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Dd/yyyy) Wait Listed U.S. / / / Embassy From: Consulate To: / / / Stamp Number To be completed by an attorney or accredited representative (if any). OMB No. 1615-0104 Expires 02/28/2026 Select this box if Form G-28 is attached. Date (mm/dd/yyyy) Attorney State Bar Number (if applicable) Attorney or Accredited Representative USCIS Online Account Number (if any) START HERE - Type or print in black or blue ink. Part 1. Information About You (Person filing this petition as a victim) Saf.

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Related content

I-918, Petition for U Nonimmigrant Status
Jun 5, 2026 — Use this form to petition for temporary immigration benefits for yourself...
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Policy Memorandum
Dec 16, 2010 — Purpose. This Policy Memorandum (PM) ensures that USCIS uniformly and...
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