Us Visa Authorization Letter Template printable pdf download

Us Visa Authorization Letter Template

To:

cbp.boston.i94@cbp.dhs.gov

Re: I-94 Correction / Passport # _____________

Name: [Enter full legal name as it appears in passport]

Country of Citizenship:

Date of Birth:

Passport Number:

SEVIS Number:

U.S. Visa Control Number:

Visa Expiration Date:

Class of Most Recent Admission:

Date of Last Arrival:

Port of Entry (Airport):

Dear Deferred Inspection:

I am requesting correction to my I-94 arrival record. I entered the U.S. through [PORT OF

ENTRY] on [DATE].

[PROVIDE INFORMATION ABOUT YOUR ERRONEOUS ADMISSION AND

EXPLAIN REASON FOR CORRECTION BEING SOUGHT.]

Please find attached the following documents in support of this request for your review:

 I-94 entry record showing my most recent admission

 Copy of my passport biographical page

 Copy of my visa stamp AND admission/entry stamp for last admission to the US

 Form I-20 / Form DS-2019 (as applicable)

[For F-1 students and J-1 students and scholars, as well as F-2 and J-2 dependents] I

request admission to the U.S. for “D/S” (duration of status).

Thank you for your time. Should further information be required, please contact the Office of

Global Services (OGS) at Northeastern University at 617-373-2310 or ogs@northeastern.edu.

Sincerely,

Your name

Us Visa Authorization Letter Template