Uscis Form I-407 - Instructions For Record Of Abandonment Of Lawful Permanent Residential Status

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Instructions for Record of Abandonment of
USCIS
Lawful Permanent Resident Status
Form I-407
Department of Homeland Security
OMB No. 1615-0130
U.S. Citizenship and Immigration Services
Expires 02/28/2017
What Is the Purpose of This Form?
Form I-407, Record of Abandonment of Lawful Permanent Resident Status, is designed to provide a simple procedure to
record an alien's abandonment of status as a lawful permanent resident (LPR) of the United States. Use of Form I-407
also ensures that an alien abandoning their LPR status is informed of the right to a hearing before an immigration judge
and that the alien has knowingly, willingly, and affirmatively waived that right.
Who May Use This Form?
Form I-407 is used by lawful permanent resident aliens who are outside the United States or at a Port of Entry who want
to abandon LPR status. Generally, a parent's abandonment of LPR status can be imputed to any minor children who
return abroad with the parent. If a parent, custodian, or guardian chooses to file a separate Form I-407 on behalf of a
minor child, it will be necessary to show that the parent, custodian, or guardian had custody of the minor child.
Form I-407 is also used by Department of Homeland Security (DHS) officers and Department of State (DOS) consular
officers to record the facts relating to permanent resident aliens who abandon LPR status during an in-person interview or
by correspondence.
General Instructions
How to Fill Out Form I-407
1. Type or print legibly in black ink.
2. Answer all questions fully and accurately. If the answer to an item is none, type or print "NONE." If the answer is
not applicable, type or print "N/A."
Specific Instructions
Part 1. Information About the Alien
Item Number 1. Alien Registration Number. Enter Alien Registration Number (A-Number).
Item Number 2. USCIS ELIS Account Number (if any). If you have previously filed a benefit request using the
USCIS Electronic Immigration System (ELIS), provide the USCIS Account Number you were issued by the system. The
USCIS Account Number is not the same as an Alien Registration Number (A-Number). If you have been issued a USCIS
Account Number, enter it in the space provided.
Item Numbers 3.a. - 3.c. Your Full Legal Name. Enter alien's name as it appears on the Permanent Resident Card if
the document is presented or the information is known.
Item Number 4. Date of Birth. Enter the alien's date of birth in month/day/year format MM/DD/YYYY.
Item Numbers 5. - 6. Country of Birth and Country of Citizenship or Nationality. Enter the name of the country of
the alien's birth and the name of the country of the alien's citizenship or nationality. The name of the country should be
the current name of the country.
Item Number 7. Date of Last Departure from the United States. Enter the date of last departure from the United
States.
Item Numbers 8. a. - 8.g. Mailing Address Abroad. Enter the alien's mailing address abroad.
Form I-407 Instructions 02/26/15 N
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