Immigration Office Check-In Change Request Form
Use this form to request a change to an existing immigration office check-in or appointment, including rescheduling, location changes, or cancellation requests.
Requestor Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
*
Email
Phone
Original Check-In Details
Original Check-In Reference Number
Original Scheduled Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Original Scheduled Time
*
Hour Minutes
AM
PM
AM/PM Option
Immigration Office / Location Name
*
Requested Change
Type of Change Requested
*
Reschedule date
Reschedule time
Change office/location
Cancel check-in
Other
Desired New Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Desired New Time
Hour Minutes
AM
PM
AM/PM Option
Additional Details About the Requested Change
Reason and Availability
Reason for Change
*
Availability Constraints / Preferred Time Windows
*
Submit Request
Should be Empty: