Completing the Document — HUD Handbook 4350.3 REV-1

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 Registration Number or I-94 Number	Enter the alien registration number as the letter A followed by a series of seven, 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 Name	Enter last, first, and middle name of 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 Birth	Enter the birth date using the MM/DD/YYYY format. If the complete date of birth is not known, give available information.
5.Social Security Number	Enter the non-citizen’s nine-digit Social Security number, if known. Copy the number directly from the non-citizen’s Social Security card whenever possible.
6.Verification Number	Enter the verification number assigned when ASVI was queried, if applicable. If ASVI was not queried, enter “none.”

4350.3 REV-1

Appendix 2-B

Field	Instructions
7.Photocopy of Document Attached and Other Information Attached	Indicate that INS documentation is attached by checking the top box. Use the bottom box if other information has been included in support or in lieu of INS documents.
8.Benefit/Your Case Number	If completing the Form G-845S, mark the 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 casenumber.
9. Name of Submitting Official	The name of the submitting official from the benefit issuing agency or institution should be entered.
10. Title of Submitting Official	The title of the submitting official from the benefit issuing agencyor institution should be entered.
11. Date	The date the Document Verification Request is being completed by the submitting official from the benefit issuing agency or institutionshould be entered.
12. Telephone Number	The telephone number that the Immigration 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. ”