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Sponsor Application for Family
Sponsor Application for Family
ac
:
x
: B kg
1
Unification
MENU
Unification
Section 2:
This section has not been
Background
started.
becomes
.
1 1 About the child
(children)
Section
Unification
:
Authori ation
Sponsor Application for Family
Unification
z
2
MENU
:
Authori ation
Sponsor Application for Family
Unification
z
2
MENU
:
Authori ation
2
Sponsor Application for Family
MENU
Unification
z
:
Authori ation
2
z
This section has not been
This section has not been
This section has not been
This section has not been
This section has not been
started.
started.
started.
started.
started.
Y
ou must complete this
Y
ou must complete this
Y
ou must complete this
Y
ou must complete this
x
Authori ation
E isting
Y
ou must complete this
section before you can proceed
section before you can proceed
section before you can proceed
section before you can proceed
section before you can proceed
with the application.
with the application.
with the application.
with the application.
with the application.
1 of 5
2 of 5
Carefully read this Authorization
3 of 5
4 of 5
I Authori e any federal, state,
or local
I Understand that my biometric and
I Understand that this information will
agreement and accompanying Privacy
criminal ustice agency federal, state,
biographical information, including
become the property of the ORR and
Notice, then provide your typed
local, or private child welfare agency
my fingerprints, is shared with
may be reviewed by its
employees,
electronic signature.
federal immigration agency
or any
Federal, state or local law
grantees, contractors, and delegates. I
other sources of information, such as
enforcement agencies and may be
also understand that the ORR may
I Authori e any investigator, special
schools, courts, treatment providers,
used consistent with their authorities,
share this information
with the
agent, employee, contractor, grantee
probation parole officers,
mental
including
with the U.S. Department of
employees and contractors of other
or other duly accredited
health professionals, or other
Homeland Security (DHS) and with
Federal agencies.
representative working on behalf of
references, to release information
the U.S. Department of Justice (DOJ)
the Office of Refugee Resettlement
about any criminal history, child
to
investigate my criminal history
I Understand that ORR will offer me a
(ORR) conducting my background
abuse
and neglect charges or
through the National Criminal
fingerprint appointment within seven
investigation or sponsorship
concerns, mental health issues,
Information Center. I also understand
(7) business days of receipt of a
assessment to obtain information for
substance abuse,
domestic violence,
that DHS
cannot use my information
signed copy of this document and a
the purposes of assessing my ability
or any other psychosocial information
for immigration enforcement actions,
valid form of identification, unless
to
provide appropriate care and
gathered about me either verbally or
including placement in detention,
circumstances beyond ORR’s control
placement of a child and for providing
in writing.
removal,
referral for a decision
prevent ORR from offering an
whether to initiate removal
appointment within that timeframe. I
Child’s first name
z
j
Child’s date of birth
/ /
mm dd yyyy
,
1 2 About you the
;
/
post release services, as needed, or
+ Add another child
;
;
z
Child’s last name
z
sources of information pertaining to
proceedings, unless I
have been
make
reasonable efforts to process
applicable.
me to release such information
upon
convicted of a serious felony, am
my fingerprints within ten (10)
request of the investigator, special
pending charges for a serious felony,
business days of receipt of a set of
agent, employee, contractor, grantee,
or I have been directly
involved in or
legible prints,
unless circumstances
or other duly accredited
associated with any organization
beyond ORR’s control prevent
representative of the ORR.
involved in human trafficking.
g
Y
A
our first name
I, Raul Miguel Castillo, agree to the
j
and affirm under penalty of per ury
1
accurate to the best of my
knowledge.
Y
our signature
Please type your name below to indicate
household or caregiver for a child, as
our name
submitting.
this authorization is true and
further understand that ORR will
Y
Background information before
that the information contained in
proceedings, or initiation of removal
ac
Please review your Section 1:
Authorization Agreement. I declare
I Authori e custodians of records and
B k
your electronic signature.
B k
ac
fingerprints from being processed
ree and continue
within that timeframe.
Submit
I Understand that the information
?
See Frequently Asked
Need Help
Q
B k
uestions or contact your Case Manager.
ac
Last name
Family Reunification Packet
|V
ersion 1
g
3
A
ree and continue
FRP-2 Authorization for Release of
n
/ /
Informatio
our date of birth
/ /
mm dd yyyy
?
See Frequently Asked
Need Help
Q
uestions or contact your Case Manager.
Revised 12 28 2022
released by any custodian of my
I Hereby Relinquish any claim or right
records and any other sources of
under the laws of the United States
information about me is for official
against the federal government, its
use by the U.S. Government, its
employees, grantees, contractors, or
employees, grantees, contractors, and
delegates, for the legally authorized
other
delegated personnel, for the
use of any information gathered
purposes stated above, and may be
during a search of my criminal history,
disclosed by the U.S. Government only
child welfare information, any
as
authorized by law.
information contained in my
?
See Frequently Asked
Need Help
Q
uestions or contact your Case Manager.
Family Reunification Packet
|V
ersion 1
3
FRP-2 Authorization for Release of
n
/ /
Informatio
Revised 12 28 2022
sponsorship application and
Family Reunification Packet
Y
|V
ersion 1
3
supporting documentation, and any
information
gathered from any verbal
FRP-2 Authorization for Release of
our country of citizenship
n
/ /
Informatio
- Select -
1
Revised 12 28 2022
or written sources regarding this
See Consolidated Appropriations Act,
sponsorship application. I hereby
2023, Pub. L. 117-328, Division F, Title II, §
relinquish any
claim or previous
217. Please note that DHS is restricted
agreement with any federal, state,
from using this information through
O
Proof of identity
Upload your government issued ID.
Y
RR National
C C
all
local, or private agency that would bar
September 31, 2023.
the ORR or the
agency's official
enter
delegate from obtaining the
1 (800) 203-7001
requested information.
List A or two or more selections from
B k
ac
List
documents are acceptable.
O
RR National
C C
all
enter
g
A
B k
ree and continue
ac
1 (800) 203-7001
?
Q
g
See Frequently Asked
Need Help
List A (upload one)
A
uestions or contact your Case Manager.
List A document selection
?
- Select Family Reunification Packet
|V
ersion 1
3
Q
ree and continue
See Frequently Asked
Need Help
uestions or contact your Case Manager.
FRP-2 Authorization for Release of
O
List
n
/ /
Informatio
R
Family Reunification Packet
Revised 12 28 2022
|V
ersion 1
3
FRP-2 Authorization for Release of
n
/ /
Informatio
B (upload two)
Revised 12 28 2022
List
B document 1 selection
- Select -
O
Y
our previously used name(s)
List other names you have used, such
as your
name before you were married
or maternal
last names (separate with
commas)
Delete
Y
our previous name
When you stopped using this name
month
year
- Select -
- Select -
+ Add another name
Y
our place of birth
Please copy from your birth certificate
Country
- Select -
State
- Select -
City
. Your addresses
1 3
Y
our current address
Street address
City
State
- Select -
Zip code
Address start date
month
year
- Select -
- Select -
Y
our past addresses
Where have you lived the past 5
?
years
Previous address
Delete
Country
- Select -
Street address
City
State
- Select -
Zip code
Address start date
month
year
- Select -
- Select -
Address end date
month
year
- Select -
- Select -
+ Add another address
?
Need Help
See Frequently Asked
uestions or contact your Case Manager.
v
Sa e for later
Submit for
C
ase
Manager review
Family Reunification Packet
|V
ersion 1
3
FRP-2 Authorization for Release of
n
/ /
Informatio
Revised 12 28 2022
O
C C
all
enter
1 (800) 203-7001
O
RR National
C C
all
enter
1 (800) 203-7001
Previous name
Q
RR National
RR National
C C
all
enter
1 (800) 203-7001
O
RR National
C C
all
enter
1 (800) 203-7001
ou may present one selection from
B. If you present selections from
List B, at least on selection must
contain a photograph. Expired
Authorization
becomes
5 of 5
my
background as a member of the
Sponsor
Y
Section 1:
Section 2
Delete
.
MENU
1
Child (children) information
Child
Sponsor Application for Family
z
2
E isting
round
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File Type | application/pdf |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |