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LRS Request Form

* All fields are required for this form *

Where did you first learn of the Lawyer Referral Service?

  If Other:  
Name:
Email address:
Telephone number:
Brief description of legal issue or problem:
Where is the case:
  If Other County:  
Have you been served papers:   If so when?  
  What were the papers called?   
Which court is the case in:
Response date or court date:
Type or name of hearing:
Name of opposing party:
Name of opposing Party's Attorney:
Do you have a disability that requires a home visit?
In what part of the county would you prefer the attorney:
Do you need an interpreter?   If yes, for which language?  

 


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