G-28 Copy Deck

Rep Onboarding Profile and G-28 Copy Deck-30Day.pdf

Notice of Entry of Appearance as Attorney or Accredited Representative; Notice of Entry of Appearance of Foreign Attorney

G-28 Copy Deck

OMB: 1615-0105

Document [pdf]
Download: pdf | pdf
myUSCIS copy deck
Form G-28 Notice of Entry of Appearance as Attorney or Accredited
Representative
OMB control number 1615-0105

Representative Onboarding
Notes

Field Type (if
applicable)

Page Title
body text

Current UI Copy
Confirm that you are a representative
A representative must be:
An attorney
I am a person who is eligible to practice law in, and is a member in good standing of the bar of, the highest
court of any State, possession, territory, or Commonwealth of the United States, or the District of Columbia,
and I am not under any order restricting me from the practice of law. (See 8 CFR 292.1 for additional
information.)
An accredited representative

body text

body text
Page Title

I am a person who is a representative of a qualified nonprofit, religious, charitable, social service, or similar
organization established in the United States and recognized by the Department of Justice. (See 8 CFR 292.1
and 8 CFR 1292.11-1292.20 for additional information.)
Representative Account Type

copy exists in accounts public, but is
new to myUSCIS

I am an:

body text

Attorney

body text

A person who is eligible to practice law in, and is a member in good standing of the bar of, the highest court of
any State, possession, territory, or Commonwealth of the United States, or the District of Columbia, and I am
not under any order restricting me from the practice of law. (See 8 CFR 292.1 for additional information.)
Accredited Representative
A person who is a representative of a qualified nonprofit, religious, charitable, social service, or similar
organization established in the United States and recognized by the Department of Justice. (See 8 CFR 292.1
and 8 CFR 1292.11-1292.20 for additional information.)

Radio button

Radio button

Rep Onboarding

Representative Onboarding
Notes

Field Type (if
applicable)

(If Attorney) Data entered here will
be auto-populated for the user into
their profile
Textbox
(If Attorney)
Checkbox
(If Accredited Representative) Input
title
(If Accredited Representative)
Date field
placeholder text
Page Title

Bar number
I do not have a bar number
Accreditation date
MM/DD/YY
Manage Your Existing Cases Online
If you paper-filed any of the eligible forms below, we created a USCIS online account for you. The USCIS
Account Access Notice we mailed you has an Online Access Code you can use to link your paper-filed cases to
your online account.
Eligible paper-filed forms

body text

Form List (collapsible)
Form question

Current UI Copy

Radio button
Radio button

I-90, Application to Replace Permanent Resident Card
I-290B, Notice of Appeal or Motion
I-130, Petition for Alien Relative
I-131, Application for Travel Document
I-485, Application to Register Permanent Residence or Adjust Status
I-765, Application for Employment Authorization
I-821, Application for Temporary Protected Status
I-821D, Consideration of Deferred Action for Childhood Arrivals
N-336, Request for Hearing on a Decision in Naturalization
N-400, Application for Naturalization
N-565, Application for Replacement Naturalization/Citizenship Document
N-600, Application for Certificate of Citizenship
N-600K, Application for Citizenship and Issuance of Certificate Under Section 322
Would you like to link your paper-filed cases to your account using the Online Access Code?
Yes
No, continue to account profile

Rep Onboarding

Representative Onboarding
Notes
(If No, continue to account profile)
Modal alert title
(If No, continue to account profile)
Modal Body
(If No, continue to account profile)
(If No, continue to account profile)
(If yes to "Would you like to link
your paper-filed cases to your
account using the Online Access
Code?) Page Title
Body Text
Sample Image
Input Title
placeholder text
primary button
secondary button
(If Continue to account profile)
Modal alert
(If No, continue to account profile)
Modal Body
(If No, continue to account profile)
(If No, continue to account profile)

Field Type (if
applicable)

Current UI Copy
Are you sure you want to continue?

Radio button
Radio button

Text field

If you continue, you will no longer have access in this account to cases you previously paper-filed.
Yes, continue to account profile
Cancel

Manage Your Existing Cases Online
Your Online Access Code is listed in the USCIS Account Access Notice we mailed you. Enter your code to access
your existing cases If you did not receive the notices, select "Continue to account profile."
Sample image of USCIS account access notice
Online Access Code
XXXXX-XXXX-XXXXX
Link paper-filed cases
Continue to account profile
Are you sure you want to continue?

Radio button
Radio button

If you continue, you will no longer have access in this account to cases you previously paper-filed.
Yes, continue to account profile
Cancel

Rep Onboarding

Representative Profile - Review and Certify page
Notes
Title
Subtitle

Help Text
Help Text

Page title
Subtitle

(If Attorney)
(If Attorney)
(If Attorney)
CTA button
(If Accredited
Representative)
(If Accredited
Representative)
(If Accredited
Representative)plac
eholder text
Section title

Instructional text

Revised

Field type (if
applicable)

Current UI Copy

Revised UI Copy

Personal information
Page 1 of 2
Text box
First Name
Text box
Middle Name
Text box
Last Name
Mailing address
Text box
In care of (if any)
Dropdown
Country
Text box
Address line 1
Street number and name
Text box
Address line 2
Apartment, suite, unit, or floor
Text box
City or town
Dropdown/Text box State/Province (Foreign address only)
Text box
Zip code/Postal code (Foreign address only)
Choose your role
Page 2 of 2
I am an:
Radio button
Attorney
Radio button
Accredited Representative
Text box
Organization name
Text box
Licensing authority
Text box
State bar number
Add another
Organization name
Accreditation date
Text box

MM/DD/YY

Please enter your contact information

To edit your email address or mobile phone number, update your Account
settings in your profile after you have finished creating your account.
Email address
Mobile phone number
Daytime phone number
Fax Number
What are your notification preferences?

