Instructions For Form I-865 - Sponsor'S Notice Of Change Of Address (Page 3 of 5) in pdf

Part 4.

Interpreter’s Contact Information, Certification, and Signature.

Item

Numbers 1.a. - 6.b. If you used anyone as an interpreter to read the Instructions and questions on this notice to

you in a language in which you are fluent, the interpreter must fill out this section, provide his or her name, the name and

address of his or her business or organization (if any), his or her daytime telephone number, and his or her email address

(if any). The interpreter must sign and date the notice.

Part 5.

Contact Information, Statement, Certification, and Signature of the Person Preparing this Notice, If Other

Than the Sponsor.

Item

Numbers 1.a. - 8.b. This section must contain the signature of the person who completed your notice, if other than

you, the sponsor. If the same individual acted as your interpreter and your preparer, that person should complete both

Part 4.

and

Part 5.

If the person who completed this notice is associated with a business or organization, that person

should complete the business or organization name and address information. Anyone who helped you prepare this notice

MUST sign and date the notice. A stamped or typewritten name in place of a signature is not acceptable. If the person

who helped you prepare your notice is an attorney or accredited representative, he or she must also submit a completed

Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, along with your notice.

Part 6.

Additional Information

Item

Numbers 1.a. - 6.d. If you need extra space to provide any additional information within this notice, use the space

provided in

Part 6.

Additional Information. If you need more space than what is provided in

Part

6., you may make

copies of

Part 6.

to complete and file with your notice, or attach a separate sheet of paper. Include your name at the top of

Page

Number,

Part

Number, and

Item Number

each sheet; indicate the

to which your answer refers; and sign and date

each sheet.

We recommend that you print or save a copy of your completed notice to review in the future and for your

records.

You should retain in your records:

A copy of the completed Form I-865; and

Evidence that you sent the original Form I-865 to the correct USCIS office and USCIS received that Form I-865.

USCIS will accept this documentation as proof that you complied with the requirement to file Form I-865. For

example, if you send Form I-865 using the U.S. Postal Service (USPS), you should keep with your file copy of

Form I-865, the USPS certified mail receipt or Express Mail shipping label along with a return receipt, both bearing

postmarks and the address where you mailed Form I-865. If you send Form I-865 by a commercial delivery service,

you should keep a photocopy of the shipping label and signature proof of delivery.

What Is the Filing Fee?

There is no fee to file Form I-865.

How To Check If the Fees Are Correct

Form I-865 filing fee is current as of the edition date in the lower left corner of this page. However, because USCIS fees

change periodically, you can verify that the fees are correct by following one of the steps below.

Visit the USCIS Web site at , select “FORMS,” and check the appropriate fee; or

Call the USCIS National Customer Service Center at

1-800-375-5283

and ask for fee information. For TTY (deaf or

hard of hearing) call: 1-800-767-1833.

Form I-865 Instructions 07/17/15 N

Page 3 of 5

Instructions For Form I-865 - Sponsor'S Notice Of Change Of Address Page 3

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