Plaintiff Eligibility Form
You will need your USCIS receipt to complete this form.
To save your progress and return to your responses later, scroll down to the end of this form and click the Save button. Please note that upon completing this form, you will be required to pay the $1,500 fee to join this lawsuit.
Are you a citizen of, or were you born in, one ofthe 39 countries listed in the January, 2026 USCIS Policy Memorandum?
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Yes
No
Country of Nationality / Birth
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Please Select
Afghanistan
Angola
Antigua and Barbuda
Benin
Burkina Faso
Burundi
Chad
Congo (Republic of the)
Côte d’Ivoire
Cuba
Dominica
Equatorial Guinea
Eritrea
Gabon
Gambia
Haiti
Iran
Laos
Libya
Malawi
Mali
Mauritania
Myanmar (Burma)
Niger
Nigeria
Palestinian Authority Travel Documents
Senegal
Sierra Leone
Somalia
South Sudan
Sudan
Syria
Tanzania
Togo
Tonga
Venezuela
Yemen
Zambia
Zimbabwe
Do you have a pending application at USCIS
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Yes
No
Full Name
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Email
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example@example.com
A-Number (if available)
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Phone Number
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Format: (000) 000-0000.
Current U.S. Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your age?
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Are you married?
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Yes
No
Are you the breadwinner for your family? (For example, does your family rely on your income to meet your family's basic financial needs?)
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Yes
No
Do you have children?
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Yes
No
How many
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Are you currently physically present inside the United States?
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Yes
No
How many years have you been in the U.S.
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What type of work do you perform? (e.g. nursing, teacher, driver)
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Are you at risk of losing your job as a result of the delay with processing your case?
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Yes
No
Are you a Lawful Permanent Resident?
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Yes
No
How many years have you been a Resident?
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Do you have a pending application for:
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Adjustment of Status (I-485)
Family Petition (I-130)
Employment Authorization (I-765)
Asylum (I-589)
Naturalization (N-400)
Other
Do you have a Form I-797C (Receipt Notice) showing that USCIS received your application before or during the current pause?
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Yes
No
USCIS Receipt Number:
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Date Application was filed
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Has the processing time for your specific application exceeded the "Normal Processing Time" posted on the USCIS website?
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Yes
No
Have you contacted USCIS about the processing delay of your case or submitted service requests on their website? If so, please describe your efforts.
Upload your USCIS receipt here
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Current Status of Case: (e.g. Interviewed, Pending, Vetting, etc.)
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How has the adjudication pause impacted you? (Briefly describe financial, professional or personal hardship)
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How has the adjudication pause impacted your family?
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Are you suffering from any emotional or physical conditions as a result of the delay with your case (e.g., anxiety, sleepless nights, stress, physical pain, etc.)? Describe ALL of your conditions in detail.
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Has USCIS explicitly told you—or does your online status indicate—that your case is on "hold," "under extended review," or "paused" due to recent policy changes?
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Yes
No
Are you unable to work, or has your employer threatened termination because your Work Permit (EAD) cannot be renewed due to this pause?
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Yes
No
Have you been prevented from traveling abroad for urgent family matters (e.g., illness or death of a relative) because your Advance Parole or Green Card is frozen?
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Yes
No
Is this pause preventing you from sponsoring a spouse or child who is currently outside the U.S.?
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Yes
No
Have you already completed your biometrics (fingerprints) for this pending application?
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Yes
No
Are you prepared to pay the $1,500 flat fee to join this multi-plaintiff lawsuit?
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Yes
No
Are you willing to sign a formal statement (Declaration) under penalty of perjury describing the facts of your case and the hardships you are facing?
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Yes
No
Do you understand that McBean Law, PLLC is representing you only for this federal lawsuit and is not taking over as your attorney for your underlying immigration case (unless a separate agreement is signed)?
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Yes
No
Are you aware that by joining a federal lawsuit, your name will become part of the public court record
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Yes
No
Are you a plaintiff in any other active unreasonable delay/mandamus lawsuits challenging delays related to your adjudication?
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Yes
No
Limited Scope: I understand that McBean Law’s representation is limited strictly to the federal litigation challenging the USCIS adjudication pause.
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Your Initials
Underlying Case: I understand that McBean Law, PLLC is not my attorney for my underlying USCIS application. I should not contact the firm for updates or questions regarding my underlying case unless it's for the purpose of booking a paid consultation to discuss my case
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Your Initials
Consultations: I understand that if I require legal assistance with my underlying case, I must book a separate, paid consultation with the firm to discuss a separate representation agreement.
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Your Initials
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