(MI.)(First Name)
(Last Name)
I have already legally immigrated to the U.S. and do not need to apply for an immigrant visa. I
received my Green Card through the USCIS office. My A# is
Make sure the address is complete and correct. We will use this address for future mailings.
Place Case Barcode Strip Here Before Mailing to the National Visa Center
U.S. Department of State
CHOICE OF ADDRESS AND AGENT
For Immigrant Visa Applicants
Check one box only to the left of the statement that is your choice.
DS-3032
01-2010
OMB No. 1405-0126
EXPIRATION DATE: 01/31/2013
ESTIMATED BURDEN: 10 minutes*
Print or Type your Full Name
City State/Province Postal Code
Country
City State/Province Postal Code Country
Signature of Applicant
Date of Signature (mm-dd-yyyy)
I no longer wish to apply for an immigrant visa.
As proof of your choice, sign and date this document:
Street Address (Include "in care of" if Needed)
I Appoint
as my agent or attorney to receive mail about my application. Mail from the U.S. Department of
State concerning my immigrant visa application should be sent to:
I do not appoint an agent or an attorney to receive mail about my application. Mail from the U.S.
Department of State concerning my immigrant visa application should be sent to me at:
*Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time required for
searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and
reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control
number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to:
A/GIS/DIR, Room 2400 SA-22, U.S. Department of State, Washington, DC 20522-2202.
PAPERWORK REDUCTION ACT
Name of the person who will act as your agent or attorney for receipt of mail
Street Address
Telephone Number
*Email Address
*Email Address
(City)
.
*The Department is currently testing an electronic application system for nonimmigrant visa application that will allow electronic submission
and eliminate paper forms. Once testing on this application system is completed the Department is examining whether or not the system
can be used for the immigrant visa system.
Telephone Number
(where my agent or attorney will receive mail about my application)
