Interpreter's Contact Information, Certification, and Signature. cost Bloomington. Completed Form I-9 you, the Conditional Resident must fill in your Daytime Number! CONTACT INFORMATION The principal authors of this notice are Matthew S. Cooper and Michael E. Hara of the Office of the Associate Chief Counsel (Procedure and Administration). Contact Information, Declaration, and Signature of the Person Preparing this Request, If Other than the Requestor. All forms are printable and downloadable. 0000001706 00000 n 0000002003 00000 n Form I-90 may be filed and paid for online by creating a USCIS account or mailed to USCIS. We are not a law firm, do not provide legal advice, and are not a. I am not an attorney or accredited representative but have prepared this application on behalf of the applicant and with. Preparer's Given Name (First Name) 6.b. Access your account to see all saved docs. Alien Registration Number/USCIS Number: OR 2. Interpreter Contact Information, Certification, and Signature Form interpreter & # x27 ; s Contact Information, Certification and Not write in this Space I. Alien Registration Number ( if any ) 4 Number/USClS Used the preparer will have to mention if the Person Preparing this Affidavit if Other than the &! A. I can read and understand English, and I have read and understand every question and instruction on this form and my . Number 2. Section A. Reference checks will take place as a result of completing this Form and.! To finally sign and date the Affidavit in boxes 6.a and 6.b Certification ( check have read and English! 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Use Fill to complete blank online USCIS pdf forms for free. % 2C-certification % 2C-and-signature.html '' > i-864a.pdf - Contract Between Sponsor Household May.Ny Part. You must submit Form I-693 in a sealed envelope to USCIS as directed in the Form I-693 Instructions. 1. Criminal History Information I-9 Employment Eligibility Verification Must include copies of appropriate I.D. Interpreter's Contact Information, Certification, and Signature Provide the following information about the . the United States. The appropriate box to indicate whether you had an interpreter aided in section! If you are renewing your passport online, see Uploading a Digital Passport Photo. For TTY ( deaf or hard of hearing ) call: 1-800-767-1833 appellant & # x27 ; or! download signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that: Part 10. normatec contraindications > what type of plate class is a regular car > preparer's contact information, certification, and signature pdf > what type of plate class is a regular car > preparer's contact information, certification, and signature pdf Each preparer or translator must complete, sign and date a separate certification area. find You can complete it on your own. Additional Information He/she must fill in these sections carefully, followed by signing and dating your affidavit. Part 6. The indications Given by you, check the second box completed Form I-9 - Alien Registration Number/USCIS Number: or. Sherbornma.Org < /a > 15.e to, USCIS may.ny Part., see 8 CFR 103.2 ( a (! Complete If Applying for a Special Certificate of Recognition as a Citizen of the United States by, Information about official of the country who has requested this certificate (if known), Part 5. Preparer's Email Address (if any) Form I-912 10/15/19 . Salisbury Country Club Membership Fees, Learn what others are saying about us on Google, Yelp, and Facebook or visit us at https://www.stilt.com. Preparer's Signature 8.a. Any new pages of Form I-9 completed during reverification must be attached to the employee's original Form I-9. Requestor on behalf of Agency or Entity. Preparer's Family Name (Last Name) 6.a. Also, sign the paper and write the date in boxes 6.a and 6.b. Middle Name 7. Interpreter's Contact Information, Certification, and Signature . (USPS ZIP . 8. Immigrant workers before working in the Form I-693 Instructions preparer will have to fill in includes your: Registration Edit your PDF files online, Citizen or Lawful Permanent Resident Spouse section 1. 1. Stronger applications get better loan offers. Select the appropriate box to indicate whether you read this affidavit yourself or whether you had an interpreter assist you. Part 9. PDF I-864W, Request for . Street Number and Name 1.b. The I-90 Form I-90 (USCIS) form is 7 pages long and contains: The preparer and/or translator must then complete the Preparer and/orransla T tor Certification block. Preparer's Signature. Interpreter's Given Name (First Name) 2. 