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Sample Forms for Certification Concerning Legal Residency in the United States

Samples Only. They are not official guidance or required.

Sample Form A | Sample Form B

Sample Form ASample Certification01


Sample Form BSample Certification02

Updated: 6/27/2017
HEP Home Planning Environment Real Estate
Federal Highway Administration | 1200 New Jersey Avenue, SE | Washington, DC 20590 | 202-366-4000