Steward

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Form AR-11 Edition 11/02/22 Page 2 of 2

DHS Privacy Notice

AUTHORITIES: The information requested on this form is collected under the Immigration and Nationality Act (INA) section 265.

PURPOSE: The primary purpose for providing the requested information on this form is to report a change of address. Except for

those exempted, all aliens in the U.S. are required to report any change of address or new address. DHS uses the information you

provide to contact you about the immigration benefit you are seeking.

DISCLOSURE: The information you provide is mandatory. Failure to report a change of address may result in a fine, imprisonment

and/or removal (8 U.S.C. sections 1227(a)(3) and1306). Failure to comply could also jeopardize your ability to obtain a future visa or

other immigration benefits.

ROUTINE USES: DHS may share the information you provide on this form with other Federal, state, local, and foreign government

agencies and authorized organizations. DHS follows approved routine uses described in the associated published system of records

notices [DHS/USCIS-001 - Alien File, Index, and National File Tracking System and DHS/USCIS-007 - Benefits Information

System] and the published privacy impact assessments [DHS/USCIS/PIA-018 Alien Change of Address Card (AR-11)] which you can

find at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the interest

of national security.

All aliens subject to registration requirements may use this form to report a change of address within 10 days of such change. For

detailed instructions on how to update your address, please visit www.uscis.gov/addresschange. The collection of this information is

required by Immigration and Nationality Act (INA) section 265 (8 U.S.C. 1305). U.S. Citizenship and Immigration Services (USCIS)

uses the data collected on this form for statistical and record-keeping purposes, and may share this information with other Federal,

state, local, and law enforcement officials. Failure to report a change of address is punishable by fine or imprisonment and/or removal

from the United States.

NOTE: This form is not evidence of identity, age, or status claimed.

Address Change Information and Instructions

U.S. Department of Homeland Security

Citizenship and Immigration Services

Attn: Change of Address

1344 Pleasants Drive

Harrisonburg, VA 22801

Instructions

Complete all fields on this form, sign and date the form, and mail it to:

IMPORTANT: If you are in immigration proceedings, you must separately notify the Immigration Court of any address

changes. Filing Form AR-11 with USCIS does not update your address with the Immigration Court.

Thanks for your understanding and your kindness

God bless you

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