U.S. Immigration Document Preparation Client Intake Form

U.S. Immigration Document Preparation Client Intake Form

Service Data Request Form

U. S. Immigration Document Preparation
General Customer Information
Requester Information

First NameMiddle NameLast Name
Company Name
(Complete if Applicable)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email Address
example@example.com

Immigration History
Current Immigration Status

VisaGreen CardOther
I-94 Number (if applicable)
Date of Entry into U.S.
Prior Immigration Applications Filed (Forms & Dates)
Martial Status

SingleMarriedDivorcedWidowed

Document and Service Information
Type of Service Requested

Form I-130: Family PetitionForm I-485: Application for Permanent ResidencyForm N-400: Application for CitizenshipForm I-129F: K-1 Fiance VisaForm N-600: Application for Certificate of CitizenshipOther
Date you Document(s) required *

MonthDayYear
Date

Additional Services Required

**Please indicate if you would like any other additional services**
1. General Services

Courier-Pick Up/DeliveryScan and Email DocumentsAdditional Copies
2. Notary Services

Mobile NotaryRemote/Virtual Notary
3. Document Translation Services

StandardCertified Translation
*If any item is selected above, Please complete and attach the corresponding Notary or Document Translation Request Form*

Disclaimer & Notifications
Should be Empty: