Request to Enforce Affidavit of Financial Support and Intent to Petition for Legal Custody for Public Law 97-359 Amerasian

• Legal Form Number: I-363
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Form I-363 03/01/17 N Page 1 of 7

Request to Enforce Affidavit of Financial Support and Intent

to Petition for Custody for Pub. L. 97-359 Amerasian

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-363

For USCIS Use Only Action Block

Received

Trans In

Ret'd Trans Out

Completed

Remarks

Select this box if

Form G-28 is

attached.

Attorney State Bar Number

(if applicable) Attorney or Accredited Representative

USCIS Online Account Number (if any)

Part 1. Information About You (Beneficiary)

START HERE - Type or print in black ink.►

1.a. Family Name

(Last Name)

1.b. Given Name

(First Name)

1.c. Middle Name

A-

►

Alien Registration Number (A-Number) (if any)5.

Mailing Address

12.d.

12.e.

12.b.

12.c.

City or Town

State 12.f. ZIP Code

Street Number

and Name

Apt. Flr.Ste.

U.S. Social Security Number (if any)6.

►

USCIS Online Account Number (if any)7.

►

File Location

2. Date of Birth (mm/dd/yyyy)

3.b.

Province or State of Birth

Beneficiary's Relationship to Sponsor

10.

3.c.

Country of Birth

Initially Admitted to the United States

Destination in U.S. at Time of Initial Admission

9.

12.a. In Care of

Place of Birth

3.a.

City or Town of Birth

4. Country

of Citizenship or Nationality

Port-of-Entry

8.a.

8.b.

City or Town

State

Beneficiary's file is at the USCIS office in

11.a.

11.b.

City or Town

State

This applicant was interviewed by me

in person by phone

On (Date)

At (Location)

To be completed by an

Attorney or Accredited

Representative (if any).