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I-864A Form

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I-864A AFFIDAVIT OF SUPPORT (CONTRACT BETWEEN SPONSOR AND HOUSEHOLD MEMBER)

This Contract is entered into on between Sponsor Name: whose address is , and Household Member Name: whose address is . The beneficiary for whom support is provided is: . Case number or file identifier: .

RECITALS

WHEREAS, Sponsor has executed or will execute an affidavit of support on behalf of the beneficiary and seeks to demonstrate that the beneficiary will not become a public charge; and

WHEREAS, Household Member is a member of Sponsor's household and is willing to contractually accept joint and several responsibility for providing support to the beneficiary by contributing a portion of Household Member's income and/or resources; and

WHEREAS, Sponsor and Household Member intend by this writing to create a legally binding contract for support under section 213A of the Immigration and Nationality Act and applicable law.

NOW, THEREFORE, in consideration of the mutual covenants set forth below, the parties agree as follows:

1. DEFINITIONS

For purposes of this Contract: (a) "Sponsor" means the person identified above who executed the principal affidavit of support; (b) "Household Member" means the person identified above who agrees to accept contractual responsibility under this I-864A; and (c) "Beneficiary" means the intending immigrant identified above. Terms not otherwise defined shall be given their plain and ordinary meaning under federal law.

2. CONTRACTUAL OBLIGATION

Household Member expressly agrees to make available to the Beneficiary such financial support and resources as necessary to maintain the Beneficiary at an income that is not less than 125 percent of the Federal poverty guideline applicable to the Household Member's household size, or such other measure as required by applicable law. This obligation is a legal promise to provide support and is enforceable by the Beneficiary, the Sponsor, or by a governmental agency providing means-tested public benefits to the Beneficiary.

3. AMOUNT AND METHOD OF CONTRIBUTION

Household Member represents that the amount of Household Member's annual income available for support is $ and that Household Member's current household size is persons. Household Member agrees to contribute either cash or readily available resources in the amount necessary to supplement Sponsor's income so that the combined income meets applicable support standards.

Contributions may be made by direct payment to the Beneficiary, payment of the Beneficiary's expenses, or by other arrangements mutually agreed in writing. Any agreed payment schedule or specific payment amounts shall be memorialized in an attachment to this Contract and shall be enforceable as part of this Contract.

4. JOINT AND SEVERAL LIABILITY

To the extent permitted by law, the parties agree that the obligation to support the Beneficiary is joint and several such that the Beneficiary or an enforcing governmental agency may pursue recovery from the Sponsor, from the Household Member, or from both. The Household Member understands that this may result in personal liability for amounts expended by a public agency for the Beneficiary's support.

5. TERM AND TERMINATION

This Contract becomes effective on the date above and remains in force until the earliest of: (a) the Beneficiary becomes a United States citizen; (b) the Beneficiary accrues 40 quarters of work credit under the Social Security Act; (c) the Beneficiary's death; or (d) termination under applicable law. Termination shall not relieve either party from liability for obligations accrued prior to termination.

6. OFFSET, REIMBURSEMENT, AND ENFORCEMENT

If a public agency provides means-tested public benefits to the Beneficiary based on insufficient support, the Sponsor and Household Member shall be liable for reimbursement to the agency for amounts expended, subject to applicable law. Any recovery permitted by law shall not be limited by or reduce the Beneficiary's remedies under this Contract.

7. REPRESENTATIONS AND WARRANTIES

Each party represents and warrants that: (a) the information provided in this Contract is true and correct to the best of that party's knowledge; (b) the party has full legal capacity to enter into this Contract; and (c) the party is not entering into this Contract as a result of fraud, duress, or undue influence.

8. NOTICES

All notices required or permitted under this Contract shall be in writing and sent to the addresses provided above or to any other address provided in writing by a party. Notice shall be deemed given upon personal delivery, receipt of electronic transmission confirming delivery, or three days after deposit in the United States mail, postage prepaid, certified or registered, return receipt requested.

9. AMENDMENTS, WAIVER, AND COUNTERPARTS

No modification, amendment, or waiver of any provision of this Contract shall be effective unless in writing and signed by both parties. The failure of either party to enforce any provision shall not constitute a waiver of that provision. This Contract may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument.

