Form G-845 Supplement - Verification Request Page 5
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5Applicant's Last Name
Applicant's First Name
Case Verification Number
Part 3. USCIS Additional Responses (continued)
Part 4. USCIS Comments
2.g.
NOTE: Only USCIS should complete this information.
Applicant who is in removal proceedings for whom a
final, non-appealable, legally enforceable order of
removal has NOT been entered. (Category 2B.)
Date Placed Into Proceedings
(mm/dd/yyyy)
2.h.
Applicant does not meet any of the categories
described above.
Removal Proceedings
3.a.
Applicant is subject to an order of removal that is
final, non-appealable, and legally enforceable.
Date Order Became Final
(mm/dd/yyyy)
3.b.
Applicant is subject to an order of supervision after
an order of removal.
Date of Order
(mm/dd/yyyy)
3.c.
Applicant is NOT subject to an order of removal that
is final, non-appealable, and legally enforceable.
Adjusted to Lawful Permanent Resident Status
4.a.
Cuban or Haitian national (or citizen) as indicated on
the document provided by the applicant who adjusted
status under:
Nicaraguan Adjustment and Central American
Relief Act (NACARA)
Haitian Refugee Immigration Fairness Act
(HRIFA)
Immigration Reform and Control Act of 1986
(IRCA)
Cuban Adjustment Act of 1966 (CAA)
Date Form I-485 Approved
USCIS Stamp
(mm/dd/yyyy)
Class of Admission (COA)
4.b.
Applicant is NOT an LPR or adjusted under a
different section of law.
Form G-845 Supplement 05/20/15 N
Page 5 of 5
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