
Anxiety, a Leg Injury and Household Debt: Why This I-601 Waiver Appeal Failed
Evidence of genuine distress does not automatically establish the extreme hardship required for an I-601 waiver. In In Re: 42454879, the applicant described a U.S. citizen spouse with anxiety, chronic leg pain, household debt, and plans for further education. The AAO considered those circumstances together but found insufficient evidence that separation would produce hardship beyond the common consequences of inadmissibility or removal. A second problem concerned identifying whether the spouse would remain in the United States or relocate.
The September 1, 2026 nonprecedent decision dismissed the appeal. It illustrates evidentiary and scenario-selection issues under INA § 212(i); it does not establish that anxiety, physical impairment, or financial dependence can never support a waiver in another record.

The inadmissibility finding was not contested
The applicant was a Philippine citizen who had obtained a visitor visa at age seventeen after stating that she had no family in the United States, although her mother lived in California. She entered in 2017. In this appeal, she did not challenge the resulting fraud-or-misrepresentation inadmissibility finding. The AAO therefore addressed hardship and, if necessary, discretion. See pages 1–2.
INA § 212(i) refers to “extreme hardship to the citizen or lawfully resident spouse or parent” of the applicant. The qualifying relative in this case was the applicant’s U.S. citizen spouse. Her own difficulties mattered to the statutory inquiry only insofar as they affected a qualifying relative; they were not a substitute for that required showing.
Why the AAO required both separation and relocation scenarios
The decision explains that proving both scenarios is not invariably necessary. Evidence can establish which scenario would result from denial, including a qualifying relative’s clear statement under penalty of perjury. Here, the spouse did not clearly state whether he would remain or relocate to the Philippines. The applicant therefore had to establish extreme hardship in both scenarios. See page 2.
Because the AAO found the separation showing insufficient, the appeal failed without a separate dispositive finding that relocation hardship could never qualify. Recasting this case as a universal two-scenario requirement would omit an express qualification in the decision.
The medical evidence left functional and treatment questions unanswered
A psychologist conducted multiple appointments and testing over six hours. Scores fell within severe-anxiety and severe-depression ranges, while the evaluation cautioned that the scales alone did not conclusively establish clinical conclusions. Psychotherapy was recommended, but the record did not show whether the spouse pursued it. The AAO found that the evidence did not sufficiently distinguish the anticipated hardship from ordinary loss of companionship and support. See pages 2–3.
The spouse also described pain from an older motorcycle injury, and his employer confirmed frequent breaks. The AAO acknowledged physical limitations but found inadequate information about prognosis, long-term effects, and the claimed degree of medical hardship. The decision did not deny that the injury or distress existed.
Financial records did not adequately show the claimed shortfall
The applicant submitted income and banking records, bills, and statements about debt and the spouse’s planned radiologic-technology studies. The AAO identified the absence of a detailed expense breakdown. It recognized likely financial difficulty from losing her earnings but found the evidence insufficient to establish extreme hardship. It considered the factors cumulatively rather than requiring each one independently to qualify. See pages 3–4.
The result and what another record may need
The AAO dismissed the appeal on the hardship requirement and did not reach a separate discretionary determination. Its general closing notice concerning possible removal proceedings was not an order of removal. See page 4.
A useful case review would clarify the likely separation or relocation scenario, the spouse’s treatment and functional needs, available assistance, and a documented household budget showing the actual impact. The point is to explain cumulative hardship with specific evidence, rather than simply assemble diagnoses and account balances. Eligibility, inadmissibility, discretion, and any special circumstances must be evaluated separately against the complete record and applicable law.
Legal Disclaimer. Originally published: 11/01/2026. This article provides general information only and is not legal advice for any particular matter. Laws, policies, procedures, fees and agency practices may change; their application depends on the facts and jurisdiction. Consult a qualified attorney about your circumstances before acting on this information. Reading this article or contacting Blumsack & Canzano does not, by itself, create an attorney-client relationship. Past results do not guarantee future outcomes. This material may be considered attorney advertising in some jurisdictions.


