SHORT-TERM ASSISTANCE/INTAKE QUESTIONNAIRE

***Due to limited resources, DRC may not be able to directly assist you, but may only be able to give you information or referrals. Please continue to fill out the form if you would like to proceed.***

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    INFORMATION ABOUT POTENTIAL CLIENT

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    Check the topic area(s) that best represents your legal issue:

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    Areas where Disability Rights California CANNOT provide assistance

    1. Direct representation in criminal law, family law, bankruptcy or evictions 2. Personal Injury (including workers’ compensation) 3. Medical Malpractice (wants to sue doctor/hospital/clinic) 4. Social Security eligibility and eligibility appeals, including filling out application forms 5. Obtaining a guardianship or conservatorship 6. Wills and trusts, including special needs trusts