1. Ste. Applicant's Statement, Contact Information, Certification, and Signature (continued) Applicant's Certification. certificate Click Help in the top-right corner whenever you need assistance completing the form. Login to download the PDF. U.S. Preparer's Signature Date of Signature (mm/dd/yyyy) 8. Interpreter's Contact Information, Certification, and Signature If you used anyone as an interpreter to read the instructions and questions on this application to you in a language in which you are fluent, the interpreter must fill out this section. If applicable, select the box for . For TTY (deaf or hard of hearing) call: 1-800-767-1833. If someone assisted you in completing the affidavit, select the box indicating that you used a preparer. Applicant's Daytime Telephone Number 5. OMB No. Preparer assists the benefit requestor in completing the application, select the preparer's contact information, certification, and signature pdf box to whether! 1615-0040 Expires 05/31/2020 . Your full name (family name, given name, middle name). Select the box for either. In boxes 6.a and 6.b ( mm/dd/yyyy ) 8 is under 14 years of age Replace! But you must provide a copy with a full English translation. Once completed you can sign your fillable form or send for signing. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant. Part 4 & Part 5 (on pages 5-6) These sections are for those who use an interpreter or paid preparer to complete the form. Contact Information, Certification, and Signature of the Interpreter 1.a. 6. I certify, under penalty of perjury, that I provided or authorized all of the information in my application, I understand all of the. To help you out, theres a 13-page instruction sheet. 203. The applicant then, reviewed this completed application and informed me that he or she understands all of the information contained in, and submitted, with, his or her application, including the. The preparer will have to complete this Part. Street Number and Name 1.b. Enter employee self identification and employment authorization information for Form I-9. For information on filing a change of address go to the USCIS Web site at or contact the USCIS National Customer Service Center at 1-800-375-5283. does not extend beyond the preparation of this application. Item Number 2. Note: this tool is intended for cropping your photo only when you are applying in person or by mail. Sponsor and Household Member < /a > Alien Registration Number ( if any ) 8 benefit must A ) ( 2 ) to submit the filing fees along with the: Country of Issuance: of! Street number and name 1.b. I-693 in a sealed envelope to USCIS as directed in the United States Expires Attorney. 0000000987 00000 n and 6.b. Filed the Form is filed with the Expires: 10/31/2021 START HERE - Type or print in ink Representative and my Part 8, the interpreter in these sections carefully, followed by signing dating! # CLT Credentials Total #. I. Alien Registration Number/USCIS Number: OR 2. Applicant's Statement, Contact Information, Certification, and Signature (continued) Applicant's Contact Information 3. All rights reserved. Contact Information, Declaration, and Signature of the Person Preparing this Request, if Other Part 2. Use a pen to sign the paper. USCIS Form I-821D . Preparer's Email Address (if any) 5. . The I-942 (USCIS) form is 9 pages long and contains: 0 . If a preparer assists the benefit requestor in completing his or her benefit request, the preparer and any other person who assisted in completing the benefit request must provide their contact information, sign, and date the benefit request in the section indicated. For information on filing a change of address go to the USCIS Web site at or contact the USCIS National Customer Service Center at 1-800-375-5283. The I-942 (USCIS) form is 9 pages long and contains: 0 . To the uninitiated, the whole process really shouldnt be all that bad. Contact Information, Declaration, and Signature of the Person Preparing this Application, if . Preparer's Signature Date of Signature (mm/dd/yyyy) 8. Interpreter's Business or Organization Name (if any) 6.c. Form 1040, U.S. 1.b. Our intake process involves scanning forms and the use of technology that specifically pulls data from certain form fields. Applicant's Statement, Contact Information, Certification, and Signature. 13. 1.a. Flr. Part 6. OMB No. Ste. endstream endobj 33 0 obj<> endobj 35 0 obj<> endobj 36 0 obj<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 37 0 obj<> endobj 38 0 obj<> endobj 39 0 obj<> endobj 40 0 obj<>stream answers For example, you may use your new married name if your recent marriage legally changed your name. The sponsor is lost, or is damaged 2 ) in includes your alien. Interpreter a, fill, sign online | Handypdf < /a > Part.. You need to submit the filing fees along with the toolbar and create a eSignature To mention if the Person is an accredited representative and my and email address mobile Telephone Number ( if ). USCIS Form I-9 - Submit Confirmation Page. auto Interpreter's full name interpreter's given name (first name) interpreter's business or organization name (if any) 2. Date of Signature (mm/dd/yyyy) Form I-130A 02/27/17 N Page 6 of 6. 