Community Protection Intake Form
If you have an inquiry about your deportation case and/or need to report an incident of law enforcement collaborating with immigration or an immigration raid, please fill out this form in its entirety. Filling out this form DOES NOT guarantee that a lawyer will take on the case. We are not lawyers but we can help you in discerning some basic information about your options and about your rights as they relate to your situation. Additionally, if you seek legal advice, filling out this form will prepare you by organizing the basic information you will need to resolve this issue with a lawyer. Please fill this form out completely and if we cannot help your case in particular, we will send you a download of your form so you can take the information directly to other providers/agencies that will be able to assist you only if you arrive with all this information ready for them.
We cannot answer any legal questions for you, so if you need legal counsel, we encourage you to talk to a lawyer.
For more information, check out our community resources at
You can also find information about your rights on our Hotline: 1-888-600-5762
GENERAL INFORMATION OF INTAKE LEAD
This section is for informational purposes only. Please fill this out so that we know who it was that made initial contact with the individual who needs the assistance.
Who are you?
Organizer/Volunteer: I am a person that was contacted by the individual and/or I am helping fill this form out for the person in question
Loved One: I am a relative or family friend that is filling this out for the person in question
Impacted Individual: I am the person who is the individual in question and I need help with my case
An attorney looking for support for a client that I represent
Affiliated Organization (if any)
this applies only if you work with an organization that is currently handling or supporting on the case . If none, put "NONE"
Would you like to be added to our mailing list?
Why are you filling out this intake form?
To provide information about an INDIVIDUAL affected by immigration enforcement
To report immigration enforcement or police collaboration with ICE (including checkpoints)
I don't have information about any individual, but I have information about an incident of enforcement abuse.
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