Application for Temporary Protected Status
USCIS
Form I-821
OMB No. 1615-0043
Expires 02/28/2027
Part 1: Type of Application
NOTE: Select the box for Item Number 1.a., 1.b., or 2. If applicable, select the box for Item Number 3.a. or 3.b. For Item Number 4.,
enter the name of the designated TPS country.
NOTE: If you have previously applied or have a pending application for TPS, but do not currently have TPS, select Item Number 1.a.
and describe each time that you previously applied, including the receipt number (if available) and the outcome (if any) of each
application. If you currently have a pending TPS application, please also describe when you filed it and the application receipt
number (if available) in Part 11. Additional Information. If you do not recall or have incomplete information on your prior TPS
applications, please provide the information you have, even if incomplete.
2. If you selected Item Number 1.b., please indicate who granted you TPS.
Are you also filing a request for employment authorization?