Form Eoir-45 - Notice Of Appeal From A Decision Of An Adjudicating Official In A Practitioner Disciplinary Case Page 4

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5.
I
do
do not
request oral argument before the Board of Immigration Appeals.
6.
I
will
will not
file a separate written brief or statement in addition to the “Basis
for Appeal” written above or accompanying this form.
Warning: Your appeal may be summarily dismissed by the Board of Immigration Appeals if
you indicate in Item #6 that you will file a separate written brief or statement and you fail to
file such a brief or statement within the time period scheduled and you do not reasonably
explain such failure.
7.
Name of Practitioner’s Attorney/Representative or EOIR/DHS Counsel:
Address:
(Number and Street)
(Suite No.)
(City)
(State)
(Zip Code)
Warning: An attorney or representative will not be recognized as the attorney of record on
appeal and will not receive documents or correspondence in connection with the appeal unless
he or she submits a completed Form EOIR-27.
SIGN
X
HERE
Signature of Practitioner or Practitioner’s Attorney/Representative or EOIR/DHS Counsel
Date
PROOF OF SERVICE
(Must Be Completed)
I
mailed or delivered a copy of this Notice of Appeal
(Name)
on
to
(Date)
Practitioner or Practitioner’s Attorney/Representative or EOIR/DHS Counsel,
whichever is the prosecutor in this case)
at
(Address)
SIGN
X
HERE
Signature of Practitioner (or Practitioner’s Attorney/Representative or EOIR/DHS Counsel)
Be sure you have:
Served a copy of this form and all attachments
on the Office of the General Counsel, ATTN: Bar
Read all of the General Instructions
Counsel, Executive Office for Immigration
Provided all of the requested information
Review or, where the Department of Homeland
Completed and signed the Proof of Service
Security is the prosecutor, the Office of the Chief
Attached the required fee or fee waiver request
Counsel, USCIS, DHS or Practitioner or
Signed the form
Practitioner’s Attorney/Representative
Page 2 of 2
Form EOIR-45
Rev. Oct. 2013

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