Contact Information

Your Name:  

Your E-mail:  

Analysis of the Immigration Consequences
of Specific Offenses

Age of Defendant:  

Please Select One:

Juvenile Court   Adult Court  

Current immigration hold/detainer?

Yes   No  

Country of birth/citizenship:  

Current charges with statutory cites:

Possible pleas (including alternate charges and sentences):

Priors (include sentences and out-of-state offenses):

Immigration status:

Lawful permanent resident (LPR)
Applying for LPR status
Work authorization
Parole
Applying for asylum
Granted asylum
Student visa
Tourist visa
Undocumented

If lawful permanent resident, date obtained LPR status:

Date last entered United States:

Immigration status of Mother:

If U.S. citizen, date naturalized:  

Immigration status of Father:

If U.S. citizen, date naturalized:  

Date by which immigration analysis is needed (MM/DD/YY):  

Additional Information: