I-290B, Notice of Appeal to the Administrative Appeals Office (AAO) (United States)
This form is to appeal to the Administrative Appeals Office in the United States. The form provided here is simply a sample of what the actual Form I-290B looks like.
Department of Homeland Security
U.S. Citizenship and Immigration Services
I-290B, Notice of Appeal to the Administrative Appeals Office (AAO)
Fee Stamp _______________________________
In the Matter of _______________________________
File Number: _______________________________
1. I am filing an appeal from the decision dated: _______________________________
2. Please check the one block that applies:
____ I am not submitting a separate brief or evidence.
____ I am submitting a separate brief and/or evidence with this form.
____ I am sending a brief and/or evidence to the AAO within 30 days.
____ I need ___________ days to submit a brief and/or evidence to the AAO. (May be granted only for good cause shown. Explain in a separate letter, and attach the letter to your form.)
Person Filing Appeal
Signature _______________________________
Name _______________________________
Address _______________________________ Number
_______________________________ Street
_______________________________ City
_______________________________ State
_______________________________ Zip Code
Telephone No. _______________________________
E-Mail address, if any _______________________________
Date _______________________________
____ I am an attorney or representative,
and I represent _______________________________ Person and/or organization for whom you are appearing
Telephone No. _______________________________
E-Mail address, if any _______________________________
You must attach a Notice of Entry of Appearance (Form G-28) if you are an attorney or representative and did not submit such a form before.