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Submit a Request for Legal Help

Please complete the intake form below:

Contact Information
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Description of Assistance Needed


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Please tell us about the legal assistance you are seeking by filling out the information below.


Financial Information
Our mission is to provide legal services for individuals and organizations that can’t afford them. If you can afford some legal fees this may allow us to identify an attorney who might accept a reduced fee rate. This information will not necessarily disqualify you from our services, but will help us place your legal matter with an attorney best suited to your financial needs.
Do you or your organization have any ability to pay for: