NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

Any document containing foreign language submitted to USCIS must be accompanied by a full
English language translation which the interpreter has certified as complete and accurate, and by the interpreter’s certification that he or she is competent from the foreign language into English.
In other words the translation may or may not be done by a certified translator so long as the interpreter is competent to translate from the foreign language to English and attaches a
Certificate of Translation (see sample). In it the translator must certify that s/he is competent to translate and that the translation is accurate.
To assist you in finding someone who may be able to help you translate your document we have compiled the following list of service providers but you are free to get your documents translated by anyone that is competent to translate from the foreign language to English as stated above.
* The Deferred Action Working Group does not endorse any one of these or make any claims about their workmanship. *
Certified and Noncertified Translators
SEF Translations (Traducciones SEF)
Boulder - Longmont - Denver j.minaya@spanisheasyfun.com
(303) 827 5965
Rosabelle White Aguirre de Rice
Federally Certified Spanish Interpreter and Certified Medical Interpreter
Solutions@interpreters-Colorado.com
(303) 664 0852, or (720) 838 9509
Well Translated http://www.welltranslated.com/ info@welltranslated.com
(720) 308 1179
Abacus Chinese Translation http://www.certifiedchinesetranslation.com/contact-us.html
(626) 487 8909
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

Horizon High School:
If the student or parent/guardian is requesting an official transcript for a student who graduated a year or less ago, the student or parent/guardian can walk in or call into the main counseling office at Horizon High School and receive a transcript for no fee. However, if the student is requesting a transcript from over a year ago, the student needs to go to the district office and must pay a minimal fee ($10) for the transcript.
Contact Information:
Counseling Main & Records
Michelle Bell
Phone: (720)-972-4423
Legacy High School:
Current students or parent/guardians of current students can walk into the main office or call the Record Clerk’s office to request an official transcript for no fee. If the student graduated over a year ago or is requesting a transcript from over a year before, the student must contact the
District Office for the transcript and there is a $5 fee for that transcript. If the student is over 18 years old, the parents/guardian must have student permission to obtain the transcript.
Contact Information:
Legacy High School
2701 W. 136 th
Ave
Broomfield, CO. 80023
Phone: (720)-972-6700
Office of the Records Clerk
Phone: (720)-972-6712
Mountain Range High School:
Current students or parents/guardians of current students may obtain a paper application or apply online (preferred method) for an official transcript request. Then, student or parent/guardian need to complete a Transcript Request Form, located in the counseling office, and submit it to the counselor. If the student graduated over a year ago, or is requesting a transcript from over a year ago, they need to contact the District Office. You must allow ten working days to process an application/transcript request for which there is no fee. If the student
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

is 18 years of age or older, the parent/guardian needs the student’s permission to request a transcript on their behalf.
Contact Information:
Mountain Range High School
12500 Huron St
Westminster, CO. 80234
Phone: (720)-972-6300
Guidance Office
Phone: (720)-972-6320
Northglenn High School:
If a current student or parent/guardian wants to request a transcript for a student from the current year, you must fax your request with student name, birthday, phone number and signature to (720)-972-4163. If you are requesting a transcript for a student enrolled prior to the current school year, you must call the District Office at (720)-972-4737.
Contact Information:
Northglenn High School
601 W. 100 th
Place
Northglenn, CO. 80260
Phone: (720)-972-4600
Records Office and Registrar
Amy Holton
Phone: (720)-972-4621
Pathways Extended Education Program:
The student or parent/guardian can contact the counseling office for information regarding official transcript requests.
Contact Information:
Pathways Extended Education Program
550 E. 12 th
Ave
Thornton, CO. 80241
Counseling Office
Krissy Koenig
(720)-972-8270
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

Thornton High School:
Students and parents/guardians can contact the Main Office or the Guidance Counselor’s
Office to find out how to get an official transcript.
Contact Information:
Thornton High School
9351 N. Washington St.
Thornton, CO. 80229
Phone: (720)-972-4800
Fax: (720)-972-4999
Guidance Counselor’s Office
Kathy Hoy
Phone: (720)-972-4825
Vantage Point High School:
Students and parents/guardians can contact the Main Office or the Counseling Office to find out how to get an official transcript.
Contact Information:
Vantage Point High School
10900 Huron St
Northglenn, CO. 80234
Phone: (720)-972-5800
Fax: (720)-972-5814
Counseling Office
Phone: (720)-972-8368
Adams City High School:
Current student or parent/legal guardian can walk into the Counseling Office and request an official transcript for the student at any time for no fee.
Contact information:
Adams City High School
7200 Quebec Parkway
Commerce City, CO 80022
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

