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G-845 Supplement, Document Verification Request Supplement

Purpose of Form

This form reflects information that may be relevant to eligibility for Federal, State, and local public benefits under the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, Pub. L. 104-193.

Number of Pages

Form 6; Instructions 2.

Edition Date

01/08/12. Previous edtions not accepted.

Where to File

Submit this form in conjunction with Form G-845: it cannot be used alone.  To obtain the mailing address for your Form G-845 or G-845 Supplement click on the "Direct Filing Addresses for Form G-845, and G-845 Supplement" link located in the related links section of this page.

Filing Fee

$0

Special Instructions

This form should not be used alone, but only in conjunction with Form G-845 to request verification.

This page can be found at: http://www.uscis.gov/g-845sup

Last Reviewed/Updated: 06/26/2013