Effective Date: 5/2015

Availability

Link: https://www.uscis.gov/sites/default/files/files/form/g-845.pdf

 

Instructions

Updated: 7/2016

Purpose

To request verification of immigration status from the U.S. Citizenship and Immigration Services (USCIS).

Procedure

When to Prepare

Complete Form G-845 with Form G-845 Supplement when the advisor is unable to obtain verification through the automated Systematic Alien Verification for Entitlement (SAVE) program’s Verification Information System (VIS) or SAVE instructs the advisor to "Institute Additional Verification."

Number of Copies

Original only.

Transmittal

Mail Form G-845 with Form G-845 Supplement, Verification Request, and attach copies (front and back) of all immigration documentation provided by the applicant to:

U.S. Citizenship and Immigration Services
Attn.: USCIS SAVE Program Status Verification Office
300 N. Los Angeles Blvd., Room 2050
Los Angeles, CA 90012

For Cuban-Haitian Entrant verification, mail Form G-845 with Form G-845 Supplement and attach copies (front and back) of all immigration documentation provided by the applicant to:

USCIS Status Verification Operations Office
Attn.: Case Resolution Unit
10 Fountain Plaza, 3rd Floor
Buffalo, NY 14202

Form Retention

The requirements are listed in the Texas Works Manager's Guide.

DETAILED INSTRUCTIONS

Complete only the top portion of the form.

To: USCIS — Enter the address specified above.

Part 1 - Information from the Registered Agency
To: USCIS — Enter the address specified above.
From — Enter the following address:

Texas Health and Human Services Commission
P.O. Box 149027
Austin, TX 78714-9027

Applicant Information

1. Immigration Document Number — Enter in Items 1.a.-1.d. the Alien Registration Number (A-Number), I-94 Number, or Immigration Number and Form Name Containing the Other Immigration Number.

2. Applicant's Name — Enter in Items 2.a.-2.c. the immigrant's full name (last, first and middle), as shown on the immigration document.

3. Case Verification Number — Enter the 15-digit case verification number if a query was initiated in the SAVE online system. If the SAVE online system was not used, leave this field blank.

4. Date of Birth — Enter the immigrant's date of birth (mm/dd/yyyy).

5. Social Security Number — Enter the immigrant's Social Security number, if available

6. Student and Exchange Visitor Information System (SEVIS) Number — Enter the immigrant's SEVIS number, if applicable.

7. Citizenship or Nationality — Enter the immigrant's citizenship or nationality.

8. Documents Attached — Select 8.a. and/or 8.b. to indicate the type of immigration documents that are being attached to Form G-845. If the immigration document is printed on both sides, attach a copy of both sides of the document and ensure that the copies are legible. If attaching other information, ensure that it is only another immigration document or numeric identifier. A state issued driver license, identification card or Social Security card is not acceptable.

9. Benefits Sought — Check the appropriate boxes in 9.a. – 9.1., identifying the type of benefits the individual is applying for.

10. Registered Agency Case Number —Enter the case number, if applicable.

11. Full Name of Agency Official — Enter last name in 11.a. and the first name in 11.b. of the advisor completing the request.

12. Title of Agency Official — Enter title of the advisor submitting the request.

13. Daytime Telephone Number — Enter the advisor's telephone number including area code in 13.a. and the extension number (if applicable) in 13.b.

14. Fax Number — Enter the area code and fax number, if applicable.

15. Date Request Completed — Enter the date Form G-845 is completed.

16. Registered Agency Comments — Enter any comments.

Part 2. USCIS Responses — Only USCIS should complete this information.

Part 3. USCIS Additional Responses — Only USCIS should complete this information.

Returned Form G-845 from USCIS

 

Review the response provided by USCIS on Form G-845, and take action to continue providing benefits or to disqualify the individual, as appropriate.

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