APPLICATION FOR A RESIDENCE PERMIT FOR SPOUSE OR COHABITING PARTNER OF A FOREIGN CITIZEN

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ÚTL-númer P D-202 Móttekið: APPLICATION FOR A RESIDENCE PERMIT FOR SPOUSE OR COHABITING PARTNER OF A FOREIGN CITIZEN Please fill out this form carefully and remember to sign it. An application form that is not filled out in a satisfactory manner may result in delays of the procedure or in the application being denied. For whom is the application form? The form is only intended for an individual, 18 years of age or older, intending to reside in Iceland with his/her spouse or cohabitor (the requirement is that the cohabitation must have lasted longer than one (1) year). The requirement is that the spouse or cohabiting partner is an Icelandic or a Scandinavian citizen, a foreign citizen holding a permanent residence permit or a temporary residence permit on grounds of work requiring qualified expertise, for athletes, for parents *, on grounds of international protection *, humanitarian grounds *, special connection to Iceland * or advanced studies. * The spouse or cohabitant of the applicant who applies for reunification in Iceland must have worked or studied in Iceland in legal stay for the last four (4) years before submitting an application (unless an exemption applies). What documents must accompany the application for a first permit? See further information on the website of the Directorate of Immigration about the requirements for accompanying documents and data regarding renewal of residence permits Passport photograph (35 mm x 40 mm). Photocopy of the passport. Confirmed original of a foreign criminal record certificate. Translation by an authorized translator of a criminal record certificate if applicable. Medical-expense insurance. Documents on support. Confirmed copy of the original marriage certificate (if married) or marital status certificate (if cohabiting). Confirmed copy or original translation of the marriage certificate (if married) or marital status certificate (if cohabiting) by an authorized translator. Application for a work permit and employment contract, if applicable. How is an application submitted? An application may be submitted and paid for at the reception desk of the Directorate of Immigration or at the office of a district commissioner outside of the Reykjavík capital area. If the applicant is in Iceland he/she must appear in person. If an application is sent by mail a payment receipt must be enclosed. To be filled out by the Directorate of Immigration Er umsóknin undirrituð af umsækjanda? Er umsóknin í frumriti? Já Já Nei Nei Hafa allar umbeðnar upplýsingar verið veittar (þ.m.t. heimilisfang, netfang og símanúmer)? Fylgir ljósrit af persónusíðu og rithandarsýnishorni vegabréfs? Já Já Nei Nei Fylgir vottorð um hjúskap eða sambúð? Já Nei Útlendingastofnun www.utl.is utl@utl.is The applicant must appear in person when applying for renewal of his/her residence permit, either at the reception of the Directorate of Immigration or at offices of district commissioners outside of the Reykjavík Capital Area. The applicant will be photographed and must submit a sample of his/her signature. The applicant should bring his/her passport along. Information about the processing fee A fee must be paid for the processing of the application for a residence permit. The application will not be processed until payment has been received. If payment is not received within 90 days after the application has been submitted, the application will be returned to the applicant. Applicants wishing to re-apply must submit new applications and payment of the service fee. Further information about the processing fee is contained in part 15 of the application form and also on the website of the Directorate of Immigration. Objectives regarding time of procedure and process The Directorate of Immigration expedites as possible its processing of applications in accordance with the Administrative Procedures Act no. 37/1993. If the applicant provides all the required information in the application form and submits satisfactory accompanying documents with the application, the processing of the application will take less time. The processing time of residence permits may be as long as 90 days after satisfactory data have been received, however, longer in instances of applications needing more effort in order to determine whether an applicant meets the requirements of a residence permit. The Directorate of Immigration contacts the applicant or his/her representative if further documents are needed for processing the application. Please note that the reception-desk personnel of the Directorate of Immigration do not assess applications or accompanying documents. Other information Further information is contained on the website of the Directorate of Immigration (www.utl.is). 1 / 12

