u visa interview guide

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U VISA INTERVIEW GUIDE INTERVIEWER: __________ Date: _____/_____/_____ BACKGROUND INFORMATION 1. Name ___________________________ Aliases ________________________________ 2. Date of birth ________________________ Place of Birth___________________________ 3. Address: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ _______________________________________ 4. Second Address: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ _______________________________________ Page 1 of 14

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Page 1: u Visa Interview Guide

U VISA INTERVIEW GUIDEINTERVIEWER: __________Date: _____/_____/_____

BACKGROUND INFORMATION

1. Name ___________________________ Aliases ________________________________

2. Date of birth ________________________ Place of Birth___________________________

3. Address:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

4. Second Address:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

5. Tel Nos.:

Home _______________________

Work _______________________

Message _____________________

6. Are you married? Yes No

If yes, what is your spouse’s status?

U.S. citizen LPR Other _______________ *Note- This Interview Guide is a modified version of a guide

prepared by the Legal Aid Foundation of Los Angeles

Page 1 of 14

Page 2: u Visa Interview Guide

7. Do you have children? Yes No

If yes, list ALL children:

Name Birth date Birth place Is child with you? If no, where is s/he?

Immigration Status

Age

8. Do you have unmarried siblings under 18? Yes No

If yes, list ALL unmarried underage siblings :

Name Birth date Birth place Is sibling with you? If no, where is s/he?

Immigration Status

Age

Page 2 of 14

Page 3: u Visa Interview Guide

VICTIM OF CRIMINAL ACTIVITY

9. What criminal activity were you a victim of?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

10. Name of the person who engaged in the criminal activity, and his/her date of birth (if

known):

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

11. What is your relationship to the person who engaged in the criminal activity?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

12. When did the criminal activity occur?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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Page 4: u Visa Interview Guide

Where did the criminal activity occur?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

13. Did you report the criminal activity? Yes No

If yes, please answer the following questions:

a) Which police station did you report to?

___________________________________________________________________________

___________________________________________________________________________

b) Name of the detective/officer

___________________________________________________________________________

c) Telephone Number for the detective/officer______________________________________

d) Police Report No.__________________

14. Was the perpetrator arrested? Yes No Don’t know

If so, for what criminal activity was the perpetrator arrested?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

If no, why not?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

15. Were charges filed in court? Yes No Don’t know

If charges were filed, name of the court

___________________________________________________________________________

Case Number _______________________________________________________________

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Page 5: u Visa Interview Guide

What charges were brought?

___________________________________________________________________________

___________________________________________________________________________

If no charges were filed, why not?

___________________________________________________________________________

___________________________________________________________________________

16. Was the perpetrator convicted? Yes No

If yes, what was the sentence?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

17. Name of the DA or City Attorney who prosecuted the case

___________________________________________________________________________

___________________________________________________________________________

Telephone Number ___________________________

18. Have you cooperated with law enforcement in the investigation or prosecution of the crime?

Yes No

If yes, describe how you cooperated and who did you cooperate with?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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Page 6: u Visa Interview Guide

If no, why not

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

If possible, would you be willing to cooperate?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Is there a potential law enforcement official, or judge that may be willing to provide a

certification?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

NOTES on criminal activity/victim:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

SUBSTANTIAL HARM SUFFERED BY CLIENT

19. Have you suffered physical injuries as a result of this crime? If yes, please describe your

injuries_____________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

20. How were you harmed emotionally as a result of this crime?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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Page 7: u Visa Interview Guide

Checklist of types of harm suffered:

** Advocates read off checklist and circle those that apply in parenthesis

social isolation (victim can't: use phone, talk to family, no friends allowed)

obsessiveness and possessiveness (jealousy, accusations of infidelity)

threatens to kill or harm (victim/property/children/animals)

economic abuse (controls all money, prevents her from getting a job, takes her money)

verbal abuse (name-calling, humiliates, constant criticism of herself/family)

threatens to deport (client, children, family)

threatens to take children away

____kicked out of house or threatens to do so

husband/abuser's family ever harmed or threatened to harm you? Describe: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

