G-28 Copy Deck

G-28-010_REV_30-day FRN_CopyDeck_v.2.2.5.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 Copydeck: Interactive Forms

Form Number and Name
OMB Number
Form Edition Date:
Form Expiration Date:
PRA Project:

G-28, Notice of Entry of Appearance as Attorney or Accredited Representative
1615-0105
8/17/2022
8/31/2025
G-28-010 Revision

Revision Key

Description

• All original (old) text is black.
• All revised (new) text is red.

Example

• All original text is black.
• Any text that is removed from original column is
shown with a strikethrough and in red.
• Any revised (new) text is red

Original

1. Oranges
2. Bananas
3. Apple
4. Pineapple

Revised

1. Oranges
2. Bananas
3. Apple
4. Pineapple
5. Pears

Copydeck Version Info

G-28 - STANDALONE G-28 FILING

Column Header Descriptions
Header: If needed, a header is located directly under the dropdown menu and above the body text.
Body Text: Based on the purpose of the form found in the paper form instructions.
Link: A reference column to include any URLs that appear as hyperlinks in the body text.
Heading

Revised Heading

Search for Your Client's Case
[if individual client]

Sub-Heading

Revised Sub-Heading

If you would like to be
[deleted]
recognized as the
Representative on Record on
a previously filed case,
provide the requested case
and client information.

Body Text

Revised Body Text

Note: Submission of an online G-28 is not supported for the following cases; you must file paper Form G-28 by
mail:
• Form I-539
• Form I-589 (if the paper form was previously submitted)
• H-1B Registrations (if previously submitted)

Provide the requested case information for your client if you would like to be recognized as the representative of record on a previously
filed case.

If your client wants to add you as a representative to their case, you must file a paper Form-G-28.

Question

Revised Question

Revised Sub-Question

Field

Revised Field

Help Text

Revised Help Text

Alert

Link

CTA

Notes

You can only file Form G-28 online for these form types if the receipt number begins with "IOE" or "MGL":
• Form I-90;
• Form I-765;
• Form I-821;
• Form I-821D;
• Form I-130;
• Form I-131;
• Form I-589;
• Form N-336;
• Form N-400;
• Form N-565;
• Form N-600; or
• Form N-600K.
Selected client

Case information

Search for Your Client's Case
[if company client]

Sub-Question

Client name

Receipt number
Family name (last name)
Client's email address

Auto-pop

Text
Text
Text

Client name is auto-populated from the
representative's selection on the File a Form
page

Example: IOE1234567890
Example: [email protected]

Cancel is the secondary button

Provide the requested case information for your client if you would like to be recognized as the representative of record on a previously
filed case.
You can only file Form G-28 online if your client filed any of these form types online:
• Form I-129 H-1B petition; or
• Form I-907 for Form I-129 H-1B petition.
Case Information

Selected client

Receipt number

Client name

Auto-pop

Text

Example: IOE1234567890

Standalone G-28

G-28 - CONCURRENTLY FILED WITH BENEFIT REQUEST FORM

Column Header Descriptions
Heading

Revised Heading

Finish and Continue to G-28
(Individual client)

Body Text

Revised Body Text

Finish the [form_number] and continue to the G-28

By finishing this form, we will prepare a draft [form_number]for your client to review and sign. If your client does
By finishing this form, we will prepare a draft [form_number]for your client to review and sign. If your client does
not approve the information provided in the [form_number], you will need to edit the information in the form, and not approve the information provided in the [form_number], you will need to edit the information in the form, and
resubmit it for your client's review.
resubmit it for your client's review.

Alert

Link

CTA

Revised CTA

Notes

Start form

Finish and continue,
Back

Intermediary page to transition the rep from
parent form to G-28

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
Next you will continue to Form G-28. When you submit Form G-28, we will give you a passcode for your client to
you as his or her representative in his or her USCIS online account. Once you are added, your client will have access add you as his or her representative in their USCIS online account. Once you are added, your client will have access
to review the draft I-131 and the draft G-28.
to review the draft [form_number] and the draft Form G-28.
Finish and Continue to G-28
(Company client)

Finish the [form_number] and continue to the G-28
By finishing this [form_number], we will prepare a draft [form_number] for your client to review and sign. If
your client does not approve the information provided in the [form_number], you will need to edit the
information in the [form_number], and resubmit it for your client's review.

Finish and continue,
Back

Next, you will continue to Form G-28. When you finish Form G-28, your client will have access to review the
draft [form_number] and the draft Form G-28.

