Form I-600A/I-600 Sup 2 Edition 04/01/24 Page 1 of 2

Supplement 2, 

Consent to Disclose Information 

Department of Homeland Security 

U.S. Citizenship and Immigration Services 

USCIS 

Form I-600A/I-600 

Supplement 2 

OMB No. 1615-0028 

Expires 02/28/2026

Notice

► START HERE - Type or print in black ink.

The Privacy Act protects information that U.S. Citizenship and Immigration Services (USCIS) may have concerning your Form 

I-600A, Application for Advance Processing of an Orphan Petition, or Form I-600, Petition to Classify Orphan as an Immediate 

Relative. See 5 U.S.C. 552a. USCIS generally may not disclose this information without your consent. If you want USCIS to be able 

to disclose this information, you may give this consent by signing Form I-600A/I-600, Supplement 2. You are not required to submit 

Form I-600A/I-600, Supplement 2, to file Form I-600A or Form I-600.

This supplement does not cover your attorney or accredited representative. In order for USCIS to share information with an individual 

who is your legal representative, you must submit Form G-28, Notice of Entry of Appearance as Attorney or Accredited 

Representative, or Form G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines of the 

United States.

Provide information below about the individual or entity that you are authorizing USCIS to disclose information to. This could 

include your home study preparer, the agency that reviewed and approved your home study, your primary adoption service provider, 

or any other individual or entity (other than your attorney or accredited representative) to whom USCIS may disclose information. 

For more information about home study preparers and primary adoption service providers, see the Instructions for Form I-600 and 

Form I-600A.

Pursuant to the Privacy Act, 5 USC 552a, and to assist USCIS in adjudicating Form I-600A and/or Form I-600, I (we), the undersigned 

applicants/petitioners filing Form I-600A and/or Form I-600, consent to the disclosure of any record pertaining to me (us), which 

appears in any system of records maintained by the U.S. Department of Homeland Security (DHS), or which USCIS may obtain as a 

result of collecting my (our) biometrics information, to the following individual or entity:

Street Number and Name Apt. Ste. Flr. Number

City or Town State ZIP Code

Province Postal Code Country

Name of Individual or Entity Point of Contact (contact person within the entity) (if any)

Daytime Telephone Number (with area/country code) Mobile Telephone Number (if any)

Email Address (if any)

1.

3.

4.

6.

5.

2.

Remarks

For USCIS Use Only
Form I-600A/I-600 Sup 2 Edition 04/01/24 Page 2 of 2

Your Printed Name

Your Signature Date of Signature (mm/dd/yyyy) 

Your Spouse's Printed Name (if you are married)

Your Spouse's Signature Date of Signature (mm/dd/yyyy) 

Notice (continued)

7.

8.

9.

10.

I (We) understand that, by signing this supplement, I am (we are) authorizing USCIS to provide the individual or entity named above 

with copies of notices sent to me (us) about this case and discuss my (our) case with the individual or entity named in this supplement.

I (We) also understand that an adoption service provider, home study preparer, and home study reviewer can only provide adoption 

services and cannot act as my (our) representative before USCIS with respect to my (our) case unless the adoption service 

provider/home study preparer is authorized to do so under 8 CFR 292. I (We) also understand that the adoption service provider, 

home study preparer, and home study reviewer cannot provide any other legal services unless the adoption service provider/home 

study preparer is authorized to do so under the law governing the provision of legal services in the country or state in which the legal 

service is provided.