Form I-363 - Request To Enforce Affidavit Of Financial Support And Intent To Petition For Legal Custody
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1OMB No. 1615-0022; Exp. 09/30/2012
Form I-363, Request to Enforce Affidavit of
Financial Support and Intent to Petition
Department of Homeland Security
for Legal Custody for P. L. 97-359 Amerasian
U.S. Citizenship and Immigration Services
Type or print in black ink. - See instructions on reverse side.
1. Beneficiary's Family Name (Capital Letters)
First Name
Middle Name
2. Alien Registration Number
A -
3. Mailing Address in U.S.
(Number, Street, Apt.)
(City)
(State)
(Zip Code)
C/O:
4. Employer or School (Name and Address
5. Country of Citizenship
6. Date of Birth (mm/dd/yyyy) 7. Place of Birth (City or Town) (Province or State) (Country) 8. Applicant's Phone Number
(Include Area Code)
9. Initially Admitted to U.S. at (City and State)
10. Beneficiary's Relationship to Sponsor
11. Destination in U.S. at Time of Initial Admission
12. Beneficiary's file is at USCIS office in (City and State)
13. Sponsor's Family Name (Capital Letters)
First Name
Middle Name
U.S. Citizen
Lawful Permanent Resident
14. Sponsor's Present Address
15. Sponsor's Employer
Sponsor's Phone Number
(Include Area Code)
16. Does the beneficiary live with the sponsor?
17. If not, with whom does the beneficiary live?
Yes
No
18. How is the beneficiary supported? (Sponsor? Other Sources?)
How long has the applicant been supported by the sponsor?
19. Is the beneficiary in the legal custody of the sponsor?
(Explain)
Yes
No
20. Has the sponsor stopped all support?
Yes
Since when? (mm/dd/yyyy)
No
21. Has the sponsor give any reason for
If "Yes," describe the circumstances under which the
Yes
withdrawal of support?
sponsor ceased his or her support.
No
NOTE: Attach a copy of Form I-361, Affidavit of Financial Support and Intent to Petition for Legal Custody for P. L. 97-359
Amerasian, if available.
22. Relationship of Applicant
Self
Representative of the Agency Having Legal Custody of the Beneficiary
Individual Having Legal Custody of the Beneficiary
Guardian Ad Litem
23. Signature and Date of Person Preparing Form, If Other Than Applicant
24. Signature of Applicant and Date
Do Not Write Below This Line.
ACTION BLOCK (For use by USCIS officer) This applicant was interviewed by me
in person
by phone
on
at
(Date)
(Place)
Remarks:
Investigation Completed on
(Date)
(Signature and Title)
Investigation Not Necessary
Recommendation Forwarded to U.S. Attorney
Enforcement Recommended
Date:
No Action Recommended
(Regional Counsel and Region)
Received
Trans In
Ret'd Trans Out
Completed
Form I-363 (09/15/11) Y
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Parent category: Legal