Law Offices of Marks & Acalin, LLP

Please contact our office about recent changes in the immigration laws. 323.937.8888

Diversity/Green Card Lottery Application

The Congressionally mandated Diversity Immigrant Visa Program makes available 50,000 permanent resident visas annually, drawn from random selection among all entries to persons who meet strict eligibility requirements from countries with low rates of immigration to the United States. Please fill in the following form and the Law Offices of Marks & Acalin will assist you in the process.

Please be advised, the application is a 2 step process.

Step One: Complete the Application below and upon submission you will be able to review your answers and then click Step Two.

Please provide the following contact information:

Name

Birth Date:

-- mm/dd/yy

Gender:

Birth Place City/Town

Birth Place State/Province

Country Claimed:

Explanation of country claimed:

In what country do you live today?

What is the highest level of education you have achieved?

Marital Status

Contact Information

Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Home Phone

E-mail

Upon submission, review your input and click Step Two to be forwarded to the payment page to complete the application.

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