Your information WILL NOT BE SAVED if you log off before you submit and receive a confirmation number.

Your application IS NOT COMPLETE until you submit it and receive a confirmation number.

• The system will log you out if you have not selected any action button, such as Next, Previous, or Submit within 30 minutes. Your information will not be saved. If this happens, you must log back on and re-enter your information on your application .
• Read all instructions carefully.
• Complete each screen from top to bottom.
• Information marked with a red asterisk * is required.

Truth in Filing

All information you give must be true and complete to the best of your knowledge. There are penalties for withholding information or giving false information, including penalties for perjury in regard to citizenship or immigration status. If the information is incorrect, you may not be able to receive benefits and/or you may be charged with fraud.