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For this form we only have the identity
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Genealogy Records Request
Use Form G-1041A to obtain copies of USCIS historical records. (To request an index search of USCIS historical records, use Form G-1041, Genealogy Index Search Request.)
We request it from uscis.gov the moment you open it and we keep no copy. That is why we cannot hand you a stale edition: what you see is what USCIS is publishing right now.
It will be saved as g-1041a.pdf
The form is USCIS material — public information that may be copied and distributed. The official page for this form is its record on uscis.gov (opens the official site in a new tab)
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