Fine letter worksheet
A printable from Immigration Civil Fine. Fill it in by hand. Nothing you write is collected by this website.
Fine letter worksheet
About the letter
- Date on the letter: ____________
- Date I received it, and how (mail, in person): ____________
- 15 business days from service ends on: ____________
- Law named (274D, 240B(d), 275(b), or other): ____________
- Amount and days charged: ____________
- Is it a "Notice of Intention to Fine" dated before June 27, 2025? Yes / No
Is it real?
- It came in writing, with appeal rights and an address
- No one asked me to pay by phone, gift card or app
For my lawyer
- The letter and envelope
- My removal or voluntary departure order
- Any stay, appeal, or USCIS application during the days charged
- Proof I was detained, in the hospital, or could not get travel papers
Mailing my appeal
- Defense and documents in the same envelope
- Mailed on: ____________ Tracking number: ____________
- Copy of everything kept at home
From Immigration Civil Fine. Facts checked October 21, 2026. Free information, not legal or medical advice.
