Sample Designee Letter – Pdf [pdf]

Sample letter to be signed by the head of a government agency signing U visa certifications in which the head of the agency specifies the positions or names of supervisory staff to whom the head of the agency is delegating U visa signing authority. This sample form can be used by Police Chief, Sheriff, Prosecutor, District Attorney, head of child or adult protective services agency or other government agency head. This sample is provided in word and should be transferred to department or agency stationary. It is recommended that when the authority signing U visa certifications for the agency is not the head of the agency that a copy of the designation letter be provided to the immigrant crime victim along with the U visa certification form.