Case Evaluation Request Form:

You may use the form below to request an evaluation of your case. Please answer all of the questions so that we may check for a conflict of interest before you provide any confidential information about your case.

Complete name of the person completing this form:

Email address of the person completing the form:

Telephone number of the person completing the form:

Complete name of the person who needs help:
Myself Another person named:

City and state where person who needs help lives:

Do you know anyone that we have represented or consulted before?
No Yes, his or her name is:

Case type (check all that apply):
I am concerned about the immigration consequences of a criminal charge or conviction
I want to obtain permanent residence in the U.S. based on a marriage or family relationship
I am afraid to return to my country
I want to obtain immigration status as the victim of a serious crime or domestic abuse
I am a permanent resident who wants to naturalize to U.S. citizenship
I have a case currently pending before the U.S. Citizenship and Immigration Services
I want to challenge the denial of my immigration petition or application
I think the delay in my immigration case is unreasonable
I am in removal (deportation) proceedings before an immigration judge
I want to appeal or reopen an order of removal (deportation)
I do not have immigration status and want to find out what options might be available
My immigration situation is not described above or I am unsure of my situation (note: we do NOT accept employment-based immigration cases or cases involving immigration to other countries)

How would you prefer to consult with the attorney?
In Person   By Phone   By Skype

By clicking Submit, I agree this is only a request for a case evaluation. I understand that an attorney will contact me if the firm wants to provide a case evaluation.

Caveats on Use:

Note that calling or submitting the form above does NOT create an attorney-client relationship. Even if we consult with you, we will not represent you or take any action on your behalf unless we both sign a legal services agreement. Also, do NOT provide any confidential information about your case until the attorney requests it. Please see our website use agreement.

Contact Information:

Telephone: (510) 835-1115
Fax: (510) 835-1116

Google Voice:


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Consults on request

Mailing Address:
Law Office of Scott A. Mossman
PO Box 29322
Oakland CA 94604-9322