Immigration Client Intake Form

The purpose of an initial consultation is for the attorney to advise you, the prospective client, what, if anything, may be done for you, and what the minimum fee will be. The purpose is not to render a definitive legal opinion, as it may be impossible to fully assess a matter within the time frame allotted for a consultation or with the information or documents
that you provided to the attorney at the initial consultation.

NOTE : The following questions will help us to understand the purpose of your visit today. Your responses are protected by attorney/client privilege and will be held in the strictest confidence. Please note, if you brought or sent documents to the attorney that are related to your legal matter, those documents will be scanned, with your permission, and your originals returned to you at the conclusion of the initial interview.

I. BACKGROUND INFORMATION

II. REFERRAL

III. PURPOSE FOR MEETING WITH ATTORNEY

IV. IMMIGRATION HISTORY

Please list ALL non-immigrant visas that you have ever held and provide the dates you held that status:

VISA

Date From

Date To

V. SPOUSAL INFORMATION

VI. PARENT’S INFORMATION

VII. EMPLOYMENT HISTORY

CURRENT EMPLOYER (OR EMPLOYER PETITIONING ON YOUR BEHALF) :

VIII. ALTERNATIVE CONTACT INFORMATION

If your mail is returned as undeliverable or telephone service terminated, please provide the name of someone (friend or relative) you believe will always know how to contact you and whom you authorize us to contact.

IX. PLEASE READ CAREFULLY & SIGN BELOW

If you complete this intake sheet prior to your consultation with Attorney and your legal problem(s) involves a pending deadline, response or an upcoming hearing that is due prior to your consultation with Attorney, you are strongly urged to notify Attorney of this in writing. If the Attorney cannot meet with you prior to your deadline or response, you are advised to immediately consult with another attorney to protect your legal rights.

Following your initial interview, if you agree to retain the Attorney, and the Attorney agrees to represent you, you will both sign an Agreement for Representation. The Agreement for Representation will set forth the terms and conditions of representation.

If the Attorney is willing to represent you and you decide not to sign an Agreement for Representation today, you are strongly urged to schedule a second appointment with the Attorney at the earliest possible time or to consult immediately with other legal counsel to protect your rights.

NOTICE: THIS OFFICE DOES NOT REPRESENT YOU WITH REGARD TO THE MATTERS SET FORTH BY YOU HEREIN OR DISCUSSED DURING YOUR CONSULTATION UNLESS AND UNTIL BOTH YOU AND THE ATTORNEY EXECUTE A WRITTEN RETAINER AGREEMENT FOR REPRESENTATION AND YOU.

Your signature below acknowledges ONLY that you have read and understand the contents of this Client Intake Form or that you have had the contents of this Client Intake explained to you in your native language, and that the information you put forth in this Client Intake Form is true and correct to the best of your knowledge. Your signature below DOES NOT SIGNIFY that you have retained the Attorney or that the Attorney represents you on this or any other matter(s).

If the Attorney does not agree to represent you, this includes not representing you with regard to the matter(s) set forth by you on this Client Intake Form or any other matters you may discuss with the Attorney during your consultation, you are advised to immediately consult with another attorney to protect your rights. The Attorney’s decision not to represent you should not be taken by you as an expression regarding the merits of your case.