10. GOVERNING LAW

This Contract shall be governed by and construed in accordance with the laws of the State of without regard to conflict of laws principles, and to the extent applicable federal law governs obligations created under section 213A of the Immigration and Nationality Act.

11. ENTIRE AGREEMENT

This Contract constitutes the entire agreement between the parties with respect to its subject matter and supersedes any prior or contemporaneous agreements, representations, and understandings. Any attachment referenced herein, including payment schedules, is incorporated by reference and shall be deemed part of this Contract.

12. SEVERABILITY

If any provision of this Contract is determined to be invalid, illegal, or unenforceable in any respect, the validity, legality, and enforceability of the remaining provisions shall not be affected or impaired. The parties shall replace any invalid provision with a valid provision that most nearly accomplishes the original intent.

Each party acknowledges that they have read this Contract, understand its terms, and enter into it voluntarily. Each party further acknowledges that they had an opportunity to obtain independent legal advice concerning the rights and obligations created by this Contract.

Sponsor Printed Name:

By:

Date:

Household Member Printed Name:

By:

Date:

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What the I-864A Form Is and when it appears in immigration filings

The I-864A, Contract Between Sponsor and Household Member, is a USCIS form used when a sponsor asks a household member to contribute income toward the federal affidavit of support (Form I-864). It documents the household member’s legal promise to make income available so the sponsor can meet the poverty-guideline requirement for a family‑based immigrant petition or adjustment of status. The I-864A is a binding support contract between private parties and is usually submitted with the sponsor’s I-864 and supporting evidence as part of a visa or adjustment package.

Why the I-864A matters for sponsors and household contributors

Using an I-864A lets a sponsor rely on household member income to meet USCIS affidavit-of-support requirements, converts a promise of support into a legally enforceable contract, and documents the household member’s commitment for case adjudicators.

Why the I-864A matters for sponsors and household contributors

Who completes and signs the I-864A

Typical participants include the sponsor, the household member providing income, and the intending immigrant whose support is being documented.

  • Sponsor — usually the petitioner or primary sponsor filing I-864, responsible for assembling evidence and submitting the contract.
  • Household member — relative or resident whose income will be contractually pledged to help meet poverty guidelines.
  • Intending immigrant — named beneficiary on the underlying affidavit of support and dependent on combined income for admissibility.

Each party’s role should be clear: the sponsor assembles the package, the household member signs the I-864A, and the immigrant is the beneficiary of the combined support.

Core elements to include in a professional I-864A

A complete I-864A clearly identifies parties, documents the income contribution method, ties the contract to a specific I-864 filing, and includes explicit signatures and attestations under penalty of perjury.

Parties

Full legal names and relationships for sponsor and household member, plus A-number if applicable; essential for identity and case linkage.

Income Terms

Specify whether income is contributed directly or by household member allowing sponsor to count wages, and show which pay periods or documents support the calculation.

Household Certification

Statements confirming household member lives in the same household or will make income available; this supports eligibility under USCIS guidance.

Covered Beneficiaries

Identify which intending immigrants the support applies to and whether obligations continue until statutory termination events occur.

Duration

Language describing when the contract begins and ends, including reference to termination events that end the affidavit of support obligation.

Signatures

Signature block signed under penalty of perjury by the household member and dated; include printed name and contact details for verification.

Essential fields and data points the I-864A must show

Sponsor Name: Full legal name as on sponsor’s I-864
Household Member: Full legal name and relationship
Income Details: Annual income or contribution method
Household Size: Number used to calculate poverty guideline
Signature Block: Signature and date under penalty of perjury
Contact Info: Mailing address and phone number

Step-by-step: completing an I-864A accurately

Follow a clear sequence to gather evidence, complete the form, and attach it to the sponsor’s affidavit-of-support package to avoid delays.

  • 01
    Gather documents: Collect pay stubs, W-2s, and most recent tax return
  • 02
    Fill form: Enter names, addresses, income amounts precisely
  • 03
    Sign: Household member signs under penalty of perjury
  • 04
    Assemble packet: Attach I-864A to I-864 and include supporting evidence

Digital completion options and workflow settings

When preparing the I-864A digitally, configure fields and authentication so scanned copies match USCIS expectations for originals.

