Form DS-261 Electronic Choice of Address and Agent

Electronic Choice of Address and Agent

CEAC IV DS 261 Screenshots - 5-12

Electronic Choice of Address and Agent

OMB: 1405-0186

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CEAC IV Form
DS-261
OMB Submission
User Interface Design
Presentation V2

September 30, 2008

Bureau of Consular Affairs
Consular Systems and Technology

Instructions Page

CEAC IV Form

1

Instructions Page

CEAC IV Form

2

Getting Started Page – Electronic Choice of Address
and Agent

CEAC IV Form

3

Modify Existing Form – Electronic Choice of Address
and Agent

CEAC IV Form

4

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

CEAC IV Form

5

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

CEAC IV Form

6

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

7

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

8

Copyright Page – Electronic Choice of Address and
Agent

CEAC IV Form

9

Disclaimer Page – Electronic Choice of Address and
Agent

CEAC IV Form

10

Paperwork Reduction Act Page – Electronic Choice of
Address and Agent

CEAC IV Form

11


File Typeapplication/pdf
File TitleSlide 1
AuthorDepartment of State
File Modified2011-12-20
File Created2008-09-30

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