Rep Profile

Representative Profile - Review and Certify page
Notes

Revised

Field type (if
applicable)

Instructional text
Radio button
Radio button
Radio button

Title
Instructional text (if
no paper-filed
cases)

(If Attorney)

check box

(If Attorney and
paper-filed cases)

check box

Current UI Copy

Revised UI Copy

We send you a notification when an immigration officer responds to your
message or case inquiry.
Email
Mobile
Both email and mobile
Review and Certify
Please review and certify this information by selecting the checkbox and
submit button at the bottom of the form.
Certify and Submit
Representative version
I certify, under penalty of perjury under the laws of the United States of
America, that I am an attorney and a member in good standing of the bar
of the highest court in at least one U.S. state, Commonwealth, possession,
territory, or the District of Columbia, and that the information I have
provided for creation of my representative account is true and correct. I
am not subject to any order of any court or administrative agency
disbarring, suspending, enjoining, restraining or otherwise restricting me
in the practice of law. 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 certify, under penalty of perjury under the laws of the United
States of America, that I am an attorney and a member in good
standing of the bar of the highest court in at least one U.S. state,
Commonwealth, possession, territory, or the District of
Columbia, and that the information presented in the review of
my representative profile was true and correct at the time of
filing. I am not subject to any order of any court or
administrative agency disbarring, suspending, enjoining,
restraining or otherwise restricting me in the practice of law. 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.

Rep Profile

Representative Profile - Review and Certify page
Notes

Revised

(If Accredited
Representative)

Field type (if
applicable)

check box

(If Accredited rep
and paper-filed
cases)

Current UI Copy

Revised UI Copy

I certify, under penalty of perjury under the laws of the United States of
America, that I am an accredited representative of an organization
recognized by the Department of Justice, Executive Office for Immigration
Review, under title 8 of the Code of Federal Regulations, part 292, and
that the information I have provided for creation of my representative
account is true and correct. I am not subject to any order of any court or
administrative agency, suspending, terminating, restraining or otherwise
restricting me in representing individuals seeking to file an application,
petition, or request with the Department of Homeland Security, the
Immigration Courts, or the BIA. 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.

check box

I certify, under penalty of perjury under the laws of the United
States of America, that I am an accredited representative of an
organization recognized by the Department of Justice, Executive
Office for Immigration Review, under title 8 of the Code of
Federal Regulations, part 292, and that the information
presented in the review of my representative profile was true
and correct at the time of filing. I am not subject to any order of
any court or administrative agency, suspending, terminating,
restraining or otherwise restricting me in representing
individuals seeking to file an application, petition, or request
with the Department of Homeland Security, the Immigration
Courts, or the BIA. 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.
Submit
Cancel

Rep Profile

Add a Client/Start a Form
Notes

Field Type (if
applicable)

Page Title

body text
(If Person or Company is
selected) body text
(If Person)
(If Person)
(If Person)
(If Company)
(If Company)

Page Title
body text
field title

Revised UI Copy

Add a Client
Once you add a client to your account, you
will be able to file an online form, view
case status updates, download notices, and
continue to work on cases.
Select which type of client you want to add
to your account.

body text

body text

Current UI Copy

Radio button
Radio button

Textbox
Textbox
Textbox
Textbox
Textbox
Primary CTA
Secondary CTA

dropdown
CTA

H-1B Registrations can only be filed using
the company client type.
Person
Company
What is your client's name?
Given name (first name)
Middle name (if applicable)
Family name (last name)
Company name
Doing Business As name (if applicable)
Add client
Cancel
Start a Form
Confirm the person or company that you
are filing for
Client
(Client Last Name, Client First Name)
Add a new client
Select the form that you want to file
online.

Add Client and Start Form

Add a Client/Start a Form
Notes

Field Type (if
applicable)

Current UI Copy

Revised UI Copy

Once you start the form, we will
automatically save your information for 30
days following any update.

Radio button
Radio button

All listed forms include Form G-28. If you
are only adding representation for a
previously filed form, select Form G-28
Notice of Entry of Appearance, Attorney or
Accredited Representative (G-28)
Application to Replace Permanent Resident
Card (I-90)
Request for a Hearing on a Decision in
Naturalization Proceedings (N-336)
Application for Naturalization (N-400)
Application for Replacement
Naturalization/Citizenship Document (N565)
Application for Certificate of Citizenship (N600)
Application for Citizenship and Issuance of
Certificate Under Section 322 (N-600K)
Petition for Alien Relative (I-130)

Radio button

Application To Extend/Change
Nonimmigrant Status (I-539)

Radio button
Radio button
Radio button
Radio button

Radio button
Radio button

Radio button
Primary CTA
Secondary CTA

Start form
Cancel

G-28, Notice of Entry of Appearance as Attorney or Accredited
Representative
I-90, Application to Replace Permanent Resident Card
I-130, Petition for Alien Relative (I-130)
I-539, Application To Extend/Change Nonimmigrant Status

I-765, Application for Employment Authorization
N-336, Request for a Hearing on a Decision in Naturalization Proceedings
N-400, Application for Naturalization
N-565, Application for Replacement Naturalization/Citizenship Document

N-600, Application for Certificate of Citizenship
N-600K, Application for Citizenship and Issuance of Certificate Under Section
322

Add Client and Start Form

BENEFIT FORM:

Rep will complete benefit form using information provided by the client
Once the required information is completed, they will be promoted to continue to the G-28

CTA

Heading

Prompt

Finish the [Form Number] and continue to the G-28

By finishing this form, we will prepare a draft [Form Finish and continue
Number] for your client to review and sign. If your
client does not approve the inform provided in the
[Form Number], you will need to edit the
information in the form, and resubmit it for your
client's review.
Next you will continue to the G-28. When you
submit the G-28, we will give you a passcode for
your client to add you as their representative in
their USCIS online account. Once you are added,
your client will have access to review the draft
[Form Number] and the draft G-28.

