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I-821D

Consideration of Deferred Action for Childhood Arrivals

Apply for or renew DACA status

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Part 1: Information About Your Request and Eligibility

Basic information about your DACA request

Type of Request*

Initial Request

Renewal Request

Family Name (Last Name)*

Given Name (First Name)*

Middle Name

Date of Birth*

Alien Registration Number (A-Number)

If you have one (for renewals)

Current DACA Expiration Date

For renewal requests only