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(If never, write «never») Give type of visa status, if known. Have you ever been charged, arrested or convicted of any offense or crime? Have you ever been refused admission to the United States at a port-of-entry? Have you ever applied for a Social Security Number (SSN)? Consent to Disclosure: I authorize disclosure of information from this form to the Department of Homeland Security (DHS), the Social Security Administration (SSA), such other U.

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A PFA order from a court gives protective "relief" for a victim (and sometimes children) for up to three years.A person can file for a PFA order from the court for themselves or on behalf of their children who are under age eighteen. Include the name of a person who currently lives there. Address in the United States where you want your Permanent Resident Card (Green Card) mailed, if different from address in item #10 (include the name of a person who currently lives there). Permanent address in the United States where you intend to live, if known (street address including ZIP code).

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A PFA order describes certain things the abuser must do or is forbidden to do in regard to a victim, and can include many kinds of protection.

For example, a PFA order can make it illegal for the abuser to contact, harass and abuse the victim and the victim's children.

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