Phone: (303)-289-3111
Lester Arnold High School:
To request an official transcript, a student or parent/guardian can walk in, fax or email a request.
It must say official transcript request, have the student’s name, birthday and phone number on it as well as a signature. If the student is 18 years of age or older, the parent can no longer request a transcript without the student’s permission. There is no fee for an official transcript. Please contact Janice Machen at (303)-853-3238 in the Records Department for additional information.
Contact Information:
Lester Arnold High School
3500 E 72 nd
Ave
Commerce City, CO 80022
Phone: (303)-289-2983
Fax: (303)-289-7167
Aurora Central High School:
Contact the main office and ask for the registrar. However, if you have already graduated from high school, contact the student records center at (303)-344-8060 to obtain a copy of your transcript.
Contact Information:
11700 E. 11 th
Ave
Aurora, CO. 80010
Phone: (303)-340-1600
Aurora West College Preparatory Academy:
The student or parent/guardian must walk into the counseling office to request an official transcript for no fee. If the student is 18 years of age or older, the parent/guardian needs the student’s permission to obtain the transcript.
Contact Information:
Aurora West College Preparatory Academy
10100 E. 13 th
Ave
Aurora, CO. 80010
Phone: (303)-366-2671
Fax: (303)-326-1260
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

Gateway High School:
Active students may send a request for transcript form, as long as the student has no outstanding books and fines, it will be given free of charge. Inactive students must visit the records building on 11 th and Peoria and go through the same process in person.
Contact Information:
Gateway High School
1300 S. Sable Blvd.
Aurora, CO. 80012
Phone: (303)-755-7160
Student Records
Phone: (303)-326-1888
Hinkley:
Current students may walk into the office at any time, and request an official transcript.
Former students are required to file a “transcript request” on the website.
Contact Information:
Hinkley High School
1250 Chambers Rd
Aurora, CO 80011
Phone: (303)-340-1500
Rangeview:
Students can request transcripts from the counseling office with one week of advance notice. A copy of the official transcript with test scores will be provided.
Contact Information:
17599 E Iliff Ave
Aurora, CO 80013
303-695-6848 (office)
303-326-1276 (fax)
Vista PEAK Preparatory:
Parents of students, and students under 18 must fax a request for transcript form to the school at (303) 326 156. Parents of students over 18 are not able to request transcripts without the permission of the student.
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

Current students must appear in their specific school office to make transcript requests, with varying fees attached by school. Former students and parents of former students not yet 18 years old can request student records from the District Admissions Office by filling out a record request form. Parents cannot request records for students currently over 18 years old.
Cherokee Trail High School www.cths.ccsd.k12.co.us
25901 E. Arapahoe Road, Aurora, CO 80016
Phone: 720-886-1900
Cherry Creek High School www.cchs.ccsd.k12.co.us
9300 E. Union, Englewood, CO 80111
Phone: 720-554-2000
Eaglecrest High School www.ehs.ccsd.k12.co.us
5100 S. Picadilly St., Centennial, CO 80015
Phone: 720-886-1000
Endeavor Academy www.endeavor.ccsd.k12.co.us
14073 E. Briarwood, Centennial, CO 80112
Phone: 720-886-7200
Grandview High School www.ghs.ccsd.k12.co.us
20500 E. Arapahoe Rd., Aurora, CO 80016
Phone: 720-886-6500
Overland High School/Institute of Science & Technology blazernet.ccsd.k12.co.us
12400 E. Jewell Ave., Aurora, CO 80012
Phone: 720-747-3700
Smoky Hill High School www.smoky.ccsd.k12.co.us
16100 E. Smoky Hill , Aurora, CO 80015
Phone: 720-886-5300
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

