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pdfNew Sponsor application
Form Section 3-6
Sect 4
Sect 3
An official website of the United States government
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Sponsor Application for Family
Unification
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3: Sponsor
information
This section has not been
started.
3.1 Sponsor’s
relationship to child
Child
Maria Ricardo
Sponsor-child relationship
Your relationship to this child
- Select -
Proof of relationship
Upload one of the following
documents to provide proof of a
relationship between you and the
minor. Expired documents are
acceptable.
Parent document selection
- Select -
Sect 6
Sect 5
An official website of the United States government
Here’s how you know
Sponsor Application for Family
Unification
An official website of the United States government
Here’s how you know
Sponsor Application for Family
Unification
MENU
4: Household
information
5:
Alternative
caregiver
Progressive disclosure for
address when answer = no
This section has not been
started.
4.1 Where will you
and the child
(children) live?
Address
8721 River Bend Street Apt 811
Jupiter, IN 90521
This section has not been
started.
4.1 Where will you
and the child
(children) live?
5.1 Adult who will
Address
8721 River Bend Street Apt 811
Jupiter, IN 90521
Same as your current address?
Same as your current address?
Yes
Yes
No
No
Country
Proof of your current address
United States
Upload at least one form of
documentation verifying your
current address.
Street address
If you are unable to provide this
documentation, please contact
your Case Manager.
City
New conditional logic on whether
or not an ACG is an adult HHM age
>= 18yrs ol
Question responses
If Yes - User is required to
select which HHM from the
droplis
If No - Do not ask the next
question
- Select -
Upload front of birth certificate
Upload files
4.2 Household
members
Upload back of birth certificate
Is the Alternative caregiver an adult
household member (greater than 18
years old)?
Yes
Which adult household member
would be the alternative
caregiver?
Adult household member selection
- Select -
First name
Please explain why this varies from
your current address
Last name
Background information
Your country of origin (where you were
born)
Back
Delete
Proof of alternative caregiver’s identity
Upload the alternative caregiver’s
government issued ID. You may
present one selection from List A or
two or more selections from
List B. If
you present selections from List B, at
least on selection must contain a
photograph. Expired
documents are
acceptable.
Household member’s last name
Household member’s date of birth
mm/dd/yyyy
- Select -
- Select -
Household member's relationship to
Child 2, Anna Ricardo
Language 3 (optional)
- Select -
- Select -
+ Add another household member
Your contact information
Mobile phone number
Secondary phone number (optional)
Email address (optional)
4.3 Health
information
How will you financially support the
child (children)?
Please explain. Include all sources and
amounts of your income (for example,
the amount you are paid each week) as
well as explaining any financial
support from others who will help with
financial support.
Need Help? See Frequently Asked
Questions or contact your Case Manager.
Family Reunification Packet | Version 13
FRP-3 Family Reunification Application
Revised 12/28/2022
- Select -
Progressive disclosure for
Health information questions
when answer = yes
Serious contagious diseases
Does any person in your household
have any serious contagious diseases?
e.g. TB, AIDs, hepatitis, etc.
Does any person in your household
have any serious contagious diseases?
e.g. TB, AIDs, hepatitis, etc.
Yes
Yes
No
No
5.2
About the
alternative caregiver
Contact information
No
Child health conditions
Yes
Alternative caregiver’s address
Country
United States
Street address
Progressive disclosure for
Criminal history questions
when answer = yes
Yes
Have you or any person in your
household ever been charged with or
convicted of a crime (other than a
minor traffic violation)?
e.g. speeding, parking ticket, etc.
Alternative caregiver’s phone number
Please explain.
Are you aware of any health conditions
the child (children) may have?
e.g. disabilities, allergies, diseases,
etc.
Crime
Submit for Case Manager review
List B document 1 selection
Serious contagious diseases
4.4 Criminal history
Save for later
Are you aware of any health conditions
the child (children) may have?
e.g. disabilities, allergies, diseases,
etc.
