ASC Appointment Notice - CASE TYPE NOTICE DATE

I90 - APPLICATION TO REPLACE PERMANENT RESIDENT CARD 02/19/2022

APPLICANT COPY
APPLICATION/PETITION/REQUEST NUMBER USCIS A# CODE
IOE9467974545 A089 697 062 3
ACCOUNT NUMBER TCR SERVICE CENTER PAGE
073379824201 YSC 1 of 2

EL HARD ABDUL SHALLO

4601 LOGAN WAY
ACWORTH GA 30101-7320

PLEASE READ THIS ENTIRE NOTICE CAREFULLY. To process your application, petition, or request, U.S. Citizenship and Immigration Services (USCIS) must collect your biometrics. Please appear
at the below Application Support Center (ASC) at the date and time specified.

IF YOU FAIL TO APPEAR AS SCHEDULED, YOUR APPOINTMENT MAY NOT BE RESCHEDULED. TO REQUEST THAT USCIS RESCHEDULE YOUR APPOINTMENT, SEE THE
INSTRUCTIONS AT THE BOTTOM OF THIS NOTICE. IF USCIS DOES NOT RESCHEDULE YOUR APPOINTMENT, YOUR APPLICATION, PETITION, OR REQUEST WILL BE
CONSIDERED ABANDONED AND DENIED.

APPLICATION SUPPORT CENTER DATE AND TIME OF APPOINTMENT

USCIS ATLANTA
3358B Chamblee Tucker Road 03/18/2022
02:00PM
Atlanta GA 30341

WHEN YOU APPEAR AT THE ASC FOR BIOMETRICS SUBMISSION, YOU MUST BRING:
1. THIS APPOINTMENT NOTICE. If you received multiple ASC notices, bring all notices to your first appointment, and
2. PHOTO IDENTIFICATION. Your biometrics will not be collected without identification. You must bring a valid government-issued photo identification document. If the name on your identification
is different than the name on your ASC notice, bring supporting documentation. If you filed an Application for Naturalization (Form N-400) or Application to Replace Permanent Resident Card (Form
I-90), you must bring your Permanent Resident Card (also known as a Green Card).

Only those necessary to assist you with transportation or completion of the biometrics worksheet should accompany you to your ASC appointment. If you have open wounds, bandages, or casts when you
appear for biometrics submission, USCIS may reschedule your appointment if we determine your injuries may interfere with biometrics submission. Please do not visit a USCIS office if you are sick or feel
any symptoms of being sick. Follow the instructions on this notice to reschedule your appointment.

You may bring cell phones or electronic devices, but they must be turned off during biometrics collection. No one may photograph or record at an ASC.

For more information regarding your ASC appointment, visit https://www.uscis.gov/forms/forms-information/preparing-your-biometric-services-appointment. If you have questions regarding this notice,
please call the USCIS Contact Center at 1-800-375-5283 (TTY 800-767-1833).

NOTE: If an ASC closes due to inclement weather or unforeseen circumstances, USCIS will automatically reschedule your appointment for the next available date and time. For the latest information on the
status of an office, visit https://www.uscis.gov/about-us/uscis-office-closings. Please check this page on the day of your appointment. If USCIS reschedules your appointment for any reason, you will receive a
new ASC appointment notice.

To ensure you receive all correspondence from USCIS, you must update your address if you move. For instructions, visit https://www.uscis.gov/addresschange.

USCIS may use your biometrics to check the criminal history records of the FBI, for identity verification, to determine eligibility, to create immigration documents (e.g., Green Card,
Employment Authorization Document, etc.), or any purpose authorized by the Immigration and Nationality Act. You may obtain a copy of your own FBI record using the procedures
outlined within Title 28 C.F.R., Section 16.32. For information, please visit https://www.fbi.gov/services/cjis/identity-history-summary-checks. For Privacy Act information, please visit
https://www.fbi.gov/services/cjis/compact-council/privacy-act-statement.

REQUESTS TO RESCHEDULE/SPECIAL HANDLING

If you are unable to attend your scheduled ASC appointment, you may request that USCIS reschedule your appointment by calling the USCIS Contact Center at 1-800-375-5283 (TTY 800-767-1833).
Your request to reschedule must: 1) be made before the date and time of the original appointment and 2) establish good cause for rescheduling. If you fail to make a request before your scheduled
appointment or fail to establish good cause, USCIS may not reschedule your ASC appointment. If USCIS does not reschedule your appointment, your application, petition, or request will be considered
abandoned and denied.

If you have a serious ongoing medical condition and you cannot leave your home/hospital, you may request a mobile biometrics/homebound appointment by following the instructions on the back in the
Notice for People with Disabilities or by visiting uscis.gov/accommodations.

