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Official source

■ J;inuary 9, 202A . RE: : - •• ·- · - ~dOW(c:rr,~cMJrt--t- Tmmigrant AXXX-XXX-XXX Receipt Dare: June IS. 2021 The request for 1111 extension of a prima facfa cllie for c assification UJ1der the self-petitioning provisiOJJS oflh1: Viol= Against WomCll Ac>. hltS oo rcvlawed a.nd granted . 1H1s NOTICE MA v BE usm To Ass1s-r vou INIREcEMNo Pusuc BENEFITS. Tms PRIMA FAClE l)ETERMJNA. TlON IS V 4 FOR A PERIOD OF 180 DAYS FROM THE NOTICE DATE SJJOWN ABOVE, AND EXiTJIF..S ON THE DA TE INJ)JCATED BELOW. We will send you a wrincn notlce. as soon"" we mulr.c decision on rhls case. It is not c:,cpccted !hot 11 final da.ision will be milde in this = before the end Jt I 80 days. If this period is com ill& to a close ~!km.w.noi ~w.id&:.0~,}mn t· IP.~.111..iili:ill.l~ .f<;ecive o.o i:i,."teusi<'n wiihi.n llf.\ days ofthe ending da1c:. PLEASE NOTE: ESTABLJSHING A PRIMA FAqE CASE FOR CLASSIFICATION UNDER THE SELF-PETITIONING PROVISIO SOFT~ VIOLENCE AGAINST. WOMEN ACT DOES NOT NECESSARILY MEAN TRAT \'OUj PmTION Wil..L BE APPROVED. EXl'JRAl1ON DATE: July 7, 2024 TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF A-435.3 CITIZENSHIP Division of Social Services Eligibility and Payments Manual 01 May 26 MTL 06/26 Verification of Battered Non-Citizen Status

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Page 24

Official source

■ J;inuary 9, 202A . RE: : - •• ·- · - ~dOW(c:rr,~cMJrt--t- Tmmigrant AXXX-XXX-XXX Receipt Dare: June IS. 2021 The request for 1111 extension of a prima facfa cllie for c assification UJ1der the self-petitioning provisiOJJS oflh1: Viol= Against WomCll Ac>. hltS oo rcvlawed a.nd granted . 1H1s NOTICE MA v BE usm To Ass1s-r vou INIREcEMNo Pusuc BENEFITS. Tms PRIMA FAClE l)ETERMJNA. TlON IS V 4 FOR A PERIOD OF 180 DAYS FROM THE NOTICE DATE SJJOWN ABOVE, AND EXiTJIF..S ON THE DA TE INJ)JCATED BELOW. We will send you a wrincn notlce. as soon"" we mulr.c decision on rhls case. It is not c:,cpccted !hot 11 final da.ision will be milde in this = before the end Jt I 80 days. If this period is com ill& to a close ~!km.w.noi ~w.id&:.0~,}mn t· IP.~.111..iili:ill.l~ .f<;ecive o.o i:i,."teusi<'n wiihi.n llf.\ days ofthe ending da1c:. PLEASE NOTE: ESTABLJSHING A PRIMA FAqE CASE FOR CLASSIFICATION UNDER THE SELF-PETITIONING PROVISIO SOFT~ VIOLENCE AGAINST. WOMEN ACT DOES NOT NECESSARILY MEAN TRAT \'OUj PmTION Wil..L BE APPROVED. EXl'JRAl1ON DATE: July 7, 2024 TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF TANF A-435.3 CITIZENSHIP Division of Social Services Eligibility and Payments Manual 01 May 26 MTL 06/26 Verification of Battered Non-Citizen Status