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G-639

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Freedom of Information/Privacy Act Request

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form G-639

OMB No. 1615-0102

Expires 07/31/2025

What Is the Purpose of Form G-639?

Use Form G-639 to request access to U.S. Citizenship and Immigration Services (USCIS) records under the Freedom of Information Act (FOIA) at 5 U.S.C. 552 and the Privacy Act of 1974 (PA) at 5 U.S.C. 552a, if applicable. You may also use this form to request amendment or correction of records pertaining to you under the PA, if applicable.

Your Options to Make a FOIA or PA Request with USCIS

You can make a FOIA or PA request:

Online at www.uscis.gov/foia;

Using this Form G-639; or

In writing and in accordance with the requirements of the FOIA and PA.

Request and Receive Records Faster Online

Our online FOIA and PA services are a more efficient way to request and receive records than by using Form G-639 to make a request.

When you make your request online, USCIS receives it immediately and we can deliver the response to you immediately after the records are processed.

You will also be able to:

Receive instant updates when we act on your request;

Respond faster if we ask you to give us more information; and

Making your request online helps ensure your request contains the required information and reaches us immediately, rather thanthrough a mailed postal delivery. Once you provide the information necessary to process your request, we will add it to the same first-in, first-out processing queue ordinarily used for all requests.

Once we release records you request online, you can use your online account to:

View them on any internet connected device, such as a smartphone, tablet, or computer;

Access the records as soon as they are available, rather than waiting for them by mail; and

Continue to access your records through your online account and print them whenever you need

If You Make Your Request Using This Form

If you complete and submit this form, we will send all correspondence and any records we release through U.S. mail, requiring time
for transit and receiving. Unless you specify another format, any records responsive to your request will be sent to you on a CD
ROM, soyou will need to use a computer with an optical drive to view them. Alternately, if you request records online
(www.uscis.gov/foia) using FIRST, you can download them without the need for equipment other than a computer, smartphone, or
tablet that is connectedto the internet.

Do not use Form G-639 for:

Status Inquires. Contact the USCIS office where the application or petition was filed or visit https://egov.uscis.gov to check your case status online. You may also reach out to the USCIS Contact Center at www.uscis.gov/contactcenter. The USCIS Contact Center provides information in English and Spanish. For those who are deaf or hard of hearing and use a TTY relay service, call 1-800-767-1833.

Consular Notification of a Visa Petition Approval. Use Form I-824, Application for Action on an Approved Application or Petition, to request consular notification of visa petition approval.

Form G-639 Edition 11/03/22

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Return of Original Documents. Use Form G-884, Request for the Return of Original Documents, to request the return of original documents.

Requesting a Certificate of Non-Existence

Naturalization Records Before September 27, 1906. Contact the clerk of court where the naturalization occurred to request naturalization records before September 27, 1906.

USCIS Manifest Arrivals Before December 1982..Contact the National Archives at https://www.archives.gov/contact to request information on USCIS manifest arrivals before December 1982.

Proof of Status for Non-Immigration Benefits..Contact the Federal agency responsible for the benefit (for example, Social Security benefit, Selective Service requirement) to obtain proof of status.

General Instructions

USCIS provides forms free of charge through the USCIS website. To view, print, or fill out our forms, you should use the latest
version of Adobe Reader, which you can download for free at https://get.adobe.com/reader/. If you do not have internet access, you
may call the USCIS Contact Center at 1-800-375-5283 (TTY 1-800-767-1833) and ask that we mail a form to you. The USCIS
Contact Center provides information in English and Spanish.

How To Fill Out Form G-639

1.	Type or print legibly in black ink.

If you need extra space to complete any item within this request, use the space provided in Part 5. Additional Information or
attach a separate sheet of paper. Type or print the Subject of Record's name and Alien Registration Number (A-Number) (if any)
at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and
date each sheet.

Answer all questions fully and accurately. If a question does not apply to you (for example, if you have never been married and
the question asks, “Provide the name of your current spouse”), type or print “N/A” unless otherwise directed. If your answer to a
question which requires a numeric response is zero or none (for example, “How many children do you have” or “How many times
have you departed the United States”), type or print “None” unless otherwise directed.

