This form contains 194 fields organized into 32 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Additional Information Entry 2 (Page/Part/Item and Details)
Entry 2 Page Number Text
Enter the page number of the form that the additional information in Entry 2 refers to.
Max length: 7 characters
Entry 2 Part Number Text
Enter the part number of the form that the additional information in Entry 2 refers to.
Max length: 6 characters
Entry 2 Item Number Text
Enter the item number of the form that the additional information in Entry 2 refers to.
Max length: 7 characters
Entry 2 Additional Information Line 1 Text
Provide the first line of additional information or explanation for the referenced Page/Part/Item.
Entry 2 Additional Information Line 2 Text
Provide the second line of additional information or explanation for the referenced Page/Part/Item.
Max length: 34 characters
Entry 2 Additional Information Line 3 Text
Provide the third line of additional information or explanation for the referenced Page/Part/Item.
Max length: 34 characters
Entry 2 Additional Information Line 4 Text
Provide the fourth line of additional information or explanation for the referenced Page/Part/Item.
Max length: 34 characters
Entry 2 Additional Information Line 5 Text
Provide the fifth line of additional information or explanation for the referenced Page/Part/Item.
Max length: 34 characters
Entry 2 Additional Information Line 6 Text
Provide the sixth line of additional information or explanation for the referenced Page/Part/Item.
Max length: 34 characters
Entry 2 Additional Information Line 7 Text
Provide the seventh line of additional information or explanation for the referenced Page/Part/Item.
Max length: 34 characters
Entry 2 Additional Information Line 8 Text
Provide the eighth line of additional information or explanation for the referenced Page/Part/Item.
Max length: 34 characters
Entry 2 Additional Information Line 9 Text
Provide the ninth line of additional information or explanation for the referenced Page/Part/Item.
Max length: 34 characters
Entry 2 Additional Information Line 10 Text
Provide the tenth line of additional information or explanation for the referenced Page/Part/Item.
Max length: 34 characters
Additional Information Entry 3 (Page/Part/Item and Details)
Entry 3 Page Number Text
Enter the page number of the form page that this additional information relates to.
Max length: 7 characters
Entry 3 Part Number Text
Enter the part number of the form section that this additional information relates to.
Max length: 6 characters
Entry 3 Item Number Text
Enter the item number within the referenced part that this additional information relates to.
Max length: 6 characters
Entry 3 Additional Information (Line 1) Text
Provide the first line of additional information or explanation for the referenced page, part, and item.
Max length: 34 characters
Entry 3 Additional Information (Line 2) Text
Provide the second line of additional information or explanation for the referenced page, part, and item.
Max length: 34 characters
Entry 3 Additional Information (Line 3) Text
Provide the third line of additional information or explanation for the referenced page, part, and item.
Max length: 34 characters
Entry 3 Additional Information (Line 4) Text
Provide the fourth line of additional information or explanation for the referenced page, part, and item.
Max length: 34 characters
Entry 3 Additional Information (Line 5) Text
Provide the fifth line of additional information or explanation for the referenced page, part, and item.
Max length: 34 characters
Entry 3 Additional Information (Line 6) Text
Provide the sixth line of additional information or explanation for the referenced page, part, and item.
Max length: 34 characters
Entry 3 Additional Information (Line 7) Text
Provide the seventh line of additional information or explanation for the referenced page, part, and item.
Max length: 34 characters
Entry 3 Additional Information (Line 8) Text
Provide the eighth line of additional information or explanation for the referenced page, part, and item.
Max length: 34 characters
Entry 3 Additional Information (Line 9) Text
Provide the ninth line of additional information or explanation for the referenced page, part, and item.
Max length: 34 characters
Entry 3 Additional Information (Line 10) Text
Provide the tenth line of additional information or explanation for the referenced page, part, and item.
Max length: 34 characters
Entry 3 Additional Information (Line 11) Text
Provide the eleventh line of additional information or explanation for the referenced page, part, and item.
Max length: 34 characters
Additional Information Entry 4 (Page/Part/Item and Details)
Entry 4 Page Number Text
Enter the page number of the form that this Additional Information Entry 4 refers to.
Max length: 6 characters
Entry 4 Part Number Text
Enter the part number of the form that this Additional Information Entry 4 refers to.
Max length: 7 characters
Entry 4 Item Number Text
Enter the item number of the form that this Additional Information Entry 4 refers to.
