U.S. Department of Justice Executive Office for Immigration Review Board of Immigration Appeals (Type or Print) OMB#1125-0005 Notice of Entry of Appearance as Attorney or Representative Before the Board of Immigration Appeals ALIEN ("A") NUMBER (Provide A- number of the party represented or the visa beneficiary in this case.) NAME AND ADDRESS OF REPRESENTED PARTY ____________________________________________________ (First) (Middle Initial) (Last) _______________________________ USCIS Visa Appeal (Provide beneficiary name) ____________________________________________________ ______________________ (Number and Street) (Apt. No.) Fine (Provide fine number) ____________________________________________________ (City) (State) (Zip Code) ______________________ Disciplinary case (Provide docket number) ______________________ Attorney or Representative (please check one of the following): I am an attorney eligible to practice law in, and a member in good standing of, the bar of the highest court(s) of the following states(s), possession(s), territory(ies), commonwealth(s), or the District of Columbia (use additional space on reverse side if necessary) and I am not subject to any order disbarring, suspending, enjoining, restraining or otherwise restricting me in the practice of law in any jurisdiction (if subject to such an order, do not check this box and explain on reverse). Full Name of Court __________________________________ Bar Number (if applicable) __________________________ I am a representative accredited to appear before the Executive Office for Immigration Review as defined in 8 C.F.R. § 1292.1(a)(4) with the following recognized organization: ____________________________________________________________________ I am a law student or law graduate of an accredited U.S. law school as defined in 8 C.F.R. § 1292.1(a)(2). I am a reputable individual as defined in 8 C.F.R. § 1292.1(a)(3). I am an accredited foreign government official, as defined in 8 C.F.R. § 1291.1(a)(5), from _____________________ (country). I am a person who was authorized to practice on December 23, 1952, under 8 C.F.R. § 1292.1(b). Attorney or Representative (please check one of the following): I hereby enter my appearance as attorney or representative for, and at the request of, the party named above. EOIR has ordered the provision of a Qualified Representative for the party named above and I appear in that capacity. I have read and understand the statements provided on the reverse side of this form that set forth the regulations and conditions governing appearances and representations before the Board of Immigration Appeals. I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct. SIGNATURE OF ATTORNEY OR REPRESENTATIVE EOIR ID NUMBER DATE X __________________________________________________________________________________________________ NAME OF ATTORNEY OR REPRESENTATIVE, ADDRESS, FAX & PHONE NUMBERS, & EMAIL ADDRESS Name: ____________________________________________________________________________________________________ (First) (Middle Initial) (Last) Address: __________________________________________________________________________________________________ (Number and Street) __________________________________________________________________________________________________ (City) (State) (Zip Code) Telephone: _________________ Facsimile: _________________ Email: ______________________________________________ Check here if new address Form EOIR - 27 Rev. July 2015 American LegalNet, Inc. www.FormsWorkFlow.com Indicate Type of Appearance: Primary Attorney/Representative Non-Primary Attorney/Representative yes no I am providing pro bono representation. Check one: Proof of Service I (Name) _____________________________ mailed or delivered a copy of this Form EOIR-27 on (Date) __________________ to the DHS (U.S. Immigration and Customs Enforcement ­ ICE) at ______________________________________________ DHS (U.S. Citizenship and Immigration Services ­ USCIS) at _____________________________________________ EOIR Disciplinary Counsel at _______________________________________________________________________ X ___________________________________________________________ Signature of Person Serving APPEARANCES - An appearance for each represented party shall be filed on a separate Form EOIR-27 by the attorney or representative appearing in each appeal or motion to reopen or motion to reconsider before the Board of Immigration Appeals (see 8 C.F.R. § 1003.38(g)), even though the attorney or representative may have appeared in the case before the Immigration Judge or the U.S. Citizenship and Immigration Services. If information is omitted from the Form EOIR-27 or it is not properly completed, the appearance may not be recognized and the accompanying filing may be rejected. When an appearance is made by a person acting in a representative capacity, his/her personal appearance or signature constitutes a representation that, under the provisions in 8 C.F.R. part 1003, he/she is authorized and qualified to represent individuals and will comply with the EOIR Rules of Professional Conduct in 8 C.F.R. § 1003.102. Thereafter, substitution or withdrawal may be permitted upon approval by the Board of a request of the attorney or representative of record in accordance with Matter of Rosales, 19 I&N Dec. 655 (1988). Please note that appearances for limited purposes are not permitted. See Matter of Velasquez, 19 I&N Dec. 377, 384 (BIA 1986). Attorneys and Accredited Representatives (with full accreditation) must first update their address in eRegistry before filing a Form EOIR-27 that reflects a new address. FREEDOM OF INFORMATION ACT - This form may not be used to request records under the Freedom of Information Act or the Privacy Act. The manner of requesting such records is in 28 C.F.R. §§ 16.1-16.11 and appendices. For further information about requesting records from EOIR under the Freedom of Information Act, see How to File a Freedom of Information Act (FOIA) Request With the Executive Office for Immigration Review, available on EOIR's website at http://www.justice.gov/eoir. PRIVACY ACT NOTICE - The information requested on this form is authorized by 8 U.S.C. § 1362 and 8 C.F.R. § 1003.3 in order to enter an appearance to represent a party before the Board of Immigration Appeals. The information you provide is mandatory and required to enter an appearance.