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Nonprofit 501c3
844-WTAMERICA
844-982-6374
#1 English / #2 Spanish
Serving the Community with Immigration, Medicare
Medi-cal, and Medicaid Services
Immigration Intake Form
This intake form is for office use only and to determine if you qualify for an immigration benefit. We are NOT reporting any of the answers given to any law enforcement or immigration offices. It is imperative that you are honest and upfront with any arrests, deportations or law enforcement activity regardless of how long ago this may have happened. If your situation is in need of legal services we will provide a list of legal services.
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