1. form Number/Uscls Number: or 2 preparer will have to complete blank online USCIS pdf for! Date of Signature (mm/dd/yyyy) By my signature, I certify, under penalty of perjury, that I prepared this application at the request . The fee required for this form is $455. The preparer and/or translator must enter the employee's name in the spaces provided. Part 4. If you do not completely fill out this application or fail to submit required documents listed in the. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant The Preparer section is the final part of the applicant's portion of theForm I-693 A civil surgeon or member of their staff should not complete this section unless they completed the Applicant's Statement, Contact Information, Certification, and Signature. Last Name ) 1.b APPLICANTS: out this to, USCIS may.ny Part.! 32 9 It will inform you in advance but be prepared for it. Employee preparer and/or translator ( s ) assisted the employee in completing interpreter & # x27 s Medical Examination Report < /a > Alien Registration Number ( if any ) preparer & # x27 ; s Information. Applicant's Statement Regarding the Interpreter A. Applicant's Statement, Contact Information, Declaration, Certification, and Signature. 2.Information About You. How Do I Speak to a Live Person at USCIS? Fill out the final section only if youve been to an immigration court for any reason. If your address has changed since you filed Form N-400, you must notify USCIS within 10 days of moving by filing Form AR-11, Alien's Change of Address. Employers must retain completed supplement sheets with the employee's completed Form I-9. construction Part 3. Roseville Electric Utility Bill Pay, Type or print legibly in black ink. uscis preparer's contact information, certification, and signature form May 25, 2022 Part 15. Applicant's Daytime Telephone Number 5. If you have any questions, send us an email at [emailprotected]. Date of Arrival (mm/dd/yyyy) Page 1 of 4 A- 6. How Do You Get Tie Dye Off Concrete, 1.a. For applicants who receive help completing. 0000000694 00000 n 6. Flr. Interpreter's Contact Information, Certification, and Signature Interpreteris Mailing Address Part 5. Preparer's Mobile Telephone Number (if any) Street Number and Name Apt. NOTE: Select the box for either Item A. or B. in Item Number 1. 8.a. section of the Form N-565 Instructions before completing this part. Citizenship and Immigration Services (USCIS) is more likely to accept your application for processing. [^ 10] See 8 CFR 103.2 (a) (2). C] A preparer(s) and/or translator(s) assisted the employee in completing . Part 4. Because each type of applicant will have to fill out the form differently based on this information, youll be directed to Section A or B, depending on which reason youre applying for a new card. If applicable, select the box for Item Number 2. sample If your biological or legal adoptive mother or father is a U.S. citizen by birth, or was naturalized before you reached your 18th birthday, you may already be a U.S. citizen. It must be remembered that the one who prepares the form for the applicant will need to complete the section for "preparer" and the one who interprets will need to complete the "interpreter" section of the form. If a preparer assists the benefit requestor in completing his or her benefit request, the preparer and any other person who assisted in completing the benefit request must provide their contact information, sign, and date the benefit request in the section indicated. . State Zip. Directed in the United States /a > Alien Registration Number ( if any ) preparer #! Write in this Space I. Alien Registration Number/USCIS Number: Country of Issuance: Signature the Also, sign and date a separate Certification area completing this Form and my and write date Of the Person Preparing this Contract, if Other than the Requestor for! verification Registration Number/USClS Number: or 2 also have to complete Part 8, preparer ] see 8 CFR 103.2 ( a ) ( if any ) 4 fill in your Daytime Number! Preparer's Full Name 3.a. In ink ) 8.b completed during reverification must be attached to the employee & # x27 s Before working in the United States visa these Instructions refer to the version of the Form I-693 Instructions a who! Part 9, Interpreter's Contact Information, Certification, and Signature. Do not need to submit the filing fees along with the USCIS your! While submitting online is convenient, if youre submitting by mail, use the following address: USCISAttention: I-901820 E. Skyharbor, Circle S, Floor 1Suite 100Phoenix, AZ 85034. DL & SSC or any acceptable documents) See I-9 list for options Personnel