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SAVE Section A > to be completed by the submitting agency. OMB #1115 >0122 Document Verification Request To:   Immigration and Naturalization Service From:   Typed or Stamped Name and Address of Submitting Agency Attn: Status Verifier (INS may use above address with a #20 window envelope.)   1.  Alien Registration or I >94 Number   2.  Applicantπs Name  (Last, First, Middle) 3.  Nationality    4.  Date of Birth  (Month/Day/Year)   5.   Social Security Number    1.   "This document appears valid and relates to a Lawful Permanent Resident alien  of the United States.    2.   "This document appears valid and relates to aConditional Resident alien  of the United States.    3.   "This document appears valid and relates to analien  authorized employment  as indicated below: a. "Full >Time b. "Part >Time c. "No Expiration (Indefinite) d. "Expires on (specify Month/Day/Year, below)   4.  " This document appears valid and relates to an alien who has an application pending for (specify INS benefit below)    5.   "This document relates to an alien having been granted asylum/refugee  status in the United States.    6.   "This document appears valid and relates to analien   paroled  into the United States pursuant to Section 212 of the I&N Act.    7.   "This document appears valid and relates to analien who is a  Cuban/Haitian entrant . U.S. Department of Justice Immigration and Naturalization Service   6. Verification Number   7. " Photocopy of Document Attached. (If printed on both sides, attach a copy of the front and of the back.) " Other Information Attached  (Specify documents).   8 . (Benefit) (Your Case Number) " AFDC " Education Grant/Loans/Workstudy " Food Stamp " Housing Assistance " Medicaid/Medical Assistance " Unemployment Insurance " Employment Authorization " Other (specify)   9. Name of Submitting Official 10.    Title of Submitting Official 11.    Date 12.    Telephone Number    8.   "This document appears valid and relates to an alien who is a  conditional entrant .    9.   "This document appears valid and relates to an alien who is a  nonimmigrant (specify type or class below) 10.  "This document appears valid and relates to an alien  not authorized employment  in the United States. 11.   "Continue to process as legal alien.  INS  issearching indices for further information. 12.   "This document is  not valid because it appears to be  (check all that apply) a. "Expired b. "Altered c. "Counterfeit " Please see reverse for additional comments. Form G >845S  (Rev. 06/06/89) Y INS Stamp Section B > to be completed by INS INS RESPONSE:  From the documents or information submitted and/or a review of our records we find that: a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a a a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a a a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a a a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a a a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a a a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a a a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a a a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a a aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aaaa aaaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aaaa aaaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aaaa aaaa aaaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa a aaa a aaa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa aa aa a aaa a aaa aa aa a aaa Comments 13.   "No determination can be made from the information submitted.  Please obtain a copy of the  original alien registration documentation and resubmit. 14.   "No determination can be made without seeing  both sides of the document submitted  (please resubmit request). 15.   "Copy of document is not readable  (please resubmit request). ™PRUCOL∫ For Purposes Of Determining If Alien Is Permanently Residing Under Color Of Law Only ! 16.   "INS actively pursues the expulsion of an alien in this class/category. 17.   "INS  is not  actively pursuing the expulsion of an alien in this class/category, at this time. 18.   "Other Instructions f Submit copies of both  front and back  of alienπs original documentation. f Make certain a  complete return address  has been entered in the ™From∫ portion of the form . f The Alien Registration Number (™A∫ Number) is the letter ™A∫ followed by a series of (7) or (8) digits.  Also in this block may be recorded the number found on Form I >94.  (Check the front and back of the I >94 document and if the ™A∫ Number appears, record that number when requesting information instead of the longer admission number asthe ™A∫ Number refers to the most integral record available.) f If Form G >845 is submitted without copies of applicantπs original documentation, it will be returned to the submitting agency without any action taken. f Address this verification request to the local office of the Immigration and Naturalization Service.