Voluntary Departure And Verification Of I 210 Ice Form
User Manual: I-210
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DEPARTMENT OF HOMELAND SECURITY U.S. Immigration and Customs Enforcement VOLUNTARY DEPARTURE AND VERIFICATION OF DEPARTURE To: (Alien's Last Name, First Name, Address) Alien's Phone Number A: Number FIN Number You have violated the terms of your admission as a nonimmigrant. Consequently, the permission previously granted you to remain in the United States is rescinded. You are required to depart from the United States at your own expense on or before . On you were granted voluntary departure by the United States on or before at your expense. IJ BIA DHS. You are required to depart from the at government expense. under safeguard. Your request for an extension of time to depart from the United States has been required to depart on or before . You are (Granted/Denied) . You state that you will be departing the United States on through (Port of Departure) on (Give Airlines, Flight Number and Time or Other Manner of Departure) NOTICE: The Immigration Judge's Alternate Order of Removal will take effect if the alien does not depart within the time specified. Failure to depart on or before the specified date may result in the withdrawal of voluntary departure and action being taken to effect your removal. A warrant for your arrest will be issued if this office has not received verification of your departure by the specified date. Failure to depart on or before the specified date may also subject you to a possible civil penalty of not less than $1,000 and not more than $5,000, and render you ineligible for a period of 10 years for any further authorization for voluntary departure or for relief under sections 240A, 245, 248, and 249 of the Immigration and Nationality Act. Additionally, if an Immigration Bond has been posted on the alien, the DHS will initiate the appropriate action in accordance with the terms of the executed bond and any attached rider or riders specified. To any U.S. official: This document can be completed and transmitted to DHS/ICE Headquarters Office of Detention and Removal via VD-Bond-Verifications@dhs.gov . Alien's Acknowledgement of Conditions and Receipt of Form Date Signature of Authorized DHS Official Date Office DHS Official Serving Form (Name and Title) If Available (Photo of Alien) (Right Index Fingerprint) Verification of Departure (Completion by an official of the Department of Homeland Security or the U.S. Department of State) Printed Name/Title Signature of Official Verifying Identity Office U.S. Departure Place Method of Departure Date Phone Number Date Air Train Boat Other: Comments A-File Copy ICE Form I-210 (08/08) DEPARTMENT OF HOMELAND SECURITY U.S. Immigration and Customs Enforcement VOLUNTARY DEPARTURE AND VERIFICATION OF DEPARTURE To: (Alien's Last Name, First Name, Address) Alien's Phone Number A: Number FIN Number You have violated the terms of your admission as a nonimmigrant. Consequently, the permission previously granted you to remain in the United States is rescinded. You are required to depart from the United States at your own expense on or before . On you were granted voluntary departure by the United States on or before at your expense. IJ BIA DHS. You are required to depart from the at government expense. under safeguard. Your request for an extension of time to depart from the United States has been required to depart on or before . You are (Granted/Denied) . You state that you will be departing the United States on through (Port of Departure) on (Give Airlines, Flight Number and Time or Other Manner of Departure) NOTICE: The Immigration Judge's Alternate Order of Removal will take effect if the alien does not depart within the time specified. Failure to depart on or before the specified date may result in the withdrawal of voluntary departure and action being taken to effect your removal. A warrant for your arrest will be issued if this office has not received verification of your departure by the specified date. Failure to depart on or before the specified date may also subject you to a possible civil penalty of not less than $1,000 and not more than $5,000, and render you ineligible for a period of 10 years for any further authorization for voluntary departure or for relief under sections 240A, 245, 248, and 249 of the Immigration and Nationality Act. Additionally, if an Immigration Bond has been posted on the alien, the DHS will initiate the appropriate action in accordance with the terms of the executed bond and any attached rider or riders specified. To any U.S. official: This document can be completed and transmitted to DHS/ICE Headquarters Office of Detention and Removal via VD-Bond-Verifications@dhs.gov . Alien's Acknowledgement of Conditions and Receipt of Form Date Signature of Authorized DHS Official Date Office DHS Official Serving Form (Name and Title) If Available (Photo of Alien) (Right Index Fingerprint) Verification of Departure (Completion by an official of the Department of Homeland Security or the U.S. Department of State) Printed Name/Title Signature of Official Verifying Identity Office U.S. Departure Place Method of Departure Date Phone Number Date Air Train Boat Other: Comments Alien Copy ICE Form I-210 (08/08)
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