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SPONSOR OR PETITIONER INTAKE FORM:  Once your Initial Consultation is scheduled, please complete and submit the form below if you are a US Citizen or Lawful Permanent Resident. Be sure to do this in advance of your appointment time. The more information you provide, the better we will be able analyze the facts of your case and provide the best advice possible.  All the information you supply us will be kept STRICTLY CONFIDENTIAL and is protected by ATTORNEY-CLIENT PRIVILEGE.

CONTACT INFORMATION: Please provide the following contact information:

First Name*
Middle Name
Last Name*
Maiden Name
Title
Organization
Street Address*
Address (cont.)
City*
State/Province*
Zip/Postal Code*
Home Phone
Cell Phone
Work Phone
E-mail*

REFERRAL SOURCE: How were you referred to Glinsmann Immigration Lawyers? (choose one)

IDENTIFICATION: Please identify and describe yourself:

Date of Birth
Sex Male Female

MARITAL STATUS: Choose one of the following options:

CITIZENSHIP: Identify Your Country (Countries) of Citizenship

CHILDREN: How many children do you have, if any? (include natural, adopted and stepchildren)

CHILDREN: Choose one of the following options:

STATUS: Which status best describes your last entry to the United States?


ALIEN REGISTRATION NUMBER

SELECTIVE SERVICE: The following best describes me:

INCOME TAX RETURNS: Choose one of the following options:

INCOME TAX PAYMENTS: Choose one of the following options:

* DESCRIPTION OF MY CASE: Describe your case and list any questions you would like answered during the initial consultation:

 

   
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Revised: 04/09/11