I-539 Application Form I-539 Application to Extend/Change Nonimmigrant Status Back Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Information About You Name *FirstMiddleLastLayoutAlien Registration Number (A-Number) (if any)USCIS Online Account Number (if any)Your U.S. Mailing Address (Safe Address, if applicable) In Care Of Name (if any)LayoutStreet Number and NameCity or TownStateZIP CodeIs your mailing address the same as your physical address?YesNoYour Current Physical Address Layout (copy)Street Number and NameCity or TownStateZIP CodeOther Information About You LayoutCountry of BirthU.S. Social Security Number (if any)Date of Birth Date / TimeDateTimeProvide Information About Your Most Recent Entry Into the United States LayoutDate of Last Arrival Into the United States Form I-94 Arrival-Departure Record NumberPassport Number (if any)Travel Document Number (if any)Country of Passport or Travel Document IssuancePassport or Travel Document Expiration DateLayoutCurrent Nonimmigrant Status (for example, F-1 student, H-4 dependent, etc.)Date Status Expires Application Type I am applying for Reinstatement to student statusAn extension of stay in my current statusA change of statusNumber of people included in this applicationI am the only applicantI am filing this application for myself and members of my familyThe total number of people (including me) in the application is: (Form I-539A is required for each co-applicant.)The name of the school you will attend (if applicable) as an Academic Student, Vocational Student, or Exchange VisitorYour Student and Exchange Visitor Information System (SEVIS) ID Number, if applicableProcessing Information I/We request that my/our current or requested status be extended untilIs this application based on an extension or change of status already granted to your spouse, child, or parent?YesNoIs this application based on a separate petition or application to provide your spouse, child, or parent an extension or change of statusYes, filed with this Form I-539NoYes, filed previously and pending with U.S. Citizenship and Immigration Services (USCIS)Provide the USCIS Receipt NumberLayoutFirst Name of Beneficiary or ApplicantLast Name of Beneficiary or ApplicantDate Filed Additional Information About the Principal Applicant LayoutPassport NumberCountry of Passport IssuancePassport Expiration DatePhysical Address Abroad LayoutStreet Number and NameNumberCity or TownProvincePostal CodeCountryAre you an applicant for an immigrant visa?YesNoHas an immigrant petition EVER been filed for you?YesNoHave you EVER filed Form I-485, Application to Register Permanent Residence or Adjust Status?YesNoHave you been arrested or convicted of any criminal offense since last entering the United States?YesNoActs involving torture or genocide? YesNoKilling any personYesNoIntentionally and severely injuring any person?YesNoEngaging in any kind of sexual contact or relations with any person who did not consent or was unable to consent, or was being forced or threatened?YesNoLimiting or denying any person's ability to exercise religious beliefsYesNoHave you EVER been a member of, assisted, or participated in any group, unit, or organization of any kind in which you or other persons used or threatened to use any type of weapon against any person or threatened to do so?YesNoHave you EVER sold, provided, or transported weapons, or assisted any person in selling, providing, or transporting weapons, which, you knew or believed would be used against another personYesNoHave you EVER received any weapons training, paramilitary training, or other military-type trainingYesNoHave you EVER violated the terms of the nonimmigrant status you now holdYesNoAre you now in removal proceedingsYesNoApplicant's Contact Information LayoutApplicant's Daytime Telephone NumberApplicant's Mobile Telephone Number (if any)Applicant's Email Address (if any)Interpreter's Full Name LayoutInterpreter's Family Name (Last Name)Interpreter's Given Name (First Name)Interpreter's Business or Organization NameInterpreter's Contact Information LayoutInterpreter's Daytime Telephone NumberInterpreter's Mobile Telephone Number (if any)Interpreter's Email Address (if any)Preparer's Full Name LayoutPreparer's Family Name (Last Name)Preparer's Given Name (First Name)Preparer's Business or Organization NamePreparer's Contact Information LayoutPreparer's Daytime Telephone NumberPreparer's Mobile Telephone Number (if any)Preparer's Mobile Telephone Number (if any)General Requirements A copy of Form I-94, Nonimmigrant Arrival-Departure Record, for each person included in your application Ambassador, Public Minister, or Career Diplomatic or Consular Officer and Their Immediate Family Members Form I-566, Interagency Record of Request, certified by the U.S. Department of State (DOS), to indicate your accredited status A-3 Attendant or Servant Of An A Nonimmigrant and The A-3's Immediate Family Members A copy of the employer’s Form I-94 or approval notice demonstrating A status An original letter from the employer An original Form I-566, Interagency Record of Request, certified by DOS, indicating the employer’s accredited status B-1 Visitor For Business or B-2 Visitor For Pleasure A written statement CW-2 Dependents Of A CW-1 Transitional Worker Evidence of lawful presence in Commonwealth of the Northern Mariana Islands (CNMI) Evidence of each applicant’s relationship to the CW-1 transitional worker One of the following: Form I-129CW, Petition for a Nonimmigrant Worker in the CNMI, filed on behalf of the CW-1 transitional worker; A copy of the I-797 Receipt Notice related to the transitional worker’s currently pending petition; A copy of the transitional worker’s most recent Form I-94; or A copy of the I-797 Approval Notice showing the transitional worker has been granted status Dependents of a Principal E Nonimmigrant Evidence of each applicant’s relationship to the principal E nonimmigrant At least one of the following: Form I-129, Petition for a Nonimmigrant Worker, filed on behalf of the principal E nonimmigrant; A copy of the I-797 Receipt Notice related to the principal E nonimmigrant’s currently pending Form I-129; A copy of the principal E nonimmigrant’s most recent Form I-94; or A copy of the I-797 Approval Notice showing the principal E nonimmigrant has been granted status F-1 Academic Student A copy of Form I-20, Certificate of Eligibility for Nonimmigrant Student Evidence of your ability to pay for your studies and support yourself and your dependents F-1 Reinstatement A copy of Form I-20, Certificate of Eligibility for Nonimmigrant Student Evidence of your ability to pay for your studies and support yourself and your dependents Evidence your violation of status resulted from circumstances beyond your control or that the violation relates to a reduction in your course load that is within a designated school official’s power to authorize, and that failure to approve reinstatement would result in extreme hardship to you If you were out of status for more than five months, evidence of exceptional circumstances and that you are filing as promptly as possible under the exceptional circumstances Submit