Concurrent G-28

G-28 - Auto-populate Representative Information

Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Primary Nav

Secondary Nav Tertiary Nav Conditional Logic Revised Conditional Logic

Paper Form Question

Question Sub-Question

Field Type

Instructi Help
onal Text Text

Alert

Revised Alert

Required
Notes
?

[Blue Alert Modal - Informational]
[Heading]You have the option to auto-populate Form G-28

[Blue Modal - Informational]

[Body] Information from your representative profile may be used to autopopulate the corresponding fields within Form G-28. If any of the
information auto-populated within Form G-28 needs to be updated, you
can edit the field. You should also update the information within your
profile so that it is correct.
[Checkbox]
I certify that it is my responsibility to ensure that the auto-populated
information is correct.
[CTA]
Auto-populate data
Do not auto-populate data

Autopopulate
modal
will
appear
before all
G-28
forms for
all draft
forms

Auto-Populate G-28

G-28 - APPLICATION OVERVIEW

Column Header Descriptions
Heading: The primary heading on a page, typically the first part of a section of the page.
Sub-Heading: The secondary header, typically directly underneath the Heading.
Primary Navigation: A section of the form that contains several pages.
Heading

Revisions

Sub-Heading

Revised Sub-Heading

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

Body Text

Revised Body Text

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.

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.

Alert

Required?

Link

CTA

Revised CTA

[delete]

Notes

An attorney or accredited representative must complete and submit a new Form G-28 form for each benefit request. 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.

An attorney or accredited representative must complete and submit a 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.
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- Note: For matters before the Department of Justice, Executive Office for Immigration Review (EOIR), representatives must file an EOIR-27, Notice of Entry of Appearance as Attorney or Representative Before the Board of Immigration
Appeals (BIA) for representation before the BIA, or EOIR-28, Notice of Entry of Appearance as Attorney or Representative Before the Immigration Court for representation before the Immigration Courts.
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

Before You Start The
Form

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 on the form.

Designated paralegal for
limited interaction with
USCIS for customer
service purposes

USCIS will allow an attorney or accredited representative completing this form to list one designated paralegal to interact with USCIS customer service channels on the attorney or accredited representative of record’s behalf for specified,
limited interaction. The designated paralegal must be directly employed by the attorney’s law firm or the accredited representative’s recognized organization and under the direct supervision of the designating attorney or accredited
representative. The attorney or accredited representative is responsible for the conduct of the designated paralegal acting on their behalf, and such conduct will be subject to the disciplinary rules and procedures at 8 CFR parts
292.3(a)(1) and 1003.102.

www.uscis.gov/policy-manual

Only the designated paralegal may engage in the limited interaction, provided that the client consents to USCIS release of their information of any records that appear in any system of records of USCIS to the designated paralegal. If the
attorney or accredited representative of record needs to change the designated paralegal who will be working with the attorney or accredited representative on the client’s case, the attorney or accredited representative of record and
client must complete a new Form G-28.
Limited interaction is generally defined as follows:
• Inquire about case status;
• Request correspondence or notices;
• Inquire about documents or cards that may need to be replaced (because they were not delivered; were lost, stolen, destroyed, or mutilated; or need to be corrected);
• Request appointment accommodations;
• Schedule or reschedule appointments; and
• Request a change of address.
Note: A paralegal may not be able to interact with USCIS customer service channels on behalf of certain protected requesters. ICE and CBP do not permit anyone but an attorney or accredited representative to appear before or
communicate with their component about pending requests or cases.
Nothing in this designation is to be construed as permitting a designated paralegal to engage in practice, as defined at 8 CFR 1.2, including the exercise of professional judgment to provide legal advice or legal services or represent the
person, including at an in-person appointment before USCIS.
For more information, review the USCIS Policy Manual, Volume 1, General Policies and Procedures, Part D, Attorneys and Representatives.
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-281).
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.

Other representatives

After you complete the
form

After You Complete The
Form

After you complete Form G-28 and provide your signature, we will give After you complete Form G-28 and provide your signature, we will give you a one-time passcode to give to your individual clients. Your client will need to sign into their USCIS account (or create a new one) and enter this code to officially
you a one-time passcode to give to your client. Your client will need to add you as a representative.
sign in to their USCIS account (or create a new one) and enter this
code to officially add you as a representative.
Note: Company clients will receive an email notification instead of a one-time passcode.
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.

Your client adds you as
their representative
Your client reviews and
signs

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(s) 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.

