Immigration Intake Questionnaire Fill out this form to jump-start your case. LinkedInThis field is for validation purposes and should be left unchanged.Personal InformationName(Required) First PhoneEmail(Required) Enter Email Confirm Email Immigration HistoryWhat country were you born in?When was the first time you entered the U.S.? MM slash DD slash YYYY When was the last time you entered the U.S.? MM slash DD slash YYYY Did you ever enter the U.S. with a valid travel document? Yes No If you entered undocumented, were you ever detained by an immigration official? Yes No Have you ever used fake documents to gain entry into the U.S.? Yes No If yes, specify document:Family InformationAre you married? Yes No Is your spouse a U.S. citizen? Yes No Is your spouse a lawful permanent resident? Yes No Do you have any children? Yes No If yes, how many?Children Info:Country of birth:Date(s) of birth: Add RemoveHas anybody ever filed a family petition for you? Yes No If yes, date filed: MM slash DD slash YYYY Do you have copies of the paperwork? Yes No Previous Immigration FilingsHave you ever filed any paperwork with the immigration office? Yes No If yes: What did you file?Date filed: MM slash DD slash YYYY Who filed it for you?Have you ever been in immigration court or any immigration hearing in front of an immigration Judge? Yes No If so, provide all known information.Legal HistoryHave you ever been arrested by the police? Yes No If yes: Where?When? MM slash DD slash YYYY Why?Have you ever been a victim of a crime? Yes No If yes: Type of crime:Did you report the crime? Yes No Did you testify in court? Yes No Military ConnectionsDo you have any family in the military? Yes No If yes, who?Do you have any family that has been discharged from the military? Yes No If yes, who?
