( * indicates required field)
1. What state and county is your legal issue in?*
3. How will you pay for legal services if you decide to hire a lawyer?*
(check all that apply)
4. Where are you, or the person seeking visa, currently?*
6. What is your personal information?
Number of children
7.What is the reason for deportation?
8. Have you spoken to a lawyer regarding this matter?
10. Please provide any additional relevant information here. Do not disclose any information you wish to remain confidential.*