Read the Entire Form and Complete as Much as Possible

The information USCIS requests in this form helps us locate the records and information you request.

You are not required to respond to every item, but if you do not provide enough information we may:

Require more time to fulfill your request;

Need to request more information from you, delaying our response; or

Not be able to locate the records or information you request.

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START HERE - Type or print in black ink.

Part 1. Specify the Nature of your Request

NOTE: On this form, the individual to whom a record pertains is described as the subject of record

1.	Select Type of Request

Select the box that indicates the nature of your request, and the type of records you are requesting. If you need extra space to complete this section, use the space provided in Part 5. Additional Information.

Information from your own immigration record;

Information from another person's immigration record;

USCIS business, operational, or policy records;

An amendment or correction of your record under the Privacy Act

An amendment or correction of another person's immigration record on their behalf under the Privacy Act;

Other records in USCIS custody.

If you selected Item B. or E. in Item Number 1., complete Part 4. Third-Party Requestor, along with other pertinent section
of this form.

If you selected Item A., C., D., or F. in Item Number 1., do not complete Part 4. Third-Party Requestor section of this form.

2.	Request Specific Documents

If you request specific documents, USCIS will usually be able to process your request faster than if you request a large set of records, such as an entire A-File.

Select the types of records you are requesting, if applicable, from this list of commonly requested records:

Apprehensions, and Date of Apprehension (mm/dd/yyyy)

Birth certificate

Form I-94, with Date of Entry (mm/dd/yyyy)

Passport

Other Arrival/Departure documents into the U.S., with Date of Entry (mm/dd/yyyy)

I-129, Petition for a Nonimmigrant Worker

I-90, Application to Replace Permanent Resident Card (Green Card)

I-130, Petition for Alien Relative

I-140, Immigrant Petition for Alien Workers

I-485, Application to Register Permanent Residence or Adjust Status

I-751, Petition to Remove Conditions on Residence

N-400, Application for Naturalization

Labor certification issued by the U.S. Department of Labor

Naturalization certificate

Proof of Lawful Permanent Resident (LPR) status

Record of removal from the U.S., with Date of Removal (mm/dd/yyyy)

Other (Explain):

If you need extra space to complete this section, use the space provided in Part 5. Additional Information

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Part 1. Specify the Nature of your Request (continued)

3.	Qualifications for Expedited Processing

Select any of the following circumstances if applicable to your request:

Circumstances in which the lack of expedited processing could reasonably be expected to pose an imminent threat to the life
or physical safety of an individual.

An urgency to inform the public about an actual or alleged Federal government activity, if made by a person primarily
engaged in disseminating information.

The loss of substantial due process rights

A matter of widespread and exceptional media interest in which there are possible questions about the government's integrity
which affect public confidence. Requests for expedited processing based upon this category must be submitted to the Senior
Director of FOIA Operations, the Privacy Office, U.S. Department of Homeland Security, 245 Murray Lane SW STOP -
0655, Washington, DC 20598-0655.

4.	Statement Requesting Expedited Processing

To receive expedited processing, you must further explain why you are requesting it. In Part 5. Additional Information, type or
print a detailed statement explaining your selection in Item Number 3.

5.	Information Pertaining to an Upcoming Immigration Court Proceeding

If the subject of record has an upcoming immigration court proceeding, USCIS may be able to process the request on an
accelerated track. Select the box if the following circumstance applies to your request.

The subject of record has a date scheduled for an immigration court proceeding.

If selected, include a copy of one of the following forms, as issued by the U.S. Department of Homeland Security or
U.S. Department of Justice, with your request:

Form I-862, Notice to Appear, documenting the upcoming date of the Subject's hearing before the Immigration Judge;

Form I-122, Order to Show Cause, documenting the upcoming date of the Subject's hearing before the Immigration Judge;

Form I-863, Notice of Referral to Immigration Judge; or

A written notice of continuation of a future scheduled hearing before the Immigration Judge.

Part 2. Provide Information to Identify the Subject of Record

The individual to whom a record pertains is described as the subject of record. The more information you provide about the subject of record, the better USCIS can identify the records you are requesting.

