Request for Assistance
Please complete this form if you would like Family Violence Appellate Project to review your case to see if we can help you with an appeal.

If you would like our help, but do not have a safe email address where we can reach you, please call us at (510) 858-7358.

Once we receive your completed form, we will contact you by email within 2 business days.  If you have not received an email from us within two business days, please check your email’s spam folder for an email from us, which will be from or
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Your First Name: *
Your Last Name: *
Any other names you have used, including maiden names:
FVAP provides services in all languages. What language do you want us to use when we communicate with you?
What State is your case in? *
Trial Case Number and County:
Opposing party First Name: *
Opposing party Last Name: *
Any other names the opposing party has used, including maiden names:
The names of any other opposing parties in your case:
How did you hear about us? (For example: internet, a friend, or another organization.) If you were referred to us by an organization, please tell us the organization’s name: *
Safe email address where we can reach you:
Is it safe to email you at this address?
Safe phone number where we can reach you:
Is it safe for us to leave a voicemail message at this number? *
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