Form I-821 at a glance
| Official title | Application for Temporary Protected Status |
| Issued by | U.S. Citizenship and Immigration Services (USCIS) |
| Edition | 01/20/25 |
| Pages | 13 |
| Fillable fields | 478: 216 text fields, 251 checkboxes, 11 dropdowns |
| OMB number | 1615-0043 |
| Official PDF | i-821.pdf on uscis.gov |
| Form page | uscis.gov/i-821 |
| Cost with FillWise | 3 fills |
Counted on Oct 14, 2026 from the official PDF, with the same engine FillWise fills it with.
What is in Form I-821
| Part | What it covers | Pages | Fields |
| Part 1 | Type of Application (Select one) NOTE: Select the box for Item Number 1 | 1 | 7 |
| Part 2 | Information About You Your Full Name, Other Information, Other Names Used, Other Dates of Birth Used (if any), Physical Address, Your Marital Information | 1-4 | 102 |
| Part 3 | Biographic Information | 3 | 7 |
| Part 4 | Information About Your Current Spouse (if any) Mailing Address of Spouse, Other Information About Your Current Spouse | 4 | 32 |
| Part 5 | Information About Your Former
Spouses (if any) Names of All Your Former Spouses (if any) | 5 | 40 |
| Part 6 | Information About Your Children (if any) Child 2, Child 1, Interpreter's Certification | 6, 11 | 43 |
| Part 7 | Eligibility Standards Basis for Eligibility, Human Rights Violations | 6-10 | 155 |
| Part 8 | Applicant's Statement, Contact Information, Certification, and Signature Applicant's Statement, Applicant's Contact Information, Applicant's Signature | 10-11 | 10 |
| Part 9 | Interpreter's Contact Information, Certification, and Signature Provide the following information about the interpreter, Provide the following information concerning the interpreter, Interpreter's Signature | 11-12 | 19 |
| Part 10 | Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other T | 12 | 23 |
| Part 11 | Additional Information | 13 | 24 |
Fields to watch on Form I-821
- 84 questions answered with a Yes box. FillWise ticks one only when your notes answer it; the rest stay empty for you.
- 59 boxes with a fixed number of characters, such as To be completed by an Attorney or Accredited Representative (if any) (12), Part 2. Information About You (9), USCIS Online Account Number (if any) (12), U.S. Social Security Number (if any) (9). Long numbers are split across them, so check the digits.
- 11 dropdowns, such as State (63 options: AA, AE, AK...), Feet (8 options: 2, 3, 4...), Inches (13 options: 0, 1, 2...). Only one of the listed values can go in.
- 5 boxes for a written answer, such as Part 11. Additional Information. FillWise writes it from your notes, so read every sentence before the form is signed.
How to fill Form I-821 with FillWise
- Open the official PDF from uscis.gov in Chrome.
- In the FillWise side panel, paste your notes (for Form I-821: type of application, information about you, biographic information) or attach a photo of a document, and press Fill form.
- Check all 13 pages of the downloaded PDF before anyone signs.
Without the extension: Fill a PDF in your account.
How FillWise handles Form I-821
FillWise fills this form the regular way: the AI reads each field's printed caption, its tooltip and its options, and answers from your notes. It works, but on a form with this many fields expect to correct more by hand than on a short one.
The PDF is encrypted with an empty password; FillWise opens it like any other.
It also carries Adobe XFA data; FillWise fills the regular fields and drops the XFA part, so the result opens in any reader.
What to check before you file
- The edition. Agencies replace their forms with new editions. This page describes the 01/20/25 edition; check that your copy is still the current one on uscis.gov/i-821.
- The immigration and criminal history questions in Part 7 help USCIS decide whether you are eligible: read every Yes/No answer yourself, and for each one that applies give the places, dates and a full explanation, in Part 11 if you need more space.
- Names and numbers character by character; signatures, fees and supporting documents stay with you.
Filling Form I-821 for many clients
Bulk fill in your FillWise account takes Form I-821 and a CSV or Excel sheet with one client per row. It fills the first one and stops so you can check the result, then fills the rest and hands back one zip. Each copy costs 3 fills, the same as filling it on its own. For one client's whole case, add Form I-821 with Form I-765 and Form I-131 and paste the client's notes once: every form is filled from them. How it works step by step: bulk PDF form filling guide. More on immigration packets in the USCIS forms guide and on FillWise for legal teams.
Cost
Form I-821 has 13 pages, so filling it costs 3 fills: FillWise charges a PDF fill by the pages it fills, one fill per started 5 pages. The free plan starts with 20 fills and then tops back up to 5 fills a week, no card required. Paid plans are on the pricing page.
Privacy
The PDF is filled in your browser; only its field list and your data go to our server for the AI, and nothing is stored. Details: privacy and security.