Subject of Record's Identifying Information

1.	Alien Registration Number (A-Number):

USCIS issues Alien Registration Numbers, otherwise known as an “A-Number,” to persons who apply for, or are granted, certain immigration benefits. U.S. Customs and Border Protection (CBP) or U.S. Immigration and Customs Enforcement (ICE) may also issue A-Numbers. If the subject of record was issued an A-Number(s), type or print it in the spaces provided. If they do not have
an A-Number, or do not remember it, leave this space blank

Date of Birth (mm/dd/yyyy)

3.	Country of Birth

Provide the name of the country where the subject of record was born. If the country's name has changed or the country no longer exists, list the country as it was named when the subject of record was born.

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Part 2. Provide Information to Identify the Subject of Record(continued)

4.	Receipt Number Provide the USCIS receipt number that corresponds to any request the subject of record filed with USCIS.

5.	Subject of Record's Name

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

6.	Additional Names Used

If applicable, list any additional names the subject of record has used, including any nicknames, aliases, and maiden name. If the subject's name has changed since they entered the United States, indicate the name used at the time of entry in Item Number 7.
If you need extra space to complete this section, use the space provided in Part 5. Additional Information.

Additional Name 1

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Additional Name 2

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Additional Name 1

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

7.	Name Used Upon Entry to the United States

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Subject of Record's Mailing Address and Contact Information

8.	List the subject's contact information. You may list a valid residence, Army Post Office (APO), Fleet Post Office (FPO), or commercial address in the United States. You may list a post office address (PO Box) if that is how the subject receives their mail.

Street Number and Name

Apt.

Ste.

Flr.

Number

City or Town

State

ZIP Code

Province or Region

Postal Code

Country

Telephone Number

Email Address

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Part 2. Provide Information to Identify the Subject of Record (continued)

Subject of Record's Father

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Father's Name is unknown.

10.

Subject of Record's Mother

Family Name (Last Name)

Maiden Name, or previous last names

Given Name (First Name)

Middle Name (if applicable)

Mother's Name is unknown.

11.

Additional Family Members that May Appear on Requested Records

Provide the family member's full name and their relationship to the subject of record for any individual that may appear on the requested records, for example, a spouse or children.

Name 1

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Relationship

Name 2

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Relationship

Name 3

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Relationship

If you need extra space to complete this section, use the space provided in Part 5. Additional Information.

12.

Avoiding Redaction of Records Mentioning Additional Persons

To protect the privacy of each person mentioned in records we release, we redact their information unless you provide:

Their consent for us to release their information, either in a notarized document, or a document signed under penalty of perjury, or;

Proof they are deceased, with a death certificate, obituary, photograph of a funeral memorial or monument; or screen print from the Social Security Death Index; or probate documents filed in court. This is not required if they were born more than 100 years before you submit this form.

Include these documents with this Form G-639 and complete pertinent sections of Part 5. Additional Information.

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Part 3. Certification of Request and Consent to Release, Amend, or Correct Records

Requestor Consent to Pay Potential Fees

USCIS will contact you with instructions if any fees are required. Please do not send any payment at the time of your request.

In accordance with Department of Homeland Security Regulations, your request constitutes an agreement to pay any fees that may be chargeable up to $25.00. We may charge fees for searching for records at the respective clerical, professional, and/or managerial rates
of $4.00/$7.00/$10.25 per quarter hour, and for duplication of copies at the rate of $.10 per copy. We do not charge for the first 100
copies and two hours of search time, and the remaining combined charges for search and duplication must exceed $14.00 before we will charge
you any fees. Search and processing fees are not applicable for Privacy Act requests

If the total anticipated fees are more than $250, or you have failed to pay fees in the past, USCIS may request an advance deposit. USCIS will not process any Form G-639 until you pay all fees from prior requests.

I, the requestor, consent to pay all costs incurred for search, duplication, and review of documents up to $25.

Declaration that the Request is True and Complete

If you are the subject of record and requesting records about yourself or requesting a correction or amendment of your records, you
must verify your identity by providing the information requested in Part 2. You MUST also sign your request below and have your
signature notarized OR submitted under penalty of perjury.

