Form I-907 Request for Premium Processing Service

Request for Premium Processing Service

USCIS
Form I-907

Department of Homeland Security
U.S. Citizenship and Immigration Services
Request Physically
Received by USCIS
For
Date
USCIS
Use
Only Date

Returned

Resubmitted

Date

Date

Date

Date

OMB No. 1615-0048
Expires 07/31/2022

Receipt

Action Block

Remarks

To be completed by an
attorney or accredited
representative (if any).

DRAFT
Not for
Production
04/27/2022

Select this box if
Form G-28 or
Form G-28I is
attached.

Attorney State Bar Number
(if applicable)

Attorney or Accredited Representative
USCIS Online Account Number (if any)

►START HERE - Type or print in black ink.

Part 1. Information About the Person Filing This Request
1.

Alien Registration Number (A-Number) (if any)
► A-

2.

USCIS Online Account Number (if any)
►

3.

Family Name (Last Name)

4.

Company or Organization Named in the Related Case (If filed on behalf of a company or organization)

5.

Mailing Address
In Care Of Name

Street Number and Name

Given Name (First Name)

Apt. Ste. Flr. Number

City or Town

Province

6.

Middle Name

State

Postal Code

ZIP Code

USPS ZIP Code Lookup

Country

Is your current mailing address the same as your physical address?

Yes

No

If you answered "No" to Item Number 6., provide your physical address in Item Number 7.

Form I-907 Edition 09/30/20

Page 1 of 7

Part 1. Information About the Person Filing This Request (continued)
7.

Physical Address
Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Province

8.

Postal Code

ZIP Code

Country

Request for Premium Processing Service (select only one box):

DRAFT
Not for
Production
04/27/2022

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, Notice of Entry of Appearance as Attorney or Accredited
Representative, or Form G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines of
the United States, if Form G-28 or Form G-28I 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 or Form G-28I, if Form G-28 or Form G-28I has not been
submitted with the application.)

Part 2. Information About the Request
1.

Form Number of Related
Petition or Application

4.

Petitioner or Applicant in the Related Case
Family Name (Last Name)

5.

Receipt Number of Related
Petition or Application

3.

Classification or Eligibility
Requested

Given Name (First Name)

Middle Name

Given Name (First Name)

Middle Name

Beneficiary in the Related Case
Family Name (Last Name)

6.

2.

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 Employer Identification Number (EIN) (if any)

Form I-907 Edition 09/30/20

Page 2 of 7

Part 2. Information About the Request (continued)
8.

Address of Petitioner, Applicant, Company, or Organization Named in Related Case
Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Province

Postal Code

ZIP Code

Country

DRAFT
Not for
Production
04/27/2022

Part 3. Requestor's Statement, Contact Information, Declaration, Certification, and Signature
NOTE: Read the Penalties section of the Form I-907 Instructions before completing this section.

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 the applicable processing timeframe. I
understand that case actions include a referral for investigation of suspected fraud, misrepresentation, or the issuance of an approval
notice, a request for evidence, a notice of intent to deny, or a denial notice.

Requestor's Statement

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
A.

I can read and understand English, and I have read and understand every question and instruction on this request and
my answer to every question.

B.

The interpreter named in Part 4. read to me every question and instruction on this request and my answer to every
question in

, a language in which I am fluent, and

I understood everything.
2.

Requestor's Statement Regarding the Preparer

At my request, the preparer named in Part 5.,

,

prepared this request for me based only upon information I provided or authorized.

Requestor's Contact Information
3.

Requestor's Daytime Telephone Number

4.

Requestor's Mobile Telephone Number (if any)

5.

Requestor's Fax Number (if any)

6.

Requestor's Email Address (if any)

Requestor's Declaration and Certification
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 any
and all of 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, in supporting documents, and in my USCIS records, to other
entities and persons where necessary for the administration and enforcement of U.S. immigration law.