APPLICATION NUMBER
I90- IOE9467974545

If you have any questions regarding this notice, please contact the USCIS Contact Center at 1-800-375-5283.
 Important Changes to Biometrics Services Appointments Related to COVID-19
USCIS Application Support Centers (ASC) are open with additional precautions to prevent the spread of the coronavirus disease (COVID-19). For the most updated visitor guidance and
facility entrance requirements, on the day of your appointment please visit: www.uscis.gov/about-us/uscis-response-to-covid-19.
Appointments
• You must have a scheduled appointment before arriving at a USCIS office. Only appear on your scheduled date and time at the designated location.
• Do not arrive more than 15 minutes before your appointment. Only military members may appear without an appointment.
• Do not bring additional individuals or family members with you to your appointment. Only interpreters, attorneys or those providing needed assistance if you are disabled will
bepermitted to accompany you.
• Fill out the Applicant Information Worksheet below and bring it to your appointment to complete the biometric collection process.
• If you are ill, you should reschedule your appointment. Please call the USCIS Contact Center at 800-375-5283 (TTY 800-767-1833) to reschedule.
• On the day of your appointment, please check for office closures or other important information here: www.uscis.gov/about-us/uscis-office-closings.
Entrance to USCIS Facilities (Application Support Centers)
You may not enter a USCIS facility if you have:
• COVID-19 or any symptoms of COVID-19 (according to the CDC) including, but not limited to, recently developed cough, fever, difficulty breathing, new loss of smell or taste,
fatigue, muscle aches, headache, congestion, sore throat, or vomiting;
• Been in close contact (within 6 feet for a total of 15 minutes or more) with anyone known to have COVID-19 in the past 14 days (unless you are fully vaccinated or you are a health
careworker and consistently wear an N-95 respirator and proper personal protective equipment (PPE) or equivalent when in contact with COVID-19 positive individuals);
• Returned from domestic air, international air, or cruise ship travel in the past 10 days (unless you are fully vaccinated);
• Been instructed by a health care provider, public health authority, or government entity to self-isolate or self-quarantine in the past 14 days;
• You may also have to answer health screening questions before entering a facility;
• For more information for visiting USCIS facilities, please visit: www.uscis.gov/about-us/uscis-visitor-policy.
Face coverings and Social Distancing:
• In all areas of the country, all USCIS employees, on-site contractors, and visitors, regardless of vaccination status or level of COVID-19 transmission in your local area, are required to
wear a mask inside all DHS and USCIS workspaces and federal buildings. USCIS may deny entry to individuals who do not wear a face covering.
• In DHS-controlled spaces, this guidance supersedes state, local, tribal, or territorial rules and regulations regarding face coverings.
• All federal employees, on-site contractors, and visitors must follow local USCIS guidance on physical distancing (such as sitting and standing apart from others) and workplace
protection guidance consistent with Centers for Disease Control and Prevention (CDC) and agency guidance.
APPLICANT'S INFORMATION WORKSHEET (AIW)
NAME:
FIRST MIDDLE LAST
LIST ANY OTHER NAMES USED (MAIDEN NAME, PREVIOUS MARRIAGE, ALIAS, ETC.):
1)
FIRST MIDDLE LAST
2)
FIRST MIDDLE LAST
DATE OF BIRTH:
MONTH DAY YEAR
COUNTRY OF BIRTH: COUNTRY OF CITIZENSHIP:
GENDER: (CHECK ONE) RACE: (CHECK ONE)
NATIVE AMERICAN
MALE ASIAN
UNKNOWN
FEMALE BLACK
OTHER CAUCASIAN/LATINO

EYE COLOR: (CHECK ONE) HAIR COLOR: (CHECK ONE)

HAZEL ORANGE
BLACK BALD
MAROON PINK
BLUE BLACK
MULTICOLOR PURPLE
BROWN BLOND OR STRAWBERRY
PINK RED OR AUBURN
GRAY BLUE
UNKNOWN SANDY
GREEN BROWN
WHITE
GRAY
UNKNOWN
GREEN

HEIGHT: OR WEIGHT: OR
FEET/INCHES CENTIMETERS POUNDS KILOGRAMS
When you provide your digital signature, you will be attesting to the following:
I declare under penalty of perjury that I have reviewed and understand the document(s) identified by the receipt number displayed on the screen above, and that all the information in these
materials is complete, true, and correct. This includes any:
• application, petition, or request that I submitted;
• application, petition, or request that I provided on behalf of my derivative beneficiary;
• application, petition, or request that was submitted on my behalf; and
• supporting documents, applications, petitions, or requests filed with my application, petition, or request that I (or my attorney or accredited representative) filed with USCIS, or that
was filed on my behalf.
RETURN "AIW" TO APPLICANT

AIW: REVISED 28 JULY 2021