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Begin by filling out Part 1, providing your full name, date of birth, and Alien Registration Number (if applicable). Ensure all information is accurate.
In Part 2, list any family members filing this request with you. Complete the table with their details.
For Part 3, provide your household income information. Indicate your employment status and complete the income tables accurately.
In Part 4, ensure you sign and date the form. If someone assisted you, they must also sign in the appropriate sections.
Review all entries for accuracy before submitting. Use our platform's features to save or print a copy for your records.
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Jun 5, 2026 Use this form to request a fee waiver (or submit a written request) for certain immigration forms and services based on a demonstrated inability to pay.Read more
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