Visa Denial Information Request Form
Please fill out the following form completely. Upon reviewing the information you will be contacted if there are any legal options available.
Last Name *
Your answer
First Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Date of Birth *
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DD
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YYYY
Nationality *
Your answer
Current Country of Residence *
Your answer
What type of visa did you apply for? *
Your answer
Have you received a response regarding your application? *
Your answer
When did you apply for your visa? *
Your answer
Did you have an interview for your visa? If yes, what is the name of the embassy where you were interviewed? *
Your answer
After your interview did you receive a request for documents, call or email from the embassy? If yes, what did they say? *
Your answer
If granted the visa, where in the U.S. did you intend on traveling to? For what reasons? *
Your answer
Do you have family in the United States? *
Do you have a job offer in the United States? *
Do you have university acceptance to go to school in the United States? *
Have you received a visa to enter the U.S. before? If so, what year and what type of visa? *
Your answer
Have you visited the U.S. before for any reason? If so, where did you go in the U.S.? *
Your answer
If you have entered the U.S. before, did you have any trouble obtaining a visa for entry or entering the country?
Your answer
Did you consult with an attorney when filling out and filing your visa application? If so, what is his/her contact information? *
Your answer
Did you consult with anyone other than an attorney when filling out and filing your visa application? If so, who? *
Your answer
Do you have any other information you would like to provide regarding your visa application denial?
Your answer
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