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OMB 1601-0004 Case Assistance (DHS Form 7001)
The Office of the Citizenship and Immigration Services Ombudsman (CIS Ombudsman) assists individuals and employers in resolving difficulties they are experiencing with U.S. Citizenship and Immigration Services (USCIS). If you have already tried to resolve your issue directly with USCIS, you may submit DHS Form 7001 to request case assistance from the CIS Ombudsman. You can submit this form online below.
The CIS Ombudsman is an independent office within the Department of Homeland Security and is not part of USCIS. We cannot provide legal advice.
Before asking us for help, you should:
Go to our How to Submit a Case Assistance Request page for more information on both steps.
Please see our CIS Ombudsman Web Alerts page for information that could affect your case assistance request. We have alerts on:
You can submit the DHS Form 7001 online to receive case assistance. To do so, complete the form sections below and select the “Submit” button. Make sure to complete every section that applies to you and to check your information before submitting.
The CIS Ombudsman’s Office does not accept fees.
If a particular item does not apply to your case assistance request, please leave blank.
Please attach scanned copies of any documents you received from or sent to USCIS or any other government entity that are related to your request for assistance. Additionally, you may submit other information or documentation that will help the CIS Ombudsman’s Office review your request for assistance.
While there is no time limit to complete this form, this form cannot be saved. Your session will time out after 20 minutes of inactivity.
You will need to have the following information available in order to complete this form, if applicable: (1) A-Number; (2) All USCIS receipt numbers related to each application or petition; (3) Documents submitted to or received from USCIS; (4) If you are an Attorney/Accredited Representative, a copy of the Form G-28 filed with the application/petition; and (5) Other information or documentation that is important to the case.
Please note that while the CIS Ombudsman's Office provides impartial and independent recommendations to USCIS on how to resolve problems, the CIS Ombudsman's Office does not have the statutory authority to make or change USCIS decisions.
DHS Form 7001 - Privacy Act Statement:
Authority: 6 U.S.C. Section 272 authorizes the collection of this information.
Purpose: The CIS Ombudsman’s Office will use the information provided to assist an individual or employer with his or her Case Assistance Request.
Routine Use: The information will be used by and disclosed to DHS personnel and contractors or other agents who need the information to assist in activities related to your Case Assistance Request. DHS may also share the information provided in accordance with the routine uses listed in DHS/CISOMB-001 Virtual CIS Ombudsman System of Records Notice, 75 FR 18857 (April 13, 2010).
Disclosure: Furnishing this information is voluntary. However, failure to provide the requested information may delay or prevent the CIS Ombudsman’s Office from providing assistance with your case.
Paperwork Reduction Act Notice:
The public reporting burden to complete this information collection is estimated at one hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the necessary data, and completing and reviewing the collected information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid Office of Management and Budget (OMB) control number and expiration date. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Office of the Citizenship and Immigration Services Ombudsman, (e-mail: firstname.lastname@example.org; Mailing Address: Citizenship and Immigration Services Ombudsman, U.S. Department of Homeland Security, Mail Stop 0180, Washington, D.C. 20528-0180), ATTN: PRA OMB 1601-0004.
* Indicates required field
12. Supporting Documentation: Attach additional information related to your case, such as paperwork you submitted to USCIS, documents you received from USCIS, or other information or documentation you feel is important to your case.
Include up to 10 attachments (Such as scanned images, PDF files, TXT files, and Word
documents. Valid file extensions are: doc, docx, gif, jpg, jpeg, pdf, png, ppt, pptx,
rtf, txt, tif, xls, xlsx.). No more than 5 megabytes of data may be uploaded.
Please Note: Any files greater than 5MB in size will be rejected. In addition, the total size for all files for each request cannot exceed 5MB in size. File name may not exceed 80 characters.
Documents can also be faxed to 202-357-0042 or mailed to:
Citizenship and Immigration Services Ombudsman
U.S. Department of Homeland Security
Attention: Case Assistance
Mail Stop 0180
Washington, DC 20528-0180
Please note that if you are the beneficiary of an immigration petition, consent of the individual or employer that submitted the petition on your behalf is required. The petitioner must sign.
I certify, under penalty of perjury under the laws of the United States of America, that the foregoing is true and correct, and that I am the person encountering difficulties with USCIS (applicant/beneficiary/petitioner) and I understand that any falsification of this statement is punishable under the provisions of 18 U.S.C § 1001 by a fine of not more than $10,000 or by imprisonment of not more than five years or both, and that requesting or obtaining any record(s) under false pretenses is punishable under the provisions of 5 U.S.C. § 522a(i)(3) by a fine of not more than $5,000.
Alternatively, I am the legal representative of record for the person encountering difficulties with USCIS (applicant/beneficiary/petitioner). I have included a copy of Form G-28 previously filed with USCIS.
Pursuant to 5 U.S.C § 522a(b), I authorize the Office of the Citizenship and Immigration Services Ombudsman to release any and all information relating to me to U.S. Citizenship and Immigration Services.
I declare that I have prepared this form at the request of the named party in Section 1 and all responses are true and correct.