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APILO Legal Clinic – Appointment Request Form
Thank you for your interest in the APILO Free Legal Clinic.
This clinic is
by appointment only
. Please complete this form to request an appointment.
All information will be kept confidential
.
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* Indicates required question
First Name:
*
Your answer
Last Name:
*
Your answer
Phone Number:
*
Your answer
Email:
Your answer
Preferred Language
*
English
Tagalog
Spanish
Chinese (Mandarin)
Chinese (Cantonese)
Other:
Do you live in San Mateo County?
*
Yes
No
If you live in San Mateo County, which city or town do you live?
*
Daly City
South San Francisco
San Bruno
Millbrae
Burlingame
San Mateo
San Carlos
Belmont
Redwood City
Menlo Park
I do not live in San Mateo County
If you don't live in San Mateo County, where is your residence?
Your answer
What legal issue do you need help with?
(Please check all that apply)
Housing
Immigration
Elder Abuse
Family Law
Other
Are you currently represented by an attorney?
*
Yes
No
Do you need an interpreter for your appointment?
Yes
No
Clear selection
If you answered yes, which language?
(
Note
:
we cannot promise to provide interpretation. We recommend if you can bring someone to help with interpretation
).
Your answer
How did you hear about this clinic?
*
Your answer
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