Completing the form online Completing The Form
Online

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 Once your client reviews and signs the online form, the status for your client's case will display, "Ready to pay and submit." You will be able to select "Pay and submit" from the Actions drop-down that takes you to a page
on your account home page that takes you to a page to submit Form G- to submit Form G-28 along with your client’s online form, and pay the fee for your client’s form (if there is one).
28 along with your client’s online form, and pay the fee for your
client’s form (if there is one).

Withdrawing Form G-28

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
Warning

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.

USCIS will not accept a request for withdrawal from a law student, law graduate, or paralegal.

Individuals appearing as attorneys or accredited representatives (including law students and law graduates permitted to appear under 8 CFR 292.1(a)(2)) are subject to the disciplinary rules and procedures at 8 CFR 292.3, including,
pursuant to 8 CFR sections 292.3(h)(3), 1003.108(c), permitting/authorizing publication of the name of the attorney or accredited representative and findings of misconduct should the attorney or accredited representative be subject to
any public discipline.

You may not use this form to request records under the Freedom of Information Act or the Privacy Act, Title 5 U.S.C. sections 552 and 552a. You may find the procedures for requesting such records in 6 CFR 5 and at uscis.gov/FOIA.

Freedom of Information
or Privacy Act requests
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 through their USCIS online account by navigating to the
associated case and selecting “Withdraw G-28” from the “Case Actions” dropdown. Form G-28 may also be withdrawn 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.

AUTHORITIES: The information requested on this form is collected
pursuant to 8 CFR 292.4(a).

uscis.gov/FOIA.

AUTHORITIES: The information requested on this form is collected pursuant to 8 CFR sections 103.2 and 292.1.

Application Overview

G-28 - APPLICATION OVERVIEW

Revisions

Sub-Heading

Revised Sub-Heading

Body Text

Revised Body Text

Alert

Required?

Link

CTA

Revised CTA

PURPOSE: The primary purpose for providing the requested
PURPOSE: The primary purpose for providing the requested information on this form is to designate you as an attorney eligible to appear and act on behalf of a client.
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
tt
d
t tiprovide is voluntary. However, DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information may prevent your ability to represent an individual or entity before DHS.
DISCLOSURE:
The dit
information
you
failure to provide the requested information may prevent your
ability to represent an individual or entity.

Paperwork Reduction
Act Burden Disclosure
Notice

Paperwork Reduction
Act

ROUTINE USES: The information will be used by and disclosed to DHS 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
personnel and contractors or other agents who need 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
to perform associated administrative functions. Additionally, DHS may 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
share the information with other Federal, state, local government
and DHS/USCIS-017 Refugee Case Processing and Security], 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.
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 InterCountry 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/PIA056 ELIS, DHS/USCIS/PIA-027(c)-USCIS Asylum Division, DHS/USCIS/PIA003(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.
An agency may not conduct or sponsor information collection, and a An agency may not conduct or sponsor 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
person is not required to respond to a collection of information,
public reporting burden for this collection of information is estimated at 47 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comments regarding this burden estimate or
unless it displays a currently valid Office of Management and Budget any other aspect of this collection of information, including suggestions for reducing this burden, to:
(OMB) control number. The public reporting burden for this collection
of information is estimated at 53 minutes per response, including the U.S. Citizenship and Immigration Services
Office of Policy and Strategy, Regulatory Coordination Division
time for reviewing instructions and completing and submitting the
5900 Capital Gateway Drive, Mail Stop #2140
form. Send comments regarding this burden estimate or any other
Camp Springs, MD 20588-0009
aspect of this collection of information, including suggestions for
reducing this burden, to:
Do not mail your completed Form G-28 to this address.
U.S. Citizenship and Immigration Services
OMB No. 1615-0105
Office of Policy and Strategy, Regulatory Coordination Division
Expires: 08/31/2025
5900 Capital Gateway Drive, Mail Stop #2140
Camp Springs, MD 20588-0009

www.dhs.gov/privacy

Do not mail your completed Form G-28 to this address.

Security reminder

OMB No. 1615-0105
Expires: 05/31/2021
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. If your data is deleted, you can restart the form at
any time.

Start

Application Overview

Notes

G-28 - ABOUT REPRESENTATIVE

Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria.
Paper Form Question: The number in the paper form associated with the question.
Q ti
B d
t tf
th
f
Oft
itt f
t t
ti t
ti
Primary Nav
Secondary Nav
Revision
Tertiary Nav
Conditional Logic
About Representative

Your name

Paper Form
Question

Revised Paper Form
Question
Question

1.2
1.2
1.2
2.1.a

Your role

Revised Question

What is your current legal name?
What is your representative role?

