Afghan Parolee Vaccination Status

By clicking "submit" below, I hereby certify and attest that I have received at least 1 dose of the COVID-19 vaccine (or that I am under 12 years of age) and that I have received vaccinations for mumps, measles, rubella (MMR); polio; and other age-appropriate vaccines (if required because I arrived on or after Sept. 7, 2021) and have undergone tuberculosis testing (and, if positive, have taken appropriate isolation and treatment measures).

DHS Privacy Notice

AUTHORITIES: The information requested on this application, and the associated evidence, is collected under the Immigration and Nationality Act, 8 U.S.C. §1182(d)(5).

PURPOSE: The primary purpose for providing the requested information on this application is to determine compliance with vaccination and medical testing conditions for humanitarian parole. DHS uses the information you provide to confirm your compliance with the parole conditions for the benefit you are seeking.

DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your Alien number or I-94 number, and any requested evidence may delay a final decision or result in a rejection or denial of your application.

ROUTINE USES: DHS may, where allowable under relevant confidentiality provisions, share the information you provide on this application and any additional requested evidence with other Federal, state, local, and foreign government agencies and authorized organizations.   DHS follows approved routine uses, as described in the associated published system of records notice [DHS/USCIS/ICE/CBP-001 Alien File, Index, and National File Tracking System] and the published privacy impact assessment [DHS/USCIS/PIA- 061 Benefit Request Intake Process], which can be found at www.dhs.gov/privacy. DHS may also share this information as appropriate for law enforcement purposes or in the interest of national security.