Fillable DS-5537 (JADE Act Questionnaire) PDF

The DS-5537, also called the JADE Act Questionnaire, is required for Burmese applicants seeking a U.S. visa. Consular officers use this form to assess eligibility under the Tom Lantos Block Burmese JADE (Junta's Anti‑Democratic Efforts) Act of 2008.

What Is DS-5537?

DS-5537 is a single‑page questionnaire that gathers personal background, travel history, and any affiliation with the Burmese military or government. Accurate completion is essential to avoid processing delays.

How to Complete the DS-5537 Online

Instead of downloading a static PDF and editing it with a separate editor, use Formize’s built‑in fillable version. Follow these simple steps:

• Click the "Fill out this form" button on this page.
• Wait a few seconds while the Formize PDF Filler app loads.
• Enter your information directly into the fields. The form automatically saves your progress.
• When finished, click Submit to download a completed copy or print it for your visa interview.

Common Mistakes to Avoid

• Leaving fields blank: Every question marked required must be answered, even if the answer is "None" or "N/A".
• Using the wrong date format: Use MM/DD/YYYY as shown in the example.
• Misspelling names or places: Double‑check spelling to match your passport.
• Submitting an outdated PDF: Always use the latest version provided by the State Department (linked below).

Where to Submit the Form

After completing the DS-5537, print the form and bring it to your visa interview at the U.S. Embassy or Consulate. Some locations also accept a digital copy uploaded through the Consular Electronic Application Center (CEAC).

Download the Original PDF

If you need the official, non‑fillable version of DS-5537 for reference, you can download it directly from the U.S. Department of State:

Download DS-5537 PDF