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Genealogy Records Request Department of Homeland Security U.S. Citizenship and Immigration ServicesUSCIS Form G1041A OMB No. 16150096 Expires 09/30/2022 START HERE Type or print in black ink. Part
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How to fill out DHS USCIS G-1041A

01
Begin by downloading the DHS USCIS G-1041A form from the official USCIS website.
02
Fill in your personal information at the top of the form, including your name, address, and contact details.
03
Indicate your immigration status and any relevant A-number if applicable.
04
Complete the section regarding the type of request you are making, such as historical records or other specific documents.
05
Provide a detailed description of the information you are requesting, including names, dates, and any pertinent details.
06
Review the privacy notice provided on the form and check the acknowledgment box if you agree.
07
Sign and date the form at the bottom.
08
Prepare any required supporting documents, and attach them to the form if needed.
09
Submit the completed form along with any fees and necessary documents to the appropriate USCIS address as instructed.

Who needs DHS USCIS G-1041A?

01
Individuals seeking access to their own immigration records or historical documents.
02
Genealogists researching family history relating to immigration.
03
Researchers or historians looking for specific historical immigration data.
04
Legal representatives of individuals who need access to immigration files for legal purposes.
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DHS USCIS G-1041A is a form used to request a nonimmigrant visa file or information related to an individual’s immigration records held by the U.S. Citizenship and Immigration Services.
Individuals seeking to obtain information regarding their immigration records or those of a family member typically file the G-1041A form.
To fill out the DHS USCIS G-1041A, individuals need to provide their personal information, specify the type of records they are requesting, and include appropriate signatures.
The purpose of the DHS USCIS G-1041A is to facilitate the retrieval of nonimmigrant visa records or other immigration file information from the USCIS.
The G-1041A requires information including the applicant's full name, date of birth, alien registration number (if applicable), and details about the requested records.
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