Application by Refugee for Waiver of Inadmissibility Grounds
Use this form if you are a refugee who has been found inadmissible to the United States for reasons such as felony conviction or health conditions and you want to apply for a waiver of inadmissibility for humanitarian reasons, family unity, or national interest.
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Application by Refugee for Waiver of Inadmissibility Grounds is an official immigration form filed with U.S. Citizenship and Immigration Services. Complete it accurately with all required information and supporting documents to avoid processing delays. For step-by-step guidance, open it in the AI Editor.
Quick Facts
Your current legal name as it appears on your Green Card or U.S. passport.
Your date of birth (MM/DD/YYYY).
Your Green Card number (A-Number) if a permanent resident, or USCIS online account number.
Full legal name of the relative you are petitioning for.
Date of birth of the relative (MM/DD/YYYY).
Alien Registration Number of the beneficiary if previously assigned.
Select the qualifying relationship: spouse, unmarried child under 21, unmarried child over 21, married child, parent, or sibling.
List of documents establishing the qualifying relationship (marriage certificate, birth certificate, etc.).
Your signature certifying all information is correct under penalty of perjury.
Date you signed the form (MM/DD/YYYY).
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