Information about you - The U.S. Petitioner

Name*

Date of birth:*

Phone number*

Email*

Current address*

Street Address City State / Province / Region ZIP / Postal Code Country

When and how did you meet your fianc(é)e?*

Have you met your fianc(é)e in person within the last 2 years?*

Yes
No

What is your marital status*

Single
Divorced
Annulled Marriage
Widowed

Have you ever filed another fianc(é)e application in the past?*

Yes
No

Have you ever been arrested, received a ticket, or in jail for any reason? If yes, briefly state what, where, when did it happened and the outcome?*

Information about your fianc(é)e

Name*

Date of birth:*

Town, State, and Country of Birth:*

Country of residence*

Has your fianc(é)e ever been in the United States?*

Yes
No

Please provide your fianc(é)e's children's information (if any)

Name	Age	Country of birth	Country of Residence	Legal Status

Has your fiancé/fiancée ever had any problems with the law (inside or outside the United Sates)?*

yes
no

Has your fianc(é)e ever been deported from any other country?*

Yes
No

How did you hear about our office/attorney?*

Consent

I agree to the privacy policy.

PLEASE READ CAREFULLY

If the reason for your consultation appointment involves a deadline or you have an upcoming hearing, you are strongly encouraged to notify the Attorney of this in writing either by mail or email. If the Attorney cannot meet with you prior to your deadline or hearing, you should immediately consult with another attorney to protect your legal rights.

Following your consultation appointment, if you agree to retain the Attorney and the Attorney agrees to represent you, you will both sign an Agreement for Representation. The Agreement for Representation will set forth the terms and conditions of representation and the office legal fees for your particular matter.

We have the right to refuse our services to anyone. If the Attorney does not agree to represent you, you are advised to immediately consult with another attorney to protect your legal rights. This decision should not be taken as an expression regarding the merits of your case but only to the Attorney’s opinion on the case based on her experience in Immigration Law.

With your signature below you acknowledge that you have read and understand the contents of this Client Intake Form and/or that you have had the contents of this Intake explained to you in your native language. The information provided herein is true and correct to the best of your knowledge. In addition, you must provide any and all immigration/Criminal records (USCIS receipt notices, Request for Evidence letter, Visa Stamp, Passport Biographic page, etc) for the attorney’s review along with the submission of your Client Intake Form prior to your appointment to avoid any cancellations or rescheduling.

PLEASE NOTE: THIS OFFICE DOES NOT REPRESENT YOU WITH REGARD TO THE MATTERS SET FORTH HEREIN OR DISCUSSED DURING YOUR CONSULTATION APPOINTMENT UNLESS AND UNTIL BOTH YOU AND THE ATTORNEY EXECUTE A WRITTEN RETAINER AGREEMENT FOR REPRESENTATION. HOWEVER, YOUR DISCUSSION WILL STILL BE PROTECTED UNDER THE ATTORNEY-CLIENT PRIVILEGE AND WE WILL NOT DISCLOSE YOUR PERSONAL INFORMATION TO ANY THIRD PARTIES WITHOUT YOUR CONSENT OR TO IMMIGRATION OFFICIALS.
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Fiancée Visa Intake

CONSULTATION - Fiancé(e)

Information about you - The U.S. Petitioner

Information about your fianc(é)e