Required information: US entry waiver

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Client Name
First Last
Father's Full Name
First Last
Father's Place of Residence
Father's Place of Birth
Father's Date of Birth
Mother’s Full Name
Mother's Place of Residence
Mother's Place of Birth
Spouse's Full name
Spouse's Date of Birth
Place and Date of Marriage
Former Spouse's Full name
Former Spouse's Date of Birth
Former Spouse - Place and Date of Marriage
Former Spouse - Place and Date of Marriage Termination
What is Your Current Marital Status?
Marital Satus - Other
How Many Times Have You Been Married?
Spouse Alien Number
Have you ever stayed in the United States for a period of six months or more?
- Yes
- No
If you have stayed in the United States for a period of six months or more
US Social Security Number
Have you (or has someone acting in your interest) ever applied for a US immigration benefit?
Are you currently applying for a US immigration benefit or will you apply in the future?
If yes, please provide the following details
Has the United States Government ever revoked an immigration benefit (such as a visa)?
If yes, please provide details
Have you ever been arrested or charged for any violation of law (criminal or immigration) outside of Canada or at the border?
If yes, please provide details
Please include a brief explanation of your purpose for travelling to the United States (work/travel/etc.):
Biographical Information
Identity
If not Hispanic or Latino choose all the apply
Height
Weight
Hair Colour
Eye Colour
Travel Information
City and State
Port of Entry
Method of Travel to the United States (Land, Sea, Air)
Date of Travel to the United States (mm/dd/yyyy)
Approximate length of stay in the United States
Have you previously been issued a US entry waiver?
At which point of entry was our previous US entry waiver submitted to the American government?
Approximate date your US entry waiver was submitted to the government (mm, yyyy)
Purpose of applying for previous US entry waiver? (work related, leisure, connecting flights, etc)
Please indicate any changes from your previous US entry waiver. Ex. Contact information, marital status, Deaths in the family, address, employment or any other information that may be relevant.

Call us: 1-866-242-2411 8:30am – 5:00pm Monday to Friday

CONSULTATION REQUEST

Required information: US entry waiver

Biographical Information

Our Services:

Bureau de Montréal

Toronto Office