Ds 234 Form – Fill Out and Use This PDF

The DS-234 Form, officially named the Special Immigrant Visa Biodata Form, is a crucial document for special immigrant visa applicants seeking resettlement assistance from the Department of State. This comprehensive form is required for all family members accompanying the applicant and must be submitted via email to the Resettlement Support Center for the Middle East and North Africa (RSC MENA). To navigate the process of resettlement and ensure all necessary information is accurately provided, completing this form is the first step towards a new beginning in the United States. Click the button below to start filling out your DS-234 form.

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Ds 234 Form PDF Details

Navigating the journey toward resettlement in the United States can be a complex process, especially for special immigrant visa applicants. One critical step in this process is the completion of the DS-234 form, officially titled the Special Immigrant Visa Biodata Form. Mandated by the U.S. Department of State Bureau of Population, Refugees, and Migration, this document plays a pivotal role for those seeking resettlement assistance. Every family member accompanying the applicant needs to be included in the submission, which is sent as a scanned attachment to the Resettlement Support Center for the Middle East and North Africa (RSC MENA). The form encompasses a variety of sections, including detailed personal information for the principal applicant, spouse, and children, such as names as they appear on passports, nationality, language skills, and health issues. Additionally, it inquires about any immediate family members being processed for their own special immigrant visas, U.S. ties, and a confidential statement respecting the privacy of the provided information. The importance of the DS-234 form cannot be understated, as it not only facilitates the provision of resettlement and placement benefits but also assists in determining the most suitable location in the United States for the applicant’s new home.

Question	Answer
Form Name	Ds 234 Form
Form Length	5 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 15 sec
Other names	ds 0234, form biodata online, form biodata fill, ds 234

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U.S. Department of State

Bureau of Population, Refugees and Migration

SPECIAL IMMIGRANT VISA BIODATA FORM

OMB CONTROL NO. 1405-0203 EXPIRES: 04-30-2021

ESTIMATED BURDEN: 20 MIN.

Special immigrant visa applicants who qualify for and request resettlement assistance from the Department of State must complete this form for all family members and submit it via email as a scanned attachment to the Resettlement Support Center for the Middle East and North Africa (RSC MENA) at siv_ope@iom.int.

A. CASE INFORMATION (To be completed by NVC)

NVC Case Number

Assigned Post

Post POC Information

B. PRINCIPAL APPLICANT

To be completed by Applicant

1. Case Size (Yourself plus family members

2. Name as it Appears on your Passport (Last, First, Middle)

traveling with you)

3. Passport No.

4. IV Case No.

5. Sex

6. Marital Status

7. Date of Birth

8. Place of Birth

9. Nationality

Male

(mm-dd-yyyy)

(City, Country)

Female

10. Ethnicity

11. Religion

12. Phone Number(s)

13. E-mail

14. Occupation/Skill

15. Education Level/Field of Study

16. Native Language

17. Other Language(s)

(Good, Some, None)

Language

Language 1

Reading

Language 2

18. English Speaking Ability

Writing

Language 3

(Good, Some, None)

Speaking

Language 4

19. Pregnant

20. Estimated Delivery Date

21. Health Issues (If yes, please explain)

Yes

(mm-dd-yyyy)

C. SPOUSE

1. Name as it Appears on Passport (Last, First, Middle)

2. Passport No.

3. IV Case No.

4. Sex

5. Marital Status

6. Date of Birth

7. Place of Birth

8. Nationality

Male

(mm-dd-yyyy)

(City, Country)

Female

9. Ethnicity

10. Religion

11. Phone Number(s)

12. E-mail

13. Occupation/Skill

14. Education Level/Field of Study

15. Native Language

16. Other Language(s)

(Good, Some, None)

Language

Language 1

Reading

Language 2

17. English Speaking Ability

Writing

Language 3

(Good, Some, None)

Speaking

Language 4

18. Pregnant

19. Estimated Delivery Date

20. Health Issues (If yes, please explain)

Yes

(mm-dd-yyyy)

DS-234

Page 1 of 4

12-2020

D. Children (List children from eldest to youngest, if you have more than six children, please use the addendum sheet at the end of the form.)

