Establishing secure connection…Loading editor…Preparing document…

SIJS Immigration Declaration

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

SIJS IMMIGRATION DECLARATION

This Special Immigrant Juvenile Status Immigration Declaration (the "Declaration") is executed on by and between Petitioner Name: (hereinafter "Petitioner") and Legal Guardian Name: (hereinafter "Guardian").

RECITALS

WHEREAS, Petitioner is a juvenile who seeks a declaration and immigration relief under the Special Immigrant Juvenile provisions based upon a state juvenile court order finding that reunification with one or both parents is not viable due to abuse, neglect, or abandonment; and

WHEREAS, Guardian has been appointed or is otherwise recognized by the juvenile court to act in the best interests of Petitioner and to assist Petitioner in obtaining appropriate immigration relief; and

WHEREAS, Petitioner and Guardian submit this Declaration in support of Petitioner’s request for Special Immigrant Juvenile classification and any related immigration benefits to which Petitioner may be entitled.

NOW, THEREFORE, in consideration of the mutual promises set forth herein, the parties agree and declare as follows:

1. DEFINITIONS

For purposes of this Declaration, the following definitions apply:

"Petitioner" means the juvenile identified above who seeks Special Immigrant Juvenile classification.

"Guardian" means the person appointed by the juvenile court or otherwise acting with legal authority to represent the interests of Petitioner.

2. JURISDICTION AND VENUE

The juvenile court specified below has jurisdiction over the matters addressed in the state court order supporting Petitioner’s SIJS petition. The parties intend that the findings and orders issued by that court be considered in any immigration proceedings addressing Petitioner’s request for Special Immigrant Juvenile classification.

Juvenile Court Name:

Court Case Number:   State:

3. FACTS SUPPORTING SIJS

Petitioner’s Date of Birth:   Country of Birth:

Current Residence Address:

Petitioner is (select all that apply):

State court findings supporting SIJS (date of order):

4. RELIEF REQUESTED

Petitioner and Guardian hereby request that the adjudicating immigration authority grant Petitioner Special Immigrant Juvenile classification and any related immigration benefit for which Petitioner may be eligible. Petitioner further requests that the adjudicator give substantial weight to the juvenile court findings, evidentiary record, and the declarations provided herein.

Specific relief requested (check applicable):

5. SUPPORTING EVIDENCE

The following documents are submitted in support of this Declaration and Petitioner’s application. The party submitting this Declaration certifies that the documents listed are true and correct copies of the originals.

6. CERTIFICATIONS AND DECLARATIONS

Petitioner and Guardian each certify under penalty of perjury under the laws of that the facts set forth in this Declaration and in the attached exhibits are true and correct to the best of their knowledge and belief.

Petitioner declares that reunification with one or both parents is not viable due to:

7. NOTICES

All notices, requests, and other communications required or permitted under this Declaration shall be in writing and shall be delivered to the addresses set forth below by personal delivery, certified mail, or other method providing proof of delivery.

8. MISCELLANEOUS PROVISIONS

Governing Law: This Declaration shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

Entire Agreement: This Declaration, together with its exhibits and any court orders expressly incorporated herein, constitutes the entire agreement and understanding of the parties with respect to the subject matter hereof and supersedes all prior agreements and understandings relating thereto.

Severability: If any provision of this Declaration is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

Amendments: Any amendment to this Declaration must be in writing and signed by both Petitioner (through Guardian where applicable) and Guardian.

Waiver: No failure or delay by any party in exercising any right under this Declaration shall operate as a waiver of such right.

Counterparts: This Declaration 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.

Petitioner (Minor) — Printed Name:

By (Signature):

Date:

Guardian — Printed Name:

By (Signature):

Date:

Enter text✕

What the SIJS Immigration Declaration Is and when it matters

The SIJS Immigration Declaration documents a juvenile court's factual findings and the child's circumstances to support a Special Immigrant Juvenile (SIJS) immigration petition. It typically summarizes dependency or guardianship orders, findings that reunification with one or both parents is not viable due to abuse, neglect, or abandonment, and any specific custody or placement facts the court relied on. The declaration is used by attorneys, court clerks, and immigration officials as part of a broader SIJS petition package and must accurately reflect the court record and the child's identity.

Why a clear, accurate SIJS Immigration Declaration matters

A precise SIJS Immigration Declaration helps align the juvenile court record with the immigration petition, reduces the chance of an evidentiary gap, and supports eligibility determinations by USCIS.

Why a clear, accurate SIJS Immigration Declaration matters

Who prepares and relies on the SIJS Immigration Declaration

Primary users include juvenile court staff, immigration attorneys, and child welfare caseworkers who coordinate evidence for the SIJS petition.

  • Immigration attorneys and paralegals assembling the petition and verifying legal language for USCIS.
  • Juvenile court clerks and judges who prepare or authorize the factual findings and ensure the declaration mirrors the court order.
  • Child welfare caseworkers, guardians, or nonprofit advocates collecting records, affidavits, and supporting documentation.

Other participants may include guardians, foster agencies, and pro bono clinic staff who assemble supporting records and ensure consistency across filings.

Core components to include in a professional SIJS Immigration Declaration

A professional declaration presents court findings, precise identifying data, and clear linkage to dependency or guardianship orders so it can be matched to the immigration petition and supporting exhibits.

Court Findings

State the exact juvenile court findings that make reunification not viable, using the court's language and citations to the order and docket entries.