Benefit Form

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

This is the form overview copy for representatives

Title

Revised

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

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

OMB Approved
Section

Revised

OMB Approved Version

Revised

The Notice of Entry of Appearance as Attorney or Accredited Representative is for attorneys and accredited
representatives to provide information to establish their eligibility to appear for and act on behalf of an applicant,
petitioner, requester, beneficiary or derivative, or respondent in immigration matters.

Form G-28, Notice of Entry of Appearance as Attorney or Accredited
Representative is for attorneys and accredited representatives to provide
information to establish their eligibility to appear for and act on behalf of an
applicant, petitioner, requester, beneficiary or derivative, or respondent in
immigration matters.

An attorney or accredited representative must complete and submit a new G-28 form for each client case. The G28 can be started along with a client's new case or it can be added to a client's already-submitted case. USCIS will
only recognize a completed G-28 once the client has reviewed and signed the form.

An attorney or accredited representative must complete and submit a new
Form G-28 form for each client case. Form G-28 can be started along with a
client's new case or it can be added to a client's already-submitted case. USCIS
will only recognize a completed Form G-28 once the client has reviewed and
signed the form.
Each attorney or accredited representative appearing in a case must submit
their own Form G-28 and USCIS only recognizes one Form G-28 at a time.

Before you start the Before you start the form
G-28

Who should complete this form
You should only complete this form if you are an attorney or accredited representatives as defined in 8 CFR 1.2 and
1292.
Law students and law graduates
If you are a law student or law graduate who is working under the direct supervision of an attorney or accredited
representative, you will need to provide your name and signature on the form.
Foreign attorneys
If you are an attorney not licensed to practice law in the United States, you should not use this form. Instead, you
will need to file the Notice of Entry of Appearance as Attorney In Matters Outside the United States (G-28I).
Other representatives

After you complete
the G-28

After you complete the form

If you are seeking to appear as a reputable individual as defined in 8 CFR 292.1(a)(3), you should not use this form.
Instead, you will need to seek permission from DHS to appear with your client.
Your client adds you as his or her representative
After you provide your representative information and signature, we will give you a one-time access code to give to
your client. Your client will need to sign in to his or her USCIS account (or create a new one) and enter this code to
officially link to your G-28. Your client will also need to review the information you provided in the G-28 and
provide his or her signature before you can continue with filing out an online form for him or her.
You complete your client's online form

Your client adds you as their representative
After you complete Form G-28 and provide your signature, we will give you a one-time
passcode to give to your client. Your client will need to sign in to their USCIS account (or
create a new one) and enter this code to officially add you as a representative.

(delete)

Once your online client links to and signs your G-28, a link will appear on your account homepage that takes you to
the online form you want to complete on behalf of your client.

Your client reviews and signs

Your client reviews and signs

After you are finished filling out your client's online form, her or she will need to sign in to his or her account to
review the information you provided in the online form and then provide his or her signature.

Once your client adds you as a representative, they will need to review the
information provided in Form G-28. If all the information is correct, your client
will accept the form and then provide their signature. If the information is
incorrect, your client will decline the form and we will send it back to you to
make updates.
Once your client accepts Form G-28, they will then review the benefit form. If all
the information is correct, your client will provide their signature. If any
information is incorrect, your client may decline and send back the benefit form
for you to make any updates
If you are adding a Form G-28 to your client's already-submitted case, the case
status will be updated referencing the form.

G-28 Form Overview - Rep.

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

This is the form overview copy for representatives

Title

Revised

OMB Approved
Section

Revised

OMB Approved Version

Revised

You submit and pay

You submit and pay for your client's online form (for new cases)

Once your client reviews and signs the online form, a link will appear on your account home page that takes you to Once your client reviews and signs the online form, a link will appear on your
a page to submit the G-28 along with your client’s online form, and pay the fee for your client’s form (if there is
account home page that takes you to a page to submit Form G-28 along with
one).
your client’s online form, and pay the fee for your client’s form (if there is one).
Withdrawing a Form G-28

Completing the G-28 Completing the form online
online

USCIS Privacy Notice DHS Privacy Notice

An attorney or accredited representative or the applicant, petitioner, requestor,
beneficiary or derivative, or respondent may withdraw Form G-28 at any time
by submitting written notice of withdrawal to DHS, or by submitting a new Form
G-28. The applicant, petitioner, requestor, beneficiary or derivative, or
respondent will be treated as unrepresented unless a new Form G-28 is
submitted.
We will automatically save your responses
We will automatically save your information when you select next to go to a new page or navigate to another
section of the form. We will save your information for 30 days from today, or from the last time you worked on
your form.
AUTHORITIES: The information requested on this form is collected pursuant to 8 CFR section 292.4(a).
PURPOSE: The primary purpose for providing the requested information on this form is to establish your eligibility
to appear and act on behalf of an applicant, petitioner, or respondent. The information you provide will be used to
designate you as an attorney or accredited representative.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information may
prevent your ability to represent an individual or entity.
ROUTINE USES: The information will be used by and disclosed to DHS personnel and contractors or other agents
who need the information. Additionally, DHS may share the information with other Federal, state, local
government agencies, and authorized organizations in accordance with approved routine uses, as described in the
associated published system of records notices [DHS/USCIS-001 - Alien File and National File Tracking System
(NFTS), DHS/USCIS-005 Inter-Country Adoptions Security, DHS/USCIS-006 Fraud Detection and National Security
Records, DHS/USCIS-007 - Benefits Information System, DHS/USCIS-010 - Asylum Information and PreScreening and
DHS-USCIS-015- Electronic Immigration System - 2 Account and Case Management System of Records] which can
be found at www.dhs.gov/privacy. The information may also be made available, as appropriate for law
enforcement purposes or in the interest of national security.

