# 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.

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.

Canonical: https://reuily.com/templates/immigration-intake-form
Use this template: https://reuily.com/form/from-template/immigration-intake-form
Collections: Marketing & Sales, Requests & Intake, Professional Services, Legal
Last updated: 2026-10-24

## Questions

- Question 1: What's your full name? (Short Text, required)
- Question 2: What's your email address? (Email, required)
- Question 3: What's your phone number? (Phone, required)
- Question 4: Which language do you prefer to speak in? (Select, required). Options: English; Spanish; Chinese; Hindi; Arabic; Another language
- Question 5: What's your country of citizenship? (Short Text, required)
- Question 6: Where are you right now? (Single Choice, required). Options: In the US; Outside the US
- Question 7: What's your current immigration status? (Single Choice, required). Options: US visa holder; Green card holder; Pending application; No current status; Not sure
- Question 8: What do you need help with? (Multiple Choice, required). Options: Family visa or green card; Citizenship; Work visa; Asylum; Removal or deportation defense; DACA or TPS; Something else
- Question 9: Do you have a court date, interview or deadline coming up? (Single Choice, required). Options: Yes, within 30 days; Yes, more than 30 days away; No
- Question 10: Is anyone in your family detained right now? (Yes / No, required)
- Question 11: Do you already have an immigration lawyer? (Yes / No, required)
- Question 12: Briefly describe your situation (Long Text, required)
- Question 13: Upload any notices or letters you received (File, optional)
- Question 14: When is the best time to call you? (Single Choice, required). Options: Morning; Afternoon; Evening

## 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

## 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.