Form G-845 Instructions Table of Changes

TABLE OF CHANGES – INSTRUCTIONS

Form G-845, Verification Request

OMB Number: 1615-0101

12/01/2014

Reason for Revision: Form, instructions, and supplement were revised to incorporate form design and standard language updates, and operational and customer needs.

Current Location	Current Text	Proposed Text
Page 1, Top of Page	Instructions Read these instructions carefully to properly complete this form. If you do not follow the instructions, U.S. Citizenship and Immigration Services (USCIS) Systematic Alien Verification for Entitlements (SAVE) Program may return this form, which may delay processing.	[Deleted]
Page 1, What Is the Purpose of This Form?	An agency that is registered with the USCIS SAVE Program may file this form to request immigration status verification information for an applicant.	Page 1., What Is the Purpose of This Form? An agency that is registered with the U.S. Citizenship and Immigration Services’ (USCIS) Systematic Alien Verification for Entitlements (SAVE) Program may file this form to request immigration status verification information for an applicant.
Page 1, General Instructions	A separate Form G-845, Document Verification Request, must be completed for each applicant and must include copies of documents only for that individual. If a family unit applies for a benefit, submit a separate Form G-845 for each family member. When completing Form G-845, type or print legibly in black ink (unless electronically generated). Submit copies (front and back) of the alien’s original documentation. Ensure that copies are legible.	Page 1, General Instructions For each applicant you must complete a separate Form G-845, Verification Request, and include copies of documents only for that individual. If a family unit applies for a benefit, submit a separate Form G-845 for each family member. If you do not follow the instructions, USCIS’ SAVE Program may return this form without a verification response, which may delay processing. [see below] USCIS provides forms free of charge through the USCIS Web site. In order to view, print, or fill out our forms, you should use the latest version of Adobe Reader, which you can download for free at http://get.adobe.com/reader/. Copies. Submit copies (front and back) of the applicant's most recently issued immigration documentation. In addition to the most recently issued immigration documentation, you may also submit any relevant documents bearing on the applicant’s immigration status or admission. Ensure that copies are legible and made from an original document. How To Fill Out Form G-845 Type or print legibly in black ink. If you need extra space to complete any item within this request, attach a separate sheet of paper; type or print applicant’s last name, first name, and Case Verification Number at the top of each sheet; and indicate the Page Number, Part Number, and Item Number to which the information refers. If you are filling the form out manually, type or print the applicant’s last and first name and Case Verification Number at the top of each page. For example: Smith, John, 123456789123456.
Page 1, General Instructions	[Moved from the bottom of this section] Section A. To Be Completed by Registered Agency Only 1. In the "To" section: stamp or legibly write the mailing address of the agency's assigned Status Verification Office; this can be found at www.uscis.gov/save. 2. In the "From" section: stamp or legibly write the registered agency name and mailing address with the Zip Code. Make certain that a complete return address has been entered in the "From" portion of the form and all items in Section A have been completed. (SAVE may use this portion of the form for your address in a number 10 window envelope.) Complete items numbered 1 through 15 1. Enter the Alien Registration Number (A-Number) or the I-94 (Arrival-Departure Record) Number in the space provided or both the A-Number and I-94 Number if both numbers are listed on the provided document. The A-Number is the letter "A" followed by a 7, 8, or 9-digit number. The I-94 Number is found on Form I-94 and is 11 digits. (Check the front and back of the Form I-94. If the A-Number appears, record that number when requesting information instead of the I-94 Number because the A- Number refers to the most integral record available.) If the A-Number or I-94 Number is not available, enter another immigration number such as the Certificate of Citizenship document number on the line marked "Other immigration number." Provide the name of the document that contains this immigration number on the line below. 2. Enter the applicant’s last, first, and middle name, as printed on the documents. 3. Enter the applicant's nationality. 4. Enter the applicant's date of birth in the format indicated. 5. Enter the applicant's Social Security Number, if applicable. 6. Enter the applicant's Student and Exchange Visitor Information System (SEVIS) Number, if applicable. 7. Enter the case verification number if a query has been initiated in the SAVE online system. If the SAVE online system is not used, leave this line blank. 8. Enter the registered agency case number, if applicable. 