Consultation Form

"*" indicates required fields

Hidden

Date of Consultation:

Did you make an appointment already?*

Yes

You have to schedule an appointment first.

How did the client come to our office:*

Immigration Issue:*

Green Card

Citizenship

Marriage Issues

General Questions

PLEASE COMPLETE USING ARROW FUNCTIONS FOR EACH QUESTION TO AVOID BULLETING YOUR ANSWERS

A) IMMIGRANT/ALIEN INFORMATION

Name of Alien:*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone No:*

Email:*

Name of Employer:*

Date of Birth:*

Country of Birth:*

Date of Last Entry into US:

Give validity date of current visa status given by USCIS or Dept. of State?*

Place of first entry into the US:

In what immigration status did you enter the U.S, what type of Visa if applicable-if no visa, then confirm:*

Have you ever left the U.S since last entry and why?

If so, in what immigration status/visa did you return to the U.S?

Have you made multiple re-entries into the US without being inspected or admitted by a US immigration officer?

If so, how many entries have you made without a status?

Are you currently married? If so, give date and place of marriage:*

If you are a permanent resident (green card holder), how did you obtain this status?*

Marriage

Employer

Refugee

Asylum

Diversity Visa

Not applicable (N/A)

B) NAME OF SPOUSE (if applicable):

Name of USC or LPR spouse:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nationality/Citizenship:

DOB:

Telephone No:

(Work)

Telephone No:

(Cell)

Name of Employer:

E-mail:

C: NAME OF SPONSORING US FAMILY MEMBER (or CONTACT PERSON):

PREVIOUS MARRIAGES (Immigrant/Alien):

Number of previous spouses:

1. Name of Ex-spouse:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone No:

E-mail:

Name of Employer:

Date of Marriage:

Date of Divorce:

Place of Marriage:

Nationality/Citizenship:

Foreign

US Citizen

2. Name of Ex-spouse:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone No:

E-mail:

Name of Employer:

Date of Marriage:

Date of Divorce:

Place of Marriage:

Nationality/Citizenship:

Foreign

US Citizen

3. Name of Ex-spouse:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone No:

E-mail:

Name of Employer:

Date of Marriage:

Date of Divorce:

Place of Marriage:

Nationality/Citizenship:

Foreign

US Citizen

D) PREVIOUS MARRIAGES (US CITIZEN):

1. Name of Ex-spouse:

Date of Marriage:

Date of Divorce:

Place of Marriage:

Citizenship of previous spouse:

Foreign

US Citizen

2. Name of Ex-spouse:

Date of Marriage:

Date of Divorce:

Place of Marriage:

Citizenship of previous spouse:

Foreign

US Citizen

3. Name of Ex-spouse:

Date of Marriage:

Date of Divorce:

Place of Marriage:

Citizenship of previous spouse:

Foreign

US Citizen

E) QUESTIONS FOR INTENDING IMMIGRANT:

CRIMINAL CHARGES:

Ever been cited or arrested for any offenses?*

Yes

Provide details of each charge below

Date:

Location:

Outcome:

Have you ever been charged with a DUI?*

Yes

if yes, give details below

Date:

Location:

Outcome:

Claimed to be a U.S citizen?*

Yes

Ever voted or registered to vote?*

Yes

Helped someone enter the country illegally?*

Yes

Falsified documents, like a social security card or green card?*

Yes

Ever lied to a government official?*

Yes

Ever applied for any immigration benefits or filed any applications with USCIS? If so give details.*

Ever used any state or federal benefits (SSI food stamps or Medicaid)?*

Yes

Ever met with another Immigration Lawyer? If so who and why?*

Find out why we’re one of the top immigration lawyers in Greensboro. Let us help you today!

Neelam Bhardwaj
is a member of the American Immigration
Lawyers Association

Important News for Dreamers!

Biden Administration Moves to Shore Up DACA Protections but Congress Needs to Act

Consultation Form

A) IMMIGRANT/ALIEN INFORMATION

B) NAME OF SPOUSE (if applicable):

C: NAME OF SPONSORING US FAMILY MEMBER (or CONTACT PERSON):

D) PREVIOUS MARRIAGES (US CITIZEN):

E) QUESTIONS FOR INTENDING IMMIGRANT:

Important News for Dreamers!

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