Only first name, last name and email address are required for this firm intake. You may leave any other question unanswered for attorney review.
Do you have a communicable disease of public health significance? Select an answer Yes No Not sure
Do you have documentation of vaccinations required by US immigration law? Select an answer Yes No Not sure
Do you have a physical or mental disorder associated with harmful behavior? Select an answer Yes No Not sure
Are you or have you been a drug abuser or addict? Select an answer Yes No Not sure
Have you ever been arrested, charged or convicted anywhere in the world? Select an answer Yes No Not sure
Explain all arrests, charges, cases, dispositions and sentences
Have you violated any controlled substance law? Select an answer Yes No Not sure
Have you engaged in prostitution or commercialized vice as described by DS-260? Select an answer Yes No Not sure
Have you engaged in money laundering or related offenses? Select an answer Yes No Not sure
Have you engaged in trafficking in persons or related conduct? Select an answer Yes No Not sure
Have you engaged in or supported terrorism or listed terrorist organizations? Select an answer Yes No Not sure
Have you engaged in espionage, sabotage, export-control violations or unlawful activity? Select an answer Yes No Not sure
Have you participated in torture, genocide, persecution or extrajudicial killing? Select an answer Yes No Not sure
Have you recruited or used child soldiers? Select an answer Yes No Not sure
Have you participated in armed groups, militias or paramilitary activities? Select an answer Yes No Not sure
Have you received weapons training or handled weapons used against people? Select an answer Yes No Not sure
Additional health, criminal or national security explanations