Immigration Law
We Speak Spanish
(956) 428 7212
INTAKE FORM
CONTACT
Menu
Home
Immigration Law
Intake Form
Contact
Intake Form
Please fill out all of the information below so we can review your case.
If you need to, you can save & continue later using the button at the bottom of the form.
"
*
" indicates required fields
Step
1
of
8
12%
Name:
First
Last
Address:
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone (Home):
Phone (Work/Cell):
Email:
Place of Current Employment:
Date of Birth:
MM slash DD slash YYYY
Place of Birth:
Current Immigration Status:
Immigration Number (A#):
When did you obtain LPR status?
How did you obtain LPR status?
Spouse's Name:
First
Last
Spouse's Date of Birth:
MM slash DD slash YYYY
Spouse's Current Status:
Date of Marriage:
Place of Marriage:
Children:
Name
Date of Birth
Place of Birth
Immigration Status
Add
Remove
Family members that served in the US Military:
Name
Relationship
Branch
Date of Service
Add
Remove
Intake Questions
1. Have you or your spouse ever been married previously?
*
Yes
No
1(a). Please enter that information.
Name
Date of Marriage
Date of Dissolution
Add
Remove
2. Where was your mother born?
*
3. Where was your father born?
*
4. Did either of your parents ever become United States Citizens?
*
Yes
No
4(a). When?
5. Were any of your grandparents born in the United States?
*
Yes
No
5(a). When & Where?
6. Are any of your siblings United States Citizens?
*
Yes
No
6(a). Who?
7. Have you ever, verbally or in writing, claimed to be a United States Citizen?
*
Yes
No
8. Date of Entry to the United States
Date
Place
How?
Add
Remove
9. Date of Exit from the United States
Date
Add
Remove
10. How long have you lived in the United States?
11. How old were you when you began to live in the United States?
12. Schools Attended
School
Location
Date Attended
Add
Remove
13. Did you obtain a GED or diploma?
*
Yes
No
13(a). When?
14. Have you ever filed any applications with the USCIS?
*
Yes
No
14(a). What type of application? When did you file? Where did you file? Who filled out the forms? Was it granted or denied?
15. Have you ever been arrested by USCIS?
*
Yes
No
15(a). When and where?
16. Have you ever been in deportation proceedings or seen an Immigration Judge?
*
Yes
No
17. Have you ever been deported, removed, excluded, or voluntarily returned from the United States by the USCIS?
*
Yes
No
17(a). How many times? When and where?
18. Have you been arrested by any police in any country? (Examples: DWI, PI, Driving without a license, assault, no insurance, domestic violence, robbery, etc.)
*
Yes
No
18(a). Please enter that information.
Date
Place
Sentence
Add
Remove
19. Were you in the United States on December 21, 2000?
*
Yes
No
20. Were you in the United States on June 15, 2012?
*
Yes
No
21. Have you ever had any other immigration status or visa?
*
Yes
No
21(a). When?
22. Have you ever had a visa cancelled or taken away by the USCIS?
*
Yes
No
22(a). When and where?
23. Do you fear returning to your native country?
*
Yes
No
23(a). Why? Please give details of the reasons & the incidents that may have happened to you or your family.
24. If your spouse is a United States citizen or Lawful Permanent Resident, does he or she have any criminal history?
*
Yes
No
24(a). Please enter that information.
Date
Place
Sentence
Add
Remove
25. Have you ever been abused, either verbally or physically your US Citizen or Lawful Permanent Resident spouse?
*
Yes
No
25(a). Please describe the incidents.
26. Have you ever been a victim of any type of crime?
*
Yes
No
26(a). Please describe the incidents.
27. Have you ever registered for Selective Service?
*
Yes
No
27(a). Please provide your number.
28. Have you ever filed federal income tax returns?
*
Yes
No
28(a). Which years?
29. Briefly describe the reason for contacting our office?
*
30. How were you referred to our office?
Contact Name
*
First
Last
Contact Phone
*
Relationship (if any)
*
Email
*
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.