Form Eoir-27, 2009, Notice Of Entry Of Appearance As Attorney Or Representative Before The Board Of Immigration Appeals
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2OMB#1125-0005
U.S. Department of Justice
Notice of Entry of Appearance as Attorney or
Executive Office for Immigration Review
Representative Before the Board of
Board of Immigration Appeals
Immigration Appeals
I hereby enter my appearance as attorney or representative for, and at the request of,
DATE (mm/dd/yy):
the following named person:
ALIEN NUMBER(S) and
NAME(S)
(List lead alien number
NAME:
and all family member alien numbers
(First)
(Middle Initial)
(Last)
and names, if applicable. Continue on
next page as needed.)
ADDRESS:
(Number and Street)
(Apt. No.)
For a disciplinary case, check box
and write in case number in space
above.
(City)
(State)
(Zip Code)
Please check one of the following:
I am a member in good standing of the bar of the highest court(s) of the following state(s), possession(s), territory(ies),
1.
commonwealth(s), or the District of Columbia:
Full Name of Court
State Bar No. (if applicable)
(Please use space on reverse side to list additional jurisdictions.)
I
am not (or
am - explain fully on reverse side) subject to any order of any court or administrative agency
disbarring, suspending, enjoining, restraining, or otherwise restricting me in the practice of law and the courts listed above
comprise all of the jurisdictions (other than federal courts) where I am licensed to practice law.
2.
I am an accredited representative of the following qualified non-profit religious, charitable, social service, or similar
organization established in the United States, so recognized by the Executive Office for Immigration Review pursuant
to 8 C.F.R. § 1292.2 (provide name of organization and expiration date of accreditation):
3.
I am a law student or law graduate, reputable individual, accredited official, or other person authorized to represent
individuals pursuant to 8 C.F.R. § 1292.1 (explain fully on reverse side).
I have read and understand the statements provided on the reverse side of this form that set forth the regulations and conditions
governing appearances and representation before the Board of Immigration Appeals. I declare under penalty of perjury under the
laws of the United States of America that the foregoing is true and correct.
SIGNATURE OF ATTORNEY OR REPRESENTATIVE
EOIR ID#
DATE (mm/dd/yy)
X
NAME OF ATTORNEY OR REPRESENTATIVE (type or print)
ADDRESS
Check here if new address
PHONE NUMBER (with area code)
FAX NUMBER (with area code)
Form EOIR - 27
Rev. January 2009
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