Max length: 6 characters
Entry 4 Additional Information (Details) Text
Provide the additional information that corresponds to the page, part, and item number listed for Entry 4.
Entry 4 Additional Information (Continuation Line 1) Text
Enter additional details continuing the Entry 4 explanation, if more space is needed.
Max length: 34 characters
Entry 4 Additional Information (Continuation Line 2) Text
Enter additional details continuing the Entry 4 explanation, if more space is needed.
Max length: 34 characters
Entry 4 Additional Information (Continuation Line 3) Text
Enter additional details continuing the Entry 4 explanation, if more space is needed.
Max length: 34 characters
Entry 4 Additional Information (Continuation Line 4) Text
Enter additional details continuing the Entry 4 explanation, if more space is needed.
Max length: 34 characters
Entry 4 Additional Information (Continuation Line 5) Text
Enter additional details continuing the Entry 4 explanation, if more space is needed.
Max length: 34 characters
Entry 4 Additional Information (Continuation Line 6) Text
Enter additional details continuing the Entry 4 explanation, if more space is needed.
Max length: 34 characters
Entry 4 Additional Information (Continuation Line 7) Text
Enter additional details continuing the Entry 4 explanation, if more space is needed.
Max length: 34 characters
Additional Information Entry 5 (Page/Part/Item and Details)
Entry 5 Page Number Text
Enter the page number of the form that your additional information in Entry 5 refers to.
Max length: 7 characters
Entry 5 Part Number Text
Enter the part number of the form that your additional information in Entry 5 refers to.
Max length: 7 characters
Entry 5 Item Number Text
Enter the item number of the form that your additional information in Entry 5 refers to.
Max length: 7 characters
Entry 5 Additional Information Line 1 Text
Provide the first line of the additional information that corresponds to the page, part, and item number listed for Entry 5.
Max length: 34 characters
Entry 5 Additional Information Line 2 Text
Provide the second line of the additional information that corresponds to the page, part, and item number listed for Entry 5.
Max length: 34 characters
Entry 5 Additional Information Line 3 Text
Provide the third line of the additional information that corresponds to the page, part, and item number listed for Entry 5.
Max length: 34 characters
Entry 5 Additional Information Line 4 Text
Provide the fourth line of the additional information that corresponds to the page, part, and item number listed for Entry 5.
Max length: 34 characters
Entry 5 Additional Information Line 5 Text
Provide the fifth line of the additional information that corresponds to the page, part, and item number listed for Entry 5.
Max length: 34 characters
Entry 5 Additional Information Line 6 Text
Provide the sixth line of the additional information that corresponds to the page, part, and item number listed for Entry 5.
Max length: 34 characters
Entry 5 Additional Information Line 7 Text
Provide the seventh line of the additional information that corresponds to the page, part, and item number listed for Entry 5.
Max length: 34 characters
Entry 5 Additional Information Line 8 Text
Provide the eighth line of the additional information that corresponds to the page, part, and item number listed for Entry 5.
Max length: 34 characters
Entry 5 Additional Information Line 9 Text
Provide the ninth line of the additional information that corresponds to the page, part, and item number listed for Entry 5.
Max length: 34 characters
Entry 5 Additional Information Line 10 Text
Provide the tenth line of the additional information that corresponds to the page, part, and item number listed for Entry 5.
Max length: 34 characters
Additional Information Entry 6 (Page/Part/Item and Details)
Entry 6 Page Number Text
Enter the page number of the form page that this additional information refers to.
Max length: 7 characters
Entry 6 Part Number Text
Enter the part number of the form section that this additional information refers to.
Max length: 7 characters
Entry 6 Item Number Text
Enter the item number on the form that this additional information refers to.
Max length: 7 characters
Entry 6 Additional Information Line 1 Text
Provide the first line of additional details for the specified page, part, and item.
Max length: 34 characters
Entry 6 Additional Information Line 2 Text
Provide the second line of additional details for the specified page, part, and item.
Max length: 34 characters
Entry 6 Additional Information Line 3 Text
Provide the third line of additional details for the specified page, part, and item.
Max length: 34 characters
Entry 6 Additional Information Line 4 Text
Provide the fourth line of additional details for the specified page, part, and item.
Max length: 34 characters
Entry 6 Additional Information Line 5 Text
Provide the fifth line of additional details for the specified page, part, and item.
Max length: 34 characters
Entry 6 Additional Information Line 6 Text
Provide the sixth line of additional details for the specified page, part, and item.
Max length: 34 characters
Entry 6 Additional Information Line 7 Text
Provide the seventh line of additional details for the specified page, part, and item.
Max length: 34 characters
Entry 6 Additional Information Line 8 Text
Provide the eighth line of additional details for the specified page, part, and item.
Max length: 34 characters
Entry 6 Additional Information Line 9 Text
Provide the ninth line of additional details for the specified page, part, and item.
Max length: 34 characters
Entry 6 Additional Information Line 10 Text
Provide the tenth line of additional details for the specified page, part, and item.
Max length: 34 characters
Entry 6 Additional Information Line 11 Text
Provide the eleventh line of additional details for the specified page, part, and item.
Max length: 34 characters
Agency for Immigration Appearance (select one)
U.S. Citizenship and Immigration Services (USCIS) Checkbox
Check this box if this notice of appearance relates to immigration matters before U.S. Citizenship and Immigration Services (USCIS).
U.S. Immigration and Customs Enforcement (ICE) Checkbox
Check this box if this notice of appearance relates to immigration matters before U.S. Immigration and Customs Enforcement (ICE).
U.S. Customs and Border Protection (CBP) Checkbox
Check this box if this notice of appearance relates to immigration matters before U.S. Customs and Border Protection (CBP).
Attorney or Accredited Representative Signature
Attorney or Accredited Representative Signature Text
Enter the signature of the attorney or accredited representative.
Max length: 34 characters
Attorney or Accredited Representative Signature Date Date
Enter the date the attorney or accredited representative signed this form.
Max length: 12 characters
Attorney/Representative Address
Street Number and Name Text
Enter the attorney/representative’s street address, including street number and street name.
Max length: 24 characters
Address Unit (Apt/Ste/Flr) Text
Enter the apartment, suite, or floor number for the attorney/representative’s address, if applicable.
Max length: 15 characters
Apt. Checkbox
Check this box if the attorney/representative address includes an apartment number.
Ste. Checkbox
Check this box if the attorney/representative address includes a suite number.
Flr. Checkbox
Check this box if the attorney/representative address includes a floor number.
City or Town Text
Enter the city or town for the attorney/representative’s mailing address.
Max length: 25 characters
State Text
Enter the state for the attorney/representative’s address.
Max length: 4 characters
ZIP Code Text
Enter the ZIP code for the attorney/representative’s address.
Max length: 14 characters
Province Text
Enter the province for the attorney/representative’s address if outside the United States.
Max length: 25 characters
Postal Code Text
Enter the postal code for the attorney/representative’s address if outside the United States.
Max length: 25 characters
Country Text
Enter the country for the attorney/representative’s address.
Max length: 34 characters
Attorney/Representative Contact Information
Attorney/Representative Daytime Telephone Number Text
Enter the attorney or accredited representative’s daytime telephone number.
Max length: 34 characters
Attorney/Representative Mobile Telephone Number Text
Enter the attorney or accredited representative’s mobile telephone number, if any.
Max length: 34 characters
Attorney/Representative Email Address Text
Enter the attorney or accredited representative’s email address, if any.
Max length: 34 characters
Attorney/Representative Fax Number Text
Enter the attorney or accredited representative’s fax number, if any.
Max length: 34 characters
Attorney/Representative Name
Attorney/Representative Family Name (Last Name) Text
Enter the attorney or accredited representative’s family name (last name).
Max length: 25 characters
Attorney/Representative Given Name (First Name) Text
Enter the attorney or accredited representative’s given name (first name).
Max length: 25 characters
Attorney/Representative Middle Name Text
Enter the attorney or accredited representative’s middle name (if any).
Max length: 25 characters
Authorized Signatory Title (if applicable)
Authorized Signatory Title (if applicable) Text
Enter the job title or position of the authorized signatory for the named entity, if an entity is the client.
Max length: 34 characters
CBP Specific Matter
CBP Specific Matter Text
Enter the specific U.S. Customs and Border Protection (CBP) matter for which the attorney or accredited representative is making an appearance. Fill only if 'U.S. Customs and Border Protection (CBP)' is 'Yes'.
Max length: 34 characters
Depends on: U.S. Customs and Border Protection (CBP)
Client A-Number (if any)
Client A-Number Text
Enter the client’s Alien Registration Number (A-Number), if the client has one.
Max length: 9 characters
Client Contact Information
Client Daytime Telephone Number Text
Enter the client's daytime telephone number.