Yes
No
Please explain.
4.4 Criminal history
Crime
Have you or any person in your
household ever been charged with or
convicted of a crime (other than a
minor traffic violation such as a
speeding or parking ticket)?
Yes
No
Abuse or abandonment
Have you or any person in your
household ever been investigated for
the physical abuse, sexual abuse,
neglect, or abandonment of a minor?
Incident 1
Add Delete
Name of household member(s)
involved
State
- Select -
Zip code
Relationships
Alternative caregiver's relationship to
you, the sponsor
- Select -
Alternative caregiver's relationship to
Child 1, Maria Ricardo
Alternative caregiver's relationship to
Child 2, Anna Ricardo
- Select -
5.3
Alternative
child care
Yes
Place of the incident
Save for later
City
- Select -
No
No
If you become unable to care for the
child (children), how will this alternative
caregiver care for the child (children)?
Date of the incident
Submit for Case Manager review
ORR National Call Center
1 (800) 203-7001
Revised 12/28/2022
1 (800) 203-7001
List B (upload two)
4.3 Health
information
Child health conditions
Your financial information
FRP-3 Family Reunification Application
ORR National Call Center
OR
- Select -
- Select -
Family Reunification Packet | Version 13
List A document selection
Household member's relationship to
you, the sponsor
Household member's relationship to
Child 1, Maria Ricardo
Language 2 (optional)
Submit
List A (upload one)
Language 1
- Select -
I will provide for the physical and
mental well-being of the minor(s). I
will also comply with my state's laws
regarding the care of this minor
including
Enrolling the minor(s) in school
Providing medical care when
needed
Protecting the minor(s) from
abuse, neglect, and abandonment;
an
Any other requirement not herein
contained
Your signature
Please type your name below to indicate
your electronic signature.
Need Help? See Frequently Asked
Questions or contact your Case Manager.
Date of birth
mm/dd/yyyy
- Select Language(s) you speak
I further attest that I will abide by the
care instructions contained in the
Sponsor Care Agreement.
No
Zip code
Household member’s first name
3.2 About you, Raul
Miguel Castillo
This section has not been
started.
I attest that all documents I am
submitting or copies of those
documents are free of error and fraud.
Who currently lives at this address?
Household member 1
Upload files
6: Application
signature
Who will care for the child(ren) if you
become unable to care for the child(ren)?
Alternative caregiver’s name
Household members
MENU
care for the
child(ren) if you
cannot
Proof of child’s identity
Upload the child's birth certificate
Sponsor Application for Family
Unification
I, Raul Miguel Castillo, declare and
affirm under penalty of perjury that
the information contained in this
application is true and
accurate to the best of my knowledge.
State
- Select -
Proof of current address
document selection
MENU
An official website of the United States government
Here’s how you know
Need Help? See Frequently Asked
Questions or contact your Case Manager.
Explanation of the incident
Family Reunification Packet | Version 13
FRP-3 Family Reunification Application
Revised 12/28/2022
Save
Disposition of the incident
e.g., charges dropped, fined,
imprisoned, probation
Submit for Case Manager review
Return to top
ORR National Call Center
1 (800) 203-7001
Abuse or abandonment
Have you or any person in your
household ever been investigated for
the physical abuse, sexual abuse,
neglect, or abandonment of a minor?
ORR National Call Center
Yes
Call for questions, to change an address, or
report a missing child
No
1 (800) 203-7001
Abuse or abandonment
Add
Name of household member(s)
involved
Place
Date
Explanation of the incident
Disposition of the incident
e.g., charges dropped, fined,
imprisoned, probation
Save for later
Submit for Case Manager review
Need Help? See Frequently Asked
Questions or contact your Case Manager.
Family Reunification Packet | Version 13
FRP-3 Family Reunification Application
Revised 12/28/2022
ORR National Call Center
1 (800) 203-7001
File Type | application/pdf |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |