Immigration Client Intake Form

I. BACKGROUND INFORMATION

II. REFERRAL

III. PURPOSE FOR MEETING WITH ATTORNEY

IV. IMMIGRATION HISTORY

V. SPOUSAL INFORMATION

VI. CHILDREN’S INFORMATION

VII. PARENT’S INFORMATION

VIII. EMPLOYMENT HISTORY

IX. ALTERNATIVE CONTACT INFORMATION

X. 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.