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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.

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