9. Check the proper box indicated for copies or other information attached. If an immigration document is printed on both sides, you must attach a copy of the front and back. Ensure copies are legible 10. Check the corresponding benefit box for the submitting agency. 11 - 14. Enter the submitting name of agency official, title, telephone number, and fax number in the space provided. 15. Enter the date that the Form G-845 is completed. Registered Agency Comments Box (Optional). Agency may enter additional information about the immigration verification request.	Page 1, Specific Instructions [new header] Part 1. Information From the Registered Agency NOTE: Only the Registered Agency should complete the information in this part of the request. 1. In the "To" section, stamp, type, or print the mailing address of the Registered Agency's assigned Status Verification Office; you can find this address at www.uscis.gov/save. 2. In the "From" section, stamp, type, or print the Registered Agency’s name and mailing address with ZIP Code. NOTE: You MUST enter a complete return address with ZIP code into the "From" portion of the form. You also MUST complete ALL items in Part 1. (SAVE may use this portion of the form to display your address in a number 10 window envelope.) 3. Complete Item Numbers 1. - 16. Item Numbers 1a. – 1.d. Immigration Document Numbers. Enter the Alien Registration Number (A-Number) or Form I-94 Number in the space provided or both the A-Number and Form I-94 Number if both numbers are listed on the provided document. The A-Number is the letter "A" followed by a 7, 8, or 9-digit number. The Form I-94 Number is found on Form I-94, Arrival-Departure Record, and is 11 digits. (Check the front and back of the Form I-94. If you received a paper Form I-94, check the front and back of the Form I-94. If the A-Number appears, record that number when requesting information because the A-Number refers to the most integral record available.) Enter any other immigration numbers such as the applicant's foreign passport number or Certificate of Citizenship document number instead of the Form I-94 number in the data collection box entitled "Other Immigration Number." Provide the name or form numbers of the documents that contain these immigration numbers in the next data collection box. If it is a foreign passport, include the name of the country of issuance. These numbers can be included with the A-Number and Form I-94 Number. If you are requesting immigration status verification based on a VAWA self-petition, submit copies of the self-petitioner’s documents relating to the VAWA self-petition. These immigration documents may include a Form I-797 Receipt notice, or a Form I-797 Notice of Determination of a Prima Facie case and/or a Form I-797 Notice of Approval. Item Numbers 2.a. – 2.c. Full Name. Enter the applicant's last name, first name, and middle name exactly as printed on the immigration document. [moved to be item 7 per POC] Item Number 3. Case Verification Number. Enter the 15-digit case verification number if a query was initiated in the SAVE online system. If the SAVE online system was not used, leave this blank. Item Number 4. Date of Birth. Enter the applicant's date of birth in the mm/dd/yyyy format. Item Number 5. U.S. Social Security Number. Enter the applicant's U.S. Social Security Number, if applicable. Item Number 6. Student and Exchange Visitor Information System (SEVIS) Number. Enter the applicant's SEVIS number, if applicable. Item Number 7. Citizenship or Nationality. Enter the applicant's citizenship or nationality. [see below] Item Numbers 8.a – 8.b. Documents Attached. Select all applicable boxes to indicate information attached. If an immigration document is printed on both sides, you must attach a copy of both the front and back of the document. Ensure copies are legible. If you are attaching other information, ensure that it is only another immigration document or numeric identifier. A state issued driver’s license or identification card or a Social Security Card is not acceptable. Item Numbers 9.a – 9.l. Benefits Sought. Select the boxes corresponding to the benefits that the applicant is seeking from the submitting agency. Item Numbers 10. - 14. Registered Agency Information. Enter the Registered Agency case number, if applicable, and the submitting official’s first and last name, title, daytime telephone number, extension number, and fax number in the spaces provided. Item Number 15. Date Request Completed. Enter the date that the submitting official completed the Form G-845. Item Number 16. Registered Agency Comments (if any). The Registered Agency may enter additional information about the immigration verification request. Use this box for providing additional information or comments such as: 1. Aliases; 2. Date of entry into the United States; 3. Previous receipt numbers; and 4. Special requests from the Registered Agency. Part 2. USCIS Responses Only USCIS should complete the information in this part of the request. Part 3. USCIS Comments Only USCIS should complete the information in this part of the request.
