Form I-290b - Notice Of Appeal Or Motion - U.s. Citizenship And Immigration Services

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Notice of Appeal or Motion
USCIS
Form I-290B
Department of Homeland Security
OMB No. 1615-0095
U.S. Citizenship and Immigration Services
Expires 12/31/2018
Select this box if
Attorney State Bar Number
Attorney or Accredited Representative
To be completed by an
Form G-28 or
(if applicable)
USCIS Online Account Number (if any)
attorney or accredited
Form G-28I is
representative (if any).
attached.
Please see the USCIS Website at
to view appeal and/or motion eligibility by form type.
START HERE - Type or print in black ink.
►
Part 2. Information About the Appeal or Motion
Part 1. Information About the Applicant or
Petitioner
You must select only one box indicating that you are filing an
appeal or a motion, not both. If more than one box is selected,
1.a. Family Name
your filing may be rejected.
(Last Name)
1.b.
Given Name
NOTE: DO NOT use this form if you are filing an appeal of
(First Name)
a denial or a revocation of an approved Form I-130, Petition
for Alien Relative, or a Form I-360, Petition for Widow(er).
1.c.
Middle Name
Those appeals must be filed with the BIA using Form
2.
Complete Name of Business/Organization (if applicable)
EOIR-29, Notice of Appeal to the Board of Immigration
Appeals from a Decision of an Immigration Officer.
1.a.
I am filing an appeal to the Administrative Appeals
3.
Alien Registration Number (A-Number, if any)
Office (AAO). My brief and/or additional evidence
A-
►
is attached.
4.
Receipt Number
1.b.
I am filing an appeal to the AAO. My brief and/or
additional evidence will be submitted to the AAO
within 30 calendar days of filing the appeal.
5.
USCIS Online Account Number (if any)
1.c.
I am filing an appeal to the AAO. No supplemental
►
brief and/or additional evidence will be submitted.
1.d.
I am filing a motion to reopen a decision. My brief
Mailing Address (or Military APO/FPO Address,
and/or additional evidence is attached.
if applicable)
1.e.
I am filing a motion to reconsider a decision. My
6.a. In Care Of Name (if any)
brief is attached.
1.f.
I am filing a motion to reopen and a motion to
reconsider a decision. My brief and/or additional
6.b.
Street Number
evidence is attached.
and Name
2.
USCIS Form for Which You Are Filing an Appeal or
6.c.
Apt.
Ste.
Flr.
Motion to Reopen/Reconsider (for example, Form I-140,
I-360, I-129, I-485, I-601)
6.d. City or Town
6.e. State
6.f.
ZIP Code
3.
Specific Classification Requested (for example, H-1B,
R-1, O-1, EB-1, EB-2, EB-3, if applicable)
6.g.
Province
6.h.
Postal Code
4.
Date of Adverse Decision (mm/dd/yyyy)
6.i.
Country
5.
Office Where Last Decision Was Issued
Form I-290B 04/10/17 N
Page 1 of 5

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