Form I-312 DESIGNATION OF ATTORNEY IN FACT

DEPARTMENT OF HOMELAND SECURITY

U.S. Immigration and Customs Enforcement

OMB No. 1653-0041
Exp. 02/28/2026

DESIGNATION OF ATTORNEY IN FACT
(To accept on Obligor's behalf the return of cash deposited to secure an immigration bond and interest accrued upon final action being
taken by ICE on the bond)
Bonded Alien A-File No.
Bond No. (From Form I-305 or I-352)

I,

, of

, am the obligor on Bond No.

. As the obligor and principal on this bond, I designate
(Attorney in Fact) of

my true and lawful attorney and in my stead to receive

a refund of the deposit of cash in the amount of $

made by me on

an immigration bond for the release of

as security for

, and interest that has accrued. I give and grant

unto my said attorney full power and authority to do and perform acts necessary to be done, to receive the proceeds of this bond once
ICE has taken final action.
I am aware that I remain the obligor on this bond, and as such, I continue to have all obligations under the bond agreement, including
the obligation to update my address with U.S. Immigration and Customs Enforcement (ICE) so that I can receive bond notifications
which may require my action. Further, I recognize that as the obligor I am responsible for any tax due on the interest accrued on this
bond. This designation will not be effective unless it is properly notarized, and until the original form is received by the Bonds Section at
Financial Service Center - Burlington, ICE, P.O. Box 5000, Williston, VT 05495, its validity confirmed, and it is entered into an ICE
database. If this designation is invalid, the Bonds Section will return it to me with a brief explanation of why it is not acceptable.
The reason why I am making this designation of attorney in fact is because:

IN WITNESS WHEREOF, I have hereto set my hand and seal on the

day of

in the year

.

Signature of Obligor (Principal) (Sign in ink)

Name, Address, TIN or SSN for Attorney in Fact:

STATE OF
COUNTY
On the
day of
in the year
before me personally came
(Obligor) to me known and known to me to be the individual described in and who executed the foregoing instrument and
acknowledged to me that s/he executed the same for the use and purpose therein contained.

Do Not Write in this Space - Agency Only
DATE
EXAMINED AND APPROVED AS TO LEGAL FORM
AND EXECUTION AND ACCEPTED.
ICE Form I-312 (3/23)

Notary Public, State of
My commission expires:

Notary Seal

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PRIVACY NOTICE
Authority and Purpose: The Immigration and Nationality Act, as amended (8 U.S.C. §§ 1103, 1183, 1226, 1229c, and 1363),
authorizes the collection of this information to provide for the posting, maintenance, cancellation, and breach of an immigration surety
bond, and for associated financial management activities, including collection of unpaid monies, reimbursement of the bond principal,
and the calculation, payment, and reporting of interest. The Internal Revenue Code (26 U.S.C. § 6109) authorizes the collection of the
Social Security number (SSN).
Disclosure: Furnishing this information is voluntary. For cash bonds, your SSN is necessary to pay interest through the U.S.
Department of Treasury and to comply with Internal Revenue Service requirements to report interest payments.
Routine Uses: This information will be used by and disclosed to DHS personnel and contractors or other agents who need the
information to support the enforcement of immigration laws and the provision of immigration benefits. DHS may share this information
with the U.S. Department of Treasury to report interest paid to an obligor, and to facilitate payments to or collection of monies owed by
an obligor. DHS may also share this information with the U.S. Department of Justice or other Federal and State agencies for collection,
enforcement, investigatory, or litigation purposes, or as otherwise authorized pursuant to its published Privacy Act system of records
notice - 76. F. Reg. 8761-8764 (February 15, 2011) - Privacy Act of 1974: U.S. Immigration and Customs Enforcement, DHS/ICE-004
Bond Management Information System (BMIS) system of Records.

PUBLIC REPORTING BURDEN
U.S. Immigration and Customs Enforcement is collecting this information as a part of its agency mission under the Department of
Homeland Security. The estimated average time to review the instructions, search existing data sources, gather and maintain the data
needed and completing and reviewing this collection of information is 30 minutes (0.5 hour) per response. An agency may not conduct
or sponsor, and a person is not required to respond to, an information collection unless it displays a currently valid OMB Control
Number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden to the Department of Homeland Security, U.S. Immigration and Customs Enforcement, P.O. Box 5000, Williston,
VT 05495.

ICE Form I-312 (3/23)

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