What documents must I submit with my request? This depends on the category for which you are requesting an exemption from the fee. USCIS must be able to determine your eligibility by examining your supporting documents. The supporting documents must be legible and in English or accompanied by a certified translation.
What are some examples of acceptable documentation? This list contains examples of acceptable documentation and is not exhaustive:
Exemption: You are under 18, homeless, in foster care, or otherwise lacking any parental or other familial support and your income is less than 150% of the U.S. poverty level.
Evidence you are under 18, such as a birth certificate or school records.
Affidavit from a community-based or religious organization that attests to your homelessness or lack of parental or familial support.
Letter or statement from an agency that you are currently in foster care.
Evidence of your current income, such as tax returns, banks statements or paystubs, or an affidavit from you or a third party stating you do not file tax returns, have no bank accounts and/or have no income or evidence to prove your income level.
Exemption: You cannot care for yourself because you suffer from a serious, chronic disability and your income is less than 150% of the U.S. poverty level.
Medical records or insurance records that describe your serious, chronic disability.
Evidence of your current income, such as tax returns, banks statements or paystubs, or an affidavit from you or a third party stating you do not file tax returns, have no bank accounts and/or have no income or evidence to prove your income level.
Exemption: You have accumulated $25,000 or more in debt in the past 12 months as a result of unreimbursed medical expenses for yourself or an immediate family member and your income is less than 150% of the U.S. poverty level.
Medical bills, insurance records, or other reliable evidence of unreimbursed medical expenses of at least $25,000.
Evidence of your current income, such as tax returns, banks statements or paystubs, or an affidavit from you or a third party stating you do not file tax returns, have no bank account, and/or have no income or other evidence to prove your income level.
2012 Health and Human Services Poverty Guidelines:
48 Contiguous States, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, and the Commonwealth of the Northern Mariana Islands
|
Household Size
|
150% of HHS Poverty Guidelines
|
1
|
$16,755
|
2
|
$22,695
|
3
|
$28,635
|
4
|
$34,575
|
5
|
$40,515
|
6
|
$46,455
|
7
|
$52,395
|
8
|
$58,335
|
For families with more than 8 persons, add $5940 for each additional person.
|
Alaska
|
Household Size
|
150% of HHS Poverty Guidelines
|
1
|
$20,955
|
2
|
$28,380
|
3
|
$35,805
|
4
|
$43,230
|
5
|
$50,655
|
6
|
$58,080
|
7
|
$65,505
|
8
|
$72,930
|
For families with more than 8 persons, add $7425 for each additional person.
|
Hawaii
|
Household Size
|
150% of HHS Poverty Guidelines
|
1
|
$19,290
|
2
|
$26,115
|
3
|
$32,940
|
4
|
$39,765
|
5
|
$46,590
|
6
|
$53,415
|
7
|
$60,240
|
8
|
$67,065
|
For families with more than 8 persons, add $6825 for each additional person.
|
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