One moment please...
Submit a Request for Legal Help

Please complete the intake form below:



First Name
Last Name
Organizations please complete the following:



Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code


Contact Information

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
*

*

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
*

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



Do you or your organization have any ability to pay for:

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.