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USCIS I-589 Template

The USCIS I-589 form is a crucial document used by individuals seeking asylum in the United States. This form allows applicants to formally request protection based on a well-founded fear of persecution in their home country. Completing the I-589 accurately is essential for those hoping to navigate the asylum process successfully.

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The USCIS I-589 form is a crucial document for individuals seeking asylum or withholding of removal in the United States. This form allows applicants to formally request protection due to a well-founded fear of persecution based on race, religion, nationality, political opinion, or membership in a particular social group. Completing the I-589 is a significant step in the asylum process, as it not only initiates the application but also provides the U.S. government with essential information about the applicant's situation. It's important to pay attention to the details, as the form requires personal information, a thorough account of the reasons for seeking asylum, and any relevant supporting evidence. Timeliness is key, as applicants must file the I-589 within one year of arriving in the U.S., unless they qualify for an exception. Understanding the requirements and implications of this form can greatly impact the chances of a successful asylum application.

Key takeaways

The USCIS I-589 form is used to apply for asylum in the United States.
It is crucial to complete the form accurately and thoroughly to avoid delays in the application process.
Applicants must provide personal information, including their name, address, and date of birth.
It is important to explain the reasons for seeking asylum clearly. This includes detailing any past persecution or fear of future harm.
Supporting documents can strengthen your case. These may include personal statements, witness statements, and country condition reports.
The form must be submitted within one year of arriving in the U.S. unless there are exceptional circumstances.
Once submitted, applicants will receive a receipt notice from USCIS, confirming that the application is being processed.
Interviews may be scheduled to discuss the application in detail. Preparation for this interview is essential.
Legal assistance can be beneficial throughout the process, especially when navigating complex situations or appeals.

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Documents used along the form

The USCIS I-589 form is essential for individuals seeking asylum in the United States. Along with this form, several other documents may be necessary to support the application process. Below is a list of commonly used forms and documents that applicants often submit in conjunction with the I-589.

Form I-765: This form is used to apply for work authorization while your asylum application is pending. It allows individuals to work legally in the U.S. if they meet specific eligibility criteria.
Virginia Motor Vehicle Bill of Sale: This essential document officially records the sale and purchase of a vehicle in the state of Virginia. For more information, visit Formaid Org.
Form I-131: This application for a travel document allows individuals to request permission to travel outside the U.S. while their asylum case is being processed. It is important to ensure that travel does not jeopardize the asylum claim.
Personal Statement: A detailed personal statement is often included to provide context for the asylum claim. This narrative should explain the reasons for seeking asylum and any relevant experiences or threats faced in the home country.
Supporting Evidence: Documents such as police reports, medical records, or witness statements can strengthen the asylum application. These materials should corroborate the claims made in the I-589 form.
Country Conditions Evidence: This includes reports or articles about the applicant's home country, detailing the political, social, or economic conditions that may affect their safety. Such evidence helps to establish the validity of the asylum claim.

Submitting these additional documents along with the I-589 can significantly enhance the chances of a successful asylum application. Each piece of evidence plays a crucial role in demonstrating the applicant's need for protection in the United States.

Dos and Don'ts

When filling out the USCIS I-589 form, attention to detail is crucial. Here are five important dos and don'ts to keep in mind:

Do read the instructions carefully before starting. Understanding the requirements can prevent mistakes.
Do provide accurate and complete information. Inaccuracies can delay processing or lead to denial.
Do sign and date the form. An unsigned form is considered incomplete.
Do keep a copy of the completed form for your records. This can be helpful for future reference.
Do submit the form on time. Meeting deadlines is essential for your application to be considered.

Don't leave any required fields blank. If a question does not apply, write "N/A" instead.
Don't use incorrect or outdated forms. Always ensure you have the most current version.
Don't submit additional documents unless specifically requested. This can complicate your application.
Don't forget to double-check for spelling and grammatical errors. These can impact the clarity of your application.
Don't rush through the process. Taking your time can help avoid costly mistakes.

Common mistakes

Filling out the USCIS I-589 form can be a daunting task, and many applicants make mistakes that could delay their asylum process. One common error is not signing the form. The signature is crucial as it verifies that the information provided is true and complete. Without it, the application may be considered incomplete.

Another frequent mistake is failing to provide sufficient details about the basis for asylum. Applicants often list reasons too briefly or generically. It is essential to explain specific incidents of persecution or threats faced in their home country. The more detailed and personal the account, the stronger the application becomes.

Many individuals overlook the importance of providing accurate personal information. This includes names, dates of birth, and addresses. Even minor discrepancies can lead to complications. Double-checking this information before submission can prevent unnecessary delays.

Additionally, applicants sometimes neglect to include all family members in their application. If family members are eligible for asylum, they should be included in the I-589 form. Omitting them can result in missed opportunities for protection.

Providing inconsistent information is another critical mistake. If the details in the I-589 do not match those in other documents or previous applications, it may raise red flags. Consistency is key to building credibility with USCIS.

Some applicants fail to submit the required supporting documents. Evidence such as personal statements, witness affidavits, or country condition reports can significantly strengthen an application. Without these documents, the case may lack the necessary support to be persuasive.

It is also important to adhere to deadlines. Many applicants miss the one-year filing deadline for asylum claims. Understanding the timeline and ensuring timely submission is vital for a successful application.

Inadequate attention to the form’s instructions is a common pitfall. Each section of the I-589 has specific requirements. Ignoring these instructions can lead to omissions or errors that could jeopardize the application.

Some individuals do not seek legal advice or assistance when needed. Navigating the asylum process can be complex. Consulting with an immigration attorney or a qualified representative can help clarify questions and improve the chances of success.

Finally, a lack of preparation for the interview can hinder an applicant's case. The interview is a critical part of the asylum process. Being unprepared can lead to misunderstandings or missed opportunities to present evidence effectively.

File Characteristics

Fact Name	Details
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, membership in a particular social group, or political opinion can apply.
Filing Deadline	Applicants must file the I-589 form within one year of arriving in the U.S., with some exceptions for changed circumstances.
Supporting Documents	Applicants should include evidence supporting their claims, such as personal statements, affidavits, and country condition reports.
Where to File	The form can be filed with the USCIS or, in certain cases, with the immigration court if already in removal proceedings.
Interview Requirement	After filing, applicants may be required to attend an interview where they will explain their case to an asylum officer.
Processing Time	Processing times can vary significantly, often taking several months to over a year, depending on the case and workload.
Legal Representation	Applicants have the right to be represented by an attorney or accredited representative throughout the process.

Form Sample

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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