This sample judicial certification form is included as part of the U Visa Certification and T Visa Declaration Toolkit for Federal, State, and Local Judges, Commissioners, Magistrates and Other Judicial Officers (August 12, 2020) available at https://niwaplibrary.wcl.american.edu/pubs/judges-u-t-certification-toolkit. The approach to U visa certification by judges reflected in the sample has been used by judges across the country signing U visa certifications in protection order, custody, divorce, and other civil and criminal court cases for many years and certifications that adopt this approach are accepted by USCIS in U visa cases.