The Form I-566, officially known as the Interagency Record of Request for A, G, or NATO Dependent Employment Authorization or U.S. Citizenship and Immigration Services Change/Adjustment To/From A, G, or NATO Status, encompasses a crucial set of procedures for nonimmigrants in the United States under diplomatic, NATO, and certain international organization designations. This form is pivotal for those seeking authorization to work in the U.S. or looking to alter or adjust their status within these specific nonimmigrant categories. Mandated to be filled out comprehensively in black ink, the form requires detailed personal information including name, contact details, birthplace, citizenship, marital status, and pertinent immigration figures such as A-Number, Social Security Number, and passport details. Furthermore, it extends to cover details about the principal alien if the applicant is a dependent, specifying the relationship to the principal. The request section delineates options for employment authorization and status change or adjustment, necessitating a careful selection that aligns with the applicant's circumstances. A certification part obliges the applicant to attest to the accuracy of the information provided under penalty of perjury, emphasizing the legality and gravity of the process. The form also integrates a section for certification by the relevant diplomatic mission or international organization, which verifies the applicant’s eligibility and supports the application with official endorsement. The procedural coherence and interagency coordination outlined underscore the form's vital role in managing the employment and status transitions of individuals granted the A, G, or NATO designations in the United States, reflecting the intricate balance between diplomatic privileges, international agreements, and U.S. immigration policy.
| Question | Answer |
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| Form Name | Form I 566 |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | i 566 omb no 1615 0027 form |
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OMB No. |
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Form |
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Department of Homeland Security |
A, G, or NATO Dependent Employment Authorization or |
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U.S. Citizenship and Immigration Services |
Change/Adjustment To/From A, G, or NATO Status |
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START HERE - Type or print in black ink.
Part 1. Information About You (The person seeking employment authorization or change/adjustment of status.)
1.Family Name (Last Name)
Given Name (First Name)
Middle Name
2.Home Address - Street Number and Name
Apt. Number
City
State
Zip Code
3.Mailing Address - Street Number and Name
Apt. Number
C/O (In Care Of):
City
State
Zip Code
Daytime Phone Number (with area code)
4.Date of Birth (mm/dd/yyyy)
5.Country of Birth
6.Country of Citizenship
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Gender |
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8. Marital Status |
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10. U.S. Social Security Number |
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Male |
Female |
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Married |
Not Married |
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A- |
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(if any) |
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DOS Personal Identification Number |
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13. Passport or Travel Document |
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(PID) |
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Document) |
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Number |
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Country of Issuance for Passport or Travel Document |
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15. Expiration Date for Passport or Travel Document |
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(mm/dd/yyyy) |
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Date of Last Entry into the U.S. |
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Current Immigration Status |
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18. Relationship to Principal (if applicable) |
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(mm/dd/yyyy) |
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Part 2. Information About Principal Alien
1. |
Family Name (Last Name) |
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Given Name (First Name) |
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Middle Name |
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2. |
Home Address - Street Number and Name |
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Apt. Number |
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City |
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State |
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Zip Code |
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3. |
Date Tour of Duty Expected to End |
4. Country of Citizenship |
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5. Marital Status |
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(mm/dd/yyyy) |
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Married |
Not Married |
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6. |
Job Title |
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7. DOS Personal Identification Number (PID) |
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8. |
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9. |
Passport or Travel Document Number |
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10. |
Country of Issuance for Passport or Travel Document |
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11. |
Expiration Date for Passport or Travel Document |
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(mm/dd/yyyy) |
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Form
Part 3. Type of Request (See instructions for complete information on the different types of requests.)
1.
2.
I am requesting employment authorization as (select one):
a. spouse.
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son or daughter, age: |
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, who: |
is a |
is disabled |
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other dependent recognized by the DOS: |
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I am requesting change/adjustment of status (Select one)
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Change of nonimmigrant status to A, G, or NATO nonimmigrant - specifically to: |
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Section 247(a), immigrant to A or G nonimmigrant. |
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Change to other nonimmigrant status from A, G, or NATO - specifically to: |
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Adjustment from A, G, or NATO nonimmigrant to immigrant. |
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e. |
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Part 4. Certification (Submit two copies with original signatures.)
I certify under penalty of perjury that the foregoing is true and correct. I understand false information is a basis for denial or termination of the benefit requested and for other penalties provided by law and regulation. If I am requesting employment authorization, I further certify that I do not have a criminal record. I have not violated United States immigration and/or visa laws, I have not worked illegally in the United States, and I have paid Social Security and all applicable taxes on all employment in the United States.
Signature of Applicant |
Date (mm/dd/yyyy) |
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Part 5. Your Personal Information
Name of Applicant (Family, Given, Middle) |
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Date of Birth (mm/dd/yyyy) DOS Personal Identification Number |
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(PID) |
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For Official Use Only
Part 6. Certification by Diplomatic Mission, International Organization, NATO/HQ SACT, or NATO Member State (Certifying official must have this information and page to complete process.)
I certify that the information provided on the first page of this Form
I further certify that the applicant's eligibility for employment authorization has been verified under the provisions of:
A bilateral agreement with:
A de facto agreement with:
Check all that apply:
Without a numerical limit
Based on principal alien's
With a numerical limit and this applicant is within the limit; and
I further certify that the applicant for status as a principal alien is being offered the position below and DOS was notified.
Position: |
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DOS Notification Date: |
Signature of Certifying Officer or Official |
Printed Name Certifying Officer or Official |
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Name and Address of Diplomatic Mission, International Organization, NATO/HQ SACT, or NATO Member State
Official Seal
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Duty/Title |
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Phone Number (include area code) Date (mm/dd/yyyy) |
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Form
Part 7. DOS, NATO/HQ SACT, and/or USUN Use Only
1.The Department of State, NATO/HQ SACT, and/or USUN:
Recommends the request be granted |
Recommends the request be denied |
If the recommendation is for denial, provide a reason(s) for such recommendation:
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Date (mm/dd/yyyy) |
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3. Phone Number (include area code) |
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Office: |
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Protocol |
USUN |
NATO/HQ SACT |
Visa |
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5. |
Signature 1 |
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6. |
Signature 2 |
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Part 8. USCIS Use Only
1. |
From: |
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Adjudicator's ID Number USCIS Office |
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Office Phone Number (with area code) |
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2. |
To: |
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Protocol
USUN
NATO/HQ SACT
Visa Office (Subject filed under Section 13. Advise USCIS of findings.)
3.Adjustment or Change of Status:
Granted |
Date of Decision (mm/dd/yyyy) If change of status granted, give new status: |
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Denied |
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4.Request for Employment Authorization:
Granted |
Date of Decision (mm/dd/yyyy) Valid to (mm/dd/yyyy) Classification: |
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Denied |
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5.DOS, USUN, NATO/HQ SACT, or Visa Office
Office Notified:
Yes |
Date of Notification (mm/dd/yyyy) |
No |
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Form