212-Reason for service/Premiere

I-212 Application for Permission to Reapply for Admission/ Premiere

Welcome! Please complete the following questionnaire so we can better understand the details of your case and determine what documentation may be required. All questions in this form are required, so please answer each one as accurately and completely as possible.
Applicant's Name (Customer)

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
If there is an additional contact or family member who you would like to assist with document collection or providing other information for your case, please provide his/her name below.

First NameLast Name
Additional Contact Email Address
example@example.com
Additional Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please select your reason for needing Form I-212 (select all that apply):
Have you ever been arrested, cited, charged, or convicted of a crime?
If yes, please provide a detailed explanation of the incident, including what happened, when it occurred, and the final outcome of the case.
If available, please upload any documents which elaborate on your reason for needing Form I-212 (i.e. removal order paperwork). If a letter of recommendation is available from a consultation with Contigo Law, please also attach it here:

Cancelof
You will receive an invoice within one business day. Please select your preferred method of payment.
How did you hear about us?
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I-212 Application for Permission to Reapply for Admission/ Premiere