Iraqis facing removal: Questionnaire
If you or a family member or are an Iraqi national with a final order of removal, please fill out this questionnaire. NOTE: PERSONALLY IDENTIFIABLE INFORMATION WILL NOT BECOME PUBLIC. IT IS FOR PURPOSES OF COORDINATING REPRESENTATION ONLY. Access to the information is limited to lawyers and paralegals coordinating representation, and to attorneys considering a particular representation.
Your Relation to Iraqi National facing removal *
Your answer
Your Full Name *
Your answer
Your Phone Number *
Your answer
Your Email *
Your answer
Your Address *
Your answer
Your Primary Language *
Your answer
Do you have a Facebook page? **If yes, please provide for future FB group page. *
Your answer
Full Name of the person facing deportation *
Your answer
Home address of the person facing deportation
Your answer
Date of birth *
Your answer
Primary language of the person facing deportation? *
Your answer
Religion/Ethnicity *
Your answer
Alien Number *
Your answer
Current Detention Location *
Your answer
Date of final order of removal *
Your answer
Which immigration court (that is, in what city?) entered the final order?
Your answer
Criminal history, if any (as much detail as you can would be helpful; include at least convictions and sentence). *
Your answer
Does the person have counsel? If so what is the name and contact information of that counsel? *
Your answer
Has counsel filed a formal appearance? *
Your answer
If the person does NOT have counsel, does he/she want help finding legal assistance?
Your answer
If the persons does not have counsel, can he/she afford to pay anything? How much? *
Your answer
Has a motion to reopen, a stay of removal, or a habeas petition been filed? Has a stay been granted? What are court(s) and date(s) of any such motion and/or stay? *
Your answer
Dates of arrival to US *
Your answer
Date of final removal order *
Your answer
All detention locations in which the person has been held since arrest, and the dates the person was detained in those locations *
Your answer
Order of supervision and history of compliance *
Your answer
Contact information for other family members if useful *
Your answer
Are there any special equities or special issues (U.S. citizen relatives, connection to the U.S. Armed Forces, etc.) *
Your answer
Any medical issues? Or necessary medications?
Your answer
Anything else you think is important.
Your answer
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