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Form I-824, Application for Action on an Approved … - nvc online case status check


Form I-824, Application for Action on an Approved …-nvc online case status check

Application for Action on an Approved Application or Petition USCIS

Department of Homeland Security U.S. Citizenship and Immigration Services

Form I-824
OMB No. 1615-0044 Expires 12/31/2023

Returned

Date

Date

Fee Stamp

Action Block

For USCIS
Use Only

Resubmitted

Date

Date

Relocated

Received

Sent

Priority Date: Country of Chargeability: Classification Code:

Remarks Date the Previously Approved Visa Petition Was Filed (Form I-130, I-140 or I-360):
Date the Previous Visa Petition Was Approved (Form I-130, I-140 or I-360):

To be completed by an attorney or BIA-accredited representative (if any).

Select this box if Form G-28 or G-28I is attached.

Attorney State Bar Number Attorney or Accredited Representative

(if applicable)

USCIS Online Account Number (if any)

START HERE - Type or print in black ink.
Part 1. Information About You (Person filing this Application)

9. Country of Citizenship or Nationality

1. I am the (select only one): Applicant

Petitioner

on the previously approved application or petition.

2.a. Family Name (Last Name)
2.b. Given Name (First Name)

2.c. Middle Name

3. Company or Organization Name (if any)

10. IRS Tax Number (if any) 11. U.S. Social Security Number (if any)
12. USCIS Online Account Number (if any)

Mailing Address
13.a. In Care Of Name

4. Current/Recent Immigration Status
NOTE: If you are a U.S. citizen, type or print "N/A" for Item Number 4. 5. Certificate of Naturalization or Citizenship Number
(if any)

13.b. Street Number and Name

13.c. Apt. Ste.

Flr.

13.d. City or Town

13.e. State

13.f. ZIP Code

6. Alien Registration Number (A-Number) (if any) A-
7. Date of Birth (mm/dd/yyyy) 8. Country of Birth

13.g. Province 13.h. Postal Code 13.i. Country

Form I-824 Edition 12/02/21

Page 1 of 7

Part 1. Information About You (Person filing this Application) (continued)

Physical Address

14.a. Street Number and Name

14.b. Apt. Ste.

Flr.

14.c. City or Town

14.d. State

14.e. ZIP Code

14.f. Province

14.g. Postal Code 14.h. Country

Part 2. Reason for Request

I am requesting (select only one):

1.a.

A duplicate approval notice.

1.b.

U.S. Citizenship and Immigration Services (USCIS)

to notify a new U.S. Consulate, different from the

one that I originally requested, through the U.S.

Department of State's National Visa Center (NVC) or

Kentucky Consular Center. USCIS will notify the

U.S. Consulate about the approval of a nonimmigrant

visa petition or about a new Port-of-Entry (the Port-

of-Entry is different from what I originally requested)

about the approval of a waiver application.

Please notify the U.S. Consulate or Port-of-Entry at:

1.c.

USCIS to notify a U.S. Consulate through the NVC

about my adjustment of status to permanent resident

in the United States.

Please notify the U.S. Consulate at:

so that my spouse and/or children may accompany or follow-to-join me.

1.d.

USCIS to send my approved immigrant visa petition

to the NVC.

1.e.

USCIS to notify the U.S. Department of State that

I have become a U.S. citizen through naturalization.

Part 3. Other Information
Provide the following information about the principal beneficiary of the previous application or petition, if other than you. 1.a. Form Number of Previously Approved Application or
Petition
1.b. Receipt Number (On Form I-797, Notice of Action)
1.c. Filing Date of Application or Petition (mm/dd/yyyy)
1.d. Approval Date (mm/dd/yyyy) 2.a. Family Name
(Last Name) 2.b. Given Name
(First Name) 2.c. Middle Name
2.d. Date of Birth (mm/dd/yyyy) 2.e. Country of Birth
2.f. Alien Registration Number (A-Number) (if any) A-
2.g. Daytime Telephone Number

Mailing Address
3.a. In Care Of Name

3.b. Street Number and Name

3.c. Apt. Ste.

Flr.

3.d. City or Town

3.e State

3.f. ZIP Code

3.g. Province

3.h. Postal Code 3.i. Country

Form I-824 Edition 12/02/21

Page 2 of 7

Part 3. Other Information (continued)

Physical Address

4.a. Street Number and Name

4.b. Apt. Ste.

Flr.

