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IMMIGRATION CONSULTATION FORM
The purpose of this form is to facilitate the initial consultation of a prospective client of the Law Offices of David S. Santee. Please complete and return this form at least 24 hours before your consultation appointment. We will use the information provided on this form and during the initial consultation to determine whether we can assist you with your immigration matter and to propose a fair legal fee that is based on the nature and complexity of your case and the scope of our representation. Regardless of whether you decide to retain our firm to represent you, all information provided in this form and at your initial consultation is privileged and will be kept confidential by this office.
ABOUT YOU
First Name
Middle Name
Last Namefamily name
Sex
Date of Birth(mm/dd/yyyy)
Citizenship/Nationality
A-Number
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Country of Birth
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City of Birth
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U.S. Social Security #(if any)
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CONTACT INFORMATION
Phone Number
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Phone Type
Street Address
Apt./Unit
City
State/Province
Postal Code
Country
YOUR FAMILY
Your current marital status:
Do you have a member of your family who is a United States citizen?Check all that apply
YOUR IMMIGRATION HISTORY
Date of First Entry into U.S.(mm/dd/yyyy)
Place of Entry
Date of Last Entry into U.S.(mm/dd/yyyy)
Place of Entry
Details of First Entry to U.S.(e.g., visa, visa waiver, entry without inspection)
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Describe all immigration applications you have filed in the past?(e.g., immigrant and non-immigrant petitions, work permit, asylum)
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What is your current immigration status?
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Have you ever been in removal proceedings?
Have you received a Notice to Appear for Removal Proceedings?
Have you received an Order of Removal?
What immigration issues do you want to discussCheck all that apply
Email AdvisoriesCheck the box to opt-out. You may unsubscribe at any time.
Criminal History
Have you ever been convicted of a crime?
Please provide as much detail as possible about your criminal case(s)Include jurisdiction (state, county, etc.), date of conviction, charges, docket number, sentence
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Additional CommentsPlease use this space to add any additional details that you would like to provide.
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