Injunction for Protection Attorney Intake and Screening Form
Please ensure that you are in a safe place to complete the following form. It should take about 5-10 minutes to complete.

Please answer each of the required questions before submitting the form. A conflict check is required before the initial appointment and if the required information is not collected, your appointment will be cancelled. 

Before submitting your responses, please be sure to book an appointment with the IFP attorney. If you fail to book an appointment, no one from the IFP attorney's office will follow up with you. You will need to resubmit the form in order to book an appointment.

If no time slots are available prior to a scheduled injunction hearing, please email the IFP attorney at jason.bagwell@sereneharbor.org and provide a brief description of the legal service you require and the best phone number to reach you.

Disclaimer: Completing this form and booking an initial appointment with the IFP attorney does not guarantee that the IFP attorney will be able to provide you legal services. A conflict check will be completed prior to the initial appointment and the IFP attorney will meet with you absent any such conflict. After the initial appointment, the IFP attorney may represent you depending on the circumstances of your case and the IFP attorney's availability. Any communications between you and the IFP attorney during the initial appointment will be privileged, but an attorney-client relationship is not established until the IFP attorney agrees to represent you and you have agreed to the terms of an Engagement Agreement for Legal Services.


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