Form I 539 – Fill Out and Use This PDF

Form I 539 is an immigration peer issued by U.S. Citizenship and Immigration Services (USCIS). It acts as a Request for Extension of Stay or to Change Nonimmigrant status for people who have overstayed their visa or wish to extend their current US nonimmigrant stay. Typically, the Form I 539 must be completed for without a language translator, however there are some exceptions when a translator may be enlisted for assistance. This form functions as a gateway that indicates and supports The Department Homeland Security's intent to adjust foreign nationals’ visas in accordance with lawful objectives.

Form I 539 PDF Details

If you are a foreign national and want to stay in the United States, you may need to file Form I-539, Application to Extend/Change Nonimmigrant Status. This form is used by people in nonimmigrant status (i.e., those who have temporary permission to stay in the U.S.) to request a change or extension of their status. There are many reasons why someone might need to do this, such as when their original visa expires or they find themselves in a situation that requires them to remain in the U.S. longer than planned. If you need to file Form I-539, it is important that you understand what information is required and how to complete the form correctly. You can find more information about this process on our website.

Question	Answer
Form Name	Form I 539
Form Length	5 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 15 sec
Other names	i 539_expires2012 .0229_001 i 539 form

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OMB No. 1615-0003; Expires 02/29/12

Department of Homeland Security

U.S. Citizenship and Immigration Services

I-539, Application to Extend/ Change Nonimmigrant Status

START HERE - Please type or print in black ink

Part 1.	Information About You

Family Name			Given Name					Middle Name

Address -
In care of -

Street Number										Apt. Number
and Name
City		State			Zip Code		Daytime Phone Number

Country of Birth						Country of	Citizenship

Date of Birth				U. S. Social Security #			(if any)		A-Number (if any)
(mm/dd/yyyy)

Date of Last Arrival						I-94 Number
Into the U.S.
Current Nonimmigrant Status						Expires on
						(mm/dd/yyyy)

Part 2. Application Type (See instructions for fee)

1.I am applying for: (Check one)

a.	An extension of stay in my current status.
b.	A change of status. The new status I am requesting is:
	A change of status. The new status I am requesting is:
c.	Reinstatement to student status.

2.Number of people included in this application: (Check one)

a. I am the only applicant.

b.Members of my family are filing this application with me. The total number of people (including me) in the application is: (Complete the supplement for each co-applicant.)

Part 3. Processing Information

1.I/We request that my/our current or requested status be extended until

(mm/dd/yyyy):

2.Is this application based on an extension or change of status already granted to your spouse, child, or parent?

No	Yes. USCIS Receipt #

3.Is this application based on a separate petition or application to give your spouse,

child, or parent an extension or change of status?

Yes, filed with this I-539.

Yes, filed previously and pending with USCIS. Receipt #:

4.If you answered "Yes" to Question 3, give the name of the petitioner or applicant:

If the petition or application is pending with USCIS, also give the following data:

	Office filed at		Filed on (mm/dd/yyyy)

Part 4. Additional Information

1.For applicant #1, provide passport information: Valid to: (mm/dd/yyyy)

Country of Issuance:

2. Foreign Address: Street Number and Name		Apt. Number

City or Town	State or Province

Country	Zip/Postal Code

For USCIS Use Only

Returned

Receipt

Date

Resubmitted

Date

Reloc Sent

Date

Reloc Rec'd

Date

Applicant

Interviewed

Date

Extension Granted to (Date):

Change of Status/Extension Granted

New Class: From (Date):

To (Date):

If Denied:

Still within period of stay

S/D to:

Place under docket control

Remarks:

Action Block

To Be Completed by

Attorney or Representative, if any

Fill in box if G-28 is attached to represent the applicant.

ATTY State License #

Form I-539 (Rev. 06/12/09)Y

3. Answer the following questions. If you answer "Yes" to any question, describe the circumstances in
detail and explain on a separate sheet of paper.	Yes	No

a. Are you, or any other person included on the application, an applicant for an immigrant visa?

b. Has an immigrant petition ever been filed for you or for any other person included in this application?

c.Has Form I-485, Application to Register Permanent Residence or Adjust Status, ever been filed by you or by any other person included in this application?

d. 1. Have you, or any other person included in this application, ever been arrested or convicted of any criminal offense since last entering the United States?

d. 2. Have you EVER ordered, incited, called for, commited, assisted, helped with, or otherwise participated in any of the following:

(a)Acts involving torture or genocide?

(b)Killing any person?

(c)Intentionally and severely injuring any person?

