To establish good cause for the continuance of his/her foreign resident status and
                  the continued payment of SVB while present in the United States, a beneficiary who
                  states that he/she made a good faith effort to return to his/her home abroad but was
                  prevented from doing so by circumstances beyond his/her control must submit the following:
               
               
                  - 
                     
                        • 
                           Evidence of the good faith effort he/she made to return to his/her home abroad before
                              1 full calendar month had elapsed;
                            
 
 
- 
                     
                        • 
                           Evidence of the circumstances/event that prevented him/her from returning to his/her
                              home abroad within the 1 full calendar month period; and
                            
 
 
- 
                     
                        • 
                           His/her signed statement showing what efforts he/she had made to return to his/her
                              home abroad and the date he/she intended to return, what happened to prevent this
                              and when he/she plans to return to that home.
                            
 
 
If the beneficiary is unable to give this statement (e.g., he is hospitalized and
                  his condition prevents making any statement), the statement may be obtained from a
                  relative or other person assisting in this request. The name, address and relationship
                  of this individual to the beneficiary must be obtained. NOTE: in these instances representative
                  payee development may be necessary.
               
               See VB 00205.165D. for a discussion of the kinds of evidence which can be submitted.