Immigration Assistance Request Form

PLEASE PRINT CLEARLY OR TYPE

**Attention Attorneys: You must attach a copy of the G-28**

SECTION 1:

NOTE: The "beneficiary" is the alien who will receive the direct benefit (i.e. the visa, green card or citizenship) of the petition/application filed.

2. FORM(S) FILED: [Check the forms you have already filed.]

*Please specify the visa category

(Please check appropriate service center)

PLEASE ATTACH COPIES OF THE MOST RECENT CORRESPONDENCE YOU HAVE RECEIVED FROM THE AGENCY/OFFICE THAT IS PROCESSING YOUR CASE.

LOCATION OF CASE

If you have been advised by USCIS that your Adjustment of Status or Naturalization case is currently pending an FBI name check, please complete Section 2.

If your case is at the National Visa Center, complete Section 3.

If your case is currently pending at a U.S. Embassy or U.S. Consulate, please complete Section 4.

If none of the above apply, please skip to Section 5.

SECTION 2:

Complete this section if you have been advised by USCIS that you case is pending with the FBI for NAME CHECK clearance

NOTE: Before we can begin an inquiry with the FBI our office will need an Immigration Assistance Request Form for each beneficiary. You must include the following information in Section 1A: Full name (including middle name), Date of Birth, Country of Birth, Alien Registration number.

(From USCIS Notice of Action)

(If you don't know, write "I don't know")

Proceed to section 5

SECTION 3:

Complete this section if your case is currently at the Department of State's NATIONAL VISA CENTER

(Usually the beneficiary's country of birth)

SECTION 4:

Complete this section if your case is at a U.S. EMBASSY or U.S. CONSULATE

SECTION 5:

  • On a separate sheet of paper, please describe briefly what problems you are experiencing with this case and how the Senator might be able to assist you.
  • Include a copy of the most recent correspondence from the USCIS, National Visa Center and/or U.S. Embassy or Consulate.
  • Form should be signed by the petitioner. For FBI name check cases, please provide both signatures.
  • Mail or fax this form to the Senator's office.

SIGNATURE

I authorize the Office of U.S. Senator Patty Murray to make an inquiry on my behalf.

NOTE: Beneficiary signature not required for visa cases if he/she is outside the US, as long as the petitioner signs