Paperwork
Reduction Act

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 Office of Management and Budget (OMB) control
number. The public reporting burden for this collection of information is estimated at 53 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 Coordination Division
Office of Policy and Strategy
20 Massachusetts Ave NW
Washington, DC 20529-2140
Do not mail your completed Form G-28 to this address.
OMB No.: 1615-0105
Expires: 03/31/2018

ROUTINE USES: The information will be used by and disclosed to DHS personnel
and contractors or other agents who need the information to perform
associated administrative functions. Additionally, DHS may share the
information with other Federal, state, local government agencies, and
authorized organizations in accordance with approved routine uses, as
described in the associated published system of records notices [DHS/USCIS-001
- Alien File and National File Tracking System, DHS/USCIS-007 - Benefits
Information System, DHS/USCIS-010 - Asylum Information and Pre-Screening,
DHS/USCIS-005 Inter-Country Adoptions Security, DHS/USCIS-006 Fraud
Detection and National Security Records, and DHS/USCIS-017 Refugee Case
Processing and Security] and as described in the published privacy impact
assessments [DHS/USCIS/PIA-015 - Computer Linked Application Information
Management (CLAIMS 4) Update, DHS/USCIS/PIA-016 Computer Linked
Application Information Management (CLAIMS 3) and Associated Systems,
DHS/USCIS/PIA-056 ELIS, DHS/USCIS/PIA-027(c)-USCIS Asylum Division,
DHS/USCIS/PIA-003(b) Integrated Digitization Document Management Program,
DHS/USCIS/PIA-007(b) Domestically Filed Intercountry Adoptions and Petitions,
DHS/USCIS/PIA-013(a) Fraud Detection and National Security Data System, and
DHS/USCIS/PIA-051 Case and Activity Management for International
Operations] which can be found at www.dhs.gov/privacy. The information may
also be made available, as appropriate for law enforcement purposes or in the
interest of national security.

U.S. Citizenship and Immigration Services
Office of Policy and Strategy, Regulatory Coordination Division
5900 Capital Gateway Drive, Mail Stop #2140
Camp Springs, MD 20588-0009

Expires: 05/31/2021

G-28 Form Overview - Rep.

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

This is the form overview copy for representatives

Title

Revised

OMB Approved
Section
Security reminder

Revised

OMB Approved Version

Revised

If you do not work on your form for more than 30 days, we will delete your data in order to prevent storing
information indefinitely.

G-28 Form Overview - Rep.

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

Instructional text: Text that appears directly below a question and provides instructions for answering the question
Question/prompt grouping breaks are indicated by a horizontal line
Conditional question/prompt logic is indicated in ( ) before question/prompt

OMB Approved
Primary Nav

Representative
Information

Revised

About Representative

OMB Approved
Subnav

Revised

OMB Approved Prompt

Revised

OMB Approved Response

Your name

Revised

1.2.b

Paper
Form

1.2

Provide your name

What is your current legal name?

Given name (first name)

Text

Your role

1.2.c
1.2.a
2.1.a

1.2
1.2
Select your representative role

What is your representative role?

Middle name (if applicable)
Family name (last name)
I am an attorney eligible to practice law in,
and a member in good standing of, the bar
of the highest courts of the following
states, possessions, territories,
commonwealths, or the District of
Columbia.
I am an accredited representative of the
following a qualified nonprofit religious,
charitable, social service, or similar
organization established in the United
States and recognized by the Department
of Justice in accordance with 8 CFR part
1292 292.2.

Text
Text
Radio

2.2.a

Revised

Field Type

Revised

Not
OMB Approved
Required Instructional Text

Revised instructional text

Help Text

Notes

X

Radio

Provide the bar numbers, if applicable, for all
jurisdictions in which you are admitted to practice.
2.1.a
2.1.b

2.1.a

(IF 2.1.a) Licensing authority
(IF 2.1.a) Bar number

2.1.d

2.1.c

(IF 2.1.a) Name of law firm or organization (if applicable)

2.1.c

2.1.b

(IF 2.1.a) Are you subject to any order of any court or administrative agency disbarring, suspending,
enjoining, restraining, or otherwise restricting you in the practice of law?

2.2.b
2.2.c
Your contact information

Additional information

1.4
1.5

1.6
1.7
1.3.h

1.3

1.3.a
1.3.b
1.3.c
1.3.d/f
1.3.e/g

1.3
1.3
1.3
1.3
1.3

1.1

1.1

(If 2.1.a) Jurisdiction
(IF 2.1.a) Bar number (if applicable)
Add entry
(IF 2.1.a) What is the name of your law firm
or organization (if applicable)?
Are you subject to any order disbarring,
suspending, enjoining, restraining, or
otherwise restricting you in the practice of
law?

(IF YES TO 3.1.c) Provide an explanation.
(IF 2.2.a) Name of recognized organization
(IF 2.2.a) Date of accreditation

(IF YES TO 2.1.c) Provide an explanation.

