Baltimore, Maryland, and Washington, D.C. Metro Area Immigration Lawyers - Members of the American Immigration Lawyers Association

Immigration Information Form

Please tell us how we can help. Answer each item as completely as possible so we have all the information we need to assist you. We will respond to you promptly. All responses are protected under attorney-client privilege.

First Name:
Last Name:
Address:
City:
State:	Select a State Other Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Phone:
E-mail:
Citizen of what country?
Country of birth?
Date of birth?	Month/Day/Year
Current Visa status: Type	(B1, H-1B, F-1, etc.)
Date of expiration on I-94	Month/Day/Year
A number (if any): A	(9 digits)
Date and Place last entered U.S.
City
State	Select a State Other Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Date	Month/Day/Year
How did you enter?	Visa in your own name
	Fraudulent document
	Illegal entry
	Visa waiver
Have you EVER spent any time in U.S. out of status or without authorization?
	Yes No
Have you ever been in removal or deportation proceedings?
	Yes No
If so, what happened?
Do you have any removal hearing scheduled?
	Yes - Date Month/Day/Year
	No
Do you have an employment authorization?
	Yes - Date it expires? Month/Day/Year
	No
Has anyone ever filed a visa petition or labor certification on your behalf?
	Yes No
FAMILY INFORMATION
	Spouse Fiance Parent Child
First Name:
Last Name:
Citizen of what country?
Country of birth?
Date of birth?	Month/Day/Year
Current Visa status: Type	(B1, H-1B, F-1, etc.)
Date of expiration on I-94	Month/Day/Year
A number (if any): A	(9 digits)
Date and Place last entered U.S.
City
State	Select a State Other Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Date	Month/Day/Year
How did you find out about our firm?	Select an Option usimmigrationlawyers.com FindLaw.com Lawyers.com Lawyerslistings.com Google Search Yellow Book Other
Other Questions or Comments: