Form G-884 - Request For The Return Of Original Documents

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Request for the Return of Original Documents
USCIS
Form G-884
Department of Homeland Security
OMB No. 1615-0100
U.S. Citizenship and Immigration Services
Expires 09/30/2018
Remarks
File No
For
Date
USCIS
Use
Only
START HERE - Type or print in black ink.
Part 1. Information About You (Person requesting the return of original documents)
IMPORTANT NOTE: You do not need to file this form if you submitted original documents because USCIS requested originals.
We will automatically return original documents that we requested once we no longer need them. Please refer to the instructions of
the form you filed to determine whether non-requested original documents are available for return or destroyed after electronic
processing.
1.
Your Full Name
Family Name (Last Name)
Given Name (First Name)
Middle Name
2.
Mailing Address
Street Number and Name
Apt.
Ste.
Flr. Number
City or Town
State
ZIP Code
3.
4.
Alien Registration Number (A-Number) (if any)
City/Town/Village of Birth
A-
5.
Country of Birth
6.
Date of Birth (mm/dd/yyyy)
7.
Daytime Telephone Number
8.
Specific information about desired document(s) or record(s) (For example, marriage license, birth certificate,
death certificate, etc.)
Form G-884 09/19/16 N
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