You may complete and submit this form online through Respondent Access. 5) Write in your return address in the area marked "PUT YOUR ADDRESS HERE." 6) Mail the original form to the Immigration Court whose address is printed below. Sample 2 – Child Custody Character Reference Letter. 1. Heading and Greeting. Licensure requires completing an application, get it signed and notarized, and pay the required fee. Here's a general format to follow: Use a formal email address, preferably one that includes your full name. This application is used to apply for asylum in the United. States and for withholding of removal (formerly called. This form is a sample doctor's letter that can be used to get a gender marker change on your driver's license or state ID in Georgia.