth.

Question 7 – U.S. Social Security Number Provide the household member’s SSN.

Question 8 – USCIS Online Account Number (if any) – If the household member have ever created an USCIS Online Account Number, enter it in this field. If you never created an online USCIS account or do not have access to it, leave this field blank. Keep in mind that USCIS Online Account Number is not the same as an A-Number (Alien Registration Number).

Part 2. Your (the Household Member’s) Relationship to the Sponsor

Question 1.a. – I am the intending immigrant and also the sponsor’s spouse – check this box if you are the person being sponsored for permanent residence and the petitioner (sponsor) is your spouse. Keep in mind that the intending immigrant can use their income to supplement the petitioner’s income ONLY if intending immigrant’s income will continue from lawful source after obtaining permanent residence. You can find the checklist of required documents in this guide.

Question 1.b. – I am the intending immigrant and also a member of the sponsor’s household – check this box if you are the person being sponsored for permanent residence and are considered a household member. A household member can be the petitioner’s spouse, parent, child, adult son/daughter, sibling and a dependent claimed on petitioner’s most recent federal tax return.  

Question 1.c. – I am not the intending immigrant. I am the sponsor’s household member. I am related to the sponsor as his/her: 

  • Spouse – choose this box if you are the petitioner’s spouse and you are not the immigrant being sponsored.
  • Son or daughter (at least 18 years of age) – choose this box if you are the petitioner’s son or daughter over the age of 18 and is not the immigrant being sponsored. Individuals under 18 are not allowed to become household members for Form I-864A purposes.
  • Parent – choose this box if you are the petitioner’s parent and is not the immigrant being sponsored.
  • Brother or sister – choose this box if you are the petitioner’s brother or sister and is not the immigrant being sponsored/
  • Other dependent – choose this box if you were claimed as a dependent on petitioner’s most recent tax return and indicate your relationship to the petitioner (for example, aunt, uncle, grandmother, etc.)

Part 3. Your (The Household Member’s) Employment and Income

In this part you must choose only one box that best describes the household member’s current employment status.

Question 1 – Employed as a/an – enter your occupation/position in this field (for example, software engineer, sales representative, nurse, etc.)

Question 2 – Name of Employer Number 1 – enter your employer (company name) in this field (for example, Montefiore Hospital, Cisco Inc., etc.) Leave this field blank if you are self-employed, retired or unemployed.

Question 3 – Name of Employer Number 2 (if applicable) – enter your second employer in this field (only if it applies to you). Leave this field blank if you do not have a second employer, you’re self-employed, retired or unemployed.

Question 4 – Self employed as a/an – enter your occupation in this field (for example, CPA, moving business, construction contractor, etc.) Leave this blank if you are employed by a company, you’re retired or unemployed.

Question 5 – Retired from (Company Name) – enter your last employer information (the company’s name) and enter the date your retirement started in the Since (mm/dd/yyyy) field.

Question 6 – Unemployed since (mm/dd/yyyy) – choose this box if you are currently unemployed and enter the date your unemployment started.

Question 7 – My current individual income is: enter the household’s member’s current income. If you do not know the exact amount, provide your best estimate. All income must be derived from legal sources regardless of whether taxes on the income have been paid. If your income has recently changed, you can additionally provide a current employment verification from your employer stating your current salary and pay stubs for the last 6 months.

Part 4. Your (the Household Member’s) Federal Income Tax Information and Assets

Questions in this section must be answered by the household member.

Question 1.a. – Have you filed a Federal income tax return for each of the three most recent tax years?Answer “Yes” if you have filed the federal tax returns for each of the last 3 years. Answer “No” if you did not file the federal tax returns for each of the last 3 years. USCIS requires household members to submit a copy of the most recent federal tax return only.  Do not submit state returns and/or foreign returns. Household member’s respective W-2s and 1099 forms associated with the tax return for the most recent year must also be provided. 

Household members can also provide an IRS tax transcript instead of a federal tax return. IRS tax transcript can be obtained online on the IRS website. If you provided a copy of an IRS tax return for the most recent year, then it is not necessary to include the W-2s and 1099s. 

Question 1.b. – I have attached photocopies of my Federal income tax returns for my second and third most recent tax years – check this box only if you want to provide copies of your federal income tax returns for all 3 most recent years. It’s optional and can be done by those household members who believe that providing the federal tax returns for the most 3 recent years will help establish the minimum income requirements.

Question 2.a. – Most recent – Tax Year – Total Income – enter the year and the amount listed in the “This is your total income” line on the first page of your federal income tax return (Form 1040). If the total income was zero, enter “0” or N/A for non-applicable situations.

Question 2.b. – 2nd Most Recent – you need to answer this question if you chose to provide the tax returns for all 3 years. Again, enter the year and the amount listed in the “This is your total income” line on the first page of your federal income tax return (Form 1040).

Question 2.c. – 3rd Most Recent – you need to answer this question if you chose to provide the tax returns for all 3 years. Again, enter the year and the amount listed in the “This is your total income” line on the first page of your federal income tax return (Form 1040).

