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Health
and Human Services Statistical Data for
Refugee/Asylee Adjusting Status
Purpose of Form:
This form is used to
provide statistical data to the Department of Health and Human Services regarding refugees
or asylees who wish to adjust to immigrant status in the United States.
Number of Pages:
2
Edition Date:
5/19/06. Versions other than the 5/19/06
edition are not acceptable.
Where to File:
The Immigration Officer assisting you with this form will
submit it to:
Data Unit, Office of Refugee Resettlement
Department of
Health and Human Services
370 L'Enfant Promenade S.W. (6th
Floor)
Washington, DC 20447
Filing
Fee:
$0.00
Special
Instructions:
(NA)
Download I-643 (168KB PDF)
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by any State Department. Our office does not state or imply any guarantee should you decide to use a our office generated form.
We recommend that you use the form after consulting an attorney or any other expert knowledgeable in the laws of the applicable
jurisdiction and the specific intended use of those forms.
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