IMMIGRANT DEFENDANT QUESTIONNAIRE (Re: Padilla Counsel Consultation)

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Attorney Name: Contact : Email Address: IMMIGRANT DEFENDANT QUESTIONNAIRE (Re: ) Please answer every question. Leave NO blanks. You may write Unknown or N/A if necessary. USC stands for U.S. Citizen and LPR stands for Lawful Permanent Resident (green card-holder) A. BASIC CLIENT INFORMATION Defendant s Name Defendant s Case Number Defendant s Alien # if applicable B. BRIEF FACTUAL SUMMARY: C. CURRENT CASE INFORMATION Code Section(s) F/M, Strike, Etc. Offense Date Other Relevant Information (e.g. Domestic violence, $ lost for fraud) D. CURRENT PLEA OFFERS (IF ANY): Code Section(s) F/M, Strike, allegations / enhancements Sentence Other Info (e.g., DA flexibility, priorities, comments) 1 of 6

E. OPEN CASES & PRIOR CONVICTIONS FROM ANY JURISDICTION: Code Section(s) (F / M / strike / allegations / enhancements) Offense Date Conviction Date Sentence/Time actually served Post-Con Relief (e.g., 17(b), 1203.4) F. IMMIGRATION STATUS Lawful Permanent Resident ( green card ) Other Current Immigration Status Is Client a Lawful Permanent Resident ( LPR )? ; Date obtained (attach copy of green card if available) To obtain LPR status, did Clt (check one): Go to an interview in the home country Get processed ( adjusted status ) in the U.S. Doesn t know Undocumented Work permit but unsure of status Refugee Asylee Temporary Protected Status Deferred Entry of Children Act (DACA) Biographical Information Client Spouse/partner Last Name First Name Middle Name Maiden Name Gender Preferred Language Ethnic Background Birthdate Place of Birth (City, State, Country) Country(ies) of Citizenship Alien. 2 of 6

Biographical Information Client Spouse/partner Marital Status Marriage Date/Place Prior Marriages? To Whom? How Ended? Ever Entered U.S. with visa? When? If not, when and how first entered U.S.? Any other immigration contact? Has anyone ever petitioned for client, e.g parents, sibling, spouse or employer? Year petitioned? Ever had lawful status? Current status Employment Authorization Document (EAD) Expiration Date Info Online (e.g., Facebook?) Parents Status (and Naturalization Dates) Parents Marital Status at time of Client s birth Grandparents Status (and Naturalization Dates) Children (Dependents) Names (First, Middle, Last) Gender Birthdate and Place Immig. Status Marital Status Place of Residence When Turns 21 3 of 6

G. PRIOR REMOVAL / DETENTION BY ICE Was client ever deported or got Was Client detained by voluntarily departure? immigration? Did Client see an immigration judge? Where? When? For each deport / voluntary departure. Year: Don t Know Don t Know Don t Know H. OTHER QUESTIONS TO DETERMINE POTENTIAL RELIEF FROM DEPORTATION If the answer to any question is yes, the client might be eligible for the relief indicated. References are to the Relief Toolkit for Defenders, available free online at www.ilrc.org/chart. (Questions For LPR Clients (green card-holders) Only:) 1. Has your LPR client lived in the U.S. for at least seven years? To apply for this waiver in deportation proceedings, Client must be LPR with (a) no aggravated felony conviction, (b) been an LPR for at least 5 years, (c) lived in the U.S. for at least 7 years since being admitted in any status (e.g. tourist, LPR, etc.), and (d) does not have a disqualifying conviction with 7 years of being admitted in any status. See 17.5 LPR Cancellation. 2. Has your LPR client ever been granted Cancellation of Removal, 212(c) or suspension of removal in the past? An LPR may only apply for relief from deportation through Cancellation of Removal, 212(c), or Suspension from removal once. 3. Can your LPR client apply for U.S. Citizenship? An LPR can apply for U.S. citizenship after 5 years LPR status, or 3 years of marriage to a USC while an LPR; must establish good moral character and should not be deportable. More beneficial rules apply to some current and former military personnel. See 17.4 Naturalization 4. Did your LPR client adjust his status in the United States and has since been convicted of an aggravated felony? You client may be eligible for a 212(h) waiver, either standalone or through readjustment of status. Complex area of law. 4 of 6

{Questions for All Immigrant Clients, Including Undocumented Persons and LPRS) 5. Has your client been abused by a USC or LPR relative? Your client or certain family members have been abused (including emotional abuse) by a USC or LPR spouse, parent, or adult child. What relative and what immigration status? See 17.8 VAWA. 6. Is your client a juvenile and a victim of abuse, neglect, or abandonment? Client can t be returned to at least one parent due to abuse, neglect or abandonment. See 17.9 Special Immigrant Juvenile. 7. Is your client a victim of abuse but was also convicted of DV? Client was convicted of a deportable DV or stalking offense but in fact is the primary victim in the relationship. A waiver of the DV deportation ground, or the DV bar to non-lpr cancellation, might be available. See 17.11 Domestic Violence Waiver. 8. Did your client enter the U.S. before his or her 16 th birthday? Your client may be eligible for DACA if entered U.S. before turning 16 and before 6/15/2007. See 17.12 DACA. 9. Has your client lived in the U.S. for at least ten years? To be eligible for this defense in removal proceedings, Client must have lived in U.S. at least 10 years and has a USC or LPR parent, spouse or child (see 17.14 n-lpr Cancellation of Removal) or lived here at least 10 years and all deportable convictions occurred before April 1, 1997. See 17.15 Suspension of Deportation, available in Ninth Circuit states. 10. Has Client been a victim of a crime? Client was a victim of a crime such as DV, assault, false imprisonment, extortion, stalking, or sexual abuse, and be or have been willing to cooperate in investigation or prosecution of the crime. See 17.16 The U Visa. 11. Is Client charged with prostitution/related offenses or/victim of human trafficking? Client may be a victim of sex trafficking which could be a possible defense and a means to obtain immigration status. Client must have been victim of (a) sex trafficking of persons (if under age 18, could have been consensual), o (b) labor trafficking, including being made to work by force, fraud. See 17.17 T Visa. 12. Is Client afraid to return to his or her home country for any reason? Mark yes if (a) Client fears persecution or torture if returned to the home country, see 17.19 Asylum and Withholding and 17.20. Convention Against Torture; or (b) Client already is an asylee or refugee, see 17.21 Refugees and Asylees; or (c) Client is from a country that the U.S. designated TPS status based on natural disaster, civil war, or the like. See 17.22 Temporary Protected Status (TPS). 5 of 6

13. Is Client from former Soviet Bloc, El Salvador, Guatemala, or Haiti? Your client might be eligible for a program if he/she from these areas and applied for asylum or similar relief in the 1990 s -- or is a dependent of such a person. See 17.23 NACARA for Central Americans, and see 17.24 HRIFA for Haitians and Dependents. 14. Does Client, parent or spouse, have a 1980 amnesty? The application still might be pending and viable. See 17.25 6 of 6