1. Name as it Appears on Passport (Last, First, Middle)

Child 1

2. Passport No.

3. IV Case No.

4. Sex

5. Marital Status

6. Date of Birth

7. Place of Birth

8. Nationality

Male

(mm-dd-yyyy)

(City, Country)

Female

9. Ethnicity

10. Religion

11. Phone Number(s)

12. E-mail

13. Occupation/Skill

14. Education Level/Field of Study

15. Native Language

16. Other Language(s)

(Good, Some, None)

Language

Language 1

Reading

Language 2

17. English Speaking Ability

Writing

Language 3

(Good, Some, None)

Speaking

Language 4

18. Pregnant

19. Estimated Delivery Date

20. Health Issues (If yes, please explain)

Yes

(mm-dd-yyyy)

1. Name as it Appears on Passport (Last, First, Middle)

Child 2

2. Passport No.

3. IV Case No.

4. Sex

5. Marital Status

6. Date of Birth

7. Place of Birth

8. Nationality

Male

(mm-dd-yyyy)

(City, Country)

Female

9. Ethnicity

10. Religion

11. Phone Number(s)

12. E-mail

13. Occupation/Skill

14. Education Level/Field of Study

15. Native Language

16. Other Language(s)

(Good, Some, None)

Language

Language 1

Reading

Language 2

17. English Speaking Ability

Writing

Language 3

(Good, Some, None)

Speaking

Language 4

18. Pregnant

19. Estimated Delivery Date

20. Health Issues (If yes, please explain)

Yes

(mm-dd-yyyy)

1. Name as it Appears on Passport (Last, First, Middle)

Child 3

2. Passport No.

3. IV Case No.

4. Sex

5. Marital Status

6. Date of Birth

7. Place of Birth

8. Nationality

Male

(mm-dd-yyyy)

(City, Country)

Female

9. Ethnicity

10. Religion

11. Phone Number(s)

12. E-mail

13. Occupation/Skill

14. Education Level/Field of Study

15. Native Language

16. Other Language(s)

(Good, Some, None)

Language

Language 1

Reading

Language 2

17. English Speaking Ability

Writing

Language 3

(Good, Some, None)

Speaking

Language 4

18.Pregnant Yes

19.Estimated Delivery Date 20. Health Issues (If yes, please explain) (mm-dd-yyyy)

DS-234

Page 2 of 4

D. Children - Continued (List children from eldest to youngest, if you have more than six children, please use the addendum sheet at the end of the form.)

Child 4

1. Name as it Appears on Passport (Last, First, Middle)

2. Passport No.

3. IV Case No.

4. Sex

5. Marital Status

6. Date of Birth

7. Place of Birth

8. Nationality

Male

(mm-dd-yyyy)

(City, Country)

Female

9. Ethnicity

10. Religion

11. Phone Number(s)

12. E-mail

13. Occupation/Skill

14. Education Level/Field of Study

15. Native Language

16. Other Language(s)

(Good, Some, None)

Language

Language 1

Reading

Language 2

17. English Speaking Ability

Writing

Language 3

(Good, Some, None)

Speaking

Language 4

18. Pregnant

19. Estimated Delivery Date

20. Health Issues (If yes, please explain)

Yes

(mm-dd-yyyy)

1. Name as it Appears on Passport (Last, First, Middle)

Child 5

2. Passport No.

3. IV Case No.

4. Sex

5. Marital Status

6. Date of Birth

7. Place of Birth

8. Nationality

Male

(mm-dd-yyyy)

(City, Country)

Female

9. Ethnicity

10. Religion

11. Phone Number(s)

12. E-mail

13. Occupation/Skill

14. Education Level/Field of Study

15. Native Language

16. Other Language(s)

(Good, Some, None)

Language

Language 1

Reading

Language 2

17. English Speaking Ability

Writing

Language 3

(Good, Some, None)

Speaking

Language 4

18. Pregnant

19. Estimated Delivery Date

20. Health Issues (If yes, please explain)

Yes

(mm-dd-yyyy)

1. Name as it Appears on Passport (Last, First, Middle)

Child 6

2. Passport No.

3. IV Case No.

4. Sex

5. Marital Status

6. Date of Birth

7. Place of Birth

8. Nationality

Male

(mm-dd-yyyy)

(City, Country)

Female

9. Ethnicity

10. Religion

11. Phone Number(s)

12. E-mail

13. Occupation/Skill

14. Education Level/Field of Study

15. Native Language

16. Other Language(s)

(Good, Some, None)

Language

Language 1

Reading

Language 2

17. English Speaking Ability

Writing

Language 3

(Good, Some, None)

Speaking

Language 4

18.Pregnant Yes

19.Estimated Delivery Date 20. Health Issues (If yes, please explain) (mm-dd-yyyy)

DS-234

Page 3 of 4

E. CROSS REFERENCE

22. Do you have other immediate family members being processed on their own special immigrant visas? If yes, please provide your family member's

name, relationship to you, and special immigrant visa case number.						Yes	No
						Yes	No

		Family Member Name			Date of Birth
		Family Member Name			(dd mmm yyyy)	Special Immigrant Visa
					(dd mmm yyyy)	Special Immigrant Visa
					If unknown,	Case Number
	Last	First	Middle	Relationship to you	check box
	Last	First	Middle	Relationship to you

1
2
3
4
5
6
7
F. U.S. TIES

23.Do you have family members or friends already residing in the United States? If yes, please provide family/friend information below. It may be possible to be resettled near them. If the number exceeds 7, please include them in the comments section.

