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I-600A, Application for Advance Processing of Orphan Petition (United States)

This form is a petition to classify an orphan as a relative of a person of the United States. The form provided here is simply a sample of what the actual Form I-600A looks like.

Department of Homeland Security
U.S. Citizenship and Immigration Services

I-600A, Application for Advance Processing of Orphan Petition

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Do not write in this block. (For USCIS Use Only.)

TO THE SECRETARY OF STATE:

It has been determined that the:

____ Married ____ Unmarried

prospective adoptive parent will furnish proper care to a beneficiary orphan if admitted to the United States.

____ are ____ are not preadoptive requirements in the State of the child's proposed residence.


The following is a description of the preadoption requirements, if any, of the State of the child's proposed residence:

The preadoption requirements, if any:

____ have been met. ____ have not been met.


Fee Stamp


DATE OF FAVORABLE DETERMINATION ___________________________

DD ___________________________

DISTRICT ___________________________

File number of applicant, if applicable. ___________________________


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Please type or print legibly in black ink.
This application is made by the named prospective adoptive parent for advance processing of an orphan petition.

Block I - Information about the prospective adoptive parent.

1. My name is: (Last) ___________________________

(First) ___________________________

(Middle) ___________________________

2. Other names used (including maiden name if appropriate): ___________________________

3. I reside in the U.S. at: (C/O if appropriate) ___________________________

(Number and Street) ___________________________

(Apt. No.) ___________________________

(Town or City) ___________________________

(State) ___________________________

(Zip Code) ___________________________

4. Address Abroad (if any):

(Number and Street) ___________________________

(Town or city) ___________________________

(Province) ___________________________

(Country) ___________________________

5. I was born on: (mm/dd/yyyy) ___________________________

In: (Town or City) ___________________________

(State or Province) ___________________________

(Country) ___________________________

6. My telephone number is: (Include Area Code) ___________________________

7. My marital status is:

____ Married

____ Widowed

____ Divorced

____ Single

____ I have never been married.

____ I have been previously married _________ time(s).

8. If you are now married, give the following information:

Date and place of present marriage (mm/dd/yyyy) ___________________________

Name of present spouse (include maiden name of wife) ___________________________

Date of birth of spouse ___________________________

Place of birth of spouse ___________________________

Number of prior marriages of spouse ___________________________

My spouse resides ____ With me ____ Apart from me (provide address below)

(Apt. No.) ___________________________

(No. and Street) ___________________________

(City) ___________________________

(Country) ___________________________

9. I am a citizen of the United States through:

____ Birth ____ Parents ____ Naturalization

If acquired through naturalization, give name under which naturalized, number of naturalization certificate, and date and place of naturalization: ___________________________

If not, submit evidence of citizenship. See Instruction 2.a(2).

If acquired through parentage, have you obtained a certificate in your own name based on that acquisition?

____ No ____ Yes

Have you or any person through whom you claimed citizenship ever lost U.S. citizenship?

____ No ____ Yes (If Yes, attach detailed explanation.)

Block II - General information.

10. Name and address of organization or individual assisting you in locating or identifying an orphan

(Name) ___________________________

(Address) ___________________________

11. Do you plan to travel abroad to locate or adopt a child?

____ Yes ____ No

12. Does your spouse, if any, plan to travel abroad to locate or adopt a child?

____ Yes ____ No

13. If the answer to Question 11 or 12 is "Yes," give the following information:
___________________________

a. Your date of intended departure ___________________________

b. Your spouse's date of intended departure ___________________________

c. City, province ___________________________

14. Will the child come to the United States for adoption after compliance with the preadoption requirements, if any, of the State of proposed residence?

____ Yes ____ No

15. If the answer to Question 14 is "No," will the child be adopted abroad after having been personally seen and observed by you and your spouse, if married?

____ Yes ____ No

16. Where do you wish to file your orphan petition?

The USCIS office located at ___________________________

The American Embassy or Consulate at ___________________________

17. Do you plan to adopt more than one child?

____ Yes ____ No

If "Yes," how many children do you plan to adopt? ___________________________


Certification of prospective adoptive parent.

I certify, under penalty of perjury under the laws of the United States of America, that the foregoing is true and correct and that I will care for an orphan/orphans properly if admitted to the United States.

(Signature of Prospective Adoptive Parent)___________________________

Executed on (Date) ___________________________

Certification of married prospective petitioner's spouse.

I certify, under penalty of perjury under the laws of the United States of America, that the foregoing is true and correct and that my spouse and I will care for an orphan/orphans properly if admitted to the United States.

(Signature of Prospective Adoptive Parent)___________________________

Executed on (Date) ___________________________

Signature of person preparing form, if other than petitioner.

I declare that this document was prepared by me at the request of the petitioner and is based entirely on information of which I have knowledge.

(Signature) ___________________________

Street Address and Room or Suite No./City/State/Zip Code ___________________________

Executed on (Date) ___________________________

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