Pepperdine Disaster Relief Clinic | Volunteer Lawyer Registration Form
Pepperdine University School of Law is providing the Disaster Relief Clinic to offer pro bono legal services to people affected by the Southern California Wildfires of 2018. The Disaster Relief Clinic will provide community education, limited-scope representation, advice and counsel, and referrals to volunteer lawyers on matters related to the Wildfires. These matters likely will include applications and appeals for FEMA and other governmental benefits, insurance disputes, housing matters, business interruption, and related matters.

Thank you for your interest in serving as a volunteer lawyer through the Disaster Relief Clinic. Please complete this form to join the Clinic's pro bono pool. As the Clinic identifies potential clients in need, Clinic staff, lawyers, or law students will alert the pro bono pool to the potential clients and will ask you to claim a client or matter. Then the Clinic will introduce you to the potential client for referral. You will bear all and sole professional responsibility for the clients you receive by referral from the Clinic.

Please write Professor Jeff Baker (jeff.baker@pepperdine.edu) or Clinical Program Manager Kellie Kamimoto (clinicallaw@pepperdine.edu) with any questions.

First and Last Name *
Your answer
Business/Firm/Agency *
Your answer
Business Phone *
Your answer
Business Email *
Your answer
Business Address *
Your answer
The State Where You Are Licensed to Practice Law: *
Your answer
Your Bar Number:
Your answer
Areas of Practice *
Your answer
Are you willing to be trained on FEMA applications and appeals and receive referrals on these matters? *
How many potential limited-scope or advice-and-counsel clients do you expect that you can take until January 2019?
Your answer
How many potential full-scope clients do you expect you can take until January 2019?
Your answer
Do you agree that all clients you take by referral through the Disaster Relief Clinic will be pro bono for the matters identified through the Clinic? *
Do you agree to take full, complete, and sole professional responsibility for all clients you take by referral from the Disaster Relief Clinic under your own professional responsibility liability insurance, acknowledging that the Disaster Relief Clinic will not bear professional responsibility for clients and cases you receive by referral? *
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