I-941, Application for Entrepreneur Parole
Use this form if you are an entrepreneur and want to:
- Make an initial request for parole based upon significant public benefit;
- Make a subsequent request for parole for an additional period; or
- File an amended application to notify USCIS of a material change.
Number of Pages
Form 15; instructions 13
12/22/17. You can find the edition date at the bottom of the page on the form and instructions.
Where to File
For U.S. Postal Service (USPS):
P.O. Box 650890
Dallas, TX 75265
For FedEx, UPS, and DHL deliveries:
2501 S. State Highway 121 Business
Lewisville, TX 75067
Don’t forget to sign your form! We will reject any unsigned form.
$1,200. You must also pay a biometric services fee of $85.
You may pay the fee with a money order, personal check, or cashier’s check. When filing at a USCIS Lockbox facility, you may also pay by credit card using Form G-1450, Authorization for Credit Card Transactions. If you pay by check, you must make your check payable to the U.S. Department of Homeland Security. Please note that service centers are not able to process credit card payments.
Checklist of Required Initial Evidence (for informational purposes only)
Please do not submit this checklist with your Form I-941. It is an optional tool to use as you prepare your form, but does not replace statutory, regulatory, and form instruction requirements. We recommend that you review these requirements before completing and submitting your form. Do not send original documents unless specifically requested in the form instructions or applicable regulations.
If you submit any documents (copies or original documents, if requested) in a foreign language, you must include a full English translation along with a certification from the translator verifying that the translation is complete and accurate, and that they are competent to translate from the foreign language to English.
If you are requesting initial entrepreneur parole, did you provide the following?
- A detailed description of your central and active role in the start-up entity along with supporting evidence
- Evidence of your ownership stake in the start-up entity
- Evidence your company meets the definition of a start-up entity
- Evidence your start-up entity has received a qualified investment, qualified award, or grant from a qualified investor or qualified governmental entity, or other reliable and compelling evidence of the start-up entity’s substantial potential for rapid growth and job creation, as applicable
- Evidence proving your identity
If you are requesting re-parole, did you provide the following?
- Evidence you continue to meet the definition of entrepreneur
- Evidence your entity continues to meet the definition of a start-up entity
Evidence your qualifying U.S. start-up entity has:
- Received at least $500,000 in qualifying investments, qualified government grants or awards, or a combination of such funding, during the initial parole period;
- Created at least five qualified jobs with the start-up entity during the initial parole period;
- Reached at least $500,000 in annual revenue in the United States and averaged 20 percent in annual revenue growth during the initial parole period; or
Continued to show substantial potential for rapid growth and job creation based on other reliable and compelling evidence.
Read more information about IER applications on our International Entrepreneur Parole webpage.