Immigration Intake Form

Thank you for contacting TCB Legacy Law, LLC. This immigration intake form is used to collect information about potential new clients and is used for internal purposes only. The information you provide is confidential and will be treated accordingly.

Date
Name * This field is required.
Phone * This field is required.
Nationality * This field is required.
Email
Place of Birth
IMMIGRATION HISTORY--- When did you first enter the United States?
When was the last time you entered the United States?
How did you enter the last time?
Have you ever overstayed on a visa?
List all entries and exists from the United States (Give the dates and whether or not you went through an immigration inspection upon those entries.)
What immigration problem has brought you to our office?
What immigration problem are you trying to resolve/fix?
Have you ever been ordered removed or deported from the United States?
Have you ever been in immigration court?
Have you ever been stopped by immigration officials?
If you answered yes to being removed/deported; being in immigration court; or being stopped by immigration officials, Please describe each occassion?
Have you ever applied for permanent residency (green card)?
Have you ever applied for asylum?
Have you ever applied for amnesty?
Have you ever applied for TPS?
Have you ever applied for cancellation?
Have you ever applied for a waiver?
If you have filed for any immigration relief, state when and what type of paperwork you submitted?
What was the result/outcome?
Has any paperwork ever been filed on your behalf? (Example, Visa petition by family)?
FAMILY ---Were your grandparents U.S. Citizens?
Are/Were your parents U.S. Citizens?
Are you married?
When and where were you married?
What is the name of your spouse?
What is the date of your marriage?
What is your spouse immigration status?
State the name of your previous spouse, if applicable.
What is your previous spouse immigration status?
What is the date your previous marriage ended?
Do you have children?
If you have children, list their names, date of birth, place of birth, immigration status and if they are now in the US?
Do you have any other family members in the United States?
If yes, Provide the following information: Name, Relation, Immigration Status, Is the family member in the United States Now?
EMPLOYMENT IN THE U.S.--- Have you ever worked in the United States?
If yes: Provide the name of the Employer, the address of Employer, the type of Employment, Period of Employment, Work Authorization?
Have you ever had trouble or an encounter with the police or been arrested in the United States?
If yes, when was the encounter or arrest and what was the encounter/arrest for?
What was the result of the encounter with police and/or what was the result of your arrest?
Do you have any reason to fear going back to your country?
If yes, who do you fear and why?
Have you ever been a victim of domestic abuse by a spouse?
Have you ever been a victim of domestic abuse by a parent?
Have you ever been a victim of domestic abuse by a child?
Have you ever been threatened or harmed by a spouse?
Have you ever been threatened or harmed by a parent?
Have you ever been threatened or harmed by a child?
If you answered yes to being harmed by a spouse, parent, or child, did your spouse, parent, or child have U.S. Citizenship status or lawful permanent residency (lpr)?
Have you ever been a victim of a crime?
If you answered yes to being a victim of a crime, what crime were you a victim of?
Did you file a police report?
Did you help with the criminal investigations or prosecution?
Did anyone recruit you in your home country to work in the United States?
If yes, did you feel forced to work or tricked into working?
Were you required to work without pay? (or less than allowed or expected)?
Have you been abandoned, abused, or neglected by a parent?
Are you currently under the jurisdiction of a juvenile court (dependency, delinquency, or probate guardianship)?
Is there any information or detail you want to share with the Attorney?

TCB Legacy Law Is Here for You

Contact TCB Legacy Law Today

Office Location

Menu