Client Intake/Consultation Form Fill out the form below to give us more information so we’ll be prepared for your consultation. IMPORTANT: If you have not already scheduled and paid for your consultation, please visit the scheduling page to do so prior to filling out this form. Name * First Name Last Name Email * Phone (with country code if outside U.S.) Date of birth Country of birth Country of citizenship * Marital status Single Married Divorced Other If married, country, date of birth and country of nationality of spouse: Number of children: If you have children please list name, country, date of birth and country of nationality of each child Date of last entry into the U.S. Manner of entry into U.S. * With visa Without visa Place of entry (City and State) Current immigration status * Any previous entries into the U.S.? Yes No If yes, when? If yes, how? Are you currently employed? Yes No Have you ever filed any applications with the U.S. Citizenship & Immigration Services or the Department of Labor? Yes No If yes, please specify type of application, date it was filed, & current status of application: Have you ever been in deportation proceedings? Yes No If yes, When and Where? Have you ever been arrested? * Yes No If yes, please provide details: How did you hear about us? What is the purpose of your consultation? Please agree to the following prior to submitting this form I understand that... my initial consultation with Tsui H. Yee, Esq. does not create an attorney/client relationship and that no such relationship is formed unless I actually retain Ms. Yee’s services. YES Thank you!
