Notice of Appeal or Motion

• Legal Form Number: I-290B
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Form I-290B Edition 12/02/19 Page 1 of 6

Notice of Appeal or Motion

Department of Homeland Security

U.S. Citizenship and Immigration Services

To be completed by an

attorney or accredited

representative (if any).

USCIS

Form I-290B

OMB No. 1615-0095

Expires 05/31/2020

Part 1. Information About the Applicant or

Petitioner

1.b.

1.c.

1.a. Family Name

(Last Name)

Given Name

(First Name)

Middle Name

Mailing Address (or Military APO/FPO Address,

if applicable)

5.d. City or Town

5.e. State 5.f. ZIP Code

5.g.

Postal Code

Street Number

and Name

5.b.

5.c. Flr.Apt. Ste.

5.h.

5.i. Country

Province

Attorney State Bar Number

(if applicable) Attorney or Accredited Representative

USCIS Online Account Number (if any)

Select this box if

Form G-28 is

attached.

5.a. In Care Of Name (if any)

Please visit www.uscis.gov/i-290b/jurisdiction for information on the immigration benefit types that are eligible for an appeal

or motion using this form.

START HERE - Type or print in black ink.►

2. Business or Organization (if applicable)

3.

►A-

Alien Registration Number (A-Number, if any)

4.

►

USCIS Online Account Number (if any)

If you are an individual filing this appeal or motion, complete

Item Number 1. If you are a business or organization,

complete Item Number 2.

For

USCIS

Use

Only

RemarksReceipt

Resubmitted

Returned

Reloc Rec'd

Reloc Sent

Date / / /

Date / / /Date / / /

Date / / /Date / / /

Date / / /

Date / / /Date / / /

Part 2. Information About the Appeal or Motion

Please indicate whether you are filing an appeal to the

Administrative Appeals Office (AAO) or a motion. You are not

allowed to file both an appeal and a motion on a single form. If

you select more than one box, your filing may be rejected.

NOTE: DO NOT use this form if you are filing an appeal

relating to a Form I-130, Petition for Alien Relative, or a

Form I-360, Self-Petition for a Widow(er) of a U.S. Citizen.

You must file those appeals with the Board of Immigration

Appeals using Form EOIR-29.

(USPS ZIP Code Lookup)