Table of Changes (Form I-914 Supplement B)

TABLE OF CHANGES – FORM

FORM I-914, Supplement B

Declaration of Law Enforcement Officer for Victim of Trafficking in Persons

OMB Number: 1615-0099

Submission Date 06/13/2013

Reason for Revision: Statutory and regulatory changes have necessitated revisions.

Current Section and Page Number	Current Text	Proposed Text
		[Please remove the barcode from the bottom of all pages.]
Page 1, Part B. Agency Information	Agency Address – Street Number and Name / Suite # Zip/Postal Code Daytime Phone # (area code and/or extension) Fax # (with area code) FBI # or SID # (if applicable)	Agency Address – Street Number and Name / Suite Number ZIP/Postal Code Daytime Phone Number (area code and/or extension) Fax Number (with area code) FBI Number or SID Number (if applicable)
Page 1, Part. C. Statement of Claim	1. The applicant is or has been a victim of a severe form of trafficking in persons. Specifically, he or she is a victim of: (Check all that apply. Base your analysis on the practices to which the victim was subjected rather than on the specific violations charged, the counts on which convictions were obtained, or whether any prosecution resulted in convictions. Note that the definitions that control this analysis are not the elements of criminal offenses, but are those set forth at 8 CFR 214.11(a).) Sex trafficking in which a commercial sex act was induced by force, fraud, or coercion. Sex trafficking means the recruitment, harboring, transportation, provision, or obtaining of a person for the purpose of a commercial sex act. Sex trafficking and the victim is under the age of 18. The recruitment, harboring, transportation, provision, or obtaining of a person for labor or services through the use of force, fraud, or coercion for subjection to involuntary servitude, peonage, debt bondage, or slavery. Not applicable. Other, specify on attached additional sheets.	1. The applicant is or has been a victim of a severe form of trafficking in persons. Specifically, he or she is a victim of: (Check all that apply. Base your analysis on the practices to which the victim was subjected rather than on the specific violations charged, the counts on which convictions were obtained, or whether any prosecution resulted in convictions. Note that the definitions that control this analysis are not the elements of criminal offenses, but are those set forth at 8 CFR 214.11(a).) A. Sex trafficking in which a commercial sex act was induced by force, fraud, or coercion. Sex trafficking means recruiting, harboring, transporting, providing, or obtaining of a person for the purpose of a commercial sex act. B. Sex trafficking and the victim is under the age of 18. C. The recruiting, harboring, transporting, providing, or obtaining of a person for labor or services through the use of force, fraud, or coercion for subjection to involuntary servitude, peonage, debt bondage, or slavery. D. Not applicable. E. Other, specify on attached additional sheets.
Page 3, Part F. Attestation	Based upon investigation of the facts, I certify, under penalty of perjury, that the above noted individual is or has been a victim of a severe form of trafficking in persons as defined by the VTVPA. I certify that the above information is true and correct to the best of my knowledge, and that I have made, and will make, no promises regarding the above victim's ability to obtain a visa from U.S. Citizenship and Immigration Services, based upon this certification. I further certify that if the victim unreasonably refuses to assist in the investigation or prosecution of the acts of trafficking of which he/she is a victim, I will notify USCIS.	Based upon investigation of the facts, I certify, under penalty of perjury, that I believe the above noted individual is or has been a victim of a severe form of trafficking in persons as defined by the VTVPA. I certify that the above information is true and correct to the best of my knowledge, and that I have made, and will make, no promises regarding the above victim's ability to obtain a visa from U.S. Citizenship and Immigration Services, based upon this certification. I further certify that if the victim unreasonably refuses to assist in the investigation or prosecution of the acts of trafficking of which he/she is a victim, I will notify USCIS.

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