Information Form

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

Edition Date:

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)

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