Alien statement form: Fill out & sign online

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Click ‘Get Form’ to open the alien statement form in the editor.
Begin by entering your Social Security number at the top of the form. This is essential for identification purposes.
Fill in your last name, first name, and middle initial. Ensure that all names are spelled correctly to avoid any processing issues.
Provide your complete address, including street, city, state, and ZIP code. This information is crucial for correspondence.
Indicate your county of residence and birth date. Additionally, specify your country of birth to complete this section.
Answer whether you possess a permanent resident card or work authorization card from INS by selecting 'YES' or 'NO'. If 'YES', provide your alien number and the issuing INS center details.
If applicable, indicate if you have applied for an authorized card and provide the date applied. Also, confirm if you hold a Temporary Immigration Receipt Employment Authorization Card.
Complete the certification section by signing and dating the form. This confirms that all provided information is accurate.

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