Download:
pdf |
pdfOMB No. 1615-0022; Exp. 10/31/08
Form I-363, Request to Enforce Affidavit of
Financial Support and Intent to Petition for
Legal Custody for P. L. 97-359 Amerasian
Department of Homeland Security
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
3. Mailing Address in U.S.
(Number, Street, Apt.)
c/o:
4. Employer or School (Name and Address
(City)
2. Alien Registration Number
A(State)
(Zip Code)
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
(With 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
(With Area Code)
16. Does the beneficiary live with the sponsor?
Yes
No
17. If not, with whom does the beneficiary live?
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?
Yes
No
20. Has the sponsor stopped all support?
Yes
No
Since when?
21. Has the sponsor give any reason for
withdrawal of support?
Yes
No
If "Yes," describe the circumstances under which the
sponsor ceased his or her support.
(Explain)
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
on
(Date)
Remarks:
at
by phone
(Place)
Investigation Completed on
Signature and Title
Investigation Not Necessary
Recommendation Forwarded to U.S. Attorney
Enforcement Recommended
No Action Recommended
in person
(Regional Counsel and Region)
Received
Date:
Trans In
Ret'd Trans Out
Completed
Form I-363 (03/18/08) N
File Type | application/pdf |
File Modified | 2008-03-18 |
File Created | 2008-03-17 |