Page 2, Processing Information	Upon receipt, the SAVE Program Status Verification Office will review the form for completeness, including submission of any attached documents. Please be aware that if the Form G-845 is not completely filled out, USCIS will return the form to you with no verification response. Please be aware that if the Form G-845 is submitted without a copy of the applicant's documentation, it will be returned to you with no verification response. If USCIS responds by checking response box number 13 of Section B, this indicates that the immigration status information requested cannot be found immediately. In such case, USCIS will conduct further records research. While this search is pending, USCIS will return a copy Form G-845 and Form G-1120 to notify you that the case is pending. The original Form G-845 will be returned to you when the research is complete and a final response is prepared. The inability of USCIS to provide an immediate response does not mean that the applicant is not in lawful immigration status.	Page 2, Processing Information Upon receipt, the SAVE Program Status Verification Office will review the form for completeness, including submission of any attached documents. If the Form G-845 is not completely filled out, USCIS will return the request to you with no verification response. If the Form G-845 is submitted without a copy of the applicant's most recently issued immigration documentation, USCIS will return it to you with no verification response. If USCIS responds to the verification request by selecting Item Number 19. in Part 2., USCIS Responses, Additional USCIS Responses, “USCIS is searching indices for further information,” this indicates that USCIS cannot find the requested immigration status information immediately. In such a case, USCIS will conduct further records research. While this search is pending, USCIS will return a copy of the unprocessed Form G-845 and Form G-1120, Status Verification Return Checklist, to notify you that the case is pending. USCIS will return the original Form G-845 to you when we have completed our research and prepared a final response. The applicant may still be in lawful immigration status, or have employment authorization, even if USCIS does not provide an immediate response.
		Page 3, [new] USCIS Forms and Information To ensure you are using the latest version of this form, visit the USCIS Web site at www.uscis.gov where you can obtain the latest USCIS forms and immigration-related information. If you do not have Internet access, you may order USCIS forms by calling our toll-free number at 1-800-870-3676.  You may also obtain forms and information by calling the USCIS National Customer Service Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call: 1-800-767-1833.
Page 3, USCIS Privacy Act Statement	The information provided in this form is subject to the Privacy Act of 1974 (5 U.S.C. § 552a) and must be protected from unauthorized disclosure or secondary uses. In accordance with the Privacy Act, the information collected and provided to authorized agencies pursuant to this form is covered by the System of Records Notice "DHS/USCIS-004 - Systematic Alien Verification for Entitlements Program System of Records" September 21, 2011, 76 FR 58525.	Page 3, USCIS Privacy Act Statement USCIS AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the Immigration and Nationality Act, sections 101, et seq. PURPOSE: The primary purpose for providing the information on this form is to verify the status of the applicant. DISCLOSURE: Failure to provide the requested information, and any requested evidence, may delay a response to your request. ROUTINE USES: DHS may share the information you provide on this form with other Federal, state, local, and foreign government agencies and authorized organizations under approved routine uses described in the associated published system of records notices [DHS/USCIS-004 - Systematic Alien Verification for Entitlements Program System of Records, September 21, 2011, 76 FR 58525], which you can find at www.dhs.gov/privacy. DHS may also make the information available, as appropriate, for law enforcement purposes or in the interest of national security.
Page 3, Paperwork Reduction Act	An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The public reporting burden for this collection of information is estimated at 5 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Products Division, Office of the Executive Secretariat, 20 Massachusetts Avenue, N.W., Washington, DC 20529-2020, OMB No. 1615-0101. Do not mail your verification request to this address.	Page 3, Paperwork Reduction Act An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection of information, unless it displays a currently valid OMB control number. The public reporting burden for this collection of information is estimated at 5 minutes per response, including the time for reviewing instructions and completing and submitting the request. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Coordination Division, Office of Policy and Strategy, 20 Massachusetts Ave NW, Washington, DC 20529-2140; OMB No. 1615-0101. Do not mail your completed Form G-845 to this address.

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