Acknowledgments *
All referrals to the IRP must go through the OPDS online referral process. If you have not completed the OPDS Immigration Referral form for this case, please do so at OPDS Online Referral Forms. By making a request for a consultation with the Oregon Justice Resource Center Immigrant Rights Project (“IRP”), the requesting criminal defense attorney (“CDA”) acknowledges that the consultation does not create any obligations by the IRP to the client of the CDA. The IRP will not contact CDA’s clients directly, and the consultation with IRP is not meant in any way to create a direct attorney-client relationship with clients of CDA. The IRP agrees to maintain the confidentiality of all information provided by the CDA, and the IRP will not engage in representation adverse to the CDA’s client. The CDA must provide the IRP with the names of their clients in order to allow the IRP to check for possible conflicts. The IRP takes the position that consultations with the IRP are implicitly authorized, as the consultation allows CDA to fulfill their ethical duties to their clients.
Please refer to the email previously sent from the IRP with a link to this form and a ticket number.
Criminal Defense Attorney ("CDA") *
Criminal Defense Attorney ("CDA")
CDA Phone Number *
CDA Phone Number
CLIENT INFORMATION
Client's Name *
Client's Name
Date of Birth *
Date of Birth
If applicable/known
IMMIGRATION SITUATION & HISTORY
Client's current immigration status *
Immigration status is the legal basis on which a person is present in the United States. A Lawful Permanent Resident or LPR is a person who has received a green card or "mica" from U.S. Citizenship and Immigration Services or the former Immigration and Nationality Service granting official permission to live legally in the U.S. on a permanent basis. A visa is a document constituting an official statement of the U.S. government granting a person permission to enter and be present in the United States for a predetermined length of time.
Date Acquired Current Immigration Status
Date Acquired Current Immigration Status
If applicable please provide a copy of client's proof of status, e.g. green card, visa, or work permit. Email directly to irp@ojrc.info and reference your ticket number in the subject line.
Is client currently in deportation or removal proceedings? *
If client is currently in deportation or removal proceedings, when is the next court date?
If client is currently in deportation or removal proceedings, when is the next court date?
Has client departed the United States since the first entry? *
Did client last enter at an official port of entry (e.g. border checkpoint or airport)? *
Did client have any contact with an immigration officer at last entry? *
Relief from deportation or removal includes Cancellation of Removal, 212(c) Waiver, Suspension of Deportation, DACA, TPS, etc.
Has an employer or family member ever filed visa paperwork for client (i.e. I-130 or I-140 petition)? *
If yes, was the paperwork submitted prior to 04/21/2000?
Is client married? *
If yes, date of marriage
If yes, date of marriage
Immigration status is the legal basis on which a person is present in the United States.
Does client have children? *
A "child" includes biological, adopted or stepchild.
Immigration status is the legal basis on which a person is present in the United States.
Are either of client's parents (including step/adopted) in the United States? *
Is client's mother a U.S. citizen? *
A U.S. citizen is a person who was born in the U.S., who was granted U.S. citizenship by naturalization, or who may have obtained citizenship through their U.S. citizen parents or grandparents.
Is client's father a U.S. Citizen? *
A U.S. citizen is a person who was born in the U.S., who was granted U.S. citizenship by naturalization, or who may have obtained citizenship through their U.S. citizen parents or grandparents.
Were any of client's grandparents born in the United States? *
CURRENT CHARGES
For each pending criminal case, please provide copies of the following documents, if available: 1. Charging document 2. Police report 3. State and FBI rap sheet Email directly to irp@ojrc.info and reference your ticket number in the subject line.
Client is Currently *
If in criminal custody, what is the scheduled release date?
If in criminal custody, what is the scheduled release date?
Date Offense Committed
Date Offense Committed
Is there a domestic or family relationship between client and alleged victim? If so, specify.
What court?
Date of Next Hearing *
Date of Next Hearing
Type of Next Hearing
EXAMPLE: Count 1: Petty Theft, ORS § ###, A-Misd. Count 2: Burglary II, ORS § ###, C-Fel
Prosecutor
Prosecutor
Judge
Judge
PRIOR CONVICTION #1
Including Restraining or No Contact Order Violations, Non-traffic Violations, Traffic Crimes, and Deferred Adjudications. If client has no prior convictions, scroll down to the final section. For each prior conviction, please email copies of the following documents: 1. Charging document 2. Plea 3. Judgment and Sentence/Final Disposition Email directly to irp@ojrc.info and reference your ticket number in the subject line.
Date Offense Committed
Date Offense Committed
Is there a domestic or family relationship between client and alleged victim? If so, specify.
Court
Date of Plea/Verdict
Date of Plea/Verdict
Conviction by:
A "conviction" is a verdict or finding that a person is guilty of a certain crime, or any deferred adjudication or admission of guilt sufficient to sustain a charge, with a penalty, punishment or fine imposed.
E.g. pre-plea diversion, post-plea diversion, civil compromise.
EXAMPLE: Petty Theft, PC/ORS/RCW § ###, A-Misd
Date of Sentence
Date of Sentence
A sentence is the punishment imposed by the court, even if execution of sentence is suspended.
Where did client serve time?
Did client appeal conviction?
Was client found to have violated probation, parole, or a restraining order, or to have failed to appear?
If yes, please fill out a separate Conviction section for each violation and failure to appear.
Was client advised of the immigration consequences of the plea or conviction?
PRIOR CONVICTION #2
Including Restraining and No Contact Order Violations, Non-Traffic Violations, Traffic Crimes, and Deferred Adjudications. For each prior conviction, please email copies of the following documents: 1. Charging document 2. Plea 3. Judgment and Sentence/Final Disposition Email directly to irp@ojrc.info and reference your ticket number in the subject line.
Date Offense Committed
Date Offense Committed
Is there a domestic or family relationship between client and alleged victim? If so, specify.
Court
Date of Plea/Verdict
Date of Plea/Verdict
Conviction by
EXAMPLE: Petty Theft, PC/ORS/RCW ###, A-Misd
Date of Sentence
Date of Sentence
Where did client serve time?
Did client appeal the conviction?
Was client found to have violated probation, parole, or a restraining order, or to have failed to appear?
If yes, please fill out a separate Conviction section for each violation and failure to appear.
Was client advised of the immigration consequences of the plea or conviction?
MISCELLANEOUS