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a monitoring agent must be designated in the appropriate jurisdiction. (Monitoring Group Supervisor's Signature) (Print Name and Title) (Date) (Monitoring Case Agent's Signature) (Date) (Print Name and Title) Request for Continued Presence FOR OFFICIAL USE ONLY / LAW ENFORCEMENT SENSITIVE ICE Form 73-03
. Your Current Immigration Status or Category (for example, B-2 visitor, F-I student, parolee, deferred action, or no status or category) E2 26. Student and Exchange Visitor Information System (SEVIS) Number (if any) ► N- Information About Your Eligibility Category 27. Eligibility Category. Refer to the Who May File Form 1-765 section
itoring agent must be designated in the appropriate jurisdiction. —1 I (Monitoring Group Supervisor's Signature) (Date) (Print Name and Title) (Monitoring Case Agent's Signature) (Date) (Print Name and Title) Request for Continued Presence FOR OFFICIAL USE ONLY / LAW ENFORCEMENT SENSITIVE ICE Form 73-03
25. Your Current Immigration Status or Category (for example, B-2 visitor, F- I student, parolee, deferred action, or no status or cate o ) 26. Student and Exchange Visitor Information System (SEWS) Number (if any) ► N- 28.c. Employer's E-Verify Company Identification Number or a Valid E-Verify Client Company Identification Number 29.
e Agent, a monitoring agent must be designated in the appropriate jurisdiction. (Monitoring Group Supervisor's Signature) (Print Name and Title) (Monitoring Case Agent's Signature) (Print Name and Title) (Date) Request for Continued Presence FOR OFFICIAL USE ONLY / LAW ENFORCEMENT SENSITIVE ICE Fenn 73-03
. Your Current Immigration Status or Category (for example, B-2 visitor, F-I student, parolee, deferred action, or no status or category) E 26. Student and Exchange Visitor Information System (SEVIS) Number (if any) ► N- Information About Your Eligibility Category 27. Eligibility Category. Refer to the Who May File Form I-765 section o
a monitoring agent must be designated in the appropriate jurisdiction. (Monitoring Group Supervisor's Signature) (Date) (Print Name and Title) (Monitoring Case Agent's Signature) (Print Name and Title) Request for Continued Presence FOR OFFICIAL USE ONLY / LAW ENFORCEMENT SENSITIVE ICE Font 73-031 (4/11)
. Your Current Immigration Status or Category (for example, B-2 visitor, F-I student, parolee, deferred action, or no status or category) E 26. Student and Exchange Visitor Information System (SEVIS) Number (if any) ► N- Information About Your Eligibility Category 27. Eligibility Category. Refer to the Who May File Form I-765 section o
Entities connected to both Monitoring Case and Student and Exchange Visitor Information System
New York State Division of Criminal Justice Services
ORGANIZATIONMonitoring Group
ORGANIZATIONNational Crime Information Center
ORGANIZATIONPreparer
ORGANIZATIONParole and Law Enforcement Programs Unit
ORGANIZATION
Jeffrey Epstein
PERSON
Homeland Security
ORGANIZATIONAlbany
LOCATIONRequesting Law Enforcement Agency
ORGANIZATIONContact Information, Certification
ORGANIZATION
Department of Homeland Security
ORGANIZATIONthe Social Security Administration
ORGANIZATIONNew York Field Office
LOCATION
Michael C.Green
PERSONthe NYS Division of Criminal Justice Services
ORGANIZATIONU.S. Immigration and Customs Enforcement
ORGANIZATIONFederal, State
ORGANIZATIONthe Intelligence Community
ORGANIZATIONOffice of Refugee Resettlement
ORGANIZATIONICE-011 Immigration and Enforcement Operational Records
ORGANIZATION