Child Identification

Provide the child's full legal name, known aliases, date of birth, country of birth, and any USCIS A-number or file number if available.

Case Reference

Include the court case name, case number, judge, and date of the order so USCIS can match the declaration to the official record.

Factual Basis

Summarize the factual record supporting findings (abuse, neglect, abandonment) with concise references to testimony, social reports, or exhibits.

Relief Requested

State the purpose of the declaration—support for SIJS-based immigration relief—and list attached supporting documents and orders.

Authentication

Provide signature block, printed name, title, court seal or notarization (if required), and the date signed to validate the declaration.

Required data elements at a glance

Child name: Full legal name as on official ID
Date of birth: MM/DD/YYYY
Court case number: Exact docket or case identifier
Order date: Date of juvenile court order
Jurisdiction: Court name and county or district
Signer identity: Judge or official's printed name and title

Stepwise process to prepare and finalize the declaration

Follow these sequential steps to collect records, draft the declaration, and prepare it for submission with the SIJS petition.

  • 01
    Collect records: Assemble court orders, social reports, and school or medical records.
  • 02
    Draft declaration: Draft findings using the court's exact language and reference exhibits.
  • 03
    Court approval: Obtain judge signature or adopt the declaration into court order as required.
  • 04
    Attach exhibits: Number and include all supporting documents referenced in the declaration.

Where to file and how the declaration travels through the process

The declaration begins in juvenile court, becomes part of the court file, and is then included in the immigration packet submitted to USCIS or counsel for drafting and filing.

  • Juvenile court: Issuing court prepares or endorses declaration as part of the official record.
  • Attorney review: Immigration counsel reviews language and compiles exhibits for the petition package.
  • USCIS submission: Declaration is attached to the SIJS-related USCIS petition or retained for adjustment filings.
  • Record retention: Copies remain with court, counsel, and caregiver as part of the case file.

Options for completing and sharing the declaration electronically

Electronic preparation reduces manual handling but must meet legal and court-specific authentication rules and data-protection requirements.

  • File formats: PDF, DOCX accepted; use PDF/A for archival copies
  • Integrations: Connect with systems like Microsoft 365, Google Workspace, and NetSuite
  • Authentication: Use email, SMS, or advanced signer verification where required

Time-sensitive considerations and filing windows

Several timing issues affect SIJS filings: the child's age at filing, court order dates, and coordination between dependency orders and immigration petition deadlines.

Age considerations:

Obtain necessary court findings before the child reaches the state's age threshold for juvenile jurisdiction to avoid 'aging out' risk.

Order currency:

Ensure the order and declaration dates reflect the most recent court action relied upon in the immigration petition.

Concurrent filings:

Coordinate the timing of the court order and the immigration petition to avoid gaps noted by USCIS.

Evidence updates:

Update the declaration or exhibits promptly if material facts change prior to the immigration adjudication.

Biometrics and notices:

Expect routine USCIS processing steps (biometrics/requests for evidence) and plan document retention accordingly.

Key milestones from court finding to immigration filing

Track these numbered milestones closely so documents and dates match across court and immigration records.

01

1. Petition to juvenile court

Court receives petition for dependency, guardianship, or emancipation and schedules proceedings.

02

2. Court hearing and findings

Judge issues written findings addressing reunification and juvenile dependency facts.

03

3. Declaration drafted

Court or counsel prepares the SIJS Immigration Declaration reflecting the order and referenced evidence.

04

4. Immigration filing

Declaration and exhibits are submitted with the SIJS-related immigration petition or retained for adjustment.

Common preparation errors to avoid

  • Using paraphrased rather than verbatim court findings, which can create mismatches and trigger USCIS requests for evidence.
  • Failing to include exact court case numbers or judge information, making it difficult to harmonize records across agencies.
  • Omitting or mislabeling attached exhibits so the declaration references items that are not present or misordered.
  • Neglecting authentication requirements—missing judge signature, court seal, or required notarization—causing form rejection or delay.

Consequences of errors or omissions

Denial: USCIS may deny a petition for inconsistent or insufficient court findings
Delay: Requests for evidence extend adjudication timelines
Aging out: Delayed filings can result in loss of SIJS eligibility due to age thresholds
Record mismatch: Inconsistent names or dates cause identity verification issues
Perjury risk: False statements in declarations carry legal and ethical consequences
Lost benefits: Improperly prepared documents can postpone access to immigration relief

Real-world examples of secure electronic document workflows

Organizations across sectors use e-signature and document workflows to collect validated signatures and maintain audit trails for court and immigration uses.

Optica Ventures LLC — Brian Fitzgibbons

Brian Fitzgibbons praised the interface simplicity and usability for both staff and external signers.

  • The platform reduced turnaround time for executed documents.
  • The team reported smoother collection of signatures while maintaining compliance and security for legal documentation.

Xerox — Kodi-Marie Evans

Kodi-Marie Evans highlighted flexibility for getting the right signatures across formats and integrations.

  • Integration with enterprise systems streamlined routing.
  • Xerox leveraged audit trails and integrations to ensure documents were signed and archived consistently across business and legal teams.

Selected eSignature vendor comparison for working with declarations

Compare common plan and capability dimensions when selecting an eSignature provider for preparing, routing, and archiving SIJS declarations and exhibits.

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 7-day free trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes (premium) Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Common questions and practical answers about the SIJS Immigration Declaration

Answers to common questions about preparation, authentication, e-signatures, and what triggers USCIS follow-up for SIJS-related declarations.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users