Sign and date the request. A stamped or typewritten name in place of a signature is not acceptable.

I certify, swear, or affirm, under penalty of perjury under the laws of the United States of America, that the information in this request
is complete, true, and correct.

Signature of Requestor

Date of Signature (mm/dd/yyyy)

Part 4. Third-Party Requestor

Third-Party Requestor Identifying Information

Family Name (Last Name)

Given Name (First Name)

Middle Name

2.	Third-Party Requestor Mailing Address and Contact Information

In Care Of Name (if any)

Street Number and Name

Apt.

Ste.

Flr.

Number

City or Town

State

ZIP Code

Province or Region

Postal Code

Country

Telephone Number

Email Address

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Part 4. Third-Party Requestor (continued)

3.	Third-Party Requestor's Relationship to the Subject of Record
	What is the relationship of the subject of record to the third-party requestor?
	If you are requesting information or amendment or correction of records on behalf of the subject of record (select only one for Items A. - F.):

I am an attorney or accredited representative, acting on behalf of the subject of record

I am requesting information about someone who is deceased.

I am requesting information on behalf of my child or a minor for whom I am a legal guardian.

Other (Explain):

If you are requesting information about a subject of record with whom you have no relationship:

I am requesting as a member of the media.

Other (Explain):

If you selected Item B. in Item Number 3., provide proof they are deceased, with a death certificate, obituary, photograph of a funeral memorial or monument; or screen print from the Social Security Death Index; or probate documents filed in court. This is not required if they were born more than 100 years before you submit this form.

4.	If you selected Item C. in Item Number 3., you must provide proof of parentage/guardianship, such as a birth certificate, adoption decree, or similar document naming the requestor as the legal parent or guardian. You must also provide:

Parent/Guardian's Legal Name

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Parent/Guardian's Date of Birth

(mm/dd/yyyy)

Parent/Guardian's Country of Birth

Consent by Subject of Record to Release Records to a Third-Party Requestor or Allow Amendment or Correction
of Records by a Third-Party Requestor

USCIS generally requests that third-party requestors prove they have the subject of the record's consent to receive the records. Alternately, third-party requestors must prove the subject of record is deceased, or otherwise demonstrate that the requested records
are subject to release, such as when there is no privacy interest in the records, or if there is a public interest in the records that
outweighs the subject's privacy interests. Consent by the subject of record is generally not requested if the subject of record's birthdate
is more than 100 years before the submission of this request. Third party requestors who are seeking amendment or correction of
records pertaining to the subject of record must demonstrate that they have the subject of record's consent and that they are acting on
behalf of the subject of record.

To provide consent, complete one of the following options:

Option 1: Declaration Under Penalty of Perjury

I, the subject of record, consent to USCIS releasing my records to a third-party requestor and/or allowing amendment or correction of
my records by a third-party requestor, as named in Part 4. I certify, swear, or affirm, under penalty of perjury under the laws of the
United States of America, that the information in this request is complete, true, and correct.

Signature of Subject of Record

Date of Signature (mm/dd/yyyy)

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Part 4. Third-Party Requestor (continued)

Option 2: Notarized Affidavit of Identity

IMPORTANT: Do NOT sign and date below until the notary public provides instructions to you.

By my signature, I consent to USCIS releasing my records to a third-party requestor and/or allowing amendment or correction of the rquested records to the third-party requestor, as named in Part 4. I certify, swear, or affirm that the information in this request is complete, and correct.

Signature of Subject of Record

Date of Signature (mm/dd/yyyy)

Subscribed and Sworn to Before Me on (mm/dd/yyyy)

Signature of Notary

10.

Notary's Telephone Number

11.

My Commission Expires on (mm/dd/yyyy)

If you need extra space to complete this section, use the space provided in Part 5. Additional Information.

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Part 5. Additional Information

If you need extra space to provide any additional information within this request, use the space below. You may also make copies of
this page to complete this request or attach a separate sheet of paper.