4.c. City or Town

4.d. State

4.e. ZIP Code

4.f. Province

4.g. Postal Code 4.h. Country

Dependents
If you selected Part 2., Item Number 1.c., provide the following information about the dependents for whom you are requesting follow-to-join benefits. If you need additional space for your dependents, use the space provided in Part 7. Additional Information, and include all the information collected in Item Numbers 5.a. - 11.
5.a. Family Name (Last Name)
5.b. Given Name (First Name)
5.c. Middle Name
6. Date of Birth (mm/dd/yyyy) 7. Country of Birth
8. Country of Citizenship or Nationality
9. Relationship to Principal Applicant
10. Dependent's Email Address (if any)
11. Dependent's Daytime Telephone Number

12.a. Family Name (Last Name)
12.b. Given Name (First Name)
12.c. Middle Name 13. Date of Birth (mm/dd/yyyy) 14. Country of Birth
15. Country of Citizenship or Nationality
16. Relationship to Principal Applicant
17. Dependent's Email Address (if any)
18. Dependent's Daytime Telephone Number
19.a. Family Name (Last Name)
19.b. Given Name (First Name)
19.c. Middle Name 20. Date of Birth (mm/dd/yyyy) 21. Country of Birth
22. Country of Citizenship or Nationality
23. Relationship to Principal Applicant
24. Dependent's Email Address (if any)
25. Dependent's Daytime Telephone Number

Form I-824 Edition 12/02/21

Page 3 of 7

Part 3. Other Information (continued)
26.a. Family Name (Last Name)
26.b. Given Name (First Name)
26.c. Middle Name 27. Date of Birth (mm/dd/yyyy) 28. Country of Birth
29. Country of Citizenship or Nationality
30. Relationship to Principal Applicant
31. Dependent's Email Address (if any)
32. Dependent's Daytime Telephone Number

Foreign Address of Dependents
33.a. In Care Of Name

33.b. Street Number and Name

33.c. Apt. Ste.

Flr.

33.d. City or Town

33.e. Province

33.f. Postal Code 33.g. Country

Contact Information of Dependents
34. Foreign Telephone Number

Form I-824 Edition 12/02/21

Part 4. Applicant's Statement, Contact Information, Declaration, Certification, and Signature

NOTE: Read the Penalties section of the Form I-824 Instructions before completing this part.

Applicant's Statement
NOTE: Select the box for either Item Number 1.a. or 1.b. If applicable, select the box for Item Number 2.
1.a. I can read and understand English, and I have read and understand every question and instruction on this application and my answer to every question.
1.b. The interpreter named in Part 5. read to me every question and instruction on this application and my answer to every question in

, a language in which I am fluent, and I understood everything.

2.

At my request, the preparer named in Part 6.,

, prepared this application for me based only upon information I provided or authorized.

Applicant's Contact Information

3. Applicant's Daytime Telephone Number

4. Applicant's Mobile Telephone Number (if any)

5. Applicant's Email Address (if any)

Applicant's Declaration and Certification
Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any and all of my records that USCIS may need to determine my eligibility for the immigration benefit that I seek.
I furthermore authorize release of information contained in this application, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law.
I certify, under penalty of perjury, that all of the information in my application and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my application and that all of this information is complete, true, and correct.
Page 4 of 7

Part 4. Applicant's Statement, Contact Information, Declaration, Certification, and Signature (continued) Applicant's Signature
6.a. Applicant's Signature
6.b. Date of Signature (mm/dd/yyyy)
NOTE TO ALL APPLICANTS: If you do not completely fill out this application or fail to submit required documents listed in the Instructions, USCIS may deny your application.
Part 5. Interpreter's Contact Information, Certification, and Signature
Provide the following information about the interpreter.
Interpreter's Full Name
1.a. Interpreter's Family Name (Last Name)
1.b. Interpreter's Given Name (First Name)
2. Interpreter's Business or Organization Name (if any)

Interpreter's Mailing Address

3.a. Street Number and Name

3.b. Apt. Ste.

Flr.

3.c. City or Town

3.d. State

3.e. ZIP Code

3.f. Province

3.g. Postal Code 3.h. Country

Interpreter's Contact Information
4. Interpreter's Daytime Telephone Number 5. Interpreter's Mobile Telephone Number (if any) 6. Interpreter's Email Address (if any)

Interpreter's Certification

I certify, under penalty of perjury, that:

I am fluent in English and

,

which is the same language provided in Part 4., Item Number 1.b., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Declaration and Certification, and has verified the accuracy of every answer.

Interpreter's Signature
7.a. Interpreter's Signature

7.b. Date of Signature (mm/dd/yyyy)
Part 6. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant
Provide the following information about the preparer.
Preparer's Full Name
1.a. Preparer's Family Name (Last Name)
1.b. Preparer's Given Name (First Name)
2. Preparer's Business or Organization Name (if any)

Form I-824 Edition 12/02/21

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