Home
About Us
Immigration Services
USCIS Processing Times
Visa Bulletin
Immigration Approvals
Immigration News
Blog
中文
Contact Us
Home
About Us
Immigration Services
USCIS Processing Times
Visa Bulletin
Immigration Approvals
Immigration News
Blog
中文
Contact Us
info@messersmithlaw.com
+1 305-515-0613
390 N Orange Ave, Suite 2300, Orlando, FL 32801
Give us a Call Now!
Menu
Work Permit / Advance Parole Questionnaire
Questionnaires – Main Page
Work Permit / Advance Parole Questionnaire
Work Permit / Advance Parole Questionnaire
For EAD/AP Applications
The Messersmith Law Firm Immigration Lawyer Services
We make immigration possible
1. INFORMATION ABOUT THE APPLICANT.
Name
*
First
Middle
Last
Other Names Used 1
First
Middle
Last
Other Names Used 2
First
Last
Other Names Used 3
First
Last
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
Email
Alien Number (USCIS Number or A#)
Social Security Number (SSN)
Place of Birth (City / State / Country)
Country of Citizenship (List All)
Sex
Male
Female
Marital Status
Single
Married
Divorced
Widowed
Date of Birth
Class of Admission
Father's Name
First
Middle
Last
Mother's Name
First
Middle
Last
2. INFORMATION ABOUT THE APPLICATION.
Type of Application(s) - Check All That Apply
Work Permit (EAD)
Advance Parole
Have you previously filed an EAD application?
Yes
No
I94 Number
Passport Number
Passport Country of Issuance
Passport Date of Expiration
Date of Last Arrival
Place of Last Arrival
Immigration Status at Last Arrival
Current Immigration Status
Have you ever been arrested for and/or convicted of any crime?
Yes
No
Are you now in exclusion, deportation, removal, or rescission proceedings?
Yes
No
Have you ever before been issued a reentry permit or refugee travel document?
Yes
No
3. ENTER THE INFORMATION OF THE PERSON SUBMITTING THIS QUESTIONNAIRE.
Name
*
Email
*
Website
Submit