If you are undocumented, have DACA or TPS, the first step to taking control of your future is finding out about your options. The Immigration Law Intake Service is a free, anonymous and personalized online service staffed by legal service professionals that helps you learn about your immigration options.

Immigration Legal Intake Service

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Disclaimer


Immigrants Rising, which was formerly known as Educators for Fair Consideration (E4FC), and is a fiscally sponsored project of Community Initiatives (CI), was granted Department of Justice (DOJ) recognition by the U.S. Department of Justice under the name Community Initiatives - Immigrants Rising (CI-Immigrants Rising). Although CI-Immigrants Rising (also doing business as "Immigrants Rising") has the authority to assist undocumented individuals before the Department of Homeland Security, we do not currently provide direct representation or legal advice.


Each intake is reviewed by a U.S. licensed immigration attorney or Department of Justice (DOJ) Accredited Representative. Your consultation with us is meant to collect basic information about your situation to allow us to provide relevant informational material about legal rights and processes that may be applicable to you. We cannot take you on as a client. We cannot advise you of any deadlines or tell you the best course of action to take or not take in any legal case.


This intake service is not designed for urgent or emergency inquiries. If you require immediate attention you can find a non-profit legal service provider using www.immigrationlawhelp.org.


Immigrants Rising will make every effort to keep your private information confidential. We will not disclose any information about you unless we are legally required to do so. Immigrants Rising is not a law firm and has no attorney-client relationship with you, so our communications with you are not protected by the attorney-client privilege.


We value the security of our users and we take precautionary steps to keep the information you provide to us safe. The platforms we use to collect and store information, such as Salesforce NPSP, Form Assembly, and Box, have native encryption capabilities both "at rest" and "in transit." These services are ISO 27001 certified, which is the global standard for information security management.

By selecting "Next Page," you agree that you have read and understood the disclaimer described above.


General Information

We use this information to contact you and help provide you with resources and
legal services we know about that are available to undocumented young
people in your area. 

Please use an alias instead of your real name. Pick a fun nickname (i.e. Obi-Wan, SpongeBob.) However, please choose an alias that you will remember because we will use that name in all of our communication with you.


Please use an alias instead of your real name. Pick a fun nickname (i.e. Kenobi, Squarepants.) However, please choose an alias that you will remember because we will use that name in all of our communication with you


We will use this email to contact you if we need further information and/or send you the results of our analysis. Due to the sensitivity of this information, please provide a valid and permanent personal email address where we can send you PRIVATE messages.


Please provide a phone number so we can contact you if we need further information and/or to notify you we have completed our analysis. A PRIVATE cell phone number would be ideal so we can text messages meant only for you.





Please provide the country where you were born (do not list the United States)


MM/DD/YYYY


Your Experience with Legal Assistance











Temporary Protected Status (TPS) and Deferred Action for Childhood Arrivals (DACA) 





Please use the format: MM/DD/YYYY.

MM/DD/YYYY. This date can be found on the I-­797, Notice of Action form that was sent to you or on your most recent work authorization card (work permit). If you don't remember, please enter the date as you best remember.

Example: December 15, 2012-December 14, 2014 AND December 10, 2014-December 9, 2016. Put N/A if this question does not apply to you. If you have specific questions regarding DACA, please write them on the "Any questions you would like us to address?" section at the end of the intake.


max: 200 words
DACA Expiration Length

Page 7

Entries and Exits

Please enter date as you best remember. Use the format MM/DD/YYYY





VISA Type 


The length of visa validity may be different from the 'authorized duration of stay' period. For example, you may have overstayed your short 30-day 'duration of stay' in 2014, even though your B-2 Tourist Visa is valid for 10 years and in your passport does not appear to expire until 2024. Look at your passport to find your 'duration of stay' stamp. More information at: http://travel.state.gov/content/visas/en/general/visa ­expiration­date.html. (Mark N/A if this does not apply to you or if you are not sure.)

Travel outside the United States



VISA Type 


The length of visa validity may be different from the 'authorized duration of stay' period. For example, you may have overstayed your short 30-day 'duration of stay' in 2014, even though your B-2 Tourist Visa is valid for 10 years and in your passport does not appear to expire until 2024. Look at your passport to find your 'duration of stay' stamp. More information at: http://travel.state.gov/content/visas/en/general/visa ­expiration­date.html. (Mark N/A if this does not apply to you or if you are not sure.)

Family and Significant Others

We use this section to help determine whether your family member might be able to file a petition (immigration application) for you or whether you might be eligible as a derivative on another petition. If these questions make you uncomfortable or you do not wish to disclose this information, you may select "choose not to state" but know that it might change our analysis.
What is the immigration status of your PARENTS?
Please answer for each of your parents. Note: A Lawful Permanent Resident (LPR) is someone who has a green card and has permission to live indefinitely in the U.S. but they are NOT YET a U.S. Citizen

Examples for other would be: legally-adopted parent, informally adopted parent (no court-order), aunt, uncle, grandparent, sibling, family friend, etc.


Other legal statuses could include: Temporary Protected Status (TPS), U-Visa pending petition, etc.


Examples for other would be: legally-adopted parent, informally adopted parent (no court-order), aunt, uncle, grandparent, sibling, family friend, etc.


Other legal statuses could include: Temporary Protected Status (TPS), U-Visa pending petition, etc.


Examples for other would be: legally-adopted parent, informally adopted parent (no court-order), aunt, uncle, grandparent, sibling, family friend, etc.


Other legal statuses could include: Temporary Protected Status (TPS), U-Visa pending petition, etc.