If you attach additional paper:

Type or print the subject of record's name and their A-number (if known) at the top of each sheet;

Indicate the Page Number, Part Number, and Item Number to which your answer refers; and

Sign and date each sheet.

Subject of Record's Family Name (Last Name)

Subject of Record's Given Name (First Name)

Subject of Record's Middle Name

Subject of Record's A-Number (if any)

A-

Page Number

Part Number

Item Number

Page Number

Part Number

Item Number

Page Number

Part Number

Item Number

Page Number

Part Number

Item Number

Page Number

Part Number

Item Number

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DHS Privacy Notice

AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the Freedom of Information Act (FOIA), 5 U.S.C. Section 552, and the Privacy Act of 1974 (PA), 5 U.S.C. Section 552a, together with the Department of Homeland Security implementing regulations found in volume 6 of the Code of Federal Regulations (CFR).

PURPOSE: The primary purpose for providing the requested information on this form is to request access to information under the FOIA and/or PA, or amendment or correction of records under the PA. DHS uses the information you provide to grant or deny the information request you are seeking

DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and any requested evidence, may delay access to information or result in denial of your information or amendment request.

ROUTINE USES:DHS may share the information you provide on this form and any additional requested evidence with other
Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved routine uses described in
the associated published system of records notices [DHS/ALL-001 DHS FOIA and Privacy Act Record System and DHS/ALL-037 E
Authentication Records System of Records] and the published privacy impact assessments [DHS/USCIS/PIA-077 FOIA Immigration
Records System (FIRST) and DHS/ALL/PIA-038 FOIA/PA Information Processing System], which you can find at
www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the interest of
national security.

Paperwork Reduction Act

An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection of information, unless it displays a currently valid Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information is estimated at 40 minutes per response, including the time for reviewing instructions, gathering the required documentation and information, completing the request, preparing statements, attaching necessary documentation, and submitting the request. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Office of Policy and Strategy, Regulatory Coordination Division, 5900 Capital Gateway Drive, Mail Stop #2140, Camp Springs, MD 20588-0009; OMB No. 1615-0102. Do not mail your completed Form G-639 to this address.

Form G-639 Edition 11/03/22

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The Freedom of Information Act (FOIA) is a federal law that gives the public the right to make requests for federal agency records. Agencies may withhold information according to nine exemptions contained in the statute. The FOIA applies only to federal agencies. It does not apply to records held by Congress, the courts, or by state or local government agencies. Each state has its own public access laws that should be consulted for access to state and local records.

Filing Instructions – detailed instructions customized to your answers in the application to include:
- Specific directions on supporting documents that must be submitted with the application
- Recommendation for organizing your application package
- Mailing address for your application
Access to customer support
Access to support articles, sample cover letters and affidavits
Admittance to Lawyer Explored Programming - intended to make the cycle simple and recognize issues
Structure G-639, Opportunity of Data Act Solicitation – official USCIS structure ready and prepared to sign
Money-back guarantee your application will be approved

You have the following responsibilities upon completion:

The signed form must be mailed directly to USCIS
All the applicable USCIS fees must be paid by you.

Disclaimer: Citizen Concierge is an independent firm that supplies self-governed immigration services. We are not associated with USCIS or any government agency and the data provided on this website is for general guidance about common immigration matters only - it should not be taken as legal advice. Additionally, as we are not a law practice of any kind, we cannot offer any form of lawful consultation. If you have questions that require professional legal expertise, please contact an attorney instead.

I understand and agree.

Request for Access to Records under the Freedom of Information Act and Privacy Act.

While some of the information requested in this form may not be required by USCIS, it is still important to complete the form accurately and thoroughly in order to increase the chances of a successful processing of your request under the Freedom of Information / Privacy Act.

Information about Description of Request

Please choose the type of record you are requesting. In case you want to write your own request, select "Other" and provide a description of the records you are seeking in the provided space.

Please select the option that best describes the type of record you are requesting.* *

Full immigration file (alien file) All I-130 approval notices that include me as the beneficiary Alien registration number All arrival and departure records for the past five years Other

Please provide a description of the specific records you are requesting. Be as specific as possible.*

Please provide the details of the specific records that you are requesting.

