Form I-600a - Application For Advance Processing Of An Orphan Petition
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12Application for
Advance Processing of an Orphan Petition
USCIS
Form I-600A
Department of Homeland Security
OMB No. 1615-0028
U.S. Citizenship and Immigration Services
Expires 12/31/2018
For USCIS Use Only
Fee Stamp
The state of the child's
The preadoption
The applicant is:
proposed residence:
requirements:
Married
Unmarried
WERE met.
HAS preadoptive
requirements.
The applicant:
HAVE NOT
DOES NOT HAVE
BEEN met.
WILL provide proper
preadoptive requirements.
care to a child if admitted
File Number
DD
to the United States.
Remarks
Describe preadoption
WILL NOT provide
requirements (if any).
proper care to a child if
Date of Favorable
District
admitted to the United
Determination
States.
Received
Trans In
Completed
►
START HERE - Type or print legibly in black ink. This application is made by a prospective adoptive parent for advance
processing of an orphan petition.
Part 1. Information About You (Applicant)
1.
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
2.
Other Names You Have Used (including maiden name, nicknames, and aliases, if any)
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
3.
U.S. Mailing Address (if any)
In Care Of Name
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
ZIP Code
4.
Is your current U.S. mailing address the same as your U.S. physical address?
Yes
No
If you answered "No" to Item Number 4., provide your U.S. physical address in Item Number 5. or your address abroad in Item
Number 6., as appropriate.
5.
U.S. Physical Address (if any)
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
ZIP Code
Form I-600A 12/23/16 N
Page 1 of 12
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