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ASC Appointment Notice CASE TYPE
I*** - APPLICATION FOR EMPLOYMENT AUTHORIZATION
NOTICE DATE
APPLICATION/PETITION/REQUEST NUMBER
IOE9304048118
USCIS A#
A232 569 404
CODE
3
ACCOUNT NUMBER
TCR SERVICE CENTER
NBC
PAGE
1 of 2
MARCO JEAN BAPTISTE
971 WOODFIELD RD WEST HEMPSTEAD
W HEMPSTEAD NY 11552
PLEASE READ THIS ENTIRE NOTICE CAREFULLY. To process your application, petition, or request, U.S. Citizenship and Immigration Services (USCIS) must collect your biometrics. Please appear at the below Application Support Center (ASC) at the date and time specified. TO REQUEST THAT USCIS RESCHEDULE YOUR APPOINTMENT, SEE THE INSTRUCTIONS AT THE BOTTOM OF THIS NOTICE. IF YOU FAIL TO APPEAR AS SCHEDULED, USCIS WILL CONSIDER YOUR BENEFIT REQUEST ABANDONED AND IT MAY BE DENIED. APPLICATION SUPPORT CENTER
USCIS QUEENS/JAMAICA
153-01 Jamaica Avenue
Jamaica NY 11432
DATE AND TIME OF APPOINTMENT
07/17/2023
11:00AM
WHEN YOU APPEAR AT THE ASC FOR BIOMETRICS SUBMISSION, YOU MUST BRING: 1. THIS APPOINTMENT NOTICE. If you received multiple ASC notices, bring all notices to your first appointment, and 2. PHOTO IDENTIFICATION. Your biometrics will not be collected without identification. You must bring a valid government-issued photo identification document. If the name on your identification is different than the name on your ASC notice, bring supporting documentation. If you filed an Application for Naturalization (Form N-400) or Application to Replace Permanent Resident Card (Form I-90), you must bring your Permanent Resident Card (also known as a Green Card). Only those necessary to assist you with transportation or completion of the biometrics worksheet should accompany you to your ASC appointment. If you have open wounds, bandages, or casts when you appear for biometrics submission, USCIS may reschedule your appointment if we determine your injuries may interfere with biometrics submission. Please do not visit a USCIS office if you are sick or feel any symptoms of being sick. Follow the instructions on this notice to reschedule your appointment. You may bring cell phones or electronic devices, but they must be turned off during biometrics collection. No one may photograph or record at an ASC. For more information regarding your ASC appointment, visit https://www.uscis.gov/forms/filing-guidance/preparing-for-your-biometric-services-appointment. If you have questions regarding this notice, please call the USCIS Contact Center at 1-800-***-**** (TTY 800-***-****). NOTE: If an ASC closes due to inclement weather or unforeseen circumstances, USCIS will automatically reschedule your appointment for the next available date and time. For the latest information on the status of an office, visit https://www.uscis.gov/about-us/uscis-office-closings. Please check this page on the day of your appointment. If USCIS reschedules your appointment for any reason, you will receive a new ASC appointment notice.
