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Appellate Referral Form, updated 8/18/17
Assigned
Is this ILS?
Your First Name
Your Last Name*
Your Email
Your Phone
Client First Name
Client Last Name
Client Date of Birth
Client Country of Birth (ILS)
Alien NumberThis is helpful to check the status of any removal proceedings.
Client Manner of Initial Entry
Manner of Entry (if Other)
Client Date of Initial Entry
Client Current Immigration Status (ILS)*
Current Imm. Status (if Other)
Date Received Current Immigration Status
Conviction History
County of Appellate Case
Appellate Docket Number
Statute/Subsection of Conviction
Case Disposition
Offense Commission Date
Date of Plea/Verdict
Sentence Date
Sentence
Upload a File

File(s) size limit is 20MB.

Attach the court file and minutes, and a FOIA response from Homeland Security if available. Please label each file with the client’s first and last name, eg (LAST, First – file name)


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