\*\*Appendix 2-B -- Instructions and Mailing Addresses for DHS Form G
845S from the DHS Systematic Alien Verification for Entitlements (SAVE)
Program Instructions Manual for the Department of Housing and Urban
Development\*\*

# Chapter 5: Secondary Verification Procedures

This chapter of the SAVE Program Manual provides instructions for
secondary verification, for both the Alien Status Verification Index
(ASVI) and non-ASVI user. It gives guidelines for initiating secondary
verification and understanding INS' response to the verification
request.

Questions and comments regarding secondary verification should be
directed to the INS SAVE Program at \*\*1-888-464-4218.\*\*

## Background

The SAVE Program requires participating agencies and institutions to
submit secondary verification requests to the INS under specified
circumstances. The INS conducts thorough searches of applicable INS
databases and paper files, as necessary, to respond to such secondary
verification requests. A combination of both the primary and secondary
components of the SAVE Program are used by a large number of SAVE users.
However, status verification involving only the secondary process is
available to benefit issuing agencies and institutions that have a very
small number of non-citizen applicants for benefits.

The purpose of the secondary verification process is two-fold. First, it
allows agencies to participate in the SAVE Program when access to the
automated system would not be cost effective. Second, it provides a
thorough search of all applicable INS automated databases and paper
files when questions arise during the visual verification of
documentation or the primary verification.

## Initiating Secondary Verification

Benefit issuing agencies and institutions with access to ASVI will
perform primary verification for most non-citizen applicants prior to
initiating secondary verification procedures. However, certain
circumstances require that the benefit provider forego the use of ASVI
and perform secondary verification immediately. Refer to the "Immediate
Secondary Verification" topic in Chapter 3 for circumstances that
require immediate secondary verification. Additionally, secondary
verification should occur after an automated ASVI check when:

-   ASVI returns a response of "Institute Secondary Verification"

-   A material discrepancy between an applicant's immigration
    documentation and the record contained in ASVI exists

-   A non-citizen claims they obtained Lawful Permanent (or Conditional)
    Resident Status because they were a battered alien, a parent of a
    battered child(ren), or a victim of domestic violence. Refer to the
    [Interim Guidance on Verification of Citizenship, Qualified Alien
    Status, and Eligibility Under Title IV of the Personal
    Responsibility and Work Opportunity Reconciliation Act of
    1996]{.underline}, 62 FR 61344 at Exhibit B to Attachment 5 (Nov.
    17, 1997), for instructions on verifying non-citizens claiming
    status in this category.

-   Sponsorship information from the non-citizen's Affidavit of Support
    (Form I-864) is required.

## Obtaining Secondary Verification

To obtain secondary verification, the benefit provider will forward a
completed Document Verification Request with fully readable photocopies
of both sides of the non-citizen's immigration documentation to their
local INS Office for review. The INS Offices are listed by state and
county in Appendix D; their addresses are given in Appendix E.

Benefit issuing agencies and institutions mandated by the Immigration
Reform and Control Act of 1986 (IRCA) to participate in the SAVE Program
are required to use Form G-845S, Document Verification Request and all
other participating benefit issuing agencies and institutions must use
Form G-845, Document Verification Request. The Document Verification
Request Supplement, Form G-845 Supplement, can be used in conjunction
with both forms, but not separately to obtain additional immigration
information required to make a determination for benefit eligibility as
a result of the PRWORA, as amended. These forms are included in Appendix
F and can be copied by benefit issuing agencies and institutions for use
in instituting secondary verification.

A separate Document Verification Request should be completed for each
applicant and should include copies of the documents for that person
only. If a family unit has applied for a benefit, each member will
require a separate Document Verification Request.

## Attachments

A photocopy of all applicable printed pages of each piece of immigration
documentation presented should be attached to the Document Verification
Request. The INS requires that benefit issuing agencies and institutions
copy all printed sides of each INS-issued card or form presented. When
the non-citizen presents a foreign passport as documentation, INS only
requires copies of those pages that identify the issuing country,
holder, and immigration status while in the United States (i.e., Form
I-94 INS stamp).

If the applicant presents expired immigration documents or is unable to
present any immigration documentation evidencing his or her immigration
status, the benefit issuing agency or institution should refer the
applicant to the local INS office to obtain documentation of status. In
unusual cases involving applicants who are hospitalized or medically
disabled, or who can otherwise show good cause for their inability to
present documentation, and for whom securing such documentation would
constitute an undue hardship, if the applicant can provide other
identifying documentation i.e., marriage records, court orders, etc.,
the benefit issuing agency or institution may file the Document
Verification Request, and, if applicable, copies of any expired INS
documents presented, with the local INS office to verify immigration
status. As with any documentation of immigration status, the benefit
issuing agency or institution should confirm that the status information
received from INS pertains to the applicant whose identity has been
verified.

