Form Eoir-44 - Immigration Practitioner Complaint Form - U.s. Department Of Justice
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3OMB#ll25-0007
U.S. Department of Justice
Immigration Practitioner Complaint Form
Executive Office for Immigration Review
Read reverse side before completing this form. Use this form to file a complaint against an attorney or representative.
Mr. ( )
Mrs.( )
Your name: Ms. ( )
(First)
(Middle Initial)
(Last)
Alien Number of Case
Related to Complaint
Address:
(Number and Street)
(Apt No.)
(City)
(State)
(Zip Code)
Telephone Number:
Home: (
)
Work: (
)
Name of ATTORNEY OR REPRESENTATIVE against whom you wish to file a complaint:
(First)
(Middle Initial)
(Last)
Address:
(Number and Street)
(Suite No.)
(City)
(State)
(Zip Code)
Office Telephone Number: (
)
Have you or a member of your family complained about this matter to anyone else (e.g., a state bar)?
Yes
No
If yes, please provide details, including to whom the complaint was made (including name
and address of the organization), its approximate date, and any disposition. (Use additional paper if necessary.)
Did you hire the attorney or representative? Yes
No
If yes, give the approximate date you employed him
or her and the amount paid, if any. If no, what is your connection with the attorney or representative? (Use additional paper
if necessary.) Attach a copy of your retainer agreement or contract if you have one.
Explain the circumstances and details of your complaint on additional sheets of paper. Include a statement of what the attorney
or representative did or did not do, and a narrative of the facts as you understand them. Do not include opinions or arguments.
If you employed the attorney or representative, state what work he or she was supposed to do for you. Sign and date each
separate piece of paper and attach copies of any pertinent or supporting documents.
I, the undersigned, hereby certify that the statements in this complaint are true and correct to
the best of my knowledge. I waive the attorney-client privilege and any other confidentiality protections
under the Freedom of Information Act/Privacy Act necessary to conduct an inquiry including, but not
limited to, making referrals and disclosures to state attorney discipline authorities and any other law
enforcement authorities for the purpose of investigating, examining, and/or taking disciplinary action
against the attorney or representative as necessary. I hereby permit the Executive Office for Immigration
Review to release any and all records in its system of records for the purpose of conducting such an inquiry.
Mail: Office of the General Counsel
Signature
Attn: Disciplinary Counsel
Executive Office for Immigration Review
Date
5107 Leesburg Pike, Suite 2600
Form EOIR - 44
Falls Church, VA 22041
Rev. July 2014
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