Request for Access
The FIRN Domestic Violence-Asylum Portal (“portal”) was created as a resource for non-profit organizations, private lawyers, and other legal professionals, all of whom serve the interests of asylum seekers and defend the rights of those who seek asylum on the basis of domestic violence. The portal was NOT created for, or intended to be accessed or used by, anyone who is currently or expected in the near future to be, an employee, agent, affiliate or associate of the United States government including, but not limited to, any office or agency within the Department of Justice and the Department of Homeland Security. The exception to the preceding statement applies only to United States federal public defenders who are representing the interests of asylum seekers and/or immigrants. You swear and affirm that all registration information you submit, including your representation that you are not currently or expected in the near future to be an employee, agent, affiliate or associate of the United States government, is accurate and truthful. Furthermore, you swear and affirm that you are not engaged in unlawful practice of immigration law.

FIRN may, in its sole discretion, reject request to create an account or refuse access to any person or entity and change its eligibility criteria at any time without prior notice. This provision is void where prohibited by law and the right to access the portal is revoked in such jurisdictions.

By submitting this form, you are authorizing FIRN, its agents and/or employees, to verify the information you provide. The information obtained by FIRN is to be used only to determine your eligibility for accessing FIRN's portal.
Email *
Your full name *
Your phone number *
Your current employment information *
Name, address, and phone number of your employer or organization *
Are you currently representing an individual in a domestic violence-based asylum claim? *
Would you be willing to answer some general questions about your client's DV-based asylum case? *
How did you hear about Project HEARD? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy