OMB No. 1615-0012; Expires 12/31/2015 Department of-2026

Get Form
OMB No. 1615-0012; Expires 12/31/2015 Department of Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out OMB No. 1615-0012; Expires 12/31/2015 Department of with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out Section A, where you will indicate your relationship to the beneficiary. Select from options such as Spouse, Parent, or Child.
  3. In Section B, provide your personal information including your address, place of birth, and date of birth. Ensure all details are accurate for processing.
  4. Proceed to Section C to enter information about your relative. Include their name in capital letters, gender, marital status, and other relevant details.
  5. Complete Section D by answering questions regarding any previous petitions filed and providing necessary certifications.
  6. Finally, sign and date the form in Section E. If someone else prepared the form for you, they must complete Section F.

Start using our platform today to streamline your form completion process for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more
ccpa2
pci-dss
gdpr-compliance
hipaa
soc-compliance
be ready to get more

Complete this form in 5 minutes or less

Get form