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Notification of Change of Address

If you recently arrived in the USA or if you changed of address while in the USA, you must confirm your current physical location. Please complete and submit the form bellow.
Thank you!

* required fields

   

Alliance Abroad Group ID number  
Name  
  *
e-mail  
   *
Type of program 
 H-2B Seasonal Work    Q-1 Cultural Exchange*

Your residential address in the US (not  P.O.  Box)  

 *

Phone number in the US  

 *

Host Company name  

 *

Host Company phone number  

 ext. *

Contact Person  

 *
e-mail  
  
The information and pre-departure  
orientation I received from my overseas 
agency prior to my arrival was: 

  

Comments about the orientation:  

 
I understood my medical insurance  
information  and how to use it  
 
   Yes   No
I received my insurance booklet  
with ID card   
   Yes   No
 
 

 
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