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Schedule a Consultation
The form below must be completed before we can schedule a consultation with you. Once we have received your completed form, we will contact you to confirm your appointment time. Our standard consultation fee is $100 and is payable in advance of the consultation. If you would like, we can arrange for a same day, evening or weekend consultation. Please call our office at 816-891-8600 or Toll Free 866-565-7127 if you need to schedule a same day, evening or weekend consultation.
PLEASE NOTE: THIS FORM IS ON A SECURE SERVER. YOUR INFORMATION WILL BE KEPT PRIVATE AND WILL ALWAYS BE KEPT COMPLETELY CONFIDENTIAL. YOU MAY FILL OUT THIS FORM ONLINE BELOW AND SUBMIT IT TO US OR PRINT THIS FORM AND FAX IT TO US AT 816-505-0194.
Briefly describe your immigration matter
What is your current Immigration Status?
PERSONAL INFORMATION
Have you ever possessed a
'J' visa?
*
*
Yes
No
Have you ever been deported from the US?
*
*
Yes
No
Have you ever been arrested?
*
*
Yes
No
If you are currently in the USA, when does your visa/stay expire?
*
Do you have a US Employer who is willing to sponsor any work related visa/labor certification on your behalf ?
*
*
Yes
No
Email
*
First Name
*
Last Name
*
Marital Status
Phone Number
*
Fax Number
How did you hear about us?
Street
(and Apt. Number if applicable)
City
State
ZIP or Postal Code
Country
Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
S. Georgia & S. Sandwich Isls.
Saint Kitts & Nevis
Saint Lucia
Saint Vincent & The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard & Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia (Former)
Zaire
Zambia
Zimbabwe
Do you have any immediate relatives in the United States
Yes
No
We ask that you attached hereto a complete and updated CV/Resume
Please indicate your requested appointment times below. Note that appointments are normally available between 9:00 am and 5:00 pm weekdays central US time (-6 GMT). Appointments normally take an hour or less and can begin on the hour or half hour. If you need an appointment on the same day, in the evening, on a holiday or on a weekend, please call us at 816-891-8600 or Toll Free 866-565-7127 after submitting this form and we will see if the request can be accommodated
1st Preference
9 A.M
9:30 A.M
10 A.M
10:30A.M
11 A.M
11:20 A.M
12 A.M
12:30 A.M
1 P.M
1:30 P.M
2 P.M
2:30 P.M
3 P.M
3:30 P.M
4 P.M
4:30 P.M
5 P.M
2nd Preference
9 A.M
9:30 A.M
10 A.M
10:30A.M
11 A.M
11:20 A.M
12 A.M
12:30 A.M
1 P.M
1:30 P.M
2 P.M
2:30 P.M
3 P.M
3:30 P.M
4 P.M
4:30 P.M
5 P.M
3rd Preference
9 A.M
9:30 A.M
10 A.M
10:30A.M
11 A.M
11:20 A.M
12 A.M
12:30 A.M
1 P.M
1:30 P.M
2 P.M
2:30 P.M
3 P.M
3:30 P.M
4 P.M
4:30 P.M
5 P.M
In the information area above, please be sure that you have indicated the best phone number for VERSFELD & HUGO, LLC. to contact you during the business day (9 am to 5 pm central US time). Please note that in order to ensure your privacy, should we call the number, we will not reveal why we are calling or that we are an immigration firm
*
Required Field
After you hit the SUBMIT button an automatic email will be sent to your email confirming that we received your information and that our office will be in contact with you shortly
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