Potential Client Questionnaire

Persons seeking legal representation with our law firm may schedule a telephonic or in-person consultation. In order to do so, we request that you complete the following Immigration Consultation Questionnaire in full and send it to our office by clicking the button marked submit at the end of the form.

• If certain documents are relevant to your case, make sure to email them to This e-mail address is being protected from spambots. You need JavaScript enabled to view it or fax them to: (202) 785-3815 prior to your consultation.

The information contained in the form should be about the person who is seeking a temporary visa, permanent residence, citizenship, or any other immigration benefit.

• If you are an employer seeking to sponsor one or more employees, a separate questionnaire should be completed for each employee.
• If you are a citizen or permanent resident seeking to immigrate a relative, the information contained in the form should be about your relative.

It is important that you complete the form in its entirety.

We will follow up with you within 24 hours after you submit the questionnaire and your documents to our firm. The cost of consultation is payable by credit card (Visa, MasterCard or American Express). If you retain our firm to represent you within thirty days of your consultation, we will be happy to credit the entire consultation fee toward the cost of your case.

On the day of your consultation, please call the office at (202) 785-1960 at the time scheduled. Having a consultation with any of our attorneys does not establish an attorney-client relationship.

Occasionally, the case presented during a consultation may require additional time to fully evaluate. This may include the need for research, letters or telephone calls to accurately establish the appropriate course of action. Under certain circumstances, an additional fee may apply. Written evaluations may also be requested after the initial consultation, and are billed at a flat rate. A fee for each available immigration option, based on the facts presented, will be quoted during the consultation meeting, or shortly thereafter.

All information contained in the following Client Questionnaire will be kept Strictly Confidential and will not be released without your permission.

Consultation Questionnaire

Please fill out the following form in its entirety. Forms missing information will not be processed. Required fields are marked with an *.

Name
First: *
Last: *
Middle: *
Gender: *	Male Female
Current Address
Address #1:
Address #2:
Apt/Unit:
City:
State: *
Postal Code: *
Contact Information
E-mail: *
Home Phone: *
Work Phone:
Mobile Phone:
Personal Information
Date of Birth: *
Country of Birth: *
Country of Citizenship: *
Family Information
Marital Status: *	SingleMarriedDivorcedWidowedSeparatedCommon-LawEngaged
Immigration History
Current Status: *
Status Expires: *
Message/Questions/Comments