Immigration Court- Consultation Intake Form
Please fill out the form as best you can at least 30 minutes before the consultation.
Immigrant's First Name:
Immigrant's Last Name:
Alien Number- A#
Country of Birth:
Visa Status, if any:
Overall goal of consult/ what is the main issue that needs to be resolved during the consult?
Are you now or have you ever been scheduled to be before an immigration judge. Or have you ever been before an immigration judge?
Last Hearing date, if applicable.
If you are already in removal proceedings, when is your next court hearing date?
Immigration Judge assigned for your hearing
Street Address Line 2:
State / Province:
Postal / Zip Code:
Date of Marriage
Spouse's U.S. Status
Does Immigrant have any children?
Do any of the children reside in the U.S.?
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 Immigrant have any brothers or sisters that reside in the U.S.?
List siblings' names, dates of birth and status(es) in the U.S. (if applicable)
Have you ever served in the military?
Does he/she believe they are a U.S. Citizen?
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 Immigrant been employed in U.S.?
Does Immigrant have legal work authorization to work in U.S.?
Has Immigrant ever been detained by the police or immigration?
If yes, explain.
Has Immigrant ever committed any crimes?
If yes, explain
Has Immigrant ever been refused entry into the US?
Have you ever stated that you were a US citizen to anyone?
Have you ever committed any fraud to obtain an immigration benefit?
Has Immigrant ever applied for asylum?
Has anyone ever filed a petition on immigrant's behalf?
How did you hear about the law firm?
Name of the person completing the intake sheet:
Which location will your consultation take place?
How would you prefer your consultation?
Would you like to receive immigration updates through our Newsletter?