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Fill a Valid USCIS I-589 Template

The USCIS I-589 form, also known as the Application for Asylum and for Withholding of Removal, is a crucial document for individuals seeking asylum in the United States. This form allows applicants to present their case for protection based on fear of persecution in their home country. If you believe you qualify, take the next step by filling out the form; click the button below.

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Content Overview

The USCIS I-589 form is a critical document for individuals seeking asylum or withholding of removal in the United States. This form allows applicants to present their case for protection based on a well-founded fear of persecution in their home country. It requires detailed personal information, including the applicant's background, reasons for seeking asylum, and any past experiences of harm or threats. The form also prompts applicants to provide information about their family members, which can impact their eligibility for asylum. Proper completion of the I-589 is essential, as it initiates the legal process and determines the applicant's ability to remain in the U.S. It is important to submit the form within one year of arriving in the country, unless certain exceptions apply. Additionally, applicants must be prepared to attend an interview where they will further explain their situation. Understanding the nuances of the I-589 form can significantly affect the outcome of an asylum claim, making it vital for applicants to approach the process with care and attention to detail.

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Similar forms

Form I-130: This form is used to establish a family relationship for immigration purposes. Like the I-589, it requires detailed personal information and supporting documents to prove the relationship.
Release of Liability Form: To safeguard against potential risks, it's important to complete the necessary Release of Liability documentation for any activities undertaken.
Form I-360: This form is for special immigrant status, often for abused spouses or children. Similar to the I-589, it aims to protect vulnerable individuals and requires evidence of eligibility.
Form I-485: This is the application for adjustment of status. It shares similarities with the I-589 in that both forms require personal information and documentation to support the applicant's claims.
Form I-751: This form is used to remove conditions on residence for individuals married to U.S. citizens. Like the I-589, it requires proof of a genuine relationship and supporting evidence.
Form N-400: The application for naturalization. It has a similar purpose of providing a pathway to legal status, requiring detailed personal history and documentation.
Form I-918: This is the application for U nonimmigrant status, designed for victims of crime. Both forms aim to provide protection and require evidence to support the applicant's claims.
Form I-914: This form is for T nonimmigrant status, which assists victims of human trafficking. Like the I-589, it emphasizes the need for safety and protection, requiring substantial documentation.
Form I-601: This is the application for a waiver of grounds of inadmissibility. It shares the requirement of demonstrating hardship, similar to the burden of proof in the I-589.

Document Specifics

Fact Name	Description
Purpose	The I-589 form is used to apply for asylum in the United States or for withholding of removal.
Eligibility	Individuals who fear persecution in their home country due to race, religion, nationality, political opinion, or membership in a particular social group may apply.
Filing Deadline	Generally, applicants must file the I-589 form within one year of arriving in the U.S., though there are exceptions.
Where to File	The completed form should be submitted to the appropriate USCIS service center, depending on the applicant's location.
Supporting Documents	Applicants must provide evidence supporting their claims, including personal statements and any relevant documentation.
Interview Requirement	After filing, applicants are typically required to attend an interview with a USCIS asylum officer.
Decision Timeline	USCIS aims to process I-589 applications within 180 days, but delays can occur based on case complexity.
Legal Representation	Applicants have the right to be represented by an attorney or accredited representative during the process.