(d)Engaging in any kind of sexual contact or relations with any person who was being forced or threatened?

(e)Limiting or denying any person's ability to exercise religious beliefs?

d.3. Have you EVER:

(a)Served in, been a member of, assisted in, or participated in any military unit, paramilitary unit, police unit, self-defense unit, vigilante unit, rebel group, guerrilla group, militia, or insurgent organization?

(b)Served in any prison, jail, prison camp, detention facility, labor camp, or any other situation that involved detaining persons?

d. 4. Have you EVER been a member of, assisted in, or participated in any group, unit, or organization of any kind in which you or other persons used any type of weapon against any person or threatened to do so?

d. 5. Have you EVER assisted or participated in selling or providing weapons to any person who to your knowledge used them against another person, or in transporting weapons to any person who to your knowledge used them against another person?

d. 6. Have you EVER received any type of military, paramilitary, or weapons training?

e.Have you, or any other person included in this application, done anything that violated the terms of the nonimmigrant status you now hold?

f. Are you, or any other person included in this application, now in removal proceedings?

g.Have you, or any other person included in this application, been employed in the United States since last admitted or granted an extension or change of status?

1.If you answered "Yes" to Question 3f, give the following information concerning the removal proceedings on the attached page entitled "Part 4. Additional information. Page for answers to 3f and 3g." Include the name of the person in removal proceedings and information on jurisdiction, date proceedings began, and status of proceedings.

2.If you answered "No" to Question 3g, fully describe how you are supporting yourself on the attached page entitled "Part 4. Additional information. Page for answers to 3f and 3g." Include the source, amount, and basis for any income.

3.If you answered "Yes" to Question 3g, fully describe the employment on the attached page entitled "Part 4. Additional information. Page for answers to 3f and 3g." Include the name of the person employed, name and address of the employer, weekly income, and whether the employment was specifically authorized by USCIS.

Form I-539 (Rev. 06/12/09)Y Page 2

Yes No

h. Are you currently or have you ever been a J-1 exchange visitor or a J-2 dependent of a J-1 exchange visitor?

If "Yes," you must provide the dates you maintained status as a J-1 exchange visitor or J-2 dependent. Willful failure to disclose this information (or other relevant information) can result in your application being denied. Also, provide proof of your J-1 or J-2 status, such as a copy of Form DS-2019, Certificate of Eligibility for Exchange Visitor Status, or a copy of your passport that includes the J visa stamp.

Part 5. Applicant's Statement and Signature (Read the information on penalties in the instructions before completing this section. You must file this application while in the United States.)

Applicant's Statement (Check One):

I can read and understand English, and have read and understand each and every question and instruction on this form, as well as my answer to each question.

Each and every question and instruction on this form, as well as my answer to each question, has been read to me by the person named below in

, a language in which

I am fluent. I understand each and every question and instruction on this form, as well as my answer to each question.

Applicant's 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 is all true and correct. I authorize the release of any information from my records that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking.

Signature

Print your Name

Date

Daytime Telephone Number

E-Mail Address

NOTE: If you do not completely fill out this form or fail to submit required documents listed in the instructions, you may not be found eligible for the requested benefit and this application may be denied.

Part 6. Interpreter's Statement

Language used:

I certify that I am fluent in English and the above-mentioned language. I further certify that I have read each and every question and instruction on this form, as well as the answer to each question, to this applicant in the above-mentioned language, and the applicant has understood each and every instruction and question on the form, as well as the answer to each question.

Signature

Firm Name (if applicable)

Address

Print Your Name		Date
Daytime Telephone Number
Daytime Telephone Number
(Area Code and Number)
Fax Number (Area Code and Number)	E-Mail Address
Fax Number (Area Code and Number)	E-Mail Address

Form I-539 (Rev. 06/12/09)Y Page 3

Part 7. Signature of Person Preparing Form, if Other Than Above (Sign Below)

Signature

Firm Name (if applicable)

Address

Print Your Name		Date
Daytime Telephone Number
Daytime Telephone Number
(Area Code and Number)
Fax Number (Area Code and Number)	E-Mail Address
Fax Number (Area Code and Number)	E-Mail Address

I declare that I prepared this application at the request of the above person and it is based on all information of which I have knowledge.

Part 4. (Continued) Additional Information. (Page 2 for answers to 3f and 3g.)

If you answered "Yes" to Question 3f in Part 4 on Page 3 of this form, give the following information concerning the removal proceedings. Include the name of the person in removal proceedings and information on jurisdiction, date proceedings began, and status of proceedings.

