Free Immigration Power of Attorney Form

Use this form to authorize someone to act on your behalf in immigration matters.
Grantor Information
Name
Address
Phone Number
Passport Number
Authorized Representative Information
Name
Address
Phone Number
Relationship to Grantor
Authorization Details
I,
Powers Granted
Check all that apply:
Completing and submitting immigration forms
Representing me during immigration interviews or hearings
Accessing and submitting supporting documentation
Communicating with immigration authorities
Effective Date
Termination Date
This power of attorney will remain in effect until:
By signing below, I confirm that I understand and agree to the terms of this authorization.
Name:
Date:
Name:
Date:
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