Immigration Clinic – Intake Form

BEFORE YOU BEGIN — Please review the application first and be sure that you have all of the information you need before filling out the form. You will NOT be able to save your work and return to this form at a later time.

When you have the information you need — fill out the form below.

When the form is completed and you’re ready — click SUBMIT.
IMPORTANT — Stay on this page until the form is done processing — otherwise, it may not go through. You will receive an email confirming that LUM has received your form when it is submitted properly. When typing information into this form, please do NOT use only lower case or upper case letter.

Immigration Clinic – main page, click HERE

Fields marked with an * are required