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THIS IS NOT AN APPOINTMENT RESCHEDULE SYSTEM FOR TOURISM VISAS ESTE SISTEMA NO ADELANTA VISAS DE TURISTA This form is for people who have already booked appointments and are requesting an appointment change. Due to the high volume of applications, we will not be able to expedite any appointments for tourist travel. For other requests, we will only respond if the request can be accommodated. If you do not receive a reply within two working days, please resend your request. All requests, whether approved or denied will receive a response. If your request could not be accommodated, please do not repeat your request. For business travel please provide a letter from the company in the United States, purpose of travel, and required dates of travel. For medical travel please provide a scanned letter from the U.S. doctor or hospital with a brief explanation of the patient's condition or necessary medical treatment, and date of the appointment at the hospital. In cases of death in the family, please explain the details, including the relationship and any relevant documentation (death certificate or letter from funeral home). For petition-based travel please include the petition number in the text of your request. For student travel please include SEVIS number and start date for program found on the I-20 in the text of your request. -CURRENT APPOINTMENT DATE - -FECHA DE CITA ACTUAL- * Time / Hora 7:00:00 7:30:00 8:00:00 8:30:00 9:00:00 9:30:00 10:00:00 10:30:00 11:00:00 11:30:00 12:00:00 12:30:00 13:00:00 13:30:00 14:00:00 14:30:00 * Date of Visit * Confirmation number / Numero de confirmacion -NAME OF THE APPLICANT- -NOMBRE DEL SOLICITANTE- * Last Name / Apellido * First Name / Primer Nombre Middle Initial / Inicial Accompanying applicants / Acompañantes del solicitante 1 2 3 4 group E-mail address / Correo electrónico Confirm e-mail address / Confirmar correo electrónico -DESIRED TRAVEL DATE- -FECHA DE VIAJE DESEADA- * Date * Reason for request / Razón para la solicitud (for business/Training, Medical & Crewmember reasons please add an attachment) (Para razones de Negocios/Entrenamiento, caso médico y miembros de tripulación por favor adjuntar archivo) Medical Cases / Casos Médicos Business/Training / Negocios/Cursos Students (F,J) / Estudiantes (F,J) Petition-based (H,L,O,P,R) / Solicitudes (H,L,O,P,R) Crewmembers (C1/D) / Tripulación(C1/D) Other / Otro SEVIS Number / Número SEVIS (add a SEVIS number for Studients F,J reasons) (agregar número de SEVIS para razones de estudiante F,J) Petition Number / Número de Solicitud (add a petition number for petition-based H,L,O,P,R reasons) (agregar número de petición para solicitudes de tipo H,L,O,P,R) Comments / Comentarios (300 character maximum) (máximo 300 caracteres) Add Attachments / Adjuntar Archivos (attach the file for bussiness/training, medical cases, crewmembers and other reasons) (adjunte el archivo para las razones de negocios/entrenamiento, médicas, miembro de tripulación y otras razones)   Fields with a (*) are required. campos con un (*) son requeridos.

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