CFR-Client Questionnaire

Attorney Chosen

Michelle CaneroMirtha FadulMaria Eduarda Reis Medeiros
If English is chosen

English
If Spanish is Chosen

Spanish
Language Chosen
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Please select an a Attorney:*

Michelle CaneroMirtha FadulMaria 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.
Who's filling out the form?
Name of individual Completing this form (if different than client)

First NameLast Name
Email of lndividual Completing this form
example@example.com
Full Name of Client (Person needing Immigration Services)*

First NameLast Name
Email of Client (Person needing Immigration Services)*
example@example.com
Phone Number of Client (Person needing Immigration Services)

Area CodePhone Number
International Phone Number (if applicable)

Country CodeArea CodePhone Number
WhatsApp Number of Client (Person needing Immigration Services)

Country CodeArea CodePhone Number
Messaging Consent (Canero Fadul Reis PLLC will not sell or transfer your data - See http://www.canerofadul.com/policies for our full Privacy policy)

Click here if you approve of Canero Fadul Reis PLLC contacting you via SMS or WhatsApp to better assist you in your matter?
Client Address

Street Address

Street Address Line 2

CityState

Zip Code
Client Primary Nationality*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you married?*
How Many Children do you have? (Non USC Children under 21)*
List only your children that are under 21
Are you a returning Client?*

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*
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 athleticsP - Entertainers, artists and athletesL - Intra company transfereesE Visas - Treaty Investor/TraderH VisasPERM/Labor CertificationEB-2/NIWEB-5EB-1A - Extraordinary AbilityEB-1C - Multinational ManagerF, J, or M - Study or Trainee visa options
Are you interested in any of the following Family based Visas?

Sponsorship by USC SpouseSponsorship by LPR SpouseSponsorship by USC or LPR ParentSponsorship by USC SiblingSponsorship by a USC Child (over 21)Fiancé Visa
Are you interested in any of the following Humanitarian based Visas?

TPSParoleAsylumCuban Adjustment (CAA)Special Immigrant Juvenile Status (SIJS)
Please describe your immigration needs in as much detail as possible.*
Choose your Appointment Type

All consultation fees will be credited towards clients process that's initiated within 90 days.
Select your Appointment*

$99 Initial Consultation - Will require additional information prior to appointment$299 Consultation - Go directly to scheduling Consultation
Form

Initial Questionnaire
Cost of Consult
penns number to zero out total for testing purposes

45 Min Consultation Fee

USDDescription

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

After completion of the form, you will be forwarded to pick a time and date that's available with your selected attorney.
The use of this form does not constitute representation by Canero Fadul Reis Law
Should be Empty:

Michelle Canero esq. - Client Questionnaire

Mirtha Fadul esq. - Client Questionnaire

Maria Eduarda Reis esq. - Client Questionnaire

Contact Information

About your case

Choose your Appointment Type

The use of this form does not constitute representation by Canero Fadul Reis Law