Parole Termination Notices Case Collection
The purpose of this form is develop a clearer picture of who is receiving parole termination notices from the government across the country. The intended audience for this form is legal service practitioners who are either working with noncitizens who have received these notices or have received such notices themselves, NOT directly impacted individuals. This form is solely for the purpose of information gathering and tracking trends for possible advocacy, and not to provide legal assistance in anyone's case. We may not be able to follow up with you about any of the details you provide in this form. Please do NOT provide ANY personally identifiable information in this form.
Name of person completing form
*
First Name
Last Name
Organization
*
Email
*
example@example.com
Date Parole Termination Notice Received
*
-
Month
-
Day
Year
Date
What kind of parole grant does the notice purport to terminate?
CHNV
CBP One
OAW Afghan
U4U
Military PIP
DACA
Central American Minors (CAM)
Non-CBP One Port of Entry Parole
Notice does not indicate the type of parole
Other
If the termination notice was for OAW or U4U parole, did this person subsequently receive an email or notice rescinding the initial termination?
Yes
No
I don't know
Please specify if the CHNV parole for:
Cuba
Haiti
Venezuela
Nicaragua
Date of Parole Grant
-
Month
-
Day
Year
Date
Location of Entry/Parole
Did the person also receive a notice dated on or about April 30, 2025 purporting to revoke their employment authorization (EAD)?
Yes
No
Unsure
If so, date of the notice revoking employment authorization:
-
Month
-
Day
Year
Date
Is the person who received this notice a legal practitioner or a form preparer?
Yes
No
Is the person who received this notice:
A US citizen
A noncitizen
Is the person who received this notice under the age of 18?
Yes
No
Unsure
Country of Birth:
Current immigration status? (Please check all that apply)
Parole ONLY
Lawful Permanent Resident/Green Card Holder
Refugee
TPS
Asylum (Granted, not Pending)
DACA
Other
Country and Date of TPS:
Does this person have any pending application(s) for relief? (Please check all the apply)
Asylum
TPS
U/T/VAWA Visa
I-130
Special Immigrant Juvenile
Adjustment of Status
Other
Is this person currently in removal proceedings (with a Notice to Appear)?
Yes
No
Unsure
Next hearing date:
-
Month
-
Day
Year
Date
Is this hearing a Master Calendar or an Individual?
Master Calendar
Individual
Unsure
Does this person have a prior removal order?
Yes
No
Unsure
Has this person been subjected to Expedited Removal?
Yes
No
Country and Date of TPS Applied for:
Please describe what the notice says but do NOT include any personal information (like an A#)
Please verify that you are human
*
Submit
Should be Empty: