Immigration Hardship Waiver Support Letter Questionnaire

Your Full Name*

First NameLast Name

Your Email Address*

example@example.com

Your Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Your Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

What is your relationship to the applicant?*

Name of the applicant you are supporting*

Name of the applicant's qualifying relative (if known)

Please describe the hardship the applicant or their qualifying relative would face if the waiver is not granted.*

Select the types of hardship you believe apply (select all that apply):*

Please provide specific examples or evidence supporting the hardship claim (e.g., personal observations, documents, or experiences).*

If you have any supporting documents (such as letters, medical records, or other evidence), you may upload them here.

Are you willing to be contacted for further information if needed?*

YesNo