USCIS Liaison Assistance Request Form

USCIS Liaison Assistance Request Form

For any questions or concerns please contact liaison@immigrantarc.org
You MUST call the Contact Center first and wait 30 days, EXECEPT if:
1. It is a VAWA case or there has been a VAWA application in the case history;
2. Your case was denied after a request to reschedule was made through the Contact Center;
3. Your case was denied because of failure to submit an RFE that was still within the 60 day extension. For these cases please use this form: https://form.jotform.com/ImmigrantARC/RFEdenial
How should we use the information on this form?*

I am requesting liaison assistance to resolve the issue outlined belowYou can use my submission as part of case examples to illustrate an issue to USCIS leadershipI am submitting this case as an example of issues with USCIS but do not want identifying information shared with USCIS (names, A numbers, receipt numbers, etc)
Is this case based on VAWA, or was there an underlying VAWA petition previously filed?*

YesNo
Name of Legal Representative (Must Match G-28)*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
A Number*
Receipt Number*
Have You Called the Contact Center?*

YesNo
Date of Call to Contact Center

MonthDayYear
Date
Contact Center SMRT Number (Case Number) or Agent Number
Result of Call to Contact Center
Field Office*

New York CityQueensBrooklynLong Island (Holtsville)BuffaloBuffalo - Albany SatelliteBuffalo - Syracuse SatelliteOther
Form Number*
Petition Type*
Beneficiary Name*
Beneficiary Date of Birth

MonthDayYear
Date
Priority Date

MonthDayYear
Date
Nature of Problem*

Complaint about Officer BehaviorCOVID-Related DelayDelayed Document ProductionDelayed Oath CeremonyDenial/Admin Closure After Reschedule RequestDenial/Admin Closure After RFE ResponseFailure to Consider Initial EvidenceInfoPass Appointment Request DeniedOutside of Processing TimesTelephonic Appearance DeniedOther
Was There An Interview?*

YesNo
Date of Interview

MonthDayYear
Date
Officer Name
Please describe issue, providing as much detail as possible
What Other Efforts Have Been Made to Resolve This Issue?
Please upload any documents relevant to your inquiry.

Cancelof
Please verify that you are human*
Attestation

By submitting this form I attest that this information is true to the best of my knowledge and that I have read and understood the instructions at the top of the form.

I further attest that I have not sought liaison assistance from other sources including via Congressional inquiry or through AILA.
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