I-130 Intake Form

Petition for Alien Relative

Please complete this intake form to help us prepare your I-130 petition. All information is confidential.

Full Legal Name *

Date of Birth

Place of Birth (City, Country)

Social Security Number

A-Number (if applicable)

Immigration Status *

U.S. Citizen

Lawful Permanent Resident (Green Card Holder)

Current Address

Street Address

Apt/Unit #

City

State

ZIP Code

Phone Number *

Email Address *

Full Legal Name *

Date of Birth

Place of Birth (City, Country)

Country of Citizenship

A-Number (if any)

Is the beneficiary currently in the United States?

Yes

Relationship to Petitioner *

Has either party been previously married?

Yes

I certify that the information provided is true and correct to the best of my knowledge. I understand that providing false information may result in denial of the petition and possible legal consequences.

I agree to the above certification *

Someone Detained by ICE?

I-130 Intake Form

Current Address