Purpose of Form:
This form is used to provide additional identifying information so that USCIS may act upon or reply to a communication.
Number of Pages: 1
02/28/05. Prior versions not acceptable. NOTE: Translations are available for reference purposes; the form must be completed and filed in English.
Where to File:
Return the form to the office marked on the form.
Filing Fee: $0.00
Special Instructions: (NA)