Alien’s Change of Address CardFile Online
Legal Form Number | AR-11 |
Section | Citizenship and Immigration Services (United States of America) |
Issuer | Citizenship and Immigration Services (United States of America) |
Form AR-11 Edition 08/31/21 Page 1 of 2
Alien's Change of Address Card
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form AR-11
OMB No. 1615-0007
Expires 08/31/2024
*Family Name (Last Name)*Given Name (First Name)Middle Name (if applicable)
I am in the United States as a:VisitorStudentPermanent ResidentOther (Specify)
Alien Registration Number (A-Number) (if any)
*Date of Birth (mm/dd/yyyy)
Country of Citizenship
*Present Physical Address (No PO Boxes)
Ste.NumberFlr.Apt.
*Street Number and Name
*ZIP Code*State
*City or Town
Ste.NumberFlr.Apt.
Street Number and Name
ZIP CodeState
City or Town
Information About You
Information About Your Address
►A-
Your Signature
*Your SignatureDate of Signature (mm/dd/yyyy)
NOTE: An asterisk (*) indicates a mandatory field that must be completed.
Ste.NumberFlr.Apt.
Street Number and Name
ZIP CodeState
City or Town
Mailing Address (optional)
Previous Physical Address(USPS ZIP Code Lookup)
(USPS ZIP Code Lookup)
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