Verification Questionnaire

Full Legal Name of Entity *

State of Registration *

Registration / Entity ID (If available)

EIN / UEI / CAGE (Optional)

Specific Item(s) to be Confirmed

Invoice Number

Invoice Date (MM/DD/YYYY)

Amount and Currency

Issuing Company Name and Address

Reason for Verification / Concern

USCIS Receipt Number (3 letters + 10 digits)

Form Type (e.g., I-140, I-765, I-797)

Issue Date (if known)

Document Holder’s Name and/or DOB

Case Number

Court Name and Jurisdiction

Parties (Plaintiff / Defendant)

Document / Decision Date

Issuing Authority

Serial Number / Issue Date

Country of Intended Use

Description of the Document and Verification Objective