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US Immigration Assessments

Questionnaire for Waiver of Inadmissibility

1. GENERAL

Family Name:
Given Name:
E-mail address:
Civil Status:
Single Married Separated Divorced Widowed
Country of Citizenship:
Country of Residence:

2. GROUNDS INADMISSIBILITY

I was refused entry in the United States because I have the following:
Criminal Record Communicable disease Overstay in the U.S. Previous Removal or Deportation from the U.S. Failure to return I-94 Card
Other (Please specify):

3. HISTORY OF APPLICATION

Is this the first time that you want to apply for a waiver of inadmissibility?
Yes No
Are you being sponsored for your immigration (green card) application by a family member who is a U.S. citizen?
Yes No
Are you being sponsored for your immigration (green card) application by a family member who is a permanent resident (green card holder)?
Yes No

Disclaimer: The information provided on this web site is provided exclusively for informational purposes, and is not meant as legal advice.

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Copyright © 2010 Barbara J. Leiter, Attorney/Avocate Inc. All rights reserved.

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