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Form I-912P Supplement, 2018 HHS Poverty Guidelines for Fee Waiver Request
This information is used as HHS Poverty Guidelines to complete Form I-912, Fee Waiver Request.
These poverty guidelines remain in effect from January 13, 2018, until new guidelines go into effect in 2019.
For the 48 Contiguous States, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, and the Commonwealth of the Northern Mariana Islands:
| Household Size | 150% of HHS Poverty Guidelines |
| 1 | $18,210 |
| 2 | $24,690 |
| 3 | $31,170 |
| 4 | $37,650 |
| 5 | $44,130 |
| 6 | $50,610 |
| 7 | $57,090 |
| 8 | $63,570 |
| Add $6,480 for each additional person |
For Alaska:
| Household Size | 150% of HHS Poverty Guidelines |
| 1 | $22,770 |
| 2 | $30,870 |
| 3 | $38,970 |
| 4 | $47,070 |
| 5 | $55,170 |
| 6 | $63,270 |
| 7 | $71,370 |
| 8 | $79,470 |
| Add $8,100 for each additional person |
For Hawaii:
| Household Size | 150% of HHS Poverty Guidelines |
| 1 | $20,940 |
| 2 | $28,395 |
| 3 | $35,850 |
| 4 | $43,305 |
| 5 | $50,760 |
| 6 | $58,215 |
| 7 | $65,670 |
| 8 | $73,125 |
| Add $7,455 for each additional person |
