Waiver planning checklist
A printable from 3 and 10 Year Bars. Fill it in by hand. Nothing you write is collected by this website.
Waiver planning checklist
My history
- Every date I entered the U.S. and how (visa, parole, without inspection): ____________
- Every date I left the U.S.: ____________
- Date I turned 18: ____________
- Any removal order, deportation or voluntary departure: yes / no
- Any arrests or court cases: yes / no
- Any time with DACA, TPS, asylum pending or other status: ____________
My qualifying relative (U.S. citizen or green card holder spouse or parent)
- Name and relationship: ____________
- Proof of their status (passport, naturalization certificate, green card copy)
Hardship proof to gather
- Medical and mental health records
- Proof of who depends on them (children, older relatives)
- Income, debts, mortgage or rent
- Letters from doctors, teachers, employers, pastors
- Country conditions for where I would go
Before anyone travels
- A lawyer or DOJ accredited representative reviewed my history. Name and date: ____________
- I know which bar, if any, applies to me
- I know whether I need an I-601A, an I-601 or an I-212
Do not write your A number or Social Security number on this sheet.
From 3 and 10 Year Bars. Facts checked October 21, 2026. Free information, not legal or medical advice.