Although an INS document is all the identification required to complete
the secondary verification request, the attachments may include
identification bearing a photograph of the applicant. If the non-citizen
has presented another pertinent document, such as a marriage record or
court order, it may be included as well. Refer to Appendix A for
examples of commonly presented INS documentation. Note that other INS
forms can serve as valid identification documents.

The name and address of the benefit issuing agency or institution
submitting the Document Verification Request should be typed or stamped
in the block labeled "**From**." The INS office address the Document
Verification Request is being sent to should be typed or stamped in the
block labeled "**To**."

## Completing the Document Verification Request

The Document Verification Requests (Form G-845S and Form G-845) (see
Appendix F) should be completed as fully as possible by the submitting
agency. It is essential that the form contain sufficient information to
verify the immigration status of the non-citizen. The benefit issuing
agency or institution completes Section A.

The following chart provides instructions for completing Section A of
Form G-845S and Form G-845.

+----------------------+-----------------------------------------------+
| ####### Field        | **Instructions**                              |
+======================+===============================================+
| 1.**Alien            | Enter the alien registration number as the    |
| Registration Number  | letter A followed by a series of seven,       |
| or I-94 Number**     | eight, or nine digits. The admission number   |
|                      | found on the Form I-94 consists of eleven     |
|                      | digits and is found at the upper left--hand   |
|                      | corner of the form. It may assist in the      |
|                      | various searches made during secondary        |
|                      | verification.                                 |
+----------------------+-----------------------------------------------+
| 2\. **Applicant's    | Enter last, first, and middle name of         |
| Name**               | applicant. If documentation indicates more    |
|                      | than one variation of the name, enter all     |
|                      | versions. Appendix C provides information on  |
|                      | Hispanic names.                               |
+----------------------+-----------------------------------------------+
| 3\. **Nationality**  | Enter the foreign nation or country to which  |
|                      | the applicant owes allegiance. This is        |
|                      | normally, but not always, the country of      |
|                      | birth.                                        |
+----------------------+-----------------------------------------------+
| 4\. **Date of        | Enter the birth date using the MM/DD/YYYY     |
| Birth**              | format. If the complete date of birth is not  |
|                      | known, give available information.            |
+----------------------+-----------------------------------------------+
| 5\. **Social         | Enter the non-citizen's nine-digit Social     |
| Security Number**    | Security number, if known. Copy the number    |
|                      | directly from the non-citizen's Social        |
|                      | Security card whenever possible.              |
+----------------------+-----------------------------------------------+
| 6\. **Verification   | Enter the verification number assigned when   |
| Number**             | ASVI was queried, if applicable. If ASVI was  |
|                      | not queried, enter "none."                    |
+----------------------+-----------------------------------------------+
| 7\. **Photocopy of   | Indicate that INS documentation is attached   |
| Document Attached    | by checking the top box. Use the bottom box   |
| and Other            | if other information has been included in     |
| Information          | support or in lieu of INS documents.          |
| Attached**           |                                               |
+----------------------+-----------------------------------------------+
| 8\. **Benefit/Your   | If completing the Form G-845S, mark the       |
| Case Number**        | blocks showing the benefit program(s) for     |
|                      | which the non-citizen has applied. If         |
|                      | completing the Form G-845, enter the benefit  |
|                      | program(s) for which the non-citizen has      |
|                      | applied. This block may also be used to show  |
|                      | the benefit issuing agency's or institution's |
|                      | case number.                                  |
+----------------------+-----------------------------------------------+
| ######## Name of     | The name of the submitting official from the  |
|  Submitting Official | benefit issuing agency or institution should  |
|                      | be entered.                                   |
+----------------------+-----------------------------------------------+
| ######## Title of    | The title of the submitting official from the |
|  Submitting Official | benefit issuing agency or institution should  |
|                      | be entered.                                   |
+----------------------+-----------------------------------------------+
| ######## Date        | The date the Document Verification Request is |
|                      | being completed by the submitting official    |
|                      | from the benefit issuing agency or            |
|                      | institution should be entered.                |
+----------------------+-----------------------------------------------+
| #####                | The telephone number that the Immigration     |
| ### Telephone Number | Status Verifier can contact the submitting    |
|                      | official from the benefit issuing agency or   |
|                      | institution, if necessary, should be entered  |
+----------------------+-----------------------------------------------+

The name and address of the benefit issuing agency or institution
submitting the Document Verification Request should be typed or stamped
in the box labeled "**From.**" The INS office address the Document
Verification Request is being sent to should be typed or stamped and the
box labeled "**To.**"

## Completing the Document Verification Request Supplement

The Document Verification Request Supplement (G-845 Supplement) (See
Appendix F) may only be used in conjunction with the Document
Verification Request (Form G-845S or Form G-845), not separately. It
should also be completed as fully as possible by the benefit issuing
agency or institution. The following information should be provided on
Form G-845 Supplement by the benefit issuing agency or institution

-   Non-citizen applicant's last, first, and middle name;

-   Social Security Number (if available);

-   Alien Registration Number (A-Number) and/or I-94 Number;

-   Typed or stamped name and address of submitting agency;

-   Current date;

-   Submitting agency's telephone number.

