Department of Justice Executive Office for Immigration Review Immigration Court 1100 Commerce Street, Suite 4B41 Dallas, Texas 75242 FILE NO - justice-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your full name in the 'Background and Residence' section. Ensure accuracy as this is crucial for identification.
3. Provide your date of birth and current detention location. This information helps establish your identity and current status.
4. List all addresses where you have lived in the past five years, including dates. Use the editor's text fields to ensure clarity.
5. In the 'Family' section, indicate your marital status and provide details about your spouse if applicable. Fill in their immigration status as well.
6. Complete the 'Employment During the Past 5 Years' section by entering employer names and addresses along with employment dates.
7. Detail your financial resources, including assets and sources of income. This will help assess your financial situation.
8. If applicable, provide information regarding any criminal record or immigration history as required in sections E and F.
9. Finally, review all entries for accuracy before signing and certifying service at the end of the document.

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