Immigration Case Evaluation Form

Please fill out the form below to set up a free consultation with a New York Immigration Attorney who can explain your rights and options before your actions make your case more difficult.

 

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Contact Information
*First Name:
*Last Name:
City:
State:	Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware 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:
*Day Phone:
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Details of Your Immigraiton Case
Has your case been denied by USCIS?	Yes   No
Are you in Removal/Deportation proceedings now?	Yes   No
What are you looking to achieve?	Please Select Become a U.S. Citizen Obtain a Work Visa Become a Legal Permanent Resident Change Immigration Status Tourist Visa Fiance'/ Marriage Visa Student Visa Visa Extension Greencard Expiration Fight Deportation Bring a Family Member to the U.S.
Are you submitting this request because of an inquiry from the Immigration Office?	Yes   No
If yes, please provide more details:
Have you ever applied for a Visa?	Please Select No Yes — Granted Yes — Denied Yes — Granted, but expired
Have you ever applied for a Change of Status?	Please Select No Yes — Granted Yes — Denied Yes — Granted, but expired
How do you plan on paying your legal representation? *	Please Select Borrowing (credit card, personal loan) Personal Savings Family Support Current Income Other (please describe) I cannot afford legal fees
Are you interested in financing your legal fees?	Yes   No
Are you already represented by an attorney? *	Yes   No

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