US WAIVER
REQUEST FORM
ONLINE US WAIVER / ADVANCE PERMISSION TO ENTER USA PROCESS REQUEST.
Start your application assessment now. Applying for a Pardon or U.S. Waiver is a lengthy process, the sooner you get started, the sooner your application will be potentially approved. Once we receive your online application, we will contact you to confirm necessary details for final assessment and review the process with you.
Please fill up the following form and provide the required initial information for us to determine your eligibility for the process. There is no fee for assessment or consultancy at this point or until we sign a retainer agreement to book your case.All information provided in this form is secured and confidential and will not be shared or redirected by our office. Only the person in question will be contacted for further processing.
Title:
First Name:
Middle Name:
Last Name:
US SSN.
Mailing /Street ,Address: (Current).
City: Province:
Postal Code:
Home Phone: 
(example: 780-555-1212)
(example: 780-555-1212) Work Phone: (example: 780-555-1212)
(example: 780-555-1212) Cell Phone: (example: 780-555-1212)
(example: 780-555-1212) Email:
Your last entry date in USA when you were refused entry to USA.
Port of Entry.Were you figure printed and photographed
Were you figure printed and photographed Country of your nationality at that time.
Do you have a civil or criminal record in USA:
Do you have family living in USA:
I would like to apply for a:
BREIF HISTORY ABOUT YOUR SITUATION IN USA
(FOR EXAMPLE YOUR STATUS IN USA WHILE YOU WERE IN USA AND IF YOU FILED ANY ASYLAM OR OTHER APPLICATION ETC..)
Comments /Instructions and Questions: if any.
Submit Application.
By submitting this form I the above named applicant authorize Express Law Services and its authorized representatives to contact me and make an initial assessment as per their procedure.