East High School:
Students at East High School can visit Ms. Wilson in records at anytime for a transcript, she is also willing to look up DPS enrollment history, which shows all the years a particular student has been enrolled in DPS. Although this is not an official document, it may be valuable in showing the student has been present in The United States for the required number of years.
Contact Information:
East High School
1600 City Park Esplanade
Denver, CO 80206
Phone: (720) 423-8300
Fax: (720) 423-8306
George Washington High School:
Official transcripts will be issued only to students who have no fees or fines due. As students apply to different colleges the first three transcripts are issued at no charge (for current/active/transfer students only) and any thereafter are issued for $3 each. Former students will be charged $3 for all transcripts.
Contact Information:
George Washington High School
655 S. Monaco Parkway
Denver, CO. 80224
Phone: (720)-423-8600
Fax: (720)-423-8614
Gina Love
Email: Gina_Love@dpsk12.org
Phone: (720)-423-8611
Manual High School
Requests for transcripts of students currently enrolled must re requested by a parents or a school official. When picking up the transcripts, the person must show a photo ID – official transcripts come in a signed, sealed envelope and are free of charge.
Contact Information:
Manual High School
1700 East 28th Avenue
Denver, CO 8020
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

Phone: (720) 423-6300
Fax: (720) 423-6301
Montbello High School
Students may walk in to the office at any time and request an official transcript free of charge. As Montbello is officially closing in 2014, at this time, student records will be housed at the records building downtown.
Contact Information:
Montbello High School
5000 Crown Blvd.
Denver, CO 80239
Telephone: 720-423-5700
Fax: 720-423-5801
North High School
Students can walk into the main office at any time and request a transcript free of charge.
Contact Information:
North High School
2960 Speer Blvd
Denver, CO 80211
Phone: (720) 423 2700
Fax: (720) 423-2708
South High School
Students can walk into the main office at any time and request a transcript free of charge.
South High School
1700 E. Louisianna
Denver, CO 80203
Phone: (720) 423-6000
Fax: (720) 423-6280
Thomas Jefferson High School
Students may go into the records office at any time and request an official transcript, the secretary there is also willing to provide DPS enrollment history forms which show the history of their attendance in Denver Public Schools.
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

Contact Information:
Thomas Jefferson High School
3950 S. Holly St.
Denver, CO 80237
Phone: (303) 423-7000
Fax: (303) 423-7047
West High School charge
Students at West High School may walk in at any time and request a transcript free of
Contact Information:
West High School
951 Elati Street
Denver, CO 80204
Phone: (303) 423-5300
Fax: (303) 423-5410
For Graduates and Former Students:
Graduates or former students or Jeffco Public Schools, parents or legal guardians or students under the age of 18, or higher education institutions requesting records on behalf of students may request Student Records by completing and submitting a Jeffco Student Records
Request Form
For Currently Enrolled Students:
Students currently enrolled in Jeffco Public Schools, parents, or legal guardians may obtain the academic records from the school where the student is enrolled.
Contact information:
Jeffco Public Schools
Student Records Center
1829 Denver West Drive, Building 27
P.O. Box 4001
Golden, CO. 80401
Fax: (303)-982-6575
Student Records Center
Phone: (303)-982-6715
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

To take the GED, you can do one of two things.
• With pencil and paper at an Official GED Testing Center ™.
• Or you can register and test online. o NOTE- While the GED ® test is now available on computer, that doesn’t mean you can earn the GED ® credential online. Even the GED ® test on computer requires you to take the test in an Official GED Testing Center™.
To register you can go online to www.ged123.org
To register to test online you can go to www.gedtestingservice.com/testers/test-on-computer
If you need more information on the whole process a good website is www.gedtestingservice.com
Once you register then you will be able to schedule your test. There will be an orientation session before the test. You can also take preparation courses for the GED if you choose. Some of the following locations have prep courses but there are plenty of other places that aren’t test centers that offer classes as well.
Here is a list of Official GED Test Centers with contact information…
Community College of Denver ( Has Prep Courses )
Quigg Newton Community Center
4440 Navajo St. | Denver, CO 80211
Contact: Janet Waide
720.273.1654 phone | 720.865.0114 fax
Janet.Waide@ccd.edu
Denver Women's Correctional Facility
10900 Smith Road | Denver, CO 80239
Contact: Sylvia Hernandez
303.371.4804, ext 3610 | 303.307.2514 sylvia.hernandez@doc.state.co.us
Emily Griffith Technical College ( Has Prep Courses )
1250 Welton St., Room 201 | Denver, CO 80204
Contact: Barbara Crawford
720.423.4749 phone | 303.423.4868 fax
Barbara_Crawford@dpsk12.org
Colorado Dept. of Education
201 E. Colfax | Denver, CO 80203
303-866-6613 phone
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

