Sunshine Legal Clinic Intake Form
Please fill out the following intake form prior to your legal consultation.  If you have any questions or concerns, please contact sunshinelegalclinic@gmail.com.  

***Sunshine Legal Clinic does NOT provide legal representation.  

Please note: This clinic is only open to people who live in Dane County AND their case is within Dane County. This will be a 30 minute phone consultation. This will not be in person.  The Sunshine Legal Clinic does not offer pro bono legal representation.


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First Name *
Middle Name *
Last Name *
Street Address *
City   *
Please note: This program only serves individuals in Dane County. 
Zip Code
What is your phone number? *
If appointment is telephonic, please provide the phone number you would like the attorney to call for the appointment.
What is your email address? *
If you do not have an email address, please answer with N/A.
Family size *
The total number of people living in your household.  Please include yourself.  
Source(s) of Income (wages, unemployment, social security, public assistance, interest and dividends, worker's comp., etc.) *
What is your total annual family income from all sources (wages, unemployment, social security, public assistance, interest and dividends, worker's comp., etc.) for all members of your family who are at least 18 years of age? *
Date of Birth *
MM
/
DD
/
YYYY
Head of Household? *
Disabled? *
Race *
Ethnicity *
Gender *
Are you currently in W2? *
W2 is also known as Wisconsin Works or TANF and is a program for low income families and pregnant women.
What type of legal consultation do you need?  *
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