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Please review this page before downloading this form. It may contain important changes to the instructions for completing and filing the form. The form contained here is the latest printed version. Form changes cannot be made as quickly on the printed forms as they can on this website. Therefore, we are providing notices of changes through this page to assist you with the latest information. You may use the form provided here, but be sure to follow any special instructions listed on this page. Failure to follow these instructions may result in your application or petition being delayed or denied. You may wish to read our General Instructions on forms.

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Form:

    I-395, Affidavit In Lieu of Lost Receipt of United States DHS for Collateral Accepted As Security

Instructions:

    Purpose of Form: If you have posted a cash bond and believe that you are owed money by the DHS for a cancelled or breached immigration bond, but do not have your original receipt (Form I-305), you will need to submit an I-395 as well as a copy of your bond contract (Form I-352).
    Number of Pages: 1
    Edition Date: 03/05/02
    Where to File: U.S. Department of Homeland Security
    Debt Management Unit
    Attention: Bond Unit
    PO Box 5000

    Williston, VT 05495-
    5000
    Filing Fee: None

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Last Modified 06/23/2004