Part 1: The household member
Full name, mailing and physical address, date and country of birth, Social Security number, A-Number and USCIS online account number.
I-864A
Contract Between Sponsor and Household Member
Form I-864A, Contract Between Sponsor and Household Member, is an attachment to Form I-864, Affidavit of Support Under Section 213A of the INA. The instructions say it is used only when a sponsor's income and assets do not meet the Form I-864 requirements and a qualifying household member chooses to combine their income or assets with the sponsor's.
Each contract is completed and signed by two people: the sponsor and one household member. The instructions say the combined signing is an agreement that the household member is jointly responsible, along with the sponsor, for the support of the people named in the contract. The USCIS page calls it a legally binding contract.
The USCIS page says the current edition is 08/24/26 and that, beginning Oct. 1, 2026, USCIS only accepts that edition. The page also says the form is filed with Form I-864.
Full name, mailing and physical address, date and country of birth, Social Security number, A-Number and USCIS online account number.
Items 1 to 3 say whether the household member is the intending immigrant married to the sponsor, the intending immigrant not married to the sponsor, or another household member, with a box for the relationship.
Boxes for each kind of employment that applies, then the current individual annual income used for the contract.
Total income for the most recent tax year, an optional box for the second and third most recent years, and asset values, completed only when the sponsor uses the household member's assets.
The intending immigrants the contract covers, the sponsor's statement, contact information, declaration and signature.
The household member's promise, statement, declaration and signature, the interpreter and preparer sections, and Part 9 for additional information.
The USCIS page says that from Oct. 1, 2026 only the 08/24/26 edition is accepted. Keep the edition date and page numbers visible on every printed page, all from the same edition.
The instructions say the household member completes Parts 1 to 4 and Part 6, and the sponsor completes Part 5.
The instructions describe the proof that goes with each choice, such as proof of continuing lawful income, of a shared principal residence, or of the relationship. An Other Dependent is listed on the sponsor's most recent federal tax return.
The instructions ask for an IRS transcript or a photocopy of the federal return for the most recent tax year. A photocopy includes every Form W-2 and Form 1099 for that return. State returns are not sent.
The instructions say only assets that can be converted into cash within one year without considerable hardship count, each with a description, proof of ownership and the basis for its net cash value.
The household member prints their name in Part 6 and signs, and the sponsor signs Part 5. A stamped or typewritten name is not accepted. This page lets you fill the form online free, then print it for signature.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The USCIS page says to file this form with Form I-864, Affidavit of Support. The instructions point to the Form I-864 page for where to file, and to travel.state.gov for filing with the Department of State.
The USCIS page says it will not process a 10/17/24 edition postmarked or submitted on or after Oct. 1, 2026. It also says USCIS does not reject Form I-485 filed with a previous edition of Form I-864A, and instead follows 8 CFR 103.2(b)(8).
The fee is on the USCIS Fee Schedule page and in Form G-1055, which can change. For processing fees when filing with the Department of State, the instructions point to travel.state.gov.
An IRS transcript or copy of the federal income tax return for the most recent tax year, with W-2s and 1099s for a copy. The instructions say a recent employer letter or pay stubs for the previous six months may also be included.
The USCIS page says the 08/24/26 edition includes a privacy release that lets USCIS request information from consumer reporting agencies. A credit or security freeze may keep USCIS from reaching that information, so the page suggests answering any release request quickly.
The USCIS page says that if a sponsored person receives means-tested public benefits, the agency can ask the sponsor and household member to repay the cost and may sue them. The instructions say the obligation ends when the sponsor's obligation ends.
I-864
219 fields, 12 pages
I-865
128 fields, 5 pages
I-485
730 fields, 24 pages
G-28
101 fields, 4 pages
G-1055
64 fields, 58 pages
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Two people sign each contract: the sponsor in Part 5 and the household member in Part 6. The instructions say a stamped or typewritten name is not accepted, and an unsigned contract is rejected.
The instructions say only when the sponsor includes the intending immigrant's income and the intending immigrant has accompanying dependents. When the sponsor uses only their assets, the contract is not needed.
No. Promise E on the form says that if the household member is related by marriage, the end of the marriage does not relieve them of their obligations under Form I-864A.
The USCIS page says that beginning Oct. 1, 2026 it only accepts the 08/24/26 edition. The edition date is at the bottom of each page of the form and instructions.
No. The USCIS page says to file it with Form I-864, and the instructions say it is an attachment to that form.
USCIS fees change, so this page does not list one. The I-864A page points to the USCIS Fee Schedule, and the instructions point to Form G-1055.