FOIA Request

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FOIA Request – Data Entry

PLEASE NOTE THIS FORM MAY BE SAVED AND CONTINUED!

Please do not use ALL CAPS.
1. Capitalize the first word of a sentence.
2. Capitalize Proper Nouns and Names (e.g. John Smith)

ONLY upload documents when you are ready to click SUBMIT, otherwise the upload will fail.

Items with a * ARE REQUIRED/MANDATORY INPUT/ENTRY.

REASON FOR FOIA

A. Date of Apprehension

if applicable

B. Date of Entry (i-94)

if applicable

C. Other Arrival/Departure date of entry

if applicable

D. Date of Removal

if applicable

I. BASIC INFORMATION

A-Number (Alien Registration Number)

USCIS issues Alien Registration Numbers, otherwise known as an “A-Number,” to persons who apply for, or are granted, certain immigration benefits. U.S. Customs and Border Protection (CBP) or U.S. Immigration and Customs Enforcement (ICE) may also issue A-Numbers. If the subject of record was issued an A-Number(s), type or print it in the spaces provided. If they do not have an A-Number, or do not remember it, leave this space blank.

First Name

Please type your First Name (as it appears in your Passport or other identification document presented at the Border)

Middle Name

Last Name

Please select if you are

US Citizen or
Lawful Permanent Resident
Neither apply to me

Gender

Female
Male

Date of Birth

MM/DD/YYYY

Country of Birth

City of Birth

State or Province of Birth

Receipt Number Provide the USCIS receipt number that corresponds to any request the subject of record filed with USCIS.

This number would be part of a status granted to you by USCIS and contained on a form received by you and/or your counsel.

II. CONTACT INFORMATION

Mobile Phone Number

Email Address

III. MAILING ADDRESS

Street or PO Box

City of Town

State or Province

Zip or Postal Code

Country

Physical Address (if different)

Yes – different
No – same as above

IV. FAMILY INFORMATION

Last Name (Father)

First Name (Father)

Middle Name (Father)

Last Name (Mother)

Maiden Name (Mother)

First Name (Mother)

Middle Name (Mother)

V. CERTIFICATION OF REQUEST & CONSENT TO RELEASE, AMEND, OR CORRECT RECORDS

Requestor Consent to Pay Potential Fees

I, the requestor, consent to pay all costs incurred for search, duplication, and review of documents up to – $25.00

USCIS will contact you with instructions if any fees are required. Please do not send any payment at the time of your request. In accordance with Department of Homeland Security Regulations, your request constitutes an agreement to pay any fees that may be chargeable up to $25.00. We may charge fees for searching for records at the respective clerical, professional, and/or managerial rates of $4.00/$7.00/$10.25 per quarter hour, and for duplication of copies at the rate of $.10 per copy. We do not charge for the first 100 copies and two hours of search time, and the remaining combined charges for search and duplication must exceed $14.00 before we will charge you any fees. Search and processing fees are not applicable for Privacy Act requests. If the total anticipated fees are more than $250, or you have failed to pay fees in the past, USCIS may request an advance deposit. USCIS will not process any Form G-639 until you pay all fees from prior requests.

VI. IDENTIFICATION DOCUMENTS / DATA

Passport

Yes – to be uploaded

Selecting this form of identification requires that you upload the biographic page – unless our firm has possession of an electronic version, and it is current

Passport Card

Yes – to be uploaded

Please upload the your Passport Card – front and back – unless our firm has possession of an electronic version, and it is current

Driver's License

Yes – to be uploaded

Please upload the your Driver’s License – front and back – unless our firm has possession of an electronic version, and it is current

Immigration – Non-immigrant Visa

Yes – to be uploaded

Please upload a copy of your current visa – unless our firm has possession of an electronic version

I-94 Admission

Yes – to be uploaded

Please upload a copy of your current I-94 Card – unless our firm has possession of an electronic version.
Additionally electronic version may be accessed by accessing their DHS website at: www.cbp.gov/i94

Nexus

Yes – to be uploaded

Please upload a copy of your current Nexus Card (front and back) – unless our firm has possession of an electronic version.

Message, Comment, Discussion or Additional Information

Please provide any additional or other information that is necessary for this application.

IX. EVIDENCE REQUIRED (DOCUMENTS NECESSARY):

Please label your files as follows:
Label – Description

PP (Lastname) – for your Passport

PPC (Lastname) – for your Passport Card

Nexus (Lastname) – for your Nexus Card

DL (Lastname) – for your Driver’s License

File Upload

Click or drag files to this area to upload. You can upload up to 15 files.

Signature

Clear Signature

Your signature above authorizes CARUSO LAW PLLC to continue processing your application consistent with the information/evidence submitted with this form.

Save and Resume Later

1-877-5CARUSO

FOIA Request – Data Entry

REASON FOR FOIA

I. BASIC INFORMATION

II. CONTACT INFORMATION

III. MAILING ADDRESS

IV. FAMILY INFORMATION

V. CERTIFICATION OF REQUEST & CONSENT TO RELEASE, AMEND, OR CORRECT RECORDS

VI. IDENTIFICATION DOCUMENTS / DATA

IX. EVIDENCE REQUIRED (DOCUMENTS NECESSARY):

United States

Canada

USMCA/CU