My OLD address was:
("In care of" other person, if any)
(Number, Street, Apartment)
(City, State and ZIP Code)
(Country,
if other than U.S.)
My NEW
address is:
("In care of" other person, if any)
(Number, Street, Apartment)
(City, State and ZIP Code)
(Country, if other than U.S.)
(New Telephone Number)
Name: Alien Number: A
OMB#1125-0004
Alien's Change of Address Form/
Board of Immigration Appeals
U.S. Department of Justice
Executive Office for Immigration Review
Board of Immigration Appeals
Who should use this form: Use this form for a change of address if you have filed an appeal or motion with the Board
of Immigration Appeals. Note: If you are an attorney representing a person before the Board, do not use this form to
indicate your own change of address; use Form EOIR-27 (Notice of Entry of Appearance as Attorney or Repr
esentative
Before the Board).
When to use this form
: If you move, the law requires you to file this Change of Address Form with the Clerk’s Office
of the Board of Immigration Appeals. You must file this form within five (5) working days of a change in your address.
Even if you have an attorney or representative, you should file this form with the Board every time you change your
address. You should also file this form if you get a new telephone number.
How to use this form
:
1. Complete the Change of Address Form below.
2. Send a copy of this form to the Office of the Chief Counsel for the Department of Homeland Security (DHS) (Immigration
and
Customs Enforcement-ICE), and complete and sign the “Proof of Service” below to show you did this.
3. Send this form to the Board of Immigration Appeals. Follow the mailing instructions on the back of this form.
4. If you prefer to file this form in person, you may bring it to the Board of Immigration Appeals, Clerk’s Office,
5107 Leesburg Pike, Suite 2000, Falls Church, Virginia, 20530.
PROOF OF SERVICE (You Must Complete This)
I mailed or delivered a copy of this Change of Address Form on to the
Office of the Chief Counsel for the DHS (U.S. Immigration and Customs Enforcement-ICE) at
.
✍ SIGN HERE
➜➜
Signature Date
X
✍ SIGN HERE
➜➜
Signature
X
(Name)
(Date)
(Number and Street, City, State, Zip Code)
Form EOIR - 33/BIA
