Biden Executive Form Biden Executive Order Form Disclaimer Important Notice: The information provided in this form will be used to assess your eligibility for protection under President Biden's recent executive order regarding undocumented spouses of U.S. citizens. Completing this form does not guarantee any immigration benefits or legal status. All information submitted is confidential and will be used solely for the purposes of evaluating your eligibility. Please ensure that all answers are accurate and truthful to the best of your knowledge. Any false or misleading information may adversely affect your application and future immigration status. For legal advice tailored to your specific situation, please consult directly with one of our attorneys. The exact regulations to do this have not yet been given, but should be in the near future. --- Please proceed with completing the form below. Date Today First Name * Last Name * Email * Residency Information How long have you continuously lived in the United States? More than 10 yearsLess than 10 years Criminal History Do you have any criminal history? YesNo If ‘Yes’, describe what the crime was, when it occurred, and what was the sentence. Do for each crime. Marital Information Are you married to a U.S. Citizen? YesNo If yes, date of marriage Children Information Do you have children? YesNo How many children do you have? Are any of your children U.S. Citizens or Lawful Permanent Residents? YesNo Documentation and Legal Status Have you ever been in removal or deportation proceedings? YesNo Do you have any pending immigration applications? YesNo Have you ever applied for any form of legal status in the past? YesNo Employment Status Are you currently employed? YesNo Do you have a work permit? YesNo What is your A# if you have one? DACA Recipients Are you a DACA recepient? YesNo If yes, did you receive a Bachelors Degree? YesNo If yes, do you have a job offer or job in a related field? YesNo Δ Contact Us Full Name: Please enter a valid name. Phone Number: Please enter a phone number. Email Address: Please enter a valid email address. Immigration Question: Please enter a message between 10 and 1000 characters without any links. Submit Thank you! Your message has been sent.
