Instructions For Notice Of Entry Of Appearance (Form G-28) (Page 3 of 4) in pdf

Item Number 7. If the applicant, petitioner, requestor, or respondent has previously filed a benefit request using USCIS

ELIS, provide the USCIS ELIS Account Number he or she was issued. The USCIS ELIS Account Number is not the

same as an Alien Registration Number (A-Number).

Item Number 8. Provide the Alien Registration Number (A-Number) or USCIS Receipt Number, if applicable, for the

applicant, petitioner, requestor, or respondent.

Item Number 9. Provide the daytime telephone number for the applicant, petitioner, requestor, or respondent, if any.

Item Number 10. Provide the mobile telephone number for the applicant, petitioner, requestor, or respondent, if any.

Item Number 11. Provide the e-mail address for the applicant, petitioner, requestor, or respondent, if any.

Item Numbers 12.a. - 12.h. Provide the mailing address of the applicant, petitioner, requestor, or respondent. Do not

provide the business mailing address of the attorney or accredited representative unless it serves as the safe mailing

address on the application, petition, or request being filed with this Form G-28.

Part 3. Eligibility Information for Attorney or Accredited Representative

Item Numbers 1.a.- 1.d. If you are an attorney admitted to practice in the United States, as defined in 8 CFR 1.2,

you must select the box and fill in the required information regarding the licensing authority for all states, possessions,

territories, commonwealths, or District of Columbia, where you are admitted. If you are subject to any order of any

court suspending, enjoining, restraining, disbarring, or otherwise restricting you in the practice of law, you must disclose

this information in the space provided for Item Number 1.d. Attorneys are required to notify DHS of convictions or

discipline under 8 CFR 292.3. Attorneys must provide the bar numbers, if applicable, for all jurisdictions in which they

are admitted to practice in Part 3., Item Number 1.b. If you need additional space to complete your answer proceed to

Part 6. Additional Information.

Item Numbers 2.a. - 2.c. If you are an accredited representative of a recognized organization, as defined in 8 CFR

292.1(a)(4), you must select the box, fill in the name of the organization recognized by the BIA under 8 CFR 292.2, and

provide the expiration date of your accreditation.

DHS will reject any Form G-28 submitted without the required information in Part 3., Item Numbers 1.a. - 1.d. or

2.a. - 2.c.

Item Number 3. If you are not the attorney or accredited representative of record, select the box and fill in the name of

the attorney or accredited representative who previously filed Form G-28 in this matter. You must submit a Form G-28

filed under these circumstances in person at a DHS office and not by mail or e-mail. A new Form G-28 must be

filed by each attorney or accredited representative who appears in the matter. You must also select the box next to

Item Numbers 1.a. - 1.c. and 2.a. - 2.b. and provide the required information.

Item Numbers 4.a. - 4.b. If you are a law student or law graduate not yet admitted to the bar, you must select the box

for Item Number 4.a. and enter the information in Part 3., Item Number 4.b., and Part 5., Item Number 2., of the

same Form G-28 filed by the supervising attorney or accredited representative. The appearance of law students and law

graduates are subject to the requirements of 8 CFR 292.1(a)(2).

Part 4. Applicant, Petitioner, Requestor, or Respondent Consent to Representation, Contact Information, and

Signature

Item Numbers 1. - 2.b. The applicant, petitioner, requestor, or respondent must consent to representation and the release

of information. The applicant, petitioner, requestor, or respondent must select the disclosure and notices boxes if he or she

desires DHS to send notices and/or secure identity documents only to the attorney of record or accredited representative.

NOTE: USCIS will not mail secure identity documents to a private, commercial, or business address in a foreign

country. USCIS, however, will mail secure identity documents to a U.S. business address of an attorney admitted to

practice law outside of the United States or to a designated Army/Air Post Office (APO), Fleet Post Office (FPO), or

Diplomatic Post Office (DPO) address. USCIS will mail notices and other correspondence to a foreign address.

Item Numbers 3.a. - 3.b. The applicant, petitioner, requestor, or respondent must sign and date the form in black ink.

Form G-28 Instructions 05/05/16 Y

Page 3 of 4

Instructions For Notice Of Entry Of Appearance (Form G-28) Page 3

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