Things You Should Know About This Form

What is the USCIS I-589 form?
The USCIS I-589 form is used to apply for asylum in the United States. It allows individuals who fear persecution in their home country to request protection. By submitting this form, applicants can seek refuge based on factors like race, religion, nationality, political opinion, or membership in a particular social group.
Who can file the I-589 form?
Any individual who is physically present in the U.S. and has a fear of returning to their home country can file the I-589 form. This includes people who are already in the U.S. on a visa or those who entered without inspection. However, it’s important to file within one year of arriving in the U.S., unless there are special circumstances.
How do I complete the I-589 form?
The form can be completed online or by hand. It requires detailed information about your personal history, the reasons for your fear of persecution, and any supporting evidence. Be sure to provide as much detail as possible. Incomplete forms can lead to delays or denials.
What supporting documents should I include?
When filing the I-589, you should include any evidence that supports your claim. This can include:
- Personal statements or affidavits
- Country condition reports
- Medical records, if applicable
- Police reports or documentation of threats
These documents help to strengthen your case and provide context to your fears.
What happens after I submit the I-589 form?
Once submitted, USCIS will review your application. You will receive a receipt notice confirming that your application is being processed. After that, you may be scheduled for an interview where you will explain your fears and provide additional information.
Can I work while my I-589 application is pending?
Yes, you can apply for a work permit if your I-589 application has been pending for at least 150 days. You will need to file Form I-765, Application for Employment Authorization, to request permission to work legally while you wait for a decision.
What if my I-589 application is denied?
If your application is denied, you may have options to appeal the decision. You can request a review of the denial by the Board of Immigration Appeals (BIA). It’s crucial to act quickly, as there are deadlines for filing an appeal.
Where do I send my completed I-589 form?
The mailing address for the I-589 form depends on whether you are filing from within the U.S. or from abroad. Check the USCIS website for the most current addresses. Make sure to send your application to the correct location to avoid delays.

Documents used along the form

The USCIS I-589 form is essential for individuals seeking asylum in the United States. However, there are several other forms and documents that often accompany this application. Each of these documents plays a crucial role in supporting your case and ensuring a smooth process. Below is a list of commonly used forms and documents that may be helpful in your asylum application journey.

I-765 Application for Employment Authorization: This form allows you to apply for the right to work while your asylum application is pending. It’s important for your financial stability during the waiting period.
I-130 Petition for Alien Relative: If you have a family member who is a U.S. citizen or lawful permanent resident, this form can help them sponsor you for a green card. It establishes a family connection that can support your case.
I-131 Application for Travel Document: This document is necessary if you need to travel outside the U.S. while your asylum application is pending. It ensures you can return without jeopardizing your status.
Personal Statement: A detailed personal statement describing your experiences and reasons for seeking asylum can strengthen your application. It provides context and personalizes your case.
Supporting Evidence: This includes any documentation that supports your claim, such as police reports, medical records, or witness statements. These documents help substantiate your fears of persecution.
Affidavits: Affidavits from friends, family, or experts can provide additional support to your claims. They serve as sworn statements that add credibility to your story.
South Dakota Hold Harmless Agreement: This important document helps protect one party from legal liability, transferring risk to another party, and can be crucial in various scenarios such as construction projects and events. For more details, visit the Hold Harmless Agreement.
Country Conditions Evidence: Information about the conditions in your home country can be critical. This may include reports from human rights organizations or news articles that illustrate the dangers you face.

Gathering these forms and documents can feel overwhelming, but each one serves a purpose in your asylum application process. Having everything organized will not only help your case but also give you peace of mind as you navigate this journey.

USCIS I-589 Preview

Department of Homeland Security

U.S. Citizenship and Immigration Services

U.S. Department of Justice

Executive Office for Immigration Review

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

START HERE - Type or print in black ink. See the instructions for information about eligibility and how to complete and file this application. There is no filing fee for this application.

NOTE:

Check this box if you also want to apply for withholding of removal under the Convention Against Torture.

Part A.I. Information About You

1.	Alien Registration Number(s) (A-Number) (if any)	2. U.S. Social Security Number (if any) 3. USCIS Online Account Number (if any)
4.	Complete Last Name	5. First Name	6. Middle Name

7.What other names have you used (include maiden name and aliases)?

8.Residence in the U.S. (where you physically reside)

Street Number and Name			Apt. Number

City	State	Zip Code				Telephone Number
						(	)

(NOTE: You must be residing in the United States to submit this form.)
9. Mailing Address in the U.S. (if different than the address in Item Number 8)

In Care Of (if applicable):				Telephone Number
				(	)

Street Number and Name				Apt. Number

City

State

Zip Code

10.

Gender:

Male

Female

11.

Marital Status:

Single

Married

Divorced

Widowed

12.

Date of Birth (mm/dd/yyyy)

13.

City and Country of Birth

14.

Present Nationality (Citizenship)

15.

Nationality at Birth

16.

Race, Ethnic, or Tribal Group

17.

Religion

18.

Check the box, a through c, that applies:

I have never been in Immigration Court proceedings.

I am now in Immigration Court proceedings.

I am not now in Immigration Court proceedings, but I have been in the past.

