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U.S. Citizenship and Immigration Services

Please fill out and submit the below request for assistance. After you do, someone from Senator Kim’s team will follow up with a Privacy Release Form that you must complete. Pursuant to Public Law 93-579 — the Privacy Act of 1974 — our office cannot assist individuals without their express written consent.

For casework assistance, use the form below. Information about federal funding resources are available at the federal funding page. To leave general comments or share your thoughts with the Senator, visit the contact page.

1.Your Information

Prefix

Name(Required)

First Last

Street Address(Required)

Street Address 2

City(Required)

State*(Required)

Zip(Required)

Primary Phone(Required)

Secondary Phone

Email(Required)

Birth Date*(Required)

MM slash DD slash YYYY

Mailing Address is the same Current Residential Address

Mailing Address

Street Address(Required)

Street Address 2

City(Required)

State(Required)

Zip(Required)

Primary Phone(Required)

Secondary Phone

Email(Required)

2.Case Details

Petitioner/Applicant Name

Petitioner/Applicant Date of Birth (MM/DD/YYYY)

MM slash DD slash YYYY

Alien number (if any)

Petitioner/Applicant Country of Birth* (Required)

Beneficiary Name

Beneficiary Date of Birth (MM/DD/YYYY)

MM slash DD slash YYYY

Alien number (if any)

Beneficiary Country of Birth* (Required)

USCIS receipt number or tracking number

Date of Filing (MM/DD/YYYY)

MM slash DD slash YYYY

Form type(s) – check all that apply:

G-639

I-90

I-129

I-129F

I-130

I-131

I-140

I-212

I-290B

I-360

I-485

I-526

I-539

I-589

I-590

I-600A

I-600

I-601

I-612

I-690

I-730

I-751

I-765

I-821

I-824

I-829

I-914 (Supplement A, B, or C)

I-918

I-924

I-929

N-400

N-600

N-565

N-644

Other

Other Form Type*(Required)

3.Your Request

Please describe what you need help with*(Required)

By checking this box, I am who I say I am*(Required)

By checking this box, I am who I say I am*

By clicking submit, I hereby request assistance with the following matter related to the agency listed above. In keeping with the restrictions of the Privacy Act of 1974, I am authorizing you and/or your staff to obtain information about me that would be required in your Investigation of the Matter Outlined Above.*(Required)

Please click the SUBMIT button below to generate PDF. After you do, someone from Senator Kim’s team will follow up with a Privacy Release Form that you must print, sign, and return via email or mail. Pursuant to Public Law 93-579 — the Privacy Act of 1974 — our office cannot assist individuals without their express written consent.