____other (please describe):

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

21. Were your children harmed as a result of this crime? Yes No

If yes, please describe how they were harmed

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

22. If the applicant is under 21, was his/her unmarried sibling under 18 harmed as a result of this

crime? Not applicable Yes No

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Page 8: u Visa Interview Guide

If yes, please describe how he/she was harmed

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

23. Were there other witnesses or victims? Yes No

If yes, who are they?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Are you in contact with them? Yes No

If yes, where are they?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

If no, can you find them? Yes No

NOTES on substantial harm suffered:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

INADMISSIBILITY ISSUES

Unlawful Presence

24. When did you first enter the U.S? ________________ Place of entry ___________________

25. How did you enter the U.S? ____________________________________________________

26. Have you left the U.S. since your first entry? Yes No

If yes, give details of each entry and exit:

Page 8 of 14

Page 9: u Visa Interview Guide

Departure Date Arrival Date Manner of entry Place of entry

Criminal History 27. Have you ever been arrested? Yes No

If yes, complete the following:

Date Charge Convicted Y/N? Sentence or Outcome

Prior Removals

28. Have you ever been before an Immigration Judge? Yes No

If yes, describe why you were put in deportation proceedings

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

What relief did you apply for?

___________________________________________________________________________

___________________________________________________________________________

What was the outcome?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Page 9 of 14

Page 10: u Visa Interview Guide

29. Have you ever been stopped or detained by INS, CIS, ICE or CBP?

______________________________________________________________________________

______________________________________

When?_____________________________________________________

Outcome?__________________________________________________

30. Have you ever been ordered deported or removed from the U.S?

Yes No

If yes, were you (check one):

__ deported/removed by the USCIS

__ Voluntarily departed

__ Never left

If yes, when?________________________________________________

Miscellaneous Inadmissibility Issues

31. Do you suffer from any serious medical condition or contagious disease? Yes No

If yes, please give details about your illness and treatment

___________________________________________________________________________

___________________________________________________________________________

______________________________________________________________________

32. Have you engaged in prostitution in the U.S. or anywhere in the world? ? Yes No

If yes, please give more information

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

33. Have you received public benefits? Yes No

34. Were the benefits provided for: applicant applicant’s children

Please explain:

___________________________________________________________________________

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Page 11: u Visa Interview Guide

___________________________________________________________________________

___________________________________________________________________________

NOTES on inadmissibility issues:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Miscellaneous

35. Do you have any other family in the U.S.? Yes No

If yes, who? _______________________________________________________

What is their status?

a. U.S. citizen LPR Other _________________________

b. U.S. citizen LPR Other _________________________

36. Do you want to apply for visas for your family? Yes No

If yes, circle all that apply:

Mother

Father

Spouse

Children

Sibling(s) (Only if the applicant is under 21 and the sibling is both unmarried and under 18.)

37. What is your current immigration status?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

38. Have you filed any applications with USCIS? Yes No

If yes, describe what you applied for, when and the outcome

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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Page 12: u Visa Interview Guide

Supporting Documents

Do you have any of the following or can you obtain these documents?

Police Report(s):

Date: Agency:

Conviction Documents/ Case Disposition: Date Convicted: Court Name:

Restraining Order: Date Obtained ______________________

Certification from law enforcement:Date Name of agency

and official:

Photographs of Injuries

Medical Report: Date: Hospital:

DV Counseling Letter: Date: Agency Name or

Name of Counselor:

Letter from Battered Women’s Shelter: Date: Name of Shelter:

Declaration of Witness: Name: Relationship:

Page 12 of 14

Page 13: u Visa Interview Guide

Client Declaration

Other Documents: ________________________________________________________________________________________________________________________________________________

FOR ADVOCATE: If client has a potential U Visa case, evaluate if they should apply for interim relief:

Is the client a direct victim of a criminal activity described in INA §101(15)(U)?

Is the crime listed in the statute?

Was the crime committed in the U.S fairly recently OR

Is the investigation/prosecution of the crime ongoing?

Has client cooperated with law enforcement?

Will law enforcement sign the Certification?

Can client show “substantial” physical/mental harm?

Is there strong corroborative evidence of harm?

Does client have other avenues of immigration relief? OR

Does client have existing immigration status?

No inadmissibility issues are present

Client has been advised of the dangers in applying for interim

relief and has consented

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