USCIS · United States

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Form I-864A: Contract Between Sponsor and Household Member

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JustFill helps you fill out Form I-864A — it does NOT file the contract with USCIS or the National Visa Center and does not decide any immigration case. You print, sign, and submit the completed form together with Form I-864 yourself.JustFill is not affiliated with USCIS. This is an independent third-party tool to help you complete Form I-864A. Always download the current blank form from the official source and verify your completed copy before signing or submitting. Official Form I-864A from USCIS

Quick answer

USCIS Form I-864A, Contract Between Sponsor and Household Member, lets a household member combine income or assets with a sponsor whose own income falls short of the Form I-864 requirement. The household member completes Parts 1-4 and signs Part 6; the sponsor signs Part 5. It is always filed with Form I-864, never alone. JustFill opens the official I-864A PDF (edition 08/24/26), detects every field so you can type or dictate, and includes the first clean completed PDF download at no charge.

Form
Form I-864A
Issued by
USCIS
Country
United States
Free allowance
First clean download
Official edition
Edition 08/24/26 (OMB 1615-0075, expires 10/31/2027; published Aug. 31, 2026, replacing 10/17/24)
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What is Form I-864A?

Form I-864A is the contract a household member signs to add their income or assets to a sponsor's Form I-864, Affidavit of Support. When the sponsor's own income does not reach 125% of the HHS Poverty Guidelines for their household size (100% for a sponsor on active duty in the U.S. armed forces who is sponsoring a spouse or child — the figures are on Form I-864P, and the current table took effect Mar. 1, 2026), their spouse, a relative living with them — a parent, brother, sister, or son or daughter at least 18 — or a dependent on their tax return can make up the difference. It is legally binding: the household member becomes jointly and severally liable for supporting the sponsored immigrant. The current edition is 08/24/26 (OMB expiration 10/31/2027), published on Aug. 31, 2026 together with new editions of Form I-864 and I-864EZ; it still runs 8 pages, and USCIS says all 8 must be submitted with the I-864. New in this edition: the household member also authorizes USCIS and the Department of State to obtain their consumer credit reports when checking whether the sponsor's I-864 is sufficient. JustFill turns the USCIS PDF into a fillable form in your browser — type or dictate each answer, and the first clean completed PDF download is included at no charge.

Download the Form I-864A form PDF — free

The blank Form I-864A PDF is free from USCIS — the current 08/24/26 edition (8 pages, OMB expiration 10/31/2027) is linked under "Forms and Document Downloads" at uscis.gov/i-864a, together with its separate 9-page instructions PDF. Never pay just to download it, and make sure the edition date is visible at the bottom of every page — USCIS may reject forms with mixed or outdated pages. Instead of printing and writing by hand, upload the same PDF to JustFill: the AI detects each field, you type or dictate the answers, and the first clean completed PDF download is included at no charge — ready to print and sign in black ink.

Get the official Form I-864A PDF from USCIS

Who fills out Form I-864A?

  • Household members at least 18 years old — the sponsor's spouse, or a parent, brother, sister, or son or daughter living at the sponsor's address — who agree to combine their income with the sponsor's
  • Dependents listed on the sponsor's most recent federal tax return, even if they live at a different address
  • Sponsors (including joint or substitute sponsors) whose own income falls short of the I-864 requirement — they complete and sign Part 5 of the same form
  • Intending immigrants whose income counts toward the household, in the limited cases where the I-864 instructions require them to sign an I-864A

Field-by-field breakdown

What each section of Form I-864A asks for. JustFill’s AI will detect these fields automatically when you upload the PDF — review the breakdown below so you know what to enter.

Part 1 — Information About You (the Household Member)

The household member's full name, mailing and physical address, date of birth, country of birth, Social Security number, and A-Number or USCIS Online Account Number if they have one.

Part 2 — Relationship to the Sponsor

One checkbox: intending immigrant who is the sponsor's spouse, intending immigrant in the sponsor's household, or a household member related to the sponsor as spouse, son or daughter (18+), parent, brother or sister, or other dependent.

Part 3 — Employment and Income

The household member's status (employed, self-employed, retired, or unemployed), employer names, and their current individual annual income in Item 7.

Part 4 — Federal Income Tax Information and Assets

Whether federal returns were filed for the three most recent tax years, total income for each year, and — only if needed — assets: cash and savings, net real-estate value, and stocks, bonds, or CDs.

Part 5 — Sponsor's Promise, Statement, and Signature

The sponsor prints their name, lists up to four intending immigrants (name, date of birth, A-Number), adds contact information, and signs and dates the contract.

Part 6 — Household Member's Promise, Statement, and Signature

The household member promises to support the listed immigrants and accepts joint liability — a promise divorce does not cancel — authorizes USCIS and the Department of State to obtain their consumer credit reports (new in the 08/24/26 edition), then prints their name, adds contact details, and signs and dates.

Parts 7-8 — Interpreter and Preparer

Contact information, certification, and signature of any interpreter or preparer who helped complete the contract.

Part 9 — Additional Information

Overflow space for extra intending immigrants or answers that did not fit in earlier parts.