If you answered "No" to Question 3g in Part 4 on Page 3 of this form, fully describe how you are supporting yourself. Include the source, amount and basis for any income.

If you answered "Yes" to Question 3g in Part 4 on Page 3 of this form, fully describe the employment. Include the name of the person employed, name and address of the employer, weekly income, and whether the employment was specifically authorized by

USCIS.

Form I-539 (Rev. 06/12/09)Y Page 4

Supplement -1

Attach to Form I-539 when more than one person is included in the petition or application.

(List each person separately. Do not include the person named in Form I-539.)

Family Name	Given Name	Middle Name		Date of Birth (mm/dd/yyyy)

Country of Birth	Country of Citizenship	U.S. Social Security # (if any)			A-Number (if any)

Date of Arrival (mm/dd/yyyy)			I-94 Number

Current Nonimmigrant Status:			Expires on (mm/dd/yyyy)

Country Where Passport Issued			Expiration Date (mm/dd/yyyy)


Family Name	Given Name	Middle Name		Date of Birth (mm/dd/yyyy)

Country of Birth	Country of Citizenship	U.S. Social Security # (if any)			A-Number (if any)

Date of Arrival (mm/dd/yyyy)			I-94 Number

Current Nonimmigrant Status:			Expires on (mm/dd/yyyy)

Country Where Passport Issued			Expiration Date (mm/dd/yyyy)


Family Name	Given Name	Middle Name		Date of Birth (mm/dd/yyyy)

Country of Birth	Country of Citizenship	U.S. Social Security # (if any)			A-Number (if any)

Date of Arrival (mm/dd/yyyy)			I-94 Number

Current Nonimmigrant Status:			Expires on (mm/dd/yyyy)

Country Where Passport Issued			Expiration Date (mm/dd/yyyy)


Family Name	Given Name	Middle Name		Date of Birth (mm/dd/yyyy)

Country of Birth	Country of Citizenship	U.S. Social Security # (if any)			A-Number (if any)

Date of Arrival (mm/dd/yyyy)			I-94 Number

Current Nonimmigrant Status:			Expires on (mm/dd/yyyy)

Country Where Passport Issued			Expiration Date (mm/dd/yyyy)


Family Name	Given Name	Middle Name		Date of Birth (mm/dd/yyyy)

Country of Birth	Country of Citizenship	U.S. Social Security # (if any)			A-Number (if any)

Date of Arrival (mm/dd/yyyy)			I-94 Number

Current Nonimmigrant Status:			Expires on (mm/dd/yyyy)

Country Where Passport Issued			Expiration Date (mm/dd/yyyy)

If you need additional space, attach a separate sheet of paper.

Place your name, A-Number, if any, date of birth, form number, and application date at the top of the sheet of paper.

Form I-539 (Rev. 06/12/09)Y Page 5

How to Edit Form I 539 Online for Free

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1. While filling in the Form I 539, ensure to complete all of the necessary fields in its associated section. This will help speed up the process, allowing your information to be handled efficiently and appropriately.

2. Just after this part is completed, go to enter the suitable details in these - Number of people included in this, I am the only applicant Members of, Part Processing Information, IWe request that myour current or, Is this application based on an, Yes USCIS Receipt, Is this application based on a, Yes filed with this I, Date, Extension Granted to Date, Change of StatusExtension Granted, New Class From Date, To Date, If Denied, and Still within period of stay.

Form I 539 conclusion process outlined (part 2)

3. This next segment will be focused on Country, ZipPostal Code, Fill in box if G is attached to, ATTY State License, and Form I Rev Y - fill in each one of these blanks.

4. This next section requires some additional information. Ensure you complete all the necessary fields - Are you or any other person, Has an immigrant petition ever, Has Form I Application to Register, Have you or any other person, d Have you EVER ordered incited, any of the following, a Acts involving torture or, b Killing any person, c Intentionally and severely, d Engaging in any kind of sexual, e Limiting or denying any persons, d Have you EVER, a Served in been a member of, and b Served in any prison jail prison - to proceed further in your process!

People frequently get some points incorrect while filling in Has an immigrant petition ever in this section. Be sure to revise what you type in right here.

5. To conclude your form, the particular part includes a couple of additional fields. Entering d Have you EVER been a member of, Have you EVER assisted or, d Have you EVER received any type, Have you or any other person, Are you or any other person, Have you or any other person, If you answered Yes to Question f, If you answered No to Question g, and If you answered Yes to Question g will certainly finalize everything and you'll be done quickly!

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Form I 539 – Fill Out and Use This PDF

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