Immigration Intake Form Template
A free immigration intake form for immigration attorneys. Potential clients share their status, goals and deadlines, and lead mode flags urgent cases.
Customize the pages and design to fit your needs.
About this template
Collect each inquiry's country of citizenship, current status, the help they need and any court date, interview or deadline, with uploads for notices. Lead mode marks cases with a near deadline or a detained family member as hot leads.
Common uses
- Immigration law firms
- Visa, green card and asylum inquiries
- Preferred language for every caller
Key features
- Status, goals and deadlines
- Notice uploads
- Hot lead tagging for urgent cases
What this template asks
What's your full name?
Short Text
What's your email address?
Email
What's your phone number?
Phone
Which language do you prefer to speak in?
Select · English, Spanish, Chinese, Hindi, Arabic, Another language
What's your country of citizenship?
Short Text
Where are you right now?
Single Choice · In the US, Outside the US
What's your current immigration status?
Single Choice · US visa holder, Green card holder, Pending application, No current status, Not sure
What do you need help with?
Multiple Choice · Family visa or green card, Citizenship, Work visa, Asylum, Removal or deportation defense, DACA or TPS, Something else
Do you have a court date, interview or deadline coming up?
Single Choice · Yes, within 30 days, Yes, more than 30 days away, No
Is anyone in your family detained right now?
Yes / No
Do you already have an immigration lawyer?
Yes / No
Briefly describe your situation
Long Text
Upload any notices or letters you received
File · Optional
When is the best time to call you?
Single Choice · Morning, Afternoon, Evening
How to use this template
Copy it
Select Use template and a copy opens in your workspace as an unpublished draft.
Make it yours
Edit any question or answer, choose a theme, and add your logo.
Share it
Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.
Frequently asked questions
Who is this immigration intake form for?
Immigration attorneys and firms who take inquiries about visas, green cards, citizenship, asylum and removal defense from their website or social media.
Which cases does lead mode flag as urgent?
Cases with a court date, interview or deadline coming up and cases where a family member is detained come through as hot leads, so your team calls them first.
Can I offer the form in Spanish?
Yes. Make a copy of the form, translate the questions, and share each version with its own link.