Information about the person who is the subject of the immigration procedure.
[select* rempli_par first_as_label "Who is filling out this form?" "I am the person concerned by the procedure" "I am filling out on behalf of someone else"]
Your contact details (person filling out the form)
[select* relation_tiers first_as_label "Your relationship with the person concerned" "Employer" "HR Manager" "Family member" "Spouse" "Friend" "Lawyer/Legal representative" "Other"]
Enter the address you check most often. This is where we will send your consultation note, your appointment reminders and all communication about your case.
[select* source_contact first_as_label "How did you hear about Halabi Law Firm?" "Google search" "Recommendation from a former client" "Recommendation from a professional partner" "Masterclass/Webinar" "LinkedIn" "Facebook" "Instagram" "Website avocat-halabi.com" "Other"]
[checkbox newsletter_subscription "Yes, I would like to receive the newsletter to stay informed about changes in laws, procedures, and free thematic masterclasses"]
[acceptance autorisation_contact] I authorize Halabi Law Firm to process my data and contact me as part of my case follow-up
[select* situation_actuelle first_as_label "What is your current situation?" "I have legal residency in Belgium or Europe" "I reside abroad" "I am in Belgium with a valid visa" "I am in Belgium without legal residency"]
[select* type_procedure first_as_label "Type of procedure requested" "Family reunification" "Student visa or residency" "Single permit or EU Blue Card" "Residency and/or work permit renewal" "Unlimited or permanent residency (Card B, C, E+, F+, L...)" "Belgian nationality" "Professional card" "Private means (Rentier)" "Regularization (9bis/9ter)" "Appeal against a decision" "Appeal against a decision - Family reunification" "Appeal against a decision - Professional card" "Appeal against a decision - Single permit" "Appeal against a decision - Humanitarian regularization (9bis)" "Appeal against a decision - Medical regularization (9ter)" "Appeal against a decision - Private means (Rentier)" "Appeal against a decision - Nationality" "I don't know / Need advice"]
[select* type_procedure_etranger first_as_label "Type of procedure requested" "Family reunification" "Student visa" "Single permit or EU Blue Card" "Professional card" "Tourist visa" "Private means (Rentier)" "Appeal against a decision" "Appeal against a decision - Family reunification" "Appeal against a decision - Professional card" "Appeal against a decision - Single permit" "Appeal against a decision - Humanitarian regularization (9bis)" "Appeal against a decision - Medical regularization (9ter)" "Appeal against a decision - Private means (Rentier)" "Appeal against a decision - Nationality" "I don't know / Need advice"]
[select* type_procedure_visa_c first_as_label "Type of procedure requested" "Student visa or residency" "Family reunification" "Private means (Rentier)" "Medical regularization (9ter)" "Humanitarian regularization (9bis)" "Appeal against a decision" "Appeal against a decision - Family reunification" "Appeal against a decision - Professional card" "Appeal against a decision - Single permit" "Appeal against a decision - Humanitarian regularization (9bis)" "Appeal against a decision - Medical regularization (9ter)" "Appeal against a decision - Private means (Rentier)" "Appeal against a decision - Nationality" "I don't know / Need advice"]
[select* retour_pays_origine first_as_label "Are you willing to return to your country of origin?" "Yes, if the chances of success are at least 80%" "No, I prefer to stay in Belgium" "I don't know"]
[select* type_procedure_illegal first_as_label "Type of procedure requested" "Family reunification with a Belgian, European, or person with legal residency" "Medical regularization (9ter)" "Humanitarian regularization (9bis)" "Appeal against a decision" "Appeal against a decision - Family reunification" "Appeal against a decision - Professional card" "Appeal against a decision - Single permit" "Appeal against a decision - Humanitarian regularization (9bis)" "Appeal against a decision - Medical regularization (9ter)" "Appeal against a decision - Private means (Rentier)" "Appeal against a decision - Nationality" "I don't know / Need advice"]
[date* date_arrivee_belgique min:1900-01-01 placeholder "Date of arrival in Belgium"]
[select* type_carte_sejour first_as_label "Type of residence card in your possession" "Card A (limited stay)" "Card B (limited stay)" "Card C (unlimited stay)" "Card D (EU permanent residency)" "Card F (EU family member)" "Card F+ (permanent EU family stay)" "Card H (EU Blue Card)" "Annex 15" "Annex 35" "Registration certificate" "No card currently" "Other"]
[textarea description_situation placeholder "Describe your current situation..."]
[textarea description_situation_etranger placeholder "Describe your current situation..."]