Field Configuration
Document Type Use the official I-864A PDF (fillable)
Auto-fill Use templates or CSV import for repeated data
Conditional Fields Reveal income fields only when household income is used
Signer Authentication Use email verification, SMS code, or stronger ID checks

Where the I-864A goes in an immigration filing

Place the completed I-864A with the sponsor’s affidavit-of-support package and submit as instructed with the immigrant petition or adjustment application.

  • With I-864: Attach I-864A to sponsor’s I-864 and include supporting evidence
  • Consular Cases: Include I-864A in documents forwarded to the consulate if required
  • Adjustment of Status: Submit I-864A with I-485 when applicable
  • Retain Copies: Keep a signed copy for sponsor and household member records

Digital signing and eSubmission considerations

If USCIS requires original ink signatures for a specific filing, produce printed originals; otherwise retain tamper-evident signed PDFs and audit logs.

  • File formats: PDF and DOCX supported for fillable templates
  • Authentication: Email+SMS codes or stronger ID proofing recommended
  • Audit trail: Secure timestamp, IP, and signer attribution recorded

Timing and records to keep when using an I-864A

The I-864A itself has no separate USCIS filing fee or unique deadline, but timing is dictated by the underlying immigrant petition or adjustment filing requirements.

When to include:

Include I-864A when sponsor relies on household income for I-864

USCIS processing:

Adjudication timelines vary by case and service center

Consular processing:

Provide I-864A with the visa packet if requested by consulate

Changes in income:

Update documentation if household contributors or income materially change

Record retention:

Keep signed copies for at least 3 years after filing

Common mistakes to avoid with I-864A submissions

  • Mismatched names across forms trigger RFEs and delays—use exact legal names on all documents.
  • Failing to attach supporting tax returns or pay stubs undermines claimed income and causes Requests for Evidence (RFEs).
  • Incorrect household size or exclusion of dependents changes the poverty guideline calculation and can lead to denial.
  • Unsigned or improperly dated forms are frequently rejected; ensure each required signer signs under penalty of perjury.

Key legal risks and consequences associated with the I-864A

Enforceable Obligation: Household member may be legally obligated to support
Civil Claims: Beneficiary can sue for financial support
Immigration Impact: Insufficient support can affect admissibility
Perjury Risk: False statements risk civil and criminal penalties
Record Rejection: Incomplete packets may trigger RFEs or denials
Financial Liability: Support obligations persist until statutory termination

Practical examples of when an I-864A is used

Two concise case examples show common use: a parent’s household member contributes wages, and a joint household adult pledges income for a sibling’s petition.

Household Income Contribution

A sponsor lacks sufficient income to meet poverty guidelines

  • A spouse who lives in the same home agrees to let the sponsor count their income
  • The household member signs I-864A and provides pay stubs and a tax return as supporting evidence to the sponsor’s I-864.

Shared Residence Support

An adult child shares household finances with a sponsoring parent

  • The child commits a portion of wages to meet the required threshold
  • The signed I-864A is attached to the parent’s affidavit and retained by both parties and the sponsor’s attorney.

Practical tips to reduce delays and RFEs

Adopt clear documentation habits and review steps to minimize common USCIS deficiencies and speed adjudication.

Consistent names and IDs
Verify that names, dates of birth, and A-numbers match across I-864, I-864A, passports, and tax records to avoid identity-related RFEs and processing delays.
Complete supporting evidence
Attach the household member’s most recent federal tax return, W-2s, and recent pay stubs to substantiate claimed income and prevent Requests for Evidence.
Document living arrangements
If the household member’s income depends on shared residency, include proof of co-residence such as lease agreements or joint utility bills where relevant.
Check signature requirements
Confirm whether USCIS expects original ink signatures for your filing; when in doubt, keep originals and scanned copies with an audit trail.

Comparing eSignature vendors for completing the I-864A

When selecting an eSignature solution for internal completion and secure storage, compare starting price, trial availability, bulk send, audit trail, HIPAA support, and envelope limits.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial Yes, 7-day free trial No No Yes, limited Yes, limited
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently asked questions about the I-864A

Answers to common questions about signatures, electronic execution, supporting evidence, and the legal effect of the I-864A.


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