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Immigrant Children's Legal Program Referral Form

Welcome to the online referral system of USCRI's Immigrant Children's Legal Program (ICLP). ICLP helps unaccompanied immigrant children obtain pro bono attorneys. Please provide the following information so that we can assist the child in need of services.

NOTE: USCRI is ONLY accepting case referrals from USCRI's PRS Staff and for children whose cases are venued to the following immigration courts: Arlington; Baltimore; Dallas; Houston; Los Angeles; Memphis; Miami; Phoenix.

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CHILD'S CONTACT INFORMATION:

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Question - Required - Child's Date of Birth:




 


 


 

(Maximum response 255 chars, approx. 5 rows of text)

 
Question - Not Required - With whom does the child reside?







   


   


   


   


 

SPONSOR'S CONTACT INFORMATION:

   


   


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INFORMATION OF CHILD'S PARENTS:

   


   


   


   


 

(Maximum response 255 chars, approx. 5 rows of text)

 

(Maximum response 255 chars, approx. 5 rows of text)

 
Question - Not Required - Forms of immigration relief for which the child may be eligible:

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Question - Not Required - Next hearing date:




   


 


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(Maximum response 255 chars, approx. 5 rows of text)

 

(Maximum response 255 chars, approx. 5 rows of text)

 

The Immigrant Children's Legal Program (ICLP) does not provide direct representation or legal advice. ICLP serves as a referral source matching pro bono attorneys with unaccompanied immigrant children released from federal custody in the United States.

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