Before you go: court, clinic or church
A printable from Courthouse Hospital Church. Fill it in by hand. Nothing you write is collected by this website.
Before you go: court, clinic or church
Court date
- I talked with a lawyer or public defender about any immigration risk
- I asked if I can appear by video
- A trusted adult is coming with me: ____________
- My court papers are with me
- My family plan is ready. Who picks up my children: ____________
Clinic or hospital visit
- I know I can ask staff to call a manager if agents ask for me
- I only answer questions about my status if I choose to
- In an emergency, I go to the ER. They must screen and stabilize me.
Church or place of worship
- Our congregation has marked private rooms
- We know who speaks to any agent who comes
- The rapid response number is posted
If agents come: I stay calm. I can stay silent. I do not sign. I do not run. I ask for a judge's warrant.
Numbers: San Mateo rapid response (203) 666-4472. Santa Clara rapid response (408) 290-1144. CLSEPA 650-326-6440. My lawyer: ____________. Emergency: 911.
From Courthouse Hospital Church. Facts checked October 21, 2026. Free information, not legal or medical advice.