I-918 (U-Visa Request)

Be sure to follow the instructions below carefully.

I-918 B forms MUST be completely and accurately filled out with the exception of the signature line and date. If the required information is not provided, is incomplete, or is filled out incorrectly, forms may be returned or rejected.

Submission Requirements

  • Police Reports: Provide the Hawthorne Police Department report number and verify that Hawthorne is the handling agency. You must provide a copy of all related police reports.

  • Identification: Applicants must provide a photocopy of current government-issued identification (driver license, state identification, passport, consular identification, etc.).

  • Return Envelope: You MUST include a stamped (postage paid), self-addressed envelope with your certification request.

Important Guidelines for Form I-918 B

  • Documented Injuries Only: Please do not include information about injuries the Hawthorne Police Department has not documented within the report and cannot attest to.

    • Example: “Applicant suffered emotional trauma and suffers from difficulty sleeping.”

  • Do Not Use “See Attached”: Please do not list “See Attached” when asked to provide information regarding:

    • Facts of the case.

    • Injuries sustained by the applicant.

    • The box marked “Other.”

  • No Blank Boxes: Please ensure that all boxes are marked. If you have no information for a certain box, please mark “N/A.”

Required Information (Part 2)

Please use the following required information for the I-918 B form (Part 2):

  • Name of Certifying Agency: Hawthorne Police Department

  • Name of Certifying Official: Leave Blank

  • Title: Leave Blank

  • Name of Head of Certifying Agency: Eric Lane, Chief of Police

  • Agency Address: 12501 S. Hawthorne Boulevard, Hawthorne, CA 90250

  • Phone: (310) 349-2820

  • Agency Type: Local

  • Certifying Agency Category: Law Enforcement

Mailing Instructions

Please send all requests to:

Hawthorne Police Department U-Visa Request Attention:

Detective Bureau Commander Administrative, Assistance Joyce Walker

12501 S. Hawthorne Boulevard

Hawthorne CA 90250