Deportation Defense Client Questionnaire
Personal Information
Full Name
Date of Birth
A-Number
Country of Origin
Address
Phone Number
Email
Immigration History
Date of Arrival in the U.S.
Place of Entry
Status Upon Entry
Previous Visas or Status in the U.S.
Removal Proceedings
Court Location
Next Hearing Date
Reason for Removal Proceedings
Family Information
Marital Status
Single
Married
Divorced
Widowed
Children (names, ages, status)
Relatives in the U.S. and Their Status
Criminal History
Any Arrests, Charges, or Convictions
Other Information
Do you fear returning to your country? If yes, please explain.
Other Issues Affecting Your Case