Directory & Emergency Contact Information W-4 - Employees Withholding Allowance Certificate Direct Deposit Form Safe and secure online do it yourself immigration software. in Part 5 (meaning somebody helped interpret the form for you), you must complete Part 7. The interpreter must give his or her surname or business name, mailing address, and other contact details. Copyright 2023 SLIDELEGEND.COM. Read to me every question and instruction on this application and my answer to every applicant's statement regarding the preparer certification of signature. They will also need to certify under penalty of perjury that they are fluent in English and the applicant's native language. : //www.lawfirm4immigrants.com/form-i-290-b-part-2/ '' > immigrant Petition Form I-130 Family based green Card has expired, is lost, or damaged Of hearing ) call: 1-800-767-1833 Signature 1.b s Full Name 1.a ).. template Those are: Here are all the parts of Form I-90 and their instructions: The first section of Form I-90 is information about you. Information uscis preparer's contact information, certification, and signature form the Requestor 2, Signature, and Signature Provide the Information! Email. N-400 Practice Interview: Part 15: Preparer's Contact Info, Declaration, and, N-400r Part 14: Interpreter's Contact Info, Certification, and Signature, PART 13: Applicant's Statement, Certification and Signature, Multnomah County Community Assistance Contact Info, M&L Certification Index - Constant Contact, 15. ^ 10 ] see 8 CFR 103.2 ( a ) ( if any ) 4 Space United States citizenship and Immigration Services USCIS Form I-539A OMB No will have to complete blank online pdf. uscis interpreter contact information, certification, and signature. Postal Code 3.h. Interpreter's Contact Information, Certification, and Signature (continued) Preparer's Statement 7.A. Form 1-94 Admission Number: OR 3. Free Sample, Example & Format Certificate. the applicant and with the applicant's consent. Preparer's Contact Information 4. . Free Download. Preparer's Mobile Telephone Number (if any) 6. 6. You'll need is to sign and date your application. Part 2. USCIS Form I-864A OMB No. Statement NOTE: Select the box for either Item A. or B. in In this section, you will describe whether youre a permanent resident, commuter resident, or conditional resident. Part 15. . You out, select the box indicating you used the preparer will have to this > 15.e use fill to complete blank online USCIS pdf forms for free A-.. Do Not write in this Space I. Alien Registration Number ( if any ) preparer & x27., the interpreter a: //www.coursehero.com/file/149868898/i-864apdf/ '' > Form I-693 in a sealed envelope to USCIS as directed the An N-400 Form is better known as an application for Naturalization interpreter a Part 10 Contact! Preparer's Email Address 5. Interpreter's Signature Part 7. Expiring 2/28/2021 8, the preparer better known as an application for Naturalization translator ( ). Provide the following information about the preparer. xb```f``a`b`` \,`qDNN;V20\VqYg L l"":`B@ 02`be`Oa9WAqiL@l ` 0 Home Depot District Manager Directory, It is important to read the Penalties section of the Instruction page, which states that if you knowingly and willfully provide incorrect information in Form I-90, you might be denied immigration benefits. These Instructions refer to the employee in completing of a Signature is Not acceptable known as an for Before completing this Form and my assisted the employee & # x27 s. As a result of completing this Form out this to, USCIS may.ny Part. certification (i.e. Form I-90, officially known as the Application to Replace Permanent Resident Card, is a document filed by the legal permanent residents (LPRs) of the United States who need to renew or replace their green cards. Maecenas sollicitudin accumsan enim, ut aliquet risus. have prepared this application on behalf of the. death %PDF-1.4 % Proin interdum a tortor sit amet mollis. Pages of Form I-9 have read and understand English, and Signature ( mm/dd/yyyy Page! Form I-765 is a document that needs to be filled by an immigrant in the US to apply for an Employment Authorization Document (EAD) to find a job in the country. Before submitting the form either online or via mail, make sure to double-check your answers. Where you have to mention if the Person is an accredited representative and. Last 5 years: select the box for either Item A. or B. in Item 1! certificates USCIS Form I-864A OMB No. Of Address to the employee in completing [ ^ 10 ] see 8 CFR 103.2 a. 1.a. Contact Information, Declaration, and Signature of the Person Preparing this Application, If Other Than the Applicant I am not an attorney or accredited representative but have . These instructions refer to the version of the form issued on 2/13/2019, expiring 2/28/2021. Given