My assets (complete only if necessary). This section only applies for those household members who will be using their assets to meet the income requirements. Leave this section blank if you will be using your income only.

Questions 3.a.-3.d.must be answered only if the household member will be using their assets. If a household member is using income only, skip this section and move to Part 5.

If you are the intending immigrant and will be using your assets, then skip this section and instead enter the amount of your assets on petitioner’s Form I-864.

Types of assets that can be listed in this section:

  • Assets that can be converted into cash within 1 year and without considerable financial hardship to the owner (cash, checking and savings accounts, CD (certificates of deposit), stocks, investments accounts, etc.)
  • Household member needs to provide proof of ownership for each asset listed
  • If using car as an asset – you can list a car as an asset only if you can provide documentation showing that you have more than one vehicle and and at least one vehicle is not included on this form

Question 3.a. – Enter the balance of all cash, savings, and checking accounts – enter the household member’s current total balance of all cash, savings and checking accounts.

Question 3.b. – Enter the net cash value of real-estate holdings. (Net value means assessed value minus mortgage debt.) – if using a home as an asset, then you must obtain a recent appraisal by a licensed appraiser, documentation showing any loans secured by the mortgage, trust deed, or other lien. 

Question 3.c. – Enter the cash value of all stocks, bonds, certificates of deposit, and other assets not listed on Item Number 3.a. or 3.b. – in this field, enter the total value of all your stocks, bonds, certificates of deposit (CD) and any other asset not previously listed in this section

Question 3.d. – Add together Item Numbers 3.a., 3.b., and 3.c. and enter the number here – provide the total amount of all assets listed in this section.

Part 5. Sponsor’s Promise, Statement, Contact Information, Declaration, Certification, and Signature

This part must be completed by the petitioner (sponsor) filing Form I-864 to sponsor an immigrant. 

I, THE SPONSOR – print sponsor’s full name in this field

(Indicate number) – write down the total number of intending immigrants being sponsored 

Intending Immigrant Number 1 

Name

1.a. Family Name (Last Name) – enter the intending immigrant’s last name

1.b. Given Name (First Name) – enter the intending immigrant’s first name

1.c. Middle Name – enter the intending immigrant’s middle name. If the intending immigrant doesn’t have a middle name, leave this field blank

2. Date of birth (mm/dd/yyyy) – enter the intending immigrant’s date of birth in the mm/dd/yyyy format

3. Alien Registration Number (A number, if any) – enter the intending immigrant’s A number. Learn where to find the A number. If the intending immigrant doesn’t have an A number, enter “None”.

4. U.S. Social Security Number (if any) – enter the intending immigrant’s SSN. Intending immigrants who have never been in the US, do not have SSNs. If the intending immigrant does not have a SSN, enter “None”.

5. USCIS Online Account Number (if any). If the intending immigrant have ever created an USCIS Online Account Number, enter it in this field. If you never created an online USCIS account or do not have access to it, leave this field blank. Keep in mind that USCIS Online Account Number is not the same as an A-Number (Alien Registration Number).

If you have only 1 intending immigrant, you can enter N/A in the Intending Immigrant 2, Intending Immigrant 3, Intending Immigrant 4 and Intending Immigrant Number 5 fields.

If you have more than one intending immigrant follow the instructions provided above for the Intending Immigrant Number 1.

Sponsor’s Statement

This section must be completed by the petitioner (sponsor) who is filing Form I-864 to sponsor the intending immigrant.

26.a. I can read and understand English, and I have read and understand every question and instruction on this contract and my answer to every question – choose this box if you are fluent in English and you did not use an interpreter’s services to prepare this form.

26.b. The interpreter named in Part 7. read to me every question and instruction on this contract and my answer to every question in ______________ (enter your native language, for example Spanish), a language in which I am fluent, and I understood everything – choose this box if you used an interpreter’s services to understand the questions on this form. Anyone can serve as an interpreter – a family member, friend, or professional interpreter. Indicate into which language the interpreter translated questions on this form.

27. At my request, the preparer named in Part 8., _______________(enter the preparer’s first and last name), prepared this contract for me based only upon information I provided or authorized – choose this box if anyone helped you to prepare this form (it can be a family member, a friend, interpreter or immigration attorney). Enter the preparer’s first and last name. If you prepared the form yourself, leave this box unchecked

Sponsor’s Contact Information

In this section provide the phone number and email address of the petitioner (sponsor) who is filing Form I-864 for the intending immigrant.

28. Sponsor’s Daytime Telephone Number – enter your cell phone or work phone number in this field where you will be available at daytime

29. Sponsor’s Mobile Telephone Number (if any) – enter your cell phone number

30. Sponsor’s Email Address (if any) – enter your email address.

Sponsor’s Signature

This section must be signed by the petitioner (sponsor) who is filing Form I-864 for the intending immigrant.

31.a. Sponsor’s Signature – sign in black ink. Do not type or stamp your name. It must be a handwritten signature

31.b. Date of Signature (mm/dd/yyyy) – date the form in the mm/dd/yyyy format.

Unsigned or undated forms will be rejected by USCIS.