Refer to the "Completing the Document Verification Request" topic in
this Section for more detailed instructions on providing this
information.

The benefit issuing agency or institution should indicate what status
information is required from INS by checking off the appropriate
numbered block9s) in the "Complete the following items:" section on the
top portion of the Form G-845 Supplement. It is very important that the
benefit issuing agency or institution complete this section, so that INS
can provide all appropriate INS status information required to make a
determination regarding the applicant's eligibility for benefits under
Title IV of PRWORA, as amended. The following INS information can be
obtained by submitting Form G-845 Supplement:

1.  Immigration status;

2.  Date alien entered the United States; Date status was granted;

3.  Date status expires;

4.  Citizen status;

5.  Special benefit provisions for certain victims of abuse; and

6.  Affidavit of Support.

## Mailing Document Verification Requests

Photocopies of documentation should be stapled to the Document
Verification Request with a single staple in the upper left-hand corner.
The form and documents can be folded and placed in a window envelope,
with the block labeled "To" showing in the address area. More than one
G-845 can be mailed in a single envelope; however, INS discourages
benefit issuing agencies and institutions from collecting forms over an
extended period of time in order to mail them in bulk.

All benefit issuing agencies and institutions should mail Form G-845 to
their local INS Office. The notation, "ATTN: Immigration Status
Verifier," should be included on the envelope to ensure proper handling
by the INS mailroom. Immigration Status Verifiers (ISVs) are located in
INS Offices throughout the United States, Puerto Rico, Virgin Islands,
and Guam. To determine the correct INS Office, review the list of states
and counties in Appendix D; their mailing addresses are included in
Appendix F.

