USCIS · Official form

Form I-914, Application for T Nonimmigrant Status

Form I-914 is how survivors of human trafficking apply for T nonimmigrant status, temporary protection that lets them stay in the United States while assisting law enforcement.

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This is the genuine USCIS PDF, unmodified. Source: USCIS official page.

What is I-914?

T nonimmigrant status protects people who are or were victims of a severe form of trafficking in persons and are in the United States on account of that trafficking. Applicants generally must show they have complied with reasonable requests from law enforcement to help investigate or prosecute the trafficking, unless they qualify for an exemption for age or trauma, and that removal would cause them extreme hardship involving unusual and severe harm.

The application includes a detailed personal statement describing the trafficking. Supplement A extends the application to qualifying family members, and Supplement B is an optional declaration from a law enforcement agency confirming the applicant was a victim and has been helpful. Approved T status also opens a path to work authorization and, later, permanent residence.

Who files I-914?

Survivors of sex or labor trafficking who are physically present in the US because of the trafficking
Applicants adding qualifying family members through Supplement A
Applicants under 18, or those unable to cooperate due to trauma, who claim an exemption from the law enforcement cooperation requirement
People working with an attorney, accredited representative, or victim services organization on a trafficking case

How to fill out I-914

Complete the biographic sections and answer every eligibility question; write N/A rather than leaving items blank.
Prepare your personal statement describing the trafficking, how you came to the US, and why removal would cause extreme hardship.
Gather supporting evidence: police or court records, medical records, affidavits, and Supplement B from law enforcement if you can obtain it.
Add Supplement A for each qualifying family member you want to include.
Print, sign, and mail the package to the USCIS address listed in the current I-914 instructions; there is no filing fee for Form I-914, but confirm details at uscis.gov before mailing.

Worth knowing: Applications with sensitive victim information are confidential under federal law. If you are in immediate danger, contact the National Human Trafficking Hotline; a victim advocate or accredited representative can help you file safely.

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These are the form's own fields, in the order they appear on the pages. Fill in what you know; anything left blank stays a fillable field in the PDF, so you can finish it in any PDF reader. Nothing you type here is sent to USCIS.

Page 1 31 fields

PART 1. Purpose for Filing This Application. Select all applicable boxes. 1.A. Select I am filing for T-1 nonimmigrant status and have not

PART 1. Purpose for Filing This Application. Select all applicable boxes. 1B. Select I am filing for T-1 nonimmigrant status and have

PART 2. General Information About You (Person filing this application as a victim). 1. Your Full Legal Name. Enter Middle Name, if any.

PART 2. General Information About You (Person filing this application as a victim). 1. Your Full Legal Name. Enter Given Name (First Name).

PART 2. General Information About You (Person filing this application as a victim). 1. Your Full Legal Name. Enter Family Name (Last Name).

To Be fully completed by an attorney or accredited representative, if any. Select the box if Form G-28 is attached.

To be fully completed by an attorney or accredited representative, if any. Enter Attorney State License Bar Number.

PART 2. General Information About You (Person filing this application as a victim). 2. Other Names Used. Provide any other names you have

PART 2. General Information About You (Person filing this application as a victim). 2. Other Names Used.Provide any other names you have

Part 2. General Information About You (Person filing this application as a victim) 3. Physical Address. Enter Street Number and Name.

Part 2. General Information About You (Person filing this application as a victim). 3. Physical Address. Check this box for Apartment.

Part 2. General Information About You (Person filing this application as a victim). 3. Physical Address. Check this box for Suite.

Part 2. General Information About You (Person filing this application as a victim). 3. Physical Address. Check this box for Floor.

Apartment, Suite or Floor Part 2. General Information About You (Person filing this application as a victim). 3. Physical Address. number.

Part 2. General Information About You (Person filing this application as a victim). 3. Physical Address. Enter City or Town.

Part 2. General Information About You (Person filing this application as a victim). 3. Physical Address. Enter Zip Code.

Part 2. General Information About You (Person filing this application as a victim). 3. Physical Address. Select State from the list of

Part 2. General Information About You (Person filing this application as a victim) 4. Safe Mailing Address. If you do not want U.S.

To Be Completed by Attorney or Accredited Representative. Enter Attorney or Accredited Representative USCIS Online Account Number.