Common mistakes to avoid

  • 1Only one person signing — the I-864A needs two signatures: the sponsor in Part 5 and the household member in Part 6. USCIS rejects any unsigned form. Signatures must be handwritten in ink, not typed or stamped — though per the current USCIS instructions a photocopy or scan of the originally signed form is acceptable for filing.
  • 2Submitting only the pages you filled in — USCIS filing tips state all 8 pages of Form I-864A must be submitted.
  • 3Forgetting the household member's tax evidence — attach an IRS transcript or a copy of their most recent federal income tax return, including every W-2 and 1099 if you send a photocopy.
  • 4Listing intending immigrants in Part 5 who are not actually being sponsored on the accompanying Form I-864 — the two forms must match.
  • 5Filing the I-864A on its own — it is an attachment to Form I-864 and is never filed by itself.

Form I-864A example — what a filled-out form looks like

A U.S.-citizen sponsor in Ohio is petitioning for her husband. Her own income is $21,000, below the $34,150 that 125% of the 2026 HHS guideline requires for a household of three in the 48 contiguous states, so her retired mother, who lives with her, adds her pension income by signing an I-864A.

Part 1, Items 1–4 — Household member name and address

Trevanion, Ana Lucía — 2280 Wrenfield Hollow Rd, Apt. 3, Zanesville, OH 43701; Item 3 "Yes" (mailing address is the physical address)

A parent qualifies only if they share the sponsor's principal residence, so the address must match the sponsor's I-864.

Part 1, Items 5–9 — Other information

Date of birth 03/14/1957; country of birth Peru; Social Security number entered; A-Number "N/A"; USCIS Online Account Number "N/A"

The instructions say to type "N/A" when you have no A-Number; the online account number is not the same thing.

Part 2, Item 3 — Relationship to the sponsor

Item 3 checked ("I am not the intending immigrant"), relationship "Parent"

Items 1 and 2 are only for an intending immigrant who is signing as the household member.

Part 3, Items 5 and 7 — Employment and income

Item 5 "Retired since 06/30/2023"; Item 7 current individual annual income $28,400

Retirement income counts; means-tested public benefits may not be included.

Part 4, Items 1–2 — Federal income tax information

Item 1 "Yes"; Most recent 2025: $28,100; 2nd most recent 2024: $27,600; 3rd most recent 2023: $41,900

Only the 2025 transcript or return copy must be attached; the two earlier years are optional support.

Part 4, Items 3–6 — Assets

Left blank

Complete only when the sponsor is relying on the household member's assets; here only income is combined.

Part 5, sponsor line and Item 1 — Sponsor's promise

I, THE SPONSOR, Marisol Trevanion-Wende — Intending Immigrant Number 1: Wende, Tomasz; date of birth 11/02/1988; A-Number and Online Account Number "N/A"

The immigrants listed must be exactly those on the sponsor's Form I-864.

Part 5, Items 5.a and 7–10 — Sponsor statement, contact and signature

5.a checked; daytime phone (740) 555-0119; sponsor signs in black ink and dates 09/02/2026

Part 6, opening line and Items 1.a, 6–7 — Household member's promise and signature

I, THE HOUSEHOLD MEMBER Ana Lucía Trevanion … "1" intending immigrant; 1.a checked; printed name; signs in black ink and dates 09/02/2026

The number written here must equal the count of immigrants listed in Part 5; the signature also gives the new credit-report authorization.

These values are made up. They are here to show what belongs on each line, not to be copied — every name, number, and address on your own Form I-864A has to be your own.

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Frequently asked questions

The sponsor's spouse, a parent, brother, sister, or son or daughter who lives at the sponsor's address, or a dependent listed on the sponsor's most recent federal tax return — dependents qualify even if they live elsewhere. Every household member who signs must be at least 18. In limited cases the intending immigrant completes it as the household member.
You never file it by itself. USCIS instructs you to file it with Form I-864, Affidavit of Support — it travels in the sponsor's package, whether that goes to the National Visa Center for consular processing or is filed with an adjustment-of-status application.
USCIS does not charge a separate fee for the I-864A itself — the G-1055 Fee Schedule (edition 05/29/26) lists it at $0, and it is submitted as an attachment to Form I-864. If your case is processed through the National Visa Center, the Department of State charges a $120 Affidavit of Support review fee per case; check current amounts on the G-1055 and travel.state.gov.
Yes. The household member becomes jointly and severally liable with the sponsor for supporting the immigrant, and agencies can sue to recover means-tested public benefits the immigrant receives. The form itself states that divorce does not end the obligation; it generally lasts until the immigrant becomes a U.S. citizen or is credited with 40 qualifying quarters of work.
The 08/24/26 edition, published Aug. 31, 2026 — the date is printed at the bottom of each of its 8 pages, and it is the only edition USCIS lists as current. The companion Form I-864 changed the same day with no grace period: USCIS will not accept a 10/17/24 I-864 postmarked or submitted on or after Aug. 31, 2026, so do not pair a new I-864 with an old I-864A. What changed: Part 6 now includes the household member's authorization for USCIS and the Department of State to obtain consumer credit reports, and the form warns that a credit or security freeze on your file can hold up the case until you release it. USCIS may reject forms with missing pages or pages from different editions, so download the current PDF from uscis.gov/i-864a before filling it.
The household member's IRS transcript or a copy of their federal income tax return for the most recent tax year — with every W-2 and 1099 if you send a photocopy. You may add returns for the two prior years to help show sufficient income, and any foreign-language document needs a certified English translation.

Official source: Form I-864A on USCIS’s website

Edition checked: Edition 08/24/26 (OMB 1615-0075, expires 10/31/2027; published Aug. 31, 2026, replacing 10/17/24). Verified against the official source on .

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