Immigration Intake Form - Nashville Immigration Attorney | Criminal Law

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
Who else lives at address listed above, including their ages?
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
Have you or your spouse ever been in divorce proceedings?
Is your spouse a U.S. Citizen or a Permanent Resident (Green Card Holder)?
Date and place of your entry to the United States
Current immigration status
Do you have any family members that are U.S. Citizens or Permanent Residents? If so, please list their names and relationship to you.
Have you ever been deported or detained by I.C.E.?
Medical Conditions/ Problems with your family members, including spouse, children, or anyone that lives in your home
Have you ever filed for any immigration benefit?
If yes, what is your Alien Number?
Have you or your spouse ever applied for public/government benefits in the United States, including local, state, or federal benefits? If so, which benefit(s)?
Have you ever been the victim of a crime? If so, what crime?
Have you ever come into contact withor 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?
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

Name

Phone Numbers

PRIOR CRIMINAL HISTORY

Month/Year

County/ State

Charged With

Outcome of Case