Max length: 34 characters
Client Mobile Telephone Number Text
Enter the client's mobile telephone number, if any.
Max length: 34 characters
Client Email Address Text
Enter the client's email address, if any.
Max length: 34 characters
Client Mailing Address
Client Mailing Street Address Text
Enter the client’s mailing street number and street name.
Max length: 25 characters
Client Mailing Apartment/Suite/Floor Text
Enter the client’s apartment, suite, or floor designation for the mailing address, if applicable.
Max length: 15 characters
Client Mailing Address - Apt. Checkbox
Check this box if the client's mailing address includes an apartment number.
Client Mailing Address - Ste. Checkbox
Check this box if the client's mailing address includes a suite number.
Client Mailing Address - Flr. Checkbox
Check this box if the client's mailing address includes a floor number.
Client Mailing City or Town Text
Enter the city or town for the client’s mailing address.
Max length: 25 characters
Client Mailing State Text
Enter the state for the client’s mailing address.
Max length: 4 characters
Client Mailing ZIP Code Text
Enter the ZIP code for the client’s mailing address.
Max length: 14 characters
Client Mailing Province Text
Enter the province for the client’s mailing address, if applicable.
Max length: 25 characters
Client Mailing Postal Code Text
Enter the postal code for the client’s mailing address, if applicable.
Max length: 25 characters
Client Mailing Country Text
Enter the country for the client’s mailing address.
Max length: 34 characters
Client Name
Client Family Name (Last Name) Text
Enter the client's family name (last name).
Max length: 25 characters
Client Given Name (First Name) Text
Enter the client's given name (first name).
Max length: 25 characters
Client Middle Name Text
Enter the client's middle name.
Max length: 25 characters
Client or Authorized Signatory Signature
Client or Authorized Signatory Signature Text
Enter the signature of the client or the authorized signatory for the entity.
Max length: 34 characters
Client or Authorized Signatory Signature Date Date
Provide the date on which the client or authorized signatory signed this form.
Max length: 12 characters
Client Type for Representation (select one)
Client Type for Representation: Applicant Checkbox
Check this box if you are entering your appearance for the client as the Applicant.
Client Type for Representation: Petitioner Checkbox
Check this box if you are entering your appearance for the client as the Petitioner.
Client Type for Representation: Requestor Checkbox
Check this box if you are entering your appearance for the client as the Requestor.
Client Type for Representation: Beneficiary/Derivative Checkbox
Check this box if you are entering your appearance for the client as the Beneficiary or Derivative.
Client Type for Representation: Respondent (ICE, CBP) Checkbox
Check this box if you are entering your appearance for the client as a Respondent in an ICE or CBP matter.
Client USCIS Online Account Number (if any)
Client USCIS Online Account Number (if any) Text
Enter the client’s USCIS Online Account Number, if the client has one.
Max length: 12 characters
Eligibility as Accredited Representative (Recognized Organization)
I am an accredited representative of a recognized organization Checkbox
Check this box if you are an accredited representative of a qualified nonprofit organization in the United States that is recognized by the Department of Justice (under 8 CFR part 1292).
Name of Recognized Organization Text
Enter the full name of the Department of Justice (DOJ)-recognized organization for which you are an accredited representative. Fill only if 'I am an accredited representative of a recognized organization' is 'Yes'.
Max length: 34 characters
Depends on: I am an accredited representative of a recognized organization
Date of Accreditation Date
Enter the date on which you were accredited as a representative for the recognized organization. Fill only if 'I am an accredited representative of a recognized organization' is 'Yes'.
Max length: 13 characters
Depends on: I am an accredited representative of a recognized organization
Eligibility as Attorney (Bar Membership and Good Standing)
Attorney eligible to practice and in good standing Checkbox
Check this box if you are an attorney eligible to practice law and are a member in good standing of the bar of the highest court of a U.S. state, possession, territory, commonwealth, or the District of Columbia.
Licensing Authority Text
Enter the name of the state, territory, possession, commonwealth, or District of Columbia bar authority where you are licensed and in good standing. Fill only if 'Attorney eligible to practice and in good standing' is 'Yes'.
Max length: 31 characters
Depends on: Attorney eligible to practice and in good standing
Bar Number Text
Enter your bar membership number for the licensing authority listed, if applicable. Fill only if 'Attorney eligible to practice and in good standing' is 'Yes'.
