OAW Form

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Required Information to Prepare Beforehand

Prepare the Following Required Information Before Proceeding.

The following information will be required in English:

  • Your Current Legal Name (first, last, middle) and any other names that you have used since birth, including different spellings of any of your names in English:
    • Aliases or nicknames used
  • Date of Birth (mm/dd/yyyy)
  • Country of Birth
  • Current Citizenship
  • National Identity Number
  • Employment Authorization Number (USCIS Number)
  • USCIS-issued Receipt Number (found on a receipt notice for an application filed with USCIS, such as for re-parole, employment authorization, asylum, or adjustment to lawful permanent resident status)
  • I-94 Number
  • Telephone Numbers
    • Primary
    • Secondary
    • Cell/Mobile
    • Phone numbers used over the last five years
  • Current Mailing Address
  • Other Mailing Addresses used over the last five years
  • Current Email Addresses
  • Other Email Addresses used over the last five years
  • Passport or DS-232 Information
  • Person of Contact in the United States (person who may be contacted in case of emergency)
  • Signature
Privacy Notice

AUTHORITIES: The information requested on this form is collected under the Immigration and Nationality Act, 8 U.S.C. § 1182(d)(5).

PURPOSE: The primary purpose for providing the requested information on this application is to determine your compliance with the conditions of your parole.

DISCLOSURE: The information you provide is required as a condition of your parole. Failure to provide this information may result in termination of your parole.

ROUTINE USES: DHS may, where allowable under relevant confidentiality provisions, share the information and any additional requested evidence you provide on this form with other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved routine uses, as described in the associated published system of records notices [DHS/USCIS/ICE/CBP-001 Alien File, Index, and National File Tracking System; DHS/CBP-006 Automated Targeting System] and the published privacy impact assessments [DHS/USCIS/PIA- 061 Benefit Request Intake Process; DHS/CBP/PIA-006 Automated Targeting System (ATS)], which can be found at www.dhs.gov/privacy. DHS may also share this information as appropriate for law enforcement purposes or in the interest of national security.

What is your current legal name?
Your current legal name is the name on your birth certificate, unless it changed after birth by a legal action such as marriage or court order. Do not provide any nicknames here. Please respond in English.
 
Have you used any other names since birth?
Other names used include nicknames, aliases, and maiden names. Provide the other names you have used (if any).
 
Given name (first name) Middle name Family name (last name)
MM
DD
YYYY
What is your country of birth?
Select "Other" if your country is not listed and enter your country's name
What is your country of citizenship?
Select "Other" if:

  • Your country is not listed; OR
  • You are stateless (i.e., you do not have a country of citizenship).
Enter your National Identity Number (this number may be included on documents that list your name and other biographic information, such as your date or place of birth).

Your Employment Authorization Number (USCIS Number) is located on your Employment Authorization Document card, and consists of a 7, 8, or 9-digit number. This is the nine-digit number found below "USCIS#" as pictured below.

The Employment Authorization number is the same as your Alien Registration Number (A-Number).

The Employment Authorization Number may be located on the front or back of the card, depending on when the card was issued.

Where to find your Employment Authorization Number (USCIS#)

Image of sample employment authorization card with USCIS# circled
A-
Provide a 7, 8, or 9 digit number.
 
Begins with three letters such as EAC, LIN, MSC, SRC, WAC, YSC, or IOE. No hyphens.

List all receipt numbers.

 
Current I-94 numbers are 11 characters and follow the format of 9 digits, followed by a letter in the 10th position, and a digit in the 11th position.

Unexpired I-94s issued in the current numeric-only format will continue to be valid until the Admit Until Date printed on the paper I-94 and/or the date displayed on the public I-94 website.
 
The number where you are most likely to be reached. Include country code and area code.
 
Primary Phone
An additional number where you may be reached. Include country code and area code.
 
Secondary Phone
Your mobile telephone number. Include country code and area code.
 
Cell/Mobile Phone
Have you used other telephone numbers over the past five years including those used prior to moving to the United States?
Phone From (mm/yyyy) To (mm/yyyy)
Country
If country is not listed select "Other" and enter the country name
Street number and name
Apartment, suite, unit number, or other address designation
Provide your physical addresses for the last five years, whether inside or outside the US.
Country
If country is not listed select "Other" and enter the country name
Street number and name
Apartment, suite, unit number, or other address designation
Date of residence (mm/yyyy)
Date of residence (mm/yyyy)
List all email addresses currently used (minimum of one entry)
 
Have you used other email addresses over the past five years?
Provide all other email addresses used over the past five years
 
Do you have a passport or a DS-232 number?
DS-232 applies to stateless individuals and/or individuals with an unrecognized passport, waiver cases for countries not issuing passports, or individuals born in transit.  
What country issued your passport?
Select "Other" if your country is not listed and enter your country's name
Provide a 7 to 12 character passport number
Provide an alphanumeric DS-232 number
Who is your person of contact in the United States?
A confirmation email will be sent to the email listed above.
I agree and understand that typing my full name in the above area is the legal equivalent of my manual/handwritten signature.