Provide your contact information

How can we contact you?

Provide your address

What is your current mailing address?

Do you have a USCIS Online Account?
(IF YES TO 1.1) USCIS Online Account Number

Text
Text
Text
Yes/No

Small table
CTA

Radio

Text
Text
Date
Daytime phone number
Mobile phone number
This is the same as my daytime phone
number.
Email address
Fax number
Country

Daytime telephone number
Text
Mobile telephone number
Text
This is the same as my daytime telepho Checkbox
Text
Text
Dropdown

Address line 1
Address line 2
City or town
State/Province (FOR FOREIGN ADDRESS)
ZIP code/Postal code (FOR FOREIGN
ADDRESS)
Yes/No

Text
Text
Text
Text
Text

USCIS uses the mailing address in your account profile
for all correspondence. To change your mailing address,
update your profile information
X

Street number and name
Apartment, suite, unit, or floor

Radio
Text

2.4.a

Do you have a law student or law graduate working under your direct supervision in accordance with
the requirements in 8 CFR 292.1(a)(2)?

Yes/No

Radio

2.4.b

(IF YES TO 3.4.1) Provide the name of the law student or law graduate.

Given name (first name)
Middle name (if applicable)
Family name (last name)

Text
Text
Text

If the user selects Yes to this question, we
will show the exact copy of 3.4.a with a
checkbox for the law student when he/she
provides his/her signature.

X

G-28 Representative Information

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

Instructional text: Text that appears directly below a question and provides instructions for answering the question
Question/prompt grouping breaks are indicated by a horizontal line
Conditional question/prompt logic is indicated in ( ) before question/prompt

OMB Approved
Primary Nav

Revised

Client Information

About Client

OMB Approved
Secondary Nav

Revised

Paper Form
Question #

Revised

OMB Approved Prompt

Revised

OMB Approved Response

Client name

3.5.b
3.5.a
3.5.c
3.7a

3.6
3.6
3.6
3.7

Provide your client's current legal name

What is your client's current legal name?

Name of Entity

Name of entity

Given name (first name)
Middle name (if applicable)
Family name (last name)

3.7b
3.1

3.8
3.11

Title of Authorized Signatory for Entity
Provide your client's contact information

Title of authorized signatory for entity
How can we contact your client?

3.11

3.12

3.13.h
3.13.a
3.13.b
3.13.c
3.13.d/f
3.13.e/g

3.14
3.14
3.14
3.14
3.14
3.14
Provide your client's immigration information

(delete)

3.9

3.10.

A-number

What is your client's A-Number?

3.8

3.9

USCIS Online Account Number

What is your client's USCIS Online Account Number?

Client contact
information

Daytime telephone number

3.12

Mobile phone number
This is the same as the daytime phone number.

3.13

Email address

Mobile telephone number
This is the same as the daytime
telephone number.

Provide your client's current mailing address

What is your client's current mailing address?

Field Type
Text
Text
Text
Text

Daytime phone number

3.14

Client additional
information

Revised

Text
Text

Revised

Not
Required

Revised Instructional Text

Help Text

X

If the client is an entity, provide the name of the entity
and the title of the entity's authorized signatory.

X

Text
Checkbox
Text

Dropdown
Country
Address line 1
Address line 2
City or town
State/Province or region (FOR FOREIGN ADDRESS)
ZIP code/Postal code (FOR FOREIGN ADDRESS)

OMB Approved Instructional Text

X

Text
Text
Text
Text
Text

Do not provide your business mailing address here
unless it serves as the safe mailing address for your
client.
X

Please provide the same email address used by your
client to create their USCIS online account. If you
submit an email address that does not match, your
client will not be able to add you as a representative (to
complete the online process).

Street number and name
Apartment, suite, unit, or floor

Text
Checkbox
Text
My client does not have a USCIS Online Account Number. My client does not have or know Checkbox
their USCIS Online Account
Number.
My client does not have or know their A-Number.

G-28 Client Information

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

Instructional text: Text that appears directly below a question and provides instructions for answering the question
Question/prompt grouping breaks are indicated by a horizontal line
Conditional question/prompt logic is indicated in ( ) before question/prompt

OMB Approved
Primary Nav

Revised

Additional explanation

Additional Information

OMB
Revised Sub Nav
Approv
ed Sub
nav
Additional
information

Paper Revised Prompt
Form
Questio
n#

6.1-6.6.d You may provide additional information for your G-28

Revised

Field Type

Not Required

Instructional Text

You may provide additional information for your form.

Text

X

If you need to provide any
additional information for
any of your answers to
the questions in this G-28,
enter it into the space
below. You should include
the questions that you are
referencing.
If you do not need to
provide any additional
information, you may
leave this section blank.

G-28 Additional Information

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

Instructional text: Text that appears directly below a question and provides instructions for answering the question
Question/prompt grouping page breaks are indicated by a horizontal line
Conditional question/prompt logic is indicated in ( ) before question/prompt

Primary nav
Review and Sign

OMB Approved
Subnav

Revised

Paper
Form

Revised

Review your form

OMB Approved Prompt

Revised

Check the G-28 before you submit it for client
review

OMB Approved Response

Revised

Field
Type

Revised

Checkbox

delete

Text

delete

OMB Approved Instructional Text

Revised

OMB Approved CTA

Revised

Submit the G-28 for client review

Submit the G-28 (delete)

We will review the form to check for accuracy and completeness We will review the form to check for accuracy and completeness
before you send it to your client for his or her review.
before you send it to your client for their review.
You can return to this page to review the form as many times as
you want before your submit.

