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DEPARTMENT FOR AGING AND REHABILITATIVE SERVICES AUXILIARY GRANT PROGRAM NON-FINANCIAL REQUIREMENTS 07/19 CHAPTER C, PAGE 47 to 4/1/97 or cancellation of removal under sec. 240A(b)(2) Cuban/Haitian entrant under Section 501(e) of the Refugee Education Assistance Act of 1980 CATEGORY 1 • DHS Form I-94 with stamp showing parole at any time as “Cuban/Haitian Entrant (Status Pending)”, or • DHS Form I-94 with stamp showing parole (other than for law enforcement purposes) into the U.S. on or after 4/21/80. In addition, a national of Cuba or Haiti who has one of the following documents may be a Category 1B Cuban/Haitian entrant if the parole was for other than law enforcement purposes: • DHS Form I-688A annotated with codes “274a.12(a)(4)” or “274a.12(c)(11),” or

• DHS Form I-688B annotated with codes “274a.12(a)(4)” or “274a.12(c)(11),” or • DHS Form I-766 annotated with code “A4” or “C11.” CAUTION: An individual who has one of the following immigration documents may or may not be a Category 1 Cuban/Haitian entrant: • DHS Form I-551 (Alien Registration Card/Permanent Resident Card) with code CU6, CU7, or CH6; or • Cuban or Haitian passport unexpired temporary I-551 stamp with code CU6, CU7, or CH6 DHS Form 1-94 with unexpired temporary I-551 stamp with code CU6, CU7, or CH6. Potentially eligible only if the individual: • Is blind or disabled and was lawfully residing in the U.S. on 8/22/96; or • Is lawfully residing in the U.S. and was receiving AG or SSI benefits on 8/22/96; or • Is a veteran or active duty member of the Armed Forces; or is the spouse or dependent child of a veteran or active duty member; or If none of the above conditions apply: Became a Cuban/Haitian entrant within the last 7 years, then eligibility limited to a maximum of 7 years from the date of status. Cuban/Haitian entrant under Section 501(e) of the Refugee Education Assistance Act of 1980 CATEGORY 2(B) • DHS Form I-221 (Order to Show Cause and Notice of Hearing); or Potentially eligible only if the individual: • Is blind or disabled and was lawfully residing in the U.S. on 8/22/96; or