Specific questions - Family reunification
[select* membre_famille first_as_label "Who do you wish to join in Belgium?" "My Belgian or European spouse/partner" "My spouse/partner with legal residency in Belgium" "My Belgian or European child" "My child with legal residency in Belgium" "My Belgian or European parent" "My parent with legal residency in Belgium" "Other family member"]
[text* autre_membre_preciser placeholder "Specify the family relationship"]
[select* statut_membre_famille first_as_label "Residency status of the person you wish to join" "Belgian nationality" "European nationality" "Card A, B, C, D (long stay)" "Card F or F+ (permanent/unlimited stay)" "Recognized refugee or subsidiary protection" "I'm not sure exactly"]
[text* nationalite_europeenne placeholder "Specify the European country"]
[textarea* revenus_nets_mensuels placeholder "What is this person's net monthly income? Please specify the amount and type (salary, self-employment income, rental income, pension, unemployment benefits, mutual insurance, CPAS...)"]
[select* situation_familiale first_as_label "What is your current family situation?" "Married" "Legal cohabitant" "Partner (de facto relationship)" "Parent/child" "Other"]
[text* duree_relation placeholder "How long have you been married or in legal cohabitation?"]
[select* enfants_communs first_as_label "Do you have children together?" "Yes" "No"]
[number* combien_enfants min:1 max:20 placeholder "How many children?"]
[select* vivent_ensemble first_as_label "Do you currently live together?" "Yes, we live together" "No, we live separately"]
[select* sejour_belgique_passe first_as_label "Have you previously stayed in Belgium?" "No" "Yes"]
[textarea sejour_passe_preciser placeholder "Specify dates and type of stay"]
Specific questions - Student visa or residency
[select* situation_etudiant first_as_label "Your current situation" "I reside abroad and wish to study in Belgium (first application)" "I am already a student in Belgium and wish to renew my residency" "I am already a student in Belgium and wish to request an extension at the end of my studies for a research year" "I am already a student in Belgium and wish to change status at the end of my studies" "I am already a student in Belgium and wish to change status before the end of my studies" "I am in Belgium with a visa C and wish to change status to student"]
[select* base_changement_statut first_as_label "On what basis do you wish to change status?" "Employment contract (single permit)" "Self-employed or business partner (professional card)" "Marriage or legal cohabitation" "I don't know"]
[text* pays_residence_legale placeholder "Current country of legal residence"]
[date* date_arrivee_etudiant_be min:1900-01-01 placeholder "Date of arrival in Belgium"]
[select* inscription_confirmee first_as_label "Have you already been admitted to an educational institution in Belgium?" "Yes" "Not yet" "Application in progress"]
[checkbox financement_etudes "Sponsorship by a third party (parent, guardian)" "Personal income" "Scholarship" "Student loan" "Personal savings" "Other"]
[textarea* garant_financement placeholder "Do you have a sponsor or have you blocked the necessary amount to finance your studies? Please specify"]
[select* montant_850_mois first_as_label "Do you have a minimum of 850 EUR/month for your subsistence?" "Yes" "No" "I don't know"]
[text* ects_valides placeholder "How many ECTS credits have you validated this year? (e.g. 45/60)"]
[select* etudiant_refus_visa first_as_label "Have you ever had visa or residency refusals in Belgium?" "No" "Yes"]
[textarea refus_visa_preciser placeholder "Specify the refusals (dates and reasons)"]
[select* signalement_schengen_etudiant first_as_label "Have you ever received entry bans or Schengen alerts in Belgium or another EU state?" "No" "Yes"]
[textarea signalement_etudiant_preciser placeholder "Specify the situation"]
Specific questions - Single permit or EU Blue Card
[select* offre_confirmee first_as_label "Do you already have an employer ready to hire you in Belgium?" "Yes" "No, but I would like to know my options"]
[select* region_occupation first_as_label "Region where you will work if the single permit is granted" "Flanders" "Brussels" "Wallonia"]
[text* secteur_activite placeholder "Company's sector of activity"]
[select* type_fonction first_as_label "Type of position offered" "Highly qualified (min. 3-year higher education degree)" "Shortage occupation" "Other position"]
[text* poste_fonction placeholder "Specify the position or role"]
[number salaire_mensuel_brut min:0 placeholder "Proposed gross monthly salary (in EUR), if known"]
[select* type_contrat first_as_label "Type of contract offered" "Permanent contract (CDI)" "Fixed-term contract (CDD)" "I don't know yet"]
[text* duree_contrat_cdd placeholder "Duration of the fixed-term contract"]
[number* annees_experience min:0 max:50 placeholder "Years of professional experience in this field"]
[select* metier_penurie first_as_label "Is this a shortage occupation?" "Yes" "No" "I don't know"]
Specific questions - Residency and/or work permit renewal
[select* type_visa_renouvellement first_as_label "Which type of visa/residency do you wish to renew?" "Student visa" "Single permit" "Family reunification" "Professional card" "Other"]
[select* situation_changee first_as_label "Has your situation changed since your last visa/residency application?" "No" "Yes"]
[select* separe_conjoint first_as_label "Have you separated from your spouse? (if family reunification)" "No" "Yes" "Not applicable"]
Specific questions - Unlimited or permanent residency (Card B, C, E+, F+, L...)