Alerts

Alerts and warnings

You have one or more alerts and warnings based on the
information you provided in your application.

You have one or more alerts and warnings based on the
information you provided in your application.

A green alert means you have completed all required fields and
responses.

(delete)

Here is a summary of all the information provided in the G-28.

Here is a summary of all the information provided in the form.

Make sure you have provided responses for everything that
applies to you and your client before your complete this part of
the G-28 process. You can edit your response by going to each
form section using the form navigation.

Make sure you have provided responses for everything that
applies to you and your client before you submit. You can edit
your response by going to each form section using the form
navigation.

A red alert means you have incomplete or incorrect responses to
A red alert means you have incomplete or incorrect responses to certain questions. You ​cannot​ submit your application with any
certain questions. You ​cannot​ submit your application with any alerts.
alerts.

Your form summary

Review the G-28 form information

We also prepared a draft case snapshot with your responses,
which you can download below.
View draft snapshot
5

Your signature

(delete)

5.2.a

5.1

Submit the G-28 for your client's review

I am a law student or law graduate working under the direct
(delete)
supervision of the attorney or accredited representative of
record on this form in accordance with the requirements in 8
CFR 292.1(a)(2).
I have read and agree to the law student / graduate's statement (delete)
Law student / graduate's signature
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.
I have read and agree to the representative's statement
Representative's signature

Representative's statement and signature

5.1.a

(If "Your signature" is
complete) Submit

Law student / graduate's statement and
signature

Finish and submit the G-28

(delete)

Your law student or law graduate must read and
(delete)
agree to the statement below, and provide his or her
signature.

You must read and agree to the statements below,
and provide your signature.

Your signature

By submitting this form, we will prepare a draft G-28 for your
By submitting this form, we will prepare a draft G-28 for your
client to review. If your client approves the information provided client to review and sign. If your client does not approve the
information provided in the G-28, you will need to edit the
in the G-28, we will also ask for his or her signature. After the
information in the form and resubmit it for your client's review.
client provides his or her signature, the G-28 will be added to
your client's case.
(delete)
If your client does not approve the information provided in the
G-28, his or her draft case status will show that it was not
approved. You will need to edit the information in the form, and
re-submit it for your client's review.

Checkbox
Text

You must provide your digital signature below by
typing your full legal name. We may deny your form if
you do not completely fill out this application or fail
to submit required documents. We will record the
date of your signature with your form.

Once you submit the G-28 below, your client's draft case status
will be update on your and your client's account home pages.

G-28 Review and Sign

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

Instructional text: Text that appears directly below a question and provides instructions for answering the question
Question/prompt grouping page breaks are indicated by a horizontal line
Conditional question/prompt logic is indicated in ( ) before question/prompt

OMB Approved Title

Revised

(Outside of nav - rep account)

Paper Form Prompt
Question #
Give this passcode to your
client to initiate the G-28
client relationship

OMB Approved Response

Revised

Your client will need to enter this
one-time passcode on his or her
account homepage in order to add
you as a representative. Your client
must have a USCIS account in order
for you to start, submit, and manage
his or her case online.

Your client will need to enter this onetime passcode on their account home
page I order to add you as a
representative. Your client must have a
USCIS online account in order for you to
manage their case online.

If this code is not used within 30
days, it will expire and the draft G28 will be deleted.

(Before the form overview applicant account) Enter a
representative passcode

Enter A
Representative
Passcode

Once you enter your
representative's passcode,
we will take you to review
and sign the G-28 and any
other forms prepared for
you by your attorney or
accredited representative.

One-time passcode: XXX-XX-XXXXXX
Passcode

Field Type

Instructional Text Help Text

CTA
Finish

If this code is not used within 30 days, it
will expire and the draft G-28 will be
deleted.
One-time passcode: XXX-XXXXX-XXXXXXXXX
Textbox

Example: NJOSubmit and
5103-D55C4-A0E1 continue
or AC2FF-5C848A736

Enter your representative's
online case access passcode

Handshake

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

This is the form overview copy for clients

OMB Approved Title

Revised

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

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

OMB Approved Section

Revised

OMB Approved Version

Revised
Form G-28, Notice of Entry of Appearance as
Attorney or Accredited Representative is for
attorneys and accredited representatives to provide
information to establish their eligibility to appear for
and act on behalf of an applicant, petitioner,
requester, beneficiary or derivative, or respondent in
immigration matters.
An attorney or accredited representative must
complete and submit a new Form G-28 form for each
client case. Form G-28 can be started along with a
client's new case or it can be added to a client's
already-submitted case. USCIS will only recognize a
completed Form G-28 once the client has reviewed
and signed the form.
Each attorney or accredited representative appearing
in a case must submit their own Form G-28 and USCIS
only recognizes one Form G-28 at a time.

Before you start the form

Who should complete this form
The G-28 is used to officially establish a relationship
between you and your representative. This form
should only be completed by an attorney or
accredited representative (as defined in 8 CFR 1.2 and
1292) you have chosen to appear and act on your
behalf in immigration matters.

After you submit the form

You add your representative in your USCIS account

You add your representative in your USCIS account

After your representative completes the G-28, he or
she will contact you and give you a one-time
passcode. You will need to sign in to your USCIS
account (or create a new one) and enter this code to
officially add your representative.

After your representative completes Form G-28, they
will contact you and give you a one-time passcode.
You will need to sign in to your USCIS account (or
create a new one) and enter this code to officially add
your representative.

Your representative complete your online form (for Your representative completes your online form (for
new cases)
new cases)
Once you have reviewed and signed the G-28, a link
will appear on your representative's account home
page that takes him or her to the online form you
want to be completed on your behalf.

