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Notice Of Appeal Of Decision Under Section 210 Or 245A I-694 - Official Federal Forms
| Notice Of Appeal Of Decision Under Section 210 Or 245A Form. This is a national form and can be used in US Citizenship And Immigration Services . |
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OMB No. 1615-0034; Expires 12/31/2015 Department of Homeland Security U.S. Citizenship and Immigration Services I-694, Notice of Appeal of Decision Under Section 210 or 245A For USCIS use Only Fee Stamp Action Block APPELLANT - START HERE: Please type or print in black ink. In the Matter of: File Number: AApplication for one of the following: Permanent Residence (I-698) Temporary Residence (I-687) Waiver of Grounds of Inadmissibility I hereby appeal to the USCIS Director from the decision, dated My written brief or statement is attached. I waive the right to submit a written brief or statement. I will submit a brief within 30 calendar days. in the above entitled case. Summarize the reasons for this appeal. The appeal must include a statement explaining any error or conclusion of law in the decision being appealed or any erroneous statement of fact stated in the decision. Appellant (or Attorney or Representative): Please complete the following. Name (Last Name, First Name, Full Middle Name) Address ( Street Name and Number) (City or Town) Title or Relationship to Appellant, If Other Than Appellant Signature Date (mm/dd/yyyy) (State) Telephone Number With Area Code (Zip Code) Form I-694 (12/16/12) Y American LegalNet, Inc. www.FormsWorkFlow.com
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