Form DS-261 CEAC IV Form

CEAC IV Form
DS-261

OMB Screenshots

May 2015

Bureau of Consular Affairs
Consular Systems and Technology

Getting Started Page – Online Choice of Address and
Agent (DS-261)

CEAC IV Form DS-261

1

Agent Attorney Name and Address Information Page
Displayed for all applicants. Answered No to all questions.

CEAC IV Form DS-261

2

Agent Attorney Name and Address Information Page
Displayed for all applicants. Answered ‘No’ to the first question and ‘Yes’ to the second question.

CEAC IV Form DS-261

3

Agent Attorney Name and Address Information Page
Displayed for all applicants. Answered Yes to all questions.

CEAC IV Form DS-261

4

Review Section

CEAC IV Form DS-261

5

Sign and Submit Page
Displayed for all applicants. Answered ‘No’ to the question ‘Did anyone assist you in filling out this application?’.

CEAC IV Form DS-261

6

Sign and Submit Page
Displayed for all applicants. Answered ‘Yes’ to the question ‘Did anyone assist you in filling out this application?’.

CEAC IV Form DS-261

7

Copyright Page – Online Agent of Choice

CEAC IV Form DS-261

8

Disclaimer Page – Online Agent of Choice

CEAC IV Form DS-261

9

Paperwork Reduction Act Page – Online Agent of
Choice

CEAC IV Form DS-261

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