Pages 1-2,
Part 2. Notice of
Appearance as Attorney Admitted to Practice Outside of the United
States
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[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):
[Page 2]
…Mailing Address
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. [Fillable Field]
11.c. City or Town
11.d. Province
11.e. Postal Code
11.f. Country
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[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):
[Page 2]
…Mailing Address
NOTE: Provide the mailing
address of the applicant, petitioner, requestor,
or respondent. Do not
provide the business mailing address of the attorney unless
it serves as the safe mailing address on the application,
petition, or request being filed with this Form G-28I.
[No change]
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Pages 2-3,
Part 4. Applicant,
Petitioner, or Respondent Consent to Representation, Contact
Information, and Signature
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[Page 2]
Part 4. Applicant, Petitioner,
or Respondent Consent to Representation, Contact Information, and
Signature
…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.
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, 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 as listed in this form. I understand that I
may change this election at any future date through written notice
to DHS.
[Page 3]
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 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)
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[Page 2]
Part 4. Applicant, Petitioner,
or Respondent Consent to Representation, Contact Information, and
Signature
…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) at
your U.S. mailing address unless
you ask us to send your secure identity documents to your
attorney of record.
[No change]
[Page 3]
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 U.S.
business address of my attorney of record as listed in this
form or to a designated military or
diplomatic address for pickup in a foreign country (if permitted).
I consent to having my secure identity document sent to my
attorney of record 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.
[No change]
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Page 3, Part 6.
Additional Information
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[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.
[Fillable field]
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[Page 3]
Part 6. Additional Information
Use the space provided below to
provide additional information pertaining to Part 3., Item
Numbers 1.a. - 1.d. or
to provide your U.S. business
address for purposes of receiving
secure identity documents for your client (if your client has
consented to your receipt of such documents under Part
4.)
[Fillable field]
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