2.2.a

(if attorney)
(if attorney)

2.1.a
2.1.a

(if attorney)

2.1.c

(if attorney)

2.1.b

Licensing authority
Bar number (if applicable)

Name of recognized organization

Additional
information

Yes/No

Your other
information

(If non-USA use
Province and text
field)
(If non-USA use
Postal code and
remove help text)

Field Type

Revised Field Type Instructional Text

Revised Instructional Text

Help Text

Licensing authority
Bar number (if applicable)
What is the name of your law firm or
organization (if applicable)?

Dropdown
Text

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

CTA
Text
Radio

Provide your eligibility information.

Name of recognized organization

Text

Date of accreditation

Date

MM/DD/YYYY

How can we contact you?

Daytime telephone number

Text

Provide a 10-digit phone number.

Text
Checkbox

Provide a 10-digit phone number.

What is your current mailing address?

Mobile telephone number
This is the same as my daytime telephone
number.
Email address
Fax number
Country

Text
Text
Dropdown

Example: [email protected]
Provide a 10-digit phone number.

Fax number

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

Address line 1
Address line 2
City or town
State/Province

Text
Text
Text
Dropdown/text

1.3

ZIP code/Postal code

Text

Provide a 5 or 9-digit Zip code.

Text

Provide a 12-digit Online Account
Number.

What is your USCIS Online Account Number?

Required? Notes

Radio

1.3
1.3
1.3
1.3

1.1

Alert

Text
Text
Text
Radio

Date of accreditation

Part 3

(if yes to 2.4.a)

Revised Sub-Question

Text

1.5
1.6
1.7
1.3

Given name (first name)
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 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.

Add entry

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?
Provide an explanation.

(if attorney and yes 6.1.a
to restrictions to
practicing law)
(if accredited
2.2.b
representative)
(if accredited
2.2.c
representative)
1.4

Your contact
information

Provide your eligibility information.

Sub-Question

What is your U.S. Citizenship and Immigration Services
(USCIS) Online Account Number?
Are you designating a paralegal to work with you on this
case?

I do not have or know my USCIS Online Account
Number.

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

Checkbox
Yes/No

Radio

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)?

Do you have a law student or law graduate working
Yes/No
under your direct supervision and at the law firm named
on the "Your role" page in accordance with the
requirements in 8 CFR 292.1(a)(2)?

Radio

2.4.b

Provide the name of the law student or law graduate.

What is the current legal name of the law student or law Given name (first name)
graduate?
Middle name (if applicable)
Family name (last name)

Text

https://qamy.uscis.dhs.gov/account/representat
ive/profile

USCIS will allow you to have one designated paralegal to interact with USCIS
customer service channels on your behalf for specified, limited interaction. The
designated paralegal must be directly employed by your law firm or recognized
organization and work under your direct supervision. You and your client have
specifically authorized the designated paralegal to engage in limited interaction with
USCIS customer service channels. Limited interaction is generally defined as:
• Inquire about case status;
• Request correspondence or notices;
• Inquire about documents or cards that may need to be replaced (because they were
not delivered; were lost, stolen, destroyed, or mutilated; or need to be corrected);
• Request appointment accommodations;
• Schedule or reschedule appointments; and
• Request a change of address.

Text
Text

About Representative

G-28 - ABOUT PARALEGAL

Revised Primary Nav
About Paralegal

Secondary Nav

Revised Secondary
Tertiary Nav
Nav
Your paralegal's
name and contact
information

Conditional Logic

Revised Conditional Paper Form
Logic
Question

Revised Paper Form
Question
Question

Revised Question

(if Part 3 = YES)

3.1

What is your paralegal's current legal name?

Yellow alert

Sub-Question

Revised Sub-Question

Field Type

Revised Field Type Instructional Text

Help Text

Revised Helpt Text

Given name (first name)

Text

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

Text
Text

3.2
3.3

(if Part 3 = YES)
Yellow alert

3.4

(if Part 3 = YES)
and
(if 3.2, 3.3, or 3.4 =
blank)

How can we contact your paralegal?

Daytime telephone number
Mobile telephone number
This is the same as the paralegal's daytime
telephone number.
Email address (if any)

Text
Text
Checkbox

Provide a 10-digit phone number.
Provide a 10-digit phone number.

Text

Example: [email protected]

Revised Alert

Required? Notes

[Yellow alert-h] You must provide a
name
[b]The designated paralegal will not
be permitted to act on your behalf
and we will not share information
with the paralegal if you do not
provide their name.

