Form G-28 Notice of Entry of Appearance as Attorney or Accredited

OMB No. 1615-0105; Expires 04/30/09

G-28, Notice of Entry of Appearance
as Attorney or Accredited Representative

Department of Homeland Security

Instructions
What Is the Purpose of This Form?
An attorney or accredited representative appearing before the
Department of Homeland Security (DHS) must file Form G-28
in each case. Form G-28 must be properly completed and
signed by the petitioner, applicant, or respondent to authorize
representation for the appearance to be recognized by U.S.
Citizenship and Immigration Services (USCIS), U.S. Customs
and Border Protection (CBP), and U.S. Immigration and
Customs Enforcement (ICE). Under 8 CFR 103.2(a)(3), a
beneficiary of a petition is not a recognized party in a
proceeding before USCIS. Form G-28 will be recognized by
USCIS, CBP, or ICE until the conclusion of the matter for
which it was entered. This does not change the requirement
that a new Form G-28 must be filed with the Administrative
Appeals Office when filing an appeal to that office on Form
I-290B, Notice of Appeal or Motion.

When a person acts in a representative capacity, his or her
personal appearance or signature shall constitute a
representation under the provisions of 8 CFR 103.2(a)(3) and
292.1(a)(1) or 292.1(a)(4) that he or she is authorized and
qualified to represent the individual. Further proof of
authority to act in a representative capacity may be required.

DRAFT

Who May Use This Form?
Appearances for Immigration Matters
This form is used only by attorneys and accredited
representatives (as defined in 8 CFR 1.1(f) and 292.1(a)(4)).
Attorneys admitted to the practice of law in countries other
than the United States must use Form G-28I and may only
represent individuals in matters filed in DHS offices outside
the geographical confines of the United States.
An attorney or accredited representative who seeks to
withdraw his or her appearance in a proceeding before DHS
must file a written request with the DHS office with
jurisdiction over the pending matter. An attorney or accredited
representative who seeks to be recognized by DHS as the new
representative for an applicant, petitioner, or respondent must
file a properly completed Form G-28 with the DHS office with
jurisdiction over the pending matter. An attorney or accredited
representative who is appearing for a limited purpose at the
request of the attorney or accredited representative of record
must file a properly completed Form G-28 as noted on the
form.

General Instructions

Part 1. Notice of Appearance as Attorney or
Accredited Representative
A. Check one block to indicate the DHS agency
where the matter is filed. If it is USCIS, list the
form number(s) filed with Form G-28. If it is
CBP or ICE, list the specific matter in which the
appearance is entered.
B. Fill in all information. The mailing address of
the applicant, petitioner, or respondent is
required in this part of the form, except when
filed under the Violence Against Women Act
(VAWA). The applicant, petitioner, or
respondent must sign the form, preferably in
dark blue or black ink.

Part 2. Information about Attorney or
Accredited Representative
A. Attorneys admitted to practice in the United
States, as defined in 8 CFR 1.1(f):
Check the box and fill in required information
regarding the State bar(s) of admission. 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 on Form G-28.
Attorneys are required to notify DHS of
convictions or discipline pursuant to 8 CFR
292.3.

Form G-28 (Rev. 01/23/09)N

B. Accredited representatives of recognized
organizations, as defined in 8 CFR 292.1(a)(4):
Check the box and fill in the name of the
organization recognized by the Board of
Immigration Appeals (BIA) under 8 CFR
292.2 and provide the expiration date of your
accreditation.
C. Attorneys or accredited representatives
associated with the attorney or accredited
representative with Form G-28 previously filed
in this matter:

Freedom of Information/Privacy Act
This form may not be used to request records under the
Freedom of Information Act or the Privacy Act 5 USC 552 &
552a. The procedures for requesting such records are
contained in 6 CFR 5.

Paperwork Reduction Act

DRAFT

Check the box and fill in the name of the
attorney or accredited representative who has
previously filed Form G-28 in this matter. A
new Form G-28 must be filed by each attorney
associated with that attorney or accredited
representative.
You must also check Box A or B and provide
the required information.

Part 3. Name and Signature of Attorney or
Accredited Representative
Fill in all information and sign the form, preferably
in dark blue or black ink.

An agency may not conduct or sponsor an information
collection, and a person is not required to respond to a
collection of information, unless it displays a currently valid
OMB control number. The public reporting burden for this
collection of information is estimated at 20 minutes per
response, including the time for reviewing instructions and
completing and submitting the form. Send comments
regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing
this burden, to: U.S. Citizenship and Immigration Services,
Regulatory Management Division, 111 Massachusetts
Avenue, NW, 3rd Floor, Suite 3008, Washington, DC
20529-2210, OMB No. 1615-0105. Do not mail your
application to this address.

Warning
Individuals appearing as attorneys or accredited
representatives are subject to the rules of Professional Conduct
for Practitioners found in 8 CFR 292.3.

Form G-28 (Rev. 01/23/09)N

OMB No. 1615-0105; Expires 04/30/09

G-28, Notice of Entry of Appearance
as Attorney or Accredited Representative

Department of Homeland Security

Part 1. Notice of Appearance as Attorney or Accredited Representative
A. This appearance is in regard to immigration matters before:
CBP - List the specific matter in which appearance is entered:

USCIS - List the form number(s):
ICE - List the specific matter in which appearance is entered:

B. I hereby enter my appearance as attorney or accredited representative at the request of:
List Petitioner, Applicant, or Respondent. NOTE: Provide the mailing address of Petitioner, Applicant, or Respondent being represented, and
not the address of the attorney or accredited representative, except when filed under VAWA.
Principal Petitioner, Applicant, or Respondent
Name: Last

First

DRAFT

Address: Street Number and Street Name

A Number or Receipt
Number, if any

Middle

Apt. No.

Petitioner
Applicant
Respondent

City

State

Zip Code

Pursuant to the Privacy Act of 1974 and DHS policy, I hereby consent to the disclosure to the named Attorney or Accredited Representative of any
record pertaining to me that appears in any system of records of USCIS, USCBP, or USICE.
Signature of Petitioner, Applicant, or Respondent
Date

Part 2. Information about Attorney or Accredited Representative (Check applicable items(s) below)
A.

B.

C.

I am an attorney and a member in good standing of the bar of the highest court(s) of the following State(s), possession(s), territory(ies),
commonwealth(s), or the District of Columbia:
I am not
am subject to any order of any court or administrative agency disbarring, suspending, enjoining,
or
restraining, or otherwise restricting me in the practice of law (If you are subject to any order(s), explain fully on reverse side).
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 Department of Justice, Board of Immigration Appeals pursuant to 8 CFR 1292.2.
Provide name of organization and expiration date of accreditation:

I am associated with
The attorney or accredited representative of record previously filed Form G-28 in this case, and my appearance as an attorney or
accredited representative is at his or her request (If you check this item, also complete item A or B above in Part 2, whichever is
appropriate).

.

Part 3. Name and Signature of Attorney or Accredited Representative
I have read and understand the regulations and conditions contained in 8 CFR 103.2 and 292 governing appearances and representation
before the Department of Homeland Security. I declare under penalty of perjury under the laws of the United States that the information I
have provided on this form is true and correct.
Attorney Bar Number(s), if any
Name of Attorney or Accredited Representative
Signature of Attorney or Accredited Representative

Date

Complete Address of Attorney or Organization of Accredited Representative (Street Number and Street Name, Suite No., City, State, Zip Code)
Phone Number (Include area code)

Fax Number, if any (Include area code)

E-Mail Address, if any
Form G-28 (Rev. 01/23/09)N