Rights attached to the permit The spouse or a cohabiting partner may be in Iceland when applying for a residence permit and while it is being processed. (this does not apply for a spouse or cohabiting partner that is required to have a visa). An applicant who is required to have a visa and who is abroad when applying for a residence permit cannot come to Iceland until the residence permit has been granted. Applicant that wants to apply for a work permit may not begin working until a residence and work permit has been granted. A residence permit is generally granted for one (1) year at a time, however, two (2) years as a maximum at a time. A residence permit may be renewed for two (2) years maximum at a time. The residence permit provides a right to family reunification for the applicant s children under the age of 18 and for the parents of an applicant if the parents are 67 years of age or older. The residence permit may be a basis of a permanent residence permit 1. Application for a residence permit and period of validity State information about the period you wish the permit to apply to and whether this is a first permit or a changed issued permit. I apply for: a) First residence permit b) Renewal 1 c) A permit on a new ground I request the period of validity of the residence permit being: From (dd.mm.yy.) To (dd.mm.yy.) 1 If a renewal of the residence permit is not applied for before the period of validity expires, the application will be processed as if this were an application for a first permit 2. The applicant Former names (if applicable) Date of birth (dd.mm.yy.) Gender Male Female Place of birth (city) Country of birth Current nationality/nationalities Former nationality (if applicable) Marital status Cohabitation Widow/widower Unmarried Separated Married Divorced Are both or one of your parents Icelandic citizens? Both One Neither Address, email and telephone numbers in the home country This information will be used to contact the applicant; therefore it is important that this information is correct. If the information changes during the procedure of the application you are kindly requested to notify the Directorate of Immigration of this using the email: utl@utl.is Address Postal code and city Country Telephone number Útlendingastofnun www.utl.is utl@utl.is Bls. 2 / 12

Address, email and telephone number in Iceland A requirement for issuance of a residence permit is that the applicant has stated his/her place of stay in Iceland, cf. Act no. 80/2016 on Foreigners. The stated address will be registered by Registers Iceland as the applicant s domicile. The information will be used to contact the applicant; hence it is important for such information being correct. If the information changes while the application is being processed, kindly notify the Directorate of Immigration of this immediately, email: utl@utl.is After a permit has been issued changes of address shall be reported to Registers Iceland. Address Postal code and city Telephone number Email Address not yet known. Notification of residence in Iceland will be handed in after arrival in Iceland e.g. when applicant attends the required photoshoot). 3. Information about passport and residence Passport Please note that a valid passport is required and the period of validity of the passport must be at least three (3) months longer than the validity of the residence permit. Photocopies of the passport s personal information page and and the page that contains the applicant s signuture must submit with the applications. Passport number Other travel documentation, state which Country in which the passport is issued Issued by Date of issue (dd.mm.yy.) Date of expiry (dd.mm.yy.) Does not have a valid passport (Why not? Kindly explain in part 12 of this form). Residence abroad Where have you lived over the last five (5) years? 1. 2. 3. 4. 5. 6. Country Date from (dd.mm.yy.) Date to (dd.mm.yy.) Residence in Iceland Only applicable for those applying for first permit. When do you intend to come to Iceland? State the date (dd.mm.yy.) Have arrived in Iceland When did you arrive? (dd.mm.yy.) Have you ever applied for a visa to come to Iceland? Yes No Have you previously applied for a residence permit in Iceland? Yes No Have you been in Iceland before? Yes No If yes, when and how long? Útlendingastofnun www.utl.is utl@utl.is Bls. 3 / 12

4. Applicant s spouse or cohabiting partner Applicant s spouse or cohabiting partner Former names (if applicable) Birth date (dd.mm.yy.) Nationality Date of marriage (dd.mm.yy.) Date of the registration of cohabitation (dd.mm.yy.) 5. Marriage or cohabitation Only applicable when applying for a first permit Marriage Questions regarding an application for a residence permit on grounds of marriage. Enter your answers in the textbox below: 5.1 How and when did you meet your spouse? 5.2 Where and when did you decide to get married? 5.3 Whose idea was it to get married? 5.4 How frequently and in what way are the two of you in contact when you are not together? Útlendingastofnun www.utl.is utl@utl.is Bls. 4 / 12

