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Online Juvenile 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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Include offense, date of adjudication and sentence (including suspended time) for each adjudication. Include arrests, deferred adjudications, deferred sentences, or other resolutions.



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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/in proceedings, please write in whether defendant was deported at the border or by an immigration judge.
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Indicate when client obtained lawful status or came to the US or was previously deported.
Check all that apply. If dependent, please note history of abuse, abandonment or neglect, and whether the youth lives in foster care or in guardianship. If victim of DV, please note whether crime was reported to law enforcement or CPS.
 
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