Full legal name
Email
Phone
Preferred language Please choose… English العربية Français
Best way to reach you Please choose… Phone call WhatsApp Email Text message
Deadline, hearing, or court date within 7 days? Please choose… No Yes Not sure
What is your situation? Please choose… Making a refugee protection claim Claim already filed, hearing coming Detention or admissibility matter Appeal at the Immigration Appeal Division IRCC application (needs a lawyer referral) Not sure
Where are you now? Please choose… In Canada Outside Canada
Current status in Canada Please choose… Refugee claimant Visitor Student Worker Permanent resident No status or expired Not applicable
Have you filed a Basis of Claim form? Please choose… Yes No In progress Not sure
Do you have a hearing date? Please choose… Yes, within 30 days Yes, later than 30 days No date yet Not sure
Country of origin region Please choose… Middle East and North Africa Sub-Saharan Africa South Asia East or Southeast Asia Europe Latin America or Caribbean Other
Do you need an interpreter? Please choose… Yes, Arabic Yes, French Yes, another language No
Are family members included in your claim? Please choose… No, just me Spouse or partner Children Spouse and children Other relatives
Do you have supporting documents (identity, evidence)? Please choose… Yes, most Some Very few None yet
Has any previous claim or application been refused? Please choose… No Yes, in Canada Yes, in another country Not sure
Has anyone represented you on this matter? Please choose… No Yes, previously Yes, currently
Submitting this form does not create a professional relationship and is not a request for legal advice. Please do not include confidential details until a retainer is confirmed in writing.
