Public Charge Bond

• Legal Form Number: I-945
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Page 1 of 11Form I-945 Edition 12/23/22

Public Charge Bond

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-945

START HERE - Type or print in black ink.

Is this a Substitution Bond?

►

For

USCIS

Use

Only

Name of Reviewer/Date

Returned/Means of Return/

Date

Action Stamp

Receipt

Fee Stamp

Relocated (Received/Sent) Completed Signed/Date - Reviewed:

A-Number ►A-

Remarks

To be Completed by the Obligor or Co-Obligor

Name of Obligor Name of the Agent/Co-Obligor

Agent's/Co-Obligor's Power of Attorney Number (For Surety Bonds Only)

Bonded Alien Alien Registration Number ►A-

To be completed by the obligor's or agent/co-obligor's attorney or accredited representative (if any).

Attorney State Bar Number

(if applicable) Attorney or Accredited Representative

USCIS Online Account Number (if any)

Select this box

if Form G-28 is

attached.

Volag Number

(if any)

Yes No

Part 1. Obligor and Agent/Co-Obligor Information

31 U.S.C. section 7701(c)(1). The head of each Federal agency will require each person doing business with that agency to furnish to

that agency such person's taxpayer identification number, if any. It is the intent of the Department of Homeland Security (DHS) to use

such numbers for purposes of collecting and reporting information on any delinquent accounts arising out of such person's relationship

with the Government. The obligor, surety, or agent must furnish its Taxpayer Identification Number (TIN) to DHS. Failure to furnish

the TIN may result in a refusal of the Public Charge Bond.

Obligor

An acceptable surety company, or an entity or individual who deposits cash or cash equivalents such as certified checks, cashier's

checks, or money orders, may execute the public charge bond (“public charge bond” or “bond”) as the surety. The surety is the

obligor; the bonded alien is the principal; and DHS is the beneficiary of all bonds it authorizes. The obligor guarantees the

performance of the conditions of the bond. The bond's guaranty is secured by the amount of the bond. An acceptable surety company

is generally one that appears on the current Treasury Department Circular 570 as a company holding the requisite certificate of

authority to act as a surety on Federal bonds. Acceptable sureties are defined in 8 CFR 103.6(b).