EBBI Immigration Initial Consultation Form (Blank)

How to fill this out: Write dates as Day / Month / Year (e.g. 04 / 07 / 2026). Where a question does not apply, write N/A. Print clearly in block letters. Return by mail, in person, or scan and email to admin@explorebeyondborders.ca. Expected response: 2–3 business days.

1. Personal Information

Last Name

First Name

Middle Name

Preferred name

Date of Birth (D/M/Y)

Age (years)

Citizenship / Nationality

Other citizenship(s)

Email Address

Phone Number

UCI / Client ID (if known)

City / Province (current)

Current mailing address

2. Status in Canada

Currently Living In (In Canada / Outside Canada)

Current Status in Canada (if applicable)

Status Expiry (D/M/Y)

Date First Arrived (D/M/Y)

How did you last enter Canada?

Currently out of status? YesNoNot sure

3. Family & Relatives

Marital Status

SingleMarriedCommon-lawDivorced / separatedWidowed

Spouse / partner (name, location, status)

Children / dependents (ages, location, status)

Relatives in Canada (relationship, city, status)

Close family abroad who depend on you

4. Immigration History

Previous Canadian immigration applications (type, year, result)

Previous refusals / returned applications

Refugee / protected person history

No claimPendingRefused / withdrawnAcceptedNot sure

Other IRCC / CBSA matters in progress

Prior lawyer / RCIC on this matter

5. Your Story & Why You Need a Lawyer

Main immigration concern (short summary)

Written story of your situation and concerns

Why do you believe you need a lawyer for this matter?

Anything else we should know

6. Removal & Enforcement

If you have a removal date or CBSA contact, call EBBI at (647) 780-4069 or Atty. Garvida at (416) 638-1529 before other applications.

Subject to a removal / departure / exclusion order? YesNoNot sure

Removal / enforcement details

Detention, admissibility hearing, or investigation? YesNoNot sure

If yes, briefly explain

7. Urgency & Goals

Urgency — check all that apply:

Status expires ≤30 daysStatus expires ≤60 daysStatus expires ≤90 days Out of statusRemoval scheduledCourt / IRB / IRCC deadline Job / school pendingFamily separation risk

What do you want from this consultation?

Pathway you think may apply (if any)

Preferred contact method

8. Client Declaration

I declare that the information provided is true, complete, and accurate to the best of my knowledge. This form is for intake and preliminary assessment only, is not legal advice, and does not create a retainer until confirmed in writing. I authorize EBBI to share this information with Atty. George M. Garvida for consultation purposes.

□ I have read and agree to the above declaration

Full name (signature)

Date (D/M/Y)

Immigration — Initial Consultation Form

1. Personal Information

2. Status in Canada

3. Family & Relatives

4. Immigration History

5. Your Story & Why You Need a Lawyer

6. Removal & Enforcement

7. Urgency & Goals

8. Client Declaration