Padilla Defense Counsel Client Worksheet

Intake sheet developed by the Meyer Law Office with special thanks to the template provided by Ann Benson at the Washington Defender Association Immigration Project. Noncitizen Defendant Worksheet Defendant: __________________________ Case No.____________________ Attorney: ___________________________ Date: ______________________ Immigration Status:  LPR -Lawful Permanent Resident (greencard) Since when: ______________________ Refugee or granted asylum status Since when: ______________________ Undocumented (entered illegally) Date of Entry: _____________________ In-Status Visa (visitor, work, student, etc...) Date of Entry: _____________________  Visa Overstay, since when:______________  Previously Deported By ICE  Saw Immigration Judge  Other: ______________________________ Criminal History: Include specific statutory citation for each offense, date of conviction and sentence (including sus-pended time) for each conviction. Also include any juvenile adjudications, deferred judgments or other resolutions. Please include ALL felony, misdemeanor and municipal convictions. Current Charge(s) (specific statutory citation): _____________________________________ __________________________________________________________________________ _____________________________________ _____________________________________ Plea Offer(s) (specific statutory citation): _____________________________________ __________________________________________________________________________ Family Ties: SPOUSE:  USC LPR  Undocumented PARTNER: USC LPR Undocumented CHILDREN: Number _____ Ages: _____________ ____ USC ____ LPR _____ Undocumented MOTHER:  USC LPR Undocumented FATHER :  USC LPR Undocumented USC Grandparents? YesNo DOB: _________________________ POB: _________________________ Defendant’s Goals re: Immigration Consequences Avoid conviction that triggers deportation Preserve eligibility to obtain future immigration benefits (e.g. LPR status or citizenship) Preserve ability to ask immigration judge to get/keep lawful status & stay in U.S. Get out of jail ASAP Immigration consequences, including deportation, are not a priority Other goals regarding immigration consequences: ICE Detainer:  YES  NO Defendant is: IN CUSTODY NOT IN CUSTODY