Update to Form I-601A, Application for Provisional Unlawful Presence Waiver, New Edition Dated 12/15/17.

Purpose of Form

Certain immigrant visa applicants who are relatives of U.S. Citizens or Lawful Permanent Residents (LPRs) may use this application to request a provisional waiver of the unlawful presence grounds of inadmissibility under Immigration and Nationality Act Section 212 (a)(9)(B), before departing the United States to appear at a U.S. Embassy or consulate for an immigrant visa interview. For more information see the Provisional Unlawful Presence Waiver web page.

Important Reminders

To help ensure that USCIS accepts your Form I-601A for processing:

  • Attach either:
    • A copy of the correct Department of State (DOS) immigrant visa processing fee receipt; or
    • A printout from the Electronic Diversity Visa Entrant Status Check page confirming that you are either a selectee or a derivative of a selectee. See Special Instructions below.
  • Use the correct version of the form. See Edition Date below.
  • Complete all sections of the form. See Special Instructions below.
  • Include the correct fee with your form. See Filing Fee below.

Number of Pages

Form 9; Instructions 21.

Edition Date

12/15/17. Starting 03/06/2018, we will only accept the 12/15/17 edition. Until then, you can use the 12/23/16 edition. You can find the edition date at the bottom of the page on the form and instructions.

Where to File

Mail your Form I-601A to the Chicago Lockbox facility:

For U.S. Postal Service (USPS):

P.O. Box 4599
Chicago, IL 60680
For FedEx, UPS, and DHL deliveries:

Attn: I-601A
131 S. Dearborn, 3rd Floor
Chicago, IL 60603-5517

Filing Fee

$630. If you are younger than 79, you must also pay $85 for biometric services.

Special Instructions

Filing Tips for Form I-601A, Application for Provisional Unlawful Presence Waiver

Only use black ink. Do NOT use highlighters or red ink. These could make your materials unreadable when scanned. 

To help ensure that USCIS accepts your Form I-601A for processing:

  • Complete all sections.
  • Sign the form.
  • Pay the correct filing fee.

USCIS will reject your form if any of the following are missing:

  • Part 1 – Information About You
    • Alien Registration Number (A-Number) (if any)
    • Family Name
    • Your U.S Physical Address
    • Date of Birth
    • Country of Birth
  • Part 3 – Information About Your Immigrant Visa Case
    • Basis on which you are immigrating to the United States (1.a. – 1.e.)
    • DOS Diversity Visa Case Number (KCC Case Number) (if applicable)
    • USCIS receipt number for your approved immigrant visa petition (Form I-130, I-140 or I-360) (if applicable)
    • DOS Consular Case Number (NVC Case Number) (if applicable)

Don’t forget to sign your form!  We will reject any unsigned form.

Include all required supporting documentation and evidence listed in the form instructions, including:

  • Evidence that you are the beneficiary of an approved immigrant visa petition, Diversity Visa Program selectee, or derivative including:
    • A copy of your DOS immigrant visa processing fee receipt (IV Fee Payment Receipt). The fee receipt must show that the fee has been paid in full. Documents such as the Immigrant Visa Application Processing Fee Bill Invoice, Affidavit of Support (AOS) Fee receipt or a receipt showing the payment is in process are not sufficient and could cause delays in processing your case. See the National Visa Center website at nvc.state.gov to learn how to obtain your immigrant visa fee receipt.


  • A printout from the Electronic Diversity Visa Entrant Status Check page at dvlottery.state.gov confirming that you are a DV Program selectee or derivative.
    • If you have any attachments, make sure your name and either your A-Number or Forms I-130, I-140 or I-360 receipt number are on every page.

This page can be found at: https://www.uscis.gov/i-601a

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