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Get Download Form I-821 - USCIS.gov

N black ink. Part 1. Type of application (check one) Returned For USCIS Use Only a. This is my first application to register for Temporary Protected Status (TPS). b. This is my application for re-registration or renewal of temporary treatment benefits. I have previously been granted TPS or temporary treatment benefits. I have maintained and continue to maintain eligibility for TPS. Part 2. Information about you Family Name (Last Name) Given Name (First Name) Full Middle Name Apt. # U.

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