Citizenship Clinic Intake | Adoptee Rights Law Center

Current Name(Required)

First Middle Last

Birth/Initial Name (if different/known)

First Middle Last

Additional Detail About Your Name

Sometimes a name for an adoptee can be complicated. If you need to explain or provide more context, please do.

Email(Required)

Current Address(Required)

I may need this to send notices or other correspondence and in some cases to determine jurisdiction over legal matters. It is not shared with anyone unless I have your permission.

Street Address City State / Province / Region ZIP / Postal Code Country

Phone(Required)

I may need this to get in touch with you.

Date of Birth(Required)

This is important for issues related to the Child Citizenship Act. Again, it is confidential information that I do not share.

Country of Birth

Have you ever been married?

This is a question asked on most immigration forms.

Yes

Current Marital Status

What is your current marital status?

Hang On.

If you were born in the United States you do not qualify for the clinic at this time. Please review your answer to ensure it is correct.

Was your adoption finalized in your country of birth?

This would mean that your adoptive parents completed the adoption in your country of birth and likely changed your name as part of that adoption

Yes

I’m not sure

Was your adoption finalized in the United States?

This would mean that adoptive parents filed a court case in the United States to finalize the adoption in the U.S.

Yes

I’m not sure

State Where the Adoption was Finalized

This is almost always the state where your adoptive parents lived

Father/Parent Name

Your adoptive father or parent’s name

First Middle Last

Mother/Parent Name

Your adoptive mother or second parent’s name

First Middle Last

Mother's Last Name at Birth

Sometimes called a “maiden” name, if applicable

Do You Have an "A Number"

An A number, or Alien Registration number, is assigned to all people who immigrate to the United States, even as children. If you have a green card (legal permanent resident card) it will be listed on that.

Yes

I Don’t Know

A Number (Optional)

If you have an A Number, let me know what it is. I may need it later if I represent you.

Have you ever had a US passport, whether current or expired?

Yes

Description of Your Issue or Question

Please provide as much detail as you feel necessary to let me know what you are hoping to find or resolve through legal help

Check what you think you may need for legal services

This helps us understand more about what you need. Don’t worry if you do not know.

I need to apply for a Certificate of Citizenship

I need a replacement copy of my Certificate of Citizenship (or Certificate of Naturalization)

I need to naturalize

I need to request my immigration records

I’m not sure and would appreciate more information

Something else not listed here

Acknowledgment(Required)

I understand and agree that Adoptee Rights Law Center is providing free and low cost legal services to intercountry adoptees who have issues or questions about US citizenship, through a service funded by Adoptees United Inc. I am asking to be considered for this service. I understand that Gregory Luce is the attorney who will review my intake and determine if I qualify for the Citizenship Clinic.

I agree

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Client Intake

Citizenship Clinic

Intercountry Adoptee

This field is for validation purposes and should be left unchanged.