The Immigration Casework Intake Sheet serves as a critical tool for those seeking assistance from a Member of Congress in navigating the complexities of immigration matters. This detailed document captures essential information about both the petitioner or applicant and the beneficiary, including names, dates of birth, alien numbers, and countries of birth. It is specifically designed to facilitate the process by which congressional staff can efficiently assist with issues related to various types of filings with the United States Citizenship and Immigration Services (USCIS). The form enumerates several USCIS forms, such as I-129, I-130, I-140, among others, allowing individuals to indicate the specific form they have filed or intend to file, along with the associated receipt or tracking number, date, and place of filing. This comprehensive approach ensures thorough preparation for any queries or actions that may need to be addressed by USCIS. Moreover, the form includes a section for a brief description of the issue at hand, which aids in providing a clear understanding of the petitioner’s or applicant's situation. An integral part of the document is the Privacy Release section, underscoring the importance of compliance with the Privacy Act and Department of Homeland Security (DHS) policy and regulations. This section requires the explicit written consent of the individual whose records are to be accessed, emphasizing the safeguarding of personal information in accordance with federal law. Consequently, this intake sheet not only streamlines the process of seeking congressional assistance in immigration cases but also highlights the adherence to privacy and legal standards.
| Question | Answer |
|---|---|
| Form Name | Immigration Casework Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | uscis casework form, uscis privacy release, casework intake form, uscis immigration intake pdf |
Immigration Casework Intake Sheet
Member of Congress: ___________________________
Petitioner/Applicant:
Name: _________________________________ Date Of Birth: _________________________
Alien number (if any): ____________________ Country of Birth: _______________________
Beneficiary:
Name: _________________________________ Date of Birth: _________________________
Alien number (if any): ____________________ Country of Birth: ______________________
USCIS Receipt number/Tracking number:
Date of filing: _______________________
Place of filing: _______________________
Form type:
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Please include a brief description of the issue:
Staff Member: ____________________________ Phone: _________________________
Privacy Release: (To be completed by the individual who is the subject of the records.)
To remain in compliance with the Privacy Act as well as DHS policy and regulations, United States Citizenship and Immigration Services (USCIS) may not disclose any information without written consent from the individual who is the subject of the records. Family members, friends, an attorney, an authorized representative, or other interested parties can not authorize the release of your personal information on your behalf.
I, ________________________________ grant Senator/Representative _____________________ and his or her
staff permission to receive and review any information contained in my USCIS electronic records or paper file.
Signature ____________________________________________ Date ________________