What is the reason you are making this request?

You have no obligation to provide the purpose of your request. However, including this information can help USCIS locate the relevant records and better respond to your request.

Other Name

First Name*

Middle Name

Last Name*

Are you seeking information about yourself or someone else? *

Myself Another person

Subject of Record

Since you are requesting access to your own records, you are considered the Subject of Record. Please provide all the necessary details accurately.

Full legal name of the person who is the subject of the record

Please enter the full legal name of the subject of record. If they have a middle name, it should be spelled out completely. If they do not have a middle name, you may leave this field blank.

First Name*

Middle Name

Last Name*

Has the person in question ever used a different name since birth?*

Yes No

Other Name

First Name*

Middle Name

Last Name*

Delete

Add Another Name

Mailing address where the requested information should be sent for the Subject of Record.

Please provide an address where USCIS can mail the requested records to the Subject of Record. The address can be a valid residence, APO, commercial address, or P.O. Box. If the mail will be sent to someone else, please include their name in the "In Care of Name" field. If the mailing address is in a U.S. territory and contains an urbanization name, list the urbanization name in the "In Care of Name" field.

Care Of Name

Street Number/Name*

Is there an at, suite/floor?

Enter the number:*

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Contact Information for the Subject of Record

Daytime Telephone Number*

Mobile Phone Number

E-mail

Subject of Record

You are requesting records of a person who is the Subject of Record. This refers to the person whose records you are requesting. For instance, if you are requesting a copy of your father's I-485 application, then your father is the Subject of Record. Please provide as much information as possible about the Subject of Record.

Are you making a request for information for your child or a minor under your guardianship?*

Yes No

Please specify if you are requesting records for a minor child who is under the age of 18.

if you are requesting records for a minor child, you will need to provide proof of parentage and the parent's verification of identity, such as a birth certificate or proof of guardianship, along with a valid ID for the requestor.

Are you making a request for someone who has passed away?*

Yes No

Indicate if you are requesting the records of a person that has died.

For Your Information:You will need to provide proof that the subject of this request is deceased. We will provide a reminder in your filing instructions to include a death certificate for the subject.

Do you have the power of attorney to request information on behalf of someone?*

Yes No

This statement informs that if you are requesting information on behalf of someone for whom you have power of attorney, you will need to provide a copy of your power of attorney for the subject of the request. The filing instructions will provide a reminder to submit the power of attorney document with the FOIA request.

Are you trying to obtain your Alien Registration Number to renew or replace your green card?*

Yes No

This is an informational message informing you that Citizen Concierge can help you prepare Form I-90, which is the Application to Replace Permanent Resident Card, even if you do not have your alien registration number. They can provide step-by-step assistance through the application process so you can prepare and submit your application.

Assisted Solicitations

Many applicants are permanent residents.

If you require assistance with your application, please indicate if any of the following conditions apply to your situation.

Is it necessary for you to obtain these records promptly as you are scheduled to appear before an immigration judge?*

Yes No

Requests for records involving individuals who are to appear before an immigration judge may be expedited. However, you will need to provide proof with your request.

Please select all that apply if any of the following circumstances apply to your request.

The request involves an imminent threat to the life or physical safety of the individual. The request involves the loss of substantial due process rights. The request involves an urgent need to inform the public about an actual or alleged Federal government activity, if made by a person primarily engaged in disseminating information. The request involves a matter of widespread and exceptional media interest in which there exist possible questions about the government's integrity which affects public confidence.

Please continue with your request if none of the circumstances mentioned apply to your situation. No boxes need to be checked.

Provide any additional information about the person whose records you are requesting.

While responding to all items is not mandatory, it is recommended that you provide as much complete and specific information as possible to facilitate USCIS in locating the relevant records and processing your request.

Arrival of the Subject in the United States

Please provide the complete name of the Subject as it appeared at the time of entry into the United States. If the Subject entered the country legally, refer to the I-94 Arrival/Departure Record or passport that was used for the entry. If the Subject entered without documentation and was caught at the border, please use the name or alias that was used at that time. Please spell out the names completely and do not use just the initials.

