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USCIS Form G-639 (FOIA/Privacy Act Request)
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Requester Full Name
*
Requester Mailing Address
*
Requester Phone Number
Requester Email
Subject of Record (Full Name)
*
Subject Date of Birth
Subject Country of Birth
Alien Registration Number (A-Number)
Type of Request
Select Type of Request
Description of Records Requested
*
Purpose of Request
Requester's Relationship to Subject
Select Requester's Relationship to Subject
Date
*
Legal Note:
This form is used to request USCIS records. Processing times vary. For urgent matters, consult an immigration attorney.
Does this document need to be notarized?
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No, skip it
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USCIS Form G-639 (FOIA/Privacy Act Request)
Requester Full Name:
x
Requester Mailing Address:
x
Requester Phone Number:
x
Requester Email:
x
Subject of Record (Full Name):
x
Subject Date of Birth:
x
Subject Country of Birth:
x
Alien Registration Number (A-Number):
x
Type of Request:
x
Description of Records Requested:
x
Purpose of Request:
x
Requester's Relationship to Subject:
x
Date:
x
1. Signatures
Signature
Date
Printed Name
Title (if applicable)
Legal Notice:
This form is used to request USCIS records. Processing times vary. For urgent matters, consult an immigration attorney.
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