(if Part 3 = YES)
and
(if 3.1 = blank)

(if Part 3 = YES)
(if Part 3 = YES)

Alert

[Yellow alert-h] You must provide
contact information
[b]The designated paralegal will not
be permitted to act on your behalf
and we will not share information
with the paralegal if you do not
provide their contact information.

About Paralegal

G-28 - ABOUT CLIENT

Secondary Nav

Revised Secondary
Nav

About Client

Client name

Client's name

Client contact
information

Client additional
information

Tertiary Nav

Conditional Logic

Client's contact
information

Client's other
information

(If non-USA use
Province and text
field)
(If non-USA use
Postal code and
remove help text)

Paper Form
Question

Revised Paper Form
Question
Question

Sub-Question

Field Type

3.60

5.1

Given name (first name)

Text

What is your client's current legal name?

3.6
3.6
3.7

5.1
5.1
5.2

Name of entity

3.80
3.11

5.3
5.6

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

3.12

5.7

3.13

5.8

3.14
3.14
3.14
3.14
3.14

5.9
5.9
5.9
5.9
5.9

3.14

5.9

3.10

5.5

3.9

5.4

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

Daytime telephone number
Mobile telephone number
This is the same as the daytime telephone
number.
Email address

What is your client's current mailing address?

Text
Text

Text

Dropdown
Text
Text
Text
Dropdown/text

ZIP code/Postal code

Text
Text

My client does not have or know their ANumber.
My client does not have or know their USCIS
Online Account Number.

Revised Instructional Text

Checkbox
Text
Checkbox

Help Text

Revised Help Text

Alert

Required?

Notes

Their current legal name is the name on their birth
certificate, unless it changed after birth by a legal
action such as marriage or court order. Do not
provide any nicknames here.
You can edit the auto-populated fields if your
client's legal name has changed.
If the client is an entity, provide the name of the
entity and the title of the entity's authorized
signatory.
Provide a 10-digit phone number.

Text
Checkbox

Country
Address line 1
Address line 2
City or town
State/Province

What is your client's A-Number?

What is your client's USCIS Online Account Number?

Text
Text
Text

Instructional Text

Provide a 10-digit phone number.
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).

Example: [email protected]

The email address auto-populated in this field
must match the email address for your client's
USCIS online account, otherwise your client will
not be able to add you as a representative to
complete the online filing process. To correct
your client's email address, you will need to
delete any draft forms in progress for the client,
remove them from your representative account,
and add them as a client again in order to provide
their correct email address.
If the email field is blank, please enter your
client's email address.
Street number and name
Apartment, suite, unit, or floor

Provide a 5 or 9-digit ZIP code.
Provide a 7, 8, or 9-digit number. If your A-Number
is fewer than 9 digits, the system will automatically
add zero(s) after the "A" and before the first digit
so there is a total of 9 digits, for example: A001234567.
Provide a 12-digit USCIS Online Account number.

About Client

G-28 - ADDITIONAL INFORMATION

Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Primary Nav

Secondary Nav

Additional
Information

Additional information

Tertiary Nav

Conditional Logic

Paper Form Question

Question

Sub-Question

Field Type

6.1-6.6.d

You may provide additional information for your form

Additional information Text

Instructional Text
If you need to provide any additional information for
any of your answers to the questions in this form,
enter it into the space below. You should include the
questions that you are referencing.

Help Text

Alert

Required?

Notes

Large Table Pattern
Ghost Sub Nav

If you do not need to provide any additional
information, you may leave this section blank.

Additional Information

G-28 - REVIEW AND SIGN

Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: A column used to indicate whether the question or subquestion only applies if you meet certain criteria.
P
F
Q ti
Th
b i th
f
i t d ith th
ti
Revised Conditional
Primary Nav
Secondary Nav
Revision
Tertiary Nav
Conditional Logic
Logic
Review and Sign

Paper Form
Question

Revised Paper
Form Question

Review your form

Different copy based on
if the user did not
answer a required
question

Question

Revised Question

Check your registration(s) before you submit

Check your form before you submit

Sub-Question

Revised Sub-Question

Field Type

Revised
Instructional Text
Field Type

Revised Instructional Text

Help Text

Alert

Required?

We will review the form to check for accuracy and completeness before you send it to your client for
their review.

CTA

Revised CTA

Notes

You can return to this page to review the form as many times as you want before you submit.
You have one or more alerts and warnings based on the information you provided in your application.

Alerts and warnings

A red alert means you have incomplete responses or inconsistent data. You cannot submit your
application with any alerts.
A yellow warning means you may be missing information or may need to follow-up with us about your
responses. You can still submit your application, but some warnings may slow down the review
process after you submit your application.