P.U.S.H. Academy Engagement Center
5000 Crown Blvd. | Denver, CO 80239
720-423-5969 phone
Aurora Public Schools
500 Airport Blvd. | Aurora, CO 80011
Contact: Diane Johnson
303.326.2112 phone | 303.326.1277 fax apsged@aps.k12.co.us
Almost Home
231 North Main Street I | Brighton, CO 80601
Contact: Sonia Huerta-Case
303.659.6199 phone I 303.659.8859 Fax
Front Range Community College | Testing Center B1300 ( Has Prep Courses )
3645 W. 112th Ave. CB18 | Westminster, CO 80031
Contact: Jane Hollestelle
303.404.5338 phone | 303.404.5611 fax jane.hollestelle@frontrange.edu
Here is a list of locations where you can take prep courses. These are only some, there are many more.
•
•
•
Centro San Juan Diego
Karla Guizar
Coordinator of Adult Education
(303) 295-9470 ext. 108 karla.guizar@archden.org
St. Cayetanos
Linda Sosa
303-257-8789
College America-Denver Campus
Adult GED test preparation classes and tutoring
1385 South Colorado Blvd. I Denver, CO 80222
Contact: Emily Smith
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

•
•
•
•
•
•
•
•
•
303.300.8740 phone emily.smith@collegeamerica.edu
Community College of Denver | ABE/GED Institute
PO Box 173363, Campus Box 600 | Denver, CO 80217
Contact: Glenda Sinks
303.556.2774 ext 107 phone | glenda.sinks@ccd.edu
Please Note: Offering GED and pre-GED instruction at a number of sites in Denver. Call for locations
Community Educational Outreach
PO Box 18874 I Denver, CO 80218
Contact: Jessica Beckman
303-921-8600 phone jbeckman@ceocolorado.org
Emily Griffith Technical College
1250 Welton Street #207 I Denver, CO 80204
Contact: Slavica Park
720.423-4700 phone
720.423-4750 (Spanish) slavica_park@dpsk12.org
Focus Points Family Resource Center
2501 East 48th Avenue I Denver, CO 80216
Contact: Jolene Goerend
303.292.0770 phone joleneg@focuspoints.org
Please Note: Spanish GED only. Serving the Metro Denver area.
Focus Points Family Resource Center I Open Book-ABE Program
2501 East 48th Avenue I Denver, CO 80216
Contact: Sue Reichard
303-757-0288 phone openbookliteracy@gmail.com
Metro State College I Family Literacy Program
4440 Navajo St. I Denver, CO 80211
Contact: Susan Cotton
303.458.8063 phone cottonsu@mscd.edu
Please Note: GED classes in Spanish Only. Preference given to public housing residents.
Mi Casa Resource Center for Women, Inc.
360 Acoma Street | Denver, CO 80223
303.573.1302 phone info@micasadenver.org
Northeast Women's Center
4821 E. 38th Ave. | Denver, CO 80207
Contact: Hazel Whitsett
303.355.3486 phone newc4821@hotmail.com
University of Colorado BUENO Center and Denver
Hispanic Chamber of Commerce
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

•
•
•
Instruction offered in English and Spanish.
924 W. Colfax Ave., Suite 201 | Denver, CO 80204
Contact: Glen Ochoa
303.678.3805 phone glen.ochoa@colorado.edu
Urban Peak Denver Shelter
1630 S. Acoma | Denver, CO 80223
Contact: Mark McVay
303.974.2920 phone mmcvay@urbanpeak.org
Urban Peak Denver
730 21st St. | Denver, CO 80205
Contact: GED Specialist
303.974.2934 phone
Veteran's Upward Bound
Metro State College of Denver
Campus Box 89, P.O. Box 173362 | Denver CO 80217
Contact: Leroy Chavez
303.556.3947 phone chavezl@mscd.edu
• Self Improvement Opportunities
Phone: 303-365-9367
•
•
•
Arapahoe Douglas Works
Phone: 303-636-1196
Community College of Aurora
Phone: 303-340-7044
Restoration Outreach
Phone: 720-859-2513
Anthem College •
•
Phone: 720-859-7900
Everest College
Phone: 303-745-6244
• Goal GED Prep
3621 West 73rd Ave Unit C | Westminster, CO 80030
Phone: (303)866-6600
• Front Range Community College | Testing Center B1300
3645 W. 112th Ave. CB18 | Westminster, CO 80031
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

