Deportation - Consultation Intake Form

Please fill out the form as best you can at least 30 minutes before the consultation.
Alien's Information
Alien's Full Name*

First NameLast Name
Alien' Number
Birth Date

MonthDayYear
Country of Birth
Visa Status, if any
Contact Information
E-mail
Ex: myname@example.com
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Skype
Family Information
Marital Status
Date of Marriage
Spouse's U.S. Status
Does Alien have any children?

YesNo
Do any of the children reside in the U.S.?

YesNo
List all children's names, date of birth, places of birth and current U.S. status (if applicable)
Birthplace of Mother
U.S. status of Mother (if applicable)
Birthplace of Father
U.S. Status of Father (if applicable)
Does Alien have any brothers or sisters that reside in the U.S.?

YesNo
List siblings' names, dates of birth and status(es) in the U.S. (if applicable)
Immigration History
Have you ever served in the military?

YesNo
Will Alien make any claims of citizenship to the U.S.?

YesNo
Date received U.S. permanent residence (if applicable)
First date of entry intro U.S.
Years resided in U.S.
Current status in U.S.
Has Alien been employed in U.S.?

YesNo
Does Alien have legal work authorization to work in U.S.?

YesNo
Criminal History
Has Alien ever been detained by the police or immigration?

YesNo
If yes, explain.
Has Alien ever committed any crimes?

YesNo
If yes, explain.
Has Alien ever been refused entry into the US?

YesNo
Has Alien ever made a false claim to US citizenship?

YesNo
Has Alien ever committed any fraud to immigration?

YesNo
Has Alien ever applied for asylum?

YesNo
Has Alien previously applied for an Immigration Petition?

YesNo
Are you now or have you ever been scheduled to be before an immigration judge or have you ever been before an immigration judge?

YesNo
Conclusion
Overall goal of consult/ what is the main issue that needs to be resolved during consult?*
How did you hear about the law firm?*
Other
Name of the person completing the intake sheet:
Date (MM-DD-YYYY)
Which location will your consultation take place?
How would you prefer your consultation?
Would you like to receive immigration updates through our Newsletter?

YesNo, thank you.
Should be Empty:

Please fill out the form as best you can at least 30 minutes before the consultation.

Alien's Information

Contact Information

Family Information

Immigration History

Criminal History

Conclusion