E-33BIA Clean copy

OMB EOIR-33 BIA 2012 Master Template 2012.pdf

Alien's Change of Address Form/Immigration Court; Alien's Change of Address Form/Board on Immigration Appeals

E-33BIA Clean copy

OMB: 1125-0004

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U.S. Department of Justice
Executive Office for Immigration Review
Board of Immigration Appeals

Alien's Change of Address Form/
Board of Immigration Appeals

Who should use this form: Use this form for a change of address if you have filed an appeal or motion with the Board of
Immigration Appeals. Note: If you are an attorney representing a person before the Board, do not use this form to indicate your
own change of address; use Form EOIR-27 (Notice of Entry of Appearance as Attorney or Representative Before the Board).
When to use this form: If you move or change your phone number, the law requires you to file this Change of Address Form with
the Clerk's Office of the Board of Immigration Appeals. You must file this form within five (5) working days of a change in your
address or phone number. Even if you have an attorney or representative, you should file this form with the Board every time you
change your address. You will only receive official correspondence at the address which you provide on this form. If you fail to keep
your address information up to date, the Board of Immigration Appeals may treat that failure as an abandonment of your appeal or
motion.
How to use this form:
1. Complete the Change of Address Form below.
2. Send a copy of this form to the Office of the Chief Counsel for the Department of Homeland Security (DHS) (Immigration and Customs
Enforcement-ICE), and complete and sign the “Proof of Service” below to show you did this.
3. Send this form to the Board of Immigration Appeals. Follow the mailing instructions on the back of this form.
4. If you prefer to file this form in person, you may bring it to the Board of Immigration Appeals, Clerk’s Office,
5107 Leesburg Pike, Suite 2000, Falls Church, Virginia, 22041.

Alien Number: A

Name:
My OLD address was:

My NEW address is:

("In care of" other person, if any)

("In care of" other person, if any)
(Number, Street, Apartment)

(Number, Street, Apartment)
(City, State and ZIP Code)
(City, State and ZIP Code)
(Country, if other than U.S.)
(New Telephone Number)

(Country, if other than U.S.)

✍

SIGN HERE

➜

X
Signature

Date

PROOF OF SERVICE (You Must Complete This)
I

mailed or delivered a copy of this Change of Address Form on

(Name)

(Date)

to the

Office of the Chief Counsel for the DHS (U.S. Immigration and Customs Enforcement-ICE) at
(Number and Street, City, State, Zip Code)

.

✍

SIGN HERE

➜

X
Signature

Form EOIR - 33/BIA
Revised March 2012

MAILING INSTRUCTIONS
1) Copy the completed form and mail or deliver it to the Office of the Chief Counsel DHS-ICE at the address you
inserted in the PROOF OF SERVICE. The PROOF OF SERVICE certifies that you provided a copy of the form to DHS.
2) Fold the page at the dotted lines marked "Fold Here" so that the address is visible. (IMPORTANT: Make sure
the address section is visible after folds are made.)
3) Secure the folded form by stapling along the open end marked "Fasten Here."
4) Place appropriate postage stamp in the area marked "Place Stamp Here."
5) Write in your return address in the area marked "PUT YOUR ADDRESS HERE."
6) Mail the form.
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control number.
We try to create forms and instructions that are accurate, can be easily understood, and which impose the least possible burden on you to provide us with
information. The estimated average time to complete this form is five (5) minutes. If you have comments regarding the accuracy of this estimate, or suggestions for
making this form simpler, you can write to the Executive Office for Immigration Review, Office of the General Counsel, 5107 Leesburg Pike, Suite 2600, Falls Church,
Virginia 22041.

Fold Here First

PUT YOUR ADDRESS HERE
Place
Stamp
Here

U.S. Department of Justice
Executive Office for Immigration Review
Board of Immigration Appeals
Clerk’s Office
P.O. Box 8530
Falls Church, Virginia 22041

Fold Here Second

Privacy Act Notice
The information on this form is required by 8 U.S.C. § 1229 (a)(1)(F)(ii) and 8 C.F.R. § 1003.38(e) in order to notify the Board of Immigration Appeals
of any change of address and any change of telephone number. The information you provide is mandatory. Failure to provide the requested information
limits the notification you will receive and may result in the adverse consequences noted above. EOIR may share this information with others in accordance with EOIR may share this information with others in accordance with approved routine uses described in EOIR’s system of records notice
EOIR–001, Records and Management Information System and EOIR-003.

Fasten Here

Form EOIR - 33/BIA
Revised March 2012


File Typeapplication/pdf
File Modified0000-00-00
File Created2012-03-08

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