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30. Briefly describe the nature of the immigration problem and type of legal assistance required (i.e.
want working visa, deportation defense, family petition, previously denied a visa, appeal etc.):
NOTE: PLEASE DO NOT LEAVE THIS ITEM UNANSWERED.
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No attorney-client relationship shall exist between client and this office by virtue of this questionnaire or consultation, unless
and until client formally retains our services pursuant to a written retainer agreement, signed by us, and client pays any
applicable attorney fees and costs for such services. There may be deadlines, due dates, court hearings, interview dates, etc., in
connection with the case. However, this consultation and/or your submitting this questionnaire does not obligate our office to
represent client, make any appearances, file any documents, or provide any legal services on client’s behalf. No prediction,
warranty, or guarantee can be made on the outcome of your case. Our advice during the consultation constitutes our opinion
concerning the merits or chances with respect to your case. Client is certainly free to seek a second opinion from another
attorney concerning his\her case and outcome.
PHONE CONSULTATIONS: Please EMAIL completed questionnaires to consult@gurfinkel.com. If sending by MAIL,
client or representative should sign the Intake and send directly to our main office at 219 North Brand Boulevard, Glendale,
CA 91203, and not to branch offices. If located in the Philippines, mail the questionnaire to our Makati office. Please only
send COPIES of documents, NOT ORIGINALS, as they will not be returned.
IN-PERSON CONSULTATIONS: Please bring completed questionnaire and COPIES of documents with you, especially
denials, approvals, filing with DHS that you are consulting about. Please sign before submitting the questionnaire. Do not
mail to our office.
One of our attorneys will contact you in connection with your consultation. Even though it might not be Attorney Gurfinkel, he
still oversees and supervises all cases and case strateg
y.
DATE CLIENT’S (or Representative’s) PRINT CLIENT’S
SIGNATURE (or Representative’s) FULL NAME
*Once this box is checked, you can no longer make changes.
By checking (or clicking) this box, you certify that the answers you furnished on this form are true and correct to the best
of your knowledge and belief. You understand that any false or misleading statements may result in the permanent refusal
of a visa, or denial of entry into the United States. Clicking this box shall constitute your "online signature."
S:\Reception\Forms\Intake-questionnaire Revised 5/27/2021 /cp