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Form I-539 sample for O-3 change of status

Updated: Author: Alina Kanametova

Guide Guides 7 pages Anonymized Access on request

A filled Form I-539 from a real O-1 package (family status): a field-by-field example. Free to view.

About this document

A filled USCIS Form I-539 used in an O-1 case to request change of status for the applicant and a family member. It shows an O-3 request, a two-person filing, current F2 status, requested stay through a later date, and standard biographic, travel, and certification sections. The sample also includes a short explanation in the additional-information page tying the filing to the principal visa applicant and a Form I-539A supplement.

Key points

  • Requests a change of status to O3 for the spouse-child of an O-1/O-2 holder.
  • The filing covers 2 people and says a supplement is needed for each co-applicant.
  • Current status is listed as F2, with a requested stay extension to a later date.
  • The form records last U.S. arrival, I-94 number, passport details, and passport expiry.
  • It gives both a U.S. address and an overseas address in China.
  • The yes/no security and background section asks about arrests, immigration filings, military and weapons-related activities, and J-1/J-2 history.
  • The additional-information page says the applicant and son are filing together and names the principal visa applicant.
  • The applicant signs the certification and provides phone and email contact information.

What is inside

  1. Part 1. Information About You
  2. Part 2. Application Type
  3. Part 3. Processing Information
  4. Part 4. Additional Information About the Applicant
  5. Part 5. Applicant's Statement and Signature
  6. Part 6. Interpreter's Contact Information
  7. Part 7. Preparer's Contact Information
  8. Part 8. Additional Information

When it helps

This serves as a change-of-status filing form in an O-1/O-3 case, showing the requested nonimmigrant status and the family-member co-filing setup. It also shows the applicant certification, contact details, and the additional-information explanation tying the filing to the principal visa applicant.

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Source: Community (anonymized). The material opens on the site. Reference material, not legal advice.

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