Records request worksheet
A printable from Get your immigration records. Fill it in by hand. Nothing you write is collected by this website.
Records request worksheet
About the person
- Full name: ____________ Other names used: ____________
- Date of birth: ____ / ____ / ______ (check month and day order)
- Country and city of birth: ____________
- A number (if any): ____________ Receipt numbers: ____________
What I need, and from whom
- USCIS (first.uscis.gov): specific documents: ____________
- CBP (SecureRelease): entry, border or I-94 records, dates: ____________
- ICE (SecureRelease): detention or removal records, dates: ____________
- Immigration court (EOIR-59): court name: ____________
- State Department (PAL): visa type, consulate, year: ____________
Before I submit
- Identity statement signed under penalty of perjury, or notarized
- Written consent, if the records are someone else's
- Hearing notice uploaded, if I have a court date
- Control or tracking numbers saved: ____________
From Get your immigration records. Facts checked October 21, 2026. Free information, not legal or medical advice.
