I-864A, Contract Between Sponsor and Household Member

Instructions:

Purpose of Form:	This contract is intended to benefit the sponsored immigrant(s) and any agency of the Federal Government, any agency of a State or local government, or any private entity to which the sponsor has an obligation under the affidavit of support to reimburse for benefits granted to the sponsored immigrant. This contract may be enforced in any court with appropriate jurisdiction. By signing this form, a household member who is not a sponsored immigrant, agrees to make his or her income and/or assets available to the sponsor to help support the immigrant for whom the sponsor has filed an affidavit of support.
Number of Pages:	3
Edition Date:	10/11/00, 1/21/98 also acceptable
Where to File:	Should be filed with Form I-864, Affidavit of Support Under Section 213A of the Act. The signatures on the I-864A must be notarized by a notary public or signed before an immigration or consular officer.
Filing Fee:	None

Download:

I-864A (PDF)

Other Information:

How Do I File an Affidavit of Support for a Relative?