Part 6. Your (the Household Member’s Promise, Statement, Contract Information, Declaration, Certification and Signature

This part is completed by the household member who is helping the petitioner (sponsor) to meet the minimum income requirements.

I, THE HOUSEHOLD MEMBER, ___________________ (print your full name), in consideration of the sponsor’s promise to complete and file an affidavit of support on behalf of the above named intending immigrants.

__________________ (enter the total number of intending immigrants being sponsored by filing this form).

Your (the Household Member’s) Statement

This part is completed by the household member who is helping the petitioner (sponsor) to meet the minimum income requirements.

1.a. I can read and understand English, and I have read and understand every question and instruction on this contract and my answer to every question – choose this box if you are fluent in English and you did not use an interpreter’s services to prepare this form.

1.b. The interpreter named in Part 7. read to me every question and instruction on this contract and my answer to every question in ______________ (enter your native language, for example Spanish), a language in which I am fluent, and I understood everything – choose this box if you used an interpreter’s services to understand the questions on this form. Anyone can serve as an interpreter – a family member, friend, or professional interpreter. Indicate into which language the interpreter translated questions on this form.

2. At my request, the preparer named in Part 8., _______________(enter the preparer’s first and last name), prepared this contract for me based only upon information I provided or authorized – choose this box if anyone helped you to prepare this form (it can be a family member, a friend, interpreter or immigration attorney). Enter the preparer’s first and last name. If you prepared the form yourself, leave this box unchecked

Your (the Household Member’s) Contact Information

In this section provide the phone number and email address of the household member.

3. Your (the Household Member’s) Daytime Telephone Number – enter your cell phone or work phone number in this field where you will be available at daytime

4. Your (the Household Member’s) Mobile Telephone Number (if any) – enter your cell phone number

5. Your (the Household Member’s) Email Address (if any) – enter your email address.

Your (the Household Member’s) Signature

This section must be signed by the household member.

6.a. Your (the Household Member’s) Printed Name – enter the household member’s full name

6.b. Your (the Household Member’s) Signature – sign in black ink. Do not type or stamp your name. It must be a handwritten signature

6.c. Date of Signature (mm/dd/yyyy) – date the form in the mm/dd/yyyy format.

Unsigned or undated forms will be rejected by USCIS.

Part 7. Interpreter’s Contact Information, Certification, and Signature 

Part 7 must be completed by an interpreter who helped to translate the questions on this form. 

If you did not use a translator to complete this form, leave Part 7 blank.

If an interpreter was used to read the questions on this form, Part 7 must be completed with the information of the interpreter and the interpreter must sign and date certifying that they are:

  • Fluent in English and the language used by the applicant; 
  • They have completely read the application to the applicant in that language; and 
  • The applicant confirmed they understood what was in the application and they verified the accuracy of the application.

Part 7 is filled out by entering the following details:

  • Full legal name of the interpreter
  • The name of the interpreter’s business or organization (if applicable). If the interpreter does not belong to any company or organization, enter “Not applicable”.
  • Interpreter’s mailing address, daytime phone number, and email address. 

Interpreter’s Certification – The language used by the interpreter to translate the form to the petitioner or household member is entered in the appropriate box in the certification on page 6. It should be the same language listed in Part 5, Question 26.b or Part 6., Item 1.b.

The interpreter must sign and date the Interpreter’s Certification where indicated at Questions 7.a. And 7.b. on Page 6 of the Form I-864A.

Part 8. Contact Information, Declaration, and Signature of the Person Preparing this Contract, If Other than the Sponsor or Household Member

Part 8 must be completed only if any person has assisted you to prepare this form (a family member, a friend, immigration attorney, any other person).

If you did not use a preparer to complete this form, leave the whole Part 8 blank.

This part is completed and signed by the preparer. 

Part 8 is completed by the preparer answering Questions 1–7:  full name, preparer’s company or organization (can enter “Not applicable” if preparer is not a part of a company or organization), mailing address, daytime telephone number, cell phone (if any), and email address (if any). 

Preparer must sign the Preparer’s Statement, declaring that they prepared the Form I-864A at the applicant’s behest, and it is based on all the information of which the preparer has knowledge. The preparer must sign and date the Preparer’s Declaration where indicated as Questions 8.a. and 8.b.

Part 9. Additional Information

You can use this if there is not enough space in any other parts of the form to provide all requested information. 

Note: Even if no information is provided in Part 9, this page should still be included with the application when submitted to USCIS. 

If additional space is required, make additional copies of this page to provide all the details requested. 

If Part 8 is being used to provide additional information, enter the intending immigrant’s name and Alien Registration Number (A-Number) (if intending immigrant has one), where indicated on each page being used. 

For each additional item of information provided, indicate the Page Number, Part Number, and Item Number to which your answer refers.

Related Links:

Form I-864A, Contract Between Sponsor and Household Member

What is a Joint Sponsor – Affidavit of Support (Form I-864)

Affidavit of Support Checklist – Form I-864

How to Fill Out Affidavit of Support – Form I-864

Affidavit of Support, Form I-864

How to Count Household Size for I-864 (Affidavit of Support)