Once you have reviewed and signed Form G-28, a link
will appear on your representative's account home
page that takes them to the online form you want to
be completed on your behalf.
If your representative is adding Form G-28 to your
already-submitted case, the case's status will be
updated referencing the form.

G-28 Form Overview - Client

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

This is the form overview copy for clients

OMB Approved Title

Revised

OMB Approved Section

Revised

OMB Approved Version

Revised

You review the information in your online form (for You review the information in your online form
new cases)
Once your representative is done filling out your
Once your representative is done filling out your
online form, we will send it to you for your review.
online form, we will send it to your for your review.
If all the information is correct, you should accept the
If all the information is correct, you should accept the form and then provide your signature. If the
information in incorrect, you should decline the form
form and then provide your signature. If the
information in incorrect, you should decline the form and we will send it back to your representative to
You representative submits and pays for your online You representative submits and pays for your online
form (for new cases)
form (for new cases)
Once you review and sign your form, your
representative will submit the G-28 along with your
form, and pay the fee for your form (if there is one).
Withdrawing a Form G-28

Completing the G-28 online

USCIS Privacy Notice

Completing the form online

DHS Privacy Notice

Once you review and sign your form, your
representative will submit Form G-28 along with your
form, and pay the fee for your form (if there is one).
An attorney or accredited representative or the
applicant, petitioner, requestor, beneficiary or
derivative, or respondent may withdraw Form G-28
at any time by submitting written notice of
withdrawal to DHS, or by submitting a new Form G28. The applicant, petitioner, requestor, beneficiary
or derivative, or respondent will be treated as
unrepresented unless a new Form G-28 is submitted.

We will automatically save your responses
We will automatically save your information when
you select next to go to a new page or navigate to
another section of the form. We will save your
information for 30 days from today, or from the last
time you worked on your form.
AUTHORITIES: The information requested on this
form is collected pursuant to 8 CFR section 292.4(a).
PURPOSE: The primary purpose for providing the
requested information on this form is to establish
your eligibility to appear and act on behalf of an
applicant, petitioner, or respondent. The information
you provide will be used to designate you as an
attorney or accredited representative.
DISCLOSURE: The information you provide is
voluntary. However, failure to provide the requested
information may prevent your ability to represent an
individual or entity.

G-28 Form Overview - Client

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

This is the form overview copy for clients

OMB Approved Title

Revised

OMB Approved Section

Paperwork Reduction Act

Security reminder

Revised

OMB Approved Version

Revised

ROUTINE USES: The information will be used by and
disclosed to DHS personnel and contractors or other
agents who need the information. Additionally, DHS
may share the information with other Federal, state,
local government agencies, and authorized
organizations in accordance with approved routine
uses, as described in the associated published system
of records notices [DHS/USCIS-001 - Alien File and
National File Tracking System (NFTS), DHS/USCIS-005
Inter-Country Adoptions Security, DHS/USCIS-006
Fraud Detection and National Security Records,
DHS/USCIS-007 - Benefits Information System,
DHS/USCIS-010 - Asylum Information and
PreScreening and DHS-USCIS-015- Electronic
Immigration System - 2 Account and Case
Management System of Records] which can be found
at www.dhs.gov/privacy. The information may also
be made available, as appropriate for law
enforcement purposes or in the interest of national
security.

ROUTINE USES: The information will be used by and
disclosed to DHS personnel and contractors or other
agents who need the information to perform
associated administrative functions. Additionally, DHS
may share the information with other Federal, state,
local government agencies, and authorized
organizations in accordance with approved routine
uses, as described in the associated published system
of records notices [DHS/USCIS-001 - Alien File and
National File Tracking System, DHS/USCIS-007 Benefits Information System, DHS/USCIS-010 Asylum Information and Pre-Screening, DHS/USCIS005 Inter-Country Adoptions Security, DHS/USCIS006 Fraud Detection and National Security Records,
and DHS/USCIS-017 Refugee Case Processing and
Security] and as described in the published privacy
impact assessments [DHS/USCIS/PIA-015 - Computer
Linked Application Information Management (CLAIMS
4) Update, DHS/USCIS/PIA-016 Computer Linked
Application Information Management (CLAIMS 3) and
Associated Systems, DHS/USCIS/PIA-056 ELIS,
DHS/USCIS/PIA-027(c)-USCIS Asylum Division,
DHS/USCIS/PIA-003(b) Integrated Digitization
Document Management Program, DHS/USCIS/PIA-

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 Office of Management and
Budget (OMB) control number. The public reporting
burden for this collection of information is estimated
at 53 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 Coordination Division
Office of Policy and Strategy
20 Massachusetts Ave NW
Washington, DC 20529-2140
Do not mail your completed Form G-28 to this
address.
OMB No.: 1615-0105
Expires: 03/31/2018
If you do not work on your form for more than 30
days, we will delete your data in order to prevent
storing information indefinitely.

U.S. Citizenship and Immigration Services
Office of Policy and Strategy, Regulatory Coordination
Division
5900 Capital Gateway Drive, Mail Stop #2140
Camp Springs, MD 20588-0009

Expires: 05/31/2021

G-28 Form Overview - Client

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

Instructional text: Text that appears directly below a question and provides instructions for answering the question
Question/prompt grouping page breaks are indicated by a horizontal line
Conditional question/prompt logic is indicated in ( ) before question/prompt

OMB Approved Primary
Nav

Revised

Review and Sign

(outside of nav)

Paper Form Revised
Question #

OMB Approved Prompt

Review the G-28 form
information

Revised

OMB Approved Response

Revised

Here is a summary of all the information provided in
the G-28.

