Alien's Change of Address - Electronic Filing

Authorities:
The information requested on this form is collected under the Immigration and Nationality Act section 265.
Purpose:
The primary purpose for providing the requested information on this form is to report a change of address. Except for those
exempted, all aliens in the U.S. are required to report any change of address or new address. DHS uses the information you provide to
contact you about the immigration benefit you are seeking.
Disclosure:
The information you provide is mandatory. Failure to report a change of address may result in a fine, imprisonment and/or removal,
as well as jeopardize your ability to obtain a future visa or other immigration benefits.
Routine Uses:
DHS may share the information you provide on this form with other Federal, state, local, and foreign government agencies and
authorized organizations. DHS follows approved routine uses described in the associated published system of records notices [DHSUSCIS-001 - Alien File, Index, and National File Tracking System and DHS-USCIS-007 - Benefits Information System] and the published
privacy impact assessments [DHS/USCIS/PIA-018 Alien Change of Address Card (AR-11) and DHS/USCIS/PIA-019 Customer
Relationship Interface System (CRIS)] which you can find at www.dhs.gov/privacy. DHS may also share this information, as
appropriate, for law enforcement purposes or in the interest of national security.

Note: If you are in immigration proceedings, you must separately notify the
Immigration Court of any address changes. Filing a change of address
request with USCIS does not update your address with the Immigration
Court.

Note: If you are in immigration proceedings, you must separately notify the Immigration Court
of any address changes. Filing a change of address request with USCIS does not update your
address with the Immigration Court.

Filer selects “No.”

Note: If you are in immigration proceedings, you must separately notify the Immigration Court of any address
changes. Filing a change of address request with USCIS does not update your address with the Immigration
Court.

Filer selects “Yes”

Case Information to
identify the
application or petition
currently in progress is
requested.