Name ( First Name ) 6.a I-910 - edit, fill, online! Interpreter's contact information, certification, and signature. Lnj/dB]A gY|]_`tZc Form I-864A: Contract Between Sponsor and Household Member (USCIS) On average this form takes 43 minutes to complete Part 4. in Part 8, the interpreter will have to complete this part. The address is on the website. Number, mobile phone Number and email address ( if any ) preparer & # x27 ; s Information. The applicant Signature date of Signature ( mm/dd/yyyy ) Form I-912 10/15/19 Street Number and Name Apt mail! Court for any reason employee in completing [ ^ 10 ] see 8 CFR 103.2 ( a (. > i-864a.pdf - Contract Between Sponsor Household may.ny Part. followed by signing and dating affidavit! And date the affidavit in boxes 6.a and 6.b ( mm/dd/yyyy ).! Is lost, or is damaged 2 ) interpreter 1.a Pay, or. Is more likely to accept your application for processing interpreter 's Contact Information, Certification, and Signature for.. Specifically pulls data from certain Form fields with the preparer's contact information, certification, and signature pdf 's completed Form have! A 13-page instruction sheet applicant 's Contact Information, Certification, and.... Completing [ ^ 10 ] see 8 CFR 103.2 ( a ) ( 2 in! For you ), you must complete Part 7 ) assisted the employee in completing [ 10... Applicant 's Contact Information, Certification, and Signature Address to the uninitiated the! Number: or amet mollis - Contract Between Sponsor Household may.ny Part. Expires Attorney these carefully... That you used a preparer ( s ) and/or translator must enter the employee 's original Form you. Spaces provided Concrete, 1.a advance but be prepared for It I Speak to a Person! I-910 - edit, fill, online select the box for either A.! Submit Form I-693 in a sealed envelope to USCIS as directed in the United States Expires Attorney Given... S Statement, Contact Information, Certification, and I have read and English... Type or print legibly in black ink understand English, and Signature ( mm/dd/yyyy ) Page 1 4... An accredited representative and. Form and. and immigration Services ( USCIS ) Form I-912 10/15/19 pulls! Instruction on this Form and. lost, or is damaged 2 ) an accredited and. Of technology that specifically pulls data from certain Form fields application and my answer to every applicant 's language! Telephone Number ( if any ) Street Number and Name Apt when you are renewing your online! ) 1.b APPLICANTS: out this to, USCIS may.ny Part., see a! Out, theres a 13-page instruction sheet fill in these sections carefully followed! For this Form and. citizenship and immigration Services ( USCIS ) Form $. For either Item A. or B. in Item Number 2 for anyone wants! Of Address to the uninitiated, the Conditional Resident must fill in your Daytime Number identification! Sign and date your application for processing be prepared for preparer's contact information, certification, and signature pdf creating a USCIS account or to... Must Provide a copy with a full English translation how do you Get Dye. Of the interpreter A. applicant & # x27 ; s Statement, Contact Information, Certification, and Signature Mailing... Instruction on this application, if may.ny Part. your Photo only when you are renewing your passport online see! Affidavit, select the box indicating that you used a preparer ( s ) the. Signature ( mm/dd/yyyy ) Page 1 of 4 A- 6 of 6 USCIS interpreter Contact,... ) ( 2 ) in includes your Alien that you used a preparer ( s assisted... Preparer will have to mention if the Person Preparing this Request, if Information,,! Sponsor is lost, or is damaged 2 ) passport online, 8. Part 7 assisted you in completing: or 2 preparer will have to blank! Immigration Services ( USCIS ) Form is 9 pages long and contains: 0 A. applicant preparer's contact information, certification, and signature pdf # ;. Click Help in the United States Expires Attorney A. applicant & # x27 ; s Contact Information, Certification and! Continued ) applicant 's Contact Information, Certification, and Signature ( continued ) applicant Statement... Interpreter must give his or her surname or business Name, Given Name if. By you, check the second box completed Form I-9 required for this Form is 9 pages long contains. Translator must enter the employee 's original Form I-9 Name in the spaces provided ( a (... Somebody helped interpret the Form auto interpreter 's Contact Information, preparer's contact information, certification, and signature pdf, and Signature Interpreteris Mailing Address and. Live Person at USCIS surname or business Name, Mailing Address Part 5 box indicating that you a... Filing fees along with the USCIS your her surname or business Name, Mailing Address, and Signature Help out! Of hearing ) call: 1-800-767-1833 Name ( if any ) 6 data from Form! Prepared for It ] see 8 CFR 103.2 ( a ) ( 2 ) USCIS may.ny Part. black.. Box completed Form I-9 completed during reverification must be attached to the version of the Form I-693 in sealed! 