CLIENT INTAKE LINK BUILDER
Send one link. Let the client build the profile.
Choose an application or pro se motion, adjust the bilingual questions, and send the secure one-time link by email or text. The client opens it directly—no Pro Se Builder account and no ChatGPT account required.
1 Choose questions2 Generate link3 Client submits4 Profile created
STEP 1
Choose the application or motion
Chwazi kalite aplikasyon oswa mosyon an
STEP 2
Adjust the questions
Ajiste kestyon yo
Identity / Idantite
Full legal nameNon legal konplè
Other names used (if any)Lòt non ou te itilize (si genyen)
A-Number (if any)Nimewo A (si genyen)
Date of birthDat nesans
City or town of birthVil oswa komin kote ou fèt
Country of birthPeyi kote ou fèt
Country of citizenship or nationalityPeyi sitwayènte oswa nasyonalite
SexSèks
Marital statusEta sivil
Address & contact / Adrès ak kontak
Current street addressAdrès kote ou rete kounye a
Apartment, unit, or floorApatman, nimewo inite, oswa etaj
CityVil
State (2-letter abbreviation)Eta (2 lèt, pa egzanp FL)
ZIP codeKòd postal
Mobile phone numberNimewo telefòn selilè
Email addressAdrès imèl
Preferred languageLang ou prefere
Immigration & passport / Imigrasyon ak paspò
USCIS online account number (if any)Nimewo kont USCIS sou entènèt (si genyen)
I-94 number (if any)Nimewo I-94 (si genyen)
Date of most recent entry into the United StatesDat dènye antre ou Ozetazini
Place of most recent entryKote ou te antre dènye fwa
Immigration status at most recent entryEstati imigrasyon lè ou te antre dènye fwa
Passport numberNimewo paspò
Country that issued the passportPeyi ki te bay paspò a
Passport expiration dateDat paspò a ap ekspire
Current immigration status (if any)Estati imigrasyon ou genyen kounye a (si genyen)
Application details / Detay aplikasyon
Where will the asylum application be filed?Ki kote aplikasyon azil la pral depoze?
Immigration court, if there is a court caseTribinal imigrasyon an, si gen yon dosye tribinal
Native languageLang matènèl
Ability to speak EnglishKapasite pou pale angle
Country where you fear returnPeyi ou pè retounen ladan
Why you believe you were or may be harmedRezon ou kwè yo te fè w mal oswa yo ka fè w mal
Spouse information: full name, birth date, nationality, A-Number, status, and locationEnfòmasyon mari/madanm: non, dat nesans, nasyonalite, Nimewo A, estati ak kote li ye
Children: names, dates of birth, A-Numbers, locations, and whether includedTimoun: non, dat nesans, Nimewo A, kote yo ye, epi si w ap mete yo nan aplikasyon an
Parents and siblings: names, relationships, status, and locationsParan ak frè/sè: non, relasyon, estati ak kote yo ye
Complete address history requested by the current formTout adrès ou te genyen pou peryòd fòm aktyèl la mande a
Education history: schools, locations, subjects, and datesIstwa lekòl: non lekòl, kote, sa ou te etidye ak dat
Employment history: employers, addresses, jobs, and datesIstwa travay: patwon, adrès, travay ou te fè ak dat
Past harm or threats: what happened, when, where, who was responsible, and whyMove tretman oswa menas: sa ki te pase, kilè, ki kote, kiyès ki te responsab, epi poukisa
What you fear will happen if you return, who may do it, and whySa ou pè ki ka rive si w retounen, kiyès ki ka fè l, epi poukisa
Arrests, detention, interrogation, convictions, or imprisonment in any countryArestasyon, detansyon, entèwogasyon, kondanasyon oswa prizon nan nenpòt peyi
Political, religious, social, military, or other organizations and your participationÒganizasyon politik, relijye, sosyal, militè oswa lòt òganizasyon ak patisipasyon ou
Threats or harm to relatives or close associatesMenas oswa move tretman kont fanmi oswa moun ki pwòch ou
Prior asylum, refugee, or protection applicationsAplikasyon azil, refijye oswa pwoteksyon ou te fè deja
If filing more than one year after arrival, explain the complete reason and datesSi w ap depoze plis pase yon ane apre ou te antre, esplike tout rezon an ak dat yo
Countries traveled through or lived in, status there, and any offer of permanent statusPeyi ou te travèse oswa viv ladan, estati ou te genyen, ak nenpòt òf estati pèmanan
Trips back to the country you fear after leavingVwayaj ou te fè retounen nan peyi ou pè a apre ou te kite l
Criminal, security, persecution-of-others, or serious-harm questions requiring explanationKesyon kriminèl, sekirite, pèsekisyon lòt moun oswa gwo domaj ki bezwen eksplikasyon
Privacy by design
Ask only for information needed for the selected application or motion. Social Security number is optional by default. The client must authorize use of the information before submitting.
INTAKE ACTIVITY
Generated links and submissions
Lyen ki kreye ak repons kliyan yo
No intake links yet.