U.S. Department of Homeland Security
U.S. Immigration and Customs Enforcement

Record of Determination/Parole Determination Worksheet

Alien’s Claimed Name(s) (including AKAs) ___________________________________________
Detention Facility Name and Location _____________________________________

A#(s) _____________________

Field Office ___________________________

This worksheet should be completed in any case where an arriving alien requests parole from U.S. Immigration and Customs
Enforcement (ICE) custody, pursuant to section 212(d)(5) of the Immigration and Nationality Act (INA) in writing, following a
determination by a U.S. Citizenship and Immigration Services asylum officer that the alien has a “credible fear” of persecution or
torture, within the meaning of INA § 235 (b)(1)(B)(v) and 8 C.F.R. §§ 208.30(e)(2)-(3). Such aliens will have been initially processed
under the INA’s expedited removal provisions and should have a completed Form I-870 (Record of Determination/Credible Fear
Worksheet) in their A-files.
The parole decision includes two steps. Step one is a threshold assessment of whether the alien has established identity, that he or she
does not pose a risk of flight and that he or she is not a security risk to the U.S. or danger to the community. Step two is a
discretionary assessment of whether there are circumstances present in the alien’s particular case that justify parole. In completing this
worksheet, ICE Office of Detention and Removal Operations (DRO) personnel should consult the ICE Policy Directive entitled,
“Parole of Arriving Aliens Found to have a ‘Credible Fear’ of Persecution or Torture.” Even where an alien does not initially appear
to merit parole on one or more grounds, this entire worksheet should be completed. Use blank 8” x 11” paper if additional writing
space is required. Include all evidence that supports the decision to parole or not parole the alien with this worksheet. Both Part I and
Part II of this worksheet must be completed for all decisions for quality assurance purposes. If a particular question is not applicable,
then it should be notated with “N/A” as appropriate.
Part I. Is the alien eligible to be considered for parole?
A. Identity
Did the alien establish his or her claimed identity?

Yes______

No______

Identify the evidence offered in support of the alien’s claimed identity (e.g., passport, country identification card, witness
affidavits) and explain why it did or did not satisfy the alien’s burden: _________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
B. Flight Risk
Did the alien establish that he or she will appear as
Yes______
required for all scheduled hearings and enforcement appointments?

No______

Identify the evidence offered that relates to the alien’s likelihood of appearing, as required, and explain why it did or did
not satisfy the alien’s burden: _________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
C. Danger to the Community / National Security Risk
Did the alien establish that his or her release will not
pose a danger to the community or U.S. national security?

Yes______

No______

Identify the unclassified evidence offered that relates to the alien’s potential danger to the community or national security,
and explain why it did or did not satisfy the alien’s burden:
_____________________________________________________________________________
____________________________________________________________________________________________________________

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Alien’s Claimed Name(s) _______________________________________________

A#(s) ________________________________

Detention Facility Name and Location _____________________________________

Field Office ___________________________

Part II. Are there circumstances present in the alien’s case that merit parole for “urgent humanitarian reasons” or
“significant public benefit”?
A. Serious Medical Condition
Has the alien provided evidence that he or she suffers from a medical condition (or conditions) that makes detention
inappropriate? Yes______
No______
Identify the claimed medical condition(s), if any:

_______________________________________________________

If the alien has requested parole on this basis, identify the evidence offered in support of the medical condition and explain
why parole is justified in this specific case: ___________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
B. Women Medically Certified as Pregnant
Has the alien provided medical evidence certifying that she is pregnant?
C. Witnesses

Yes______

No______

Has the alien established that he or she is serving as a witness and provided evidence of a request from the judicial,
administrative or legislative body before which the alien is to serve as a witness or from the sponsoring law enforcement
No______
agency who will take custody of the alien? Yes______
Please provide any information relevant to the alien’s potential testimony and his or her safety or security. ______________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
D. Juveniles
Has the alien claimed that he or she is under 18 years of age?
Yes______
No______
Important note: If the answer to this question is “Yes,” coordinate with your chain of command, and contact the DRO
headquarters Juvenile and Family Residential Management Unit for further guidance.
E. Public Interest
In the view of the Field Office, would release of this individual be consistent with ICE’s mission to protect
the United States and uphold public safety and/or has the alien’s case presented any other compelling basis (or bases) for
No______
parole?
Yes______
Identify the basis (or bases), if any:

__________________________________________________________________

Important note: If the Field Office believes that the alien’s case presents any other basis (or bases) for parole, a written, wellreasoned justification for parole on such a basis must be approved by the Field Office Director
Part III. Signatures and Approval
Initial Preparer’s Recommendation

Grant Parole______

Deny Parole______

_____________________________________ _______________________________________ ____________________________
(Name and Title of Preparing Officer)

(Signature of Preparing Officer)

Reviewing Officer’s Recommendation

(Date of Recommendation)

Grant Parole______

Deny Parole______

_____________________________________ _______________________________________ ____________________________
(Name and Title of Reviewing Officer)

(Signature of Reviewing Officer)

Deciding Official’s Conclusion

(Date of Review and Recommendation)

Grant Parole______

Deny Parole______

_____________________________________ _______________________________________ ____________________________
(Name and Title of Deciding Official)

(Signature of Deciding Official)

(Date of Decision)

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