[select* cinq_annees_sejour first_as_label "Do you have more than 5 years of uninterrupted legal residency?" "Yes" "No" "Almost (between 4 and 5 years)"]
[select* travail_actuel_carte_c first_as_label "Are you currently employed?" "Yes" "No"]
[textarea* revenus_origine_carte_c placeholder "Amount and source of your income - please specify"]
Specific questions - Belgian nationality
[number* annees_sejour_belgique min:0 max:50 placeholder "How many years have you been legally living in Belgium?"]
[date* date_arrivee_nationalite min:1900-01-01 placeholder "Date of arrival in Belgium"]
[select* sejour_continu first_as_label "Has your stay in Belgium been continuous and legal without interruption?" "Yes, no interruption" "No, there have been interruptions" "I'm not certain"]
[textarea interruptions_preciser placeholder "Specify the interruptions (dates and durations)"]
[select* base_nationalite first_as_label "On what basis do you wish to apply for nationality?" "5 years of uninterrupted legal residence" "10 years of uninterrupted legal residence" "Marriage with a Belgian or parent of a Belgian child (3 years of marriage + 5 years of residence)" "Pensioner or disabled and 5 years of residence" "Born in Belgium / Belgian parents" "I don't know"]
[select* travail_belgique first_as_label "Do you work in Belgium?" "Yes, continuously for several years" "Yes, but with interruptions" "No"]
[select* cinq_ans_travail first_as_label "Do you have 5 years of uninterrupted work?" "Yes" "No"]
[select* integration_faite first_as_label "Have you completed an integration program in Belgium?" "Yes" "No" "In progress"]
[select* region_parcours first_as_label "In which region?" "Flanders" "Brussels" "Wallonia"]
[textarea* niveau_langue_nat placeholder "Language level A2 or B1 - please specify the language and level"]
[select* condamnations_penales first_as_label "Do you have criminal convictions in Belgium or abroad?" "No" "Yes"]
[textarea condamnations_preciser placeholder "Specify the convictions"]
[select* dossier_parquet first_as_label "To your knowledge, is there an open investigation file in your name at the Prosecutor's Office?" "No" "Yes" "I don't know"]
[textarea dossier_parquet_preciser placeholder "Specify the nature of the file"]
[select* procedure_judiciaire first_as_label "Have you ever filed a complaint or been involved in legal proceedings (even as a victim or witness)?" "No" "Yes"]
[textarea procedure_judiciaire_preciser placeholder "Specify the situation"]
Specific questions - Private means (Rentier)
[select* rentier_revenus first_as_label "Do you have income exceeding 2,000 EUR/month as a single person or 3,000 EUR/month with a family?" "Yes" "No" "I'm not sure"]
[select* rentier_attaches first_as_label "Do you have ties in Belgium?" "Yes" "No"]
[textarea* rentier_attaches_preciser placeholder "Please specify your ties"]
Specific questions - Tourist visa
[select* touriste_refus_visa first_as_label "Have you ever been refused a Belgian visa in the past?" "No" "Yes"]
[select* touriste_signalement_schengen first_as_label "Have you ever been subject to a Schengen alert in the past?" "No" "Yes" "I don't know"]
[textarea* but_sejour_touriste placeholder "Purpose of your stay - please specify"]
[textarea* garanties_retour placeholder "Do you have proof of return guarantees to your country? (e.g. family, work, property...) Please detail"]
Specific questions - Medical regularization (9ter)
[select* maladie_grave first_as_label "Do you suffer from a serious illness requiring treatment in Belgium?" "Yes" "No"]
[text* nature_maladie placeholder "Nature of the illness (without disclosing sensitive medical details)"]
[select* traitement_disponible_origine first_as_label "Is this treatment available or accessible in your country of origin?" "No, not available at all" "No, available but inaccessible (cost, distance, etc.)" "Yes, available and accessible" "I don't know"]
[select* suivi_medical_belgique first_as_label "Are you currently receiving medical care in Belgium?" "Yes" "No"]
[text* nom_hopital_medecin placeholder "Name of the hospital or treating physician"]
[text* duree_traitement placeholder "How long have you been in treatment?"]
