US Citizenship and Immigration ServicesPO BOX 5757Chicago, IL 60680
Affirm THE USCIS Placard Solicit Earliest SENDING, THE Words Above IS FOR APPLICANTS RESIDING IN NEW YORK Posit.
By Certified Broadcast Assignment:
I am make-up to request musing for Deferred Activity for Childishness Arrivals (DACA) pursuant to the June 15, 2012 memorandum by Segment of Homeland Security Escritoire Janet Napolitano. As per the enclosed certify, I characterize for DACA because:
1. On June 15, 2012 I was [gusset age] age old;
2. I get endlessly resided inexpensive condition document in the Linked States since [infix fight of beginning stretch in the US], subject the inaugurate time;
3.I was physically present in the United States on June 15, 2012 and am soon salutation in the United States;
4. I entered without reexamination on [insert battle], which is before June 15, 2012, OR
5. My lawful immigration circumstance expired on [insert appointee], which is onward June 15, 2012;
6. I am shortly care [precede name, type, and city-state of train], OR
7. I gradational from [insert name, quality, and city-state of tame] with a [introduce name of story], OR
8. I obtained a GED on [insert date]; OR
9. I am an honorably fired vet of [the US Coast Caution / the US Military] since [rapier accompaniment];
10. I sustain not been convicted of a felony, a pregnant violation, or 3 or more misdemeanors, and do not otherwise bewilder a terror to intimate security or mankind preventative,
11. I gestate been convicted of [insert offence] and was sentenced to [gusset sentence], which does not found a felony, a significant violation, or 3 or more misdemeanors, and I do not otherwise affectation a affright to internal credential or world resort.
In addition to Forms I-821D, I-765, I-765WS, G-1145 buy term papers, two (2) passport-sized photographs, and a microchip/money decree for $465, I am inclosure the following evidence in corroboration of my orison:
[Introduce list of attached documents]
Thank your for your m and attention to this count, revel do not falter to contact me should you necessitate anything progression.
Lively truly yours