Yes

	Name
			Relationship to you	Gender	Address	Phone Number	E-mail Address
Last	First	Middle
	First

G. COMMENTS

CONFIDENTIALITY STATEMENT AND PAPERWORK REDUCTION ACT STATEMENT

The information asked for on this form is requested in accordance with Section 222(f) of the Immigration and Nationality Act, and is considered confidential. The information provided herein shall only be shared with State Department personnel, officers of other federal agencies including the Department of Health and Human Services and the Department of Homeland Security, and resettlement agency employees on a need to know basis. The U.S. Department of State uses the facts you provide on this form to facilitate the provision of Resettlement and Placement benefits and to assist in determining the location in the United States in which you will be resettled.

Public reporting burden for this collection of information is estimated to average 20 minutes per response, including time required for searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: DOS/PRM, Office of Admissions, 2025 E Street, NW Washington, DC 20522-0908.

DS-234

Page 4 of 4

D. Children (Continued from page 3, if necessary)

1. Name as it Appears on Passport (Last, First, Middle)

Child

2. Passport No.

3. IV Case No.

4. Sex

5. Marital Status

6. Date of Birth

7. Place of Birth

8. Nationality

Male

(mm-dd-yyyy)

(City, Country)

Female

9. Ethnicity

10. Religion

11. Phone Number(s)

12. E-mail

13. Occupation/Skill

14. Education Level/Field of Study

15. Native Language

16. Other Language(s)

(Good, Some, None)

Language

Language 1

Reading

Language 2

17. English Speaking Ability

Writing

Language 3

(Good, Some, None)

Speaking

Language 4

18. Pregnant

19. Estimated Delivery Date

20. Health Issues (If yes, please explain)

Yes

(mm-dd-yyyy)

1. Name as it Appears on Passport (Last, First, Middle)

Child

2. Passport No.

3. IV Case No.

4. Sex

5. Marital Status

6. Date of Birth

7. Place of Birth

8. Nationality

Male

(mm-dd-yyyy)

(City, Country)

Female

9. Ethnicity

10. Religion

11. Phone Number(s)

12. E-mail

13. Occupation/Skill

14. Education Level/Field of Study

15. Native Language

16. Other Language(s)

(Good, Some, None)

Language

Language 1

Reading

Language 2

17. English Speaking Ability

Writing

Language 3

(Good, Some, None)

Speaking

Language 4

18. Pregnant

19. Estimated Delivery Date

20. Health Issues (If yes, please explain)

Yes

(mm-dd-yyyy)

1. Name as it Appears on Passport (Last, First, Middle)

Child

2. Passport No.

3. IV Case No.

4. Sex

5. Marital Status

6. Date of Birth

7. Place of Birth

8. Nationality

Male

(mm-dd-yyyy)

(City, Country)

Female

9. Ethnicity

10. Religion

11. Phone Number(s)

12. E-mail

13. Occupation/Skill

14. Education Level/Field of Study

15. Native Language

16. Other Language(s)

(Good, Some, None)

Language

Language 1

Reading

Language 2

17. English Speaking Ability

Writing

Language 3

(Good, Some, None)

Speaking

Language 4

18. Pregnant

19. Estimated Delivery Date

20. Health Issues (If yes, please explain)

Yes

(mm-dd-yyyy)

DS-234

Addendum page(s)

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Part no. 1 in filling in form biodata online

2. When the last segment is completed, it is time to put in the required details in Passport No, IV Case No, Sex, Marital Status, Male, Female, Date of Birth mmddyyyy, Place of Birth City Country, Nationality, Ethnicity, Religion, Phone Numbers, Email, OccupationSkill, and Education LevelField of Study in order to progress to the third part.

Place of Birth City Country, Date of Birth mmddyyyy, and Male of form biodata online

3. This next section is typically fairly straightforward, Child, Name as it Appears on Passport, Passport No, IV Case No, Sex, Marital Status, Male, Female, Date of Birth mmddyyyy, Place of Birth City Country, Nationality, Ethnicity, Religion, Phone Numbers, and Email - these fields must be completed here.

Child, Ethnicity, and Sex of form biodata online

4. It's time to proceed to this fourth portion! In this case you have these OccupationSkill, Education LevelField of Study, Native Language Good Some None, Other Languages Good Some None, English Speaking Ability Good, Language, Reading, Writing, Speaking, Language, Language, Language, Language, Pregnant, and Yes empty form fields to fill out.

Stage no. 4 of completing form biodata online

5. When you near the last sections of this document, you will find a few more requirements that must be fulfilled. Mainly, English Speaking Ability Good, Writing, Speaking, Language, Language, Estimated Delivery Date mmddyyyy, Health Issues If yes please, Pregnant, Yes, and Page of must be filled out.

Filling out section 5 in form biodata online

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