Fillable Printable I 907
Fillable Printable I 907
I 907
Form I-907 12/11/15 Y
Request for Premium Processing Service
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-907
OMB No. 1615-0048
Expires 01/31/2018
For
USCIS
Use
Only
Request Physically
Received by USCIS
Date
Date
Date
Date
Remarks
Date
Date
Returned Resubmitted Receipt
Action Block
START HERE - Type or print in black ink.
Part 1. Information About the Person Filing This Request
2. Family Name (Last Name) Given Name (First Name) Middle Name
►
4.
1.
Alien Registration Number (A-Number) (if any)
►
A-
5.
Mailing Address
In Care Of Name
Street Number and Name or PO Box Number
City or Town State ZIP Code
Apt.
Flr. NumberSte.
Province Postal Code Country
3. Company or Organization Named in the Related Case: If filed on behalf of a company or organization
Is your current mailing address the same as your physical address?
If you answered "No," provide your physical address in Item Number 6.
Yes No
To be completed by an
attorney or accredited
representative (if any).
Select this box if
Form G-28 is
attached.
Attorney State Bar Number
(if applicable)
Attorney or Accredited Representative
USCIS ELIS Account Number (if any)
Page 1 of 6
Form I-907 12/11/15 Y
I am the petitioner who is filing or has filed a petition eligible for Premium Processing Service.
I am the applicant who is filing or has filed an application eligible for Premium Processing Service.
I am the attorney or accredited representative for the applicant who is filing or has filed an application eligible for
Premium Processing Service. (Complete and submit Form G-28, if Form G-28 has not been submitted with the
application.)
I am the attorney or accredited representative for the petitioner who is filing or has filed a petition eligible for Premium
Processing Service. (Complete and submit Form G-28, if Form G-28 has not been submitted with the petition.)
Part 2. Information About the Request
1. 3.
Beneficiary in the Related Case5.
Petitioner or Applicant in the Related Case4.
Form Number of Related
Petition or Application
Receipt Number of Related
Petition or Application
2. Classification or Eligibility
Requested
Family Name (Last Name) Given Name (First Name) Middle Name
Family Name (Last Name) Given Name (First Name) Middle Name
7. Request for Premium Processing Service: (select only one box)
Position Title
Name of Point of Contact for the Company or Organization 6.
Family Name (Last Name) Given Name (First Name) Middle Name
Company or Organization IRS Tax Number (if any)7.
6.
Ste. NumberFlr.Apt.
ZIP CodeStateCity or Town
Province Postal Code Country
Street Number and Name
Physical Address
Part 1. Information About the Person Filing This Request (continued)
Page 2 of 6
Form I-907 12/11/15 Y
1. Requestor's Statement Regarding the Interpreter
Requestor's Statement Regarding the Preparer
A.
B.
I can read and understand English, and have read and understand each and every question and instruction on this request,
as well as my answer to each question.
answer to each question, in
The interpreter named in Part 4. has read to me each and every question and instruction on this request, as well as my
, a language in which I am fluent.
I understand each and every question and instruction on this request as translated to me by my interpreter, and have
provided true and correct responses in the language indicated above.
an attorney or accredited representative, preparing this request for me.
I have requested the services of and consented to ,
who is is not
2.
Requestor's Statement
Part 3. Requestor's Statement, Certification, Signature, and Contact Information
I understand that U.S. Citizenship and Immigration Services (USCIS) will refund the Premium Processing Service fee to the person
listed in Part 1. of this request if USCIS does not take an action on the related case within 15 calendar days after the appropriate
USCIS office physically receives this request. I understand that case actions include a referral for investigation of suspected fraud or
misrepresentation, or the issuance of:
1. An approval notice;
2. A request for evidence;
3. A notice of intent to deny; or
4. A denial notice.
NOTE: Select the box for either Item A. or B. in Item Number 1. If applicable, select the box for Item Number 2.
Ste. NumberFlr.Apt.
ZIP CodeStateCity or Town
Province Postal Code Country
Street Number and Name
8. Address of Petitioner, Applicant, Company or Organization Named in Related Case
Part 2. Information About the Request (continued)
I certify, under penalty of perjury under the laws of the United States of America, that the information in my request and any
document submitted with my request is complete, true and correct.
Requestor's Certification
I furthermore authorize release of information contained in this request and in supporting documents, and in my USCIS records, to
other entities and persons where necessary for the administration of U.S. immigration laws.
Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may
require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from my
records that USCIS may need to determine my eligibility for the immigration benefit that I seek.
Page 3 of 6
Form I-907 12/11/15 Y
3.
Interpreter's Mailing Address
City or Town State ZIP Code
Postal CodeProvince
Street Number and Name Apt. Flr. NumberSte.
Country
Interpreter's Contact Information
Interpreter's Daytime Telephone Number
Interpreter's Email Address (if any)4. 5.
Part 4. Interpreter's Contact Information, Certification, and Signature
Interpreter's Given Name (First Name)Interpreter's Family Name (Last Name)1.
Interpreter's Full Name
Interpreter's Business or Organization Name (if any)2.
Provide the following information about the interpreter:
Requestor's Daytime Telephone Number
Requestor's Mobile Telephone Number (if any)
7. Requestor's Fax Number (if any)Requestor's Email Address (if any)
4. 5.
6.
Requestor's Contact Information
Requestor's Signature
Requestor's Signature Date of Signature
►
3.
(mm/dd/yyyy)
Part 3. Requestor's Statement, Certification, Signature, and Contact Information (continued)
The requestor has informed me that they understand each and every instruction and question on the request, as well as their answer to
each question.
Interpreter's Certification
I certify that:
I am fluent in English and
, which is the same language provided in Part 3.,
I have read to this requestor each and every question and instruction on this request, as well as the answer to each question, in the
language provided in Part 3., Item B. in Item Number 1.; and
Item B. in Item Number 1.;
Page 4 of 6
Form I-907 12/11/15 Y
Preparer's Contact information
Preparer's Telephone Number Preparer's Fax Number
Preparer's Email Address (if any)
4.
6.
5.
3.
Preparer's Mailing Address
Street Number and Name Apt. Flr. NumberSte.
City or Town State ZIP Code
Postal CodeProvince Country
Part 5. Name, Contact Information, Declaration, and Signature of the Person Preparing this Request,
If Other Than the Requestor
Preparer's Full Name
Preparer's Given Name (First Name)Preparer's Family Name (Last Name)1.
Preparer's Business or Organization Name (if any)
2.
Provide the following information about the preparer:
Date of SignatureInterpreter's Signature
►
6.
(mm/dd/yyyy)
Interpreter's Signature
Part 4. Interpreter's Contact Information, Certification, and Signature (continued)
Preparer's Statement
7.A.
7.B.
I am not an attorney or accredited representative but have prepared this request on behalf of the requestor with the requestor's
consent.
I am an attorney or accredited representative and my representation of the requestor
in this case (choose one) does not extend beyond the preparation of this request.extends
Page 5 of 6
Form I-907 12/11/15 Y
Preparer's Signature Date of Signature
(mm/dd/yyyy) ►
Preparer's Declaration
Preparer's Signature
By my signature, I certify, swear or affirm, under penalty of perjury, that I prepared this request on behalf of, at the request of, and
with the express consent of, the requestor. I completed the request based only on responses the requestor provided to me. After
completing the request, I reviewed it and all of the requestor's responses with the requestor, who agreed with each and every answer
provided for each question on the request and, when required, supplied additional information to respond to a question on the request.
8.
Part 5. Name, Contact Information, Declaration, and Signature of the Person Preparing this Request,
If Other Than the Requestor (continued)
Page 6 of 6
