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FORM  I-395

Form I-395

Affidavit in lieu of Lost Receipt of United States USCIS for Collateral Accepted as Security

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 orginal receipt (Form I-305), you will need to submit an I-395 as well as a copy of your bond contact (Form I-352).

Filing Fee


Download Free US Immigration Forms

Edition Date



Download Free and Fillable INS Forms Online

Number of Pages

1 Page

Download DOL and Department of State Forms


U.S. Department of Homeland Security
Debt Management Unit
Attention: Bond Unit
PO Box 5000
Williston, VT 05495-5000

Yes, I would like to check my US visa eligibility


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