Form to Demonstrate Need for Pro Bono Services:
Please answer each question on this form so we may determine whether or not to take your case. We take cases pro bono based on demonstrated financial need, urgency, and whether or not our staff has the resources and experience to take them. We do not take more than 10 pro bono cases total at one time. We will respond to your request as soon as is possible. If you have any question please email [insert coordinator email here]
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Email *
Full name:
Address: 
What specific legal services do you need?
In 500 words or less, explain your situation and why you require pro bono services:
What is your yearly income?
How many people are in your household?
Do you have any dependents? If so, how many?
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