5.5 What is the reason you want to settle down in Iceland, i.e. what is the purpose of your stay? Cohabitation Questions regarding an application for a residence permit on grounds of cohabitation. Enter your answers in the textbox below: 5.6 How and when did you meet your cohabiting partner? 5.7 How long have you been cohabiting partners? Where and during what period did you live together for 12 months or more, and where can this cohabitation be confirmed? Address (Street name, number, postal code and city and country) Period From (dd.mm.yy.) To (dd.mm.yy.) 5.8 How frequently and in what way are the two of you in contact when you are not together? Útlendingastofnun www.utl.is utl@utl.is Bls. 5 / 12

5.9 How and when was the decision taken to start cohabitation in Iceland? 5.10 What is the reason you want to settle down in Iceland, i.e. what is the purpose of your stay? 6. Applicant s children The residence permit provides a right to family reunification for applicant s children under 18 years of age. If a residence permit for a child is to be applied for a separate application for each child must be submitted. State information about children who reside both in Iceland and abroad. Applicant s children I do not have children Date of birth (dd.mm.yy.) Nationality Gender Is the child in Iceland? Female Male Yes No 1. 2. 3. 4. 5. 6. 7. Applicant s parents Permanent residence permit grants the right to family reunification for the applicant s parents aged 67 years and older. Applicant s father Former name (if applicable) Date of birth (dd.mm.yy.) Date of death (dd.mm.yy.), (if applicable) Nationality Address Postal code and city Country Útlendingastofnun www.utl.is utl@utl.is Bls. 6 / 12

Applicant s mother Former name (if applicable) Date of birth (dd.mm.yy.) Date of death (dd.mm.yy.), (if applicable) Nationality Address Postal code and city Country 8. Applicant s relatives in Iceland State whether you have relatives in Iceland. I have no relatives/family in Iceland. I have the following relatives/family members in Iceland: Date of birth (dd.mm.yy.) Nationality State kinship 1. 2. 3. 4. 5. 6. 7. 9. Language skills and education Language skills Native language Other languages Education level Please check all the applicable boxes, however, only stating education that is completed. None or less than primary school Primary school - Year of graduation: Secondary school - Year of graduation: Secondary school, additional levels - Year of graduation: University, less than BA/BS degree - Year of graduation: University, BA/BS degree - Year of graduation: University, master s degree - Year of graduation: University, doctor s degree - Year of graduation: Útlendingastofnun www.utl.is utl@utl.is Bls. 7 / 12

Fields of study, highest education Check only one box. General studies IT and communication Education Civil engineering, production and construction Arts and humanities Agriculture, forestry, fisheries and veterinary studies Social science, journalism and information theory Health Business, administration and law Welfare Science, mathematics and statistics Service 10. Stay abroad Only applies to those renewing their residence permit. List all of your travels abroad during the period of validity of your latest residence permit until the date this application is submitted. A permit holder may not stay abroad for more than three (3) months per every 12-month period while the residence permit is valid. The Directorate of Immigration decides whether a residence permit should be rescinded if a permit holder has stayed abroad for more than three (3) months. Where have you stayed during the stated period? Country Date of departure from Iceland (dd.mm.yy.) Date of arrival in Iceland (dd.mm.yy.) Number of days abroad Purpose of stay abroad 1. 2. 3. 4. 5. 6. 11. Criminal record Please submit with a first permit a criminal record certificate from the country or countries where you have resided over the last five (5) years. The criminal record certificate must be received in original format, be lawfully confirmed (i.e. apostille or double confirmation), and may not be older than six (6) months when submitted to the Directorate of Immigration. If the certificate is in another language than English or one of the Nordic languages, a translation must accompany the original, translated by an authorized translator. See further www.utl.is. A. Have you been fined or sentenced to imprisonment? No Yes State the offence: In what country? When? What penalty did you receive? Útlendingastofnun www.utl.is utl@utl.is Bls. 8 / 12

