Intake Immigration

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Intake Form - Immigration

Once received, we will aim to respond within 2-3 business days.

ATTENTION

YOU MUST LIVE IN NEIGHBOURHOOD LEGAL SERVICES' CATCHMENT AREA TO BE ELIGIBLE FOR OUR SERVICES. CONFIRM THAT NLS IS YOUR COMMUNITY LEGAL CLINIC BY ENTERING YOUR POSTAL CODE HERE.
WE ARE UNABLE TO CONTACT YOU IF YOU LIVE OUTSIDE OUR CATCHMENT AREA. CONTACT YOUR LOCAL LEGAL CLINIC FOR ASSISTANCE.
DUE TO OUR LIMITED CAPACITY THERE CAN BE NO EXCEPTIONS.

If you are not completing an intake and have a general inquiry please call the main line at 416-861-0677 and leave a message. We will not be responding to general inquiries submitted here.
If you are a caseworker helping a client, fill out the intake form with the client's information. We will not be calling/emailing you to complete a client intake.

Online Intake - Immigration

* Indicates required field

Preferred Language: *

Who is completing this form? (Myself or Someone else - who?) *

First Name *

Middle Name *

Last Name *

Call me this name: *

My Pronouns are: *

Date of Birth (day/month/year) *

Phone Number *

Whose Phone is this? *

Can we leave a voice message? *

Yes No

Email *

Whose email is this? *

How would you prefer we contact you? *

Email Phone

My Address is: *

Postal Code *

Mail Options *

You CAN send me mail here You CANNOT send me mail here

I live with _____ people *

I live with _____ children under 18 *

I live with _____ adults who do not have their own income *

My home has _____ bedroom(s) *

My rent costs _____ per month *

I moved here in ______ (Month and Year, Example: June 2019) *

Personal Support

Do you have a caseworker or friend or community member who can accompany you to phone / in-person appointments? Who? *

Health Support

Where do you go for your health care? *

Walk-in Clinic Emergency Room Family Doctor

Household Income
Please indicate ALL income where you or someone you live with receives money from.
Examples: ODSP, CPP, OSAP, CCB, OW, Work/Job

Household Income - Where, how much, and how often? ($ amount and biweekly/monthly/yearly etc.) *

Immigration

What is your immigration status in Canada? *

Have you made a refugee claim? *

No Yes

If Yes - when did you make a refugee claim? *

My Legal Issue: *

I want the clinic to help me with: *

Upload File *

Max file size: 20MB

Is there anything we should know to serve you better? (e.g. medications make it hard for you to attend appointments in the morning, etc.) *

Statistical Information
If you do not want to answer a question (or don’t know the answer), just skip the question.
This information is not a requirement for getting help.

Ethno-racial identification (OPTIONAL)

What race or ethnic background do you identify with? *

Submit

Disclaimer:

Web or email transmissions to Neighbourhood Legal Services, or to any member of our clinic, do not create a solicitor-client relationship. No professional relationship is created by viewing this website or sending an email or web inquiry. Persons do not become clients unless and until NLS agrees to act for them and that agreement is confirmed in a retainer agreement or retainer letter in accordance with our usual policies.

Transmissions Are Not Confidential:

Neighbourhood Legal Services does not guarantee the confidentiality of the content of any email transmission facilitated by this website. If you wish to provide confidential information to us, contact our intake line by phone (416-861-0677 x1) or your caseworker directly.

We provide free legal services and assistance to low income individuals who live within our catchment area and qualify for our services. If you live outside our catchment area, you can find your local clinic by searching here.

"Overcoming poverty is not a gesture of charity. It is an act of justice"
- Nelson Mandela (1918-2013)

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Neighbourhood Legal Services, 101 - 163 Queen Street East, Toronto, ON M5A 1S1
Tel: 416.861.0677 | Fax: 416.861.1777
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Intake Form - Immigration

***ATTENTION***

Online Intake - Immigration

ATTENTION