Colavecchio & Colavecchio

Immigration Intake Form

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Please click the link below for our new client form. Fill this out before coming into the office to save some time.

- Today’s Date
  MM slash DD slash YYYY
Name
- (First)
- (Middle)
- (Last)
Nickname/ Maiden Name
Address
City
State
Zip
Phone Numbers
- Cell
- Other
E-mail Address
- Social Security Number
- Date of Birth
- Town or City of Birth
- Country of Birth
- Marital Status
- Spouse’s Name
This field is hidden when viewing the form
Have you or your spouse ever been in divorce proceedings?
Is your spouse a U.S. Citizen or a Permanent Resident (Green Card Holder)?
Number of Children for both you and your spouse
Date and place of your entry to the United States
Current immigration status
Are you currently or have you ever been deported, removed or detained by I.C.E.?
Have you EVER overstayed a U.S. Visa?
Have you ever filed for any immigration benefit?
Have you had, or do you currently have DACA?
Have you ever had a J1 visa?
Have you ever been refused or denied a U.S. visa or entry into the U.S.?
Have you ever claimed to be a U.S. citizen OR registered to vote in the U.S.?
How were you referred to our office?
Reason you are here today
Have you ever been the victim of a crime in the United States? If so, what crime?
Are you or your U.S. Citizen Spouse/Child/Parent a member of the U.S. military or a U.S. military veteran?
Have you ever come into contact with or been stopped by law enforcement? (Police, I.C.E., Border Patrol, Sheriffs, etc.)
If yes, were you arrested, charged, or given a ticket/citation?
PRIOR CRIMINAL HISTORY
- Month/Year
- County/ State
- Charged With
- Outcome of Case
- Are you currently on probation or parole?
- County/ State
Are there pending charges against you anywhere at this time?
How were you referred to our office?
Reason you are here today
I acknowledge that the information I have provided on this form is correct and true. I also acknowledge that if I hire Christopher Colavecchio, immigration attorney, I will likely have to pay filing fees for my case which do not go The Law Offices of Colavecchio & Colavecchio, PLLC. These filing fees will be paid in addition to the attorney’s fees to USCIS, U.S. Department of Homeland Security, National Visa Center, or another office, and will be made in the form of a check, cashier’s check, or money order, which will be given to The Law Offices of Colavecchio & Colavecchio, PLLC, to be submitted with my immigration paperwork.
- Signature
- Date
  MM slash DD slash YYYY
- Attorney’s Notes:
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11439

Colavecchio & Colavecchio

Immigration Intake Form

Book Your Consultation

We are Proud Members of the Following

Name

Phone Numbers

PRIOR CRIMINAL HISTORY

Month/Year

County/ State

Charged With

Outcome of Case