Book a Consultation with Newstead Immigration and Refugee LawPlease complete this intake form to request a consultation. The individual who would like the consultation should complete the form. However, if you are completing the form on behalf of someone else, ensure you have their consent. We will require their written consent prior to the consultation.Please enable JavaScript in your browser to complete this form. Conflicts Needs Email FIRST NAME *Please match to the name in your passport/official Government ID. If your MIDDLE NAME is part of your legal name please add it to your First Name. LAST NAME *If your last name has multiple parts, please include them to match your passport/official Government ID.Street Address *Street Address Line 2City *State/Province *Country *Postal / Zip Code *Phone Number *Include area code and phone number.Email *Occupation *If you don’t have a job, type n/a.Address of Place of Work *This is the location of your employment. If you do not have an address for where you work, type n/a.Phone number of Place of Work *This is the phone number for your employment. If you do not have a phone number for where you work, type n/a.Detailed Legal Issue *Please provide a detailed summary of your matter and the questions you have for us.DeadlinePlease include specific information if you have a pending deadline, such as a filing deadline for an application, or when your status/permit expires.Immigration Status in CanadaCountry / Countries of CitizenshipLanguage NeedsPlease identify if you require an interpreter. We will inform you the costs of a third-party interpreter. Alternatively, you may bring your own interpreter to the consultation. Opposing Parties or ConflictsPlease indicate if there are individuals who have interests that go against your own with respect to your immigration, such as a former immigration representative, a former employer, a former spouse, etc. Please indicate their full legal name and their place of employment. Your Family – Immigration Status and Date of BirthFill in this section for your family members related to your immigration matter. Indicate their immigration status in Canada and their date of birth. Submit