Form I-907 - Request For Premium Processing Service - Department Of Homeland Security

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Request for Premium Processing Service
USCIS
Form I-907
Department of Homeland Security
OMB No. 1615-0048
U.S. Citizenship and Immigration Services
Expires 01/31/2018
Request Physically
Returned
Resubmitted
Receipt
Received by USCIS
For
Date
Date
Date
USCIS
Use
Date
Date
Date
Action Block
Only
Remarks
Attorney State Bar Number
Select this box if
Attorney or Accredited Representative
To be completed by an
(if applicable)
Form G-28 is
USCIS ELIS Account Number (if any)
attorney or accredited
attached.
representative (if any).
START HERE - Type or print in black ink.
Part 1. Information About the Person Filing This Request
1.
Alien Registration Number (A-Number) (if any)
A-
2.
Family Name (Last Name)
Given Name (First Name)
Middle Name
3.
Company or Organization Named in the Related Case: If filed on behalf of a company or organization
4.
Mailing Address
In Care Of Name
Street Number and Name or PO Box Number
Apt.
Ste.
Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
5.
Is your current mailing address the same as your physical address?
Yes
No
If you answered "No," provide your physical address in Item Number 6.
Page 1 of 6
Form I-907 12/11/15 Y

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