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Instrukcje dotyczące formularza G- 1450, Autoryzacja transakcji kartą kredytową

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USCIS  
Form G-1450  
Instructions for Authorization for Credit Card Transactions  
Department of Homeland Security  
U.S. Citizenship and Immigration Services  
What Is the Purpose of Form G-1450?  
Use Form G-1450, Authorization for Credit Card Transactions, to pay the filing fee and biometric services fee  
(if applicable) for an application, petition, or request that you are filing with U.S. Citizenship and Immigration Services  
(USCIS) by credit card. Please see the USCIS Form G-1450 website for additional information.  
General Instructions  
USCIS provides forms free of charge through the USCIS website. In order to view, print, or fill out our forms, you should  
use the latest version of Adobe Reader, which you can download for free at http://get.adobe.com/reader/. If you do not  
have Internet access, you may call the USCIS Contact Center at 1-800-375-5283 and ask that we mail a form to you. For  
TTY (deaf or hard of hearing) call: 1-800-767-1833.  
Signature. Each Form G-1450 must be properly signed and filed. For all signatures on this form, USCIS will not accept  
a stamped or typewritten name in place of a signature.  
Notice to Those Making Payment by Credit Card  
If you submit Form G-1450, USCIS will use the information you provide to process a credit card payment up to the  
amount you authorize through the U.S. Department of Treasury Pay.gov Trusted Collection Service (TCS). TCS is a  
web-based application that allows Government agencies to process payments by credit or debit cards.  
NOTE: The credit card must be issued by a U.S. bank.  
After USCIS processes your Form G-1450, we will destroy your authorization, regardless if USCIS accepts or rejects your  
application, petition, or request. USCIS will reject your application, petition, or request for lack of payment if your credit  
card is declined. USCIS will not attempt to process your credit card payment a second time.  
DHS Privacy Notice  
AUTHORITIES: The information requested on this form is collected pursuant to Section 286(m) of the Immigration and  
Nationality Act, 8 U.S.C 1356(m).  
PURPOSE: The primary purpose for providing the requested information is to authorize USCIS to make an electronic  
credit card payment in Pay.gov, which is owned and operated by the Department of Treasury, for the filing fee and  
biometric services fee associated with a benefit request form. DHS processes your case when the payment is received in  
full.  
DISCLOSURE: The information you provide is voluntary. However, failure to make a payment towards the associated  
benefit request filing fee and biometric services fee may delay or prevent USCIS from accepting your benefit request form.  
ROUTINE USES: DHS may share the information you provide on this form to USCIS personnel and contractors or  
other agents who need the information to assist in activities related to processing associated fees. DHS may disclose the  
information to other Federal, state, local, and authorized organizations. DHS follows approved routine uses described  
in the associated published system of records notices [DHS/USCIS/ICE/CBP-001 - Alien File, Index, and National File  
Tracking, DHS/USCIS-007 - Benefits Information System] and published privacy impact assessments [DHS/USCIS/  
PIA-061 Benefit Request Intake Process], available at www.dhs.gov/privacy. DHS may also share this information, as  
appropriate, for law enforcement purposes or in the interest of national security.  
Form G-1450 Instructions 11/15/21  
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