**Appendix F -- Mailing Addresses**

#####  USCIS Office Addresses

+----------------------------+-----------------------------------------+
| Alaska, Anchorage (ANC)    | 620 East 10th Avenue\                   |
|                            | Suite 102\                              |
|                            | Anchorage, AK 99501-3708\               |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Arizona, Phoenix (PHO)     | 400 N. 5^th^ Street, 11^th^ Floor\      |
|                            | Phoenix, AZ 85004\                      |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| California, Los Angeles    | 300 N. Los Angeles Street, B120\        |
| (LOS)                      | Los Angeles, CA 90012\                  |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| California, San Diego      | 880 Front Street\                       |
| (SND)                      | San Diego, CA 92101\                    |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| California, San Francisco  | Appraisers Building\                    |
| (SFR)                      | 630 Sansome Street\                     |
|                            | Room 1245\                              |
|                            | San Francisco, CA 94111-2280\           |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Colorado, Denver (DEN)     | 4730 Paris Street\                      |
|                            | Denver, CO 80239\                       |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Connecticut, Hartford      | 450 Main Street\                        |
| (HAR)                      | Ribicoff Federal Building, Room 444\    |
|                            | Hartford, CT 06103-3060\                |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Florida, Miami (MIA)       | 7880 Biscayne Boulevard\                |
|                            | Miami, FL 33138\                        |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Georgia, Atlanta (ATL)     | 77 Forsyth Street, SW\                  |
|                            | Atlanta, GA 30303\                      |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Guam, Agana (AGA)          | Sirena Plaza                            |
|                            |                                         |
|                            | Suite 100                               |
|                            |                                         |
|                            | 108 Hernan Cortez Avenue                |
|                            |                                         |
|                            | Hagatna, GU 96910\                      |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Hawaii, Honolulu, (HHW)    | 595 Ala Moana Boulevard\                |
|                            | Honolulu, HI 96813\                     |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Illinois, Chicago (CHI)    | 10 W. Jackson Boulevard, Room 222\      |
|                            | Chicago, IL 60604\                      |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Louisiana, New Orleans     | Postal Service Building\                |
| (NOL)                      | Room T-8005\                            |
|                            | 701 Loyola Avenue\                      |
| (See Tennessee, Memphis)   | New Orleans, LA 70113                   |
+----------------------------+-----------------------------------------+
| Maine, Portland (POM)      | 176 Gannett Drive\                      |
|                            | South Portland, ME 04106\               |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Maryland, Baltimore (BAL)  | Fallon Federal Building\                |
|                            | 31 Hopkins Plaza\                       |
|                            | Baltimore, MD 21201\                    |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Massachusetts, Boston      | JFK Federal Building\                   |
| (BOS)                      | Government Center\                      |
|                            | Boston, MA 02203\                       |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Michigan, Detroit (DET)    | Federal Building\                       |
|                            | 333 Mt. Elliott Street\                 |
|                            | Detroit, MI 48207\                      |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Minnesota, St. Paul (SPM)  | 2901 Metro Drive\                       |
|                            | Suite 100\                              |
|                            | Bloomington, MN 55425\                  |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Missouri, Kansas City      | 9747 N. Conant Avenue\                  |
| (KAN)                      | Kansas City, MO 64153\                  |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Missouri, St. Louis (STL)  | Robert A. Young Federal Building\       |
|                            | 1222 Spruce Street\                     |
|                            | Suite 1.100\                            |
|                            | St. Louis, MO 63103-2815\               |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Nebraska, Omaha (OMA)      | 1717 Avenue \"H\"\                      |
|                            | Omaha, NE  68110                        |
|                            |                                         |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Nevada, Las Vegas (LVG)    | 3373 Pepper Lane\                       |
|                            | Las Vegas, NV 89120-2739\               |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Nevada, Reno (REN)         | 1351 Corporate Boulevard\               |
|                            | Reno, NV 89502\                         |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| New Jersey, Newark (NEW)   | Federal Building\                       |
|                            | 970 Broad Street\                       |
|                            | Newark, NJ 07102\                       |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| New York, Albany (ALB)     | 1086 Troy-Schenectady Road\             |
|                            | Latham, NY 12110\                       |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| New York, Buffalo (BUF)    | 130 Delaware Avenue\                    |
|                            | Buffalo, NY 14202\                      |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| New York, New York (NYC)   | 26 Federal Plaza                        |
|                            |                                         |
|                            | 7th Floor, Room 130\                    |
|                            | New York, NY 10278\                     |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| North Carolina, Charlotte  | 6130 Tyvola Centre Drive\               |
| (CLT)                      | Charlotte, NC 28217\                    |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Ohio, Cleveland (CLE)      | 1240 East 9th Street\                   |
|                            | Room 1917\                              |
|                            | Cleveland, OH 44199\                    |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Oregon, Portland (POO)     | Federal Office Building\                |
|                            | 511 Northwest Broadway\                 |
|                            | Portland, OR 97209\                     |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Pennsylvania, Philadelphia | 1600 Callowhill Street\                 |
| (PHI)                      | Philadelphia, PA 19130\                 |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Pennsylvania, Pittsburgh   | 3000 Sidney Street                      |
| (PIT)                      |                                         |
|                            | Suite 200\                              |
|                            | Pittsburgh, PA 15222\                   |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Puerto Rico, San Juan      | PO Box 365068\                          |
| (SAJ)                      | San Juan, PR 00936\                     |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Rhode Island, Providence   | 200 Dyer Street\                        |
| (PRO)                      | Providence, RI 02903\                   |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Tennessee, Memphis (MEM)   | 842 Virginia Run Cove                   |
|                            |                                         |
| (Temporary Status          | Memphis, TN 38122                       |
| Verification Unit for New  |                                         |
| Orleans, LA)               | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Texas, Dallas (DAL)        | 8101 North Stemmons Freeway\            |
|                            | Dallas, TX 75247\                       |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Texas, El Paso (ELP)       | 1545 Hawkins Boulevard\                 |
|                            | El Paso, TX 79925\                      |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Texas, Harlingen (HLG)     | 1717 Zoy Street\                        |
|                            | Harlingen, TX 78550\                    |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Texas, Houston (HOU)       | 126 Northpoint Drive\                   |
|                            | Houston, TX 77060\                      |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Texas, San Antonio (SNA)   | 8940 Fourwinds Drive\                   |
|                            | Suite 2020\                             |
|                            | San Antonio, TX 78239\                  |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Vermont, St. Albans (STA)  | 64 Gricebrook Road                      |
|                            |                                         |
|                            | St. Albans, VT 05478\                   |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Virginia, Norfolk (NOR)    | Norfolk Commerce Park\                  |
|                            | 5280 Hennemam Drive\                    |
|                            | Norfolk, VA 23513\                      |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Virgin Islands, St.        | 800 Nisky Center                        |
| Thomas, Charlotte Amalie   |                                         |
| (CHA)                      | Suite 1A, First Floor South\            |
|                            | St. Thomas, VI 00802\                   |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Washington, DC (WAS)       | 2675 Prosperity Avenue                  |
|                            |                                         |
|                            | Fairfax, VA 22031-4906                  |
|                            |                                         |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+
| Washington, Seattle (SEA)  | 12500 Tukwila International Blvd.\      |
|                            | Seattle, WA 98168\                      |
|                            | Attention: Immigration Status Verifier  |
+----------------------------+-----------------------------------------+