BOND WORKSHEET

Aliens name: __________________________

Alien number: A_____-______-_______

Attorneys name: _______________________

Phone number: (

) _____-__________

Interpreter requested: (yes/no); Language: _________________

Initial bond set: $________

Bond requested: $_________

EQUITIES

Age: __________

Marital Status: _______________

Spouses status: ____________

Children (yes/no)

Date of marriage: ___________

Number of children: _____________

List childrens names, dates of birth, and places of birth (attach copies of birth certificates):
_______________________, ________________, ___________________________________
_______________________, ________________, ___________________________________
_______________________, ________________, ___________________________________
Use additional sheets if necessary
Birthplace of mother: ______________________ Birthplace of father: ___________________
Status of mother: _________________________ Status of father: _______________________
Will respondent make any claims of citizenship to the United States? (yes/no)
Will the claim be by birth (in U.S.), naturalization, acquisition or derivation? ______________
Does respondent have any brothers/sisters in the United States? (yes/no)
List siblings names, dates of birth, and status(es) in the United States:
______________________, _________________, ____________________________________
______________________, _________________, ____________________________________
______________________, _________________, ____________________________________
Use additional sheets if necessary
First date respondent entered United States: ______________ Current status: _______________
Years resided in U.S.: ______

Date received permanent residence: _____________________

Education received (both in U.S. and elsewhere): _____________________________________

Use additional sheets to lists schools attended, graduation dates, etc.
Has respondent been employed in the United States? (yes/no)
Does respondent have authorization to work in the United States? (yes/no)
Has respondent ever used illegal documentation to work in the United States? (yes/no)
List last three places of employment, dates of employment, and last salary received:
_____________________________, __________________, ____________________________
_____________________________, __________________, ____________________________
_____________________________, __________________, ____________________________
Where will respondent reside if released? ___________________________________________
With whom will respondent reside? ________________________________________________
List all convictions of, dates of convictions, sentences received, and time served by respondent
__________________________, ______________, _______________________, ___________
__________________________, ______________, _______________________, ___________
__________________________, ______________, _______________________, ___________
Date respondent came into custody of the Immigration Service: __________________________
How did respondent come into Immigration Service custody? ___________________________
Is respondent subject to mandatory custody provisions of section 236 (c) of the Act? (yes/no)
List all forms of relief which respondent will seek: __________________________________,
__________________________________________, _________________________________,
__________________________________________, _________________________________.
Other considerations: ___________________________________________________________
____________________________________________________________________________.