Form I-907 Edition 09/30/20

Page 3 of 7

Part 3. Requestor's Statement, Contact Information, Declaration, Certification, and Signature
(continued)
I certify, under penalty of perjury, that all of the information in my request and any document submitted with it were provided or
authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my request and that all of
this information is complete, true, and correct.

Requestor's Signature
7.

Requestor's Signature

Date of Signature (mm/dd/yyyy)

NOTE TO ALL REQUESTORS: If you do not completely fill out this request or fail to submit required documents listed in the
Instructions, USCIS may deny your request.

DRAFT
Not for
Production
04/27/2022

Part 4. Interpreter's Contact Information, Certification, and Signature
Provide the following information about the interpreter.

Interpreter's Full Name
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
3.

Street Number and Name

City or Town

Province

Apt. Ste. Flr. Number

State

Postal Code

ZIP Code

Country

Interpreter's Contact Information
4.

Interpreter's Daytime Telephone Number

6.

Interpreter's Email Address (if any)

5.

Interpreter's Mobile Telephone Number (if any)

Interpreter's Certification
I certify, under penalty of perjury, that:
I am fluent in English and

, which is the same language specified in Part 3.,

Item B. in Item Number 1., and I have read to this requestor in the identified language every question and instruction on this request
and his or her answer to every question. The requestor informed me that he or she understands every instruction, question, and answer
on the request, including the Requestor's Declaration and Certification, and has verified the accuracy of every answer.

Form I-907 Edition 09/30/20

Page 4 of 7

Part 4. Interpreter's Contact Information, Certification, and Signature (continued)
Interpreter's Signature
Interpreter's Signature

7.

Date of Signature (mm/dd/yyyy)

Part 5. 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

DRAFT
Not for
Production
04/27/2022

1.

Preparer's Family Name (Last Name)

Preparer's Given Name (First Name)

2.

Preparer's Business or Organization Name (if any)

Preparer's Mailing Address
3.

Street Number and Name

City or Town

Province

Apt. Ste. Flr. Number

State

Postal Code

ZIP Code

Country

Preparer's Contact Information
4.

Preparer's Daytime Telephone Number

6.

Preparer's Email Address (if any)

5.

Preparer's Mobile Telephone Number (if any)

Preparer's Statement
7.A.
B.

I am not an attorney or accredited representative but have prepared this request on behalf of the requestor with the
requestor's consent.
I am an attorney or accredited representative and my representation of the requestor in this case
extends
does not extend beyond the preparation of this request.

NOTE: If you are an attorney or accredited representative, you may need to submit a completed Form G-28 or Form G-28I with this
request.

Form I-907 Edition 09/30/20

Page 5 of 7

Part 5. Contact Information, Declaration, and Signature of the Person Preparing this Request, if Other
Than the Requestor (continued)
Preparer's Certification
By my signature, I certify, under penalty of perjury, that I prepared this request at the request of the requestor. The requestor then
reviewed this completed request and informed me that he or she understands all of the information contained in, and submitted with,
his or her request, including the Requestor's Declaration and Certification, and that all of this information is complete, true, and
correct. I completed this request based only on information that the requestor provided to me or authorized me to obtain or use.

Preparer's Signature
8.

Preparer's Signature

Date of Signature (mm/dd/yyyy)

DRAFT
Not for
Production
04/27/2022

Form I-907 Edition 09/30/20

Page 6 of 7

Part 6. Additional Information
If you need extra space to provide any additional information within this petition, use the space below. If you need more space than
what is provided, you may make copies of this page to complete and file with this petition or attach a separate sheet of paper. Type or
print your name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to
which your answer refers; and sign and date each sheet.
1.

Family Name (Last Name)

2.

A-Number (if any) ► A-

3.A. Page Number

3.B. Part Number

3.C. Item Number

4.B. Part Number

4.C. Item Number

5.B. Part Number

5.C. Item Number

4.D.

5.A. Page Number

Middle Name

DRAFT
Not for
Production
04/27/2022

3.D.

4.A. Page Number

Given Name (First Name)

5.D.

Form I-907 Edition 09/30/20

Page 7 of 7