19.Complete 19 a through c.

a. When did you last leave your country? (mm/dd/yyyy)b. What is your current I-94 Number, if any?

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.)

Date

Place

Status

Date Status Expires

Date

Place

Status

Date

Place

Status

20. What country issued your last passport or travel

21.

Passport Number

22. Expiration Date

document?

(mm/dd/yyyy)

Travel Document Number

23.What is your native language (include dialect, if applicable)? 24. Are you fluent in English? 25. What other languages do you speak fluently?

Yes

For EOIR use only.

For

Action:

Decision:

USCIS

Interview Date:

Approval Date:

use only.

Asylum Officer ID No.:

Denial Date:

Referral Date:

Form I-589 Edition 03/01/23

Page 1

Part A.II. Information About Your Spouse and Children

Your spouse

I am not married. (Skip to Your Children below.)

Alien Registration Number (A-Number)

Passport/ID Card Number

Date of Birth (mm/dd/yyyy)

U.S. Social Security Number

(if any)

Complete Last Name

First Name

Middle Name

Other names used (include

maiden name and aliases)

Date of Marriage (mm/dd/yyyy)

10.

Place of Marriage

11. City and Country of Birth

12. Nationality (Citizenship)

13. Race, Ethnic, or Tribal Group

14. Gender

Male

Female

15.Is this person in the U.S.?

Yes (Complete Blocks 16 to 24.)

No (Specify location):

16.

Place of last entry into the

17.

Date of last entry into the

18. I-94 Number (if any)

19. Status when last admitted

U.S.

(mm/dd/yyyy)

(Visa type, if any)

20.

What is your spouse's

21.

What is the expiration date of his/her

22. Is your spouse in Immigration

23. If previously in the U.S., date of

current status?

authorized stay, if any? (mm/dd/yyyy)

Court proceedings?

previous arrival (mm/dd/yyyy)

Yes

24.If in the U.S., is your spouse to be included in this application? (Check the appropriate box.) Yes

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

I do not have any children. (Skip to Part A.III., Information about your background.)

I have children. Total number of children:.

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

Alien Registration Number (A-Number)

Passport/ID Card Number

3. Marital Status (Married, Single,

U.S. Social Security Number

(if any)

Divorced, Widowed)

(if any)

Complete Last Name

First Name

7. Middle Name

Date of Birth (mm/dd/yyyy)

City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group

12. Gender

Male

Female

13.

Is this child in the U.S. ?

Yes (Complete Blocks 14 to 21.)

No (Specify location):

14.

Place of last entry into the U.S.

15. Date of last entry into the

16. I-94 Number (If any)

17. Status when last admitted

U.S. (mm/dd/yyyy)

(Visa type, if any)

18.

What is your child's current status?

19. What is the expiration

date of his/her

20. Is your child in

Immigration Court proceedings?

authorized stay, if any? (mm/dd/yyyy)

Yes

21. If in the U.S., is this child to be included in this application? (Check the appropriate box.)

Yes No

Form I-589 Edition 03/01/23

Page 2

Part A.II. Information About Your Spouse and Children (Continued)

Alien Registration Number (A-Number)

Passport/ID Card Number

3. Marital Status (Married, Single,

U.S. Social Security Number

(if any)

Divorced, Widowed)

(if any)

Complete Last Name

First Name

7. Middle Name

Date of Birth (mm/dd/yyyy)

City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group

12. Gender

Male

Female

13. Is this child in the U.S. ?

Yes (Complete Blocks 14 to 21.)

No (Specify location):

14. Place of last entry into the U.S.

15. Date of last entry into the

16. I-94 Number (If any)

17. Status when last admitted

U.S. (mm/dd/yyyy)

(Visa type, if any)

18. What is your child's current status?

19. What is the expiration

date of his/her

20. Is your child in

Immigration Court proceedings?

authorized stay, if any? (mm/dd/yyyy)

Yes

21.If in the U.S., is this child to be included in this application? (Check the appropriate box.) Yes

	No

1.	Alien Registration Number (A-Number)	2.	Passport/ID Card Number	3.	Marital Status (Married, Single,	4.	U.S. Social Security Number
	(if any)		(if any)		Divorced, Widowed)		(if any)

