Cancellation Request Applicant's InformationName* First Last Email* Enter Email Confirm Email Visa Class*Please SelectB1 Business/ConferenceB1/B2 Business & Tourism (Temporary visitor)B2 Tourism/Medical TreatmentC1 TransitC1/D Crewmember in transitD1 CrewmemberE1 Treaty Trader / Child of an E1 / Spouse of an E1E2 Treaty Investor / Child of E2 / Spouse of an E2E3 Australian Spec. WorkerE3D Spouse or Child of an E3F1 StudentF2 Spouse or Child of an F1F3 Commuter StudentH1B Speciality OccupationH1B1 Chilean or Singaporean Spec. OccupationH1C Nurse in shortage areaH2A Agricultural WorkerH2B Nonagricultural WorkerH3 TraineeH4 Spouse / Child of H1BH4 Spouse / Child of H1B1H4 Spouse / Child of H1CH4 Spouse / Child of H2AH4 Spouse / Child of H2BH4 Spouse / Child of H3I Foreign Media Representative / Spouse or Child of an IJ1 Exchange VisitorJ2 Spouse or Child of a J1L1 Intra-company TransfereeL2 Spouse or Child of an L1M1 StudentM2 Spouse or Child of an M1M3 Commuter StudentO1 Extraordinary AbilityO2 Alien Accompanying/AssistingO3 Spouse or Child of an O1 or O2P1 Internationally Recognized AlienP2 Artist/Entertainer Exchange ProgramP3 Artist / Entertainer in Cultural ProgramP4 Spouse or Child of a P1, P2, or P3Q1 Cultural Exhange VisitorR1 Religious WorkerR2 Spouse or Child of an R1T1 Victim of TraffickingT2 Spouse of a T1T3 Child of a T1T4 Parent of a T1T5 Sibling of a T1TD Spouse or Child of a TNTN NAFTA ProfessionalU1 Victim of CrimeU2 Spouse of a U1U3 Child of a U1U4 Parent of a U1U5 Sibling of a U1DS-160 Number* Last 4 digits of Credit Card*Please type the last 4 digits of the credit card you used to make your payment. Applicant's Signature*
