Full intake form

Immigration intake

This form helps us better understand your situation before connecting you with an immigration professional. Your information is confidential and used only for the initial evaluation.

1. Personal information

Full name *

Phone (mobile preferred) *

Email *

City and State where you currently live *

Country of origin *

2. Current immigration status

Do you currently have legal status in the U.S.? *

YesNoNot sure

If you answered “yes,” what is your current status?

3. Entry to the U.S.

How did you most recently enter the United States? *

With a visa (legally)Crossing the border (without documents)Parole / CBP OneI do not remember / Prefer not to say

Were you inspected by an immigration officer when you entered? *

YesNoI do not know

4. Family situation

Are you married? *

YesNoDomestic partnership

If married, your spouse is:

Do you have children? *

YesNo

If you have children, was any child born in the United States?

YesNo

5. Legal / criminal history

This information is confidential and necessary to guide your case appropriately.

Have you ever been arrested? *

YesNo

Have you ever been convicted of a crime? *

YesNo

Have you ever been in jail or detained by immigration? *

YesNo

6. Immigration history

Have you had immigration court or an open case? *

YesNo

Do you have a deportation order? *

YesNoNot sure

Have you applied for an immigration benefit before? *

7. Current situation

Are you currently in removal proceedings? *

YesNo

Do you have an upcoming immigration or court appointment? *

YesNo

8. Client goal

What do you want to achieve? *

9. Additional information

Briefly describe your situation (optional but recommended)

10. Supporting documents

Upload documents (optional) Maximum 6 files. Allowed formats: PDF, JPG, PNG, WEBP, DOC, and DOCX.

11. Consent / contact

Do you authorize a specialist to contact you? *

Yes

Best time to reach you *

MorningAfternoonEvening