Instructions For Form G-845 Supplement - Document Verification Request Supplement printable pdf download

Instructions for Form G-845 Supplement,

USCIS

Verification Request

Form G-845

Supplement

Department of Homeland Security

OMB No. 1615-0101

U.S. Citizenship and Immigration Services

Expires 05/31/2018

What Is the Purpose of This Form?

An agency that is registered with the U.S. Citizenship and Immigration Services' (USCIS) Systematic Alien Verification

for Entitlements (SAVE) Program may file this form with Form G-845, Verification Request, to request more detailed

information on immigration status, citizenship, and sponsorship.

Who May File This Form?

Any agency that has executed a Memorandum of Agreement with the USCIS SAVE Program may file this form if the

agency needs additional information found on the Form G-845 Supplement that is not found on the Form G-845 to

administer certain benefits. If you are not sure whether you can use the Supplement, please check with the SAVE

Program.

General Instructions

For each applicant, you must submit a completed Form G-845 Supplement with a completed Form G-845 to request

verification. You may not submit the Form G-845 Supplement alone. The information on this request concerns

eligibility for certain Federal, state, and local public benefits.

If you do not follow the instructions, USCIS' SAVE Program may return this form without a verification response, which

may delay processing.

For each applicant, you must complete a separate Form G-845 and Form G-845 Supplement and include copies of

documents only for that individual. If a family unit applies for a benefit, submit a separate Form G-845 and Form G-845

Supplement for each family member.

USCIS provides forms free of charge through the USCIS Web site. In order to view, print, or fill out our forms, you

should use the latest version of Adobe Reader, which you can download for free at

Copies. Submit copies (front and back) of the applicant's most recently issued immigration documentation. In addition to

the most recently issued immigration documentation, you may also submit any relevant documents bearing on the

applicant's immigration status or admission. Ensure that copies are legible and made from original documents.

How To Fill Out Form G-845 Supplement

Type or print legibly in black ink.

If you need extra space to complete any item within this request, attach a separate sheet of paper; type or print the

applicant's last name, first name, and Case Verification Number at the top of each sheet; and indicate the Page

Number, Part Number, and Item Number to which the information refers.

If you are filling the form out manually, type or print the applicant's last name, first name and Case Verification

Number at the top of each page. For example: Smith, John, 123456789123456.

Specific Instructions

Part 1. Information From the Registered Agency

NOTE: Only the Registered Agency should complete the information in this part of the request.

In the "To" section, stamp, type, or print the mailing address of the Registered Agency's assigned Status Verification

Office; you can find this address at

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Form G-845 Supplement Instructions 05/20/15 N

Instructions For Form G-845 Supplement - Document Verification Request Supplement

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