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HOW TO APPLY FOR ASYLUM - The Florence Project

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Certificate of Service<br />

Name: ______________________<br />

A#: ____ -- ____ -- ____<br />

I certify that on ___________________, _____, I served<br />

(date) (year)<br />

the Assistant Chief Counsel for the DHS, U.S. Immigration & Customs Enforcement (ICE) with a copy<br />

of: (Description of what is being served) by placing a true and complete copy in an envelope, postage<br />

prepaid, and mailing it, addressed as follows:<br />

Assistant Chief Counsel for the<br />

Department of Homeland Security<br />

U.S. Immigration & Customs Enforcement (ICE)<br />

____________________________<br />

____________________________<br />

____________________________<br />

(DHS address)<br />

(Sign your name here)<br />

UNITED STATES DEPARTMENT OF JUSTICE<br />

Page 44 of 49<br />

FIRRP- last update June 2007

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