USCIS Interview Interpreter Declaration Form
Complete this form if you are serving as an interpreter during a USCIS interview. All fields are required for declaration and compliance purposes.
Applicant's Full Name
*
First Name
Last Name
USCIS Interview Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Interpreter's Full Name
*
First Name
Last Name
Interpreter's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Interpreter's Email Address
*
example@example.com
Language(s) Interpreter Will Interpret
*
Interpreter's Relationship to the Applicant
*
Please Select
No relationship
Family member
Friend
Attorney/Accredited Representative
Other
Declaration: I declare that I am proficient in English and the language(s) listed above, and I will interpret accurately and completely during the USCIS interview.
*
I agree
Confirmation: I confirm that I am impartial, willing to interpret, and acknowledge that I may be asked to certify my interpreter role by USCIS.
*
I confirm
Interpreter's Signature
*
Submit Declaration
Submit Declaration
Should be Empty: