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Online Immigration Intake Form

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Select the county in which you handle the most cases.
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(if your agency is an organizational member, you are a member)


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If urgent and response needed within 48 hours please mark URGENT here
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If LPR or refugee, please write in since when in the comments box below. If undocumented, please write in when defendant entered the country. If previously deported, please write in whether defendant was deported by ICE or an immigration judge.
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Indicate when client obtained lawful status or came to the US or was previously deported.
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Include offense, date of conviction and sentence (including suspended time) for each conviction. Include arrests, deferred adjudications, deferred sentences, juvenile history, or other resolutions.
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If none, please write "no children" in the box below.
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