I-907 Form TOC

TABLE OF CHANGES – FORM

Form I-907, Request for _{Premium Processing Service}

OMB Number: 1615-0048

Submission Date 10/06/2014

Reason for Revision: Reformat instructions to one column format

Current Section and Page Number	Current Text	Proposed Text
		[] Select this box if Form G-28 is attached. Attorney State Bar Number (if applicable) Attorney or Accredited Representative USCIS ELIS Account Number (if any)
Page 1	Part 1. Information About You Family Name (Last Name) Given Name (First Name) Full Middle Name If filed on behalf of a company: Company or Business Named in the Related Case Mailing Address - Street Number and Name / P.O. Box Number Company Contact Information: Name of Company Contact Title/Position City State/Province Zip/Postal Code Country IRS Tax # (if any) You (the person submitting this request): [] Are the petitioner who is filing or has filed a petition eligible for Premium Processing. [] Are the attorney or accredited representative for the petitioner who is filing or has filed a petition eligible for Premium Processing. (Complete and submit Form G-28, if Form G-28 has not been submitted with the petition.) [] Are the applicant who is filing or has filed an application eligible for Premium Processing. [] Are the attorney or accredited representative for the applicant who is filing or has filed an application eligible for Premium Processing. (Complete and submit Form G-28, if Form G-28 has not been submitted with the application.) Phone Number (Area/Country Code) Fax Number (Area/Country Code) E-Mail Address (if any)	Part 1. Information About the Person Filing this Request 1. Alien Registration Number (A-Number) (if any) 2. Family Name (Last Name) Given Name (First Name) Middle Name 3. Company or Organization Named in the Related Case: If filed on behalf of a company or organization 4. Mailing Address In Care of Name Street Number and Name or PO Box Number Apt. Ste. Flr. Number City or Town State ZIP Code Province Postal Code Country 5. Is your mailing address the same as your physical address? [] Yes [] No If you answered "No," provide your physical address in Item Number 6. 6. Physical Address Street Number and Name Apt. Ste. Flr. Number City or Town State ZIP Code Province Postal Code Country 7. Request for Premium Processing Service: (select only one box) [] I am the petitioner who is filing or has filed a petition eligible for Premium Processing Service. [] I am the attorney or accredited representative for the petitioner who is filing or has filed a petition eligible for Premium Processing Service. (Complete and submit Form G-28, if Form G-28 has not been submitted with the petition.) [] I am the applicant who is filing or has filed an application eligible for Premium Processing Service. [] I am the attorney or accredited representative for the applicant who is filing or has filed an application eligible for Premium Processing Service. (Complete and submit Form G-28, if Form G-28 has not been submitted with the application.) [Delete] [Delete] [Delete]
Page 1	Part 2. Information About Request Form Number of Related Petition/Application Receipt Number of Related Petition/Application Classification/Eligibility Requested Petitioner/Applicant in the Relating Case Beneficiary in the Relating Case	Part 2. Information About The Request Form Number of Related Petition or Application Receipt Number of Related Petition or Application Classification or Eligibility Requested Petitioner or Applicant in the Related Case Family Name (Last Name) Given Name (First Name) Middle Name Beneficiary in the Related Case Family Name (Last Name) Given Name (First Name) Middle Name 6. Name of Point of Contact for the Company or Organization Family Name (Last Name) Given Name (First Name) Middle Name Position Title 7. Company or Organization IRS Tax Number (if any) 8. Address of Petitioner, Applicant, Company or Organization Named in Related Case Street Number and Name Apt. Ste. Flr. Number City or Town State ZIP Code Province Postal Code Country
Page 2	Part 3. Original Signature I understand that U.S. Citizenship and Immigration Services (USCIS) will issue a refund of the Premium Processing fee to the addressee above in Part 1 of this request if USCIS does not take an action on the relating premium processing eligible case within 15 calendar days after this request has been physically received at the appropriate USCIS office. Case actions include a referral for investigation of suspected fraud or misrepresentation, or: The issuance of: 1. An approval notice; 2. A request for evidence; or 3. A notice of intent to deny. I certify, under penalty of perjury under the laws of the United States of America, that the information provided with this request is all true and correct. USCIS may obtain any information from the records of the related case that USCIS needs to determine eligibility for the benefit being sought. Signature Title (if applicable) Print Your Name Date (mm/dd/yyyy) Company Name and Address Daytime Phone Number (Area Code and Number)	Part 3. Requestor's Statement, Certification, Signature, and Contact Information I understand that U.S. Citizenship and Immigration Services (USCIS) will refund the Premium Processing Service fee to the person listed in Part 1. of this request if USCIS does not take an action on the related case within 15 calendar days after the appropriate USCIS office physically receives this request. I understand that case actions include a referral for investigation of suspected fraud or misrepresentation, or the issuance of: 1. An approval notice; 2. A request for evidence; 3. A notice of intent to deny; or 4. A denial notice. Requestor's Statement [sub-header] NOTE: Select the box for either Item A. or B. in Item Number 1. If applicable, select the box for Item Number 2. 