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pdfOMB 0970-0565 [valid through MM/DD/2024]
UNITED STATES DEPARTMENT OF JUSTICE
EXECUTIVE OFFICE FOR IMMIGRATION REVIEW
IMMIGRATION COURT
[CITY, STATE]
IN THE MATTER OF:
IN REMOVAL PROCEEDINGS
(JUVENILE CASE)
)
)
)
)
[UC’S NAME]
FILE NO.: A [UC’S A#]
MOTION FOR CHANGE OF VENUE
The JUVENILE RESPONDENT in this matter will be residing at the street address listed below as of
[DISCHARGE DATE]. If the mailing address differs from the JUVENILE REPONDENT’S street address,
the mailing address is also provided below.
STREET ADDRESS
Name:
Address:
Telephone:
[CUSTODIAN’S NAME]
[UC’S NEW ADDRESS]
[UC’S NEW PHONE #]
MAILING ADDRESS
Name:
Address:
[CUSTODIAN’S NAME]
[UC’S NEW ADDRESS]
The JUVENILE RESPONDENT requests that their case be transferred to the Immigration Court which is
located the closest to the JUVENILE RESPONDENT’S place of residence.
(Date)
Juvenile Respondent’s Signature
(Date)
Custodian’s Printed Name
Custodian’s Signature
CERTIFICATE OF SERVICE
I certify that I conveyed by first class mail a true copy of this Motion for Change of Venue to the following:
(Date)
Signature
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to allow ORR to file a motion for change of venue when a UAC is
transferred or discharged to a new immigration court jurisdiction. Public reporting burden for this collection of information is estimated to average 0.17 hours per response, including the time for reviewing
instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. 279). An agency may not
conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control
number. If you have any comments on this collection of information please contact UCPolicy@acf.hhs.gov.
L-7 [Rev. MM/DD/YYYY]
File Type | application/pdf |
Author | Michelle Ekanemesang |
File Modified | 2021-08-25 |
File Created | 2020-11-11 |