Immigration Intake Form
This form was designed with input from dozens of law professors and clinicians as a way to gather information pertinent to figuring out if someone qualifies for any form of available immigration relief. Filling out this form carefully and correctly will enable the attorney to assess your immigration options. It is not meant as a substitute for a legal consultation with an attorney, and filling out this form does not create an attorney-client relationship with this firm. All responses are privileged and confidential and will not be shared with anyone outside of this firm.

Average time for completing this questionnaire: 30 minutes to an hour
Name (first, middle, and last): *
Your answer
Phone number: *
Your answer
Address:
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Email: *
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