Request for Status Information Letter

8/14/2019 Request for Status Information Letter

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Request or Status Inormation Letter

I am requesting a Status Inormation Letter. I am a male who is not registered with SelectiveService. I am now 26 years old or older, and was born ater December 31, 1959.

Section 1:

Name

List any other names used

Current Mailing Address

Social Security Number

Date o Birth

Daytime Telephone Number

E-mail Address

First Middle Last

Include any multiple last names

Street Address

City State Zip Code

Month / Day / Year

Student Financial Aid

I this request or status inormation letter is related to the student fnancial aid process, please

provide the address o the school, college, university you plan to attend or are attending.

Name o School

Street Address

City/Town

State and Zip Code

Phone Fax Number


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Section 2:

MILITARY:

List dates o active duty service:

List dates o reserve duty service:

List dates o military school service:

Military school attended:

Attach copy o DD214 (or DD Form 4 i still on active duty)

INCARCERATED, INSTITUTIONALIZED, HOSPITALIZED, OR CONFINED TO HOME:

List dates during which you were (circle appropriate situation) incarcerated,

institutionalized, hospitalized, or confned to home. For multiple dates, list all.

Attach proo o each instance

NON CITIZEN / ALIEN

Date you entered the United States or the frst time:

USCIS (Formerly INS) status at time o entry:

List all alien status(es) held since entering the country, and give dates:

(Attach separate sheet i necessary)

Attach copies o supporting documentation (see ollowing inormation sheet or

detailed instructions regarding this)

TRANSSEXUAL:

At birth my gender was:

Attach copy o birth certifcate

REASON WHY YOU FAILED TO REGISTER WITH SELECTIVE SERVICE UPON

REACHING AGE 18 AND BEFORE REACHING AGE 26:

to

to

to

to to to, ,

Month / Day / Year

to

to

to

to

USCIS Status:

USCIS Status:

USCIS Status:

USCIS Status:


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Section 3:

Print, sign and date, then send this letter, together with ALL copies o required documents and

any other supporting inormation you may wish to include to:

Selective Service System

ATTN: SIL

PO Box 94638

Palatine, IL 60094-4638

No action can be taken until we receive ALL o the inormation/documentation needed. Youshould retain a copy o all documents and correspondence submitted to us. You should

receive a response within 90 days.

Signature Date


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INSTRUCTIONS

For lling out the Request for Status Information Letter

SECTION 1:

Name:youmustprovideyourcompletename,andanyothernamesyouhaveeverused.Ifyouhavemorethanone

lastname,youmustprovidebothnames.

Address:youmustincludeyourcompletemailingaddress.Formsreceivedwithoutamailingaddresswillnotbeprocessed.

SocialSecurityNumber:IfyouhaveaSocialSecurityNumber,youmustprovideit.Also,ifyouhaveeveruseda

differentSocialSecurityAccountNumber,providethataswell.

DateofBirth:ThisformisonlyformenbornafterDecember31,1959,whoare26yearsoldorolder.Youmust

provideyourcompletedateofbirth.

DaytimeTelephoneNumber:Ifpossible,provideatelephonenumberwhereyoucanbereachedduringtheday,in

caseweneedtocontactyou.

E-mailAddress:Ifpossible,provideyoure-mailaddressincaseweneedtocontactyou.

SECTION 2:

ThissectionisforexplaininganddocumentingwhyyoudidnotregisterwithSelectiveService.Thissectionconsistsof

vedifferentparts.Youmustcompleteandsubmitdocumentationforanyandallpartsthatapplytoyou.

Military:Toobtainproofofmilitaryservice(DD-214,OfcialMilitaryPersonnelFile)writeto:NationalPersonnelRe-

cordsCenter,GSA,MilitaryPersonnelRecordsCenter,9700PageBlvd.,St.Louis,MO,63132.Orvisithttp://www.

archives.gov/veterans/military-service-records

Incarcerated,institutionalized,hospitalized,orconnedtohome:foreachinstance,providetypeofconnement,dates

ofconnement,andsupportingdocumentation.

Non Citizen / Alien:

IfyouenteredtheUnitedStatesforthersttimeafteryour26thbirthday,youmustprovidedocumentationtosupport

yourclaim.Validdocumentationincludes:entrystampinyourpassport,I-94withentrystamponit,oraletterfromthe

BureauofU.S.CitizenshipandImmigrationServices(USCIS)indicatingthedateyouenteredtheUnitedStates.If

youenteredtheUnitedStatesillegallyafteryour26thbirthday,youmustprovideproofthatyouwerenotlivinginthe

UnitedStatesfromage18toage26.Pleasenote:yourResidentAlienCard(GreenCard)isnotvalidasproofofentry

totheUnitedStates.

IfyouenteredtheUnitedStatesasavalidnon-immigrantalien,andremainedinthatstatustoyour26thbirthday,you

mustprovidedocumentationtosupportyourclaim.Forexample,ifyouenteredtheUnitedStatesasanF-1Student,

andremainedinthatstatusuntilyour26thbirthday,youwouldneedtoprovidedocumentationindicatingthatyouwereadmittedonanF-1visaandattendedschoolfull-timeasrequired.(Acceptabledocumentsforthissituationinclude

copiesofyourI-20soraletterfromtheschoolyouattendedindicatingyourfulltimeattendanceasanon-immigrant

alien).Thesamethingappliesforallnon-immigrantstatuses.Youmustexplain,ifatanypoint,youviolatedtheterms

ofyourvisa,oroverstayedyourvisaandbecameanundocumentedalien.

Youshouldprovideasmuchinformationaspossible.Wewillusetheinformationyouprovidetodetermineyour

registrationstatus.

Transsexual:Forindividualswhohavehadasexchange.Youmustindicatewhatgenderyouwerebornas,and

attachdocumentationwhichindicatesthisaswell.

ReasonwhyyoufailedtoregisterwithSelectiveServiceuponreachingage18andbeforereachingage26:Providea

writtenexplanationfornotregisteringwithSelectiveService.

(continued on next page


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SECTION 3:

Signanddatetheletter.Returnthislettertotheaddresslistedwithcopiesofsupportingdocuments,showingproofand

anythingelseyoumaywishtoinclude.Donotsendoriginaldocuments,astheywillnotbereturned.Youshouldretaina

copyofalldocumentsandcorrespondencesubmitted.

HELPFUL INFORMATION

Thisformisdesignedtobeprintedforuse,andcannotbecompletedonline.Afterprinting,completetheform,attachALLsupportingdocumentation,andmailto:SelectiveServiceSystem,ATTN:SIL,POBox94638,Palatine,IL

60094-4638.

ThisformisforuseonlybymenbornafterDecember31,1959,whoarenotregisteredandarenow26yearsoldor

older.

Thisformisnotaregistrationform,andbysubmittingit,youwillnotberegistered.

Ifyoufeelthatyouhavealreadyregistered,verifyyourregistrationonourwebsite(www.sss.gov),orcallour

RegistrationInformationOfceat(847)688-6888toobtainyourSelectiveServicenumber.

WewillissueaStatusInformationLetterbasedontheinformationyouprovide.Thisletterwillclarifyyourstatuswith

SelectiveService.

Ifyouarebeingdeniedaright,benet,orprivilegebecauseyouarenotregistered,submitacopyofyourstatus

informationletterandanexplanationletterforyourfailuretoregister,totheAgencyadministeringtheright,benet,or

privilege.ThatAgencywillmakethenaldeterminationregardingyoureligibility.TheSelectiveServiceSystemdoes

notdetermineyoureligibilityforanyright,benet,orprivilege.

August 4, 2009

Documents

Request for Status Information Letter