Address Reporting Requirement Form - U.s. Department Of Justice Page 2

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The respondent was informed that his or her failure to attend hearings will be excused only upon
a showing of exceptional circumstances, and that includes the serious illness of the respondent or
the death of the respondent’s parent, spouse, or child, but not including less compelling
circumstances, beyond the control of the respondent.
The respondent was given an opportunity to indicate a lack of understanding of these
advisements and to ask questions for clarification. The respondent indicated total understanding.
A copy of this Certification was handed to the respondent.
_______________________
(Name)
Immigration Judge<

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