Refugee benefits election form 2026

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  1. Click ‘Get Form’ to open the Refugee Benefits Election Form in the editor.
  2. Begin by indicating your election. Choose whether you wish to participate in the U.S. Department of State’s resettlement program by checking the appropriate box.
  3. Fill in your personal details, including your name in block letters, date of birth, email address, and telephone number. Ensure all information is accurate for timely processing.
  4. Sign and date the form at the bottom. This acknowledges that you have read and understood the accompanying information regarding resettlement benefits.
  5. Once completed, return a scanned copy of this page along with the DS-0234 Special Immigrant Visa Biodata Form to the designated email addresses provided in the instructions.

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