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Michelle Canero
Mirtha Fadul
Maria Eduarda Reis Medeiros
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Michelle Canero
Mirtha Fadul
Maria Eduarda Reis Medeiros
Michelle Canero esq. - Client Questionnaire
Please fill out the questionnaire for the individual that is need of our Immigration Services.
Mirtha Fadul esq. - Client Questionnaire
Please fill out the questionnaire for the individual that is need of our Immigration Services.
Maria Eduarda Reis esq. - Client Questionnaire
Please fill out the questionnaire for the individual that is need of our Immigration Services.
Contact Information
Please complete for the person who needs immigration services ("Client"), there's a field for your name and email if you are filling this out for someone else.
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I'm the client. I'm filling out the form for myself.
I'm filling out the form for someone else.
Name of individual Completing this form (if different than client)
First Name
Last Name
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Full Name of Client (Person needing Immigration Services)
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First Name
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Email of Client (Person needing Immigration Services)
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Phone Number of Client (Person needing Immigration Services)
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Area Code
Phone Number
International Phone Number (if applicable)
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Country Code
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Area Code
Phone Number
WhatsApp Number of Client (Person needing Immigration Services)
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Country Code
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Client Address
Street Address
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State
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Client Primary Nationality
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
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The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
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US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
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Zimbabwe
Other
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Are you married?
*
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Yes
No
How Many Children do you have? (Non USC Children under 21)
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0
1
2
3
4
5
6+
List only your children that are under 21
Are you a returning Client?
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This is my first time contacting Canero Fadul Reis Law.
I have worked with the lawyers at Canero Fadul Reis Law in the past.
Please Summarize the Past Process we did for you
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Please add information about the previous work you've done with us.
About your case
Please select the areas you feel you need assistance in.
Are you interested in any of these Employment, Talent or Investment Visas?
O-1 - Foreign nationals possessing excellent knowledge and abilities in the fields of art, science, business and athletics
P - Entertainers, artists and athletes
L - Intra company transferees
E Visas - Treaty Investor/Trader
H Visas
PERM/Labor Certification
EB-2/NIW
EB-5
EB-1A - Extraordinary Ability
EB-1C - Multinational Manager
F, J, or M - Study or Trainee visa options
Are you interested in any of the following Family based Visas?
Sponsorship by USC Spouse
Sponsorship by LPR Spouse
Sponsorship by USC or LPR Parent
Sponsorship by USC Sibling
Sponsorship by a USC Child (over 21)
Fiancé Visa
Are you interested in any of the following Humanitarian based Visas?
TPS
Parole
Asylum
Cuban Adjustment (CAA)
Special Immigrant Juvenile Status (SIJS)
Please describe your immigration needs in as much detail as possible.
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Choose your Appointment Type
All consultation fees will be credited towards clients process that's initiated within 90 days.
Select your Appointment
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$99 Initial Consultation - Will require additional information prior to appointment
$299 Consultation - Go directly to scheduling Consultation
Form
Initial Questionnaire
Cost of Consult
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The use of this form does not constitute representation by Canero Fadul Reis Law
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