G-28I Form Table of Changes

Table of Changes – FORM

FORM G-28I, Notice of Entry of Appearance as Attorney or Accredited Representative In Matters Outside the Geographical Confines of the United States

OMB Number: 1615-0105

02/25/2015

Reason for Revision: USCIS ELIS Account Number inclusion; re-format to two columns and add numbering to data collections

Current Section and Page Number	Current Text	Proposed Text
Page 1, Part 3. Name and Signature of Attorney	Name of Attorney Complete Address of Attorney (Street Number and Street Name, Suite No., City, Country, Mailing Code) Phone Number (Include country code) Fax Number, if any (Include country code) E-Mail Address, if any	Part 1. Information About Attorney 1. USCIS ELIS Account Number (if any) Name and Address of Attorney [new sub-header] 2.a. Family Name (Last Name) 2.b. Given Name (First Name) 2.c. Middle Name 3. Name of Law Firm 4.a. Street Number and Name 4.b. Apt. Ste. Flr. 4.c. City or Town 4.d. Province 4.e. Postal Code 4.f. Country 5. Daytime Telephone Number 6. Fax Number 7. E-Mail Address (if any) 8. Mobile Telephone Number (if any)
Page 1, Part 1. Notice of Appearance as Attorney Admitted to Practice Outside the United States	A. Notice of Appearance as Attorney Admitted to Practice Outside the United States USCIS – List the form number(s): ICE – List the specific matter in which appearance is entered: CBP – List the specific matter in which appearance is entered: B. I hereby enter my appearance as attorney at the request of: List petitioner, Applicant, or Respondent. NOTE: Provide the mailing address of the Petitioner, Applicant, or Respondent, and not the address of the attorney Petitioner Applicant Respondent Principal Petitioner, Applicant, or Respondent Name: Last First Middle A Number or Receipt Number Address: Street Number and Street Name Apt. No. City Country Mailing Code	[Page 1] Part 2. Notice of Appearance as Attorney Admitted to Practice Outside the United States This appearance relates to immigration matters before (select only one box): 1.a. USCIS 1.b. List the form numbers 2.a. ICE 2.b. List the specific matter in which appearance is entered 3.a. CBP 3.b. List the specific matter in which appearance is entered 4. I enter my appearance as attorney at the request of (select applicable box): [Deleted] Applicant Petitioner Respondent (ICE, CBP) [Page 2] Information About Applicant, Petitioner, or Respondent [new sub-header] 5.a. Family Name (Last Name) 5.b. Given Name (First Name) 5.c. Middle Name 6. Name of Company or Organization (if applicable) 7. USCIS ELIS Account Number (if any) 8. Alien Registration Number (A-Number) or Receipt Number (if any) 9. Daytime Telephone Number 10. E-Mail Address (if any) [Page 2] Mailing Address [new sub-header] NOTE: Provide the mailing address of the applicant, petitioner, or respondent. If the applicant, petitioner, or respondent has used a safe mailing address on the application or petition being filed with this Form G-28I, provide it in these spaces. 11.a. Street Number and Name 11.b. Apt. Ste. Flr. 11.c. City or Town 11.f. Province 11.g. Postal Code 11.h. Country
Page 1, Part 2. Information about Attorney (Check applicable item(s) below)	A. I am licensed to practice law in (name of country(ies) authorized to practice law), and I am in good standing in a court of general jurisdiction of (name of country(ies)) where I reside and am engaged in the practice of law. I am not or am subject to any order of any court or administrative agency disbarring, suspending, enjoining, restraining, or otherwise restricting me in the practice of law (If you are subject to any order(s), explain fully on reverse side). B. I am associated with [Attorney]. The attorney of record previously filed Form G-28I in this case, and my appearance as an attorney is at his or her request. (If you check this item, also complete item A above in Part 2).	[Page 2] Part 3. Eligibility Information For Attorney Select all applicable items. 1.a. I am licensed and authorized to practice law in the following countries. (If you need additional space, use Part 6.) Licensing Authority [ ] 1.b. Bar Number (if applicable) 1.c. I am in good standing in a court of general jurisdiction in the following countries where I reside and am engaged in the practice of law. (If you need additional space, use Part 6.) 1.d. I (choose one) am not/am subject to any order of any court or administrative agency disbarring, suspending, enjoining, restraining, or otherwise restricting me in the practice of law. If you are subject to any orders, explain in the space below. (If you need additional space, use Part 6.) 2. I am associated with [Attorney], the attorney of record who previously filed Form G-28I in this case, and my appearance as an attorney is at his or her request. NOTE: If you select this item, also complete Item Numbers 1.a. - 1.c.
Page 1, Part 1. Notice of Appearance as Attorney Admitted to Practice Outside the United States	Pursuant to the Privacy Act of 1974 and DHS policy, I hereby consent to the disclosure to the named attorney of any record pertaining to me that appears in a any system of records of USCIS, USCBP, or USICE. Signature of Petitioner, Applicant, or Respondent Date	[Page 2] Part 4. Applicant, Petitioner, or Respondent Consent to Representation, Contact Information and Signature [section header] Consent to Representation and Release of Information [sub header] 1. I have requested the representation of and consented to being represented by the attorney or accredited representative named in Part 1. of this form. According to the Privacy Act of 1974 and DHS policy, I also 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, ICE, or CBP. When you (the applicant, petitioner, requestor, or respondent) are represented, DHS will send notices to both you and your attorney or accredited representative either through mail or electronic delivery. DHS will also send the Form I-94, Arrival Departure Record, to you unless you select Item Number 2.a. in Part 4. All secure identity documents and Travel Documents will be sent to you (the applicant, petitioner, requestor, or respondent) unless you ask us to send those documents to your attorney of record or accredited representative. If you do not want to receive original notices or secure identity documents directly, but would rather have such notices and documents sent to your attorney of record or accredited representative, please select all applicable boxes below: 2.a. __I request that DHS send any notice (including Form I-94) on an application, petition, or request that I have filed with DHS to the business address of my attorney of record or accredited representative as listed in this form. I understand that I may change this election at any future date through written notice to DHS. 2.b. __I request that DHS send any secure identity document, such as a Permanent Resident Card, Employment Authorization Document, or Travel Document, that I am approved to receive and authorized to possess, to the business address of my attorney of record as listed in this form. I consent to having my secure identity document sent to my attorney of record or accredited representative and understand that I may request, at any future date and through written notice to DHS, that DHS send any secure identity document to me directly. 3.a. Signature of Applicant, Petitioner, or Respondent 3.b. Date of Signature (mm/dd/yyyy)
Page 1, Part 3. Name and Signature of Attorney	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 Signature of Attorney Date	[Page 3] Part 5. Signature of Attorney 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. [Deleted] 1.a. Signature of Attorney 1.b. Date of Signature (mm/dd/yyyy)
New		[Page 3] Part 6. Additional Information Use the space provided below to provide additional information pertaining to Part 3., Item Numbers 1.a. – 1.c.

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