Contact: Jane Hollestelle
303.404.5338 phone | 303.404.5611 fax jane.hollestelle@frontrange.edu
The social studies content area is made up of 50 multiple choice questions from the following content areas:
• History (U.S. or Canada, 25%*; World, 15%)
• Geography (15%)
• Civics and government (25%)
• Economics (20%)
The science content area contains 50 multiple choice questions from the following content areas:
• Physical science (physics and chemistry, 35%)
• Life science (45%)
• Earth and space science (20%)
The language arts, reading content area contains 40 multiple choice questions. Fictional literature constitutes 75 percent of each test and includes at least one selection from each of the following areas:
•
•
•
•
Poetry
Drama
Prose fiction before 1920
Prose fiction between 1920 and 1960
• Prose fiction after 1960
Nonfiction constitutes 25 percent of each test and includes two selections of nonfiction prose from any two of the following areas:
•
•
•
Nonfiction prose
Visual and performing arts reviews
Workplace and community documents
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

The mathematics content area contains 50 questions divided into two parts, and focuses on the following content areas:
•
•
Number operations and number sense (20-30%)
Measurement and geometry (20-30%)
•
•
Data analysis, statistics, and probability (20-30%)
Algebra, functions, and patterns (20-30%)
Alternate-format questions
The mathematics content area is 80 percent multiple choice questions and 20 percent constructed answers. On the constructed answers, you must write answers on either standard or coordinate plane grids, rather than select from five multiple choice answers. Please review the directions for standard grid and coordinate plane grid.
The language arts, writing content area is divided into two parts. The scores are combined and reported as a single score.
Part I
The first part contains 50 multiple choice questions from the following content areas:
•
•
•
Organization (15%)
Sentence structure (30%)
Usage (30%)
• Mechanics (25%)
Part II
The second part consists of writing an essay about a familiar subject. You will have 45 minutes to plan, write, and revise your essay. The essay topic will require you to present your opinion or explain your views about the assigned topic. Two trained readers will score your essay on the basis of the following features:
•
•
•
Focused main points
Clear organization
Specific development of ideas
• Sentence structure control, punctuation, grammar, word choice, and spelling
Each reader will score your essay on a four-point scale, and the scores will be averaged to find your final score. If you earn a final score of less than two on the essay, you must retake language arts, writing, Part I and Part II.
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

UNITED STATES DEPARTMENT OF HOMELAND SECURITY UNITED STATES
CITIZENSHIP AND IMMIGRATION SERVICES
========================== x
In the Matter of
BENEFICIARY NAME
ALIEN NUMBER, IF APPLICABLE
Applicant.
========================== x
AFFIDAVIT IN SUPPORT OF DEFERRED ACTION APPLICATION
OF NAME OF BENEFICIARY
I, the undersigned, NAME OF PERSON WRITING AFFIDAVIT , do hereby solemnly affirm and declare on oath that:
1. I have been personally acquainted with [BENEFICIARY] since [DATE].
2. I am personally acquainted with [BENEFICIARY} as [DESCRIBE
THE RELATIONSHIP BETWEEN BENEFICIARY AND PERSON WRITING
AFFIDAVIT]
3. During the period starting [BEGINNING DATE OF TIME GAP] and ending
[END DATE OF TIME GAP], I personally witnessed {BENEFICIARY] residing and being present in the United States on the following occasions: a. [OCCASION #1—include specific information about dates, locations, and activities] b. [OCCASION #2--ditto] c. [Etc.]
4. (IF PERSON WRITING AFFIDAVIT DOES NOT SPEAK ENGLISH
WELL, INCLUDE NEXT SENTENCE) This affidavit was read back to me in my native LANGUAGE and it is true and accurate to the best of my knowledge and belief.
I do hereby solemnly affirm that foregoing are true and correct statements.
Sworn to and Subscribed Before Me on
This DAY day of MONTH YEAR
Notary Public DEPONENT
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

