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Rian Legal Services Intake

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Thank you for your interest in the Rian Immigrant Center's services! You can use this form to request a consultation with one of our legal representatives. 

This form asks for a lot of details, so please have the following information available: 
  • Passport
  • Identity documents 
  • Visa
  • Travel history 
 You will need this information for any family members as well. 

The information you share in this form will help our legal representatives determine what immigration options are available to you. All information shared with the Rian Immigrant Center through this form is completely confidential. Information will be accessible only to Rian's legal team and volunteer attorneys. Information will not be shared outside the legal team without prior authorization. 

Rian is only able to offer consultations to low- and middle-income residents of Massachusetts. If you live outside the state of Massachusetts, you will find a list of non-profit immigration legal service providers near you here: https://www.immigrationadvocates.org/nonprofit/legaldirectory/

Completing this form does not guarantee that we will be able to provide you with a consultation. If you complete this form, but are not eligible for Rian’s services, a member of our team will reach out to let you know. Even if we cannot provide you with a consultation, we will store the information you provided in the intake form. If you do not wish to have your information stored in that way, please give us a call at (617) 984-6542 instead of completing this form. 
If you are filling out this form and at any time feel unsafe, please click the
Safety Exit
 button found at the top and bottom of each page to quickly exit the form.
If you need help, please call us at (617) 984-6542. We are happy to help you complete our intake form.
Hidden Fields








Fields for repeating sections in connector










Rian Staff


If you use the Intern Legal Salesforce user, please write ilsintern@riancenter.org here.

ONLY fill this out if you wrote "ilsintern@riancenter.org" above.
Click the Safety Exit button to leave this form IMMEDIATELY
Remember: all information shared with the Rian Immigrant Center is completely confidential. Information will be accessible only to Rian's legal team and volunteer attorneys. Information will not be shared outside the legal team without prior authorization.

Requester Information


On this page, please fill in the information of the person requesting immigration assistance from Rian. If that's you, please fill in your information
Contact Information








Mailing Address




Contact Preferences




Rian sends an e-newsletter and periodic electronic updates to keep our clients and supporters up to date on our work and immigration law.

Please indicate below whether you would like to receive our newsletter and updates. If you select yes, we will share your email, and only your email, with our Communications Department. Your information will not be shared outside of Rian and you can unsubscribe at any time. 

Immigration Background






Please list your 5 most recent entries to the United States.
Please list all of your entries to the United States.


EX: 2014



Support for Additional Family Members

You will be asked to share information about your family members on the next page of the intake form.
Income Information
Why are we asking for this information?
The Rian Immigrant Center is a not-for-profit organization that serves low- and middle-income immigrants. We will only offer consultations and take on cases for individuals whose income is below a certain level.

The income information provided here will help the attorney who conducts your consultation determine if you are eligible for further services.

Please include child support income and/or unemployment benefits.


For example, if you are paid weekly, please write the amount that you are paid each week.


Please include child support income and/or unemployment benefits.
For each member of your household who has income, please share their income. Your household includes your spouse and children under 21 (regardless of where they live) and anyone else who lives with you.



For example, if they are paid weekly, please write the amount that they are paid each week.

Income Totals (Hidden)


Demographic and Background Information
The Rian Immigrant Center collects demographic information in order to accurately report to our funders who we are serving. 













If you do not have dependent children, please type 0.

If you do not live with any other family members, please type 0.

Rian has partnerships with area organizations; please let us know if any of the following apply to anyone in your household.

For the purpose of the following questions, "anyone in your household" includes any relatives with whom you share a residence. 






Click the Safety Exit button to leave this form IMMEDIATELY
Click the Safety Exit button to leave this form IMMEDIATELY
Remember: all information shared with the Rian Immigrant Center is completely confidential. Information will be accessible only to Rian's legal team and volunteer attorneys. Information will not be shared outside the legal team without prior authorization.

Family Member Information


 Please fill out this form for EACH family member that you are seeking support for.
Family Member






Contact Information















Tech Notes:
Family member phone numbers are calculated in the fields below using this formula. The connector cannot use formulas for repeating sections, so the calculation has to be done here instead of in the connector.

Each formula follows the same logic, but per phone type. This is evaluating:
If phone fields are blank, then blank.
If Phone Type = Work, then Phone
If Phone Type <> Work and Additional Phone Type = Work, then Additional Phone

if(FamilyMemberPhoneType==''){''}else{if(FamilyMemberPhoneType=="Work"){FamilyMemberPhone}else{if(FamilyMemberAddPhoneType=="Work"){FamilyMemberAddPhone}else{""}}}




Rian will not send emails or leave voice messages without the person's explicit consent. 





Immigration Background






Please list their 5 most recent entries to the United States.
Please list all of their entries to the United States.


EX: 2014


Demographic and Background Information
The Rian Immigrant Center collects demographic information in order to accurately report to our funders who we are serving. 












Rian has partnerships with area organizations; please let us know if any of the following apply to anyone in your family member's household.

For the purpose of the following questions, "anyone in your family member's household" includes any relatives with whom they share a residence. 





Tech Notes:
Family member values are calculated in the fields below using this formula. The connector cannot use formulas for repeating sections, so the calculation has to be done here instead of in the connector.

The formula uses this syntax:
if(FamilyMemberMisc==''){"No"}else{if(FamilyMemberMisc.includes("Military")==true){"Yes"}else{"No"}}




Click the Safety Exit button to leave this form IMMEDIATELY
Click the Safety Exit button to leave this form IMMEDIATELY
Remember: all information shared with the Rian Immigrant Center is completely confidential. Information will be accessible only to Rian's legal team and volunteer attorneys. Information will not be shared outside the legal team without prior authorization.

Preparer Information

You (the Rian staff member) will be automatically added as the preparer on this intake.

Examples: friend, social worker, etc
Please complete the following information about yourself (the preparer)











Rian will not send emails or leave voice messages without your explicit consent.






Rian will only contact you about this client's case after obtaining permission from the client. 

If you already have a release of information for this client, please upload it below.

Preparer Hidden Fields



Contact Information

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