B. Do you have the status of a suspect in a police investigation? No Yes State the offence: In what country? When? C. Do you authorize the Directorate of Immigration to check your criminal record with foreign authorities? Yes No If no, state the reason why? D. Have you been subject to a re-entry ban into the Schengen Area? No Yes In what country? Is the ban still in effect? No. When was it in effect? Yes. When does the ban expire? 11. Additional information If you have further information of significance regarding your application for a residence permit in Iceland, kindly state it here in the box below. Útlendingastofnun www.utl.is utl@utl.is Bls. 9 / 12

12. Visa Applies only to applicants for first residence permit. If you need a visa to come to Iceland, where do you wish to obtain the visa? If your application is accepted, the Directorate of Immigration may send a request for a D-visa to Danish or Norwegian embassies representing Iceland and as listed on the websites of the Directorate of Immigration and the Icelandic embassies in China and Russia. Á aðeins við um þá sem sækja um fyrsta dvalarleyfi. 14. Applicant s representative An applicant may only have one representative at any time. An applicant wishing to replace his/her representative must submit a form to this effect to the Directorate of Immigration. If an applicant wishes to withdraw his/her authorization for representation, the applicant must send a written notification to the Directorate of Immigration stating such change. Please note that the representative may not sign the application. Check the box regarding authorizations I realize that all communication (including correspondence) with the Directorate of Immigration will be with my representative and that the representative will have access to the information and data in my application. I realize that my representative, not I, will receive information about the conclusion of my application. I authorize the following individual to represent me regarding this application, to receive documents on my behalf, to appeal a decision by the Directorate of Immigration to the Immigration and Asylum Appeals Board in the event of my application being refused. Information about the representative ID number (Kennitala) Address Postal code and city Country Telephone number Email address Applicant s signature 15. Processing fee The Directorate of Immigration and district commissioners outside of the Reykjavík Capital Area receive applications for residence permits in return for the payment of a service fee. The amount of the fee is decided in the Act no.88/1991 on Additional Revenues of the National Treasury. If the service fee is not paid the application will not be processed. If the fee has not been received within 90 days the application will be returned to the applicant. An applicant wishing to reapply must submit a new application and pay the service fee. An application may be submitted on behalf of the applicant and paid for at the reception desk of the Directorate of Immigration or at the offices of district commissioners outside of the Reykjavík Capital Area. An application sent by mail must be accompanied by a payment receipt and if the applicant is in Iceland he/she must appear in person. See further information on the website of the Directorate of Immigration (www.utl.is). Útlendingastofnun www.utl.is utl@utl.is Bls. 10 / 12