Under federal law, we have the right to receive copies of most medical records. The federal law that addresses medical records is called the Health Information Portability Accountability Act, or
HIPAA ("HIP-uh"). When you get permission to see your records under HIPAA, the process is known as a HIPAA release.
A HIPPA release may be used to access doctors' notes, medical test results, lab reports, and/or billing information. Doctors are required to share any notes or records that they have created themselves, any test results for which they have copies, and any information provided to them about you by another doctor, provided that information was used in your treatment.
Most doctors ask you to fill out a form to request your records. Call your doctor's office and request a copy of its form. The office should be able to deliver the form to you by fax, e-mail, or postal mail. Alternately, you may pick up the form from your doctor's office.
If your doctor's office doesn't have a specific form available, you may write a letter instead.
Include in the letter:
• Your full legal name, including, if applicable, your maiden name.
• Your Social Security number.
• Your date of birth.
• Your address and phone number.
• Your e-mail address.
• The dates that you were under the doctor's care.
• Details of what information is being requested.
• Details of how you would like to receive that information.
• Your signature.
Diagnostic lab test records--such tests as blood tests, CT scans, x-rays, mammograms, etc.-- should be requested from the doctor who ordered them or from your primary care physician. If you seek hospital records or records from any other medical facility, request them directly from that facility.
You may have to pay a fee to request your medical records. You may also have to wait a certain number of days, depending on the doctor's office's policies and state law, before you receive your medical records. You may have difficulty accessing medical records from more than six years before you make your request. Finally, you may be denied access to some records--usually mental health records--if a health care provider believes that letting you look at your medical records could endanger your physical health. Providers cannot deny you access because they think you will be upset unless they believe you will physically harm yourself as a result. If you are refused access to your records, the provider must let you know why, in writing.
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

You will not be eligible for the deferred action program if:
• You have been convicted of a felony;
• You have been convicted of a “significant misdemeanor” offense;
• You have been convicted of “multiple” misdemeanor offenses; or
• You are a threat to national security or public safety.
If you have been convicted of a crime please consult with an attorney before submitting your application.
A felony is a federal, state, or local criminal offense punishable by imprisonment for a term exceedingone year. It must be an actual conviction to disqualify you. Please consult with an attorney.
A misdemeanor is a federal, state, or local criminal offense punishable by no more than oneyear of imprisonment or even no imprisonment According to documents recently released by the government a significant misdemeanor is one that involves: violence, threats, or assault, including domestic violence; sexual abuse or exploitation; burglary, larceny, or fraud; driving under the influence of alcohol or drugs; obstruction of justice or bribery; unlawful flight from arrest, prosecution, or the scene of an accident; unlawful possession or use of a firearm; drug distribution or trafficking; or unlawful possession of drugs.
Many of these crimes would result in your detention and possible deportation. If you have a misdemeanor conviction, do not make assumptions. It is possible that the government will consider it significant even if you do not think they will. Please contact an attorney if you have a misdemeanor conviction.
A person who is convicted of three or more other misdemeanors (that are not classified as significant misdemeanors) that did not occur on the same day and did not arise out of the same act is not eligible for deferred action.
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

The government has indicated that it may consider things outside of your criminal record to determine if you are a safety or security risk, including charges brought against you in juvenile court, c onnections with gang activity, participation in criminal activities, or participation in activities that threaten the United States.
Most tickets should not affect you. However, in some misdemeanor cases only tickets are issued and a person is not arrested so you need to make sure that your ticket did not result in a misdemeanor conviction. Even some traffic violations may be misdemeanors (for example driving under suspension or revocation or habitual traffic offender). Please contact a volunteer attorney if you have had a ticket.
If you have ever been arrested we suggest that you get an FBI background check. This means that the FBI will check your fingerprints and send you an arrest record. Please see the following information on how to get an FBI background check.
If you have been arrested you need to get a copy of the “final disposition” of that arrest and subsequent charge and/or conviction. This is a document that shows what charges you had, if you were convicted or the charge was dismissed, and what sentence you received. You get this document from the city, county, or district courthouse that handled your case.
Please show this disposition to an attorney before you apply for deferred action.
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

