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Immigration Consequences Analysis Questionnaire
Email address
Attorney First Name
Your answer
Attorney Last Name
Your answer
Attorney Phone Number
(123) 456-7890
Your answer
Attorney County
Your answer
County Where Client is Charged
Your answer
Client's Current Immigration Status
Please check only one
What are the client's goals for this case?
Avoid deportation, get out of jail ASAP, maintain eligibility for future immigration benefits, etc.
Your answer
Country of Origin
Your answer
If the client is an LPR, when did he/she become LPR?
Your answer
If the client is an LPR, when was the last time that he/she left and re-entered the US?
Your answer
Client's current age?
Your answer
Client's age at time of offense
Your answer
Does the client have any family members who are Lawful Permanent Residents (LPRs) or US Citizens (USCs)?
Answer yes or no. If yes, who and is the family member a LPR or USC?
Your answer
Does the client have a son/daughter who is a US Citizen or Lawful Permanent Resident?
If yes, has the client lived continuously in the US since January 1, 2010?
Your answer
Date client first entered US?
Your answer
Client's age upon entering the US for the first time?
Your answer
Client's status when he/she entered the US?
Other dates of entry if the client has entered the US multiple times?
Your answer
Has the client ever had contact with ICE or Customs and Border Patrol (CBP)?
If yes, when? What was the nature of the contact?
Your answer
Has the client been referred to Immigration Court?
Current ICE Hold
Has the client ever been the victim of crime?
If yes, when, and did he/she report the crime and provide help to law enforcement?
Your answer
Is the client afraid of returning to his/her home country for any reason?
If yes, why?
Your answer
Has the client ever applied for an immigration benefit before?
If yes, what benefit, and what were the results of the application?
Your answer
If the client is under 21 years old and unmarried, has he/she ever been the victim of abuse, neglect or abandonment here in the US or in his/her native country?
If yes, is the client currently under juvenile court jurisdiction? AND is reunification with one or both of the client's parents not viable because of the abuse/neglect?
Your answer
Does the client have a criminal record in any state outside of Wisconsin?
List all criminal criminal convictions in Wisconsin, any other state, or federal
Include name of conviction, location of conviction, year convicted, whether a misdemeanor or felony, and disposition
Your answer
Client's Current Criminal Charges
Include all counts, statute number(s) (including enhancers) and maximum punishment
Your answer
Proposed Offer/Resolution
If there is a proposed offer/resolution. Also, please include the proposed recommendation.
Your answer
Are there any additional criminal charges or other relevant charging information not mentioned previously?
Your answer
Is there anything else you think we should know which we haven't asked?
Your answer
Due Date for this Request
We will send you our analysis within two weeks unless otherwise indicated below.
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