Your form summary

Review the G-28 form information

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

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

Part 7

5.1
Submit

(If individual client)
Submit

(Successful submission)
(No nav)

Representative's statement and signature

I have read and understand the regulations and conditions contained in 8 CFR Checkbox
103.2 and 292 governing appearances and representation before DHS, I
acknowledge that I am subject to the disciplinary rules and procedures at 8 CFR
292.3, including, pursuant to 8 CFR sections 292.3(h)(3), 1003.108(c),
authorizing/permitting publication of my name and findings of misconduct should
I be subject to any public discipline. 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
Your signature

7.1
7.1

Checkbox
Text

Yes

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.
By submitting this form, we will prepare a draft G-28 for your client to review and sign. If your client
does not approve the information provided in the G-28, you will need to edit the information in the
form, and resubmit it for your client’s review.

Finish and submit the G-28

(if company client)
(if individual client)

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.

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

Finish and submit the G-28
Give this passcode to your client to initiate the
G-28 client relationship

Your client will need to enter this one-time passcode on their account homepage in order to add you
as a representative. Your client must have a USCIS online account in order for you to manage their case
online.

Yes

Next
Submit the
G-28

By submitting this form, we will prepare a draft G-28 for a company administrator to review and sign. If
they do not approve the information provided in the G-28, you will need to edit the information in the
form and submit the form for review again.

Finish

Submit and
notify an
administrator

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

(Successful submission)
(No nav)

(if company client)

You successfully filled out your [form name]
and Form G-28 for [Company Name]

Who would you like to notify?
First name, Last name (Administrator)

Checkbox

Select the company administrator(s) who should review and sign the forms.

Notify user(s)

The checkbox component will be a list of company
administrators the repreesntative can select to review
Form G-28 and the draft form

Review and Sign - Rep

G-28 - APPLICATION OVERVIEW (Client)

Revisions

Sub-Heading

Revised Sub-Heading

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

Before you start the form

Conditional
Logic

Body Text

Revised Body Text

Alert

Required?

Link

CTA

Notes

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
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 appear for and act on behalf of an applicant, petitioner, requester, beneficiary or derivative, or respondent in immigration matters.
on behalf of an applicant, petitioner, requester, beneficiary or derivative, or respondent in immigration
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
matters.
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.
An attorney or accredited representative must complete and submit a new Form G-28 for each client
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.
case. Form G-28 can be started along with a client's new case or it can be added to a client's alreadysubmitted case. USCIS will only recognize a completed Form G-28 once the client has reviewed and
Note: For matters before the Department of Justice, Executive Office for Immigration Review (EOIR), representatives must file an EOIR-27, Notice of Entry of Appearance as Attorney or
signed the form.
Representative Before the Board of Immigration Appeals (BIA) for representation before the BIA, or EOIR-28, Notice of Entry of Appearance as Attorney or Representative Before the
Each attorney or accredited representative appearing in a case must submit their own Form G-28 Immigration Court for representation before the Immigration Courts.
and USCIS only recognizes one Form G-28 at a time.

Before You Start The FormWho 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.

Form 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.

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 on the form.

If a law student or law graduate is working under the direct supervision of an attorney or accredited representative, they will need to provide your name on the form.

Designated paralegal
for limited interaction
with USCIS for customer
service purposes

USCIS will allow an attorney or accredited representative completing this form to list one designated paralegal to interact with USCIS customer service channels on the attorney or
accredited representative of record’s behalf for specified, limited interaction. The designated paralegal must be directly employed by the attorney’s law firm or the accredited
representative’s recognized organization and under the direct supervision of the designating attorney or accredited representative. The attorney or accredited representative is
responsible for the conduct of the designated paralegal acting on their behalf, and such conduct will be subject to the disciplinary rules and procedures at 8 CFR parts 292.3(a)(1) and
1003.102.