16.. Did you remember everything? If the application form is correctly filled out and accompanied by all relevant data, this will expedite the application s procedure. It is therefore important that you check whether your application is well filled out, whether correct information is stated and whether you have submitted all necessary data. The Directorate of Immigration recommends that you use the checklist below to ensure that your application is satisfactory. The Directorate of Immigration may request additional data if it feels there is a need to examine whether the requirements for a residence permit are met. 17. Applicant s checklist Payment receipt (If the application has been paid for at a bank). Passport photo (35 mm x 45 mm). Photocopy of passport. (Passport s personal information page and signature page). The period of validity must be at least 90 days beyond the period of validity of the residence permit. Confirmed original of a foreign criminal record certificate. (From all the countries where the applicant has lived for the last five (5) years, must not be older than six (6) months). Note there is a requirement for apostille confirmation or double authentication. Confirmed copy or original translation of the criminal record certificate by an authorized translator. Applies only if the foreign certificates are in other languages than English or the Nordic languages. Note there is a requirement of confirmation of translation if the translator is not an authorized translator in Iceland, i.e. apostille or double authentication. Medical expense insurance. The applicant must present a confirmation of insurance that is valid for a minimum of six (6) months, with a minimum insurance coverage of ISK 2,000,000 (ISK 2 million), issued by an insurance company that is licensed to operate in Iceland. Documents on support, confirming secure support during the period of residence. There is a legal mutual obligation for spousal support. If the applicant is married, he/she does not have to prove own support, if the spouse can show sufficient support for the couple. An applicant who is in cohabitation must prove independent means of support. Information about which documents may illustrate secure means of support is contained on the website of the Directorate of Immigration, www.utl.is. Confirmation of marriage / cohabitation. Note the requirement for a certified original of the marriage certificate, i.e. with apostille or double authentication. The copy must be stamped by an authority competent to do so. For spouse: Confirmed copy of the original marriage certificate. For cohabitating partner: Confirmed copy of the original of a marital status certificate of the applicant and the cohabiting partner and other documents confirming that they have cohabited for at least one (1) year. Confirmed copy or original translation of the marriage certificate or of the maritial status by an authorized translator. (This applies only to foreign certificates in other languages than English or a Nordic language. Note the requirement for a certification of the translation if it is done by a translator who has not received an authorization as a translator in Iceland, i.e. apostille or double stamp). Application for a work permit on grounds of family reunification and employment contract, if applicable. An application for a work permit and an employment contract must be submitted in original format and signed by both the applicant and the employer. The applicant has signed the application. 18. Applicant s Checklist for a renewal of a permit Photocopy of passport. (Passport s personal information page and the signature page). The period of validity must be at least 90 days beyond the period of validity of the residence permit. Documents on support, confirming secure support during the period of residence. There is a legal mutual obligation for spousal support. If the applicant is married, he/she does not have to prove own support, if the spouse can show sufficient support for the couple. An applicant who is in cohabitation must prove independent means of support. Information about which documents may illustrate secure means of support is contained on the website of the Directorate of Immigration, www.utl.is. Application for a work permit on grounds of family reunification and employment contract, if applicable. An application for a work permit and an employment contract must be submitted in original format and signed by both the applicant and the employer. The applicant has signed the application. Útlendingastofnun www.utl.is utl@utl.is Bls. 11 / 12

19. Date and signature I hereby apply for an Icelandic residence permit and confirm with my signature that the information I have stated in this application form, in annexes and the accompanying documents as being true and correct. I understand that giving misleading or false information to public authorities is punishable according to the Icelandice Penal Code No. 19/1940, and could result in denial or withdrawal of a residence permit and possibly expulsion on grounds of the Act on Foreigners No. 80/2016. Violations of the Act on Foreigners are reported to the police. I am informed of it being permissible to integrate data held by the Directorate of Immigration, the Immigration and Asylum Appeals Board, Registers Iceland and the police according to the Act on Foreigners. The Directorate of Immigration is furthermore authorized to obtain information from the tax authorities, the Directorate of Labor and the municipal social services according to the same law. I am furthermore informed of how the Directorate of Immigration may obtain further information if necessary because of this application and as provided for by the Data Protection Act no. 77/2000. I realize that the information I provide might be used regarding the processing of subsequent applications and/or applications by family members. I am informed that the Directorate of Immigration forwards data to Registers Iceland as necessary for registration in Registers Iceland. I agree to undergo medical examination within two weeks from arrival in Iceland according to applicable law and as instructed by health authorities. Place, date and applicant s signature Place Date of signature Applicant s signature Place, date and applicant s spouse/cohabiting partner signature of concent Place Date of signature Spouse s/cohabiting partner s signature Who filled out the application? Applicant Representative Another person, who? Connection to the applicant To be filled out by the Directorate of Immigration Dvalarleyfi veitt til Afgreitt Útlendingastofnun www.utl.is utl@utl.is Bls. 12 / 12