Page 2 29 fields

Page 3 18 fields

Page 4 26 fields

Page 5 34 fields

Page 6 50 fields

Page 7 29 fields

PART 4. Processing Information. 21. A. Do you have a communicable disease of public health significance? Select No.

PART 4. Processing Information. 21. B. Do you have or have you had a physical or mental disorder and behavior (or a history of behavior

PART 4. Processing Information. 21. C. Are you now or have you been a drug abuser or drug addict? Select No.

PART 4. Processing Information. 21. C. Are you now or have you been a drug abuser or drug addict? Select Yes.

PART 4. Processing Information. 21. B. Do you have or have you had a physical or mental disorder and behavior (or a history of behavior

PART 4. Processing Information. 21. A. Do you have a communicable disease of public health significance? Select Yes.

PART 5. Information About Your Family Members. Provide the following information about your spouse and all of your children, if applicable.

PART 5. Information About Your Family Members. 1. Information About your Spouse. D. Current Location. Enter City or Town of Residence.

PART E. Information About Your Family Members. 1. Information About your Spouse. D. Current Location. Enter Country of Residence.

PART 5. Information About Your Family Members. 2. Information About Your Children. A. Child 1. Enter Family Name (Last Name).

PART 5. Information About Your Family Members. Information About Your Children 5. A. Child 1. Enter Given Name (First Name).

PART 5. Information About Your Family Members. Information About Your Children 5. A. Child 1. Enter Middle Name.

PART 5. Information About Your Family Members. 2. Information About Your Children. 5. A. Child 1. Enter City or Town.

Part 5. Information About Your Family Members. 2. Information About Your Children. 5 A Child 1. Select State from the list of States.

PART 5. Information About Your Family Members.2. Information About Your Children. 5. A. Child 1. Enter Date of Birth. Enter as 2 digit

PART 5. Information About Your Family Members. 1. Information About your Spouse. C. Enter Spouse Country of Birth.

PART 5. Information About Your Family Members. 1. Information About your Spouse. B. Enter Spouse Date of Birth, Enter as 2 digit Month, 2

PART 5. Information About Your Family Members. 2. Information About Your Children. 5. A. Information About Your Child 1. Enter Country.

PART 5. Information About Your Family Members. 2. Information About Your Children. 5. B. Child 2. Enter Family Name (Last Name).

PART 5. Information About Your Family Members. 2. Information About Your Children. 5. B. Child 2. Enter Given Name (First Name).

PART 5. Information About Your Family Members. 2. Information About Your Children. 5. B. Child 2. Enter Middle Name.

PART 5. Information About Your Family Members. Information About Your Children 5. B. Current Location. Child 2. Enter City or Town.

Part 5. Information About Your Family Members. Information About Your Children 5 B. Current Location. Child 2. Select State from the list

PART 5. Information About Your Family Members. 2. Information About Your Children. 5. B. Child 2. Enter Date of Birth. Enter as 2 digit

PART 5. Information About Your Family Members. 2. Information About Your Children. 5. B. Child 2. Enter Country

PART 5. Information About Your Family Members. 2. Information About Your Children. 5. A. Child 1. Enter Country of Birth.

PART5E. Information About Your Family Members. 2. Information About Your Children. 5. B. Child 2. Enter Country of Birth.

Page 8 14 fields

PART 6. Applicant's Statement, Contact Information, Declaration, Certification, and Signature. NOTE: Read the Penalties section of the Form

PART 6. Applicant's Statement, Contact Information, Declaration, Certification, and Signature. Applicant's Statement. 1. Applicant's

PART 6. Applicant's Statement, Contact Information, Declaration, Certification, and Signature. Applicant's Statement. 2. Applicant's

PART E5. Information About Your Family Members. 2. Information About Your Children. 5. C. Child 3, Enter Family Name (Last Name).

PART 5. Information About Your Family Members. 2. Information About Your Children. 5 C. Child 3, Enter Given Name (First Name).

PART 5. Information About Your Family Members. 2. Information About Your Children. 5 C Child 3, Enter Middle Name.

PART 5. Information About Your Family Members. 2. Information About Your Children. 5. C. Current Location. Child 3, Enter City or Town.

Part . 5 Information About Your Family Members. 2. Information About Your Children. 5. C. Current Location. Child 3, Select State from the

PART 5. Information About Your Family Members. 2. Information About Your Children. 5. C. Child 3, Enter Date of Birth. Enter as 2 digit

PART 5. Information About Your Family Members. 2. Information About Your Children. 5. C. Current Location. Child 3, Enter Country.

PART 6. Applicant's Statement, Contact Information, Declaration, Certification, and Signature. Applicant's Contact Information. 5. Enter

PART 6. Applicant's Statement, Contact Information, Declaration, Certification, and Signature. Applicant's Contact Information. 4. Enter

PART 6. Applicant's Statement, Contact Information, Declaration, Certification, and Signature. Applicant's Contact Information. 3. Enter

PART 5. Information About Your Family Members. 2. Information About Your Children. 5. C. Child 3, Enter Country of Birth.

Page 9 4 fields

PART 6. Applicant's Statement, Contact Information, Declaration, Certification, and Signature. Applicant's Signature. 6. Enter Date of

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Full Name. 2. Enter Interpreter's Business

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Provide the following information about the interpreter.

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Full Name. 1. Enter Interpreter's Given

Page 10 19 fields

PART 6. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Contact Information. 5. Enter Interpreter's

PART 6. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Contact Information. 4. Enter Interpreter's

PART 6. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Certification. I certify, under penalty of

PART 6. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Signature. 7. Enter Date of Signature.

PART 6. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Contact Information. 6. Enter Interpreter's

PART 8. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant. Preparer's

PART 8. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant. Provide the

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Mailing Address. 3. Enter Street Number and

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Mailing Address. 3. Select Suite.

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Mailing Address. 3. Select Apartment.

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Mailing Address. 3. Select Floor.

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Mailing Address. 3. Enter Apartment, Suite

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Mailing Address. 3. Enter City or Town.

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Mailing Address. 3. Select State from List

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Mailing Address. 3. Enter Zip Code.

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Mailing Address. 3. Enter Postal Code.

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Mailing Address. 3. Enter Province.

PART 7. Interpreter's Contact Information, Certification, and Signature (if any). Interpreter's Mailing Address. 3. Enter Country.

Page 11 17 fields

PART 8. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant. Preparer's

Page 12 16 fields

Part 9. Additional Information. 3. B. Enter Part Number.

Part 9. Additional Information. 3. A. Enter Page Number.

Part 9. Additional Information. 3. C. Enter Item Number.

Part 9. Additional Information. 3. D. Enter Additional Information.

Part 9. Additional Information. 4. A. Enter Page Number.

Part 9. Additional Information. 4. B. Enter Part Number.

Part 9. Additional Information. 4. C. Enter Item Number.

Part 9. Additional Information. 4. D. Enter Additional Information.

Part 9. Additional Information. 5. A. Enter Page Number.

Part 9. Additional Information. 5. B. Enter Part Number.

Part 9. Additional Information. 5. C. Enter Item Number.

Part 9. Additional Information. 5. D. Enter Additional Information.

Part 9. Additional Information. 6. A. Enter Page Number.

Part 9. Additional Information. 6. B. Enter Part Number.

Part 9. Additional Information. 6. C. Enter Item Number.

Part 9. Additional Information. 6. D. Enter Additional Information.

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Frequently asked questions

Do I need a declaration from law enforcement?

No. Supplement B strengthens the application by confirming your cooperation, but it is optional for T status. If you cannot get one, USCIS accepts other credible evidence that you were a victim and, where required, that you complied with reasonable requests for assistance.

Can T status lead to a green card?

Yes. T nonimmigrants who meet continuous presence and other requirements can later apply for adjustment of status on Form I-485. Check the current eligibility rules at uscis.gov.

Can my family be included?

Certain family members qualify depending on your age and the danger they face, typically spouses, children, and for applicants under 21, parents and unmarried minor siblings. Each is added with Supplement A.

Form I-914, Application for T Nonimmigrant Status

What is I-914?

Who files I-914?

How to fill out I-914

Quick fill I-914 on this page

Frequently asked questions

Related forms

Form I-918, Petition for U Nonimmigrant Status

Form I-192, Application for Advance Permission to Enter as a Nonimmigrant

Form I-485, Application to Register Permanent Residence or Adjust Status