www.uscis.gov/policy-manual

Only the designated paralegal may engage in the limited interaction, provided that the client consents to USCIS release of their information of any records that appear in any system of
records of USCIS to the designated paralegal. If the attorney or accredited representative of record needs to change the designated paralegal who will be working with the attorney or
accredited representative on the client’s case, the attorney or accredited representative of record and client must complete a new Form G-28.
Limited interaction is generally defined as follows:
• Inquire about case status;
• Request correspondence or notices;
• Inquire about documents or cards that may need to be replaced (because they were not delivered; were lost, stolen, destroyed, or mutilated; or need to be corrected);
• Request appointment accommodations;
• Schedule or reschedule appointments; and
• Request a change of address.
Note: A paralegal may not be able to interact with USCIS customer service channels on behalf of certain protected requesters. ICE and CBP do not permit anyone but an attorney or
accredited representative to appear before or communicate with their component about pending requests or cases.
Nothing in this designation is to be construed as permitting a designated paralegal to engage in practice, as defined at 8 CFR 1.2, including the exercise of professional judgment to
provide legal advice or legal services or represent the person, including at an in-person appointment before USCIS.
For more information, review the USCIS Policy Manual, Volume 1, General Policies and Procedures, Part D, Attorneys and Representatives.
Foreign attorneys

If your attorney is not licensed to practice law in the United States, they should not use this form. Instead, they will need to file the Notice of Entry of Appearance as Attorney In Matters
Outside the United States (G-281).
If your representative is seeking to appear as a reputable individual as defined in 8 CFR 292.1(a)(3), they should not use this form. Instead, they will need to seek permission from DHS to
appear with your client.

Other representatives

After you submit the form

After You Complete The
Form

You add your
representative in your
USCIS account

After your representative completes Form G-28, they will contact you and give you a one-time passcode. After your representative completes Form G-28, they will contact you and give you a one-time passcode. You will need to sign into your USCIS account (or create a new one) and enter
You will need to sign in to your USCIS account (or create a new one) and enter this code to officially add this code to officially add your representative.
your representative.
Note: Company clients will receive an email notification instead of a one-time passcode.
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.

Your representative
completes your online
form (for new cases)

If your representative is adding Form G-28 to your already-submitted case, the case's status will be
updated referencing the form.
You review the
information in your online
form

Once your representative is done filling out your online form, we will send it to you for your review.
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 and we will send it back to your representative to
make updates.
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).

Your representative
submits and pays for your
online form (for new
cases)
Withdrawing a Form G-28

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.

An attorney or accredited representative or the applicant, petitioner, requestor, beneficiary or derivative, or respondent may withdraw Form G-28 at any time through their USCIS
online account by navigating to the associated case and selecting “Withdraw G-28” from the “Case Actions” dropdown. Form G-28 may also be withdrawn 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.
USCIS will not accept a request for withdrawal from a law student, law graduate, or paralegal.

Completing the form online Completing The Form
Online

We will automatically save
your responses

DHS Privacy Notice

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.

Warning

Individuals appearing as attorneys or accredited representatives (including law students and law graduates permitted to appear under 8 CFR 292.1(a)(2)) are subject to the disciplinary
rules and procedures at 8 CFR 292.3, including, pursuant to 8 CFR sections 292.3(h)(3), 1003.108(c), permitting/authorizing publication of the name of the attorney or accredited
representative and findings of misconduct should the attorney or accredited representative be subject to any public discipline.

Freedom of Information
or Privacy Act requests

You may not use this form to request records under the Freedom of Information Act or the Privacy Act, Title 5 U.S.C.
sections 552 and 552a. You may find the procedures for requesting such records in 6 CFR 5 and at uscis.gov/FOIA.
AUTHORITIES: The information requested on this form is collected pursuant to 8 CFR 292.4(a).

AUTHORITIES: The information requested on this form is collected pursuant to 8 CFR sections 103.2 and 292.1.

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.

PURPOSE: The primary purpose for providing the requested information on this form is to designate you as an attorney eligible to appear and act on behalf of a client.

DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information
may prevent your ability to represent an individual or entity.

DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information may prevent your ability to represent an individual or entity before DHS.

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 PreScreening, 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.

uscis.gov/FOIA.

www.dhs.gov/privacy

Application Overview - Client

G-28 - APPLICATION OVERVIEW (Client)

Revisions

Sub-Heading
Paperwork Reduction Act
Burden Disclosure Notice

Security reminder

Revised Sub-Heading

Conditional
Logic

Body Text

Revised Body Text

An agency may not conduct or sponsor 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:

An agency may not conduct or sponsor 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 57 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
Office of Policy and Strategy, Regulatory Coordination Division
5900 Capital Gateway Drive, Mail Stop #2140
Camp Springs, MD 20588-0009

Do not mail your completed Form G-28 to this address.

OMB No. 1615-0105
Expires: 05/31/2021

OMB No. 1615-0105
Expires: 08/31/2025

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. If your data is deleted, you can restart the form at any time.

Alert

Required?