To ensure you receive all correspondence from USCIS, you must update your address if you move. For instructions, visit https://www.uscis.gov/addresschange. USCIS may use your biometrics to check the criminal history records of the FBI, for identity verification, to determine eligibility, to create immigration documents (e.g., Green Card, Employment Authorization Document, etc.), or any purpose authorized by the Immigration and Nationality Act. You may obtain a copy of your own FBI record using the procedures outlined within Title 28 C.F.R., Section 16.32. For information, please visit: https://www.fbi.gov/how-we-can-help-you/more-fbi-services- and-information/identity-history-summary-checks
For Privacy Act information, please visit https://www.fbi.gov/how-we-can-help-you/more-fbi-services-and-information/compact-council/privacy-act-statement REQUESTS TO RESCHEDULE/SPECIAL HANDLING
If you are unable to attend your scheduled ASC appointment, you may request that USCIS reschedule your appointment. Your request to reschedule must: 1) be made before the date and time of the original appointment and 2) establish good cause for rescheduling. If you fail to make a request before your scheduled appointment or fail to establish good cause, USCIS may not reschedule your ASC appointment. To request a reschedule, please visit https://my.uscis.gov/accounts/biometrics/overview. You may also call the USCIS Contact Center at 1-800-***-**** (TTY 800-***-****). If you have a serious ongoing medical condition and you cannot leave your home/hospital, you may request a mobile biometrics/homebound appointment by following the instructions on the back in the Notice for People with Disabilities or by visiting uscis.gov/accommodations. APPLICATION NUMBER
I765 - IOE9304048118
If you have any questions regarding this notice, please contact the USCIS Contact Center at 1-800-***-****. Important Information for Your Biometric Services Appointment You have been scheduled for a biometric services appointment at an Application Support Center (ASC). Please note the following:
• Application Support Centers (ASC) offer biometrics collection services by appointment.
• You must have a scheduled appointment before arriving at an ASC.
• Your notice will provide specific instructions on what you should bring to your ASC appointment. You must also bring:
• your printed ASC appointment notice (Form I-797C).
• valid photo identification (such as your Green Card, passport, or driver's license)
• the completed Applicant Information Worksheet (AIW) below
• If you received multiple biometrics appointment notices, please bring all notices to your appointment:
• Interpreters, attorneys or those providing needed assistance if you are disabled are permitted to accompany you.
• Family groups may appear together, even if they are scheduled for a different day.
• Military members may appear without an appointment.
• If you arrive more than 15 minutes before your appointment, you may be asked to wait until your appointment time to be processed.
• On the day of your appointment, please check for office closures or delays here: www.uscis.gov/about-us/uscis-office-closings
• For more information for visiting USCIS facilities, please visit: www.uscis.gov/about-us/uscis-visitor-policy
• ASCs do not provide information services or case services relating to the status of applications. To track the status of animmigration application, petition, or request, visit: https:// egov.uscis.gov/casestatus/landing.do
APPLICANT'S INFORMATION WORKSHEET (AIW)
NAME:
FIRST MIDDLE LAST
LIST ANY OTHER NAMES USED (MAIDEN NAME, PREVIOUS MARRIAGE, ALIAS, ETC.): 1)
FIRST MIDDLE LAST
2)
FIRST MIDDLE LAST
DATE OF BIRTH:
MONTH DAY YEAR
COUNTRY OF BIRTH: COUNTRY OF CITIZENSHIP:
GENDER: (CHECK ONE)
MALE
FEMALE
OTHER
RACE: (CHECK ONE)
ASIAN
BLACK
CAUCASIAN/LATINO
NATIVE AMERICAN
UNKNOWN
EYE COLOR: (CHECK ONE)
BLACK
BLUE
BROWN
GRAY
GREEN
HAZEL
MAROON
MULTICOLOR
PINK
UNKNOWN
HAIR COLOR: (CHECK ONE)
BALD
BLACK
BLOND OR STRAWBERRY
BLUE
BROWN
GRAY
GREEN
ORANGE
PINK
PURPLE
RED OR AUBURN
SANDY
WHITE
UNKNOWN
HEIGHT: OR WEIGHT: OR
FEET/INCHES CENTIMETERS POUNDS KILOGRAMS
When you provide your digital signature, you will be attesting to the following: I declare under penalty of perjury that I have reviewed and understand the document(s) identified by the receipt number displayed on the screen above, and that all the information in these materials is complete, true, and correct. This includes any:
• application, petition, or request that I submitted;
• application, petition, or request that I provided on behalf of my derivative beneficiary;
• application, petition, or request that was submitted on my behalf; and
• supporting documents, applications, petitions, or requests filed with my application, petition, or request that I (or my attorney or accredited representative) filed with USCIS, or that was filed on my behalf.
RETURN "AIW" TO APPLICANT
AIW: REVISED 11 MAY 2023
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