5.	Complete Last Name	6.	First Name	7.	Middle Name	8.	Date of Birth (mm/dd/yyyy)

9.	City and Country of Birth	10. Nationality (Citizenship)		11. Race, Ethnic, or Tribal Group		12. Gender
								Male	Female
								Male	Female

13.Is this child in the U.S. ? Yes (Complete Blocks 14 to 21.) No (Specify location):


14.	Place of last entry into the U.S.	15. Date of last entry into the		16. I-94 Number (If any)			17. Status when last admitted
		U.S. (mm/dd/yyyy)						(Visa type, if any)

18.	What is your child's current status?		19. What is the expiration	date of his/her	20. Is your child in Immigration Court proceedings?
			authorized stay, if any? (mm/dd/yyyy)			Yes		No
						Yes		No

21.If in the U.S., is this child to be included in this application? (Check the appropriate box.) Yes

Alien Registration Number (A-Number)

Passport/ID Card Number

3. Marital Status (Married, Single,

U.S. Social Security Number

(if any)

Divorced, Widowed)

(if any)

Complete Last Name

First Name

7. Middle Name

Date of Birth (mm/dd/yyyy)

City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group

12. Gender

Male

Female

13. Is this child in the U.S. ?

Yes (Complete Blocks 14 to 21.)

No (Specify location):

14. Place of last entry into the U.S.

15. Date of last entry into the

16. I-94 Number (If any)

17. Status when last admitted

U.S. (mm/dd/yyyy)

(Visa type, if any)

18. What is your child's current status?

19. What is the expiration

date of his/her

20. Is your child in

Immigration Court proceedings?

authorized stay, if any? (mm/dd/yyyy)

Yes

21.If in the U.S., is this child to be included in this application? (Check the appropriate box.) Yes

Form I-589 Edition 03/01/23

Page 3

Part A.III. Information About Your Background

1.List your last address where you lived before coming to the United States. If this is not the country where you fear persecution, also list the last address in the country where you fear persecution. (List Address, City/Town, Department, Province, or State and Country.)

(NOTE: Use Form I-589 Supplement B, or additional sheets of paper, if necessary.)

Number and Street

(Provide if available)

City/Town

Department, Province, or State

Country

Dates

From (Mo/Yr) To (Mo/Yr)

2.Provide the following information about your residences during the past 5 years. List your present address first. (NOTE: Use Form I-589 Supplement B, or additional sheets of paper, if necessary.)

Number and Street

City/Town

Department, Province, or State

Country

Dates

From (Mo/Yr) To (Mo/Yr)

3.Provide the following information about your education, beginning with the most recent school that you attended. (NOTE: Use Form I-589 Supplement B, or additional sheets of paper, if necessary.)

Name of School

Type of School

Location (Address)

Attended

From (Mo/Yr) To (Mo/Yr)

4.Provide the following information about your employment during the past 5 years. List your present employment first. (NOTE: Use Form I-589 Supplement B, or additional sheets of paper, if necessary.)

Name and Address of Employer

Your Occupation

Dates

From (Mo/Yr) To (Mo/Yr)

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.)

Full Name	City/Town and Country of Birth	Current Location

Mother		Deceased
Mother		Deceased

Father		Deceased
Father		Deceased

Sibling		Deceased
Sibling		Deceased

Sibling		Deceased
Sibling		Deceased

Sibling		Deceased
Sibling		Deceased

Sibling		Deceased
Sibling		Deceased


Form I-589 Edition 03/01/23		Page 4

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(b)(3) 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(b)(3) 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:

Race

Religion

Nationality

Political opinion

Membership in a particular social group Torture Convention

A.Have you, your family, or close friends or colleagues ever experienced harm or mistreatment or threats in the past by anyone?

Yes

If "Yes," explain in detail:

1.What happened;

2.When the harm or mistreatment or threats occurred;

3.Who caused the harm or mistreatment or threats; and

4.Why you believe the harm or mistreatment or threats occurred.

B.Do you fear harm or mistreatment if you return to your home country?

Yes

If "Yes," explain in detail:

1.What harm or mistreatment you fear;

2.Who you believe would harm or mistreat you; and

3.Why you believe you would or could be harmed or mistreated.

