Form DS-261 Electronic Choice of Address and Agent

Electronic Choice of Address and Agent

Screen Shots DS 261

Electronic Choice of Address and Agent

OMB: 1405-0186

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CEAC IV Form
DS-261
OMB Submission
User Interface Design
Presentation V4

April 27, 2009

Bureau of Consular Affairs
Consular Systems and Technology

Instructions Page

CEAC IV Form DS-261

1

Instructions Page

CEAC IV Form DS-261

2

Summary Information Page

CEAC IV Form DS-261

3

Getting Started Page – Electronic Choice of Address
and Agent

CEAC IV Form DS-261

4

Agent Attorney Name and Address Information Page
Displayed for all applicants. Answered No to all questions.

CEAC IV Form DS-261

5

Agent Attorney Name and Address Information Page
Displayed for all applicants. Answered ‘No’ to the first question and ‘Yes’ to the second question.

CEAC IV Form DS-261

6

Agent Attorney Name and Address Information Page
Displayed for all applicants. Answered Yes to all questions.

CEAC IV Form DS-261

7

Sign and Submit Page
Displayed for all applicants. Answered ‘No’ to the question ‘Did anyone assist you in filling out this application?’.

CEAC IV Form DS-261

8

Sign and Submit Page
Displayed for all applicants. Answered ‘Yes’ to the question ‘Did anyone assist you in filling out this application?’.

CEAC IV Form DS-261

9

Copyright Page – Electronic Choice of Address and
Agent

CEAC IV Form DS-261

10

Disclaimer Page – Electronic Choice of Address and
Agent

CEAC IV Form DS-261

11

Paperwork Reduction Act Page – Electronic Choice of
Address and Agent

CEAC IV Form DS-261

12


File Typeapplication/pdf
File TitleSlide 1
AuthorDepartment of State
File Modified2009-05-05
File Created2009-04-27

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