The instructions for an FBI background check are below. You will need to fill out the application, get your prints taken, and mail it in with a payment of $18. To get your prints taken, you will need to take the enclosed fingerprint card to a qualified fingerprinting technician to place your fingerprints on the card.(See attached list of resources).
Instructions for Submitting an Identification Record Request to the FBI
Step 1: Complete the Applicant Information Form.
• Include your complete mailing address. Please provide your telephone number and/or e-
• mail address, if available.
Step 2: Obtain a set of your fingerprints.
Provide the original fingerprint card. Previously processed cards or copies will not be
•
•
• accepted.
Your name and date of birth must be provided on the fingerprint card. Fingerprints should be placed on a standard fingerprint form (FD-258) commonly used for applicant or law enforcement purposes.
Include rolled impressions of all 10 fingerprints and impressions of all 10 fingerprints taken simultaneously (these are sometimes referred to as plain or flat impressions).
If possible, have your fingerprints taken by a fingerprinting technician.
To ensure the most legible prints possible, refer to the Recording Legible Fingerprints •
• brochure .
Step 3: Submit payment.
Obtain a money order or cashier’s check for $18 U.S. dollars made payable to the
•
•
•
Treasury of the United States. Please be sure to sign where required.
Important note: Cash, personal checks, or business checks WILL NOT be accepted.
Payment must be for the exact amount.
If the request is for multiple copies per person, include $18 for each copy requested.
Step 4: Review the FBI Identification Record Request Checklist to ensure that you have included everything needed to process your request.
Step 5: Mail the required items listed above—signed applicant information form, fingerprint card, and payment of $18 U.S. dollars for each person or copy requested—to the following address:
FBI CJIS Division – Record Request
1000 Custer Hollow Road
Clarksburg, WV 26306
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

Note: Although the FBI employs the most efficient methods for processing these requests, processing times may take approximately five to six weeks depending on the volume of requests received.
Local resources for fingerprinting in the Denver Metro Area
(Prices and services may vary)
AMERICAN DATABANK
110 16th Street, 8th Floor
Denver, CO 80202
Toll Free: 1-800-200-0853
Phone: 1-303-573-1130
ABC Mobile Fingerprinting (mobile service)
303.480.3581
Front Range Fingerprinting
7865 S Fairfax Ct, Centennial, CO 80122
Phone: (303) 794-9342
Denver Fingerprinting Company (mobile service)
(303) 925-1340 or (720) 314-8525
Wolf Investigative Network (mobile service)
Phone: 303-918-8552
Arapahoe Community College
5900 South Santa Fe Drive, 2nd floor, Room M-2600
Littleton, CO
(303) 797-5800
Hours: Monday – Thursday 8:00 a.m. – 5:00 p.m. and Friday 8:00 a.m. – 4:00 p.m. No appointment necessary.
Cash, checks and credit cards accepted.
Fingerprint cards not needed, electronic method used for fingerprinting and submittal to CBI. All applicants must bring a valid driver’s license or passport for identification purposes.
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.

Even if you have never had any contact with police, we recommend getting a criminal record check.
Here are some ways for applicants (or agencies) to obtain criminal records:
1. FBI CRIMINAL BACKGROUND CHECK: the instructions on the FBI’s website are pretty thorough and you can find them on this page . All the links below can be found on that page, but here they are for your convenience:
- The instructions to complete and submit the form can be found here ; and as you can see, you’ll need to send the following items to the address listed below:
1. Signed applicant information form
2. fingerprint card
3. Payment of $18 U.S. dollars (payable with a cashier’s check; money order; or credit card form that you must download)
FBI CJIS Division – Record Request
1000 Custer Hollow Road
Clarksburg, WV 26306
- The application form you must complete and submit can be found here (in order to get to that page, the FBI’s page asks what your purpose is in requesting the background check, and that is just because some local or state agencies may be the reason a person is asking for the check and those agencies may have special requirements; but if an immigrant client just wants to see what comes-up on their record, their reason is “to review your own record.”)
- The fingerprint card you must use can be found here .
The process is called a “Criminal Background Check” so that is how you would refer to it. Do not use the word "immigration" as part of the reason for seeking the record check.
2. Obtain a Certified Letter of Disposition
Obtain a Criminal Background Check and/or a Certificate/Letter of Disposition or a No
Records Letter by going to your city, county, or district courthouse and speaking with a clerk.
There may be a small fee. You should do this in every county for every citation or arrest. If you have not had any contact with the police you should obtain a No Records Letter from the counties you have resided in.
To avoid potential problems, we suggest not going to a police or sheriff department to get your criminal record.
NOTICE: The information contained in this document was compiled by members of the Colorado
Deferred Action Working Group to assist you in knowing how to gather some of evidence for deferred action for childhood arrivals. It is general in nature and it is subject to change. It also does not constitute legal advice.