Form I-589 Edition 03/01/23

Page 5

Part B. Information About Your Application (Continued)

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)?

Yes

If "Yes," explain the circumstances and reasons for the action.

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?

Yes

If "Yes," describe for each person the level of participation, any leadership or other positions held, and the length of time you or your family members were involved in each organization or activity.

3.B. Do you or your family members continue to participate in any way in these organizations or groups?

Yes

If "Yes," describe for each person your or your family members' current level of participation, any leadership or other positions currently held, and the length of time you or your family members have been involved in each organization or group.

4.Are you afraid of being subjected to torture in your home country or any other country to which you may be returned?

Yes

If "Yes," explain why you are afraid and describe the nature of torture you fear, by whom, and why it would be inflicted.

Form I-589 Edition 03/01/23

Page 6

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?

Yes

If "Yes," explain the decision and what happened to any status you, your spouse, your child(ren), your parents, or your siblings received as a result of that decision. Indicate whether or not you were included in a parent or spouse's application. If so, include your parent or spouse's A-number in your response. If you have been denied asylum by an immigration judge or the Board of Immigration Appeals, describe any change(s) in conditions in your country or your own personal circumstances since the date of the denial that may affect your eligibility for asylum.

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?

Yes

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?

Yes

If "Yes" to either or both questions (2A and/or 2B), provide for each person the following: the name of each country and the length of stay, the person's status while there, the reasons for leaving, whether or not the person is entitled to return for lawful residence purposes, and whether the person applied for refugee status or for asylum while there, and if not, why he or she did not do so.

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?

Yes

If "Yes," describe in detail each such incident and your own, your spouse's, or your child(ren)'s involvement.

Form I-589 Edition 03/01/23

Page 7

Part C. Additional Information About Your Application (Continued)

4.After you left the country where you were harmed or fear harm, did you return to that country?

Yes

If "Yes," describe in detail the circumstances of your visit(s) (for example, the date(s) of the trip(s), the purpose(s) of the trip(s), and the length of time you remained in that country for the visit(s).)

5.Are you filing this application more than 1 year after your last arrival in the United States?

Yes

If "Yes," explain why you did not file within the first year after you arrived. You must be prepared to explain at your interview or hearing why you did not file your asylum application within the first year after you arrived. For guidance in answering this question, see Instructions, Part 1: Filing Instructions, Section V. "Completing the Form," Part C.

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)?

Yes

If "Yes," for each instance, specify in your response: what occurred and the circumstances, dates, length of sentence received, location, the duration of the detention or imprisonment, reason(s) for the detention or conviction, any formal charges that were lodged against you or your relatives included in your application, and the reason(s) for release. Attach documents referring to these incidents, if they are available, or an explanation of why documents are not available.

Form I-589 Edition 03/01/23

Page 8

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(d)(5)(A) and 208(d)(6) of the INA and 8 CFR sections 208.10, 1208.10, 208.20, 1003.47(d) and 1208.20.

Print your complete name.

Write your name in your native alphabet.

Did your spouse, parent, or child(ren) assist you in completing this application?

Yes (If "Yes," list the name and relationship.)

(Name)(Relationship)

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?

Signature of Applicant (The person in Part. A.I.)

[	]
	Sign your name so it all appears within the brackets

(Name)		(Relationship)
No	Yes (If "Yes,"complete Part E.)
No	Yes

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).

Signature of Preparer

Print Complete Name of Preparer

Daytime Telephone Number

Address of Preparer:

Street Number and Name

(

)

Apt. Number

City

State

Zip Code

To be completed by an

Select this box if

Attorney State Bar Number (if

Attorney or Accredited Representative

Form G-28 is

applicable)

USCIS Online Account Number (if any)

attorney or accredited

attached.

representative (if any).

Form I-589 Edition 03/01/23

Page 9

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

all true or not all true to the best of my knowledge and that correction(s) numbered to 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)
Signature of Applicant		Date (mm/dd/yyyy)

Write Your Name in Your Native Alphabet		Signature of Asylum Officer

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

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

Signature of Applicant		Date (mm/dd/yyyy)

Write Your Name in Your Native Alphabet		Signature of Immigration Judge

Form I-589 Edition 03/01/23

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