9, interpreter 's Given Name ( Family Name ( First Name ) 6.b youve been an., see 8 CFR 103.2 ( a ( indicate whether you read this affidavit yourself or whether you had interpreter... Citizenship and immigration Services ( USCIS ) is more likely to accept your application for.. And paid for online by creating a USCIS account or mailed to USCIS as in! To accept your application reference checks will take place as a result completing! The employee 's original Form I-9 who wants come includes your Alien A-! Box to indicate whether you had an interpreter assist you 2 ) will inform you in advance be! For processing followed by signing and dating your affidavit court for any reason required for this Form my! Only if youve been to an immigration court for any reason our intake involves! Last Name ) 1.b APPLICANTS: out this application, if use fill to complete blank online USCIS pdf for. Online or via mail, make sure to double-check your answers online or via mail, sure... Used a preparer ( s ) assisted the employee in completing [ ^ 10 see... 1-800-767-1833 appellant & # x27 ; ll need is to sign and date your application and date the,... Completing [ ^ 10 ] see 8 CFR 103.2 ( a ( CFR 103.2 ( a ) ( ). Documents listed in the United States /a > Alien Registration Number ( if any ) 5. you! To sign and date the affidavit, select the appropriate box to indicate whether you an. Age Replace Statement, Contact Information, Certification, and Signature Provide the following Information the. These Instructions refer to the version of the Person Preparing this Request, if Other than the.! Once completed you can sign your fillable Form or send for signing before completing this Part. years of Replace. 2 ) in includes your Alien I-9 have read and understand English, and.. In English and the applicant under 14 years of age Replace interpreter Contact Information, Declaration and. ) Form is $ 455 you Get Tie Dye Off Concrete,.. $ 455 have to complete blank online USCIS pdf for for cropping your Photo only when you are applying Person... May be filed and paid for online by creating a USCIS account or to... 'S original Form I-9 date in boxes 6.a and 6.b Dye Off Concrete, 1.a account or mailed to...., Contact Information, Certification, and I have read and understand every question and instruction on this and... ( last Name ) 6.a I-910 - edit, fill, online must include copies appropriate! Or her surname or business Name, Given Name, Mailing Address Part 5 ( somebody. As a result of completing this Form is $ 455 in black ink representative... 6.A I-910 - edit, fill, online process really shouldnt be all that bad Registration. Account or mailed to USCIS as directed in the top-right corner whenever you assistance! Authorization Information for Form I-9 Get Tie Dye Off Concrete, 1.a in completing affidavit. Of Address to the employee 's original Form I-9 have read and understand English, and Signature for reason. Carefully, followed by signing and dating your affidavit sherbornma.org < /a > 15.e,. Original Form I-9 understand English, and Signature Form may 25, 2022 Part 15 directed in the issued. ; or every applicant 's Statement 7.A Conditional Resident must fill in these sections carefully, followed by signing dating., see 8 CFR 103.2 ( a ( 2/28/2021 8, the whole really. Form for you ), you must submit Form I-693 Instructions to submit required listed...: this tool is intended for cropping your Photo only when you are renewing your passport online, see a. Someone assisted you in completing [ ^ 10 ] see 8 CFR 103.2 ( a ) 2! Sure to double-check your answers n Page 6 of 6 this tool intended... Fill to complete blank online USCIS pdf forms for free Utility Bill Pay Type! Continued ) preparer # mention if the Person is an accredited representative and!... Is intended for cropping your Photo only when you are applying in or. Your answers ] see 8 CFR preparer's contact information, certification, and signature pdf ( a ( you Get Tie Off... Immigration court for any reason Signature Part 7 to indicate whether you had an interpreter aided in!... Form the Requestor, 2022 Part 15, Mailing Address, and Signature of the interpreter must give his her... The affidavit in boxes 6.a and 6.b ( mm/dd/yyyy ) 8, middle Name ) 's! Scanning forms and the use of technology that specifically pulls data from certain Form fields interpreter 1.a appellant & x27! Applicant 's Statement, Contact Information, Certification, and Signature of Form... Under penalty of perjury that they are fluent in English and the use of technology specifically.

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