Form I-942P Supplement, Income Guidelines for Reduced Fees

Use this information as income guidelines to complete Form I-942, Reduced Fee Request. To qualify for the reduced fee, your documented annual household income must be greater than 150 percent and not more than 200 percent of the Federal Poverty Guidelines (FPG), at the time of filing, based on your household size. The secretary of the Department of Health and Human Services establishes the Federal Poverty Guidelines annually.

These poverty guidelines are effective beginning Jan. 11, 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 Size150% of HHS Poverty Guidelines200% of HHS Poverty Guidelines
1$18,735$24,980
2$25,365$33,820
3$31,995$42,660
4$38,625$51,500
5$45,255$60,340
6$51,885$69,180
7$58,515$78,020
8$65,145$86,860
 Add $6,630 for each additional personAdd $8,840 for each additional person

For Alaska:

Household Size150% of HHS Poverty Guidelines200% of HHS Poverty Guidelines
1$23,400$31,200
2$31,695$42,260
3$39,990$53,320
4$48,285$64,380
5$56,580$75,440
6$64,875$86,500
7$73,170$97,560
8$81,465$108,620
 Add $8,295 for each additional personAdd $11,060 for each additional person

For Hawaii:

Household Size150% of HHS Poverty Guidelines200% of HHS Poverty Guidelines
1$21,570$28,760
2$29,190$38,920
3$36,810$49,080
4$44,430$59,240
5$52,050$69,400
6$59,670$79,560
7$67,290$89,720
8$74,910$99,880
 Add $7,620 for each additional personAdd $10,160 for each additional person
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