Immigration Intake Form

Tell us a little about your situation. Our legal assistant will follow up to schedule your initial consultation with the attorney. A consultation fee applies and is credited toward your legal fee if the office takes your case.

Before you submit

Submitting this form does not create an attorney-client relationship, and the attorney cannot represent you until the office confirms in writing. Time limits may apply to your matter, so please do not delay seeking advice. Do not include Social Security, passport, A-number, bank or card numbers.

Your contact information

Full name

Phone number

Email address

Preferred language

Best way to reach you

Best time to reach you

How did you hear about our office?

About your immigration matter

What do you need help with?

Current U.S. immigration status

Country of citizenship

Approximate date of last entry into the U.S. (if applicable)

Have you received a court notice, Notice to Appear, or any deadline?

If yes, please give dates and what the notice says

Have you or a family member filed any immigration applications before? Briefly describe.

Briefly describe your situation and what you would like help with

I understand that submitting this form does not create an attorney-client relationship and that I should not include highly sensitive identification numbers.