Part 2. Eligibility Information for Attorney or Accredited Representative
Item Numbers 1.a. - 1.d. Eligibility Information. If you are an attorney admitted to practice in the United States, as
dened in 8 CFR 1.2, you must select Item Number 1.a. and provide the required information regarding the licensing
authority for all states, possessions, territories, commonwealths, or the District of Columbia, where you are admitted.
Attorneys must provide the bar numbers, if applicable, for all jurisdictions in which they are admitted to practice in Item
Number 1.b. If you are subject to any order suspending, enjoining, restraining, disbarring, or otherwise restricting you in
the practice of law, you must select Item Number 1.c. and disclose this information using the space provided in
Part 6. Additional Information. Attorneys are required to notify DHS of convictions or discipline under 8 CFR 292.3.
You must also provide the name of your law rm or organization, if applicable, in Item Number 1.d. If you need extra
space to complete this section, use the space provided in Part 6. Additional Information.
Item Numbers 2.a. - 2.c. Eligibility Information. If you are an accredited representative of a recognized organization,
as dened in 8 CFR part 1292, you must select Item Number 2.a. and provide the name of the organization recognized by
the Department of Justice under 8 CFR part 1292 and the date of your accreditation in Item Numbers 2.b - 2.c.
NOTE: We will reject any Form G-28 submitted without the required information in Part 2., Item Numbers 1.a. - 1.d. or
2.a. - 2.c.
Item Number 3. Eligibility Information. Only complete this item if you are not the attorney or accredited
representative of record, but are standing in for that person for a limited purpose. You must select the box and provide the
name of the attorney or accredited representative of record in this matter. You must submit a Form G-28 led under
these circumstances in person at a DHS oce. A separate Form G-28 must be led by each attorney or accredited
representative who appears in the matter.
Item Numbers 4.a. - 4.b. Eligibility Information. If you are a law student or law graduate not yet admitted to the
bar, you must select Item Number 4.a., enter the information in Item Number 4.b., and sign and date in Part 5.,
Item Numbers 2.a. - 2.b., of the same Form G-28 led by the supervising attorney or accredited representative. The
appearance of law students and law graduates is subject to the requirements of 8 CFR 292.1(a)(2).
Part 3. Notice of Appearance as Attorney or Accredited Representative
Item Numbers 1.a. - 3.b. Appearance before USCIS, ICE, or CBP. Select only one box to indicate the DHS agency
where the matter is pending. If you select the box for USCIS, list the form numbers led with Form G-28 or the specic
matter in which the appearance is entered. If you select the box for CBP or ICE, list the specic matter in which the
appearance is entered.
Item Number 4. Receipt Number. Provide the Receipt Number for the application or petition pending with USCIS, if
any.
Item Number 5. Client Type. Select only one box to indicate your appearance for the client.
Item Numbers 6.a. - 7.b. Information About Client. Provide the full name of the client. If the client is an entity,
provide the name of the entity and the title of the entity’s authorized signatory.
Item Number 8. Client’s USCIS Online Account Number (if any). If the client has previously led an application or
petition using the USCIS online ling system (previously called USCIS Electronic Immigration System (USCIS ELIS)),
provide the USCIS Online Account Number he or she was issued by the system. The client can nd the USCIS Online
Account Number by logging in to his or her account and going to the prole page. If the client previously led certain
applications or petitions on a paper form through a USCIS Lockbox facility, he or she may have received a USCIS
Online Account Access Notice issuing a USCIS Online Account Number. He or she may nd the USCIS Online Account
Number at the top of the notice. The USCIS Online Account Number is not the same as an A-Number. If the client was
issued a USCIS Online Account Number, enter it in the space provided.
Item Number 9. Client’s Alien Registration Number (A-Number) (if any). Provide the Alien Registration Number
(A-Number) for the client, if any.
Form G-28 Instructions 09/17/18 Page 3 of 5