Immigration Page 2

A. J. Balbo, Esq.
Chester J. Gregg, Esq.

Office Location:
9964 Ford Avenue
Richmond Hill, GA 31324
Map

Mailing Address:
PO Box 1297
Richmond Hill, GA 31324

IMMIGRATION CONSULTATION QUESTIONNAIRE

By completing the form below, you are expressing an intent to hire the law firm of Balbo and Gregg, P.C. for the purpose of answering your question, providing legal advice, and/or offering other guidance given your particular set of facts and circumstances. Since Balbo and Gregg, P.C. prohibits the giving of legal advice to any person not a client of the firm, the firm charges a consultation fee for immigration and immigration-related matters.

Consultations can be scheduled at the law firm or over the phone.

All information submitted to the law firm in this form shall remain confidential.

**IF YOU HAVE A SPECIFIC QUESTION OR A PARTICULAR ISSUE IN MIND, PLEASE GO TO THE LAST QUESTION (#11) TO ENTER YOUR FACTS AND/OR REQUEST.

(1) Name, contact number, and email, if available:
(2) Please give a list of the dates of all previous entries to the USA and state whether each involved inspection at the border or an illegal border crossing. Note: Using a fake visa, green card, or travel document is to enter "without inspection".
(3) If you last entered the USA illegally and without border inspection, please give the date (mo/day/yr.) of the entry and any other information.
(4) If you last entered the USA legally and with inspection, please give the mo/day/yr. of the entry.
(5) What type of visa did you last use to enter the USA? (tourist, student, work, etc.) If you currently have more than one visa, please explain.
(6) If you were issued a white ticket (Form I-94) upon your last arrival, what is the expiration date on it (mo/day/yr.)?
(7) Have you ever been charged or arrested for the commission of any crime? Even if the charges were dismissed, please discuss the charge, year of occurrence, and state in which the occurrence took place.
(8) Have you ever been married to a USA citizen, or had children in the USA? Explain, and give dates and ages.
(9) Have you ever remained in the USA on an expired visa, or after the expiration of your permitted stay? If so, for how long? Explain.
(10) Did you and your child enter the USA without inspection and is your child currently under the age of 18? If so, please explain.
**(11) Additional questions, goals, or comments you wish considered.