Sample DACA Application - Muestra Solicitud DACA

Page 1

Renewal applicants: best to apply between 120 and 150 days before current Employment Authorization and DACA expires. You cannot apply earlier than 150 days before expiration date.

Prepared by the ILRC, July 2014

If you received DACA from ICE, select Number 2 in part 1, but answer all other questions, not just those for renewal, and submit all supporting documents as if applying for the first time.

If applying to renew DACA, make sure to have a copy of your initial I-821D form to ensure that the information you include in your renewal request is consistent with the information you originally submitted.

Include expedited removals at the border. However, voluntary returns are not removal proceedings and do not count for this section.

Check this box if you received DACA and want to renew your request.

You can find this date on the work permit or I-797, Notice of Action. Name as it appears on birth certificate or most recent legal document (i.e. marriage certificate, etc.). Make sure this matches the name you write on forms I-765 and I-765WS.

Check “other� if unsure of immigration history. Explain in part 8 that you do not know what happened.

Make sure you are using the newest version of the form. The date should be 06/04/14.


All renewal applicants will have an A#. It is the 9-digit number written on your employment authorization card as “USCIS#.� You can also find this number on your receipt or approval notice as A#. Initial applicants may not have an A# if have never come into contact with immigration authorities.

Write real SSN that was issued to you ONLY!

Should be USA.

This information is for USCIS to do background checks. Refer to naturalization application instructions for a definition of these ethnicity and race categories: www.uscis.gov/sites/ default/files/files/form/n-400instr.pdf Select whatever race(s) and ethnicity you feel apply to you.

Usually the country of birth.

This should be "Yes" or else the applicant is not eligible for DACA or renewal. A brief departure from the U.S. does not negate continuous residence.


Renewals: if moved since filing initial DACA request, be sure to notify USCIS of your change of address by filling out form AR-11 online or by filling out and mailing the form to USCIS. Information available at www.uscis.gov/ar-11.

If can't remember exact dates, can handwrite month and year (e.g. May/2007) or handwrite “approx.� next to the date.

Renewal applicants need only provide addresses since their previous DACA application.

If traveled without advance parole since receiving DACA, then DACA is automatically terminated. If traveled with advance parole, then mark "No."

Provide passport information if available, even if it has expired.

This should be "Yes" or else the applicant is not eligible for DACA. Part 3, is only for those applying for the first time. Renewal applicants do not have to fill out this part.

Approximate dates like month and year or just the year are okay.


Part 3, is only for those applying for the first time, renewal applicants do not have to fill out this part.

If answer is yes to any question in part 4, consult with an experienced immigration attorney.

Renewal applicants who have already submitted documents of their criminal history with their first DACA application do not need to re-submit that evidence. Can indicate in Part 8 that USCIS already has criminal history documents. Provide all documentation for any new incidents.


Designated representative may sign if requestor cannot sign due to physical or developmental disability or mental impairment.

Remember: Applicant must sign here before sending!


If the applicant indicated that the form was translated, the interpreter must certify the translation here.


For more assistance in filling out the DACA application forms, see our videocast at www.ilrc.org//node/7497 entitled How to Complete DACA Request Forms.

On all additional pages, write applicants name and A# on the top of page, and write the page number, part number, item number and applicant's signature and date.

Applicant must also sign and date this page.


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