First Name*

Middle Name

Last Name*

I-94 Admission Number

Please provide the I-94 number of the Subject, if available. The I-94 number is an 11-digit number that can be found on the Subject's I-94 Arrival/Departure Record. It may also be referred to as the Departure Number on some versions of Form I-94. If you do not have the I-94 number, leave this field blank.

Travel/Passport Document Number

Passport number refers to a unique identifying number assigned to a government-issued passport or other official travel document. A travel document, on the other hand, may be issued to individuals who are in valid refugee or asylum status, or to lawful permanent residents who obtained such status as a refugee or asylee in the United States.

Date Of Birth *

Please provide the date of birth of the person whose records you are requesting.

Alien Registration Number

A-

If the subject has an A-Number, provide it here. In case the A-Number is an 8-digit number, start with a 0 followed by the 8-digit number.

Country of Birth*

Choose the country of birth for the Subject of Record or select "Other" and enter the name of another country.

Other country:

Enter the Subject of Record's birthplace.

Details that may be present in the file of the Subject.

This section contains details that could assist USCIS in locating the requested records.

Information about Application, Petition, or Request Receipt Number

Please provide the USCIS receipt number associated with any previous application, petition, or request that the Subject has filed with USCIS. The 13-digit receipt number typically starts with three letters and ends with 10 numbers, such as SRC 0123456789.

Receipt Number

Information about USCIS Online Account Number

If the Subject of Record was issued a USCIS online account number, please enter it in the space provided. It's important to note that a USCIS online account number is not the same as an A-Number. However, if there is no online account number available or you don't know it, you may leave this field blank.

Account Number

Subject's Father

First Name*

Middle Name

Last Name*

father's name is unknown

Subject's Mother

First Name*

Middle Name

Last Name*

Maiden Name*

Mother's name is unknown

Information about Other Family Members

You may include the names of other close family members who have gone through the U.S. immigration system, as this information may assist USCIS in locating your records. However, providing this information is optional.

Would you like to list any additional family members?*

Yes No

Family Member

First Name*

Middle Name

Last Name*

Relationship *

Spouse Son Daughter Brother Sister Other

Other Relationship*

Delete

Add Another Family

Details about the individual making the request

Please provide your personal information below as the requestor making this request on behalf of another individual.

How are you related or connected to the Subject of Record?

I am representing a qualified organization as an accredited representative. I am a relative of the Subject of Record. I am an attorney representing the Subject of Record.

Please specify your relationship to the Subject of Record.

Requestor's Full Name

First Name*

Middle Name

Last Name*

Information about Requestor's Mailing Address

Please provide a valid residential, commercial, or military address. If you receive your mail through a P.O. Box, you may provide that as well. If the mail will be sent to someone other than yourself, please include their name in the address. For mailing addresses in U.S. territories that contain an urbanization name, please include the urbanization name in the "In Care of Name" box.

In Care of Name

Street Number/Name*

Is there an apt, suite/floor?

Enter number: *

City/Town*

Country*

State/Territory*

ZIP Code*

Province*

Postal Code*

Requestor Contact Information

Daytime Phone Number*

Mobile Phone Number

E-mail

Secure Checkout

You will be redirected to the confirmation page to download the completed from upon successful payment confirmation. The form price is $39.00 and includes the completed form plus filing instructions.

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G-1145 Form PDF

Where to File

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Request for Access to Records under the Freedom of Information Act and Privacy Act.

Information about Description of Request

Other Name

Subject of Record

Full legal name of the person who is the subject of the record

Other Name

Mailing address where the requested information should be sent for the Subject of Record.

Contact Information for the Subject of Record

Subject of Record

Assisted Solicitations

Provide any additional information about the person whose records you are requesting.

Arrival of the Subject in the United States

Details that may be present in the file of the Subject.

Information about Application, Petition, or Request Receipt Number

Information about USCIS Online Account Number

Subject's Father

Subject's Mother

Information about Other Family Members

Family Member

Details about the individual making the request

Requestor's Full Name

Information about Requestor's Mailing Address

Requestor Contact Information

Company

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