FOR WAIVER OF INADMISSIBILITY

GENERAL

Family Name (required)

Given name (required)

E-mail address (required)

Marital Status (required)
SingleMarriedSeparatedDivorcedWidowed

Country of citizenship (required)

Country of residence

GROUNDS INADMISSIBILITY

I was refused entry in the United States because I have the following:
Criminal RecordCommunicable diseaseOverstay in the U.SPrevious Removal or Deportation from the U.SFailure to return I-94 Card

Other (Please specify):

HISTORY OF APPLICATION

Is this the first time that you want to apply for a waiver of inadmissibility?
YesNo

Are you being sponsored for your immigration (green card) application by a family member who is a U.S. citizen?
YesNo

Are you being sponsored for your immigration (green card) application by a family member who is a permanent resident (green card holder)?
YesNo