Link

CTA

Notes

Review the G-28

Application Overview - Client

G-28 - Review and Sign (Client)

Column Header Descriptions
Primary Navigation: A section of the form that contains several pages.
Secondary Navigation: A single page within a section.
Conditional Logic: A column used to indicate whether the question or subquestion only applies if you meet certain criteria.
Paper Form Question: The number in the paper form associated with the question
Primary Nav
Secondary Nav
Tertiary Nav
Conditional Logic
Revised Conditional Logic

Paper form Question

Revised Paper Form
Question

Question

Sub-Question

Revised Sub-Question

Field Type

Review the G-28 form information

Revised Field
Type

Instructional Text

Revised Instructional Text

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

Here is a summary of all the information your representative 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 resend it to you for your review.

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

View draft snapshot

Help Text

Alert

CTA

Notes

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

Accept or decline the G-28

Required?

Yes

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 accept the G-28 and want to provide my signature
I decline the G-28 and want to send the draft form back to my representative to make
updates

Radio
Radio

(yellow alert if G-28
declined radio button is
selected)

Yellow alert:
Heading: You are
choosing to decline
this G-28

(if G-28 is accepted)

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.
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.

Client's consent to release of information
4.1.a

I request that USCIS send original notices on an application or petition to the business
address of my attorney or accredited representative as listed in this form.

6.2.a

Checkbox

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.
4.1.b

6.2.b

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 or diplomatic
address in a foreign country (if permitted)).

Body: We will send
the form back to
your
representative to

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.
Note: USCIS will not mail secure identity documents to a private, commercial, or business
address in a foreign country. USCIS, however, will mail secure identity documents to a U.S.
business address of an attorney admitted to practice law outside of the United States or to a
designated Army/Air Post Office (APO), Fleet Post Office (FPO), or Diplomatic Post Office (DPO)
address. USCIS will mail notices and other correspondence to a foreign address.

Checkbox

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

4.1.c

6.3
6.1.a

(If 3.1 = YES)

(if statement is checked)

Client's statement and signature

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

Checkbox

I have read and agree to the client's statement

Checkbox

6.1.b

4.2

Your signature

6.4

Submit the G-28 for your case

(Successful submission)
(No nav)

You must read and agree to the statement below, and provide your signature.
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
records pertaining to me that appears in any system of records of USCIS, ICE or CBP.

Finish the G-28 and continue to review your
form

Text

Yes

I have authorized the designated paralegal named in the About Paralegal section of this form to
engage in limited interaction with USCIS customer service channels. 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 paralegal of any records pertaining to me related to the forms or specific matter listed in this
form that appear in any USCIS system of records.
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, it will be added to your case.
Your case status will be updated on your and your representative's account home pages.
By finishing this form, we will prepare the G-28 for your representative to submit to USCIS.
Once you finish below, we will take you to review the information your representative has provided in
your draft form.

Yes

Next
Submit the
G-28
Finish and
continue to
review
form

Review and Sign - Client

G-28 - WARNINGS, ALERTS, NOTICES, AND ERRORS
Column Header Descriptions
Section: The primary nav where the alert can be found.
Page: The secondary nav where the alert can be found.
Type: The color of the alert. (Red, Yellow, Blue, Green)
Conditional Logic: A column used to indicate whether the question or subquestion only applies if you meet certain criteria.
Message: The copy that will show on the alert Use [h] to indicate the header copy and [b] to indicate the body copy
Primary Nav
Revised Primary Nav
Secodary Nav
Revised Secondary Nav
Tertiary Nav

Review and sign

Review and sign
Review the G-28 - Client

About Paralegal

Your paralegal's name

About Paralegal

Your paralegal's contact
information

Type

Red alert

Green alert
Yellow alert

Revised Type

Conditional Logic

Revised Conditional Logic

Message

Revised Message

Yellow alert

If paralegal's name not
provided

[Yellow alert-h] You must provide a name
[b]The designated paralegal will not be permitted to act on your behalf and we will not share information with the paralegal if
you do not provide their name.

Yellow alert

If paralegal's contact
information not provided

[Yellow alert-h] You must provide contact information
[b]The designated paralegal will not be permitted to act on your behalf and we will not share information with the paralegal if
you do not provide their contact information.

Missing information from
required field
All required fields complete
If G-28 is declined by client

There are errors in [Page_name: Page_section]

Link

Notes

links to [Page_name]

Edit my responses
We found no alerts or warnings in your application.
You are choosing to decline this G-28
We will send the form back to your representative to make updates.

Alerts

File Type	application/pdf
Author	Microsoft Office User
File Modified	2024-08-28
File Created	2024-08-28