Form I-600 - Petition To Classify Orphan As An Immediate Relative Page 8
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14Part 2. Information About Orphan Beneficiary (continued)
22.
Where do you wish to file your visa application? (Complete one of the options below.)
A.
The USCIS office located at:
OR
B.
The U.S. Embassy or U.S. Consulate located at:
Part 3. Information About Your Home Study and Primary Adoption Service Provider
1.
Your home study:
Was previously submitted with your approved Form I-600A application
A.
Was previously submitted with your pending Form I-600A application
B.
IS attached to this Form I-600.
C.
IS NOT attached to this Form I-600 because of state requirements necessitating review and documentation. The
D.
appropriate state authority has indicated that it will submit the home study directly to U.S. Citizenship and Immigration
Services (USCIS). (Do not submit your Form I-600 to USCIS until the state authority is ready to send your home study
to USCIS.)
2.
Provide the name and address of your primary adoption service provider in the United States. (A primary adoption service provider
is the accredited agency or approved person who is responsible under 22 CFR Part 96.14 for ensuring the six adoption services
defined in 22 CFR Part 96.2 are provided, supervising and being responsible for supervised providers where used, and developing
and implementing a service plan in accordance with 22 CFR 96.44.)
A.
Name of Primary Adoption Service Provider
B. Point of Contact Within the Organization
Family Name (Last Name)
Given Name (First Name)
C.
Provider's Mailing Address
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
ZIP Code
Province
Postal Code
Country
D.
Provider's Daytime Telephone Number
E.
Provider's Fax Number (if any)
F. Provider's Email Address (if any)
3.
The primary adoption service provider named above is one of the following:
A.
An accredited agency in the United States.
Yes
No
B. An approved person in the United States.
Yes
No
Form I-600 12/23/16 N
Page 8 of 14
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