Immigration Online Intake Form

Do you need legal help with an Immigration issue? If so, we can help if…

• • • You are currently living in Alberta
  • • You qualify for our services; and
  • You do not qualify for Legal Aid.

Please fill out our Immigration Intake Form below or phone our clinic at 1 (877) 314-9129 to see if you qualify for our services. *Once you have submitted the form, we will get back to you in a few days. Please be patient. Our office hours are Monday to Friday, 8:30am to 4:30pm.*

This personal information is collected to determine your eligibility for services. Because of this, this information may be shared with office staff to see if you qualify, and volunteer lawyers to provide you with legal advice.

Our privacy policy can be found here. When you click on the link, the page will open in a new tab.

If you are not looking for immigration advice, and are instead looking for legal advice that is not related to an immigration matter, you can fill out our general intake form here. Additionally, you can also visit our Contact Us page to see other ways of reaching us.

Please enable JavaScript in your browser to complete this form.

First Name *

Middle Name

Last Name *

Which City/Town are you currently living in? *

Postal Code *

Contact Number *

Is it okay to leave messages at your contact number? *Please select oneYesNo

Email *

Is it okay to send messages to your email? *Please select oneYesNo

Preferred Pronouns *Please select oneShe/HerHe/HimThey/ThemOther

If selecting “Other” please specify below.

Other Preferred Pronouns

Date of Birth *

Status of Employment *Please select oneWorking Full-TimeWorking Part-TimeSelf-employedLooking for WorkOn disability/Government benefitsStudentRetiredOther

If selecting Other, please explain further in the following section.

Other Status of Employment

Status in Canada *

Example: visitor, student, refugee, refugee claimant, foreign worker, no status

Marital Status *Please select oneSingleMarriedCommon-LawDivorcedWidowedOther

If selecting “Other” please fill out the next question.

Other Marital Status

If you selected “Other” for the marital status question, please explain. Otherwise, leave blank.

Number of children under the age of 18 that you financially support?

Monthly Income *

Please fill in how much you are paid from ALL sources (employment, AISH, child support, etc.)

Spouse/Other Household Member Income *

Please fill in the income of anyone else living with you. This can include your spouse, child, relative, etc.

Have you previously sought legal advice for this problem? *Please select oneYesNo

If you answer yes, please answer the next question.

Do you already have a lawyer? *Please select one.YesNo

Have you been given a deportation order? *Please select one.YesNo

Brief Description of Your Legal Issue *

Please explain what your legal issue is. Do you have any deadlines? If so, what are the deadlines for?

Do you need interpretation? If yes, what language?

If you don’t require interpretation, please leave blank

By checking the box below and clicking “Submit” you are agreeing to have the above information shared with the Community Legal Clinic and you agree to our Privacy Policy located at www.communitylegalclinic.net/privacy-policy-2/ (link below). You understand that the personal information in the form above may be shared with office staff to see if you qualify, and volunteer lawyers to provide you with legal advice. *

• I agree

Submit

Our privacy policy can be found here.

By clicking on the link above, the page will open in a new tab.