Form DS 3032
Form DS 3032
Form DS 3032
1405-0126
Make sure the address is complete and correct. We will use this address for future mailings. EXPIRATION DATE: 12/31/2006
ESTIMATED BURDEN: 30 minutes*
Place Case Barcode Strip Here Before Mailing to the National Visa Center
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:
Name of the person who will act as your agent or attorney for receipt of mail
Street address (where my agent or attorney will receive mail about my application)
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:
I have already legally immigrated to the U. S. and do not need to apply for an immigrant visa.
*Public reporting burden for this collection of information is estimated to average 30 minutes per response. Persons are not required to
provide this information in the absence of a valid OMB approval number. Send comments on the accuracy of this estimate of the burden and
recommendations for reducing it to: U.S. Department of State (A/RPS/DIR) Washington, DC 20520-1849.
DS-3032
12-2003