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IMMIGRATION CASE CLIENT INTAKE QUESTIONIER
IMMIGRATION CASE CLIENT INTAKE QUESTIONIER
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Name
*
First
Last
Email
*
Street Address
Apt#
City and Zip Code
Date of Birth
Social Security Number (SSN)
Place of Birth and Nationality
Your Religion and Race/Tribe
Your Passport Number
Date Issued
Place Issued
Exp Date
Your 1-94
Date of Entry
Date Visa Exp
Marital Status
Gender
Cell Phone
Home Phone
SPOUSE INFORMATION
Name
*
First
Last
Street Address
#Apt
City and Zip Code
Date of Birth
Social Security Number
Home Phone
CellPhone
Place of Birth and Nationality
Religion and Race/Tribe
Passport Number
Date Issued
Place Issued
Exp
Your 1-94
Date of Entry
Date of Visa Exp
CHILDREN INFORMATION
Name
*
First
Last
Street Address
#Apt
City & Zip Code
Date of Birth
Social Security Number (SSN)
Home Phone
Cell Phone
Religion and Tribe/Race
Place of Birth and Nationality
Passport Number
Date Issued
Place Issued
Exp
Your 1-94
Date of Entry
Date of Visa Exp
List all entries to USA
List last address where you lived before coming to USA and Dates
For the past five years, provide addresses where you have lived and dates
Provide name and addresses of all schools you have attended, type of school, and dates of attendance
Provide places of employment for the last five years and dates, title etc
Have you filed any Petition to Immigration?
and what did you file
Are you in any immigration proceeding?
if so describe
HOW CAN WE HELP YOU
PLEASE PROVIDE ADDITIONAL INFORMATION
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