Full Legal Name
Date of Birth
Phone Number
Email
Current Address
Country of Citezenship
Current Immigration Status
What is your current relationship status?
If 'Other' selected above, please describe
your relationship status:
Where did the marriage take place (if
applicable)?
What is your intent regarding your future
residence and marriage?
Do you wish to include any dependent
children in the visa application?
If 'Yes' selected above, please provide the
legal names of children and their age.
Has either party ever been denied a visa?
Has either party overstayed a visa in the
U.S.?
Have any prior immigration petitions been
filed by either party?
Does either party have any deportation or
removal history?
Does either party have any criminal history?
If you answered 'Yes' to any of the above,
please provide a brief explanation.
Are both parties legally free to marry?
Prior marriages:
If Divorced, is the final Divorce Decree
available now?
Petitioner's Annual Income (USD equivalent)
Current Household Size (including yourself,
the intending immigrant, and any dependents)
Primary Source of Income:
Employment (W-2)
Self-employed (1099/Business)
Mixed
Other (e.g., Retirement, Disability)
Have the petitioner and beneficiary met in
person within the last 2 years?
Which types of proof of relationship
evidence are available to you now? (Select all
that apply)
Photos of us together
Messages/chat logs (e.g., WhatsApp,
Text)
Travel records (e.g., Flight tickets, Hotel
bookings)
Call logs/Video call records
Financial co-mingling (e.g., Joint bank
accounts, shared bills)
Other substantial evidence
Which essential documents are available
for submission now?
Passport(s) (Petitioner and Beneficiary)
Birth certificate(s) (Petitioner and
Beneficiary)
Marriage certificate (if applicable)
Divorce decrees (if applicable)
Proof of income (Tax returns/W2/Pay
stubs)
Relationship evidence (as listed above)
Do you understand that USCIS
(U.S. Citizenship and Immigration Services)
controls the final approval decision?
Are you currently working with an attorney
or have you retained one for this case?
By checking the boxes below, you confirm
your understanding and agreement to
proceed with CAPTIC CLIENT SERVICES LLC
for screening and intake:
I understand CAPTIC CLIENT SERVICES
LLC is not a law firm and cannot provide
legal advice.
I understand there is no guarantee of
approval from USCIS or any
governmental agency.
I understand I must provide accurate and
truthful information throughout the
process.
I agree to review all prepared documents
thoroughly before final submission.
I've read and understand the Disclaimer
on captictgroup.com
I've read and agree to Captic Client
Services LLC Terms & Conditions on
captictgroup.com
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