General Family-Based Case - Consultation Intake Form

Please fill out the form as to the best of your knowledge

Applicant/Immigrant's Information

Applicant/ Immigrant's

Applicant's Address

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Petitioner's Information

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Petitioner's Phone Number

Petitioner's Address

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Background Information

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Entries and Exits

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Legal History (from immigrant's point of view)

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Have you or any of your family members ever received public benefits?

Previous Relationships

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Family

Affidavit of Support (I-864 Form)

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Conclusion

Victim of abuse or crime/asylee/refugee 

If you are a victim of abuse or crime or are an asylee or refugee, please answer the following questions: 

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Additional questions for beneficiary (Foreign National)

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Drop files here, or click to select files to upload.