PA First Name

PA = Principal Applicant. Cases are registered under the principal applicant.

PA Last Name

PA = Principal Applicant. Cases are registered under the principal applicant.

Phone

Email [someone@example.com]

Preferred Language

Date of Arrival in the U.S.

Date of Arrival in the U.S.

Does anyone on the case have a significant health or mental health case that needs to be seen by a doctor in the next seven days?

Significant health conditions may include cancer, diabetes not controlled by medication, or thoughts of self harm.

Did you travel into the US on an IOM flight or are you currently receiving in-person services at a resettlement agency?

Are there any children under the age of 18 on the case traveling with someone other than their biological parent?

Examples of children traveling without their biological parent include a sibling traveling with their adult sibling or a nephew traveling with an aunt.