LRS Request Form

* All fields are required for this form *

Where did you first learn of the Lawyer Referral Service?	Searching The Web Television Ad Other Already Knew About LRS Radio Ad Attorney Yellow Pages Ad If Other:
Name:
Email address:
Telephone number:
Brief description of legal issue or problem:
Where is the case:	King County Snohomish County Other County Pierce County If Other County:
Have you been served papers:	Yes No 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?	Yes No
In what part of the county would you prefer the attorney:
Do you need an interpreter?	Yes No If yes, for which language?

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