To immigrate to the United States through family-based immigration as the spouse of a US citizen, the US citizen must file USCIS Form I-130 to sponsor their spouse for an immigrant visa. As the immediate relative of a US citizen, there is no annual limit on visas issued to spouses. Alternatively, if already in the US in another status, the foreign spouse can apply to adjust their status using Form I-485. When filing Form I-130, the US citizen must submit documents proving their citizenship and relationship, such as a passport and marriage certificate. They must also complete Form I-864 to demonstrate they can financially support their spouse.