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Application For Action On An Approved Application Or Petition I-824 - Official Federal Forms
| Application For Action On An Approved Application Or Petition Form. This is a national form and can be used in US Citizenship And Immigration Services . |
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OMB No. 1615-0044: Expires 11/30/2014 Department of Homeland Security U.S. Citizenship and Immigration Services I-824, Application for Action on an Approved Application or Petition Returned Date Date Resubmitted Apt./Suite # Date Date Reloc Sent Date Date Reloc Rec'd Date For USCIS Use Only Receipt START HERE - Please type or print in black ink Part 1. Information About You (Person filing this application) Family Name (Last name) Company or Organization Name Home or Business Address - Street Number and Name City Zip/Postal Code Mailing Address - Street Number and Name State or Province Country Apt./Suite # Given Name (First name) Middle Name C/O (In care of): Date City Zip/Postal Code Daytime Phone # (Area/country codes) Country of Birth Date of Birth (mm/dd/yyyy) A # (If any) Country of Citizenship IRS Tax # (If any) Action Block U.S. Social Security # (If any) State or Province Country Remarks Part 2. Reason for Request I am requesting (Check one box): A. B. A duplicate approval notice USCIS to notify a new U.S. Consulate, different from that originally requested, through the U.S. Department of State's National Visa Center or Kentucky Consular Center about the approval of a nonimmigrant visa petition or to notify a new Port-of-Entry, different from that originally requested, about the approval of a waiver application. Please notify the U.S. Consulate or Port-of-Entry at: C. USCIS to notify a U.S. Consulate through the National Visa Center that my status has been adjusted to permanent resident based on an approved I-485 application. Please notify the U.S. Consulate at: USCIS to send my approved immigrant visa petition to the National Visa Center (NVC) USCIS to notify the U.S. Department of State of my U.S. Citizenship status To Be Completed by Attorney or Representative, if any. Fill in box if G-28 is attached to represent the applicant. ATTY State License # D. E. Form I-824 11/29/12 Y Page 1 American LegalNet, Inc. www.FormsWorkFlow.com Part 3. Additional Information 1. Give the following information about the original petition or application. Type of Petition or Application (Form number) Receipt Number (On Form I-797, Notice of Action) Filing Date of Petition or Application (mm/dd/yyyy) Approval Date (mm/dd/yyyy) 2. Give the following information about the petitioner or applicant for the original petition or application. Current/Most Recent Immigration Status Naturalization/Citizenship Certificate Number 3. Give the following information about the principal beneficiary of the original petition or application. Middle Name Family Name (Last name) Given Name (First name) Date of Birth (mm/dd/yyyy) Home Address - Street Number and Name City State or Province Zip/Postal Code Country Country of Birth A-Number (If any) Apt. # Mailing Address - (If different from home address) Street Number and Name/P.O. Box Number City State or Province Zip/Postal Code C/O (In care of) Country Daytime Phone (Area/country code and number) 4. If you have checked box C in Part 2, give the following information about the dependents(s) for whom you are requesting following-to-join. If you need additional space, attach a separate sheet(s) of paper. Family Name (Last name) Given Name (First name) Middle Name Relationship to the Principal Alien Foreign Address Foreign Telephone Number Form I-824 11/29/12 Y Page 2 American LegalNet, Inc. www.FormsWorkFlow.com Part 4. Signature (Read the information on penalties in the instructions before completing this part.) I certify, under penalty of perjury under the laws of the United States of America, that this information and the evidence submitted with it is all true and correct. I authorize the release of any information from my records that the U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit sought. Signature Daytime Phone Number (With area code) Date (mm/dd/yyyy) NOTE: If you do not completely fill out this form or fail to submit required documents listed in the instructions, you may not be found eligible for the requested benefit and this application may be denied. Part 5. Signature of Person Preparing Form, if Other than Above (Sign below) I declare that I prepared this at the request of the applicant and it is based on all information of which I have knowledge. Print or Type Your Name Signature Firm Name and Address Date (mm/dd/yyyy) E-Mail Address (If any) Daytime Phone Number (With area code) Form I-824 11/29/12 Y Page 3 American LegalNet, Inc. www.FormsWorkFlow.com
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