Max length: 34 characters
Depends on: Attorney eligible to practice and in good standing
Not subject to any order restricting practice of law Checkbox
Check this box if you are not subject to any order suspending, enjoining, restraining, disbarring, or otherwise restricting you in the practice of law.
Subject to an order restricting practice of law Checkbox
Check this box if you are subject to any order suspending, enjoining, restraining, disbarring, or otherwise restricting you in the practice of law.
Name of Law Firm or Organization Text
Enter the name of the law firm or organization you are affiliated with, if applicable.
Max length: 34 characters
Entity Name (if applicable)
Entity Name (if applicable) Text
Enter the full legal name of the entity (such as a company or organization) associated with the client, if applicable.
Max length: 34 characters
General
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Max length: 1 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 2 characters
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Max length: 34 characters
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Max length: 34 characters
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Max length: 34 characters
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Max length: 34 characters
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Max length: 34 characters
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Max length: 34 characters
ICE Specific Matter
ICE Specific Matter Text
Enter the specific matter or case for which the attorney or accredited representative is entering an appearance before U.S. Immigration and Customs Enforcement (ICE). Fill only if 'U.S. Immigration and Customs Enforcement (ICE)' is 'Yes'.
Max length: 34 characters
Depends on: U.S. Immigration and Customs Enforcement (ICE)
Law Student or Law Graduate Signature
Law Student or Law Graduate Signature Text
Enter the signature of the law student or law graduate who is assisting with representation.
Max length: 34 characters
Law Student or Law Graduate Signature Date Date
Enter the date on which the law student or law graduate signed the form.
Max length: 12 characters
Law Student/Law Graduate Under Direct Supervision
I am a law student or law graduate working under direct supervision (4.a.) Checkbox
Check this box if you are a law student or law graduate working under the direct supervision of the attorney or accredited representative of record on this form.
Law Student/Law Graduate Name Text
Enter the full name of the law student or law graduate working under the direct supervision of the attorney or accredited representative of record. Fill only if 'I am a law student or law graduate working under direct supervision (4.a.)' is 'Yes'.
Max length: 34 characters
Depends on: I am a law student or law graduate working under direct supervision (4.a.)
Limited Appearance (Associated With Prior Attorney/Representative of Record)
I am associated with the prior attorney or accredited representative of record Checkbox
Check this box if you are associated with the attorney or accredited representative of record who previously filed Form G-28 in this case and you are filing this new Form G-28 based on that association.
Limited Appearance - Associated With Prior Attorney/Representative Name Text
Enter the name of the attorney or accredited representative of record with whom you are associated for this limited appearance. Fill only if 'I am associated with the prior attorney or accredited representative of record' is 'Yes'.
Max length: 30 characters
Depends on: I am associated with the prior attorney or accredited representative of record
Name (Family, Given, Middle)
Family Name (Last Name) Text
Enter your family name (last name) as it appears on your documents.
Max length: 25 characters
Given Name (First Name) Text
Enter your given name (first name) as it appears on your documents.
Max length: 25 characters
Middle Name Text
Enter your middle name as it appears on your documents.
Max length: 25 characters
Receipt Number (if any)
Receipt Number (if any) Text
Enter the receipt number associated with the relevant immigration matter, if one has been issued.
Max length: 13 characters
USCIS Matter or Form Numbers
USCIS Matter or Form Number(s) Text
Enter the USCIS form number(s) and/or the specific USCIS matter for which the attorney or accredited representative is appearing. Fill only if 'U.S. Citizenship and Immigration Services (USCIS)' is 'Yes'.
Max length: 34 characters
Depends on: U.S. Citizenship and Immigration Services (USCIS)
USCIS Notices and Documents Receipt Options
1.a Send original USCIS notices to attorney/representative business address Checkbox
Check this box if you want USCIS to send original notices for your application or petition to the business address of your attorney or accredited representative listed on this form.
1.b Send secure identity documents to attorney/representative business address Checkbox
Check this box if you want USCIS to send secure identity documents you receive (such as a Permanent Resident Card, Employment Authorization Document, or Travel Document) to your attorney or accredited representative’s business address (or other permitted designated address).
1.c Send I-94 notice to my U.S. mailing address Checkbox
Check this box if you want a notice that contains Form I-94 (Arrival-Departure Record) sent directly to you at your U.S. mailing address instead of to your attorney or accredited representative.
USCIS Online Account Number
USCIS Online Account Number Text
Enter the attorney or accredited representative's USCIS Online Account Number, if any.
Max length: 12 characters