Here is a summary of all the
information provided in the G-28.

If anything is incorrect or missing, you should decline
the G-28 on the next page and contact your
representative. We will allow your representative to
edit the information in the draft form, and re-send it to
you for your review.

If anything is incorrect or missing, you
should decline the G-28 on the next
page and contact your representative.
We will allow your representative to
edit the information in the draft form,
and re-send it to you for your review.

Field Type

OMB Approved Instructional Text

Radio

If the information provided in the G-28 is
complete, true, and correct, you should
continue to the signature page.

Revised

OMB Approved Revised
CTA

We also prepared a draft case
snapshot with your responses, which
you can download below.
View draft snapshot

Accept or decline the G-28

I accept the G-28 and want to provide my signature

If anything is incorrect or missing, you should
decline the G-28 and contact your
representative. We will allow your
representative to edit the information in the
draft form, and re-send it to you for your
review.
I decline the G-28 and want to send the draft form
back to my representative to make updates
(If G-28 accepted) Client's
consent to release of
information

USCIS will send notices to both a represented party
(the client) and his, her, or its attorney or accredited
representative either through mail or electronic
delivery. USCIS will send all secure identity documents
and Travel Documents to the client's U.S. mailing
address.
If you want to have notices and/or secure identity
documents sent to your attorney or accredited
representative of record rather than to you, please
select all applicable items below. You may change
these elections through written notice to USCIS.

4.1.a

4.1.b

Radio

USCIS will send notices to both a
represented party (the client) and their
attorney or accredited representative
either through mail or electronic
delivery. USCIS will send all secure
identity documents and Travel
Documents to the client's U.S. mailing
address.
If you want to have notices and/or
secure identity documents sent to your
attorney or accredited representative
of record rather than to you, please
select all applicable items below. You
may change these elections by
submitting a new Form G-28 to USCIS.

I request USCIS send original notices on an application I request USCIS send original notices
or petition to the U.S. business address of my attorney on an application or petition to the
or accredited representative as listed on this form.
business address of my attorney or
accredited representative as listed on
this form.
I request that USCIS send any secure identity
document (Permanent Resident Card, Employment
Authorization Document, or Travel Document) that I
receive to the U.S. business address of my attorney or
accredited representative (or to a designated military
diplomatic address in a foreign country (if permitted)).

NOTE: If your notice contains Form I-94, Arrival
Departure Record, USCIS will send the notice to the
U.S. business address of your attorney or accredited
representative. If you would rather have your Form I94 sent directly to you select the item below.

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
one or both boxes below.

Checkbox

Checkbox

NOTE: If your notice contains Form I94, Arrival Departure Record, USCIS
will send the notice to the U.S.
business address of your attorney or
accredited representative. If you
would rather have your Form I-94 sent
directly to you, select the following
item.

G-28 Client Review

G-28 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL TEXT, AND OTHER COPY

Instructional text: Text that appears directly below a question and provides instructions for answering the question
Question/prompt grouping page breaks are indicated by a horizontal line
Conditional question/prompt logic is indicated in ( ) before question/prompt

OMB Approved Primary
Nav

Revised

Paper Form Revised
Question #

OMB Approved Prompt

Revised

4.1.c

(if G-28 accepted) Client's
statement and signature

OMB Approved Response

Revised

Field Type

I request that USCIS send my notice containing my
Form I-94 to me at my U.S. mailing address

I request that USCIS send my notice
containing my Form I-94, ArrivalDeparture Record, to me at my U.S.
mailing address

Checkbox

I have requested the representation of and consented
to being represented by the attorney or accredited
representative named on in Part 1. of this form.
According to the Privacy Act of 1974 and U.S.
Department of Homeland Security (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.

I have requested the representation of
and consented to being represented
by the attorney or accredited
representative named on 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.

I have read and agree to the client's statement

4.2.a

4.2

Client's signature

(if G-28 declined) Your
representative will make
updates to the G-28

OMB Approved Instructional Text

Revised

OMB Approved Revised
CTA

You must read and agree to the statement
below, and provide your signature.

Checkbox

Your signature

You should contact your representative to tell them
what information is incorrect or missing.

Text

You must provide your digital signature
below by typing your full legal name. We
may deny your form if you do not completely
fill out this application or fail to submit
required documents. We will record the date
of your signature with your form.

Finish

Once your representative has made updates to the
form, we will re-send it to you for your review and
signature. Until then, you will not be able to access the
form.
Once you submit the G-28 below, it will be added to
your case.

(If client accepts G-28 and
signs) Submit the G-28 for
your case

Your case status will be updated on your and your
representative's account home pages.

Submit the G-28

By finishing this form, we will prepare
the G-28 for your representative to
submit to USCIS.

(If client accepts G-28 and signs)
Finish the G-28 and continue to
review your form

Once you finish below, we will take
you to review the information your
representative has provided in your
draft form.

Finish and
continue to
review form

G-28 Client Review

Applicant Account: Case Card - Representative Tab

Component/Tab

New
Representative

Current Copy

New
Consent to release of information

Screen Shot

Before your representative submitted your case, you
indicated whether to send your original notices and
secure identity documents to your representative
rather than to you. You can review your selection for
notice and secure document delivery by using the
"View PDF" button for the current G-28. If you would
like to edit your selections, a new, updated G-28 must
be submitted. Your representative will need to
withdraw the current G-28.

App Acct Case Card Rep Tab


File Typeapplication/pdf
File TitleN565 Interactive Form Copy
AuthorMicrosoft Office User
File Modified2021-06-22
File Created2021-06-22

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