documnetverificationrequest.pdf

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Department of Homeland Security 
U.S. Citizenship and Immigration Services 
G-845, Document Verification Request
Section A.   To be completed by the submitting agency
6.  Verification Number 
7.
Photocopy of Document Attached. 
(If printed on both sides, attach a copy of the front and back .)
8. Organization (specify)  
OMB No. 1615-0101; Expires 06/30/08
 Section B.   To be completed by USCIS
USCIS RESPONSES: From the documents or information submitted and/or a review of our records, we find that:
Form G-845 (Rev. 05/16/08) N
USCIS Stamp
1.
This document appears valid and relates to a Lawful  
Permanent Resident alien of the United States.
2.
This document appears valid and relates to a Conditional 
Resident alien of the United States.
3.
This document appears valid and relates to an alien authorized 
employment as indicated below:
4.
This document appears valid and relates to an alien who has an 
application pending for:
5.
This document relates to an alien having been granted asylum/
refugee status in the United States.
6.
This document appears valid and relates to an alien paroled 
into the United States pursuant to Section 212 of the I&N Act.
7.
This document appears valid and relates to an alien who is a 
Cuban/Haitian entrant.
a.    Full-Time
b.    Part-Time
c.    No Expiration (Indefinite)
d.   Expires on (Specify mm/dd/yyyy below):
(Specify USCIS benefit below)
a.   Expired
c.   Counterfeit
b.   Altered
This document appears valid and relates to an alien who is a 
conditional entrant.
8.
(Specify type or class below) 
This document appears valid and relates to an alien who is a 
nonimmigrant. 
9.
This document appears valid and relates to an alien not 
authorized employment in the United States.
10.
Continue to process as legal alien. USCIS is searching indices 
for further information.
11.
This document is not valid because it appears to be: 
(Check all that apply)
12.
To:      U.S. Citizenship and Immigration Services (USCIS)
From:   Typed or Stamped Name and Address of Submitting Agency
Attn:     Immigration Status Verification Unit
(USCIS may use above address with a No. 10 window envelope)
1.    Alien Registration Number or Form I-94 Number 
2.    Applicant's Name (Last, First, Middle)
3.    Nationality
4.    Date of Birth (mm/dd/yyyy)
5.   U.S. Social Security Number
12.   Telephone Number
11.   Date (mm/dd/yyyy)
(  
9.     Name of Submitting Official 
10.   Title of Submitting Official 
)  
Other Information Attached (Specify documents) 
Form G-845 (Rev. 05/16/08) N Page 2
13.    No determination can be made from the information submitted. Please obtain a copy of the original alien registration 
documentation and resubmit.
14.    No determination can be made without seeing both sides of the document submitted. (Please resubmit request.)
15.    Copy of document is not readable. (Please resubmit request.)
"PRUCOL"
For Purposes of Determining Only.  If Alien Is Permanently Residing Under Color of Law!
16.    USCIS is actively pursuing the removal of an alien in this class/category.
17.    USCIS is not actively pursuing the removal of an alien in this class/category at this time.
18.    Other.
Comments
1.   Submit copies (front and back) of alien's original documentation. 
2.   Make certain a complete return address has been entered in the "From" portion of the form. 
3.  The Alien Registration Number (A-number) is the letter "A" followed by a series of seven, eight or nine digits. The number found 
on Form I-94 may also be recorded in the block. (Check the front and back of the Form I-94 document. If the A-number appears, 
record that number when requesting information, instead of the longer admission number, because the A-number refers to the most 
integral record available.)
4.   If Form G-845 is submitted without a copies of the applicant's original documentation, it will be returned to the submitting agency 
without any action taken.
5.   Address this verification request to the local office of U.S. Citizenship and Immigration Services.
Instructions