Thank you so much for contacting our immigration firm! Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation.

All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.

Your personal information will only be used in the event that you hire the firm to represent you in your immigration matter, and then only when necessary in limited use during the course of your case.

Personal information is most often used to positively identify parties. Immigration authorities may require personal information for various purposes. Some examples of how this information may be used include:

Initial service
In required immigration documents and applications
In correspondence with immigration authorities

If you have any questions, please don't hesitate to contact our immigration firm. We look forward to working with you!

Contact information: Contact 1

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Last name *

Date of birth

Company

Emails

Address *

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Upon submission, a copy of this form will be sent to the primary email.

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Contact information: Contact 2

Prefix

First name *

Middle name

Last name *

Date of birth

Company

Emails

Address *

Type

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

THANK YOU

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

Please click the SUBMIT button below when you have finished answering all questions.

Contact information: Contact 1

Passport Nationality: Contact 1

Preferred Contact Method

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How were you referred to our immigration firm?

If our immigration firm ends up representing you in this matter, will you be the person who pays the legal fees?

Contact information: Contact 2

Passport Nationality: Contact 2 (Other Parent)

ACKNOWLEDGEMENT AND ACCEPTANCE

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