
This site is not affiliated with any government, tax, or other official agency. Form last updated: 07/2026. Please verify you are using the current, correct version for your situation before submitting it.
Access the pre-loaded form directly in our PDF editor. No need to upload anything!
Carefully complete all required fields to ensure accuracy and validity.
Save your filled-out form in PDF format, ready for submission or other needs.
Form I-864A, Contract Between Sponsor and Household Member, is a legally binding contract that allows a household member to combine their income and/or assets with the sponsor's to meet the financial requirements of Form I-864, Affidavit of Support. Both the sponsor and the household member sign this form, making the household member jointly and severally liable for financially supporting the sponsored immigrant. This obligation continues until the immigrant becomes a U.S. citizen, earns 40 qualifying quarters of work, dies, or permanently departs the United States — and divorce does not end it.
The affidavit of support Form I-864A is used when a sponsor's income alone doesn't meet the minimum requirement (generally 125% of the Federal Poverty Guidelines). Its purposes include:
Follow these Form I-864A instructions:
1. Determine who completes the PDF form:
v2. Complete Part 1 — Basis for Filing:
3. Complete Part 2 — Information About the Household Member:
4. Complete Part 3 — Household Member's Employment:
5. Complete Part 4 — Federal Income Tax Information and Assets:
6. Complete Part 5 — Sponsor's Promise and Signature:
7. Complete Part 6 — Household Member's Promise and Signature:
8. Complete Parts 7–8 (if applicable):
9. Submit with Form I-864:
Form I-864A is completed by a qualifying household member whose income and/or assets are being used to help the sponsor meet the financial requirements of Form I-864. A qualifying household member can be:
Each household member contributing income must complete a separate Form I-864A.
Form I-864A is not needed if the sponsor's income alone meets or exceeds 125% of the Federal Poverty Guidelines (100% for active-duty military sponsors) on Form I-864.
It is also not needed if the intending immigrant has no accompanying spouse or children and the sponsor's income is sufficient on its own.
If a joint sponsor is used instead of a household member, the joint sponsor files their own Form I-864 — not Form I-864A.
There is no fixed deadline for Form I-864A. It is submitted together with the sponsor's Form I-864 as part of the immigrant's green card application — either with Form I-485 (adjustment of status inside the U.S.) or through the National Visa Center (NVC) for consular processing abroad.
To get a blank Form I-864A (PDF), you can access it through our platform. We have an USCIS-issued version pre-loaded in our editor, ready for you to fill out and download.
Form I-864A requires two signatures — one from the sponsor (Part 5) and one from the household member (Part 6). Both must sign in ink with their full name. A stamped or typewritten name is not accepted. USCIS will accept a photocopied, faxed, or scanned copy of the original handwritten signature for filing purposes.
You can complete the form using CookPDF's editor, then download and print it for both parties to sign before submitting.
I-864A form (PDF) is always filed together with the sponsor's Form I-864 — it cannot be submitted on its own. Where you send it depends on the immigrant's situation:
If the beneficiary is in the U.S. and filing Form I-485 (adjustment of status), include Form I-864A in the I-485 package mailed to the appropriate USCIS lockbox or filed online.
If the beneficiary is abroad and going through consular processing, submit Form I-864A with Form I-864 to the National Visa Center (NVC) when requested.
There is no filing fee for Form I-864A.