Appointment Request Form - Vera Court Family Law Clinic
9:00 am - 1:00 pm every 2nd Wednesday of the month, by appointment only
Free 1 hour consults are available to low-income individuals with attorneys practicing in family law. We do not offer legal representation, but rather an opportunity to ask questions and fill out paperwork. This form is to request an appointment, filling out this form does not guarantee availability. The client will receive a text or call to confirm their appointment within a week. All information on this form is confidential and only used to provide support within the legal clinic.

Interpretation services are available upon request. **Clients who need interpretation are highly encouraged to bring their own interpreter**

To register, or for any questions, please contact us at 608-246-8372 or general@veracourt.org.

Upcoming Clinics
  • Wednesday, August 14th 2024 (9am, 10am, 11am, 12pm)
---
De 9:00 am a 1:00 pm cada segundo miércoles del mes, solo con cita previa.

Se ofrecen consultas gratuitas de 1 hora a personas de bajos ingresos con abogados que practican derecho de familia. No ofrecemos representación legal, sino más bien una oportunidad para hacer preguntas y completar formularios. Este formulario es para solicitar una cita, completarlo no garantiza disponibilidad. El cliente recibirá un mensaje de texto o una llamada para confirmar su cita dentro de una semana. Toda la información en este formulario es confidencial y solo se utiliza para brindar apoyo dentro de la clínica legal.

Servicios de interpretación están disponibles bajo petición. **Se recomienda a los clientes que necesiten interpretación que traigan su propio intérprete**.

Para registrarse o para cualquier pregunta, por favor contactar al 608-246-8372 o general@veracourt.org. 

Próximas Clínicas
  • Miércoles 14 de agosto de 2024 (9am, 10am, 11am, 12pm)
Sign in to Google to save your progress. Learn more
Email *
Are you requesting this appointment for yourself or someone else? *
If you are requesting this appointment on behalf of a client, please provide your Name, Referring Agency, and Contact Information *
Do we have consent from you (or the client) to leave a detailed voicemail or text message to schedule and confirm the appointment? *
Preferred appointment time & date (Indicating this is not a guarantee for an appointment, but rather a request. You will receive a confirmation of your appointment time within 5 days)
Full Name (of person attending the appointment) *
Phone number *
Do you require an interpreter? If so, for what language?
*
Address (if homeless, please mark N/A) *
Currently Involved in a court case? If so, please include case number? *
Do you already have a lawyer? *
Please briefly describe the issue and how we can help. Please understand that this clinic can only assist with family law matters including divorce, child custody and placement, child support, etc.
*
Email Address (of person attending the appointment)
The Vera Court Family Law Clinic is held in person at 614 Vera Ct Madison. Phone call appointments can be arranged upon request. Please indicate if you are able to attend in person. *
Do you have any questions?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Vera Court Neighborhood Center. Report Abuse