1. Requestor's Statement Regarding the Interpreter [] I can read and understand English, and have read and understand each and every question and instruction on this request, as well as my answer to each question. [] The interpreter named in Part 4. has read to me each and every question and instruction on this request, as well as my answer to each question, in [Fillable Field], a language in which I am fluent I understand each and every question and instruction on this request as translated to me by my interpreter, and have provided true and correct responses in the language indicated above. 2. Requestor's Statement Regarding the Preparer [] I have requested the services of and consented to [Fillable Field], [] who is [] is not an attorney or accredited representative, preparing this request for me. Requestor's Certification [sub-header] I certify, under penalty of perjury under the laws of the United States of America, that the information in my request and any document submitted with my request is complete, true and correct. Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from my records that USCIS may need to determine my eligibility for the immigration benefit that I seek. I furthermore authorize release of information contained in this request and in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration of U.S. immigration laws. Requestor's Signature [sub-header] 3. Requestor’s Signature Date of Signature (mm/dd/yyyy) Requestor's Contact Information [sub-header] 4. Requestor’s Daytime Telephone Number 5. Requestor’s Mobile Telephone Number (if any) 6. Requestor’s Email Address (if any) 7. Requestor’s Fax Number (if any)
Page 2	Part 4. Original Signature of Attorney or Accredited Representative (Note if attorney is signing above in Part 3) I declare that I prepared this application at the request of the above person, and it is based on all information of which I have knowledge. [] Same individual as signing above in Part 3. (If this box is checked, provide your firm name and address and daytime phone number below and submit Form G-28, if Form G-28 has not been submitted with the petition or application. If this box is not checked, provide the requested information below.) Signature Print Your Name Date (mm/dd/yyyy) Firm Name and Complete Address Daytime Phone Number (Area Code and Number)	Part 4. Interpreter's Contact Information, Certification, and Signature Provide the following information about the interpreter: Interpreter's Full Name [sub-header] 1. Interpreter’s Family Name (Last Name) Interpreter’s Given Name (First Name) 2. Interpreter’s Business or Organization Name (if any) Interpreter's Mailing Address [sub-header] 3. Street Number and Name Apt. Ste. Flr. Number City or Town State ZIP Code Province Postal Code Country Interpreter's Contact Information [sub-header] 4. Interpreter’s Daytime Telephone Number 5. Interpreter’s Email Address (if any) Interpreter's Certification [sub-header] I certify that: I am fluent in English and [Fillable field], which is the same language provided in Part 3., Item B. in Item Number 1.; I have read to this requestor each and every question and instruction on this request, as well as the answer to each question, in the language provided in provided in Part 3., Item B. in Item Number 1.; and The requestor has informed me that they understand each and every instruction and question on the request, as well as their answer to each question. Interpreter's Signature [sub-header] 6. Interpreter’s Signature Date of Signature (mm/dd/yyyy)
NEW		Part 5. Name, Contact Information, Declaration, and Signature of the Person Preparing this Request, If Other Than the Requestor Provide the following information about the preparer: Preparer's Full Name [sub-header] 1. Preparer’s Family Name (Last Name) Preparer’s Given Name (First Name) 2. Preparer's Business or Organization Name (if any) 3. Street Number and Name Apt. Ste. Flr. Number City or Town State ZIP Code Province Postal Code Country Preparer's Contact information [sub-header] 4. Preparer’s Telephone Number 5. Preparer’s Fax Number 6. Preparer’s Email Address (if any) Preparer's Statement [sub-header] 7.A. [] I am not an attorney or accredited representative but have prepared this request on behalf of the requestor with the requestor's consent. 7.B. [] I am an attorney or accredited representative and my representation of the requestor in this case (choose one) [] extends []does not extend beyond the preparation of this request. Preparer's Declaration [sub-header] By my signature, I certify, swear or affirm, under penalty of perjury, that I prepared this request on behalf of, at the request of, and with the express consent of, the requestor. I completed the request based only on responses the requestor provided to me. After completing the request, I reviewed it and all of the requestor's responses with the requestor, who agreed with each and every answer provided for each question on the request and, when required, supplied additional information to respond to a question on the request Preparer's Signature [sub-header] 8. Preparer’s Signature Date of Signature (mm/dd/yyyy)

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