Department of Homeland Security
Notice of Rights and Request for Disposition
Bureau of Customs and Border Protection
File No:
Name:
NOTICE OF RIGHTS
You have been arrested because immigration officers believe that you are illegally in the United States. You
have the right to a hearing before the Immigration Court to determine whether you may remain in the United
States. If you request a hearing, you may be detained in custody or you may be eligible to be released on
bond, until your hearing date. In the alternative, you may request to return to your country as soon as possible,
without a hearing.
You have the right to contact an attorney or other legal representative to represent you at your hearing, or to
answer any questions regarding your legal rights in the United States. Upon your request, the officer who
gave you this notice will provide you with a list of legal organizations that may represent you for free or for a
small fee. You have the right to communicate with the consular or diplomatic officers from your country. You
may use a telephone to call a lawyer, other legal representative, or consular officer at any time prior to your
departure from the United States.
REQUEST FOR DISPOSITION
I request a hearing before the Immigration Court to determine whether or not I may remain in the
Initials
United States
I believe I face harm if I return to my country. My case will be referred to the Immigration Court
Initials
for a hearing.
I admit that I am in the United States illegally, and I believe I do not face harm if I return to my
Initials
country. I give up my right to a hearing before the Immigration Court. I wish to return to my
country as soon as arrangements can be made to effect my departure. I understand that I may be
held in detention until my departure.
Signature of Subject
Date
CERTIFICATION OF SERVICE
Notice read by subject
Notice read to subject by
, in the
language.
Name of Service Officer (Print)
Name of Interpreter (Print)
Signature of Officer
Date and Time of Service
Form I-826 (4-1-97)N