Request for Immigration Bond Information by Alien

Legal Form Number71-051
SectionU.S. Immigration and Customs Enforcement
IssuerU.S. Immigration and Customs Enforcement
U.S. Immigration and Customs Enforcement
For aliens, use this form to request information about an immigration bond posted on your behalf.
I certify under penalty of perjury that the information above is accurate. I authorize U.S. Immigration and Customs Enforcement (ICE),
its offices, employees, contractors, agents, and assignees, to disclose the information or records specified above. I understand this may
include and is not limited to reports, evaluations, and notes of any kind, contained in any record keeping system maintained by or on
behalf of ICE; that ICE retains the discretion to decide if particular records or information are within the scope of this request; and that
ICE has no control over use or dissemination of my information once it is provided to me. I agree to release and hold harmless ICE, its
offices, employees, contractors, agents, and assignees, from any and all claims of action or damages of any kind arising from, or in any
way connected to, the release or use of any information or records pursuant to this request. Certain information about you may be
requested to confirm you identity.
STEP 1 Provide information about yourself.
Full Name Alien Registration Number
Current Address Date of Birth
Country of Birth
STEP 2 Specify the information you are requesting.
Bond Status
Obligor Name
Bond Amount
STEP 3 Sign the statement below authorizing the release of your information and/or records.
Your Signature (Sign in ink) Witness Signature (Sign in ink)
Date Witness Name
STEP 4 Mail request to:
Financial Service Center – Burlington
Bonds Section
U.S. Immigration and Customs Enforcement
P.O. Box 5000
Williston, VT 05495
ICE Form 71-051 (5/18) Page 1 of 2

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