Form Ar 11 PDF Details

As an employee, it is important to be aware of the different types of leave you may be eligible for. One such type of leave is called Form Ar-11. This type of leave is available to employees who need to take care of certain family members. In this blog post, we will discuss what Form Ar-11 is and how employees can qualify for it. We will also provide a few examples of when employees might use this type of leave. Finally, we will touch on the employer's responsibilities when an employee requests Form Ar-11 leave. Stay tuned!

QuestionAnswer
Form NameForm Ar 11
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesOMB, yyyy, Massachusetts, Attn

Form Preview Example

Department of Homeland Security

OMB No. 1615-0007; Expires 12/31/2014

U.S. Citizenship and Immigration Services

AR-11, Alien's Change of Address Card

 

 

 

 

 

 

 

 

 

 

 

 

*Name (Last in CAPS)

*(First Name)

(Middle Name)

I am in the United States as a:

VisiT O R

Student

Permanent Resident

Other (Specify)

Country of Citizenship

*Date of Birth (mm/dd/yyyy)

A-Number (Copy Number From Alien Card)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Present Address

(Street or Rural Route)

 

*(City or Post Office)

 

 

 

 

*(State)

*(Zip Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(If the above address is temporary) I expect to remain there

 

 

Years

 

 

 

Months

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Address

(Street or Rural Route)

 

(City or Post Office)

 

 

 

 

(State)

(Zip Code)

I work for or attend school at: (Employer's Name or Name of School)

(Street Address or Rural Route)

(City or Post Office)

 

(State) (Zip Code)

 

 

 

 

 

Port of Entry Into U.S.

Date of Entry Into U.S.

 

If not a Permanent Resident,

 

(mm/dd/yyyy)

 

my stay in the U.S. expires on:

 

 

 

(Date - mm/dd/yyyy)

 

 

 

 

 

*Signature

Date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form AR-11 (Rev. 12/11/11) Y

* Indicates mandatory fields that must be completed.

 

 

 

 

AR-11, Alien's Change of Address Card

This card is to be used by all aliens to report a change of address within 10 days of such change. The collection of this information is required by Section 265 of the Immigration and Nationality Act (8 U.S.C. 1305). The data is used by U.S. Citizenship and Immigration Services for statistical and record purposes and may be furnished to Federal, State, local and foreign law enforcement officials. Failure to report a change of address is punishable by fine or imprisonment and/or removal.

ADVISORY: This card is not evidence of identity, age, or status claimed.

Paperwork Reduction Act

An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The public reporting burden for this collection of information is estimated at 5 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Products Division, Office of the Executive Secretariat, 20 Massachusetts Avenue, N.W., Washington, DC 20529-2020. OMB No. 1615-0007. Do not mail your application to this address.

Mail Your Form AR-11 to the Address Below:

U.S. Department of Homeland Security

Citizenship and Immigration Services

Attn: Change of Address

1344 Pleasants Drive

Harrisonburg, VA 22801

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Writing segment 1 of punishable

2. Right after completing the last step, go on to the next part and enter the essential details in all these blank fields - Form AR Rev Y, Indicates mandatory fields that, AR Aliens Change of Address Card, This card is to be used by all, Paperwork Reduction Act, and An agency may not conduct or.

Part # 2 in filling in punishable

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