Issued by USCIS. This site is not the issuer. Checked against the issuer on 2026-11-03. Issuer's page · Instructions
Attorneys and accredited representatives submit this notice to the Department of Homeland Security—including USCIS, ICE, or CBP—to officially represent a client in immigration proceedings. The representative must supply their licensing or DOJ-recognized organization details, law firm name, and professional contact information. The client provides their mailing address, contact details, any Alien Registration Number or USCIS Online Account Number, and signs to consent to representation and record disclosure.