Examples for other would be: legally-adopted parent, informally adopted parent (no court-order), aunt, uncle, grandparent, sibling, family friend, etc.


Other legal statuses could include: Temporary Protected Status (TPS), U-Visa pending petition, etc.


Children






Siblings






Significant Others






LGBTQ


Education and Career








If your intended major/focus of study is not in this list, choose the one that best resembles yours

Previous Immigration Application

Please do research before answering the following questions (talk with your parents, grandparents, aunt/uncle, and review old immigration papers). It can be essential to know the exact date and/or receipt number of an old application. Sometimes a receipt number and filing date can be helpful even if the old case was denied. 


Example: This could be your spouse, grandparent, aunt or uncle, sibling, or your adult child. Please make a special note if you think that the application was under an immigration law called "245(i)" or "LIFE Act" or the "Bracero program." You can tell us if you know for sure or if you aren't sure under the “Additional Information” section below.

Please select one. If there have been multiple application filed, there will be space below where you can add information about the other applications.



This date, also known as the Priority Date, can be found on the approval form (i.e I-797) that USCIS (formerly known as INS) sends out when an application is filed. If you can't remember the exact date, you can give us an approximate date. (50 word limit.)

The principal beneficiary is the person whose name appears on all forms sent by USCIS (formerly known as INS) when an application is filed

Usually USCIS or INS sends a confirmation receipt notifying receiving the application

The 13-­character application receipt number can be found on application notices you have received from United States Citizenship & Immigration Services (formerly known as Immigration and Naturalization Services). It begins with three letters such as (EAC, WAC, LIN, or SRC).


Example: I had a different application also filed by my mother’s sister on May 30, 2001 and the receipt number is EAC-111-2222. The application is currently pending.

Screening for Humanitarian-Based Immigration Remedies

The following information may be sensitive. We use the answers to these questions to determine whether to send you important information about certain humanitarian-­based immigration remedies which may be of interest to you. We do not share personal information with anyone outside of E4FC's Legal Services Team. There is a section later in this intake form under "Additional Information" where you may request that your intake form be seen by or excluded from a specific person on the E4FC Legal Services Team or provide any other additional requests about how your sensitive information is handled. Please Note: Our Immigration Attorney and Legal Services Coordinator review all intake submissions.

Examples of serious crimes include: abduction, abusive sexual contact, blackmail, domestic violence, dating violence, stalking, extortion, false imprisonment, female genital mutilation, felonious assault, hostage, incest, involuntary servitude, kidnapping, manslaughter, murder, obstruction of justice, peonage, perjury, prostitution, rape, sexual assault, sexual exploitation, slave trade, torture, trafficking, witness tampering, unlawful criminal restraint, etc.

Examples of serious crimes include: abduction, abusive sexual contact, blackmail, domestic violence, dating violence, stalking, extortion, false imprisonment, female genital mutilation, felonious assault, hostage, incest, involuntary servitude, kidnapping, manslaughter, murder, obstruction of justice, peonage, perjury, prostitution, rape, sexual assault, sexual exploitation, slave trade, torture, trafficking, witness tampering, unlawful criminal restraint, etc.



Examples of the “abandoned, abused or neglected” include, but are not limited to: a child whose parents are deceased and whose adult sibling or other relative is caring for her; a child who experienced domestic violence in the home and who is living with an extended relative or family friend; a child who was abandoned by his parents and who now lives in a foster home; a child who was abused by one parent and who is living safely with the other parent or another family member.


Did you live with someone IN ADDITION or INSTEAD OF your parents?

Juvenile judges hear cases where either the child has been accused of a crime or the parent/ guardian has been accused of not properly caring for the child.

Juvenile judges hear cases where either the child has been accused of a crime or the parent/ guardian has been accused of not properly caring for the child


For example, “I experienced abandonment by my biological mother when I was 6 years old….”

T-Visa Screening





Contact with Customs & Border Patrol (CBP) or Immigration & Customs Enforcement (ICE)

If you have a pending immigration deportation case or upcoming hearing and do not have an immigration attorney representing you, visit www.immigrationlawhelp.org or www.AILAlawyer.com to find one. You should also find legal help before applying for any future immigration benefit if you were ever deported or detained by ICE or CBP. E4FC does NOT provide legal representation and our services are not intended for emergency situations and you may not receive a response from us for several weeks.






Removal/Deportations





Skip this question if it does not apply to you.

Skip this question if it does not apply to you

Criminal Background




A juvenile delinquency court is where a person is charged as a minor for some offense, or had to spend time in juvenile hall, or be on juvenile probation

A felony is a federal, state or local criminal offense where a person could be sentenced to 366 days or more of imprisonment, even if you received a shorter sentence, or the sentence was suspended by a judge.

A misdemeanor is a federal, state or local criminal offense where a person could be sentenced to between 6 and 365 days or less of imprisonment, even if they got a shorter sentence, or the sentence was suspended by a judge.

Feedback












Remember, it may take us a few weeks to process depending on our capacity.

You’re not done yet! Please press "SUBMIT."

Please press ‘SUBMIT’ below to finish your intake. Our Immigration Law Services Team (legalintake@immigrantsrising.org) will notify you via email when we have begun processing your intake and may contact you if we have any questions.


When we have completed our review, we will email you from legalintake@immigrantsrising.org and send a text from our phone number (415) 787-3432. Please note that our email may appear to come to you via a salesforce.com email address.


If you have further questions about the Immigration Law Intake Service, feel free to contact us at: legalintake@immigrantsrising.org.


Immigrants Rising, Immigration Law Services Team