What You Need to Fill out This Form

E | S

THE LAW OFFICES OF EFFIE SOTER, PC

Immigration

Intake Questionnaire Organizer

What you need to fill out this form:

a) Any documentation concerning your status including USCIS and/or State Department letters.

b) Prior attorney work product on your case and any files/documents that will help us understand your situation.

IMMIGRATION

INTAKE QUESTIONNAIRE & ORGANIZER

Instructions: Fill out this form in its entirety. Upon completion, you may fax the form with a cover sheet with my name on it to (877) 275-9826; or you may email the form to my attention at . This is the form that I would complete at an initial consultation with you. Due to people’s complex lifestyles and varying schedules, the firm offers this as a means to make the process easier for prospective clients. You are hereby advised, that filling out this form does not create an attorney-client relationship nor does it mean that this firm will automatically represent you in your matter. Before taking on a case, I will review this form and contact you personally within 1-2 business days to discuss the immigration process and any special matters that may need to be dealt with in your particular case. Upon offering my services, I will ask that you sign a retainer for such services prior to my commencing the work.

Your Name______

Any Other Name You Have Used ______

Your Address______

Your Telephone Number______

City and Country of Birth______

Birth Date______

Passport Country, Number and Expiration Date______

I-94 Admission Number and Expiration Date______

Social Security Number______

Place and Date of Your Last Entry to the United States______

Your U.S. Visa Category and Visa Expiration Date______

Your Marital Status______

Spouse's Name______

Any Other Name Spouse Has Used______

Spouse's Address______

Spouse's Telephone and Fax Numbers______

Spouse's City and Country of Birth______

Spouse's Birth Date______

Spouse's Passport Country, Number and Expiration Date______

Spouse's I-94 Admission Number and Expiration Date______

Spouse's Social Security Number______

Spouse's Place and Date of Last Entry to the United States______

Spouse's U.S. Visa Category and Visa Expiration Date______

Names of your and your current spouse’s, former spouses and when and how the marriage was terminated:

______

Your Children: names, sex, marital status, birth date, birth country, immigration status, address:

______

Your Parents: names, birth dates, citizenship, birth country, address:

______

Your Spouse's Parents: names, birth dates, citizenship, birth country, address:

______

Your relatives who are or who have ever been U.S. citizens:

______

Name and location of your university/secondary school, dates attended, field of study, degree:

______

Your Current Occupation:

______

Your Spouse's Current Occupation

______

Each of your employers for the last five years (address, position, start and finish date):

______

Each of your addresses for the last five years, including the move-in and move-out dates:

______

All of the organizations that you and/or your spouse have belonged to:

______

Any crimes you have committed:

______

Have you ever filed immigration papers before? ______

If yes, when? ______

What was the outcome of that application? ______

Have other attorneys worked on this matter?
Yes______No______

If yes, provide names, addresses, and a brief description of their involvement:

Any additional information that you believe is important to your case should be included here:

Please specify what number to reach you at between the hours of 8:30 a.m. and5:00 p.m. ______

How did you hear about this firm? ______

If referral, please state who. ______

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