Form I821d

Are you currently in immigration detention?

Yes No

This application is a:

Initial request for consideration of DACA Renewal request for consideration of DACA

Were you under the age of 31 on June 15, 2012?

Yes No

Eligibility guidelines require applicants to be under 31 years of age on June 15, 2012.

My DACA status expires on:

Are you at least 15 years old?

Yes No

Generally, you must be at least 15 years of age when you apply.

Were you present in the U.S. on June 15, 2012, and at the time of making this request for consideration of deferred action with USCIS?

Yes No

Did you enter the U.S. without inspection before June 15, 2012, or was your lawful immigration status expired as of June 15, 2012?

Yes No

You are only eligible if you entered the U.S. without inspection before June 15, 2012, or your lawful status expired before June 15, 2012.

Are you currently in school, graduated from high school (or GED), or honorably discharged from the U.S. Coast Guard or Armed Forces?

Yes No

For DACA eligibility, you must fit into one of these categories.

Did you initially arrive and establish residence in the United States before reaching your 16th birthday?

Yes No

You must have entered the country and made it your home before turning 16 years of age.

Have you continuously resided in the United States since June 15, 2007, and up to the present time?

Yes No

You must have been living in the U.S. and consider the U.S. your home since June 15, 2007.

Did you depart the United States on or after August 15, 2012, without advance parole?

Yes No

Generally, you must have had an advance parole document to leave the U.S. temporarily and return.

Have you been convicted of a felony, significant misdemeanor, three or more other misdemeanors, or post a threat to national security or public safety?

Yes No

Form I821d

Form I-821D Eligibility Prequalification