[select* rapports_medicaux_recents first_as_label "Do you have recent medical reports (less than 3 months old)?" "Yes" "No"]
[date* date_arrivee_9ter min:1900-01-01 placeholder "Date of arrival in Belgium"]
[select* demande_9ter_passee first_as_label "Have you previously submitted a medical regularization (9ter) application?" "No" "Yes"]
[select* resultat_9ter first_as_label "What was the result?" "Accepted" "Refused" "Pending"]
Specific questions - Humanitarian regularization (9bis)
[select* duree_belgique_9bis first_as_label "How long have you been in Belgium?" "Less than 1 year" "1 to 3 years" "3 to 5 years" "More than 5 years"]
[select* procedures_passees first_as_label "Have you previously submitted other immigration procedures in Belgium?" "No" "Yes"]
[textarea procedures_passees_lesquelles placeholder "Which ones and what were the results? (Describe the procedures submitted and their outcome)"]
[select* famille_belgique_9bis first_as_label "Do you have family in Belgium?" "Yes" "No"]
[text* famille_belgique_qui placeholder "Who and what is their residency status?"]
[checkbox attaches_belgique "Children enrolled in school in Belgium" "Work (even if irregular)" "Real estate property" "Community involvement, volunteering" "Long duration of residence" "Other"]
[select* projet_mariage_cohab first_as_label "Do you have a marriage or legal cohabitation project with a person with legal residency or a Belgian/European citizen?" "No" "Yes"]
[text* projet_mariage_preciser placeholder "Specify the situation"]
[select* projet_reconnaissance first_as_label "Do you have a child recognition project involving a child with legal residency or Belgian/European nationality?" "No" "Yes"]
[text* projet_reconnaissance_preciser placeholder "Specify the situation"]
[textarea* raisons_pas_retour placeholder "Why can you not return to your country of origin? Explain the exceptional circumstances (minimum 300 characters)" minlength:300]
[select* dispose_retour_temporaire first_as_label "Are you willing to temporarily return to your country of origin to submit a legal procedure?" "Yes" "No"]
[textarea raison_refus_retour placeholder "Explain why you cannot temporarily return"]
[select* documents_identite first_as_label "Do you have documents proving your identity?" "Yes, valid passport" "Yes, expired passport" "Yes, identity card" "No, no documents"]
[textarea* description_situation_9bis placeholder "Describe your situation as precisely as possible: reasons for coming to Belgium, family/professional/social ties, circumstances preventing you from returning to your country, any important information (minimum 500 characters)" minlength:500]
Specific questions - Regularization
[select* motif_regularisation first_as_label "Reason for regularization request" "Article 9bis (exceptional circumstances)" "Article 9ter (medical reasons)" "I don't know"]
[select* duree_belgique first_as_label "How long have you been in Belgium?" "Less than 1 year" "1 to 3 years" "3 to 5 years" "More than 5 years"]
[textarea* raisons_pas_retour_gen placeholder "Reasons preventing a return to your country of origin - please detail"]
[textarea* pathologie_severite_gen placeholder "Type of condition and degree of severity according to your doctor - please specify"]
[select* traitement_dispo_gen first_as_label "Is the treatment available in your country of origin?" "Yes" "No" "I don't know"]
[textarea* traitement_details_gen placeholder "Please provide details"]
Specific questions - Appeal
[select* type_decision first_as_label "Type of decision contested" "Visa refusal" "Residency refusal" "Order to leave the territory" "Withdrawal of residency" "Renewal refusal" "SIS/Schengen alert to be removed" "Entry ban" "Other"]
[date* date_decision min:1900-01-01 placeholder "Date of notification of the decision"]
[select* recours_oqt first_as_label "Have you received an order to leave the territory?" "Yes" "No"]
Important: Please send a copy of the decision to secretariat@avocat-halabi.com or upload it in the Documents section below.
Administrative and judicial history
This information allows us to fully assess your situation.
[select* rf_oqt first_as_label "Have you ever been issued an order to leave the territory?" "No" "Yes"]
[select* rf_signalement_schengen first_as_label "Have you ever been subject to a Schengen alert in Belgium or another EU state?" "No" "Yes" "I don't know"]
[textarea rf_signalement_preciser placeholder "Specify the situation"]
[select* rf_expulsion first_as_label "Have you ever been subject to an expulsion order?" "No" "Yes"]
[select* antecedent_signalement_schengen first_as_label "Have you ever been subject to a Schengen alert in Belgium or another EU state?" "No" "Yes" "I don't know"]
[textarea antecedent_signalement_preciser placeholder "Specify the situation"]
[select* antecedent_expulsion first_as_label "Have you ever been subject to an expulsion order?" "No" "Yes"]
[textarea message placeholder "Additional information or questions - Describe your situation in detail, ask your questions, or add any information useful for our analysis..."]