U.S. Consultation Questionnaire (Corporate)

Please be aware that this form is for US immigration consultations only. Do not use this questionnaire for Canadian immigration consultations. If you require assistance with a Canadian immigration matter, please complete Henry J. Chang's Canadian Consultation Questionnaire (Corporate).

The information submitted in this SSL encrypted questionnaire will be kept confidential. Once you have submitted your completed form, you will have an opportunity to schedule your consultation online.

Please note that initial consultations last up to one hour and a flat fee of $945.00 CAD (plus applicable GST/HST) will apply. However, certain consultations (such as those involving inadmissibility or citizenship claims) require additional analysis and are instead billed on a hourly basis. In such cases, you will be informed in advance that your initial consultation will exceed $945.00 CAD (plus applicable GST/HST) and you will be given an opportunity to confirm whether you still wish to proceed.

Once you have scheduled your consultation, we will contact you in order to request your credit card information. The initial consultation fee (plus GST/HST, if applicable) must be paid before your consultation takes place.

---

REFERRAL INFORMATION

Were you referred to Henry Chang? Yes No

If yes, who referred you?

OBJECTIVE

Briefly describe what you would like us to do for you:

HR CONTACT INFORMATION

First Name of HR Contact:

Last Name of HR Contact:

Telephone Number of HR Contact (with Extension):

Fax Number of HR Contact:

E-mail Address of HR Contact (It is essential that this address be correct):

E-mail Address of HR Contact (Enter Your E-Mail Again):

COMPANY INFORMATION

General

Full Name of Corporation/Company/Partnership/Proprietorship:

Federal Tax ID Number/Employer Identification Number:

United States Address

Street and Suite Number:

City:

State:

Zip Code

Canadian Corporation/Company/Partnership/Proprietorship in Canada (If Applicable)

Full Name of Canadian Corporation/Company/Partnership/Proprietorship:

Street and Suite Number:

City:

Province or State:

Postal or Zip Code:

Country:

Foreign Business Telephone:

Foreign Business Fax:

If the Corporation/Company/Partnership/Proprietorship is not resident in Canada, we will need to confirm that it is not subject to Goods and Services Tax/Harmonized Sale Tax. Please describe in detail any ties that the entity (or any business in which it may own an interest) currently maintains in Canada:

EMPLOYEE INFORMATION

How employees do you wish to transfer to the United States?

What citizenship(s) do your employees possess? (Please state the name of each employee and his or her citizenship.)

If applicable, how long have your employees been employed (full-time) by your company outside the United States? (Please provide job title and start/end dates of each position held.)

If possible, please summarize the credentials and work experience of each employee.

PLEASE READ THE FOLLOWING STATEMENTS PRIOR TO SUBMITTING YOUR QUESTIONNAIRE. SUBMISSION OF THIS QUESTIONNAIRE INDICATES THAT YOU ACCEPT THE FOLLOWING TERMS:

1. You confirm that, to the best of your ability, you believe that the information contained in this questionnaire is truthful and correct.
2. You confirm that the submission of this questionnaire does not create any obligation for yourself or for the lawyer with whom you wish to request a formal consultation.
3. You confirm that submission of this questionnaire does not create an attorney-client relationship and that the lawyer is not obliged to schedule a consultation with you.